s&h audit 1

120
ASSESSMENT PROFILE SHEET ASSESSMENT DATE: Check One With "X" SUB: OPER. CO.: SELF PERFORM: CLIENT NAME: CONSTRUCTION MGMT (CM ASSESSOR(S) LABOR POSTURE ACTIVITY Type Name/Location Here OPEN SHOP CONSTRUCTIO Type Name/Location Here MERIT SHOP MAINTENANCE Type Name/Location Here UNION Type Name/Location Here OTHER PROJECT INFORMATION PROJECT NAME: PROJECT NUMBER: PROJECT MANAGER: SITE MANAGER: SAFETY MGR/REP: PROJECT LOCATION: CITY: STATE: ZIP: COUNTY PROJECT REGION Check With "X" AMERICAS AFRICA EAST US NLA CANADA ASIA PACIFIC EUROPE WEST US SLA CARIBBEAN AUSTRAILIA MID EAST CENTRAL US CENTRAL AMER. OTHER ASSESSMENT TYPE Check One With "X" GENERAL REQUESTED BY PROJECT CONSULTATION (Non-FD) POST ACCIDENT (Non-Fatal) POST FATALITY FOLLOW-UP (Post Failure) REQUESTED BY CLIENT OTHER INJURY SUMMARY Total LWC's - Project To Date: Total Recordables - Project To Date: Total LWC's - Since Last Audit: Total Recordables - Since Last Audit:

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Page 1: S&H Audit 1

ASSESSMENT PROFILE SHEET ASSESSMENT DATE: Check One With "X"

SUB:

OPER. CO.: SELF PERFORM:

CLIENT NAME: CONSTRUCTION MGMT (CM)

ASSESSOR(S) LABOR POSTURE ACTIVITY

Type Name/Location Here OPEN SHOP CONSTRUCTION

Type Name/Location Here MERIT SHOP MAINTENANCE

Type Name/Location Here UNION

Type Name/Location Here OTHER

PROJECT INFORMATION PROJECT NAME:

PROJECT NUMBER:

PROJECT MANAGER:

SITE MANAGER:

SAFETY MGR/REP:

PROJECT LOCATION: CITY: STATE:

ZIP: COUNTY

PROJECT REGIONCheck With "X"

AMERICAS AFRICA EAST US NLA CANADAASIA PACIFIC EUROPE WEST US SLA CARIBBEANAUSTRAILIA MID EAST CENTRAL US CENTRAL AMER. OTHER

ASSESSMENT TYPECheck One With "X"

GENERAL REQUESTED BY PROJECTCONSULTATION (Non-FD) POST ACCIDENT (Non-Fatal)POST FATALITY FOLLOW-UP (Post Failure)REQUESTED BY CLIENT OTHER

INJURY SUMMARY

Total LWC's - Project To Date: Total Recordables - Project To Date:Total LWC's - Since Last Audit: Total Recordables - Since Last Audit:

Page 2: S&H Audit 1

FINAL SCORE SHEET

PROJECT NAME:

PROJECT MANAGER: DISTRIBUTION (NAME/LOCATION)DISTRIBUTION (NAME/LOCATION)

PROJECT NUMBER: DISTRIBUTION (NAME/LOCATION)DISTRIBUTION (NAME/LOCATION)

ASSESSOR(S)

FINAL SCORE

0.00 MAX POSSIBLE ASSESSED TOTAL

ADMINISTRATIVE 395.0 0.00 0.00 NO

FIELD EXECUTION 839.0 0.00 0.00 NO A. = 0

SUBTOTAL 1234.0 0.00 0.00 NO B. = 0.00

IDR POINTS (SUBTRACT) 0.00 C. IDR Points ( A x B ) = 0.00

TOTAL 1234.0 0.00 0.00 NO

COMPLIANCE SCORE

COMPLIANCE STANDARD ACHIEVED

Imminent Danger Instances

15% of Assessed Subtotal

ASSESSMENT SCORE SUMMARYIMMINENT DANGER REDUCTION

( IDR )

MTH/DAY/YR

Page 3: S&H Audit 1

document.xls 3 05/03/2023

SAFETY AUDITDETAILED ASSESSMENT SCORE SUMMARY

ADMINISTRATION

SCORE SET STANDARD REDUCTION

SECTION SECTION NAME

1 Occupational health & safety policy statement 14.0 0.0 11.2 NOT MET 0 0

2 Safety and medical recordkeeping practices 22.0 0.0 17.6 NOT MET 0 0

3 Emergency preparedness 30.0 0.0 24.0 NOT MET 0 0

4 Infectious diseases 30.0 0.0 24.0 NOT MET 0 0

5 Hazard communication program 46.0 0.0 36.8 NOT MET 0 0

6 Mobil Equipment 28.0 0.0 22.4 NOT MET 0 0

7 Inspection Procedures 26.0 0.0 20.8 NOT MET 0 0

8 Respiratory protection 26.0 0.0 20.8 NOT MET 0 0

9 Enforcement and discipline 10.0 0.0 8.0 NOT MET 0 0

10 Education and training 18.0 0.0 14.4 NOT MET 0 0

11 Performance indicators 17.0 0.0 13.6 NOT MET 0 0

12 Accident / incident investigation 9.0 0.0 7.2 NOT MET 0 0

13 Contractors 22.0 0.0 17.6 NOT MET 0 0

14 Safety Task Assignment (STA) 12.0 0.0 9.6 NOT MET 0 0

15 Regulatory agency inspection / contact 10.0 0.0 8.0 NOT MET 0 0

16 Claims Management 5.0 0.0 4.0 NOT MET 0 0

17 Process Safety Management (PSM) 12.0 0.0 9.6 NOT MET 0 0

18 Substance Abuse Program 6.0 0.0 4.8 NOT MET 0 0

19 Strategic Initiatives 52.0 0.0 41.6 NOT MET 0 0

TOTALS 395.0 0.0 276.5 NOT MET 0 0

MAXIMUM POSSIBLE

ASSESSED TOTAL

MINIMUM STANDARD

MET / NOT MET

REPEAT DEFICIENCY

IMMINENT DANGER

Page 4: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE4 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTS

1

A. Policy statement is in writing. 1.0 0.0 0.0% B. Policy statement is dated. 1.0 0.0 0.0%

C. 1.0 0.0 0.0%

D. Health & Safety objectives are clearly stated. 1.0 0.0 0.0%

E. Health & Safety responsibilities are defined. 1.0 0.0 0.0%

F. 1.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 1.0 0.0 0.0%

I. 2.0 0.0 0.0%

J. 1.0 0.0 0.0%

MAXIMUM POSSIBLE

% 0 -

100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

OCCUPATIONAL HEALTH & SAFETY POLICY STATEMENT

A site specific safety plan has been developed and approved / accepted by project management.

Weekly Safety Committee meetings have been established that include the Site Manager, Supervisors, and Employees

All contractors have been given a copy of the Site Specific Safety Plan.

Management commitment to safety is stated and communicated to all employees.

A current and complete copy of the Corporate APS manual is located on site and available to all members of management and supervision.

The project has implemented a safety incentive program for all site employees, including contractors and subcontractors using the Three Tier Approach.

Page 5: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE5 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

1

K. 1.0 0.0 0.0%

L. 1.0 0.0 0.0%

M. Other 0.0 0.0

TOTAL 14.0 0.0 0.0% 0 0

OCCUPATIONAL HEALTH & SAFETY POLICY STATEMENT

(con'td)The projects' safety incentive plans are in writing and have been approved by project management

The Pre-job accident prevention planning checklist (Corp. APS Manual) has been properly utilized.

Page 6: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE6 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

2

A. 1.0 0.0 0.0%

B.

