Title Page

Project/ Client Identificationarfg

  • Client Customer

  • AFR Project ID

  • Site Address (When multiple locations, use primary address provided by POC)
  • Client POC Name

  • Client POC phone

  • AFR Project Manager Name

  • AFR Project Manager Phone

Plan Purpose & Scope

  • This Site Specific Safety Plan has been developed to provide designated roles, responsibilities, and guideline, establish project H&S operating requirements, outline procedures for identifying and mitigating anticipated and unanticipated hazards, and identify prevention and response resources and contacts. The requirements set forth shall be enforced on all employees and non-employees present in AFR designated work areas. While controls and PPE requirements are task specific, NO person is immune to hazards and therefor ALL person's within an AFR work area have the responsibility to stop-work if there is any concern for their or others safety. On multi-contractor worksites and instances where other trades, subcontractors, client representatives, or any other party will be present in or adjacent to AFR work areas, parties will be subject to ALL identified requirements including those set forth in this SSSP. Where requirements discrepancies are present the more stringent will prevail. This SSSP is not a through recitation of all AFR Health and Safety Policies and does not replace or nullify requirements set forth in AFR Health & Safety Policy Manual, Contractual/Facility Policies & Requirements, or applicable standards and/or regulations. All AFR employees are trained in, follow, and participate in applying AFR's Health and Safety Policy. No plan or document can capture all expected and unexpected hazards of a job, and simple changes can often cause major impacts on employee health and safety. Any and all additional hazards and/or controls identified will be reviewed with employees, documented for reference, and included or attached to this SSSP, the Project AHA, or whatever means of retention is most appropriate. For additional requirements please see the AFR Site Specific AHA, AFR H&S Policy Manual, or contact the approriate party listed in this plan.

  • Is there additional project details or policy objectives to be included in this plan? (Note: attach all referenced documents)

  • Item
  • Details

Roles and Responsabilities

Project Manager

  • Project Manager Name

Responsibilities

  • Model Safety Champion: Be fully involved and participate in project H&S activities and work with Technicians to proactively identify and control hazards. The Project Manager will lead by example and establish health and safety as a core operational value.

  • Planning: Manage scope, schedule, and budget to prevent unsafe circumstances resulting from project constraints and ensure Employee Health and Safety is a core driver of these activities.

  • Staffing: Ensure sufficient and qualified man power is assigned to the project and give final authorization for any changes in personnel. Work with Lead Technician to ensure employees are trained and competent in their tasks, and educate them on the requirements of this plan.

  • Equipment and material: Work with client and technicians to select and provide equipment and materials; review changes in operational hazards affected by new equipment and material; ensure adequate resources for unexpected hazards (e.g. signage, barriers, PPE, etc.)

  • Communication: Monitor and direct project communications for changes that may affect employee health and safety such as change orders, schedule compression, etc.

  • Enforcement: Ensure observations and concerns are collected, reviewed, and acted on/ responded to. Implement fair and and cooperative corrective and disciplinary action in accordance with AFR Employee Handbook.

  • Dispute and conflict resolution: Address all disputes and conflict and ensures administration of disciplinary action program. Act as primary representative for client and/or third party conflict and bringing closure to any dispute between internal and/or external parties. When necessary, stand-up-for-safety when project requirements and constraints will be adversely affected by doing so.

  • Administration: Work with AFR administrators to ensure project H&S documents are complete, compliant, organized, available, and retained (medical records, work permits, monitoring and sampling results, inspection results, injury/illness logs, and this site specific safety plan). Work with Lead Technician to implement and update operational forms to effectively identify and mitigate hazards (JHA, equipment inspection forms, activity log, etc.)

  • Additional PM Requirements

  • Item
  • Details

Lead Technician

  • Lead Technician Name

  • Lead Technician Phone

Responsibilities

  • Site Safety Champion: Prioritize ensuring H&S activities and administration are consistently applied to identify and control hazards; provide formal and informal updates, reminders, and education/coaching on health and safety requirements and best practices; project a vissible commitment to safety through personal behavior and execution; immediately contact PM when project conditions/requirements have the potential to create unsafe working conditions.

  • Orientation: Work with client POC to ensure employees are provide a review of general and site specific hazards/controls, safety requirements, and employee responsibilities.

