PROCESS SAFETY MANUAL

Injury and Illness Prevention Program

Code of Safe Practices
Safety Standards (Procedures)
General Safety Policies
 TABLE OF CONTENTS Revision Number: 1
Section: 0.00 Revision Date: 8/28/2015
File Name: 1_Table

0.00 TABLE OF CONTENTS

1.00 FOREWORD

1.01 Introduction and Purpose

1.02 Policy Statement

2.00 INJURY AND ILLNESS PREVENTION PROGRAM (8 CCR 3203)

2.01 Responsibilities

2.02 Compliance / Disciplinary Policy

2.03 Communication
Monthly Safety Meetings
Daily Safety Meetings
Anonymous Communication

2.04 Identification / Correction of Workplace Hazards

2.05 Accident Reporting and Investigation Procedure

2.06 Training and Instruction

2.07 Maintenance of Records

3.00 CODE OF SAFE PRACTICES (8 CCR 1509)(Tailgate Safety Meeting Topics)

3.01 Compressed Gas Cylinders

3.02 Electrical Awareness
3.03 Health and Physical Requirement
3.04 Heavy Equipment
3.05 House Keeping
3.06 Ladders
3.07 Lifting
3.08 Loading and Hauling Equipment
3.09 Machine Guarding
3.10 Office Safety
3.11 Personal Protective Equipment
3.12 Pipe Handling
3.13 Public Protection
3.14 Slips, Trips, and Falls
3.15 Tools (Hand, Power, Pneumatic)
3.16 Traffic Safety and Controls
3.17 Welding

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 TABLE OF CONTENTS Revision Number: 1
Section: 0.00 Revision Date: 8/28/2015
File Name: 1_Table

4.00 SAFETY STANDARDS (Procedures)

4.01 Confined Space Entry

4.02 Crane Operations
4.03 Dig Alert Notification
4.04 Emergency Response/Emergency Action Plan
4.05 Fall Protection
4.06 Forklift Operations
4.07 Heat Illness Prevention Program
4.08 Hiring Procedure (New Employee Orientation)
4.09 Lockout / Tagout / Blockout Procedure
4.10 Vacuum Truck Operations
4.11 Vehicle Policy and Safe Driving Practices

5.00 GENERAL SAFETY POLICIES

5.01 Asbestos Awareness

5.02 Blood Borne Pathogens Policy
5.03 CPR and First Aid Inventories
5.04 Fire Prevention and Protection
5.05 Hazardous Communication Program
5.06 Light Duty Program
5.07 Respiratory Protection Program
5.08 Subcontractor Safety Management
5.09 Waste Storage and Handling

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TABLE OF CONTENTS Revision Number: 1
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File Name: 1_Table

APPENDIX (Electronic Forms) FORM NUMBER

Employee Warning Record 2021

Safety Meeting/Training Record 2031

Action Item Matrix 2041

Personal Injury Report 2051

Vehicle Accident Report 2052

Physical Damage Report 2053

General Liability Report 2054

Accident & Near Miss Investigation Report 2055

Required Training Schedule 2061

New Employee Checklist 4081

Vehicle Inspection Report 4111

Respiratory Fit Test Record 5071

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 FOREWORD Revision Number: 1
Section: 1.01 Introduction and Purpose Revision Date: 8/28/2015
File Name: P101

INTRODUCTION AND PURPOSE

The Company will institute and administer a comprehensive and continuous

occupational Injury and Illness Prevention Program. The health and safety of an
individual employee takes precedence over all other concerns. In support of this
commitment, the Company provides measures to control workplace hazards through
communications, periodic inspections, incident investigation, mitigation, compliance
audits and employee training. Under all circumstances, it is the intent of the Company
to comply with all applicable federal, state and local regulations and to provide a safe
and healthful work environment for our employees.

To help us achieve an injury-free workplace, we have developed this Safety Manual, an

integrated plan to manage and improve Company safety performance. As part of this
process, we intend to hire employees and contractors with an exemplary safety attitude.
We do this knowing we must cooperate and work as a team to obtain the desired
results.

This manual is divided into five sections (Foreword, Injury and Illness Prevention
Program, Code of Safe Practices, Safety Standards, and General Safety Policies).

Section 1.00 Foreword

Includes an overview of program contents, introduction and scope, and a policy

statement endorsing the system as appropriate for the company.

Section 2.00 Injury and Illness Prevention Program (IIPP)

An IIPP is an element required by California Code of Regulation 3203 for all employers.
It consists of seven established criteria (responsibilities, compliance/disciplinary policy,
communication, identification of workplace hazards, accident reporting and
investigating, employee training and record keeping). The IIPP is the core of the
administrative portion of the manual.

Section 3.00 Code of Safe Practices (Tailgate Safety-Meeting Topics)

The written Safety Rules section of the program are not necessarily required by any
regulatory body, however much of the contents reflect current laws and such should be
used to complement independent study or assist in tailgate safety meetings.

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 FOREWORD Revision Number: 1
Section: 1.01 Introduction and Purpose Revision Date: 8/28/2015
File Name: P101

Section 4.00 Safety Standards (procedures)

Safety standards included in section 4.00 are written job procedures developed to be
utilized in most of the daily activities of the company. Most of the written job procedures
are regulatory required and reference applicable federal and/or state laws within the text
of the documents.

Section 5.00 General Safety Policies

An attempt was made to encompass all other written safety material that was not
necessarily a daily function of the business, however deemed important, into a group
called General Safety Guidelines. Within this section you will find general information
relating to a multitude of safety requirements.

Page 2of 2
 FOREWORD Revision Number: 1
Section: 1.02 Policy Statement Revision Date: 8/28/2015
File Name: P102

POLICY STATEMENT

To All Company Employees:

Safety is of primary importance in our operations. No business objective is so important

that it will be pursued at the sacrifice of safety. Each of us has the responsibility to
make the safety of our co-workers and ourselves a basic concern. This objective is
fundamental to our well being, as well as the efficient operation of our business. Every
employee has the responsibility to prevent accidents and injuries by following
established working rules, by practicing the principles taught in safety training and by
providing ideas on how our safety efforts might be further strengthened.

We have instituted this Environmental, Health and Safety (EHS) system which, with
your help, will succeed in providing safe and healthy working conditions.

This program is designed to:

1) Assign Responsibilities to employees to carry out the necessary elements of the

program;
2) Establish a Compliance/Disciplinary Policy for employees that fail to carryout
their duties with regard to safe operations. Additionally, reward those that
continue to work safely;
3) Develop a system to communicate with our employees concerning safety matters
and to encourage feedback;
4) Identify and evaluate jobsite hazards;
5) Establish methods for investigating and correcting unsafe, or unhealthy
conditions;
6) Establish a training and retraining program for employees and;
7) Maintain and continually improve the ongoing integrity of the system.

We are committed to conducting operations in a manner that protects personnel safety,

the quality of our environment and maximizes production. The cooperation of all people
in our organization is expected. The results will be worth the effort.

