Title Page
-
Brasfield & Gorrie Subcontractor Safety Warning
-
Conducted on
-
Select date
-
Subcontractor:
- Alfred Williams (Demountable Partitions)
- Awesome Awnings (Metal Canopies)
- Budd Group (Landscaping)
- Carolina Chutes (Trash Chutes)
- Carolina Floor Systems (Gypcrete/Balcony Concrete)
- Charlotte Mechanical (HVAC)
- Charlotte Mechanical (Plumbing)
- Charlotte Paint (Vinyl Wall Covering)
- Combs (Concrete)
- Custom Home Exteriors (Siding)
- Gates Construction Co (Masonry)
- GE (Appliances)
- Ideal Solutions (Insulation, Shelving, Mirrors, Shower Doors, FEC's, Window Treatments)
- JD (Residential Drywall & Paint)
- Karsey Glass (Glazing)
- Lowder (Framing)
- Lowder (Steel)
- Makson Electric (Electrical & Fire Alarms)
- Makson Fire Protection (Fire Protection)
- Maxson Associates (Overhead Coiling Doors)
- Mikes Flooring (Tile, Flooring, Countertops)
- Multifamily Cabinet Installers Inc. (Residential Cabinetry)
- Nations Roof (Roofing)
- Otis (Elevators)
- Parcel Pending (Mailroom)
- Pedulla (Sitework)
- Performance Glass (Ornamental Railings)
- Poblocki (Signage)
- Precision Walls (Commercial Drywall)
- Procon (Doors & Hardware)
- Sentinel Building Products (Fencing)
- Stephenson Millwork (Clubhouse Millwork)
- Synthetic Specialties (Stucco)
- Tindall (Precast Parking Deck)
- Wilson Industrial Restoration (Waterproofing)
- Other
-
Person's Name:
-
Hard hat #:
-
Person's Foreman/Supervisor Name:
-
Specific Location on Jobsite
- 1st Floor - Fire Area A
- 1st Floor - Fire Area B
- 2nd Floor - Fire Area A
- 2nd Floor - Fire Area B
- 3rd Floor - Fire Area B
- 3rd Floor - Fire Area B
- 4th Floor - Fire Area B
- 4th Floor - Fire Area B
- 5th Floor - Fire Area B
- 5th Floor - Fire Area B
- Roof - Fire Area B
- Roof - Fire Area B
- Exterior - Rail Trail
- Exterior - Remount Road
- Exterior - South Blvd.
- Exterior - Shoe Store
- Courtyard
- Parking Deck
-
Warning Issued By:
- Kevin Brown
- Travis Wetteroff
- James Barnes
- Karl Rumsey
- David Bare
- Brian Vessels
- Tim Comstock
- Scott Cooper
- Dan Coith
- Will Yandle
- Brian Swinks
- Other
-
Safety Violation Observed:
- Cranes/Rigging (rigging labeled, taglines, designated signalman, etc)
- Delineation/signage (present, complete, in place, caution vs. danger tape, etc)
- Electrical/ Pneumatic/ Powder Actuated (power lines, cords, grounding, lighting, receptacles, air hoses, etc)
- Excavations and Trenching (sloping/benching/shoring, access, delineation, etc)
- Fall Protection/ Prevention (guardrails/ toe boards, holes covered/ secured/ marked, CAZ, PFAS, etc)
- Fire Protection/ Prevention
- Hazardous Communications (labeling, SDS, etc)
- Hazardous Energy Control/ LOTO
- Heavy Equipment (seatbelt, load secured, etc)
- Housekeeping (protruding nails, scrap material, food waste, etc)
- Ladders/ Stairs (Proper for job, used properly, good condition, secured, extended properly, etc)
- PPE (safety glasses, faceshield, hi viz vest, gloves, hearing protection, etc)
- Scaffolding (proper access, guardrails, working/walking platform, inspected/tagged, etc)
- Slips/Trips/Fall Hazards (obstructions, hoses/cords, spills, water, etc)
- Traffic/ Pedestrian Controls (flagman trained/ present, signage, delineation, etc)
- Other
-
If other, please explain:
-
Safety Violation Details:
-
Explain Corrective Instructions Given:
-
Photo(s)
-
REPEAT OF THIS VIOLATION WILL RESULT IN FURTHER ACTION
-
Brasfield & Gorrie Management Signature:
-
I understand the safety violation I have committed and the corrective instructions given to me by the Superintendent. I have received a copy of this written warning.
-
Original to be filed at jobsite. Copies sent to Regional Safely Director, Project Manager, Subcontractor Employee and Subcontractor Foreman.