  • Hazard ID and control: Continuously monitor for new or uncontrolled hazards; stop-work as needed and prescribe corrective actions; Document hazard corrections that require new or ongoing controls; update and review POD/JHA; educate/coach employees to identify, correct, and report hazards immediately.

  • Work Planning and assignment: Ensure all technicians and affected persons understand the general work plan and are immediately notified of changes; Update and review Plan-of-Day/Job Hazard Assessment (POD/JHA) with employees at least once daily; assign and delegate tasks based on qualification and competency; ensure all affected parties are aware of ALL POD activities (including those they are not assigned) and ALL identified tasks, hazards, and controls.

  • Execution: Work with client POC to coordinate contractors, employees, deliveries, and other visitors required to execute work; monitor conditions, progress, and operations for new hazards or unsafe conditions/behaviors; stop work and address hazards or unsafe behaviors as they are observed; work with PM to ensure resource availability to implement safe and healthy work environments and operations.

  • Enforcement: Implement AFR enforcement policy fairly and cooperatively based on the guidance of PM.

  • Incident and emergency response: Ensure streamlined response and reporting; train and remind employees of reporting procedures; activate emergency responders or EAP, notify PM, delegate all other activities, and direct all actions to preventing second occurrence, caring for injured employees, and administering incident response procedures until all hazards are controlled and site admin requirements are met.

  • Additional Lead Technician Responsibilities

  • Item
  • Details:

Assigned Technicians

  • Maximum anticipated number of technicians

Responsibilities

  • Orientation: Participate in formal and informal site orientation and review admin/operational requirements; review planned activities, hazards, and controls; ask questions and have discussion as needed to be aware of site specific controls and requirements.

  • Inspections: Inspect and repair/replace materials and equipment if they are not in safe condition; maintain situational awareness to identify, report, and correct hazards; participate in H&S related inspections, training, planning, and execution. execute and document required equipment inspections on the designated schedule (ONLY if assigned, e.g. fall protection and bucket truck).

  • Execution & Participation: Actively participate in Health and Safety activities; ID, correct, and report all hazards; engage in dialogue during training and meetings; provide feedback for new/ineffective/obsolete safety requirements; stop-work immediately when unsafe conditions or behaviors are observed; be responsible for your own safety by following the 20-20-20 rule - every 20 minutes take 20 seconds and look at the 20 feet around you to ID any safety concerns or hazards.

  • Administration: complete administrative task (sign-in, JHA verification, progress/completion, etc.); awareness and access to dSDS and HazCom elements, posting of monitoring results, completion of site audits, posting of emergency contacts and response plans, safe work permits, and this written plan.

  • Response Actions: Ensure proper execution of incident and emergency response actions including but not limited to evacuation of work areas, preservation of the scene, prevention of additional occurrence, incident investigation and reporting, implementing preventative change, documentation preservation..

  • Enforcement and Conflict: Stop-work responsibility when unsafe conditions or behaviors are observed; correct hazards and report hazard and controls to Lead Technician; engage with co-workers cooperatively and courageously to address operational hazards; immediately notify Lead Technician of any misunderstanding of requirements & Best Practices between co-workers; immediately notify Lead Technician of third party conflicts and immediately put them in contact; do not commence work unless all parties are satisfied it is safe to do so.

  • Additional Technician responsibilities?

  • Additional Technician responsibilities
  • Specify

Additional Roles

  • Additional roles?

  • Role and responsibilities:
  • Specify Role

  • Specify Responsibilities

Communication

General

Chain of Command

  • Communication between all parties is encouraged to support hazard awareness, ID, and correction, safe and coordinated work execution, and to maintain situational awareness. This may include discussing work plans where work area is shared, ID of multi-person tasks (e.g. 2 person lift), and asking for clarification regarding the hazards of other person's work. Take ownership of your safety and DO NOT rely on administrative systems to protect you. A checklist won't protect you from the hole in the floor, your eyes will.

  • To avoid errors, delays, and safety blind-spots, formal communications (incident reports, client updates, formal agreements, etc.) including but not limited to incident reports, safe work plans, and changes in safety requirements, will be submitted through/to each level in the chain of command above (e.g. technician incident report will be provided to lead technician, PM, and Client POC). All formal communications are documented and pertinent documents will be retained in the project file.