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 INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.01 Responsibilities Revision Date: 8/28/2015
File Name: P201

RESPONSIBILITIES
DIVISION SAFETY OFFICER
The Division Safety Officer has primary authority and responsibility to ensure company
implementation of the management system and to ensure the health and safety of
company personnel, subcontractors and customers. This is accomplished by
communicating the company's emphasis on health and safety, analyzing work
procedures for hazard identification and correction, ensuring regular workplace
inspections, providing health and safety training, and encouraging prompt employee
reporting of health and safety concerns without fear of reprisal.

The Division Safety Officer has responsibility for:

 Ensuring that the Safety Committee, if utilized, is aware of all accidents which have
occurred, and all hazards which have been observed since the last meeting

 Working with employees and subcontractors to address safety concerns

 Assisting in the coordination of required health and safety training

 Serving as liaison for employees and others, on environmental, health and safety
issues the company cannot immediately resolve

 Maintaining copies of safety meeting minutes and other safety-related records

 The Division Safety Officer will have ultimate responsibility for the safety
performance of their division to ensure that it is implemented uniformly and equally
throughout the company.

The Division Safety Officer may seek assistance from other members of the company
as necessary to meet these responsibilities.

SUPERVISORS/FOREMAN
Supervisors play a key role in the implementation of the company’s environmental,
health and safety management system. Supervisors may include Management,
Superintendents, Field Supervisors, or any other lead man on a project. They are
responsible for:
 Communicating to their subordinates and subcontractors the company's emphasis
on protecting health and safety

 Ensuring periodic, documented inspection of workspaces under their authority

 Promptly correcting identified hazards

 Modeling and enforcing safe and healthful work practices

 Providing, where appropriate, safety training and personal protective equipment

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 INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.01 Responsibilities Revision Date: 8/28/2015
File Name: P201

 Implementing measures to eliminate or control workplace hazards

 Stopping any employee’s work that poses an imminent hazard to either the employee
or any other individual

 Encouraging employees to report health and safety issues to the Division Safety
Officer without fear of reprisal

INDIVIDUAL EMPLOYEES
It is the responsibility of individual employees to comply with all applicable health and
safety regulations, company policies, and established work practices. This includes but
is not limited to:

 Observing health and safety-related signs, posters, warning signals and directions

 Reviewing the area emergency plan and assembly area

 Learning about the potential hazards of assigned tasks and work areas

 Taking part in appropriate health and safety training

 Following all safe operating procedures and precautions

 Using proper personal protective equipment

 Warning coworkers about defective equipment and other hazards

 Reporting unsafe conditions immediately to a supervisor, and stopping work if an

imminent hazard is presented

 Participating in workplace safety inspections

SUBCONTRACTORS
Each subcontractor is responsible for working in a safe manner to prevent injuries.
Subcontractors must adhere to the safety policy of the Company and take responsibility
for their own safety programs which shall include:

 Safe work practices

 Safe equipment

 Implementation of accident prevention methods, and

 Maintaining a safe job site

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 INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.02 Compliance/Disciplinary Policy Revision Date: 8/28/2015
File Name: P202

COMPLIANCE/DISCIPLINARY POLICY

All company personnel have the responsibility for complying with safe and healthful
work practices, including applicable regulations, company policy, and safety procedures.
Overall performance of maintenance in a safe and healthful work environment should
be recognized by the supervisor and noted in performance evaluations. Employees will
not be discriminated against for work-related injuries, and injuries will not be included in
performance evaluations, unless the injuries were a result of an unsafe act on the part
of the employee. Implementation of this policy will be by the president, safety
department, project manager, project superintendent and/or combination there of.

Standard progressive disciplinary measures in accordance with the applicable

personnel policy or labor contract will result when employees fail to comply with
applicable regulations, company policy, and/or company safety procedures. All
personnel will be given instruction and an opportunity to correct unsafe behavior.
Repeated failure to comply or willful and intentional non-compliance may result in
disciplinary measures up to and including termination. Employees will be disciplined for
unsafe practices in accordance with the company employee warning system.

Employee Warning System

Willful violations of work practices will result in disciplinary action in accordance

with the following company policy:

1. Verbal Warning - As the first step in correcting unacceptable behavior,

the supervisor shall review the pertinent facts with the employee. The
supervisor will consider the severity of the problem and the employees
past performance. A verbal warning will be issued to the employee, which
will be documented by the supervisor in the employees' personnel file.
2. Written Warning - If the unacceptable performance continues a written
warning will be issued. The written warning will clearly state the policy that
was violated and steps the employee must take to correct it. Probation
will be part of the written warning. It may also include time off without pay.
At the completion of the probation period, the supervisor will meet with the
employee to determine if the employee has achieved the required level of
performance.
3. Termination - The third step in solving unacceptable behavior is
termination. The employee may be terminated if performance is not
improved within a reasonable amount of time.

The Company reserves the right to bypass the company “Employee Warning
System” and terminate employees “at will” for any reason management deems
necessary.

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INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.02 Compliance/Disciplinary Policy Revision Date: 8/28/2015
File Name: P202

General Requirements

1. The site supervisors and/or foreman will be responsible for enforcement of the
disciplinary policy.

2. The following is considered a safety violation. Not following verbal or written

safety procedures, guidelines, rules, horse play, failure to wear selected PPE,
abuse of selected PPE, etc.

3. After disciplinary action is taken management will meet with employee(s) to

discuss the infraction and inform the individual(s) of the rule or procedure that
was violated and the corrective action to be taken.

4. Company officials must conduct periodic inspections of work areas to ensure

compliance with safety rules and policies. Supervisors must have a commitment
to the safety goals of the company and take active role in the process. These
actions shall include physical inspections by company officials that indicate
violations showing overall lack of commitment to company safety goals. Action
by supervisors shall be under the same level of disciplinary actions.

Safety Incentive Program

Company Management enthusiastically supports the protection of employee

safety and health. This support is demonstrated, in part, through programs to
provide recognition and extra incentives for employees to work safely and
efficiently. Management provides employees the opportunity to earn awards for
their own safe, efficient work, and the safe efficient work of their team members.
The make-up of the program is described below. Specific awards are described
in management bulletins available from the Plant Manager.

The safety incentive awards are intended to help maintain constant safety and
health awareness. They are not to be considered a substitute for any element of
this EH&S Management system.

Safety Incentive Programs change from time to time, but a typical list of
incentives are listed below:

 Cash
 Company jacket
 Company shirt or hat
 Gift certificates
 Event tickets
 Other appropriate items

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 INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.02 Compliance/Disciplinary Policy Revision Date: 8/28/2015
File Name: P202

SAFETY AWARD ELIGIBILITY

Regular hourly field and yard employees Temporary and salaried employees are
excluded from eligibility.

The following requirements need to be fulfilled for an employee to be eligible for the
company safety incentive award:

Eligibility will be determined by division, by quarter. Divisions will be ineligible if the

following reports are not faxed to corporate office within 24 hours of the meeting or
inspection:

1. Weekly tailgate meeting minutes, held by a corporate office approved division

safety officer or division manager.
2. A copy of the manager's monthly safety inspection.
3. A copy of the managers monthly "Safety underwriting" meeting minutes.