1 2.0 0.0 0.0%

2 The previous years records are available. 2.0 0.0 0.0%

3 2.0 0.0 0.0%

4 1.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. First Aid log utilized / current / accurate. 1.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

SAFETY AND MEDICAL RECORDKEEPING PRACTICESInjury statistics are tabulated and utilized to identify positive / negative trends.Mandatory regulatory injury and illness record keeping.The injury and illness log is available / utilized / accurate.

Employees first report of injury, or approved equivalent form, is on file for each recorded injury or illness.

The injury and illness log corresponds with the corporate MAER statistics.Employees Occupational Injury / Illness report form utilized.

Required First Aid supplies are available / stored / dispensed in an approved manner.

Prescription medications are available / stored / dispensed with approval of medical doctor.

Person(s) administering First Aid are trained and certified.

Page 7: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE7 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

2

H. 2.0 0.0 0.0%

I. 2.0 0.0 0.0%

J. All medical files are complete and organized. 1.0 0.0 0.0%

K. Other

TOTAL 22.0 0.0 0.0% 0 0

SAFETY AND MEDICAL RECORDKEEPING PRACTICES

(cont'd)Employee exposure and medical records are maintained.

Return to work forms, or similar documentation with the attending physicians signature, are on file.

Page 8: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE8 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

3A. The Emergency Plan:1 Is in writing. 2.0 0.0 0.0%2 Communicated to all project employees 2.0 0.0 0.0%3 The plan is site specific. 2.0 0.0 0.0%

4 Incorporates clients emergency procedures. 2.0 0.0 0.0%

B. There is a coordinator appointed. 2.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 2.0 0.0 0.0%

I. 2.0 0.0 0.0%

EMERGENCY PREPAREDNESS

Supervisor First Aid training has been conducted.Required emergency lighting and power are available.Required emergency rescue equipment is available.Emergency response members have been identified and trained.Radios and other communication items are available.Periodic emergency evacuation drills are conducted for all employees.

The plan includes a method of accounting for all employees after an emergency evacuation occurs.

Page 9: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE9 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

3

J. 2.0 0.0 0.0%

K. 2.0 0.0 0.0%

L. 2.0 0.0 0.0%

M. Other 0.0 0.0

TOTAL 30.0 0.0 0.0% 0 0

EMERGENCY PREPAREDNESS (con'td)

Employees have a working knowledge of Emergency / Evacuation Procedures, Escape Routes and Emergency Notification Process.

Emergency evacuation signs or exit signs are posted where required and are adequately visible.

Key personnel and contact numbers are reviewed and updated on a monthly basis.

Page 10: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE10 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

4 INFECTIOUS DISEASES

A. 2.0 0.0 0.0%

B. 2.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 3.0 0.0 0.0%

H. Bag valve masks are readily available. 3.0 0.0 0.0%

I. 3.0 0.0 0.0%

J. 3.0 0.0 0.0%

K. 3.0 0.0 0.0%

A written exposure control plan has been established.

Employees who have potential to come in contact with an infectious disease have been identified and trained.

Hepatitis B vaccination has been offered to those employees having potential exposure.

The medical treatment facility is maintained in a clean and sanitary condition and a cleaning schedule has been established.

Hand-washing facilities and procedures are established and utilized.Employees exposed to blood or other bodily fluids utilize the P.P.E. required.Surgical gloves, masks, eye / face and protective clothing are available.

Sharps or syringes are placed in a labeled puncture- resistant, leak-proof container for disposal as required.

Equipment and instruments are immediately disinfected after each use.

Contaminated disposable objects or materials (bloody bandages, etc.) are placed in a leak-proof, puncture-resistant, red biohazard container for disposal as required.

Page 11: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE11 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

4

L. 2.0 0.0 0.0%

M. Other 0.0 0.0

TOTAL 30.0 0.0 0.0% 0 0

INFECTIOUS DISEASES (cont'd)

Training related to infectious diseases safety and vaccinations given / refused is adequately documented.

Page 12: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE12 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

5A. Written Program:1 Site specific 2.0 0.0 0.0%

2 There is a designated program administrator. 2.0 0.0 0.0%

3 Identifies labels and warning methods. 2.0 0.0 0.0%

4 2.0 0.0 0.0%

5 2.0 0.0 0.0%

6 Procurement is involved. 2.0 0.0 0.0%B. Record keeping:

1 The inventory list is in place / current / complete. 2.0 0.0 0.0%

2 The MSDS file is in place / current / complete 2.0 0.0 0.0%

3 Records of all Hazcom training on file. 2.0 0.0 0.0%4 The written Hazcom plan is on file. 2.0 0.0 0.0%

5 2.0 0.0 0.0%

C. Training includes:

1 OSHA requirements /standards on Hazcom. 2.0 0.0 0.0%

2 Fluor Daniel Hazcom program requirements. 2.0 0.0 0.0%

3 Labeling system. 2.0 0.0 0.0%4 Location of MSDS's 2.0 0.0 0.0%

HAZARD COMMUNICATION PROGRAM

Identifies methods of informing employees of non-routine tasks.For multi-employer sites, communication between contractors (Re: Hazcom)

Test results on file from Hazcom training sessions.

Page 13: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE13 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

55 Use of MSDS 2.0 0.0 0.0%6 Personal Protection Equipment 2.0 0.0 0.0%7 Non-routine tasks 2.0 0.0 0.0%8 Refresher / annual up date training 2.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. Other 0.0 0.0

TOTAL 46.0 0.0 0.0% 0 0

HAZARD COMMUNICATION PROGRAM (cont'd)

Copies of on site contractor hazcom programs are available.

Employees are knowledgeable of the hazcom program based on responses to questions.

Vessels and material containers are labeled as required.Hazard information posters / signs are displayed to inform employees.

Page 14: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE14 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

6

A. 2.0 0.0 0.0%

B. 2.0 0.0 0.0%

C 2.0 0.0 0.0%

D 1.0 0.0 0.0%

E 3.0 0.0 0.0%

F 3.0 0.0 0.0%

G 3.0 0.0 0.0%

H 3.0 0.0 0.0%

I 3.0 0.0 0.0%

J 3.0 0.0 0.0%

K 3.0 0.0 0.0%

L Other 0.0 0.0

MOBILE EQUIPMENT OPERATIONS

There is a maintenance schedule for all mobile equipment and the schedule is followed.

Daily pre-operational inspections are performed on all equipment.Annual inspections are performed on all equipment (cranes certified).Mobile equipment accidents are investigated and reported.Suspended work baskets are certified as safe and utilized for personnel as required.Suspended work baskets are built according to approved designs.

Suspended work baskets are labeled as required to show maximum weight capacity, maximum number of persons allowed and total basket weight (actual empty weight).

Permits are utilized and retained for suspended work basket usage.Critical lift permits are utilized in accordance with corporate policy.

A load test has been performed that established a safety factor of 2 times for the suspended work basket.

Operator certification program is utilized for aerial lifts, heavy equipment and vehicles.

Page 15: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE15 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

TOTAL 28.0 0.0 0.0% 0 0

Page 16: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE16 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

7 INSPECTION PROCEDURES

A. 2.0 0.0 0.0%

B.

1 Power tools 2.0 0.0 0.0%

2 Assured grounding and electrical cords / leads 2.0 0.0 0.0%

3 Fire extinguishers 2.0 0.0 0.0%4 Ladders 2.0 0.0 0.0%5 Scaffolds 2.0 0.0 0.0%6 Rigging /Hoisting equipment and devices 2.0 0.0 0.0%7 Fall protection equipment and devices 2.0 0.0 0.0%8 Emergency and rescue equipment 2.0 0.0 0.0%9 Excavations 2.0 0.0 0.0%

10 Temporary electrical distribution installations 2.0 0.0 0.0%

11 Electrical (ARC) welding equipment 2.0 0.0 0.0%

C 2.0 0.0 0.0%

D. Other 0.0 0.0

TOTAL 26.0 0.0 0.0% 0 0

Regular safety inspections of the site / operation are conducted by using Bi-weekly Walk Abouts as well as Weekly Safety Self Assessments and documented.

