WRA-3073SAMPLESAFETYPLAN.pdf

SAMPLE SAFETY PLAN

Site Specific Safety Plan for Installing A Widget at the Deer Island Treatment Plant

Contract Number S45x Submitted by The Acme Construction Corp.

Jane Smith, Senior Safety Officer Date: xx/xx/xx

Revision Number 1

1.0 Site Description:

The Deer Island Treatment Plant (DITP) is a large, Publicly Owned Treatment Works (POTW), located on Boston Harbor. Its street address is 190 Tafts Avenue, Winthrop Massachusetts, 02152.

Vehicle access can only be made through the community of Winthrop, Massachusetts via Tafts Avenue. All construction vehicles must use the approved truck route to ensure public safety.

The DITP is located on over 150 acres, has over fifty structures and 70,000 pieces of equipment.

The facility has several areas that under either normal or upset conditions could reasonably be assumed to contain explosive concentrations of toxic and ignitable gasses.

The DITP stores and transports large volumes of regulated materials, most of which are either corrosive or ignitable. In addition to the materials utilized in the process, the DITP has hundreds of unlabelled confined or restricted spaces. Therefore entry to all manholes, basins, basements, and vaults are considered to be permit-required unless otherwise described by the DITP.

The DITP has a very significant hydraulic profile and the forces associated with the hydraulics are of a vast magnitude. Care must be used whenever working on or near piping, valves, pumps, or vessels of any kind.

NOTE: The DITP is non-smoking environment. Contractors are not allowed to smoke at the

DITP.

2.0 Acme Corporation’s Site Safety Organization:

The Acme Corporation has a corporate Safety Officer, Ms. Jane Smith, who is responsible for overall safety management. On this project for the MWRA, our foreman, John Jones, will serve as our on-site safety representative. Their contact information is included in Section XX and Mr.

Jones’ credentials are included in our attached Training Matrix.

3.0 Description of the Work:

The Acme Corp. will be installing six large widgets in the lower level of the North Main Pump Station. The widgets are large in size and will require the use of rigging to seat them on their pads.

Once seated the widgets will be welded in place, painted, electrically connected, and tested to ensure functionality. A job hazard analysis is provided in section X of this plan and will provide more detailed information on the tasks themselves.

4.0 Procedures:

The following Acme procedures are attached for use on MWRA Project XXXX:

Personal Protective Equipment Right to Know (Hazard Communications) Hoisting and Rigging Crane Safety Hot Works Lockout/Tagout (LOTO) Electrical Safety Fall Protection/Elevated Work Areas.

5.0 Communications:

NAME TITLE PRIMARY

CONTACT

NUMBER

SECONDARY

CONTACT

NUMBER

Sara White Acme Project Manager xxx.xxx.xxxx xxx.xxx.xxyy

Jane Smith Acme safety Officer xxx.xxx.xxxx xxx.xxx.yyxx

John Jones Acme Forman xxx.xxx.xxxx xxx.xxx.yyyy

NOTE: All on-site emergency communications will be directed through the DITP’s Emergency Phone Number 617.660.7666.

6.0 First Aid:

At least one of the Acme employees on-site at the DITP will be trained in CPR/First Aid.

Additionally, Acme Corporation will have an OSHA compliant 25 person first aid kit available for its employees at all time. All injuries will be reported to the MWRA within the shift that they occur. Any incident requiring more than basic first aid will be immediately forwarded to the DITP Emergency Phone at 617.660.7666 for appropriate handling and review.

7.0 Traffic and Roadway Safety:

The maximum speed limit on the DITP property is 20 M.P.H. Contractors working in or adjacent to roadways will develop and submit a procedure for doing so.

8.0 Hazardous and Regulated Materials:

This project calls for the use of paints and solvents that are regulated by the MA-DEP. Our employees are trained on the hazards of the materials and on how to store and apply these products. MSDS sheets have been attached for these materials. Acme Construction Corporation is responsible for the clean-up of any spilled materials caused by Acme’s use or storage of those materials. Acme shall additionally be responsible for any spills caused by their employee’s.