Incident Reporting

  • Reporting and records: For all loss related incidents (human or otherwise) an incident report will be generated and submitted which includes details of the event, ID of unsafe behaviors/conditions, corrective actions to prevent recurrence, written statements, contributing & root causes, and controls/corrective actions established to prevent recurrence. Incident reports will be retained in the employee's incident file for at least 5 years; documents with special retention requirements will be retained at a minimum for the regulated duration (e.g. medical expossure records will be retained for

  • Emergency Care: If an incident requires immediate medical care or is in a state of shock, lead technician will activate emergency responders or EAP, notify PM via phone, control the hazard to prevent second occurrence, and forego all other administrative tasks to tend to injured worker and provide first aid. If CPR is needed the trained responder will abandon all other tasks and communications with single focus on high quality compressions and breathing until Emergency Responders or a person with more comprehensive training takes over. Once the injured employee is stable and/or in the care of designated professionals, administrative activities will be completed and processed through the chain of command.

  • Injury Response: When an employee is injured they will immediately be moved to a safe and comfortable location where first aid and assessment can be administered. If the employee is unconscious or cannot move themselves, all work in the area must cease and the area made safe so first aid/CPR can be administered on location. While person is being relocated and care is provided, the Lead Technician MUST take or delegate actions to correct any hazard(s) to prevent a second injury.

  • Triage Nurse Procedure: AFR utilizes the CorVel 24/7 Triage Nurse service to streamline reporting and determine the correct level of care. Once injured person is in a safe location, stable condition, and hazards are controlled, the Lead Technician and injured worker will move to a quiet space and call the 24/7 call number. TRIAGE NURSE DOES NOT CONSTITUTE OR PROVIDE CARE; the Triage Nurse WILL assess injury and recommend level of care (self-care, clinical care, or ER) and provide the location of nearby providers. When the triage nurse line is called an automatic report is generated to WC carrier eliminating delays to reporting, providing care, and establishing the path to recovery.

  • Administration: All accidents/incidents, near misses, and observations must be reported and addressed or responded to. Response and reporting actions must be executed following the AFR Injury Response policy including any project specific requirements in this plan. Any formal activity (investigation, RTW implementation, or stand-down to review incident details) will be documented using the appropriate form, submitted through the chain of command, and stored in Project files.

  • Modified Duty: Any injury which results in modified duty or lost days will trigger the RTW policies. Whenever possible, 'value-added' modified-duty tasks will be implemented on-site. If restrictions or other circumstances make on-site RTW infeasible, modified duty will be administered at the AFR facility with tasks selected that are value-added and promote recovery.

Safety Meetings

  • The following safety meetings will be held for the duration of this project:

All Hands Safety Meeting

  • Meeting with employees, supervision, and management on site to review H&S performance, planning, and new hazards/circumstances. Meetings may be monthly or weekly depending on the details of the project. Meeting purpose is to build and reinforce safe work practices, situational awareness, hazard anticipation and correction, and and to facilitate collaboration of H&S awareness and development between all levels of management. Topics may include discussion of policy or procedure, site specific conditions, recent event review, etc.

  • Planned frequency

Toolbox Talks

  • Toolbox Talks are informal safety meetings focused on site specific tasks, hazards, and/or controls. Meetings are less than 15 minutes, are administered by the Lead Technician, and include all AFR technicians and employees present on the job site. Toolbox talks are conducted at a minimum of once a week AND when scheduled work includes sever hazards (e.g. use of lift truck, use of fall protection, LOTO, etc.) Content for meeting may include review of daily JHA, topic specific one-page toolbox talk, Chemical SDS, and other content that relates to the work of the day.

  • Planned frequency:

Management Review Meetings

  • Management review meetings for large and/or complex projects ensure management takes time to review site safety policies and identify deficiencies and opportunities for improvement by assessing project performance, review of current policy, and measure general project performance and projections (scope, budget, and schedule). The meeting will be held monthly with the site PM, SSO, Site Supervisor, Safety Manager, and other management staff. A summary report of management review will be saved in the project documents vault.

  • Additional meetings
  • Meeting title, audience, and format

  • Additional communication requirements
  • Details:

Training

General Training Requirements

  • Site orientation - All employees will be provided site orientation training prior to beginning work; orientation will include the contents and requirements of this plan including all contact and communication procedures.