*Please note that there will be no allowances given for late reports/inspections
or reports/inspections that are not performed by a corporate approved safety
officer or Division manager.

Cash bonus award:

This award will be based upon the actual number of divisions that qualify for this
program. Should up to Seven (7) divisions qualify for this program the amounts will be
calculated based upon the number of employees eligible in that division at $40.00 per
person. Should Eight (8) divisions qualify for this program the award will be based upon
$45.00 per employee. Should all divisions qualify the award will be based upon $55.00
per employee. The division manager will determine the actual cash award given to any
individual employee. In no case will anyone employee receive more than $100.00, in
any quarter.

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INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.02 Compliance/Disciplinary Policy Revision Date: 8/28/2015
File Name: P202

GENERAL REQUIREMENTS

1. Employees will have no OSHA recordable injury during a six (6) month period, as
defined below:

 Any injury that results in a lost workday

 Any other injury that does not result in a lost workday, but does require
medical treatment (other than first aid); involves loss of consciousness;
results in restriction of work or motion; or results in the termination of
employment.

2. Employee has not caused any vehicle damage, or accidents

3. Employee has not caused damage to company tools or equipment

4. Employee must comply with all company safety rules, including personal
protective equipment – hard hat, steel toed boots, safety glasses, hearing
protection, etc…

5. Employee needs to attend all required safety meetings and training sessions

6. Employee must turn in all company paperwork, on time

7. No unexcused absences for scheduled work. You must call in if you are sick,
otherwise it will be considered unexcused and you will forfeit your bonus for the
given period.

8. If you are late to work one (1) time you will lose 25% of your bonus, two (2) times
50%, three (3) times 100%, if you are still employed.

9. Employee must be working for the Company on the last day of the bonus period.

Page 4 of 4
 EMPLOYEE WARNING RECORD

GENERAL INFORMATION
Employee's Name
Date of Warning
Check One:
Attendance Insubordination Work Quality

Carelessness Lateness/Early Quit Unauthorized Absence

Safety Violation Willful Damage to Equipment Refusal to Work Overtime

If other than above explain:

Verbal Warning Written Warning Termination

EMPLOYER STATEMENT

DISCIPLINARY ACTION TAKEN Yes No

Explain:

Supervisor Signature Date

Signature of Witness Date
EMPLOYEE STATEMENT
I have read this "WARNING" and agree with the statements

I disagree with the employer's description of the violation.

The reasons are:

Employee Signature Date

2021
INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.03 Communication Revision Date: 8/28/2015
File Name: P203

COMMUNICATIONS

The elements of the Company Environmental Health and Safety (EHS) system shall be
communicated to all employees in a readily understandable manner and shall include at
a minimum, regularly scheduled monthly safety meetings, daily safety meetings for non
routine projects, and anonymous communications.

A. Monthly Managers Safety Meetings

Monthly managers safety meetings are normally held at the shop. At times, the
regularly scheduled monthly safety meetings may be postponed and/or held at
other locations due to work schedules. If a scheduled safety meeting is
postponed the company may require additional meetings to ensure a minimum of
twelve are held throughout the year. These meetings will be organized and
instructed by the facility supervisor and / or Safety Representative. At times the
monthly safety meetings may be instructed by invited guest speakers, such as
industry consultants or insurance representatives.

Planned monthly safety meetings may also include training sessions according to
the company’s required training schedule, or other related topics deemed
necessary by the Safety Representative.

B. Weekly Safety Meetings

Weekly safety meetings shall be require for any non-routine, hazardous, or large
scale projects (i.e., lockout tagout, excavations greater than five feet deep......).
It shall be standard practice to include both subcontractor and company
personnel into safety meetings relating to an effected project.

Documentation of required safety meetings shall be performed on the company

“Safety Meeting/Training Record” (Form 2031) a copy of which shall be sent to
the main office upon completion within 24 hour.

C. Anonymous Communication
A system for communicating safety concerns without fear of reprisal has been
established by the company. The purpose of which is to allow an employee a
way to voice concerns about safety. Safety suggestions shall be evaluated daily
and corrections shall be made in a timely manner.

In addition to these communication tools the Company shall use other bulletin
board postings, inter-company memos and safety meeting minutes to inform
employees of company safety performance.

Page 1of 1
 SAFETY MEETING/TRAINING RECORD
Date:

Type of Meeting: Daily/Tailgate Monthly Other:

Topic of Meeting/Training Session:

Location: Prepared by:

Other Issues/Suggestions Raised:

Follow-up
Required:

Name Company Name Company

1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.

Completed copies of this form must be routed to the Safety Representative

and kept in the safety files for at least one year.
2031
 INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.04 Identification and Correction of Workplace Hazards Revision Date: 8/28/2015
File Name: P204

IDENTIFICATION AND CORRECTION OF WORKPLACE HAZARDS

Regular, periodic workplace safety inspections must be conducted by the company.

The inspections should be noted on a “Action Item Matrix” report (Form 2041) or other
documentation, and the company must maintain copies of this documentation for at
least one year. These regular inspections will be supplemented with additional
inspections whenever new substances, processes, procedures, or equipment
introduced into the workplace represent a new occupational safety and health hazard or
whenever supervisors are made aware of a new or previously unrecognized hazard.

Generally, supervisors are responsible for identification and correction of hazards that
their employees and/or contractors are exposed and should ensure that the work areas
they exercise control over are inspected regularly. Supervisors should check for safe
work practices with each visit to the workplace and should provide immediate verbal
feedback where hazards are observed.

A hazard Assessment report may also be complete and submitted by an employee

anonymously, or as a referral to the Safety Representative as a result of a condition
discovered during an inspection, or which the responsible supervisor could not
determine an immediate remedy.

General Requirements

1. In addition to the hazard assessment methods mentioned above the Company

uses several other processes to identify potential hazards such as JSA's, JHA's,
and facility wide or area specific analysis/inspections.

2. Employees and/or sub-contractors must be actively involved in the hazard

identification process. Identified hazards must be reviewed with all employees
concerned.

3. The hazard identification process is used for routine and non-routine activities as
well as new processes, changes in operation, products or services as applicable

4. Hazards are classified/prioritized and addressed based on the risk associated

with the task. Refer to the Action Item Matrix (attached) which outlines severity
and probability.

5. Identified hazards are addressed and mitigated via the Action Item Matrix
(attached). This form documents and assigns responsibilities to appropriate
personnel until action items are completed.

