PR_4773008_-_Solicitation_ATTACH_3_Safety_plan_template.docx
DOCX document 57 KB Posted
- Attached to
- Construction Fit-Out Consular Agency Playa del Carmen Federal contract opportunity
- Solicitation number
- Merida-01-2016
- Issued by
- Department of State US Consulate Merida
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Solicitation Attach 3 - Safety Plan Template
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| PR-4773008_-_Solicitation_ATTACH_4_Statement_of_Work_for_Playa_del_Carmen_fit_out_-_13_November_2015.docx | DOCX document | |
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ADD YOUR COMPANY LOGO AND INFORMATION HERE
Safety Management Plan
ADD YOUR COMPANY NAME AND DATA
Project:__ ADD THE NAME OF YOUR PROJECT HERE
Location:____ ADD THE PROJECT LOCATION HERE
Date: ADD THE DATE THE MANAGEMENT PLAN WILL BE DELIEVERED
SAFETY MANAGEMENT PLAN
PROJECT: ADD THE NAME OF YOUR PROJECT HERE
1. PURPOSE
This safety Plan details the responsibilities related to Safety and Health for the ADD THE NAME OF YOUR PROJECT HERE project. The responsibilities and other issues declared in this document will be applied to all the stages of the project, extra or different requirements will be established directly by the Project Manager and/or the POSHO when needed. We, ADD YOUR COMPANY NAME, and all our subcontractors will follow this safety plan and guarantee full access to it in case needed.
For clarity while reading and implementing this plan, we, ADD YOUR COMPANY NAME and all our subcontractors will be referred as Project Management.
2. GENERAL
The following is required from Project Management:
2.1. Demonstrate understanding of his responsibilities under Post Managed Construction Project safety program by addressing hazards in preplanning processes and meetings.
2.2. Prior to starting a project, Project Management is required to review the work site and identify hazards that may occur while performing the job.
2.3. Prior to starting a project, Project Management shall contact Contracting Officer (CO), to ensure they have received pertinent information for the project including requirements for permits, floor plans, utility information, asbestos, lead based paint and other hazardous materials.
2.4. Per 15 FAM 935, Project Management will provide employees with a safe and healthful condition of employment.
2.5. Project Management is expected to provide a “competent person” to implement Site health and safety plan and to oversee its compliance. A competent person is an individual who, by way of training and/or experience, is knowledgeable of applicable standards, is capable of identifying workplace hazards relating to the specific operation, is designated by the employer, and has authority to take appropriate actions.
2.6. Project Management shall be responsible for the removal and/or disposal of hazardous waste generated from the project. Hazardous waste generated from the project must be removed and disposed of in accordance with the Department’s Hazardous Waste Management Policy as well as local rules and regulations.
2.7. Project Management shall ensure proper safety, health and environmental requirements of EM 385-1-1 applicable to their project are followed.
2.8. Project Management will ensure individuals working at the site are trained and are aware of potential hazards. Project Management will ensure that these individuals are provided with proper safety equipment to prevent accidental injury in accordance with the requirements of the contract.
2.9. Project Management will report accidents to the post POSHO or A-POSHO.
3. BARRICADING AND FENCING
Project Management will maintain a safe and accessible path-of-travel for all pedestrians, including those with disabilities. Barricades act as warning devices, alerting others of the hazards created by construction activities, and should be used to control vehicular and pedestrian traffic safely through or around the work site.
Project Management will:
3.1. Erect and maintain for the duration of the Contract proper barricades including fencing material, traffic cones, caution tape and temporary curb ramps complying with all access codes and regulations at all closed crosswalks and existing closed curb ramps.
3.2. Obtain all applicable permits required by the regulations.
3.3. Furnish, erect, and maintain all necessary signs, barricades, lighting, fencing, bridging, and flaggers that conform to the requirements set forth by OSHA.
3.4. Ensure that no construction materials be stored and/or placed on the path-of travel.
3.5. Maintain the construction barriers in a sound, neat, and clean condition.
3.6. Not occupy public sidewalks except where pedestrian protection is provided. The Contractor shall not obstruct free and convenient approach to any fire hydrant, alarm box, or utility box.
