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Corporate Environmental Health & Safety (EHS) Standard Mobile Elevated Work Platform Intel Corporation Rev 6.1 – Aug, 2008 1 TABLE OF CONTENTS MEWP Safety I. Purpose II. Scope III. Program Requirements A. Operational Requirements i. Manuals ii. During Operation iii. Spotters iv. Hazard Warnings / Signage v. Reporting Problems or Malfunctions vi. Manufacturer’s Safety Bulletins vii. MEWP Use in Hazardous Locations viii. Badging Requirements B. Inspection Requirements C. Maintenance Requirements D. Product Safety Notice (PSN) E. Records IV. Training V. Roles and Responsibilities A. Employees B. Supervisors and Managers C. Site Environmental Health and Safety D. Global Environmental Health and Safety VI. Definitions VII. References VIII. Change Control Appendices A. MEWP Lift Approval Inspection Form B. Daily Pre-Use Inspection Requirements C. Daily Inspection Log Sheet

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Corporate Environmental Health & Safety (EHS) Standard

Mobile Elevated Work Platform

Intel Corporation Rev 6.1 – Aug, 2008 1

TABLE OF CONTENTS

MEWP Safety

I. Purpose II. Scope

III. Program Requirements A. Operational Requirements

i. Manuals ii. During Operation

iii. Spotters iv. Hazard Warnings / Signage v. Reporting Problems or Malfunctions

vi. Manufacturer’s Safety Bulletins vii. MEWP Use in Hazardous Locations

viii. Badging Requirements B. Inspection Requirements C. Maintenance Requirements D. Product Safety Notice (PSN) E. Records

IV. Training V. Roles and Responsibilities

A. Employees B. Supervisors and Managers C. Site Environmental Health and Safety D. Global Environmental Health and Safety

VI. Definitions VII. References

VIII. Change Control

Appendices

A. MEWP Lift Approval Inspection Form B. Daily Pre-Use Inspection Requirements C. Daily Inspection Log Sheet

Corporate Environmental Health & Safety (EHS) Standard

Mobile Elevated Work Platform

Intel Corporation Rev 6.1 – Aug, 2008 2

I. Purpose:

To ensure all Mobile Elevated Work Platforms (MEWP) meet or exceed minimum operational safety requirements and are maintained and operated in a safe manner in accordance with all Intel, Contractor, Equipment Manufacturer, OSHA, and ANSI specifications governing their use.

II. Scope

The requirements of this program apply to all MEWP utilized on Intel properties.

III. Program Requirements a. OPERATIONAL REQUIREMENTS

i. Manuals

1. Operating and maintenance manuals shall be available for each MEWP located on Intel property. The operating manual shall be provided with each rental, lease or sale delivery and shall be stored in a weather resistant storage compartment located on the MEWP.

ii. During Operation

1. MEWP shall be operated in accordance with the following requirements a. Workplace Assessment: Before the MEWP is used and during use, the user

shall check the area in which the MEWP is to be used through the use of the daily MEWP inspection log sheet (see Appendix 10.4 - Daily Inspection Log Sheet). The inspection log sheet shall be maintained on the MEWP at all times during its use. The workplace assessment shall include but is not limited to the following;

i. Floor conditions: Drop offs, holes, uneven surfaces, and sloped floors. ii. Housekeeping: Debris, floor obstructions, cords, construction material

and supplies. iii. Hazardous Energy: electrical power cables or panels, chemical lines,

gas lines, drain lines, and utilities. iv. Under/Overhead obstructions: Tight working conditions, adjacent

structures, pipe racks, ceiling grids and any other possible material or equipment that can be lodged or come in contact with the MEWP.

b. Guardrails: The MEWP guardrails shall be installed and access gates or

openings shall be closed per manufacturer's instructions. c. Load Capacity: The load and its distribution on the MEWP and any platform

extension shall be in accordance with the manufacturer's rated capacity for that specific configuration. Rated capacities shall not be exceeded when loads are transferred to the MEWP at any height. MEWPs shall not be used as a crane, (i.e. transport of materials, hoisting tools and equipment, etc.).