  • Employee Development - AFR provides ongoing initial and refresher training to employees depending on role, task assignment, and current/anticipated work. Topics include any and all applicable H&S topics such as fall protection, ladder safety, JHA procedures, incident response/ RTW, etc. Complete employee-specific training records are available upon request.

  • Awareness and corrective training - As needed, AFR may conduct training in response to newly identified hazards or when site policy or procedure is changed. Refresher training is administered when an employee demonstrates lack of understanding/proficiency, employee requests additional training, and where required by applicable law.

Additional Training Requirements

  • Training Requirements

Fall protection training

  • Fall protection - All Users will be trained in the selection, use, maintenance, and inspection requirements for specified equipment.

  • Fall protection - Competent Person: Training and experience in hazards, selection, use, and requirements for FP. (A designated CP person must be assigned and present when fall protection is used. If more than one person is qualified to be CP, THE MOST QUALIFIED will be assigned).

  • Additional Fall protection training requirements
  • Specify

Electrical hazard training requirements

  • Electrical hazard awareness: training meeting all requirements set forth in 29 CFR 1910.332 required for all AFR employees.

  • Will LOTO be administered?

  • LOTO - Authorized Person: Per 29 CFR 1910.147, all authorized employees are trained in the recognition of applicable hazardous energy sources, the type and magnitude of the energy available in the workplace, and the methods and means necessary for energy isolation and control. AFR authorized persons are provided additional training for client and company operations and systems/equipment that may be adversely affected by shut down or power surge when reenergized.

  • LOTO affected employee: presence, purpose, procedure, and location of active LOTO systems.

  • Other persons: All other employees whose work operations are or may be in an area where energy control procedures may be utilized, shall be instructed about the procedure, and about the prohibition relating to attempts to restart or reenergize machines or equipment which are locked out or tagged out.

  • Additional electrical training requirements
  • Specify

Silica training requirements

  • Silica Awareness: All employees who may be exposed to silica or will be disturbing silica in the course of their work.

  • Respiratory protection: AFR employees maintain an awareness level of respiratory protection. If known or potential silica hazards exist, employees will stop work until the area is made safe by client or third party.

  • Additional Silica training requirements
  • Specify

Aerial lift training requirements

  • Aerial lift awareness: all employees exposed to aerial lift hazards will be trained on operating and work area requirements for the specific equipment in use including but not limited to equipment stability and tipping hazards, falling object hazards, and suspended worker EAP.

  • Aerial lift operator: Operators are provided formal training and pass a practical application test under the observation of a qualified individual. Training includes safe operating procedures, hazard recognition, and applicable regulatory requirements. Incorporated content from 29 CFR 1910.66,1926.453, and 1926.503.

  • Fall Protection - User: All employees working from or riding in Aerial lifts must be trained in accordance with requirements set forth in 29 CFR 1926.503

  • Flagger - Instances requiring a flagger include but are not limited to areas of public access, multi-contractor worksites, or hazardous terrain or path of travel. All flaggers will be trained in all requirements set forth in MUTCD Part 6.

  • Additional aerial lift training requirements
  • Specify

Bucket Truck Training

  • Affected persons: ALL training requirements outlined in the "Aerial Lift" section of this program, PLUSAwareness level training that includes, operating requirements, equipment and work area inspections, and hazard ID, correction, and response; required for any person accessing the restricted area.

  • Operator: ALL training requirements outlined in the "Aerial Lift" section of this program, PLUS Operators training meeting requirements set forth in 29 CFR 1926.1427, FMCSA Part 380, and AFR Bucket Truck Safety Policy. Training includes but not limited to safe/defensive driving, applicable traffic laws and DOT requirements, hazard recognition and correction, EAP, operating procedures, administration of 'Affected Person' awareness level training, equipment inspection and maintenance. Operators must also complete practical application and have sufficient experience and authority to prevent and (if necessary) respond to an incident involving the designated equipment.

  • Ground Control/ flagger: When Bucket truck is operational at least one person present at ground level will be have complete flagger training and be trained and competent in EAP for equipment malfunction, suspended worker, and other equipment related emergencies.

  • Additional Bucket Truck Training Requirements

  • Additional Training
  • Describe topic, scope, and purpose of training.