3.7. Remove barriers and enclosures upon completion of the work in accordance with applicable regulatory requirements and to the satisfaction of the owner.
3.8. Provide protection for pedestrians consistent with all local codes, including the Americans with Disabilities Act (ADA).
4. HAND AND POWER TOOL SAFETY
Project Management will provide safe working conditions of tools and equipment.
Project Management will:
4.1. Ensure the safety of tools and equipment used by its employees.
4.2. Inspect at regular intervals and maintain in good repair all tools in accordance with the manufacturers' specification.
4.3. Ensure that all operating and moving parts operate and are clean.
4.4. Require that appropriate personal protective equipment be worn for hazards that may be encountered while using portable power tools and hand tools.
4.5. Ensure that tools are used for their intended purposes.
4.6. Ensure that all employees receive instruction on regulations and the safe use of each power tool.
4.7. Provide owners’ manuals including manufacturer’s specifications and suggested work practices and make available upon request to all employees required to use the equipment.
5. PERSONAL PROTECTIVE EQUIPMENT
Project Management will provide personal protective equipment standard while performing work at the Post.
Project Management will comply with the following provisions:
5.1. Protective equipment for eyes, face, head, and extremities, protective clothing, respiratory devices, and protective shields and barriers, shall be used wherever it is necessary by reason of hazards of processes or environment, chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through absorption, inhalation or physical contact.
5.2. Each affected employee shall use appropriate eye or face protection when exposed to eye or face hazards from flying particles, molten metal, liquid chemicals, acids or caustic liquids, chemical gases or vapors, or potentially injurious light radiation.
5.3. Each affected employee shall use appropriate respiratory protection when potentially exposed to air contaminated with harmful dusts, fogs, fumes, mists, gases, smokes, sprays, or vapors and when such hazards cannot be reduced or eliminated by effective engineering controls.
5.4. Each affected employee shall wear protective helmets when working in areas where there is a potential for injury to the head from falling objects. Protective helmets shall also be worn to reduce electrical shock hazards when near expose electrical conductors which could contact the head.
5.5. Each affected employee shall wear protective footwear when working in areas where there is a danger of foot injuries due to falling and rolling objects, or objects piercing the sole, and where such employee’s feet are exposed to electrical hazards.
5.6. Each affected employee shall wear protective ear-wear whenever noise exposures equal or exceed an 8-hour time-weighted average sound level (TWA) of 80 decibels and when engineering controls cannot reduce or eliminate the hazard.
5.7. Each affected employee shall wear protective gloves when working in areas where hands are exposed to hazards such as those from skin absorption of harmful substances; severe cuts or lacerations; severe abrasions; punctures; chemical burns; thermal burns; and harmful temperature extremes.
5.8. Project Management shall provide training and upon completion, each employee shall be tested, and certified in writing by the trainer. If at any time the trained employee changes work activities requiring different PPE, or exhibits lack of understanding of the required PPE, the employee shall be retrained and re-certified.
The hazards analysis is provided at the end of this document to specify the Protective Equipment required for the tasks to be performed.
6. NOISE
Project Management will take care of construction generated noise pollution. Post may impose additional time limitations on particular projects expected to make noise.
Project Management will:
6.1. Identify noisy equipment and noisy operations and plan their work to provide maximal noise protection to employees and the community.
6.2. Schedule noisy operations during off hours if possible. Noisy construction or demolition can be performed on weekdays only after full authorization from the FAC office, and the generated noise cannot exceed 80 dB except for pile driving.
6.3. Erect barriers to isolate occupied space from noisy operations when required.
6.4. Implement a hearing conservation program when employees are exposed to 80 dB or more in an 8 hour day. These programs include annual audiometric testing and require hearing protection devices, such as earplugs.
6.5. Implement engineering or administrative noise controls when exposure exceeds 85 db. Engineering controls include redesigning the space to reduce machinery noise, replacing machinery with quieter equipment, enclosing the noise source or enclosing the noise receiver. Administrative controls include mandating the length of time an employee can be exposed to a particular noise source.
