Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Site-Specific Safety Plan

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  • Job Name

  • Job Number

  • Competent Person (if someone other than superintendent):

  • General Contractor:

Program Responsibility

  • The superintendent or the site safety coordinator is the designated competent person on the job and will have:

    The training/experience necessary to recognize hazardous or unsafe conditions on the job that may result in injury or illness of the employee, The authority to eliminate the hazard or unsafe condition, stop the job, or remove the at-risk employees from the unsafe condition or hazardous environment.

    The superintendent will be responsible for training employees on the job in the inherent, recognizable hazards of the job. If he finds he does not have the knowledge to provide the training necessary, he will request assistance from the Safety Department

Purpose

  • JBI Electrical Systems is dedicated to the protection of its employees from on-the-job injuries and illnesses. All its employees have the responsibility to work safely on the job.
    • The following elements should be covered by this plan:
    1. Description of the job and work to be done.
    2. Names of contacts for this job
    3. Hazard assessment
    4. Emergency plan
    5. Incident procedures
    6. Fall protection.
    7. Hazardous materials
    8. Site-specific safety rules for this job
    9. Silica exposure
    10. LOTO procedure
    11. STOMP Procedures
    12. MEWP Assessment and rescue plan and exiting procedure
    13. Subcontractors
    14. raining information
    15. Job site meeting provisions
    16. Program Evaluation
    17. Exposure Control Procedure

    • Before the job starts or prior to the employee being assigned to the job, each employee will be trained in this Site-Specific Safety Plan to be implemented on the job.
    • Construction is constantly changing between jobs as well as on a particular job. Every project will have its unique hazards and therefore unique procedures to address those hazards. Some procedures may be general enough to be maintained in the Standard Operating Procedures, but others will need to be written
    specifically for the project.
    •The Site-Specific Safety Plan is not intended to supersede or replace the Standard Operating Procedures. It shall be used as a supplement to this policy to address specific hazards identified on the job.
    • This plan informs interested persons, including employees that the company is complying with OSHA standards (29 CFR 1926).
    • The plan applies to all employees working on the specified project, except when designated employees are inspecting, investigating, or assessing workplace conditions before the actual start of construction work or after all construction work has been completed.
    • This plan shall be posted on the job where employees may review it and maintained in the job file.

1. Hazard Assessment

    Hazard Identification
  • Task steps

  • Recognizable hazard

  • Precautions to take

2. Emergency Plan

  • List or attach procedures to be followed in the event of an emergency.

  • undefined

  • Who is the designated person?

3. Employee Injury / Accident Procedures

  • If an accident occurs, the following procedures are required :
    1. Determine the severity of the incident and if emergency responders are required. If required, call your project manager immediately.
    2. Within 30 minutes of the situation being stabilized, call the Safety Department at 817-307-0782. Provide the person that answers the phone with the pertinent information about the incident. You will receive instructions as to how to proceed. YOU MUST CALL THIS NUMBER PRIOR TO ARRIVAL AT THE CLINIC/HOSPITAL.
    3. The Safety Department will work with you to determine which clinic/hospital to take an injured employee to and what instructions should be covered once you arrive at the clinic/hospital.

4. Emergency response Team

  • ERT members must be trained in CPR first aid and have an action plan to respond to emergencies on each project. Individual responsibilities must be delegated, i.e., incident investigations, first aid, and transporting the injured worker to the clinic. Effective communication with injured team members is paramount to help speed up recovery.

  • Who are the Emergency Response Team members?

  • What is their responsibility?

5. Equipment Certification Training

  • All JBI employees need to be properly trained and familiarized with the equipment they will be operating, i.e... MEWP, RTFL, Backhoe, skid steer. Employee badge shall be scanned and determined if the team member arriving at the project has been trained or need to be trained if training is necessary contact the safety department to schedule it. Fall Protection systems must be utilized when there is a risk of a potential fall greater than 6''. PFAS and lifeline must be inspected prior to each use, and employees must be trained on the specific procedures, inspections, limitations, and donning of equipment.

6. Fall Protection Plan

  • List or attach procedures to be followed in the event of potential fall hazards associated with any task on site. Ensure all team members understand the procedure and rescue plan in case employee(s) are stranded if experienced a fall into a harness.

  • List and effectively communicate the procedure to be used at this project, including rescue plan and any additional safety devices that will be utilized.

  • What type of equipment will you use?

  • Equipment inspection is user based; each team member must inspect all the equipment that will be utilized while performing any task that is considered within the scope of the fall protection plan

  • Equipment has been inspected?

  • List the specific steps that each employee must follow in case of emergency. (fall arrested by a PFAS)

  • Sketch the area and the specific procedure i.e. warning lines, that will be used

  • Describe your specific rescue plan. If an employee should sustain a fall. Rescue plan should be less than 10 minutes

  • Are all team members trained on the specific procedure?

7. Site Specific Safety Rules

  • List the specific project rules that all JBI employees on site must follow

  • Site-specific rules

8. Silica Exposure

  • All JBI employees will perform tasks consistent with Table 1 requirements. List the steps each employee must comply with when performing tasks that can result in silica exposure, whether the employee is performing the task or is just a bystander.

  • undefined

  • What is the exposure?