  • Additional training requirements
  • Specify topic and requirements:

Site Management

  • Site Specific Health and Safety Policies

Fall protection requirements

  • This project will require workers to conduct activities which will expose them to fall hazards. AFR will provide fall protection training and equipment for all workers exposed to fall hazards of 6 feet or more, or when anytime they are in the basket of an aerial lift or bucket truck. Complete Fall Hazard requirements available in the AFR Fall Protection Policy; See site AHA and JHA log for additional site specific requirements.

  • Fall protection will include guardrails and/or PFA’s meeting all regulatory standards.

  • All fall protection equipment will be inspected prior to each use and after any incident that may compromise equipment integrity. This includes anchors, connectors, and harnesses.

  • PFA components will be selected based on application and will favor 'best in class' controls (e.g. SRL preferred to hanging lanyard).

  • All non-verified anchorage points will be assessed by the Lead Technician before being used. When CP cannot verify the soundness of anchorage point, an alternate point will be used or third party brought in to pull test the selected anchor.

  • Where PFA’s are in use 100% tie off will be enforced.

  • Equipment will be stored in dry and secure locations when not in use; each employee will be assigned their own PFA for the duration of service.

  • Employees will follow AFR procedures for selecting, fitting, inspecting, and retiring PFA equipment.

  • Additional fall protection requirements
  • Specify

Scaffold requirements

  • This project will require workers to conduct activities on scaffold. AFR shall administer the following controls where scaffold is in use.

  • All scaffold will be capable of supporting without failure, its own weight and at least four times the maximum intended load.

  • Worker and equipment not assigned to the task will be restricted from accessing or being stored on the scaffold.

  • Scaffold will only be erected by qualified scaffold erectors.

  • All scaffold will be inspected by scaffold CP prior to use each shift.

  • Scaffold inspections will be documented on scaffold tags attached to the scaffold.

  • If inspection finds defects or unacceptable hazards (including ice and snow) the scaffold will be ‘red tagged’ and not used until corrections have been made.

  • Waste materials will not be allowed to accumulate on scaffold platforms and will be transported to ground level or another permanent surface to prevent overloading scaffold.

  • Where scaffold exposes workers to falls of 10 feet or greater fall protection will be provided including guardrails and/or PFA’s meeting all regulatory standards and EDI Fall Protection Program.

  • Where PFA’s are in use 100% tie off will be enforced.

  • PFA components will be selected by site supervisor and appropriate for the task.

  • For detailed scaffold management guidelines reference EDI written Scaffold Management Program.

  • Additional scaffold requirements
  • Specify

Electrical Safety

  • This project will require workers to conduct activities where there is a potential exposure to electrical shock. All employees will be trained on the site specific requirements contained in the site AHA and JHA records. Complete AFR Electrical Safety requirements are available upon request.

  • AFR will use only construction grade flexible cords.

  • Ground Fault Circuit Interrupters will be used on all power tools and equipment.

  • Temporary wiring will be hung using non-conductive means and will not be run through windows, open holes, or over sharp edges.

  • All electrical devices will be inspected prior to each use for damage.

  • All damaged or defective equipment will be taken out of service and returned to the AFR shop for repairs or retirement.

  • Only qualified personnel may conduct maintenance, repair, and modification to any electrical equipment. This includes installation of temporary power systems, replacing ends on cords, replacing cords on tools, splicing power lines, and any other activity that requires technical skill and knowledge to be done safely.

  • LOTO on this site?

Lock-out Tag-out (LOTO)

  • Wherever possible, energy will be isolated via Air Gap and work done prior to energizing to avoid the need for LOTO. When this is not possible, AFR will execute procedures outlined in the AFR LOTO policy using effective equipment. Complete LOTO policy is available upon request.

  • Energy sources and energized equipment will be locked-out and tagged-out (LOTO), training and notifications distributed, and residual energy released prior to working in areas exposed to electrical hazards.

  • When LOTO is administered by client or other party, all employees will be trained in the stated procedure. Only AFR Authorized Person may place or remove AFR lock and is responsible for providing AFR key, knowing location of key box, informing employees of added/removed locks, verifying release of residual electricity, and ensuring LOTO is administered to eliminate the possibility of electrical shock.

  • If AFR is the administrator of LOTO, Lead Technician will also be responsible for maintain the log of additional contractor/persons locks and follow prescribed procedures for notification, administration, and confirmation of adding and removing locks.

  • Additional electrical safety requirements
  • Specify

Waste management

  • Waste will be segregated (universal waste, recycling, garbage, etc.) immediately using labeled boxes or bags.