7. FALL PROTECTION
Project Management has the responsibility to provide safe conditions when performing work at elevated surfaces (unguarded locations above six feet) at posts. Such locations may include but is not limited to the following:
· Portable and fixed ladders
· Aerial lifts
· Scaffolds
· Roofs
· Elevated work locations and platforms Project Management will:
7.1. Reduce the hazards associated with falls.
7.2. Control fall hazards first through engineering controls.
7.3. Institute personal fall arrest systems, administrative controls and training when engineering controls are not feasible.
7.4. Have a formal fall protection program in accordance with OSHA requirements or equivalent as determined by the POSHO.
7.5. Have the necessary fall protection equipment to safely perform the job.
7.6. Have workers properly trained in the use of fall protection equipment.
7.7. Have supervisors (or competent personnel) who ensure the use of fall protection equipment as required.
8. SCAFFOLDING
Project Management has responsibility to provide safe conditions when using, erecting and breaking down scaffolding.
Project Management will:
8.1. Understand and comply with the Post’s Contractor Safety Program and propose scaffolding structure that is equivalent to those required by OSHA or accepted by POSHO.
8.2. Ensure all employees have received training in the use of scaffoldings.
8.3. Contact the POSHO with questions regarding safety and required precautions.
Project Management will also ensure that the scaffoldings are:
8.4. Erected and dismantled by competent workers, under the supervision of knowledgeable and experienced supervisors.
8.5. Erected on sound and rigid footing, capable of carrying the maximum intended load without settling or displacement.
8.6. Securely fastened with all braces, pins, screw jacks, base plates and other fittings installed as required by the manufacturer.
8.7. Limited to authorized personnel only, especially after working hours.
8.8. Equipped with standard guardrails and toe boards on all open sides and ends of platforms four (4) to ten (10) feet in height.
8.9. Provided with a screen with maximum ½ inch openings between the toe board and the guardrail, where persons are required to work or pass under the scaffold.
8.10. Replaced or repaired immediately if scaffolding and accessories have any defective parts.
8.11. Provided with an access ladder or equivalent safe access.
Project Management will ensure that the planking be:
8.12. Scaffold grade or equivalent.
8.13. Overlapped a minimum of 12 inches or secured from movement.
8.14. Extended over their end supports for less than 6 and never more than 12 inches.
9. DEBRIS AND HAZARDOUS WASTE MANAGEMENT
Project Management will take care under OBO’s Hazardous Waste Management Program when handling, storing, transporting, and disposing of hazardous wastes generated at the Post. Debris handling, storing, transporting, and disposing will also comply with Post and local Safety and Health requirements.
Project Management will:
9.1. Identify any potential hazardous wastes associated with the planned work activity prior to commencing work.
9.2. Implement their own hazardous waste and employee training programs for the specific materials identified.
9.3. Ensure no wastes are abandoned in place.
9.4. Notify the POSHO and/or A-POSHO prior to the transportation, handling, storage and disposal of all solid and hazardous wastes potentially generated as part of the proposed work activities.
9.5. Comply with all local and OBO/OM/FAC Hazmat and Environmental Services policies and procedures.
9.6. Forward copies of all transportation, handling, storage, and disposal records including but not limited to Hazardous Waste Manifests, DOT Permits, and Disposal or Recycling certificates to the POSHO and/or A-POSHO.
10. HAZARD COMMUNICATIONS
Project Management will be responsible under OBO’s hazard communication policy regarding potentially hazardous materials present on construction sites and in posts buildings.
Project Management will:
10.1. Maintain an effective hazard communication program.
10.2. Ensure that POSHOs disclose known site-specific hazards such as the presence of chemical, radiological or biological materials to post managed construction contractors.
10.3. Maintain and have accessible copies of Safety Data Sheets (SDSs or equivalents) for chemicals brought onto post’s property.
10.4. Forward SDSs of hazardous materials (that produce strong odors) to the POSHO for review.
10.5. Use and store all hazardous or flammable chemicals, liquids, or gases brought onto the project site in approved containers conforming to post’s and applicable local regulations.
10.6. Secure permits, if applicable, for the temporary storage of hazardous materials on the project site.
10.7. Ensure that spills of hazardous materials are contained and cleaned-up immediately and that all necessary means and materials are maintained at the work site to accomplish this task.