9.0 Training:

The Acme Corporation has selected employees properly trained to complete the tasks associated with this project or which are required by regulation for the completion of the intended work, including DITP Contractor Orientation training. A Training Matrix has been attached which details the relevant training our employees have received. This includes training for the use and application of Personal Protective Equipment, Right to Know (Hazard Communications), Hoisting and Rigging, Hot Works, Lockout/Tagout (LOTO) and Electrical Safety.

10.0 Attachments:

1) Procedures:

Personal Protective Equipment Right to Know (Hazard Communications) Hoisting and Rigging Crane Safety Hot Works Lockout/Tagout (LOTO) Electrical Safety Fall Hazards/Elevated Work Areas

2) Training Matrix

3) Job Hazard Analysis (JHA) Form

Job Hazard Analysis for DITP Contract Number XXXX

Task Hazard Mitigation

1. Receive and unload widgets at the DITP

1a. Traffic Safety. The Widget will arrive on a flatbed tractor-trailer, which will need to be positioned for unloading by a crane.

1b. Each widget weighs approximately 1500 pounds.

1a.Two flagman will be provided to position both the tractor-trailer and the crane. The flagman will be responsible for establishing a work zone and restricting access.

1b. See Hoisting and Rigging Procedure.

2. Lower Widgets onto housekeeping pads.

2a. Crush Hazards relating to lowering widget onto housekeeping pad.

2b. Fall Hazard working over the widget shaft.

2a. See Hoisting and Rigging Procedure.

2b. See Fall Hazards/Elevated Work Areas Procedure.

3. Install and Paint Widget.

3a. Hand and Power tool use while bolting-up widget.

3a. All Acme Corp. employees are either journey, or apprentice, trades persons knowledgeable and experienced in using hand tools. All electrically powered tools will be powered through an appropriate ground fault circuit interrupter (GFCI).

4. Electrical Installation and bump testing of widgets.

4a. Accidental contact with electric current.

4a. Acme will utilize its LOTO program (see LOTO Procedure. All staff will be appropriately licensed to complete this work.

5. Confined Space Work

5.a. Gases and Fumes 5.b Retrieval of Incapacitated 5.c Engulfment

5.a Constant CGM monitoring (See SPC manual for procedures) by confined space attendant 5.b Provide retrieval tripod 5.c Coordinate lockout/tagout with

DITP

6. Power Tool Work

6.a Personal Injury 6.b Electric Shock

6.a Provide needed PPE, including gloves and safety goggles 6.b Use double insulated tools and/or

GFI

7. Blasting Work 7.a Personal Injury 7.b Respiratory Problems 7.c Injury to others

7.a Provide needed PPE for body protection 7.b Provide air-supplied hoods 7.c Provide signs & barriers to prevent entry into work area.

8. Coating Work 8.a Fumes 8.b Skin Contact

8.a Provide required respiratory protection (See SPC manual) 8.b Provide gloves, suits, skin creams, eye protection

9. General 9.a Fire 9.a Provide required fire extinguishers and store flammable materials properly.

(with adequate signage, as needed)

10. General 10.a Equipment 10.a Comply with manufacturer’s and DITP regulations

11. Inspection 11.a Failure to enforce safety regulations

11.a Superintendent to perform twice daily inspections (documented per SPC safety manual and MWRA regulations)

12. Fall Protection 12.a Ladders 12.b Openings in the floor

12.a Provide proper ladders, and secure 12.b Provide and maintain barriers at any openings, include needed signage

13. Emergencies 13.a Loss of Personnel 13.b Severe Weather 13.c Fire or Injury

13.a See SPC Emergency Rallying Plan 13.b Suspend operations during severe weather 13.c Contact emergency personnel (see SPC Site Emergency List).

14. Housekeeping 14.a Trips, falls, etc.

14.a Maintain work areas, clean daily, provide required lighting.

Training Matrix

Training Type

Employee Name

C onfined S pace T rained

D eer Island O rientation T raining

L ock-O ut/T ag O ut

R ight T o K now

H oisting &

R igging

H and T ool S afety

P P

E

E lectrical S afety

F all P rotection/ E lev. W ork P latform s

S taging C om petent

P erson

Jane Smith X X X X X X X X

John Jones X X X X X X X X

Sara White X X X X X X X X

Bill Green X X X X X - - -

Steve Black X X X X X - - -

Bob Brown X X X X X - - -

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