d. Clearance: There shall be adequate clearance from overhead obstructions to

prevent personnel from becoming caught between the MEWP and the surrounding facility structures. Personnel shall remain within the confines of the guardrails during all vertical movement of the work platform (i.e. personnel shall not lean out over the handrail during vertical movement).

e. Preventing Inadvertent /Accidental Movement:

i. MEWP control panels/stations shall include a separate control which shall be continuously activated by the operator for upper directional controls to be operational, which can be released by the operator independently from the directional controls, and which renders upper controls inoperative when released (Excerpt from ANSI A92.6-1999).

Corporate Environmental Health & Safety (EHS) Standard

Mobile Elevated Work Platform

Intel Corporation Rev 6.1 – Aug, 2008 3

Controls which activate movement of the MEWP must return to the “off” or “neutral” position when released. Time-delay activation controls are not permitted. Note: For lifts that utilize a “trigger-type” enable function on the joystick, the trigger must be activated prior to joystick movement for the lift to operate. EXCEPTION 1: Scissor lifts used in Israel shall require dual-handed operation. EXCEPTION 2: Boom lifts shall have a combination of one foot control in conjunction with one hand control or meet the criteria above.

ii. Control panels/stations shall be readily accessible to the operator, kept free of materials, and shall be protected/guarded from inadvertent contact by personnel, tools or materials from within or external to the work platform.

iii. Control panels/stations that are movable from side to side or front to back must be secured in their home position to prevent inadvertent operation except in cases where it causes increased risk of injury or equipment damage. Control panels/stations not permanently attached shall have their normal location and orientation clearly marked.

f. Elevated Driving Requirements: Visual and verbal communications prior to lift movements should be utilized to warn pedestrian and co-workers that the lift will be set in motion. Work platforms shall be lowered to their base position prior to traveling horizontally to different work locations (over 10 feet). Horizontal movement of the work platform in the elevated position is only allowed for the final positioning of the lift at the specific work location. All movements performed in congested work locations must be performed with the aid of a spotter (see section 4.3 - Spotters).

g. Travel Speeds: Under all travel conditions, the operator shall limit travel

speed according to conditions of ground surface, congestion, visibility, slope, location of personnel, and other factors causing hazards of collision or injury to personnel.

h. Personnel Footing: Personnel shall maintain a firm footing on the platform

floor while working. The floor of the work platform shall be kept in a clean and orderly fashion (i.e. free of trash, materials, tools, etc.) Use of planks, ladders, or any other device on the MEWP for achieving additional height or reach is prohibited unless additional fall protection measures are employed and specifically approved by the appropriate Environmental Health and Safety representative. The EHS representative shall ensure the following determinations have been conducted prior to authorizing the use of planks, ladders or other devices for additional height.

i. The task cannot be accomplished using an alternative method of accessing the area or performing the operation (i.e. utilizing a different type of lift, erection of scaffold, performing work at ground level).

ii. The use of alternative methods such as a scaffold, ladder, etc. would present a greater risks of incident/injury (i.e. access/erection of scaffold or use of ladders would create a greater fall hazard).

iii. The duration of the task dictates that exposure is less than that which would occur during installation of other means (scaffold erection).

Corporate Environmental Health & Safety (EHS) Standard

Mobile Elevated Work Platform

Intel Corporation Rev 6.1 – Aug, 2008 4

iv. An adequate fall protection plan has been developed and the associated hazards have been outlined in the crews Pre-Task Planning.