10.8. Notify the POSHO and/or A-POSHO immediately of a hazardous material spill.
10.9. Report to POSHO and/or A-POSHO immediately the discovery of any hazardous materials which has not been rendered harmless.
11. ELECTRICAL SAFETY
Project Management will be responsible to take care of any incident when performing work that may impact electrical systems on posts’ properties. Such activities include, but are not limited to:
· Installation of electrical systems, components, machinery, and equipment.
· Alterations of electrical systems, components, machinery, and equipment.
· Maintenance of existing systems and equipment.
· Demolition of existing systems.
· Temporary planned outages.
· Tests and diagnostics.
Project Management will:
11.1. Identify any potential sources of electrical energy likely to cause death, injury, or serious physical harm.
11.2. Notify the POSHO and the Project Manager of impact activities prior to the start of work.
11.3. Coordinate planned outages with POSHO and the Project Manager.
11.4. Ensure all employees performing impact activities have received sufficient training in compliance with post’s, OBO’s and local regulations.
11.5. Ensure all employees are provided adequate personal protective equipment as required by the regulations.
11.6. Ensure all work is performed in accordance with the guidelines of federal and local regulations.
11.7. Follow Lock-Out/Tag-Out procedures for the Control of Hazardous Energy as specified in the OSHA 29 CFR 1910.147 Standard, and in the Post’s Lock-Out/Tag-Out program.
12. LOCKOUT / TAGOUT
Project Management has responsibility when performing lockout/tagout activities at posts to ensure all persons potentially affected by de-energizing or reenergizing of building systems are properly protected and notified.
Project Management will de responsible of:
12.1. Having a lockout/tag out program prior to performing work.
12.2. Having trained employees prior to performing work.
12.3. Understanding and complying with the Post’s lockout program.
12.4. Informing the contracting officer and POSHO if their program deviates from the Post’s program.
12.5. Coordinating with the POSHO prior to performing lockout/tag out activities.
12.6. Providing their own lockout/tag out equipment that meet OSHA standards.
12.7. Performing lockout/tag out activities in accordance with OSHA standards.
12.8. Following special procedures for jobs requiring multiple lockout devices and those involving shift or personnel changes.
13. HOT WORK PERMIT
The hot work permit is designed to reduce the potential of an uncontrolled ignition of materials in a hot work area.
Project Management will be responsible for the following:
13.1. Understanding and complying with the Post’s hot work permit program.
13.2. Having trained employees and approved fire prevention equipment on site prior to performing work.
13.3. Obtaining a hot work permit from the POSHO or A-POSHO prior to the hot work activity within occupied existing facilities, 40 feet of a building or potential hazard such as a fuel storage tank, and confined spaces regardless of location.
13.4. Coordinating with the POSHO or A-POSHO the temporary shutdown of localized fire systems to prevent possible fire alarm activation and disruption of normal business operations.
13.5. Posting the hot work permit at the job site in an accessible and conspicuous location.
13.6. Submitting the hot work permit to the POSHO or A-POSHO at the completion of the activity.
13.7. Conducting their hot work activities in a sound fire safe manner and following the precautions outlined on the hot work permit.
13.8. Assuring that a firewatcher remains on the job for 60 minutes after the completion of the hot work.
13.9. Establishing works area barriers according to the job to be performed to protect also pedestrians, these barriers shall comply with OSHA standards and post’s hot work program.
14. CONFINED SPACE ENTRY
Project Management will be responsible to comply with their responsibilities during confined space entry activities at posts. Types of confined space entries may include but are not limited to: telecommunication manholes, HVAC systems, sewer manholes, sewage ejection chambers, steam manholes, crawlspaces, boilers, tanks, and water-meter manholes.
Confined space is defined as any space that:
(1) Is large enough and so configured that an employee can bodily enter and perform assigned work.
(2) Has limited or restricted means for entry or exit (for example, tanks, vessels, silos, storage bins, hoppers, vaults, and pits are spaces that may have limited means of entry).
(3) Is not designed for continuous employee occupancy.