Inspection program has been implemented for the following:

There is a follow-up procedure established for the correction of deficiencies noted during inspections.

Page 17: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE17 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

8 RESPIRATORY PROTECTION

A. 2.0 0.0 0.0%

B. 2.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 2.0 0.0 0.0%

I. 2.0 0.0 0.0%

There is a written respiratory protection program which addresses the respiratory protection exposure / need as required, or a written respirator use assessment.

Fit testing is provided for all employees required to wear respirators (both APR's and SAR's).

Employees are offered at least 2 different makes, models and sizes of respirators.

Documentation of respirator selection criteria is available (i.e. air sample results, calculations, etc.)

Respiratory protection training is conducted, documented, and validated by testing.

Records of training, medical assessment and fit testing are available, and meet confidentiality requirement.

Seal checks are performed and documented each time respirators are used.

Breathing air for supplied air respirators meets breathing air requirements. Sample results are available.

If a breathing air compressor is used, it is equipped with a proper filtration system, Co Alarm, reserve air tank and compressor failure alarm.

Page 18: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE18 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

8

J. 2.0 0.0 0.0%

K. Breathing air cylinders are labeled as required. 2.0 0.0 0.0%

L. 2.0 0.0 0.0%

M. 2.0 0.0 0.0%

TOTAL 26.0 0.0 0.0% 0 0

RESPIRATORY PROTECTION (cont'd)

Hose couplings used with supplied air respirators are incompatible with other couplings.

Respiratory protection equipment is properly cleaned, sanitized, and stored after being used.

Periodic inspections are performed and documented to ensure that all elements of the written program are effective.

Page 19: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE19 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

9

A. 2.0 0.0 0.0%

B. 2.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. Other 0.0 0.0

TOTAL 10.0 0.0 0.0% 0 0

ENFORCEMENT AND DISCIPLINE

Employee Health & Safety responsibilities have been communicated to all employees.

Supervisor Health & Safety responsibilities have been communicated to all supervisors.

Records of employee safety related discipline are maintained. (i.e. verbal / written warning, retraining, termination, etc. )

Disciplinary action is initiated by supervision when unsafe acts / conditions / imminent danger occur.

The record of disciplinary action is consistent with the record of incidents and accidents where disciplinary action was warranted.

Page 20: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE20 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

10 EDUCATION AND TRAINING

A. 2.0 0.0 0.0%

B. 2.0 0.0 100.0%

C. Task specific training is conducted. 2.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. Visitor safety induction program is in place. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 2.0 0.0 0.0%

I. 2.0 0.0 100.0%

J. Other 0.0 0.0

TOTAL 18.0 0.0 0.0% 0 0

New employee orientation is provided for employees by utilizing the Project Safety Enhancement Guide alongwith New Hire Mentor Program.

Elective safety training programs are conducted for management and supervisors to maintain their SCCS certification.

Safety meetings are conducted for all employees, supervisors and management.Emergency preparedness and evacuation training is in place.

Training records are maintained in good order for all employee safety training.Testing performed to assure employee understanding of safety training programs.

All site Managers, Supervisors, and Engineers have been Safety Certifided by completing the mandatory 3 Core Competency courses.

Page 21: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE21 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

11 PERFORMANCE INDICATORS

A. 10.0 0.0 0.0%

B. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 1.0 0.0 0.0%

E. Other 0.0 0.0

TOTAL 17.0 0.0 0.0% 0 0

There has not been a fatal injury in the workplace during the past six months.The year-to-date lost time injury frequency rate is zero.

The year-to-date recordable incidence rate is at or below the current corporate goal. Actual, ytd _________ Current Goal __________

Contractor / Subcontractor Experience is reported and measured.

Page 22: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE22 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

12A. There is a written accident / incident policy. 1.0 0.0 0.0%

B. 2.0 0.0 0.0%

C. A standard investigation format is used. 1.0 0.0 0.0%

D. 1.0 0.0 0.0%

E. 1.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 1.0 0.0 0.0%

H. Other 0.0 0.0

TOTAL 9.0 0.0 0.0% 0 0

ACCIDENT / INCIDENT INVESTIGATION

Accident / incident policy complies with local regulatory reporting requirements.

Serious injury and fatal injury accidents are communicated to management personnel, expeditiously as required.

All lost time injury reports are reviewed by site management.

There is a remedial follow-up and action plan to prevent recurrent of accidents / incidents.

Accident / incidents information is shared with other operations / projects.

Page 23: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE23 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

13 CONTRACTORS

A. 2.0 0.0 0.0%

B. 2.0 0.0 0.0%

C. 1.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 2.0 0.0 0.0%

I. Safety violations are properly documented. 2.0 0.0 0.0%

Written qualifications are established for the selection of contractors.Past Health & Safety performance is factored into contractor selection.Contractors are required to provide a copy of their safety program.Prior to starting work on-site, contractors are provided site orientation.

Prior to starting work on-site, contractors are provided the operations health and safety rules, and emergency procedures.

Prior to starting work on-site, contractors are made aware of any chemicals they may encounter on-site.

Prior to bringing any chemicals on-site, contractors are required to inform safety of the chemicals and provide a material safety data sheet (MSDS).

Contractors are required to follow the same health and safety rules as Fluor Daniel employees.

Page 24: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE24 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

13 CONTRACTORS (cont'd)

J. 2.0 0.0 0.0%

K. 3.0 0.0 0.0%

L. Other 0.0 0.0

TOTAL 22.0 0.0 0.0% 0 0

Corrective action taken by subcontractors to correct violation and is properly documented

Contractors are required to utilize the FD STA process (or equivalent program).

Page 25: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE25 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

14

A. Employees are given STA by their supervisors 3.0 0.0 0.0%

B. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. Other 0.0 0.0

TOTAL 12.0 0.0 0.0% 0 0

SAFETY TASK ASSIGNMENT (STA)

The Safety Task Assignment form S20 or equivalent is being used.

Employees questioned about the STA process where knowledgeable of the requirement.

Evidence of STA planning / instruction is visible in the field.

Page 26: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE26 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

15

A. 1.0 0.0 0.0%

B.

1 Opening Conference 1.0 0.0 0.0%2 Walk around /inspection phase 1.0 0.0 0.0%3 Records /note taking 1.0 0.0 0.0%4 Tests 1.0 0.0 0.0%5 Photographs 1.0 0.0 0.0%6 Employee interview procedures 1.0 0.0 0.0%7 Closing conference 1.0 0.0 0.0%8 Post inspection report 1.0 0.0 0.0%9 Corporate notification 1.0 0.0 0.0%C. Other 0.0 0.0

TOTAL 10.0 0.0 0.0% 0 0

REGULATORY AGENCY INSPECTION / CONTACT

Two members of management have been identified as project representatives to participate in regulatory agency visits / inspections.

The management members selected to represent the project during regulatory agency visits have been trained in the following topics.

Page 27: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE27 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

16 CLAIMS MANAGEMENT

A. Project has established Company physicians. 1.0 0.0 0.0%

B. 1.0 0.0 0.0%

C. 1.0 0.0 0.0%

D. 1.0 0.0 0.0%

E. 1.0 0.0 0.0%

F. Other 0.0 0.0

TOTAL 5.0 0.0 0.0% 0 0

Employees' First Report of Injury filed with insurance carrier within 24 hours.

Employees have been notified in writing of their responsibility to report a Workers' Compensation claim.

Modified Work / Restricted Work program established and implemented at Project.

Project Management is pro-Active in Post Injury follow up and to express their concern for the injured employee (Case Management).

Page 28: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE28 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

17

A. 3.0 0.0 0.0%

B. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. Other 0.0 0.0

TOTAL 12.0 0.0 0.0% 0 0

PROCESS SAFETY MANAGEMENT (PSM)

Known fire, explosion, and toxic release hazards have been communicated to employees who are working on or around covered equipment or processes.