  • Waste will be transported to AFR office for disposal/recycle/re-use weekly or when containers are full.

  • All waste will be disposed of in a designated landfill or recycler.

  • Food and personal waste must be disposed of immediately in an appropriate container that is changed regularly. No food or organic waste is allowed to be placed in the segregation containers.

  • Additional waste management requirements
  • Specify

Aerial lift safety requirements

  • Copies of operators manual for aerial lifts will be located on the equipment and will be specific to the equipment on site.

  • Only trained and certified personnel shall be permitted to operate or ride in aerial lifts.

  • Equipment will be inspected before each shift, or after any incident which may have affected the integrity of equipment. If any defects are identified the equipment will not be used until corrections have been made.

  • All areas where aerial lifts are used will be demarcated to ensure no person is exposed to a falling object hazard during the course of work. Care will be taken to ensure there pathways through and around the work area are easily identified and accessible.

  • Equipment will only be used on stable and level surfaces. Equipment will not be moved while platform is elevated.

  • Where equipment is used within 15 feet of suspended power lines or charged electrical equipment, employees will execute LOTO procedures, and take any additional actions to prevent worker exposure to electric shock.

  • All employees must wear PFA any time they enter a man basket, regardless of the height of work. While man basket is in operation 100% tie off will be implemented.

  • Aerial lifts will not be used as a crane or to move materials between levels. Only the materials and equipment required for the assigned tasks are permitted inside the basket with the workers.

  • Aerial lifts shall not be used where adverse weather such as wind, rain or snow, affect the safety of the equipment or the driving surface.

  • Equipment will be refueled/charged in a specified area. This place shall be free from exposure to weather, outside of any active work area, well ventilated, free from combustible hazards, and equipped with proper grounding and fire prevention/response equipment.

  • For additional requirements regarding the use of Aerial Lift platforms consult AFR Aerial Lift Safety Program.

  • Additional requirements for aerial lifts
  • Specify

Rolling stock and heavy equipment safety requirements

  • Operators manual for any rolling stock including bucket truck, personal lifts, Splicing Van etc. will be available on site through the Lead Technician and be specific to the equipment on site.

  • Only certified operators shall be permitted to operate equipment. Where significant hazards are present, a trained signal person shall be present when equipment is in use. Examples include areas of public access, multi-contractor worksite, or multiple machines operating in a single work area.

  • Equipment will be inspected prior to each shift, or after any incident which may have affected the integrity of equipment. If any defects are identified the equipment will not be used until corrections have been made. Record of inspection shall be maintained in project documents vault.

  • All areas where machinery is in use shall be demarcated and restricted to ensure no unauthorized access to the work area during operation. Care will be taken to ensure pathways through and around the work area are easily identified and accessible.

  • When lifting loads, suspending workers, or otherwise exposing equipment to lateral forces, working surfaces will be made stable and level before conducting work. Equipment will not be moved while lifts are in progress.

  • Where equipment is used within 15 feet of suspended power lines or charged electrical equipment, AFR will execute LOTO procedures, and take any additional actions to prevent worker exposure to electric shock.

  • All cabs will be equipped with roll cage and safety belt, or will not be used.

  • Care shall be taken in advance to ensure a proper work plan is in place. Equipment must only be used in a manner consistent with the design of the equipment, and not be 'rigged' to accomplish tasks outside of intended purpose of the equipment.

  • Care shall be taken to make work areas safe where adverse weather such as wind, rain or snow, affect the safety of the equipment or the driving surface. This may include but is not limited to shoveling snow, clearing out mud and loose debris, and monitoring wind speed . Equipment subject to tip hazards shall not be used where wind forces of 25 mph or more are present.

  • Equipment will be refueled/charged in a specified area. This place shall be free from exposure to weather, outside of any active work area, well ventilated, free from combustible hazards, and equipped with proper grounding and fire prevention/response equipment.

  • Additional rolling stock requirements
  • Specify

Ladder Safety

General

  • Use the appropriate ladder for the job; only use ladders made of non-conductive material

  • Only use aproved ladders which have the required markings and are rated to handle intended capacity

  • Conduct visual inspection of equipment prior to each use and after any occurrence which may affect the reliability of the equipment.