Project Management will be responsible for the following:
14.1. Identify permit-required confined spaces.
14.2. Evaluate each confined space for the following:
• Presence of explosive gases equal to or greater than 10% of lower explosive limit (LEL).
• Oxygen Deficiency and Oxygen Enriched Atmospheres
• Concentrations of Carbon Monoxide and Hydrogen Sulfide.
• Electric shocks, burns, walking/working surfaces, heat stress, noise hazards, and/or any other recognized hazard.
14.3. Control potential hazards with the following measures:
• Mechanical – Use proper lockout/tag out procedures when needed to prevent hazards within the confined space
• Ventilation – If exposed to harmful vapors or an oxygen deficient atmosphere exists; a ventilation fan shall be used for the duration of the job.
• Slips and fall – Use caution if shoes and /or ladders are wet or oily. Inspect shoes prior to entry.
• Burns and Heat Stress – The use of a ventilation fan will provide cooler temperatures. Use caution around hot equipment and avoid overexertion within the space. Take frequent breaks if needed.
14.4. Prevent an explosion, not using equipment that may cause flame or sparks in an oxygen-enriched atmosphere.
14.5. Use personal protective equipment (goggles, gloves, dust mask, respirator) when a potential hazard exists
14.6. Coordinate entry operations when employees are working in or near the area
14.7. Inform the POSHO of entry procedures that will be followed and of any hazards identified or created
14.8. Provide documentation of their company’s entry procedures to Contracting Officer or POSHO before work begins
14.9. Provide rescue operation procedures.
15. TRENCHING AND EXCAVATIONS
Project Management will be responsible for the following:
15.1. Before any excavation work begins, underground utilities shall be identified and the location marked of underground pipes, electrical conductors, gas lines or other structures.
15.2. Evaluation is required of the trenching site by a "competent person" who knows and is trained to identify soil types, proper protective systems and hazardous conditions.
15.3. Contact local authorities for procedures and notification requirements
15.4. Conduct a daily inspection of the excavation and the adjacent areas prior to work and as needed during the workday. If there are any unsafe conditions, work shall stop in the excavation and personnel removed until the problems are corrected.
15.5. Monitor and recognize hazardous atmospheres and conditions such as vibration, external loads, weather conditions, ground water conditions and confined spaces.
15.6. Check all protective material or equipment for any damage
15.7. When excavations are deeper than 4 feet, ladders or steps shall be located so that a worker does not need to travel more than 25 feet in the excavation before being able to exit. See OSHA’s confined space standard 29 CFR-1910.148 for testing before employees enter excavations greater than 4 feet in depth.
15.8. Each employee in an excavation shall be protected from cave-ins by an adequate protective system designed in accordance with OSHA Standard 1926, Subpart P.
15.9. Examination of the ground by a competent person for excavations less than five (5) feet in depth must present no indication of a potential cave-in hazard. If a cave-in hazard exists, protective systems are required.
15.10. When excavations are deeper than five (5) feet, the sides shall be provided with a protective system (shored, braced or sloped sufficiently) to protect against hazardous ground movement.
15.11. When heavy equipment will be operated nearby, the shoring or bracing shall be able to withstand this extra load regardless of the depth of the excavation. For any excavation that a person will enter, all dirt, debris and excavation material shall be effectively stored or retained at least two (2) feet from the edge of the excavation.
15.12. Adequate protection from hazards associated with water accumulation should be in place before working in excavations.
15.13. Signs and Barricades shall be displayed at all excavation/trenching sites.
15.14. All excavations into which a person could fall or trip shall be guarded. While work is being performed in or near the opening, the guards surrounding the area shall be maintained.
15.15. Barricades at least 3 to 5 feet high shall be spaced no further than ten (10) feet apart and yellow and black "Caution, Do Not Enter" construction tape shall be stretched securely between the barricades.
15.16. A registered professional engineer (or foreign equivalent) shall design excavations more than twenty feet deep.
15.17. Excavations should be covered and not left open overnight, whenever possible.
16. ADDITIONAL NOTES
The POSHO or A-POSHO at post will report any deficiency found on the Safety inspections to project, in case the deficiency is major, the works can be stopped until the condition is fixed. During the jobs and if different work conditions appear, POSHO or A-POSHO can indicate further safety requirements to Project Management.