Applicable provisions of the plant emergency action and evacuation plan has been communicated to all affected employees.

Site safe work practices have been communicated to all affected employees.

Affected employees have been trained in all of the above listed procedures and practices. Testing procedures to ensure employee competency and understanding have been established.

Page 29: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE29 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

18

A. 1.0 0.0 0.0%

B. 1.0 0.0 0.0%

C. The project conducts random screening. 1.0 0.0 0.0%

D. 1.0 0.0 0.0%

E. 1.0 0.0 0.0%

F. The project includes testing for alcohol. 1.0 0.0 0.0%G. Other 0.0 0.0

TOTAL 6.0 0.0 0.0% 0 0

SUBSTANCE ABUSE PROGRAM

The project has an approved Substance Abuse Prevention Policy and Project Specific Procedures.

The project conducts post-offer / pre-placement testing for all new / rehire employees.

The project conducts post accident and for cause testing.

All contractors / subcontractors are required to adhere to the Corporate substance abuse prevention program.

Page 30: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE30 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

19 STRATEGIC INITIATIVES

A. The strategies 2000 manual is available on site. 4.0 0.0 0.0%

B. 4.0 0.0 0.0%

C. 4.0 0.0 0.0%

D. 4.0 0.0 0.0%

E. 4.0 0.0 0.0%

F. 4.0 0.0 0.0%

G. 4.0 0.0 0.0%

H. 4.0 0.0 0.0%

I. 4.0 0.0 0.0%

J. 4.0 0.0 0.0%

Section 1 - Contractor prequalification evaluation process has been implemented as required.

Section 2. - Accountability programs have been implemented as required.

Section 3 - Pre-bid, pre-mobilization alignments for subcontractors has been implemented and required.

Section 4 - Safety resources for subcontractors has been implemented as required.

Section 5 - Safety orientation guidelines for subcontractors has been implemented as required.

Section 6 - Safety Task Assignment (STA) for subcontractors has been implemented as required.

Section 7 - Scaffold guidelines for subcontractor has been implemented as required.

Section 8 - Fall hazard management for subcontractors has been implemented as required.

Section 9 - Remote travel and driver safety guidelines for subcontractors has been implemented as required.

Page 31: S&H Audit 1

* REPEATED DEFICIENCIES = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF THE ASSESSMENT SCORE31 8/27/99

document.xls

SAFETY AUDITADMINISTRATION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER (X)

19

K. 4.0 0.0 0.0%

L. 4.0 0.0 0.0%

M. 4.0 0.0 0.0%

TOTAL 52.0 0.0 0.0% 0 0

STRATEGIC INITIATIVES (cont'd)

Section 10 - heavy haulage vehicle safety for subcontractors has been implemented as required.

Section 11 - Safety training has been implemented as required.

Section 12 - Corporate management ownership for subcontractors has been implemented as required.

Page 32: S&H Audit 1

document.xls 32 05/03/2023

SAFETY AUDITDETAILED ASSESSMENT SCORE SUMMARY

FIELD EXECUTION

SCORE SET STANDARD REDUCTION

SECTION SECTION NAME

1 Housekeeping 19.0 0.0 15.2 NOT MET 0 02 Health & Hygiene 26.0 0.0 20.8 NOT MET 0 03 Work Area Lighting 9.0 0.0 7.2 NOT MET 0 0

4 Personal Protective Equipment (P.P.E.) 67.0 0.0 53.6NOT MET

0 05 Hand Tools 13.0 0.0 10.4 NOT MET 0 06 Powder Actuated Tools 17.0 0.0 13.6 NOT MET 0 07 Power Tools and Power Equipment 19.0 0.0 15.2 NOT MET 0 08 Hot Work (Welding, Heating, Burning) 63.0 0.0 50.4 NOT MET 0 09 Electrical 59.0 0.0 47.2 NOT MET 0 0

10 Equipment Operations 149.0 0.0 119.2 NOT MET 0 011 Excavation and Trenching 30.0 0.0 24 NOT MET 0 0

12 52.0 0.0 41.6 NOT MET 0 0

13 Material Handling Storage 22.0 0.0 17.6 NOT MET 0 014 Signs, Signals, Barricades 22.0 0.0 17.6 NOT MET 0 015 Fire Prevention and Protection 42.0 0.0 33.6 NOT MET 0 0

16 112.0 0.0 89.6 NOT MET 0 0

17 22.0 0.0 17.6 NOT MET 0 0

18 Demolition 15.0 0.0 12 NOT MET 0 019 Blasting - Use of Explosives 19.0 0.0 15.2 NOT MET 0 020 High-Pressure Water Cleaning 40.0 0.0 32 NOT MET 0 021 Confined Spaces 22.0 0.0 17.6 NOT MET 0 0

TOTALS 839.0 0.0 671.2 NOT MET 0 0

MAXIMUM POSSIBLE

ASSESSED TOTAL

MINIMUM STANDARD

MET / NOT MET

REPEAT DEFICIENCY

IMMINENT DANGER

Steel Erection and Floor and Wall Opening

Ladders, Scaffolds, and Elevated Work PlatformsConcrete, Concrete Forms, Shoring, Masonry

Page 33: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE33 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

1 HOUSEKEEPINGA. 3.0 0.0 0.0%

B. 1.0 0.0 0.0%

C. 1.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 1.0 0.0 0.0%

H. 3.0 0.0 0.0%

I. 3.0 0.0 0.0%

J. Other 0.0 0.0

TOTAL 19.0 0.0 0.0% 0 0

Work areas are clean and free of excess trash / debris.Provisions have been made for routing trash collection and disposal.Trash receptacles are provided in all work areas, and one is present at each water keg.Scrap lumber is free of protruding nails or other puncture hazards.Glass containers are prohibited, none were observed.Electrical cords, hoses, welding leads, etc., are elevated to prevent tripping hazards.Butt cans, where used, are maintained free of combustible material and emptied routinely.Elevated areas are maintained clear of debris, material, tools, etc., where such items could fall to areas below.Drip pans are utilized for oil dispensing locations and under threading machines and saws where lubricant could drip

Page 34: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE34 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

2 HEALTH & HYGIENEA. 2.0 0.0 0.0%

B. 2.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. 2.0 0.0 0.0%

E. 2.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 2.0 0.0 0.0%

I. 2.0 0.0 0.0%

J. 2.0 0.0 0.0%

K. 2.0 0.0 0.0%

L. 2.0 0.0 0.0%

The required number of toilets are provided (1 toilet for every 29 workers).Provisions for servicing / cleaning toilets has been made.Toilets are kept clean and sanitary. Toilet paper is in place.Washing facilities are available for worker use prior to lunch / breaks when required.Vermin (rodents, insects, etc.) control is provided.Ventilation in work areas is provided for the type of work being performed.Local exhaust ventilation is used where necessary.

There are designated areas where employees can eat lunch / dinner in a sanitary environment separate from any toilet facility and not exposed to toxic materials.Lunch / dinner areas / facilities are clean and kept clean on a regular basis.A common drinking cup is not allowed, individual cups are provided.The required supply of drinking water is provided and conveniently located.

Where water kegs are used they are clean, labeled, as required and used only for drinking.

Page 35: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE35 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

2

M. 2.0 0.0 0.0%

N. Other 0.0 0.0

TOTAL 26.0 0.0 0.0% 0 0

HEALTH & HYGIENE (cont'd)

Water kegs are sealed to prevent / indicate tamerping

Page 36: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE36 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

3

A. 3.0 0.0 0.0%

B. 1.0 0.0 0.0%

C. 1.0 0.0 0.0%

D. 1.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. Other 0.0 0.0

TOTAL 9.0 0.0 0.0% 0 0

WORK AREA LIGHTING

Required lighting is provided for the work being performed.Portable light plants are maintained and kept operational.Portable light plants are positioned to provide maximum lighting where required.Portable light plants are easily moved and positioned.Portable light plant masts are easily raised and lowered.