9. LOTO Procedure

  • LOTO will be implemented as a part of the overall safety and health program and shall be implemented in accordance with company LOTO procedure.

  • Additional Procedures.

10. Remote Racking

  • Remote racking reduces the need for full-body arc-flash hazard suits by taking supervisors outside the flash boundary. Call the General superintendent and safety department for assistance.

  • Did you fill out an equipment energization risk assessment (safety culture)

  • Contact the general superintendent to schedule the remote actuator and procedure.

11. Soft Tissue Operations Mitigation Plan (S.T.O.M.P)

  • List steps taken onsite to minimize exposure to soft tissue and joint injuries. Consider material handling and moving as well as repetitive motion and awkward posture activities.

  • What measures will be available to prevent STOMP injuries?

12. Time out for safety

  • Time out for safety! Gives all team members simple tools for reporting and solving safety-related issues effectively.
    Every team member has the authority to stop unsafe work practices to ensure safety measures are implemented and hazards that could potentially injure someone can be eliminated. Team members can stop talking about it and report through the QR code.

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13. MEWP- Risk assessment and site plan

  • The risk assessment and site plan shall address the risk associated with operating MEWP and effectively comply with company procedure and best practices for the safe use, selection, and operation of mobile work platforms used on the project. Only personnel properly trained in compliance with the standard and who have received familiarization on specific equipment shall operate the MEWP.

  • We shall follow the following guidelines

  • Is the operator properly trained to operate the equipment?

14. MEWP-Rescue Plan

  • In case of an incident involving a MEWP every team member on site shall be aware of the rescue procedures to be implemented, i.e., first aid, emergency plan, self-rescue, suspension trauma.

  • 1. After a fall – team members working around incidents shall help by activating emergency medical services and providing basic first aid measures by certified first responders on site.

  • Supervisor

  • Team member responsible

  • 2. Platform Entangle – The operator shall ask for assistance using effective means of communication with competent person or assigned safety personnel on site before attempting to move the platform.

  • 3. Platform failure – In case of equipment failure operator shall ask for help using effective means of communication with competent person and safety personnel, personnel responding to the scene shall ask for permission from the operator prior to using emergency decent system.

  • Supervisor

  • Team member responsible

  • 4. Suspension Trauma – Personnel on site including those who had sustained a fall and are suspended in mid- air shall be trained and aware of the dangers of suspension trauma 10-16 minutes if suspension trauma straps are not being used.

  • Supervisor

  • Team members involved

  • 5. Self -rescue – If able and trained employees can attempt to self- rescue whenever possible (using suspension trauma straps)

  • Supervisor

  • Team member performing task

15. Underground work

  • This type of work presents unique challenges once we have team members enter a trench or excavation. All excavations or trenches shall have an excavation permit and team members trained on the hazards associated with this work. Excavations shall also be protected against cave-in hazards.

  • soil type

  • Protective measures

16. Sub-contractors

  • List sub-contractors to be used on the jobsite, the work scope of each and any special precautions necessary.

  • Sub name

  • Work Scope

17. Job-site meetings

  • Job Start-up Safety Meeting -- At the beginning of the job, the superintendent will hold a safety meeting where this Site-Specific Safety Plan will be introduced. The superintendent will make sure all employees understand this program and know where it will be posted. The minutes of these meetings will be maintained in the job file and recorded in the Daily Job Log.

  • Weekly Toolbox Safety Talks -- On Monday morning every week, the superintendent will hold a safety meeting to discuss the following: 1. Changes to the Site-Specific Safety Plan. 2. Personnel changes. 3. New materials on the job. 4. New tools or equipment to be used. 5. Any outside influence expected during the week (i.e., other trades, public activities, weather).

  • Daily Huddle Meetings -- At the beginning of each shift or workday, the superintendent will conduct a 5-minute crew meeting to discuss the day’s activities and work objectives. During this time the superintendent will discuss any safety concerns investigated during the previous shift.

18. Program Evaluation

  • At least once a month (more frequently if necessary) the Safety Director or his designated representative will visit the job and evaluate the effectiveness of this plan. The evaluation will be documented and keep in the job file. Any deficiencies or recommendations will be corrected at the earliest opportunity. Records of the action taken to correct the deficiencies or recommendations will be maintained in the daily log and the safety audit performed.

19. General Condition covered by corporate policy

  • • JBI Electrical Systems has a very active company alcohol & drug policy and written program.
    • The following Safety Topics and Policies are covered in monthly safety meetings and the Standard Operating Procedures:
    1. Soft Tissue Operations Mitigation Plan
    2. Personal Protective Equipment
    3. Fall Protection
    4. Hazard Communication
    5. Electrical Safety
    6. Employee Accident / Incident Reporting
    7. Inspection of Power and Hand Tools
    8. Scaffold Safety Program
    9. Excavations
    10. LOTO
    11. Hot Electrical Work

  • Industrial Truck Training

  • Confined Space

  • Class II and II Energized work

  • First Aid CPR

  • OSHA Training

  • Equipment Training

Exposure Control Plan

  • Silica Exposure control porcedure

  • Employee Acknowledgment
  • All employees shall be familiar with this Site-Specific Safety Plan. Before an employee begins work on the job site or a guest visits the site, ensure that this plan is reviewed and the individual signs off below:

  • Competent Person

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.