  • Red tag all defective equipment and remove from service imediately

  • Lock, or block open, all doors when working from ladders placed in doorways

  • When used to access upper landings all ladders must extend at least 36 inches above upper platform.

  • Ladders may only be used on stable surfaces; may not be supported by boxes, scaffold, or other make shift methods to provide additional reach.

Step ladders

  • Only climb steps on front of ladder; do not use or climb on supports on rear of ladder as steps

  • Spreaders must be able to fully open into a locked position; spreaders may not deflect more than 1 inch from original position.

  • Use only step ladders which are 20 feet or shorter in length

  • Do not climb or use top 2 steps to store tools/equipment

Extension Ladders

  • Ladders must maintain 4 to 1 height to base ration

  • Extension ladders which extend beyond 40 feet are prohibited

  • The top of extension ladders must be secured in place to prevent falling

Resources and Coordination

Personal Protective Equipment (PPE)

General PPE requirements

  • All employees will be trained in the type, purpose, use, maintenance, and use-life of all PPE. Such training will include how to clean and maintain equipment, identifying defects, and where/how to request replacement.

  • Minimum Site Specific PPE

  • Specify:

Task Specific PPE

  • Task specific PPE

Environmental/Chemical Hazard PPE

  • Respirator selected based on exposure assessment

  • Protective clothing based on material

  • Rubber boots (inside containment)

  • Gloves appropriate for select material

Hotwork PPE

  • Leather/cut resistant gloves for all persons carrying cut materials

  • Welding mask or face shield with minimum shade rating of 7 for cutters and spotters.

  • Non-conductive chaps and footwear for cutters and employees responsible for servicing equipment and bottles.

  • Leather welding gloves or equivelent for all cutters

Working at heights PPE

  • PFA equipped with shock absorbing lanyard affixed to appropriate anchorage for all employees exposed to falls of 6 feet or greater.

  • Eye protection in conjunction with face shield

  • Impact resistant gloves

  • Hardhat

  • Cut resistant sleeves when moving glass or sharp materials such as sheet metal.

  • Impact and/or cut resistant gloves when moving bulky materials or working in tight space.

  • Steel toed boots

  • Although there are no planned tasks that require additional PPE, AFR will assess existing and new operations and AHA/JHA for hazards where additional or more appropriate PPE should be in use.

  • Additional PPE requirements and considerations
  • Specify

  • For additional PPE requirements see AFR Personal Protective Equipment Program

Site power

  • Power systems will be inspected prior to each use; damaged/defective equipment will be returned to AFR for repair or replacement. No repairs or modifications will be made in the field and an adequate stock of replacement equipment will be available for use.

  • Temporary lines and systems will not extend more than 50 feet from the power source unless designed and installed by a certified electrician.

  • All temporary wiring will be suspended using non-conductive means, in a manner which removes any trip hazard, or risk to cutting the cord.

  • Wherever possible, facility power or battery powered equipment will be used to control electrical shock hazards.

  • AFR will use portable generators when facility power is not available. Generators will be inspected regularly and stored in a safe dry location when not in use.

  • Gas powered generators will only be used outdoors and will not be placed where workers will be exposed to exhaust fumes.

  • All fuel will be stored in metal containers that are labeled and have automatic closing valves. Fueling will be done in a safe location that is outdoors and free of ignition sources and flammable/reactive liquids and materials.

  • Gasoline will be stored on site in quantities of less than 2 gallons in a container and location that meets GHS storage requirements.

  • Additional power distribution requirements
  • Specify

Site Access

  • Badge required

  • Badging contact name

  • Badging contact phone number

  • Badging directions

  • Days of the week site will be accessed

  • Anticipated daily hours of operation

  • Access to the site may be permitted for visitors including deliveries, inspections, and management visits. Site orientation is required for any person who will be conducting work activities while on site.

  • When access is required outside the stated schedule AFR will communicate with site management to request access. Such access will only be granted for extenuating circumstances and will be managed on a case by case basis.

  • Additional site access considerations
  • Specify

Hazard Communication

  • AFR maintains a list of all chemicals and materials used in the course of work. Each material has a corresponding Safety Data Sheet (SDS) conforming to GHS standards. These documents are available to all site supervisors in their project binder. When chemicals are to be used on site a hard copy of SDS will be made available to supervisor and crew conducting such tasks.