Page 37: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE37 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

4

A. Head Protection1 Worn where required. 3.0 0.0 0.0%

2 Hard Hat is labeled as site requires 1.0 0.0 0.0%

3 2.0 0.0 0.0%

4 2.0 0.0 0.0%

B. Eye Protection1 Worn where required. 2.0 0.0 0.0%

2 Side shields required and used. 2.0 0.0 0.0%

3 1.0 0.0 0.0%

4 Face shields are worn when required. 2.0 0.0 0.0%

5 1.0 0.0 0.0%

6 2.0 0.0 0.0%

C. Fall Protection

1 4.0 0.0 0.0%

2 Lanyard are equipped with shock absorbers. 3.0 0.0 0.0%

PERSONAL PROTECTIVE EQUIPMENT (P.P.E.)

Hard Hat suspension systems maintained in a safe manner.Hard hats are free from cracks, holes or any damage

Lens cleaning stations and material are provided.

Signs are posted at bench grinders "Face shields required."Safety glasses or goggles are worn under face shields or welding shields.

Safety harness is required and used where fall exposure > 2 meters is present. (6ft)

Page 38: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE38 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

4

3 4.0 0.0 0.0%

4 4.0 0.0 0.0%

5 3.0 0.0 0.0%

6 4.0 0.0 0.0%

7 1.0 0.0 0.0%

D. Hearing Protection

1 2.0 0.0 0.0%

2 2.0 0.0 0.0%

3 2.0 0.0 0.0%

E. Foot and Toe Protection

1 Appropriate foot wear is worn by all employees 2.0 0.0 0.0%

2 Steel toe protection is used where required 3.0 0.0 0.0%

PERSONAL PROTECTIVE EQUIPMENT (P.P.E.)

(cont'd)Lanyards hooks are provided with locking safety latch to prevent "Roll Out".Lanyards are secured to a substantial object - fall distance is maintained to a minimum.Fall protection equipment is only used for fall protectionStatic / catenary lines are installed to facilitate tie-off and will support a force of 5400 lbs. (2,450 kgs).Fall protection equipment is inspected on a regular basis and tagged accordingly.

Noise areas are posted as areas where hearing protection is required.Noise surveys are performed periodically and documented.Hearing protection is properly worn where and when required.

Page 39: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE39 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

4

F. 2.0 0.0 0.0%

G. 3.0 0.0 0.0%

H. 3.0 0.0 0.0%

I. 3.0 0.0 0.0%

J. 1.0 0.0 0.0%

K. 3.0 0.0 0.0%

L. Other 0.0 0.0

TOTAL 67.0 0.0 0.0% 0 0

PERSONAL PROTECTIVE EQUIPMENT (P.P.E.)

(cont'd)Hand protection is provided by gloves that are selected according to specific hazards, anticipated or present.Employees working near heavy equipment operations wear high visibility and reflective safety vests.Employees working non-daylight hours are provided with reflective striped clothing, vests or other high visibility material.Employees working non-daylight hours have reflective tape on their hard hats.All employees receive information and/or training on the proper use and care of PPE.Emergency eye wash and shower stations are clearly marked and not obstructed.

Page 40: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE40 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

5 HAND TOOLSA. 3.0 0.0 0.0%

B. Tools are used in an approved manner. 3.0 0.0 0.0%

C. Tools are carried and stored properly. 1.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. Other 0.0 0.0

TOTAL 13.0 0.0 0.0% 0 0

Correct tools are used for the work being performed.

Chisels, hammer wrenches and other "striking tools" are dressed at the striking end to prevent "mushrooming".Job made / home made tools are prohibited and none were observed.

Page 41: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE41 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

6

A. 3.0 0.0 0.0%

B. Correct load strengths are known and used. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 1.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 1.0 0.0 0.0%

H. Other 0.0 0.0

TOTAL 17.0 0.0 0.0% 0 0

POWDER ACTUATED TOOLS

Employees using powder actuated tools have been trained and certified.

Loads are removed while the tool is stored or left unattended.

Proper P.P.E. is worn by the tool operator while using the tool. Proper P.P.E. includes hard hat, face shield, safety glasses and hearing protection.The tool and all loads are stored in a locked cabinet.The tool and all loads are issued only to trained and certified employees.The tool is inspected on a regular basis and tagged to show that it has been inspected.

Page 42: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE42 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

7

A. 1.0 0.0 0.0%

B. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. 3.0 0.0 0.0%

G 3.0 0.0 0.0%

H. Other 0.0 0.0

TOTAL 19.0 0.0 0.0% 0 0

POWER TOOLS AND POWER EQUIPMENT

All power tools are inspected on a regular basis and tagged to show that they have been inspected.Required safety guards are in place and functional.Work rests on bench grinders are adjusted within 3mm of the wheel.Wheels on bench and stand grinders are dressed as required.Discs on portable grinders are compatible with the equipment's maximum RPM's.Electrical cords are elevated, protected, or otherwise arranged so as to prevent damage to the cord or create a tripping hazard.Employees are trained and certified (When required) in safe operation of power tools.

Page 43: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE43 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

8

A. 4.0 0.0 0.0%

B. 3.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 3.0 0.0 0.0%

I. 3.0 0.0 0.0%

J. 3.0 0.0 0.0%

HOT WORK (Welding, Heating, Burning)

Hot work on or near areas or processes that involve flammable, combustible or explosive materials or chemicals is performed under a safe work or hot work permit.A fire extinguisher is immediately available and operable at all Hot Work locations.Welding screens are used around all ground or floor level arc welding operations.Arc welding is performed with a required electrical ground.Welding cables and ground cables are free of damage and non-insulated connections.Welding cables and ground cables are inspected on a regular basis.

Where cables are suspended or secured, they are done so by using non-conductive materials.Cables, cords, and hoses are elevated or protected to prevent tripping hazards.Compressed gas cylinders are labeled as required.Compressed gas cylinders are stored and capped as required.

Page 44: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE44 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

8

K. 3.0 0.0 0.0%

L. 3.0 0.0 0.0%

M. 3.0 0.0 0.0%

N. Strikers are used to light torches. 3.0 0.0 0.0%

O. 2.0 0.0 0.0%

P. 3.0 0.0 0.0%

Q. 3.0 0.0 0.0%

R. 3.0 0.0 0.0%

S. 3.0 0.0 0.0%

HOT WORK (Welding, Heating, Burning)

(cont'd)Reverse flow or flash back arrestors are used on all oxygen/acetylene rigs.(At the torch and gauges)Regulator gauges are attached as required and in good condition.Compressed gas cylinder valves are turned off when not in use.

Welding rods are stored as required and rod stubs are placed in a container to prevent a tripping hazard.Welding rods are not left in the electrode/rodholder while not in use.Compressed gas cylinders are located outside of closed areas and are not exposed to slag or sparks.

Gas cylinders are moved and transported in the required manner.(Secure in a rack or cart.)Hot slag and sparks are maintained and controlled as required to prevent fires and contact with employees.

Page 45: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE45 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

8

T. 3.0 0.0 0.0%

U. 2.0 0.0 0.0%

V. 2.0 0.0 0.0%

W. 2.0 0.0 0.0%

X. Other 0.0 0.0

TOTAL 63.0 0.0 0.0% 0 0

HOT WORK (Welding, Heating, Burning)

(cont'd)Required P.P.E. is worn for the hot work activity being performed or immediately exposed to, including eye protection, clothing, gloves, and respirator if needed.Oxygen / acetylene hoses are maintained free of oil and grease.Compressed gas hoses are inspected and are free of damage.Compressed gas cylinders are properly secured to prevent displacement.