6. Employees will be trained in the hazard identification process including the use
and care of proper PPE.

Page 1 of 1
 SAFETY INSPECTION
YARD/SHOP AREA

A. GENERAL
1. Inside/store/office/warehouse:
a. Are the floors clean and clear? Yes No
b. Are there any tripping hazards on the floors? Yes No
c. Are OSHA & WC postings clearly visible to employees? Yes No
d. Is there any material, pallets or debris in the aisles? Yes No
2. Outside/Yard:
a. Are grounds free of trash and debris? Yes No
b. Are lines clearly marked (parking, handicapped, etc.)? Yes No
c. Are materials safely stored/stacked and shelves orderly? Yes No
B. FIRE SAFETY
1. Sprinklers:
a. Do sprinklers have at least 18” of clearance? Yes No
2. Fire Extinguishers:
a. Are there any extinguishers that haven’t been inspected and installed
for the month? Yes No
b. Have extinguishers had their annual servicing – gauge charged/pin in
place? Yes No
c. Are there elevated signs showing each location and the ground marked
with red safety paint? Yes No
C. ELECTRICAL:
1. Electrical Panels:
a. Is there a 36” clearance zone marked and clear circuits marked? Yes No
b. Is the ground marked highlighting the clearance?
c. Are breakers labeled and panels in good condition? Yes No
2. Emergency Exits/Lights:
a. Are emergency exit lights in good condition? Yes No
b. Are there any exits that aren’t fully illuminated? Yes No
3. Extension Cords/Outlets:
a. Are extension cords being used only on a temporary basis? Yes No
b. Are there any outlets that aren’t marked for voltage/phase? Yes No
D. FLAMMABLES/HAZARDOUS MATERIALS:
1. Are flammables properly stored in containers marked and covered at all
times? Yes No
2. Are there any containers that aren’t closed and covered at all times? Yes No
3. Are Material Safety Data Sheets current and accessible? Yes No
E. PERSONAL PROTECTIVE EQUIPMENT:
1. Eye Protection:
a. Are employees wearing safety glasses/goggles? Yes No
b. Do prescription safety glasses have shields? Yes No
2. Welding:
a. Are compressed gas bottles secured? Yes No
b. Are welders wearing proper PPE flame resistant clothing, face shields
and approved leather welding gloves? Yes No
c. Is area clear of combustible materials and housekeeping maintained? Yes No
d. Are leads free of cracks? Yes No
e. Are strikers being used instead of BIC lighters? Yes No
f. Are respirators fit, tested, stored and cleaned properly? Yes No

2041
 3. Other:
a. Are dust masks supplied when needed? Yes No
b. Are ear plugs used? Yes No
F. MACHINERY:
1. Forklifts:
a. Are forklift safe operating rules posted? Yes No
b. Are drivers logging inspections daily? Yes No
c. Do all forklifts have seatbelts? Yes No
d. Are there any forklifts whose horn and back up signals don’t work? Yes No
e. Are connectors and cables in good repair? Yes No
G. TOOLS:
1. Are there any shafts, handles or guards on tools that are in need of repair? Yes No
2. Are tools stored, cleaned and protected from damage? Yes No
3. Are damaged or malfunctioning tools tagged out? Yes No
4. Are emergency stops marked/unblocked and tested? Yes No
H. VEHICLES:
1. Vehicles Inspection:
a. Are tires checked for tread, bulges and correct air pressure? Yes No
b. Are all fluids being checked? Yes No
c. Are there any vehicles with mirrors or windows that have cracks? Yes No
d. Are all lights in working order? Yes No
e. Is the brake pressure/response being checked? Yes No
f. Are all seatbelts in proper working order? Yes No
g. Are turn signals and horn operating? Yes No
2. Are vehicle maintenance records up to date for all rolling stock? Yes No
3. Are vehicles being loaded/unloaded in a safe manner? Yes No
I. FIRST AID:
1. Are first aid kits posted, accessible and properly filled? Yes No
2. Are items removed and replaced when expired? Yes No
3. Is emergency eye wash/safety shower operable upon monthly inspection
and immediately accessible and routinely replaced? Yes No

IS WATER READILY AVAILABLE TO ALL EMPLOYEES? Yes No

COMMENTS: (for every “No” answer, explain corrective action needed):

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
________________________________________ _______________________________________
Signature Date

2041
 SAFETY INSPECTION
JOBSITE/FIELD

A. GENERAL
1. Are the public and other trades protected from any dangers posed by our work? Yes No
2. Is the work area inspected and free from hazards? Yes No
3. Are MSDS available and reviewed? Yes No
4. Are flammable liquids stored in approved safety cans and storage containers labeled
properly? Yes No
5. Are lock out‐tag out procedures reviewed and measures taken for any defective
or damaged tools? Yes No
6. Is a first aid kit onsite? Yes No
7. Are all hoses, cords, cables, nylon strapping, metal binding, shovels, rakes, etc.
placed neatly outside of common employee travelways which supplies safe access? Yes No
8. Is Foreman aware of where hospital is and has phone numbers for all emergency
contacts? Yes No
9. Is a fire extinguisher readily available? Yes No
10. Are stretching exercises done prior to working? Yes No

B. MATERIAL HANDLING:
1. Are employees using proper lifting techniques when lifting objects manually? Yes No
1. Are machines being used to lift heavy objects? Yes No
2. Are all chains and straps being used according to their capacity rating? Yes No
3. Are there any hooks being used for lifting that do not have a safety latch in place? Yes No

C. EQUIPMENT/MACHINE GUARDING:
1. Are all rotating or moving equipment parts properly guarded? Yes No
2. Are there any moving parts of equipment or machinery needing guards or that
employees report needing guards? Yes No
3. Are employees properly using point of operation guards and following required
operating procedures? Yes No
4. Are employees in work areas round machinery avoiding long hair, jewelry and loose
fitting clothing which might get caught? Yes No
5. Are proper lockout/tagout measures being taken for any defective or damaged
tools? Yes No
6. Does all electrical equipment including power cords appear to be in good
working repair? (no splits, frays or missing ground) Yes No
7. Have employees been trained in using equipment properly to avoid injury? Yes No

D. PERSONAL PROTECTIVE EQUIPMENT:

1. Eye Protection:
a. Are employees wearing safety glasses/goggles? Yes No
b. Do prescription safety glasses have shields? Yes No
2. Other:
a. Are dust masks supplied when needed? Yes No
b. Are ear plugs used when needed? Yes No

2042
G. VEHICLES:
1. Vehicles Inspection:
a. Are tires checked for tread, bulges and correct air pressure? Yes No
b. Are all fluids being checked? Yes No
c. Are there any vehicles with mirrors or windows that have cracks? Yes No
d. Are all lights in working order? Yes No
e. Is the brake pressure/response being checked? Yes No
f. Are all seatbelts in proper working order? Yes No
g. Are turn signals and horn operating? Yes No
h. Are vehicle maintenance records up to date for all rolling stock? Yes No
i. Are vehicles being loaded/unloaded in a safe manner? Yes No
j. Are warning cones available Yes No
k. Are accident/injury forms in the glove compartment? Yes No
l. Is a Safety Manual in the truck? Yes No

IS WATER READILY AVAILABLE TO ALL EMPLOYEES? Yes No

COMMENTS: (for every “No” answer, explain corrective action needed):

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

Signature _________________________________ Date _________________________

2042
 INJURY AND ILLNESS PREVENTION PROGRAM (SB198) Revision Number: 1
Section: 2.05 Accident Reporting and Investigation Revision Date: 8/28/2015
File Name: P205

ACCIDENT REPORTING AND INVESTIGATING

I. PURPOSE

All accidents, injuries or potential accidents involving Company employees,

subcontractors or properties shall be reported and investigated, and measures shall be
taken to prevent reoccurrence of the incident. The following outlines the basic
procedure for personnel to follow after an incident. This procedure defines specific
responsibilities, incident reporting, and investigation criteria. Blank reports and
instructions for reporting an incident online are included within the appendices.