2. Fall Protection

a. Aerial Boom Lift: Additional fall protection requirements are required during the use of aerial boom lifts:

i. A full-body harness with a fall arrest lanyard shall be worn at all times while conducting work from inside the aerial boom lift cage. The fall arrest lanyard shall be secured to the aerial boom lift fall protection attachment point. Utilize a lanyard as short as possible to minimize the potential for ejection out of the cage.

ii. Tying off to an adjacent pole, facility structure, or equipment while working inside the cage of an aerial boom lift is prohibited.

iii. Personnel required to climb out of an elevated boom lift onto an elevated facility structure shall utilize 100% tie off procedures during the transition from the boom lift cage to the elevated work location, (i.e. personnel shall tie off to a fall rated facility anchorage point prior to disconnecting their lanyard attached to the aerial boom lift cage).

b. Scissors Lifts: In the event the operators’ feet leave the floor of the work

platform in order to reach higher elevations, an approved fall protection system shall be utilized. Individuals shall attach their fall protection lanyard to an approved anchorage point (located above the scissors lift) which is capable of withstanding 5,000 lbs. or two times the arresting force as identified by the EHS representative.

3. Work Area: The operator and/or the spotter shall ensure that the area surrounding the MEWP is clear of personnel and equipment before lowering the platform. Care shall be taken to prevent rope, electric cords and hoses from becoming entangled in the MEWP.

4. Safe Approach Distances: No MEWP may be operated within 30 feet of overhead

energized lines or within the National Electric code clearance requirements without an approved Site Incident Prevention Program permit.

5. Altering Safety Devices: Altering or disabling interlocks or other safety devices is

prohibited and is grounds for disciplinary action, up to and including termination.

6. Fueling: The engine shall be shut down while fuel tanks are being filled. Fueling shall be done in a well-ventilated area free of flame, sparks, or other hazards that may cause fire or explosion.

7. Battery Charging: Batteries shall be charged in a well-ventilated area free of flame,

sparks, or other hazards that may cause fire or explosion.

8. Improper Platform Stabilization: The MEWP shall not be positioned against another object to steady the work platform.

9. Unusual Operating Support Conditions: MEWP shall not be operated while

positioned on trucks, trailers, railway cars, floating vessels, scaffolds, or similar equipment unless the application is approved in writing by the manufacturer and appropriate Environmental Health and Safety representative.

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Intel Corporation Rev 6.1 – Aug, 2008 5

10. Stabilizers: The outriggers, stabilizers, extendible axles, or other stability enhancing means, shall be used as required by the manufacturer.

11. Stunt Driving: Stunt driving and horseplay is prohibited.

12. Driving on Slopes: The MEWP shall not be driven on grades, side slopes or ramps

exceeding those for which the MEWP platform is rated by the manufacturer.

13. Snagged Platform: If the MEWP basket or supporting assembly becomes caught, snagged, or otherwise prevented from normal motion by adjacent structures or other obstacles such that control reversal does not free the platform, all personnel shall be removed from the platform/basket before attempts are made to free the platform using chassis controls.

iii. Spotters

1. Depending on the location and local work environment, safety spotters may be required during the use of MEWP. Spotters shall be required when there is a potential for operator injury due to physical contact with facility systems or structures. Spotters shall also be required when there is a potential for damage to sensitive facility systems or structures. Examples of when a spotter is required are: the use of MEWP in congested work locations such as overhead piping/mechanical chases above ceiling grids, in close proximity to other personnel, in operating manufacturing areas, in FABs / subfabs, in areas of poor visibility, in locations adjacent to Hazardous Production Materials, in areas with floor openings/leading edges, or in areas containing energized electrical equipment. A safety spotter may be another co-worker located on the work platform or on the ground depending on area to be observed during movement. The spotter shall work in conjunction (team) with the operator to ensure the MEWP is utilized in a safe manner.

a. Spotters shall be in a visual line of sight with the MEWP and be able to lower the MEWP in an emergency. EMO button shall be visible and unobstructed.

b. Spotters shall monitor all horizontal and vertical movements and provide guidance to the operator.

c. A spotter may spot for multiple lifts. The spotter is not an additional person for the sole purpose of observing the lift. The spotter is meant to be a productive worker who can be called on to observe the MEWP during the vertical or horizontal movement.

d. The spotter shall conduct a workplace hazard assessment survey for potential hazardous operating conditions prior to all horizontal or vertical movements of the MEWP.

iv. Hazard Warnings / Signage

1. When other moving equipment and or personnel are present in the work area, special precautions shall be taken to comply with the Intel Overhead Work and Barricading Policies. Warnings such as, but not limited to, flags, roped-off areas, flashing lights, safety cones or barricades shall be used. Additional warning/signage may be required per the local site ordinances or safety specifications.

v. Reporting Problems or Malfunctions

1. Operators shall immediately report any problems or malfunctions that become evident during operation to their supervisor. Any lifts with problems or malfunctions that affect the safety of operations shall be immediately removed from service, locked/tagged out and repaired prior to continued use.