Page 46: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE46 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

9 ELECTRICALA. 3.0 0.0 0.0%

B. 4.0 0.0 0.0%

C. 4.0 0.0 0.0%

D. 4.0 0.0 0.0%

E. 4.0 0.0 0.0%

F. 4.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 3.0 0.0 0.0%

I. 3.0 0.0 0.0%

J. 2.0 0.0 0.0%

Electrical equipment is marked as to the amount of voltage and the control source.The required "lock out - tag out " procedure is implemented where circuits are de-energized due to maintenance, repair or other activity.Employees performing low, medium, or high voltage work are trained and certified.Protective gear (rubber gloves, blankets, hot sticks, etc.) are inspected by an independent testing firm.Tests are performed to determine if current carrying parts are "Hot" or De-energizedAll line parts are guarded or protected against contact.GFCI controlled outlets and panels are labeled and testedElectrical cords are inspected and approved for the type of usage and are free of breaks in the insulation.Outlets, receptacles, junction boxes, etc., are approved and maintained as required.Where electrical cords are suspended or secured, they are done so by using non-conducting materials.

Page 47: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE47 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

9 ELECTRICAL (cont'd) K. 3.0 0.0 0.0%

L. 3.0 0.0 0.0%

M. 2.0 0.0 0.0%

N 3.0 0.0 0.0%

O. 3.0 0.0 0.0%

P. 3.0 0.0 0.0%

Q. 3.0 0.0 0.0%

R. 3.0 0.0 0.0%

Electrical cords are elevated over passage ways, or are protected from damage when crossing roads or passage ways.Temporary lighting is installed as required using approved materials.Light bulbs and fluorescent tubes are guarded as required.Buried temporary electrical cables are marked on the surface to avoid accidental contact from drilling / excavating.Electrical plugs are maintained in good condition and are the proper type for voltage / amperage / grounding requirements All temporary electrical outlets, receptacles, junction boxes and panels are electrically groundedAll electrical tools are quipped with a ground conductor or are double insulated.Strain relief is provided for all cords or cables that prevents pull from being directly transmitted to joints or terminal screws.

Page 48: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE48 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

9 ELECTRICAL (cont'd)S. 3.0 0.0 0.0%

T. Other 0.0 0.0

TOTAL 59.0 0.0 0.0% 0 0

Cord repairs meet or exceed the original insulation and are performed by a qualified person.

Page 49: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE49 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

10

A. Crane Operations

1 3.0 0.0 0.0%

2 3.0 0.0 0.0%

3 3.0 0.0 0.0%

4 3.0 0.0 0.0%

5 3.0 0.0 0.0%

6 4.0 0.0 0.0%

7 3.0 0.0 0.0%

8 3.0 0.0 0.0%

9 4.0 0.0 0.0%

10 3.0 0.0 0.0%

EQUIPMENT OPERATIONS

Load charts are posted and utilized and operators manuals are available.The swing radius of the counter weight is barricaded.The crane is operated level with all outriggers fully extended on adequate outrigger pads.Moving and travel practices are utilized to include the use of a flagger.The operator is trained and certified for the specific crane being operated.Specific attention to power line clearance is given.Flagman is used to signal crane operators when raising, lowering and swinging the hook, loaded or unloaded.An anti-two-block limit switch is in place and functional on all cranes.Crane, hook and hoist equipment is free from defects.Operator determines weight of load prior to performing lift.

Page 50: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE50 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

10

B. General Equipment

1 3.0 0.0 0.0%

2 2.0 0.0 0.0%

3 All lights are operational 2.0 0.0 0.0%4 Horns are operational 3.0 0.0 0.0%5 Back-up alarms are operational. 3.0 0.0 0.0%6 Equipment is operated at a safe travel speed. 3.0 0.0 0.0%

7 3.0 0.0 0.0%

C. Haulage Operations

1 3.0 0.0 0.0%

2 2.0 0.0 0.0%

3 Traffic flow is regulated and enforced. 2.0 0.0 0.0%4 Speed limits are posted and observed. 3.0 0.0 0.0%

5 2.0 0.0 0.0%

6 2.0 0.0 0.0%

EQUIPMENT OPERATIONS (cont'd)Operator determines weight of load prior to performing lift.Seat belts are provided and used with ROP structures.

Flagmen are used to signal equipment operators working in confined or congested areas.

Seat belts are worn by driver and all passengers in equipment provided with seat belts.Elevated roads are protected by berms and/or guard rails.

Only authorized vehicles and equipment are allowed on the haulage roads.

Refueling maintenance activities are performed away from haulage road traffic areas.

Page 51: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE51 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

10

7 Haulage roads are maintained in good condition. 2.0 0.0 0.0%

8 2.0 0.0 0.0%

9 2.0 0.0 0.0%

D. Rigging Equipment1 Approved rigging practices are used. 3.0 0.0 0.0%

2 3.0 0.0 0.0%

3 3.0 0.0 0.0%

4 1.0 0.0 0.0%

5 2.0 0.0 0.0%

6 Cable clamps are installed properly 2.0 0.0 0.0%E. Warning Methods

1 2.0 0.0 0.0%

EQUIPMENT OPERATIONS (cont'd)

Storm water is channeled / controlled to minimize haulage road hazards.Dust control is implemented effectively when and where required.

Rigging equipment is maintained and free of damage, excess wear or defect.All crane and sling hooks are equipped with a functional safety latch.Regular inspections of rigging equipment are performed and the equipment is tagged accordingly.The throat of load hooks are measured periodically to detect change in hook gap.

Reflective triangles are provided for all equipment and vehicles, that operate on roads either on site or off-site.

Page 52: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE52 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

10

2 2.0 0.0 0.0%

3 2.0 0.0 0.0%

F. Helicopter Operations

1 3.0 0.0 0.0%

2 Loose debris is kept clear of the landing area. 3.0 0.0 0.0%

3 3.0 0.0 0.0%

4 3.0 0.0 0.0%

5 3.0 0.0 0.0%

6 3.0 0.0 0.0%

7 3.0 0.0 0.0%

EQUIPMENT OPERATIONS (cont'd)Reflective triangles are employed to warn of equipment breakdown / accident or road hazards as required.

Flashing lights and/or strobes are used on all slow moving vehicles that operate in the vicinity of large excavation and haulage equipment.

Helicopter landing areas provide required clearance for rotors away from trees, buildings, roadways, utilities, poles and overhead wires.

Required landing pad lighting is provided and operable for night operations.A wind sock or wind direction indicator is in place and in view of the landing area.Helicopter safety procedures are posted and communicated to all passengers.Aviation life-jackets are provided and worn by all passengers when operating over water.Helicopter inspections are performed regularly by the owner / operator and adequately documented.

Page 53: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE53 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

10

G. Machine and Equipment Guarding

1 3.0 0.0 0.0%

2 3.0 0.0 0.0%

3 3.0 0.0

4 3.0 0.0 0.0%

5 3.0 0.0 0.0%

EQUIPMENT OPERATIONS (cont'd)

Guards around pinch points, rotating equipment, shafts, pulleys, belt drives and chain drives are guarded to prevent accidental contact.

Equipment guards are firmly attached and are of a material or design that will prevent contact by hands, clothing, tools or material or any other accidental worker contact.

Where rotating equipment maintenance work is performed, the maintenance is performed with all guards in place. If the guards(s) must be removed, the equipment is locked out and tagged.

Emergency stop cords are installed on all conveyor belt lines. The emergency stop cords are functional and tested on a periodic basis.Employees servicing or working near pinch points or rotating equipment are not wearing loose clothing or any other loose articles.

Page 54: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE54 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

10

H. Bridge Cranes

1 2.0 0.0 0.0%

2 2.0 0.0 0.0%

I. Mobile Personnel LiftsOperators are properly trained and certified. 3.0 0.0 0.0%

3.0 0.0 0.0%

The equipment is operated on level ground. 3.0 0.0 0.0%

3.0 0.0 0.0%

3.0 0.0 0.0%

3.0 0.0 0.0%

J. Other 0.0

TOTAL 149.0 0.0 0.0% 0 0

EQUIPMENT OPERATIONS (cont'd)Bridge crane operators are properly trained / certified.Bridge crane controls are locked out when not in use.