II. RESPONSIBILITIES

FIRST RESPONDER MUST:

1. Notify The Job Site Supervisor Of Any
Accident, Injury, Unsafe Condition Or
Practice
2. Control The Scene, i.e. Ensure Proper Care
For Injured Personnel, Evacuate The Area,
And Tag Unsafe Equipment.

SUPERVISOR MUST:
1. Ensure Local Emergency Services Are
Provided, If Required,
2. Immediately Notify The Safety
Representative
3. Issue Report, Investigate And Implement
Corrective Measures
4. Route Reports To The Main Office Within 24
Hours.

SAFETY OFFICER MUST:

1. Ensure a Post Accident Drug Test Is
completed.
2. Review Reports For Accuracy,
3. Ensure Reports Are Routed To Specified
Company Departments,
4. Determine Whether Further Investigation Is
Warranted,
5. Ensure Appropriate Government Agencies Are
Notified.
6. Notify appropriate clients; as required.

Page 1 of 4
 INJURY AND ILLNESS PREVENTION PROGRAM (SB198) Revision Number: 1
Section: 2.05 Accident Reporting and Investigation Revision Date: 8/28/2015
File Name: P205

III. GENERAL REQUIREMENTS

1. While all incidents should be investigated, the extent of such investigation shall
reflect the seriousness of the incident utilizing a root cause analysis process or
other similar method. Minor incident shall be investigated and root causes
addressed. Serious incidents shall utilize Tap Root or an equivalent process.

2. Serious incidents must be verbally reported to OSHA within 8 hours of their

discovery. Incidents must also be reported to the client as soon as possible, or in
a timely manner (within 24 hours of incident).

3. Site Supervisors, with the assistance of the Safety Representative have the
responsibility for reporting and investigation of an incident.

4. Personnel must be trained in their roles and responsibilities for incident response
and incident investigation techniques. Training requirements relative to incident
investigation and reporting (Awareness, First Responder, Investigation, and
training frequency) should be identified in the program.

5. Proper equipment must be available to assist in conducting an investigation.

Equipment may include some or all of the following items; writing equipment such
as pens/paper, measurement equipment such as tape measures and rulers,
cameras, small tools, audio recorder, PPE, marking devices such as flags,
equipment manuals, etc.

6. Supervisors must identify evidence immediately following the incident. This might
include a listing of people, equipment, and materials involved and a recording of
environmental factors such as weather, illumination, temperature, noise,
ventilation, and physical factors such as fatigue, age, and medical conditions.

7. Evidence such as people, positions of equipment, parts, and papers must be

preserved, secured, and collected through notes, photographs, witness
statements, flagging, and impoundment of documents and equipment.

8. Witness interviews and statements must be collected. Locating witnesses,

ensuring unbiased testimony, obtaining appropriate interview locations, and use
of trained interviewers should be detailed. The need for follow-up interviews
should also be addressed

9. All incidents that are investigated will result in corrective actions taken to prevent
reoccurrence.

10. Written incident reports will be prepared and include an incident report form and
a detailed narrative statement concerning the events. The format of the narrative
report may include an introduction, methodology, summary of the incident,
investigation member names, narrative of the event, findings and

Page 2 of 4
 INJURY AND ILLNESS PREVENTION PROGRAM (SB198) Revision Number: 1
Section: 2.05 Accident Reporting and Investigation Revision Date: 8/28/2015
File Name: P205

recommendations. Photographs, witness statements, drawings, etc. should be

included

11. Lessons learned shall be reviewed and communicated. Changes to processes

must be placed into effect to prevent reoccurrence or similar events.

IV. INCIDENT REPORTING

Employees who are injured at work must report the injury to their supervisor
immediately, regardless of severity. Subcontractors who are injured or involved in an
accident must report the incident to Company personnel. In either case, if immediate
medical treatment beyond first aid is needed, call 911, or refer to site-specific
emergency phone list. The injured party must be taken to the appropriate hospital or
medical center. If non-emergency medical treatment for work-related injuries, or
illnesses, is needed you must still inform your supervisor as to the extent of the injury.

If the injured employee received medical treatment, the supervisor must obtain a
medical release form before allowing the employee to return to work. The health care
provider may stipulate work tasks that must be avoided or work conditions that must be
altered before the employee resumes his or her full duties.

GUIDELINES FOR REPORTING AN INCIDENT:

 Gather all relevant information before beginning work on the report. It is
important that every question on the report be answered thoroughly.
 Interview witnesses. Obtain the address and phone number of affected parties.
 Obtain a driver license number and insurance policy information from the other
driver if the report is for an auto accident.
 Give specific and factual details of what took place. For example, stating “Injury
to hand” is not as specific as “abrasions to right index finger.”
 A copy of any Accident Report should always be placed in the safety file.

If an incident involves a subcontractor, request an internal report from the subcontractor

and attach a copy of their accident report to the printed report. Documentation of an
incident shall be performed on one of the following reports:

FORM DESCRIPTION USE

2051 Personal Injury Report To report and investigate a Company employee work
related illness or injury.

2052 Vehicle Accident Report To report a Company vehicle accident

2053 Physical Damage Loss Report To report and investigate any Company property damage or
Loss.

2054 General Liability Report To report and investigate any Subcontractor employee
injury or Loss.

Page 3 of 4
 INJURY AND ILLNESS PREVENTION PROGRAM (SB198) Revision Number: 1
Section: 2.05 Accident Reporting and Investigation Revision Date: 8/28/2015
File Name: P205

2055 Investigation Report To Investigate all work related accidents and near misses.
This report may also be used to investigate an incident
further than the initial report, or investigate a vehicle
accident.

Following the report of every incident a thorough investigation must be performed.

V. INCIDENT INVESTIGATION

Every incident including a near miss must be investigated to determine cause.

Measures must then be taken to prevent reoccurrence. All of the company accident
reports have a provision for identifying the root cause of an accident, and corrective
action required to prevent any similar accident in the future. A separate Accident
Investigation Report may be necessary for vehicle accidents and incidents deemed
needing closer examination by the Safety Representative.

The site supervisor is responsible for ensuring an investigation is performed to

determine and correct the cause(s) of the incident. Specific procedures that can be
used to investigate workplace accidents and hazardous substance exposures include
the following:

GUIDELINES FOR INVESTIGATING AN INCIDENT:

 Interviewing injured personnel and witnesses.
 Examining the injured employee’s work site for contributing factors.
 Reviewing established procedures to ensure they are adequate and were
followed.
 Reviewing training records of affected employees.
 Determining all contributing causes to the accident.
 Recording all findings and actions taken.
 Follow up on findings to ensure hazards are abated.

The supervisor’s findings and corrective action required shall be documented and
presented to the Safety Representative. If the supervisor is unable to determine the
cause(s) and appropriate corrective action, other resources should be sought. Available
resources include the President, Superintendents, Safety Representative, and/or other
local management personnel.