Emergency procedures / accident response
This section can be written in Spanish.
The contractor has to detail the procedures he will follow in case of any emergency related to an accident or health situation that any member of his personnel may present or be involved into, in this emergency procedure the following shall be listed at least:
· Contractor-supervisor responsibility
· Transportation of the worker (Calling an ambulance or taxi, etc.)
· Follow-up on the worker state
· Filling the mishap forms to be delivered to the A-POSHO
· Emergency numbers that will be used
· Names of the supervisors that will overview this emergency procedure
We have to clarify that the Embassy of the United States of America in Mexico City can’t and won’t take the lead on any of the actions listed above or on the emergency procedure itself as the contractor must take full responsibility in this matter. The Embassy can provide first aid help only.
The emergency procedures detailed in this document will be applied to the full length of the project, extra or different requirements will be established directly by the COR and/or the POSHO when needed, concerns about it shall be asked to them.
PROJECT HAZARD ASSESSMENT
The hazard analysis and PPE related to the indicated project detailed in this document will be applied to the full length of the project, extra or different requirements will be established directly by the COR and/or the POSHO when needed, concerns about it shall be asked to them.
| Date: ADD THE DATES THE PROJECT WILL LAST |
| Location: ADD THE LOATION OF YOUR PROJECT |
Assessment Conducted By: ADD THE NAME OF THE SAFETY REPONSIBLE
Specific Tasks Performed at this Location:
ADD THE SPECIFIC TASKS THAT WILL BE DONE, TAKE THESE TASKS AS AN EXAMPLE:
Demolition jobs Walls renovation and construction Electrical jobs related to constructions and renovation works Fire system works (sprinklers implementation, etc.)
Masonry and painting works Air conditioner renovation and construction works Hot work
1. Overhead Hazards
· Suspended loads that could fall
· Overhead beams or loads that could be hit against
· Energized wires or equipment that could be hit against
· Employees work at elevated site who could drop objects on others below
· Sharp objects or corners at head level
· Flying or propelled objects
· Falling objects or materials
| Hard Hat Required |
| Yes |
| No |
If yes, determine the type and class: INDICATE YES OR NO AND SELECT THE TYPE OF HARD HAT
· Class G (impact and penetration resistance, plus low-voltage electrical insulation) when performing electrical jobs
· Class E (impact and penetration resistance, plus high-voltage electrical insulation)
· Class C (impact and penetration resistance) Hard hat for general construction jobs
2. Eye and Face Hazards
· Chemical splashes
· Dust
· Smoke and fumes
· Chemical gases or vapors
· Welding operations
· Projectiles
· Flying particles
| Eye and Face Protection Required |
| Yes |
| No |
Types of Eye and Face Protection INDICATE YES OR NO AND SELECT THE TYPE OF ITEM TO USE
| Safety glasses or goggles |
| Yes |
| No |
| Face shield |
| Yes |
| No |
· Safety glasses or goggles must be used in demolition and construction jobs, also in any masonry and painting job.
· Specific face shield must be provided for welding jobs according to OSHA regulations apart from safety glasses or goggles.
3. Hand Hazards
· Skin exposure (painting materials)
· Sharp edges, splinters, etc.
· Harmful temperature extremes
· Exposed electrical wires
· Sharp tools, machine parts, etc.
· Material handling
· Severe cuts, lacerations or abrasions
· Punctures
· Chemical burns and/or thermal burns
| Hand Protection Required |
| Yes |
| No |
Determine the type and class: INDICATE YES OR NO AND THE TYPE OF GLOVE
| Chemical Resistant |
| Yes |
| No |
Temperature Resistant:
Special welders gloves
| Yes |
| No |
| Abrasion Resistant |
| Yes |
| No |
Other (Explain):
INDICATE THE TYPE OF GLOVE
Electrician gloves for possible electric works with proper isolation.