Traveling with the boom extended and/or elevated is prohibited.

All employees working in the lift basket are properly "tied off".The capacity of the equipment is known by the operator and are not exceeded.The equipment is not used to hoist or support equipment or material.

Page 55: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE55 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

11

A. 3.0 0.0 0.0%

B. Required Excavation permits are utilized. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. Spoil dirt is at least 6cm (2 FT) from the edge. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. Proper access and egress provided. 3.0 0.0 0.0%

G. 3.0 0.0 0.0%

H. 3.0 0.0 0.0%

1 3.0 0.0 0.0%

I. 3.0 0.0 0.0%

J. Other 0.0 0.0

EXCAVATION AND TRENCHING

A supervisor and a competent person is in charge of excavation and trenching.

Documented daily inspections performed including adverse weather changes.

Correct slope angle is maintained or shoring used where required and approved installation and removal procedures are followed..

Approved barricades are erected at the edge of all open trenches and excavations as required.Prior to beginning any excavation or trenching, all underground utilities in the work area are located.Fall protection is implemented as required for excavations > 2 meters(6 FT) in depth.

Confined space entry procedure followed when working in any excavation in an operating facility or where there could be a presence of toxic / hazardous substances.

Page 56: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE56 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)TOTAL 30.0 0.0 0.0% 0 0

Page 57: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE57 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

12

A. Required access and egress provided. 3.0 0.0 0.0%

B. 4.0 0.0 0.0%

C. 4.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. Bolt-up requirements are met. 3.0 0.0 0.0%

G. Bolt buckets are used to contain bolts. 3.0 0.0 0.0%

H. Decking requirements are met. 4.0 0.0 0.0%

I. Approved rigging techniques are used. 3.0 0.0 0.0%

J. 3.0 0.0 0.0%

K. 3.0 0.0 0.0%

L. 3.0 0.0 0.0%

STEEL ERECTION AND FLOOR AND WALL

OPENING

Required perimeter cables are used and approved installation procedures are followed.Floor openings are properly guarded or are covered with a secured cover and properly labeled as such.Elevated areas are free of loose excess materials and debris that could fall to levels below.Static lines, catenary lines, etc., installed to facilitate employee tie-off.

Barricades and signs are posted in the area to warn employees as required.Employees providing hand signals have received hand signal training.Signals or warnings are provided when loads are raised.

Page 58: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE58 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

12

M. 4.0 0.0 0.0%

N. 3.0 0.0 0.0%

O. 3.0 0.0 0.0%

P. 3.0 0.0 0.0%

Q. 0.0 0.0

TOTAL 52.0 0.0 0.0% 0 0

STEEL ERECTION AND FLOOR AND WALL OPENING (cont'd)

All employees are wearing and using required PPE (safety harnesses and lanyards.).Taglines are used to control movement of all suspended loads.Floor grating sections are adequately secured against displacement.A steel erection safety plan has been developed and implemented.

Page 59: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE59 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

13

A. 2.0 0.0 0.0%

B. 2.0 0.0 0.0%

C. 2.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. 2.0 0.0 0.0%

G. 3.0 0.0 0.0%

H. 3.0 0.0 0.0%

I. 2.0 0.0 0.0%

J. Other 0.0 0.0

TOTAL 22.0 0.0 0.0% 0 0

MATERIAL HANDLING STORAGE.

All materials are stacked and stored in an approved manner.Aisles, passageways are maintained clean and unobstructed.Employees have been trained in safe material handling techniques and use safe handling techniques.Materials are stacked to prevent displacement and falling.Employees have been trained in the Back Safety Course.Material handling equipment is used to handle / move material when possible.

Materials handling equipment (mono-rails, A-frames, etc.) is labeled to identify load capacity.Softeners are used to protect wire and nylon chokers where needed.Employees use gloves to protect hands when handling materials.

Page 60: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE60 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

14

A. 3.0 0.0 0.0%

B. Flagmen used where required. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. A barricade procedure has been established. 1.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 3.0 0.0 0.0%

H. 3.0 0.0 0.0%

I. Other 0.0 0.0

TOTAL 22.0 0.0 0.0% 0 0

SIGNS, SIGNALS, BARRICADES

Accident prevention signs, symbols, tags are used as required to warn employees where potential hazards exist.

Barricade methods used to prevent all unauthorized entry.Barricades are used to warn of potential hazards.

Flashing lights or other such method are used to warn equipment and vehicle operators of hazards on or near the roadway.Signs are clearly posted to advise operators and drivers of speed limits, pedestrians, and hazardous conditions.Regular surveys are conducted to assure adequate and proper signage is present in all work areas.

Page 61: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE61 05/03/2023

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SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

15

A. Fire extinguishers are provided as required.

1 2.0 0.0 0.0%

2 3.0 0.0 0.0%

3 3.0 0.0 0.0%

B. 3.0 0.0 0.0%

C. Extinguishers are identified as required. 2.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 3.0 0.0 0.0%

FIRE PREVENTION AND PROTECTION

Located adjacent to each stairway on each floor level.Where more than 18 liters of flammable or combustible liquids are used. (5.0 gal.)At least one 9 kg. extinguisher at fuel dispensing areas. (20 lbs.)Required access to fire extinguishers is maintained.

Inside storage of flammable liquids does not exceed 90 liters outside of an approved cabinet.

Inside storage cabinets are labeled as required, and maximum limits (225 liters / cabinet and 3 cabinets / area) are not exceeded. (60 gal.)Materials that react to water are not stored with flammables.Containers are electrically interconnected (bonded) when flammable liquids are transferred from one container to another.

Page 62: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE62 05/03/2023

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SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

15

H. 3.0 0.0 0.0%

I. 3.0 0.0 0.0%

J. LPG containers are not stored inside buildings. 3.0 0.0 0.0%

K. 3.0 0.0 0.0%

L. 3.0 0.0 0.0%

M. 2.0 0.0 0.0%

N. Other 0.0 0.0

TOTAL 42.0 0.0 0.0% 0 0

FIRE PREVENTION AND PROTECTION (con'td)

Portable storage tanks containing liquid flammables are located at least 6 meters away from buildings. (20 FT.)NO SMOKING - NO OPEN FLAMES signs are posted where flammable liquids are used or dispensed or stored..

Smoke detectors are provided in sleeping quarters and are tested on a regular basis.Fire suppression systems are inspected on a regular basis to assure functional availability.Employees have been trained on how to operate a fire extinguisher.

Page 63: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE63 05/03/2023

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SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

16

A. Ladders1 Are in good condition. 3.0 0.0 0.0%2 Built and used in an approved manner. 3.0 0.0 0.0%

3 3.0 0.0 0.0%

4 3.0 0.0 0.0%

5 3.0 0.0 0.0%

6 4.0 0.0 0.0%

7 Fixed ladder landing areas are kept clear. 3.0 0.0 0.0%

8 3.0 0.0 0.0%

B. SCAFFOLDS1 Provided with required access and egress. 3.0 0.0 0.0%

2 3.0 0.0 0.0%

3 1.0 0.0 0.0%

LADDERS, SCAFFOLDS, AND ELEVATED WORK

PLATFORMS

Secured in an approved manner and placed at the correct angle.Exceed the landing area by 1 meter or have a grab rail. (3 FT.)Are not used where they can be displaced by doors, equipment, etc., unless protected by guards or barricades.Metal ladders are not used where contact with electrical energy is possible.

Sections of cable tray or other materials are not used as ladders.

Has a standard guard rail (106 cm top rail, 53 cm midrail, and 10cm toe board) whenever possible. Scaffold tags are used to identify incomplete scaffolds and requirements for safe use.