The Safety Representative will review each accident or injury report to ensure that the
investigation was thorough and that all corrective action was taken. A report with
incomplete data, or inconclusive root cause and corrective action identified will be
routed back to the supervisor for further follow-up.

Page 4 of 4
 ID
PERSONAL INJURY REPORT
Date of incident: Time of incident: Date reported: Time reported: Supervisor:

AREA INFORMATION
Job Site: Region District Client

PERSON INJURED
First Name: Last Name: Phone: Years in Industry:

Address: City: State: Zip: Job Title:

Social Security Number: Hire Date: Birth date: Sex: Marital Status:

MEDICAL INFORMATION
Sent to Doctor? Name of Physician: Physician’s Phone: Hospital Address:

WITNESS 1
Witness First Name: Last Name: Phone:

Address: City: State: Zip:

WITNESS 2
Witness First Name: Last Name: Phone:

Address: City: State: Zip:

REPORT SUMMARY
Description of Incident

Root Cause

Corrective Action

INJURY STATISTICS
Type of Work Type of Injury Body Part Fatality OSHA LWD RWD

Person Responsible for Corrective Action Report Prepared By:

2051
 ID
VEHICLE ACCIDENT REPORT
Date of incident: Time of incident: Date reported: Time reported: Supervisor:

AREA INFORMATION Jobsite Region District

INSURED (COMPANY) VEHICLE/DRIVER
First Name: Last Name: Phone: Driver’s License Number:

Address: City: State: Zip: Job Title:

Year of Vehicle: Make: Model: License Plate Number: Vehicle ID Number:

Describe damage to company vehicle including exact point of impact:

OTHER VEHICLE/DRIVER
First Name: Last Name: Phone: Driver’s License Number:

Address: City: State: Zip: Job Title:

Year of Vehicle: Make: Model: License Plate Number: Vehicle ID Number:

Name of Owner (if different from driver) Owner’s Phone

Vehicle Insured? Insurance Company Policy Number

Where can vehicle be seen? When?

Describe damage to company vehicle including exact point of impact:

INJURED PERSON(S) (including all passengers, continue on back if necessary)

First Name: Last Name: Phone: Age:

Address: City: State: Zip: Sex:

WITNESS 1 (continue on back if necessary)

Witness First Name: Last Name: Phone:

Address: City: State: Zip:

REPORT SUMMARY
Description of Incident

Root Cause

Corrective Action

Police Report Taken? Police Division: Report Prepared By:

2052
 ID
PHYSICAL DAMAGE LOSS REPORT
Date of incident: Time of incident: Date reported: Time reported: Supervisor:

AREA INFORMATION
Job Site: Region District Client

AUTHORITY CONTACTED
Police Called? Which One? Contact Person: Phone:

LOSS INFORMATION
Kind of Loss (fire, theft, ect..) Probable amount of loss

REPORT SUMMARY
Description of Incident

Root Cause

Corrective Action

Person Responsible for Corrective Action Report Prepared By:

2053
 ID
GENERAL LIABILITY REPORT
Date of incident: Time of incident: Date reported: Time reported: Supervisor:

AREA INFORMATION
Job Site: Region District Client

PERSON INJURED
First Name: Last Name: Phone: Years in Industry:

Address: City: State: Zip: Job Title:

Social Security Number: Hire Date: Birth date: Sex: Marital Status:

INJURED PERSON’S EMPLOYER INFORMATION

Employer: Employer Contact: Phone:

Address: City: State: Zip:

MEDICAL INFORMATION
Sent to Doctor? Name of Physician: Physician’s Phone: Hospital Address:

WITNESS 1
Witness First Name: Last Name: Phone:

Address: City: State: Zip:

WITNESS 2
Witness First Name: Last Name: Phone:

Address: City: State: Zip:

REPORT SUMMARY
Description of Incident

Root Cause

Corrective Action

INJURY STATISTICS
Type of Work Type of Injury Body Part Fatality OSHA LWD RWD

Person Responsible for Corrective Action Report Prepared By:

2054
 ID
INCIDENT INVESTIGATION REPORT
Date of incident: Time of incident: Date reported: Time reported: Supervisor:

AREA INFORMATION
Job Site: Region District Client

PERSON(S) INVOLVED
(1)First Name: Last Name: Phone: Years in Industry:

Address: City: State: Zip: Job Title:

(2)First Name: Last Name: Phone: Years in Industry:

Address: City: State: Zip: Job Title:

REPORT SUMMARY
Description of Incident

Root Cause

Corrective Action

INJURY STATISTICS
Type of Work Type of Injury Body Part Fatality OSHA LWD RWD

Person Responsible for Corrective Action Report Prepared By:

2055
 INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.06 Training and Instruction Revision Date: 8/28/2015
File Name: P206

TRAINING AND INSTRUCTION

I. SCOPE

Employee safety training is provided at no cost to the employee. Safety training may be
presented by a knowledgeable Supervisor, other Company personnel, or by
representatives from other relevant specialty companies. Regardless of the instructor,
all safety training must be documented using the “Safety Meeting / Training Record”
(Form 2031) or an equivalent record that includes all the information required on the
Form. The company must retain this documentation for at least one year.

II. INITIAL TRAINING

When the safety management system is first implemented, all company personnel will
be trained on the contents, including individual responsibilities under the program, and
the availability of the written procedures. Training will also be provided on how to report
unsafe acts and conditions, how to access the safety related resources, and where to
obtain information on workplace safety and health issues.

Personnel hired after the initial training session will be oriented on this material as soon
as possible by the Safety Representative or appropriate supervisor. These individual
training sessions will be documented using the, “New Employee Checklist” (Form 4081),
or equivalent. The company must also keep this document for at least one year.

III. TRAINING ON SPECIFIC HAZARDS

Supervisors require training on the hazards to which the employees under their
immediate control may be exposed. This training aids a Supervisor in understanding
and enforcing proper protective measures.

All Supervisors must ensure that the personnel they supervise receive appropriate
training on the specific hazards of work they perform, and the proper precautions for
protection against those hazards. Training is particularly important for new employees
and whenever a new hazard is introduced into the workplace. Such hazards may
include new equipment, hazardous materials, or procedures. Health and Safety training
is also required when employees are given new job assignments on which they have
not previously been trained and whenever a supervisor is made aware of a new or
previously unrecognized hazard.

Specific topics which may be appropriate to company personnel include but are not
limited to the company "Required Training Schedule (Form 2061).