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vi. Manufacturer's Safety Bulletins

1. The operation/maintenance of MEWP shall comply with safety-related bulletins as received from the manufacturer, dealer or owner.

vii. MEWP Use in Hazardous Locations

1. Only MEWP approved for use in hazardous locations or atmospheres as defined by ANSI / NFPA 505-1987 shall be used in ANSI / NFPA defined hazardous locations. Operators shall immediately cease work in and report to a supervisor any potentially hazardous location(s) or environment that become evident during operation.

viii. Badging Requirements

1. All operators shall possess a certification sticker, badge, or card which indicates they are qualified operators of the MEWP. MEWP shall be sufficiently controlled to prevent the use of the MEWP use by unauthorized person(s).

b. Inspection Requirements

i. MEWP inspections shall be inspected and maintained as required to ensure proper operation. The frequency of inspection and maintenance shall be determined by the manufacturer's recommendations and be compatible with operating conditions and the severity of the operating environment. MEWP that are not in proper operating condition shall be immediately removed form service until repaired. Repairs shall be made by a qualified person and the repairs shall be in conformance with the manufacturer’s recommendations. Each site shall implement a MEWP inspection program that as a minimum includes the following inspections:

1. Lift Approval Inspection: Upon arrival on an Intel site all MEWP shall be inspected utilizing the Lift Approval Inspection Form (Attachment I.) to ensure they comply with the requirements set forth in this policy. Lifts passing inspection shall be identified by the use of an inspection certification tag or sticker which shall be signed and dated by the authorizing inspector and attached to the MEWP in a visible location.

2. Daily Pre-Use Inspection: Before use each day or at the beginning of each shift, the MEWP shall be given a visual inspection and functional test through the use of the daily MEWP inspection log sheet (see Appendix 10.3. - Daily Inspection Log sheet). The daily pre-use log sheet shall be maintained on the MEWP at all times during its use.

3. Maintenance Inspections: MEWP’s that have been in service for 3 months or 150 hours (whichever comes first), or has been out of service for a period longer than 3 months, shall be inspected by a person qualified as a mechanic on the specific make and model of the MEWP. All items and frequency specified by the manufacturer for frequent inspections shall be followed.

c. Maintenance Requirements

i. General Maintenance

1. MEWP shall be maintained in accordance with the manufactures specifications. Preventive maintenance programs shall be in place to ensure safe operation of MEWP at all times. All malfunctions and problems identified shall be corrected before the MEWP is returned to service.

ii. Maintenance Safety Precautions

1. Before adjustments and repairs are started on MEWP, the following precautions shall be taken as applicable: NOTE: Only trained personnel shall repair and/or perform adjustments to the MEWP

iii. Modification

1. Modification or alteration of an MEWP shall be made only with prior written permission of the manufacturer.

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iv. Replacement Parts

1. When parts or components are replaced, they shall be identical or equivalent to the original MEWP parts or components.

v. Pre-Delivery Preparation

1. MEWP shall be inspected, serviced, and adjusted to manufacturer’s requirements prior to delivery onto an Intel site.

d. Product Safety Notice (PSN)

i. Contractor’s operating MEWP on Intel property shall upon receipt of any notification regarding safety, operability or reliability (a product safety notice or PSN) from any manufacturer or supplier of equipment supplied by Contractor, or Contractor's suppliers, sub-contractors or agents, to any Intel site, provide, within 10 days of receipt of said PSN by Contractor, written notice to Intel, including:

