Yuba_Gravel_Placement_Attachments_1-6.pdf

Section J – List of Documents, Exhibits and Other Attachments Yuba Gravel Placement

ATTACHMENT 1

SAFETY EXPOSURE REPORT

ATTACHMENT 2

MONTHLY SAFETY MEETING MINUTES

CONTRACTOR:

DATE: TOPIC:

SUMMARY:

CORRECTIVE ACTIONS REQUIRED (IF ANY):

Feb 2018

ATTACHMENT 3

ACTIVITY HAZARD ANALYSIS

Date Prepared Date Revised Revision No.

Project Analysis prepared by: Reviewed by: Accepted by:

Doug Grothe Park Manager

Activity Hazard Recommended Controls Activity

1. 1.1. 1.

1.2 1.3

2. 2.1 2.2 2.3

3. 3.1 3.2 3.3

4. 4.1 4.2 4.3

5. 5.1 5.2 5.3

Attachment 4 Map of Yuba River/ Gravel Placement above Smartsville gage.

ATTACHMENT 5

Repair/Work Request

Date: Name:

Specific item that needs to be repaired:

Physical Location:

Repair/Work Request Details:

Priority: □ 1: Deferrable, low priority

□ 2: Normal, for effective operation

□ 3: Urgent, to stop eventual loss

□ 4: Critical, to stop immediate loss

Reason for Priority:

Jan 2018

Section G – QASP- Performance Standards and Ratings Definitions

QUALITY ASSURANCE MONITORING FORM

Date: / /

Work Task (Milestone/Activity):

Survey Period: / / through / /

Method of Surveillance: COR Review

Evaluation of Contractor’s Performance:

Corrective Action Required: Yes No

Narrative Discussion of Contractor’s Performance During Survey Period:

Evaluation

Discussion

Attachment 6 - QASP Forms - May 2019

Quality Control Inspection Checklist

Quality Control Inspection Checklist

Section G – QASP- Performance Standards and Ratings Definitions

Section G – QASP Performance Standards and Ratings Definitions Englebright

– Land Janitorial Services

CORRECTIVE ACTION FORM FOR QASP

1) Work Task (Milestone/Activity):

2) Survey Period: / / through / /

3) Description of the Failure/Deficiency that Precipitated the Corrective Action:

4) Description of the Criterion that the Failure/Deficiency was Evaluated Against:

5) Personnel Involved in the Identification of the Failure/Deficiency, Determination of the Appropriate Corrective Action, Approval of the Corrective Action, and Implementation of the Corrective Action:

6) Description of the Corrective Action that was Required:

7) Date/Time of Implementation of the Corrective Action: / /

8) Follow-Up Information to Prevent Recurrence of Failure/Deficiency (i.e., Need for Revision of Procedures or Specifications):

9) Personnel Responsible for Follow-Up Work:

10) Planned Date for Follow-Up Surveillance: / /

11) Other

Description

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