Page 1 of 1
 REQUIRED TRAINING SCHEDULE
Course Required
Tracking Reference Description Supervisor Field Dur Freq Man
Code Regulation
QUALIFIED EMPLOYEE TRAINING
QET01 CFR 1910.151, CCR 3400 Bloodborne Pathogens ALL ALL N/R 1yr Yes
QET02 CFR 1910.1030, CCR 5193 CPR/First Aid ALL ALL N/R 2yr Yes
QET03 CFR 1910.157, CCR 4848 Fire Equipment/Fire Watch ALL ALL N/R 1yr Yes
QET04 CFR 1910.1200, CCR 5194 Hazardous Communication ALL ALL N/R Initial Yes
QET05 CFR 1910.147, CCR 3314 Lockout/Tagout/Blockout ALL ALL N/R Initial Yes
QET06 CFR 1910.146, CCR5157 Confined Space Awareness ALL ALL N/R Initial Yes
QET07 CFR 1910.132, CCR 3380 Personal Protective Equipment ALL ALL N/R Initial Yes
JOB SPECIFIC TRAINING
JST01 CFR 1910.146, CCR5157 Confined Space Awareness W/R W/R N/R Initial Yes
JST02 CFR 1926.104, CCR 1670 Fall Protection Awareness W/R W/R N/R Initial Yes
JST03 CFR 1910.38, CCR 3220 Emergency Response/Action Plan ALL ALL ALL Initial Yes
JST04 CFR 1910.331, CCR 2982 Electrical Safety (low voltage) ALL ALL N/T Initial Yes
REQUIRING THE USE OF RESPIRATOR
RUS01 CFR 1910.134, CCR 5144 Respiratory Protection Plan W/R W/R N/R 1yr Yes
RUS02 CFR 1910.134, CCR 5144 Respirator Fit Test W/R W/R N/R 1yr Yes
RUS03 CFR 1910.134, CCR 5144 Respiratory Medical W/R W/A N/R Initial Yes
HEAVY EQUIPMENT RELATED
HER01 CFR 1910.178, CCR 3668 Forklift Operating and Rules W/R W/R N/R 3 yr Yes
HER02 CCR 1540-1541 Trenching and Excavating W/R W/R N/R W/R Yes
CALIFORNIA SPECIFIC
CAL01 CCR 3395 Heat Stress W/R W/R N/R 1yr Yes
CAL02 CCR 3203 IIPP (SB198)/Safe Practices ALL ALL N/R Initial Yes
CAL03 AB 1825 Harassment ALL ALL N/R 2yr Yes
DOT SPECIFIC
DOT01 49 CFR 199.19(c), & .241 Supervisor Drug/Alcohol W/R Supv. N/R Initial Yes
OPTIONAL TRAINING
OPT01 BEST PRACTICES Asbestos Awareness W/R W/R N/R W/R No
OPT02 BEST PRACTICES Back Injury Protection W/R W/R N/R W/R No
OPT03 BEST PRACTICES Benzene Awareness W/R W/R N/R W/R No
OPT04 BEST PRACTICES Defensive Driving W/R W/R N/R W/R No
OPT05 BEST PRACTICES Endangered Species W/R W/R N/R W/R No
OPT06 BEST PRACTICES Ergonomics W/R W/R N/R W/R No
OPT07 BEST PRACTICES Explosives W/R W/R N/R W/R No
OPT08 BEST PRACTICES Hazardous Waste Management W/R W/R N/R W/R No
OPT09 BEST PRACTICES Housekeeping W/R W/R N/R W/R No
OPT10 BEST PRACTICES Office Safety W/R W/R N/R W/R No
OPT11 BEST PRACTICES Safe Work Permits W/R W/R N/R W/R No
OPT12 BEST PRACTICES Slips, Trips, Falls W/R W/R N/R W/R No
OPT13 BEST PRACTICES Stairs and Ladders W/R W/R N/R W/R No

Abbreviation Key
Dur = Duration, Freq = Frequency, Man = Mandate by Agency, 8Ref. = Annual 8 Hr Refresher
N/R = NoTime Requirement W/R = When Required for Position 2061
 INJURY AND ILLNESS PREVENTION PROGRAM Revision Number: 1
Section: 2.07 Maintenance of Records Revision Date: 8/28/2015
File Name: P207

MAINTENANCE OF RECORDS

Documents related to the Environmental, Health and Safety (EHS) system are
maintained in the main office. Certain documents related to the program must be kept
by the company for at least one year. These records include:

 Employee safety meeting / training records, including the names of all attendees
and instructors, the training date, and material covered (Form 2031)

 Records of scheduled and periodic workplace inspections, including the persons

conducting the inspection, any identified unsafe acts, or conditions, and corrective
action taken (Form 2041)

 Incident/Investigations Reports
(Forms 2051, 2052, 2053, 2054, and 2055)

 Applicable Training Records

Other records relating to this EHS management system shall be kept on file for a time
frame deemed adequate by the Safety Representative.

Page 1 of 1
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.01 Compressed Gas Cylinders Revision Date: 8/28/2015
File Name: P301

COMPRESSED GAS CYLINDERS

GENERAL REQUIREMENTS

1. Employees in charge of the oxygen or fuel-gas supply equipment including

generators, and oxygen or fuel-gas distribution piping systems shall be instructed
for this work before being left in charge.

2. Rules and instructions covering the operation and maintenance of oxygen or fuel-
gas supply equipment including generators, and oxygen or fuel-gas distribution
piping systems shall be readily available.

3. Specific procedures must be used when possible evolution's of hazardous fumes,

gases or dust to the metals are involved. Any welding, cutting or burning of lead
base metals, zinc, cadmium, mercury, beryllium or exotic metals or paints not
listed here shall have proper ventilation or respiratory protection.

4. A fire prevention and suppression procedure shall be established whenever any

welding and cutting operations are taking place.

5. Cylinders must be kept in the upright position during use and storage. Welding
fuel-gas cylinders shall be placed with valve end up whenever they are in use.
Liquefied gases shall be stored and shipped with the valve end up.

6. Cylinders shall be handled carefully. Rough handling, knocks, and falls are liable
to damage the cylinder, valve or safety devices and result in leakage.

7. Before connecting a regulator to a cylinder valve, the valve shall be opened

slightly and closed immediately. (This action is generally termed "cracking" and is
intended to clear the valve of dust or dirt that might otherwise enter the
regulator.) The valve shall be opened while standing to one side of the outlet;
never in front of it. A fuel-gas cylinder valve shall never be opened up, cracked
near other welding work or near sparks, flame, or other possible sources of
ignition.

8. Cylinders containing oxygen or acetylene or other fuel or gas shall not be taken
into confined spaces.

9. Cylinders having leaking fuse plugs or other leaking safety devices shall be
plainly tagged, and the supplier shall be promptly notified of the condition and his
instructions followed. A warning shall be placed near the cylinders prohibiting any
approach to them with a lighted cigarette or other source of ignition.

Page 1 of 3
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.01 Compressed Gas Cylinders Revision Date: 8/28/2015
File Name: P301

A. Handling Cylinders

1. Do not move or store cylinders without properly installing the protective cap over
the valve.

2. Cylinders are smooth, heavy and difficult to hand carry. When they must be
moved without a cart, use a carrier or get help.

3. Cylinders moved by a crane or derrick should be secured in a basket or similar

device and should not be dropped. Use of slings, ropes or electromagnets is
prohibited.

4. Cylinders should not be allowed to strike each other.

5. Cylinders should not be used for rollers, supports, or any purpose other than to
contain gas.

B. Using Cylinders

1. Threads on a regulator or fitting must correspond to those on the cylinder valve

outlet. Do not force or modify connections.