1. A copy of the PSN 2. A brief description of the issues described in the PSN. 3. A detailed list and description of corrective action(s) to be undertaken by the Contractor

to resolve the issues identified in the PSN. 4. A schedule for corrective action(s). Contractors shall pay for any and all costs to

implement corrective action(s) identified in the PSN or reasonably necessary to address the issues identified in the PSN, including immediate replacement of affected equipment.

ii. Contractor agrees that corrective action(s) undertaken by Contractor shall not result in interruption of Contractor's or any other work at any Intel site.

iii. Contractor agrees to require Contractor's supplier, subcontractors and agents to comply with the requirements of this section.

e. Records

i. The following MEWP records shall be retained for at least 4 years and be available for immediate review:

1. Records of the operator(s) trained on each model of an MEWP. 2. Written records of all repairs accomplished on the MEWP, including the date of any such

repair, a description of the work accomplished and the identification of the person(s) performing the repair.

3. Written records of the frequent and annual inspections performed by the owner. The record shall include deficiencies found, corrective action and identification of the person(s) performing the inspection and repairs.

4. MEWP owner to maintain records of the pre delivery preparation performed prior to each delivery.

IV. Training

Course Title Course Code Requirement

MEWP 00015240

Operator Training All MEWP operators shall be trained in accordance with the manufacturer’s

operating and maintenance manual, the user's work instructions, and the requirements listed in this specification before operating the MEWP. Only properly trained and authorized personnel shall be permitted to operate the MEWP. Retraining is required if gaps are identified during an evaluation of the operator’s use of an MEWP.

Model Training The operator shall be trained either on the same model of MEWP or one

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having operating characteristics and controls consistent with the one to be used during actual work site operation. Under the direction of a qualified person, the trainee shall operate the MEWP for a sufficient period of time to demonstrate proficiency and knowledge in the actual operation of the equipment. Care shall be taken to ensure the area of such operation has a minimum of obstacles and is conducive to training. Before Operation: Prior to operating an MEWP an operator shall:

o Be instructed by a qualified person on the intended purpose and function of each control.

o Read and understood the manufacturer's operating instruction(s) and user's safety rules or been trained by a qualified person on the contents of the manufacturer's operating instruction(s) and users safely rules.

o Understand by reading or having a qualified person explain all decals, warnings, and instructions displayed on the MEWP.

o Be informed of the MEWP operating limitations and restrictions as defined by the manufacturer.

Maintenance Training All personnel performing maintenance on MEWP shall be trained in

accordance with sections IV of this specification and in accordance with the manufacturer's recommendations.

Spotter Training Each spotter shall be trained on how to perform their assigned

roles/responsibilities as defined (see section iii - Spotters). Spotters shall be trained to understand basic operating procedures of each MEWP they monitor. Each spotter shall be trained in the operation of the MEWP’s lower controls and possess complete understanding of the overriding capability of the upper controls.

V. Roles and Responsibilities a. Employees

i. To follow procedures and requirements of Intel’s and Site’s MEWP Standard. ii. To complete all necessary training prior to operating a MEWP.

b. Supervisors/Managers

i. Ensure that only authorized employees, who are qualified and trained, operate MEWP’s. ii. Ensure that employees are trained with current certification in MEWP operation.

c. Site Environmental Health and Safety

i. Ensures that a written MEWP Program which addresses the authority, responsibilities and controls needed to protect employees from improper operation or maintenance is implemented at the Site.

ii. Updates standard to remain current with applicable local and international regulations as well as the Corporate Standard.

iii. Audits site’s program(s) periodically to ensure the content and employee practices are current with applicable regulations and Corporate Standard.

d. Global Environmental Health and Safety

i. Drive continuous improvement to this document. ii. Approve proposed revisions to this document and related training.

VI. Definitions

Authorized Personnel (Authorized Person) - Personnel approved as assigned to perform a specific type of duty or duties at a specific location or locations at a work site.