Page 64: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE64 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

16

4 3.0 0.0 0.0%

5 3.0 0.0 0.0%

6 3.0 0.0 0.0%

7 3.0 0.0 0.0%

8 3.0 0.0 0.0%

9 3.0 0.0 0.0%

10 An approved base is provided. 3.0 0.0 0.0%

11 Scaffold boards are secured. 3.0 0.0 0.0%

12 3.0 0.0 0.0%

13 3.0 0.0 0.0%

LADDERS, SCAFFOLDS, AND ELEVATED WORK PLATFORMS (cont'd)

Complete decking is provided whenever possible and is of scaffold grade material.Employees who erect and dismantle scaffolds are qualified and competent. Scaffolds are free of defects and built per specifications.Overhead protection is provided where there is exposure.Casters are locked and pinned on mobile scaffolds when in use and no riding allowed.

Outriggers are provided and used or the scaffold is secured to the structure when the height exceeds 4 times the minimum base dimension.

Two-point suspension scaffolds are erected in an approved manner.Scaffold components are not interchanged between manufacturers / type.

Page 65: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE65 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

16

14 3.0 0.0 0.0%

15 3.0 0.0 0.0%

a. Approved design. 3.0 0.0 0.0%

b. Approved life lines are provided. 4.0 0.0 0.0%

c. Approved rope grab lanyards provided. 4.0 0.0 0.0%

d. Tie-off fall protection used. 4.0 0.0 0.0%

C

1 3.0 0.0 0.0%

2 A means of tie-off is provided and used. 4.0 0.0 0.0%

3 Required access and egress is provided 3.0 0.0 0.0%

4 3.0 0.0 0.0%

a. Outriggers provided and used as required. 3.0 0.0 0.0%

LADDERS, SCAFFOLDS, AND ELEVATED WORK PLATFORMS (cont'd)

Rope and / or cable are not used for guardrail protection.A competent person inspects all scaffolding on a daily basis and maintains a current and complete record of those inspections.

Elevated work platforms (high-jackers, scissors lifts, JLG's, etc.)Elevated scaffold platforms are of substantial construction and secured properly.

Elevated work platforms are used in accordance with manufacturers recommendations.

Page 66: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE66 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

16

b. Ground controls operational. 3.0 0.0 0.0%

c. Operators trained and certified. 3.0 0.0 0.0%

d. Fall protection provided and used. 4.0 0.0 0.0%

e. 3.0 0.0 0.0%

D. Other 0.0 0.0

TOTAL 112.0 0.0 0.0% 0 0

LADDERS, SCAFFOLDS, AND ELEVATED WORK PLATFORMS (cont'd)

Employees maintain both feet on the platform, and do not use equipment as a means of access /egress, and do not work from guard rails.

Page 67: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE67 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

17

A. Required access and egress provided. 3.0 0.0 0.0%

B. 4.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 3.0 0.0 0.0%

H. Other 0.0 0.0

TOTAL 22.0 0.0 0.0% 0 0

CONCRETE, CONCRETE FORMS, SHORING,

MASONRY

All exposed rebar ends protected from exposure, both vertical and horizontal.Masonry saws are guarded with a semicircular enclosure cover.All shoring erected to contain and / or support concrete is the required type and approved installation procedures are followed.Precast and lift slab operations are performed in accordance with respective standards.PPE required for these operations is provided and used which would include safety glasses, gloves, proper clothing and foot wear.All connections on air hoses and pipes are secured to prevent displacement.

Page 68: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE68 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

18 DEMOLITIONA. All operations are planned ahead. 3.0 0.0 0.0%

B. Required access and egress provided. 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. Other 0.0 0.0

TOTAL 15.0 0.0 0.0% 0 0

Material removal (floor holes, skip-pan, chutes, etc.) is conducted in an approved manner.Any and all asbestos containing material was removed prior to demolition.Structural member removal is conducted in an approved manner.

Page 69: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE69 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

19

A. 3.0 0.0 0.0%

B. The blasting procedure is adhered to. 4.0 0.0 0.0%

C. 4.0 0.0 0.0%

D. 4.0 0.0 0.0%

E. 4.0 0.0 0.0%

F. Other 0.0 0.0

TOTAL 19.0 0.0 0.0% 0 0

BLASTING - USE OF EXPLOSIVES

A blasting procedure has been developed and addresses all current blasting activities.

Storage and transport of explosives are done in accordance with regulatory requirements, manufacturers instruction and the blasting policy and procedures.

An approved method for identifying and safely removing / eliminating "Boot Legs" or unsuccessfully detonated charges has been developed.Employees handling and using explosives have been trained and are certified.

Page 70: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE70 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

20

A. 3.0 0.0 0.0%

B. 3.0 0.0 0.0%

C. 4.0 0.0 0.0%

D. 4.0 0.0 0.0%

E. Operators are trained annually at a minimum. 3.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 3.0 0.0 0.0%

H. 4.0 0.0 0.0%

I. 3.0 0.0 0.0%

HIGH-PRESSURE WATER CLEANING

Operators are wearing rain suits, gloves, face shields, hard hats, safety glasses with side shields, rubber steel toe boots or metatarsal guards.Standby Operator(s) is wearing hard-hat and safety glasses with side shields.Operators are not allowing any part of their body to be placed in front of the water jet.Operators are not handling hose within one foot of hose-to-hose connections.

Hose data such as manufacturer's symbol, serial number, working and test pressure, and certified rating which will provided a safety factor of 3 to 1 against burst is recorded and retained at the project.Work area is barricaded at a minimum of 4.5 meters and signs stating, "DANGER - HIGH PRESSURE WATER CLEANING." (15 FT.)Equipment to be cleaned is dismantled / isolated, locked and tagged as required.All fittings and components meet manufacturer's guidelines.

Page 71: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE71 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

20

J. 1.0 0.0 0.0%

K. 3.0 0.0 0.0%

L. 3.0 0.0 0.0%

M. 3.0 0.0 0.0%

N. Other 0.0 0.0

TOTAL 40.0 0.0 0.0% 0 0

HIGH-PRESSURE WATER CLEANING

(cont'd)Records of high-pressure water cleaning equipment inspection are on file.Lance or mole marker 60 cm (24 in.) from nozzle end.Shotguns have a 2 meter (6 FT.) shroud and are a minimum of 165 cm (66 in.) in length. Safety equipment has not been altered or by-passed.

Page 72: S&H Audit 1

* REPEATED DEFICIENCY = -10 MAX POSSIBLE

** IMMINENT DANGER = 15% REDUCTION OF ASSESSMENT SCORE72 05/03/2023

document.xls

SAFETY AUDIT FIELD EXECUTION

SCORE PENALTYASSESSED ASSESSORS COMMENTSMAXIMUM

POSSIBLE%

0 - 100

* REPEATED

DEFICIENCIES

(X)

** IMMINENT DANGER

(X)

21 CONFINED SPACESA. 2.0 0.0 0.0%

B 3.0 0.0 0.0%

C. 3.0 0.0 0.0%

D. 3.0 0.0 0.0%

E. 3.0 0.0 0.0%

F. 3.0 0.0 0.0%

G. 2.0 0.0 0.0%

H. 3.0 0.0 0.0%

I. Other 0.0 0.0

TOTAL 22.0 0.0 0.0% 0 0

A confined space entry procedure, which meets requirements, is in place .

Lighting and electrical tools used inside confined spaces are 12 volt or GFCI protected.

Required emergency equipment is available (i.e. body harness, S.C.B.A., fire extinguisher, etc.)Stand-by ("Hole Watch") person(s) are utilized and are trained in confined space procedures and their responsibilities.Air sampling performed, checking % 02 and % L.E.L, at a minimum.Energy isolation / lock-out is implemented relative to confined space work.Entry permits, which meets requirements are used, and sign-off for responsible parties is provided and adhered to.Winch / Hoisting equipment is immediately available to hoist personnel out of confined spaces if emergency situation requires.