Parsons Weekly Safety Leadership Tour (Ver.1.0)

• Audit Title

• Client/Site

• Construction Package

• Conducted on

  Date

• Prepared by

Take 5 Safety (Discuss with Mgmt team and list/check all hazards associated with this tour)

• Physical Hazards

  Select Noise/Vibration/Pressure Protruding/Impalememt Slips & Trips Falls from Height Falling/Flying Objects or Particles Struck By/Crushing Electricity: Static/Shock/Electrocution Confined Space (i.e. ventilation, gases) Spring/Elastic (stretched, tension, compression) Mechanical (cut, crush, bend, shear, pinch, wrap, pull, puncture) Pressure (hydraulic, boilers, cylinders, pneumatic)

  • Noise/Vibration/Pressure
  • Protruding/Impalememt
  • Slips & Trips
  • Falls from Height
  • Falling/Flying Objects or Particles
  • Struck By/Crushing
  • Electricity: Static/Shock/Electrocution
  • Confined Space (i.e. ventilation, gases)
  • Spring/Elastic (stretched, tension, compression)
  • Mechanical (cut, crush, bend, shear, pinch, wrap, pull, puncture)
  • Pressure (hydraulic, boilers, cylinders, pneumatic)

• Other (Description)

• Health & Environmental Hazards

  Select Airborne Particulates Heat Stress Hot/Cold Surfaces Restricted Lighting Weather (rain, dust, lightning) Gravitational (Manual Lifting) Ionizing/Non-Ionizing Radiation Radiant (microwaves, xrays, UV, infrared, solar) Thermal (heat, hot water, steam)

  • Airborne Particulates
  • Heat Stress
  • Hot/Cold Surfaces
  • Restricted Lighting
  • Weather (rain, dust, lightning)
  • Gravitational (Manual Lifting)
  • Ionizing/Non-Ionizing Radiation
  • Radiant (microwaves, xrays, UV, infrared, solar)
  • Thermal (heat, hot water, steam)

• Other (Description)

• Chemical Hazards

  Select Irritant/Sensitizer Corrosives: Acids or Bases Poison/Toxic-Inhalation Flammables: Fire/Explosion Explosives Reactives/Oxidizers

  • Irritant/Sensitizer
  • Corrosives: Acids or Bases
  • Poison/Toxic-Inhalation
  • Flammables: Fire/Explosion
  • Explosives
  • Reactives/Oxidizers

• Other (Description)

• Biological Hazards

  Select Poisonous Plants/Insects Diseases (i.e. Tuberculosis) Stray Animals (i.e. Rabies)

  • Poisonous Plants/Insects
  • Diseases (i.e. Tuberculosis)
  • Stray Animals (i.e. Rabies)

• Other (Description)

Take 5 Safety: Pre-Work Controls

• Permits attained?

  Yes

  No

  N/A

• Body harness/lanyard needed?

  Yes

  No

  N/A

• Sufficient railings?

  Yes

  No

  N/A

• Lockout/Tagout in place?

  Yes

  No

  N/A

• Work area clean?

  Yes

  No

  N/A

• Proper PPE worn?

  Yes

  No

  N/A

• Work place lighting adequate?

  Yes

  No

  N/A

• Confined space?

  Yes

  No

  N/A

• Applicable AHAs reviewed?

  Yes

  No

  N/A

• Standard PPE (Hard hat, safety glasses, gloves, safety-toed boots, hi-vis vest) required.

Take 5 Safety: Go-No Go Risk Assessment

• Before you begin any new task pause for 30 seconds and ask yourself the following questions:

• Do I have the skills and competencies to safely perform my assigned tasks?

  Yes

  No

  N/A

• Do I fully understand the procedures related to this job?

  Yes

  No

  N/A

• Do I have a safe means of access/egress to my work area?

  Yes

  No

  N/A

• Do I have the means and know how to summon emergency assistance?

  Yes

  No

  N/A

• Has my supervisor responded to any unanswered questions that I may have had?

  Yes

  No

  N/A

• Have today's tasks been coordinated with other contractors on site?

  Yes

  No

  N/A

• Do I have the correct tools and equipment for today's task?

  Yes

  No

  N/A

• Can I focus on my work today-or am I distracted?

  Yes

  No

  N/A

• Do I have all the required PPE?

  Yes

  No

  N/A

• Am I aware of the unsafe behaviors that can cause an injury?

  Yes

  No

  N/A

• Have I been properly trained to safely perform my assigned task?

  Yes

  No

  N/A

• Have I inspected my work area for safety hazards?

  Yes

  No

  N/A

• Each of these questions should be answered to your full satisfaction before you proceed with the work. Remember, no job is so important that you cannot take time to do it safely-THE FIRST TIME!

Management Questions

• 1. Did the management team recognize anyone for positive performance? If so, list their name and what the positive performance that was observed.

  Yes

  No

• Name/Description

• 2. What is the management team's overall assessment of the project site? Be Specific.

  Safe

  Need Improvement

  At-Risk

  Imminent Danger

• Comments:

• 3. What is Management's single most positive observation today?

  Positive

• Comments:

At-Risk Observations (Top 3)

Observation #1:

• Description:

• Photo

  Media

• Risk Level:

  High

  Medium

  Low

• What Action did Management take to eliminate, reduce or control the risk?

Observation #2:

• Description:

• Photo

  Media

• Risk Level:

  High

  Medium

  Low

• What Action did Management take to eliminate, reduce or control the risk?

Observation #3:

• Description:

• Photo

  Media

• Risk Level:

  High

  Medium

  Low

• What Action did Management take to eliminate, reduce or control the risk?

Additional Photos

• Photo 1:

  Media

• Description:

• Photo 2:

  Media

• Description:

• Photo 3:

  Media

• Description:

• Photo 4:

  Media

• Description:

• Photo 5:

  Media

• Description:

Summary Statement of Safety Leadership Tour

• Summary:

Management Attendance:

• Parsons Project Manager (Kevin Dixon / Vikas Padroo)

  Sign

• Parsons CM/ACM (Tanveer/Iyad)

  Sign

• Parsons HSE Supervisor (Brian Maynard)

  Sign

• Dorsch SRE (Mushtaq Javed)

  Sign

• Dorsch RE/ARE (Adrian Rees/Ali Monsour)

  Sign

• Dorsch HSE Officer (Burt, Marcos, George)

  Sign

• Samsung Project Mgr (Philip Shin)

  Sign

• Samsung Const Manager ( SK Park)

  Sign

• Samsung HSE Manager (Mark Harvie)

  Sign

• Other

  Sign

• Other

  Sign