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Competent Person - One who is capable of identifying existing and predictable hazards in the surroundings, or working conditions which are unsanitary, hazardous, or dangerous to employees, and who has authorization to take prompt corrective measures to eliminate them. Delivery - Transfer of care, control, and custody of the MEWP from one person or entity to another person or entity. Directional controls - Controls that initiate functions that affect movement of the platform or the MEWP. Guardrail system - A vertical barrier erected to prevent personnel from falling to lower levels. Hazardous location - Any location that contains, or has the potential to contain, an explosive or flammable atmosphere as defined by ANSI/NFPA 505. Instability - A condition of an MEWP in which the sum of the moments that tend to overturn the unit exceeds the sum of the moments tending to resist overturning. Interlock - A control or mechanism that, under specified conditions, automatically allows or prevents the operation of another control or mechanism. Manufacturer - A person or entity that makes, builds, or produces an MEWP. MEWP (Mobile Elevated Work Platform) - A mobile device that has an adjustable work platform that can be elevated in order to perform work above the ground level. Examples of MEWPs include scissors lifts, aerial boom lifts, articulating boom lifts, etc. Modification - To make a change(s) to an MEWP that affects the operation, stability, safety factors, rated load or safety of the MEWP. Operator - A qualified person who controls the movement of the MEWP. Outriggers -Devices that increase the stability of the MEWP and that are capable of lifting and leveling the MEWP. Override - To take over MEWP movement control functions of the upper control station by the at the lower control station. Owner - A person or entity that has possession of an MEWP by virtue of proof of purchase. Platform - The portion of an MEWP intended to he occupied by personnel with their necessary tools and materials. Qualified Person - A person, who by reason of knowledge, experience, or training is familiar with the operation to be performed and the hazards involved. Shall: The word ‘shall' is to be understood as being mandatory. Stabilizers - Devices that increase the stability of the MEWP but are not capable of lifting or leveling the MEWP. Unrestricted rated work load - The maximum designed carrying capacity of the MEWP allowed by the manufacturer in all operating configurations. User - A person(s) or entity that has care, control and custody of the MEWP. This person or entity may also be a dealer, owner, lessor, lessee, or operator.

VII. References

ANSI/NFPA -505 Fire Safety Standard for Powered Industrial Trucks Including Type Designations, Areas of Use, Maintenance, and Operation

ANSI / SIA 92.6 Self Propelled Elevating Work Platforms

ANSI / SIA A92.2-1990 Vehicle Mounted Elevating and Rotating Devices

ANSI / SIA A92.3 Manually Propelled Elevating Work Platforms

ANSI / SIA A92.5 Boom-supported Elevating Work Platforms

29 CFR 1910.67

29 CFR 1926.453

VIII. Change Control

Date Rev # Section Author Change Summary

10/13/08 6.1 All Heath Foott Updates standard with corporate template.

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Mobile Elevated Work Platform

Intel Corporation Rev 6.1 – Aug, 2008 10

APPENDICES

Appendix A

MEWP Lift Approval Inspection Form

If all answers are “Yes” then the MEWP can be allowed on the site.

If any answer is “No” then the MEWP is not allowed on the site until the deficiency is corrected.

MEWP Checklist YES NO

Are the MEWP controls adequately labeled to indicate direction of movement?

Does the MEWP move steady?

Does the MEWP stop smoothly?

The MEWP shows no signs of electrical or mechanical malfunctions?

Does the emergency stop function properly?

Does the MEWP control panel/station include a separate control which shall be continuously activated by the operator for upper directional controls to be operational, which can be released by the operator independently from the directional controls, and which renders upper controls inoperative when released?

Has the potential for an object to inadvertently activate both points of contact been eliminated?

Do controls which activate movement of the MEWP return to the “off” or “neutral” position when released?

Initial daily use inspection form has been completed?

Note: The acceptance of this lift on this site does NOT qualify it for operation. The owner of the lift and the operator MUST still ensure that ALL requirements of ANSI, State, Local, and Site and Federal programs have been met prior to operation including the daily use inspection form.