General working gloves for construction tasks (mechanix) Nitrile gloves for painting jobs (according to the type of paint)
| Yes |
| No |
4. Foot Hazards
· Heavy materials handled by employees
· Sharp edges or points (puncture risk)
· Construction/demolition
· Falling/rolling objects
· Piercing/cutting injuries
· Electrical hazards
| Foot Protection Required |
| Yes |
| No |
Types of Foot Protection:
| Toe protection (Steel toe) |
| Yes |
| No |
| Metatarsal protection |
| Yes |
| No |
| Electrical Insulation |
| Yes |
| No |
| Puncture resistant |
| Yes |
| No |
Other (Explain) Waterproof Slip resistant Oil resistant
| Yes |
| No |
5. Respiratory Hazards
· Chemical exposure
· Vapors exposure
· Extreme dust exposure
· Other agents exposure that may be inhaled
| Personal Respiratory Protection Required |
| Yes |
| No |
Determine the type INDICATE YES OR NO & THE TYPE OF RESPIRATORY PROTECTION
· Type I. Half mask respirator (no valve) To use when painting with water based paint
| Yes |
| No |
· Type II Half mask respirator (with valve) To use in hot work jobs To use while performing demolition and construction jobs generating low quantities of dust and when panting according to the type of paint
| Yes |
| No |
· Type III Air purifying respirator with particle cartridges To use while performing demolition and construction jobs generating considerable quantities of dust and when panting according to the type of paint
| Yes |
| No |
| · Type V Air purifying respirator with organic vapors cartridges |
| Yes |
| No |
| · Other (Explain) |
| Yes |
| No |
· The half mask respirators use will depend on the quantity of dust or other materials resulting on the demolition and construction works, the kind of paint to be used and the space ventilation.
6. Exterior Hazards (protection of the work area)
· Traffic of external personnel
| Delimitation of work area required? |
| Yes |
| No |
If yes, determine the type INDICATE YES OR NO & WHAT WILL BE USED TO DELIMITATE THE WORK AREA
The work area will have to be clearly delimited and of restricted access, yellow bands and barriers must be placed to avoid the entrance of not allowed personnel, caution signs must be placed in a visible area. When not working, the area will remain perfectly closed.
When performing hot work tasks, guards shall be used to confine the heat, sparks, and slag, welding screens according to OSHA requirements shall be placed.
7. Noise Hazards
· Machinery noise exposure
· Demolition/construction noise exposure
| Hearing protection needed? |
| Yes |
| No |
If yes, determine the type INDICATE YES OR NO & THE TYPE OF HEARING PROTECTION
| · Earplugs with at least 26 NRR |
| Yes |
| No |
| · Earmuffs with at least 23 NRR |
| Yes |
| No |
· Hearing protection will be selected according to the attenuation needed.
8. Electrical Hazards
· Use of electrical tools
· People exposure to electric sources
| Electrical issues found? |
| Yes |
| No |
If yes, determine the type INDICATE YES OR NO &THE ELECTRICAL HAZARDS FOUND
| · List of electric tools to be used and their inspection documentation needed? |
| Yes |
| No |
· Project Management will make a previous inspection of all the electronic items he is planning to use, in case he doesn’t know the basic safety requirements needed, he will contact A-POSHO for the information.
9. Miscellaneous hazards
· Work on heights (fall hazards)
· Use of ladders, scaffolding or other elevated elements
· Exposure of other body parts to abrasion, laceration and burn hazards
| Other protection needed? |
| Yes |
| No |
If yes, determine the type INDICATE YES OR NO &THE TYPE OF EXTRA HAZARDS THET ARE FOUND IN THE PROJECT
10. Summary of Hazard and the Required PPE at Post
| Hazards Identified |
| PPE that will be used |
Overhead Hazards
Eye and Face Hazard
Hand hazards
Foot hazards
Respiratory hazards
Exterior hazards
Noise hazards
Miscellaneous hazards (fall hazards included)
| Hazards Identified |
| Extra Safety notes related |
| Electrical hazards |
| Inspection of the electric tools (guards, cords, etc.) |
I certify that the above assessment and safety plan was performed to the best of my knowledge.
(Signature and name of Contractor’s Project Safety Manager or alternate)
| Title: ______________________________ |
| Date: ______________________________ |
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