  • All containers used for long term storage of chemicals will have all required markings and labels. If labels have been damaged or rendered illegible they shall be replaced, product transferred into properly marked container, or SDS shall be affixed to the container.

  • Employees using single user containers such as spray bottles will ensure that the bottle has markings signifying the contents of the container. Bottle does not require additional hazard markings provided the following: Only a single worker will be using container, container remains in the direct control of the employee while in use, and container is emptied and rinsed at the end of each shift.

  • In the event of a chemical spill, the area will be immediately restricted and management will be notified. Actions will be taken to clean the spill and remove any residual chemical. Surface will then be cleaned and sanitized; depending on specific hazards additional actions may be required. Consult product SDS prior to use for specific spill response actions related to the product.

  • Additional Hazard Communication requirements
  • Specify

  • For additional requirements reference Hazard Communication plan

Incident Management

Corrective Action

  • Administer oversight to ensure all safety and operational requirements are met on this site. Depending on the nature, seriousness, frequency, and intent of employee behaviors corrective and disciplinary actions may be taken may include but are not limited to written/verbal correction, probation, suspension, loss of title, decrease in pay, or termination of employment.

  • Regardless of the severity, all corrective and disciplinary actions will be documented and saved to employee files in the documents vault. These reports will be reviewed any time corrective actions are considered to determine trends and habits of specific employees. These findings are taken into consideration when administering any corrective action.

  • Employees will be provided to opportunity to make a statement and agree or disagree with supervisors statements and recommendations; such statement will be included in the corrective action report. These statements will be taken into consideration when determining corrective actions.

  • When disciplinary action is taken, employees on site will be made aware that the action was taken, with omissions of names, specific locations, or other information which would identify the employee in question. This is done to ensure that all employees are aware of enforcement actions and the importance of following prescribed procedures.

  • In the event that termination is corrective action employee will be notified and an exit meeting will be held to ensure mutual understanding of purpose and actions taken. Exit interview will be documented by PM and saved in project documents vault.

  • For additional information reference Disciplinary policy and procedures.

  • Additional corrective action considerations
  • Specify

  • For additional information reference Disciplinary Policy and Procedure, and, Accident prevention and loss control plan

  • If emergency services are required the Supervisor, authorized employee, or ambulance will transport them to the nearest emergency facility. At no time shall an injured worker transport themselves for initial care. After initial care is administered employee will be seen by occupational provider for follow up services.

  • Lead Technician will use 24/7 call line with injured employee for recomended level of care (self-treat, clinic, ER), conduct preliminary investigation of incident, and execute/provide administration requirements for/to the PM. PM will generate and distribute report to client POC.

  • Lead Technician will ensure that employees who have sustained an injury are provided a copy of designated provider letter, has signed the letter, and will retain a copy of the signed document in the project document vault.

  • If witnesses were present the Supervisor will ensure a witness statement is completed and signed.

  • Injured workers who are not able to return to full duty will be placed in Return to Work program to facilitate the return to full duty as soon as possible.

  • Additional incident management requirements
  • Specify

  • For additional requirements reference Incident Response and Reporting Program

Emergency Response

  • Ensure all work areas will have a minimum of 2 paths for egress. Lead Technician will inform employees of both routes and muster point.

  • Prior to working on elevated work surfaces, supervisor and crew will discuss and determine rescue actions and assign responsibility in the event of an injured or unconscious worker on the platform. This plan will be documented in the task JHA.

  • EAP procedures and muster location will be reviewed at the start of each shift during the Plan-of-Day meeting. Each technician will identify the preferred and secondary path to muster point when moving into a new work area.

  • Upon arrival at the muster point employees will check in with the Lead Technician who will ensure all employees are accounted for. Employees will stay at muster point until given the 'all clear' by management to return to work.

  • If a worker is unaccounted for, Lead Technician will attempt to make contact via telephone and report any known details to Emergency Coordinator or Emergency Responders. AFR employees will not attempt rescue procedures unless it is part of their designated role and there are no other hazards present that would result in additional incident (e.g. Permit Required Confined Space Rescue).

  • If certified, administer first aid and CPR as needed. If CPR is administered, abandon all other responsibilities until Emergency Responders or someone with more extensive training takes over.

Emergency response information

  • Emergency call number

  • Specify

  • Address of nearest emergency facility:

  • Additional emergency response requirements
  • Specify

  • For additional requirements reference emergency response plan.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.