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Appendix B

Daily Pre-Use Inspection Requirements

Purpose: To ensure all MEWP in use are in a safe operating condition at all times and to ensure all Intel,

Contractor, Equipment Manufacture, OSHA, and ANSI daily inspection requirements are being adhered to. Directions:

1. Contractors must ensure all MEWP operators are trained and qualified to operate the model/type of MEWP being used. Each site must establish an audit process accompanied by a displayable certificate/process which the worker keeps on their person, (i.e. - hard hat stickers, badge, operator’s license, operator’s card, etc.) 2. Ensure all operators fully understand and comprehend daily inspection process and requirements for the model of lift they are using. 3. Require documented pre-use inspections to be performed prior to the use of all MEWP by either the operator or a qualified equivalent on a daily basis. (i.e. - lift mechanic, foreman, safety officer, equipment manufacture rep., etc.) 4. The current pre task planning and pre-use inspection log sheet must be posted on the MEWP. 5. Party performing the inspection validating the safety of the MEWP must enter: date, shift, and their name on the log sheet. Contractor crew using the lift must also have their company name listed on the top right corner of the log sheet. 6. The MEWP must pass the inspection with 100% of the inspection requirements being found to be in proper working order. Any MEWP not passing all inspection requirements shall be put out of service and “red tagged” in addition they must be “locked out” or be removed from the work area and stored it in a secured area. (I.e. locked up in storage yard, or sent back to equipment vendor, sent to the maintenance shop, etc.) 7. Failure to follow these requirements may be grounds for disciplinary action up to and including termination of employment on Intel projects. (compliance issues) 8. Any willful act of by passing a safety feature or overriding an interlock device on an MEWP is a ZERO TOLERANCE disciplinary offense, and shall result in termination and removal of individuals immediately from the work site. 9. Any willful act of falsifying or purposefully misrepresenting the safety condition of an MEWP is a ZERO TOLERANCE disciplinary offense, and shall result in termination and removal of individuals immediately from the work site. 10. When the operator feels that, to perform the task, it may be necessary to use planks scaffold or other means to obtain additional height the operator MUST have signature approval by the appropriate safety representative (see Section 4.2.8 of the MEWP Policy)

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Appendix C

Daily Inspection Log Sheet

Name/Type of MEWP: Contractor Name

Model or Equip No.: Contact Number

Date:

Operator or Inspectors Name:

(person performing the inspections)

Is the operator trained to operate this MEWP and does

the operator have a valid operators license/card?

Y / N

Y / N

Y / N

Y / N

Y / N

Y / N

Y / N

Inspection Item & Description

Pass Fail Status

P/F P/F P/F P/F P/F P/F P/F

1 Operating and emergency controls are in proper

working condition, including EMO button or

Emergency Stop Device

2 MEWP includes a separate control which shall

be continuously activated by the operator for

upper directional controls to be operational.

3 Emergency Lowering function operates properly

4 Lower operating controls successfully over ride

the upper controls.

5 Both upper and lower controls are adequately

protected from inadvertent operation.

6 Control panel is clean & all buttons/switches are

clearly visible (no paint over spray, etc.).

7 All switch & mechanical guards are in good

condition and properly installed.

8 All Safety Indicator lights work.

9 MEWP controls are secured in their home

position and function properly & accurately

labeled (up, down, right, left, forward, and

back).

10 Motion alarms are functional.

11 Safety decals are in place and readable.

12 All guard rails are sound and in place, including

basket chains. Fall protection anchorage points

are clearly marked for MEWPs.

13 Work platform & extension slides are clean, dry,

& clear of debris.

14 Work platform extension slides in and out freely

with safety locking pins in place to lock setting

on models with extension platforms.

15 Inspect for defects such as cracked welds, fuel

leaks, hydraulic leaks, damaged control cables

or wire harness, etc.

16 Tires and wheels are in good condition, with

adequate air pressure if pneumatic

17 Braking devices are operating properly.

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18 Check fluid levels (fuel, hydraulic, etc.).

19 For battery operated MEWP’s, charging sockets

and plugs are complete and in good condition.

20 The manufacturer’s operations manual is stored

on MEWP (in all languages of the operators).