2. Never use a cylinder of compressed gas without a pressure-reducing regulator to

the cylinder valve, except where the total system is specifically designed to
handle maximum cylinder pressure.

3. Use regulators and pressure gauges only with gases and pressure ratings for
which they are designed and intended.

4. Close the cylinder valve before attempting to stop leaks between the cylinder and
regulator.

5. Never permit sparks, molten metal, electric currents, excessive heat or flames to
contact the cylinder or attachments.

6. Never use oil or grease as a lubricant on valves or attachments to oxygen

cylinders.

Page 2 of 3
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.01 Compressed Gas Cylinders Revision Date: 8/28/2015
File Name: P301

C. Storing Cylinders

1. Cylinders should be properly secured with chain to prevent falling.

2. Oxygen cylinders should not be stored within 20 feet of combustible gas

cylinders or near any other substance where a fire could result, unless protected
by a wall at least five feet high having a fire resistance rating of at least 30
minutes.

3. Cylinders should be stored in a safe, dry, well-ventilated area that limits corrosion
damage and deterioration. Hydro-test should be current.

4. Empty and full cylinders should be stored separately, and plainly identified.

Page 3 of 3
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.02 Electrical Awareness Revision Date: 8/28/2015
File Name: P302

ELECTRICAL AWARENESS

ELECTRICAL AWARENESS

1. Training requirements for employees in safety related work practices that pertain
to their respective job assignments include: (Employees who face a risk of
electric shock but who are not qualified persons shall be trained and familiar with
electrically related safety practices. Employees trained in safety related work
practices that pertain to their respective job assignments. 3. Electrical clearance
distances for personnel working around live feeds.

2. Safe work practices shall be employed to prevent electric shock or other injuries
resulting from either direct or indirect electrical contacts when work is performed
near or on equipment or circuits which are or may be energized.

3. Conductors and parts of electrical equipment that have been deenergized but not
been locked or tagged out shall be treated as live parts.

4. While any employee is exposed to contact with parts of fixed electric equipment
or circuits which have been deenergized, the circuits energizing the parts shall be
locked out or tagged or both.

5. Employees shall not work on or near exposed energized parts. Applies to work
performed on exposed live parts (involving either direct contact or by means of
tools or materials) or near enough to them for employees to be exposed to any
hazard they present.

6. Only qualified persons may work on electric circuit parts or equipment that have
not been deenergized. Such persons shall be made familiar with the use of
special precautionary techniques, PPE, insulating & shielding materials and
insulated tools.

7. When working under overhead lines clearance distance must be provided or lines
shall be deenergized and grounded.

8. Unqualified persons must maintain an approach distances of 10' for 50kV plus 4"
for every additional 10kV.

Page 1 of 4
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.02 Electrical Awareness Revision Date: 8/28/2015
File Name: P302

9. Qualified employees must adhere to the approach distances in Table S5. Refer
to table for higher line voltages. Unqualified personnel shall not approach live
electrical.

TABLE S5

Voltage range (phase to phase) | Minimum approach distance

300V and less ....................| Avoid Contact
Over 300V, not over 750V .........| 1 ft. 0 in. (30.5 cm).
Over 750V, not over 2kV ..........| 1 ft. 6 in. (46 cm).
Over 2kV, not over 15kV ..........| 2 ft. 0 in. (61 cm).
Over 15kV, not over 37kV .........| 3 ft. 0 in. (91 cm).
Over 37kV, not over 87.5kV .......| 3 ft. 6 in. (107 cm).
Over 87.5kV, not over 121kV ......| 4 ft. 0 in. (122 cm).
Over 121kV, not over 140kV .......| 4 ft. 6 in. (137 cm).

10. Vehicular and mechanical equipment must maintain clearance distances of 10 ft.
at all times.

11. Employees may not enter spaces containing exposed energized parts unless
illumination is provided that enables the employees to work safely.

12. Protective shields, protective barriers or insulating materials as necessary shall

be used when working in confined or enclosed work spaces where electrical
hazards may exist.

13. Portable ladders shall have non-conductive side rails.

14. Conductive items of jewelry or clothing shall not be worn unless they are
rendered non-conductive by covering, wrapping or other insulating means.

GENRAL REQUIREMENTS (State specific)

1. Only qualified persons shall work on electrical equipment or systems.

2. Work shall not be performed on exposed energized parts of equipment or

systems until the following conditions are met:

 Responsible supervision has determined that the work is to be performed while

the equipment or systems are energized.

 Involved personnel have received instructions on the work techniques and

hazards involved in working on energized equipment.

 Suitable personal protective equipment and safe guards are provided and used

Page 2 of 4
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.02 Electrical Awareness Revision Date: 8/28/2015
File Name: P302

3. Duties of the authorized person after the required work on an energized system
or equipment include: (1) Removing from the work area any temporary personnel
protective equipment and (2) reinstalling all permanent barriers or covers.

4. All electrical equipment and systems shall be treated as energized until tested or
otherwise proven to be de-energized.

5. While any employee is exposed to contact with parts of fixed electric equipment
or circuits which have been deenergized, the circuits energizing the parts shall be
locked out or tagged or both.

6. Suitable temporary barriers, or barricades, shall be installed when access to

opened enclosures containing exposed energized equipment is not under the
control of an authorized person.

7. Conductive measuring tapes, ropes or similar devices shall not be used when
working on or near exposed energized conductors or parts of equipment
conductive fish tapes shall not be used in raceways entering enclosures
containing exposed energized parts unless such parts are isolated by suitable
barriers.

USE OF PORTABLE ELECTRIC EQUIPMENT (Cords and Plugs)

1. All cord- and plug- connected electric equipment, flexible cord sets (extension cords),
and portable electric equipment shall be handled in a manner that will not cause
damage.

2. Company policy and the National Electric Code (NEC) requires the use of an approved
ground fault circuit interrupter (GFCI) for used on all portable equipment tool cords.

3. Flexible electric cords connected to equipment may not be used for raising or lowering
the equipment.

4. Flexible cords may not be fastened with staples or otherwise hung in such a fashion as
could damage the outer jacket or insulation.

5. Portable cord and plug connected equipment and flexible cord sets (extension cords)
shall be visually inspected for external defects (such as loose parts, deformed and
missing pins, or damage to outer jacket or insulation) and for evidence of possible
internal damage (such as pinched or crushed outer jacket) before use on any shift.
However, cord- and plug- connected equipment and flexible cord sets (extension cords)
which remain connected once they are put in place and are not exposed to damage
need not be visually inspected until they are relocated.

Page 3 of 4
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.02 Electrical Awareness Revision Date: 8/28/2015
File Name: P302

6. If there is a defect or evidence of damage that might expose an employee to injury, the
defective or damaged item shall be removed from service, and no employee may use it
until necessary repair and tests have been made to render the equipment safe.

7. Whenever an attachment plug is to be connected to a receptacle (including any on a

cord set), the relationship of the plug and receptacle contacts shall first be checked to
ensure that they are of proper mating configurations.

8. A flexible cord used with grounding-type equipment shall contain an equipment

grounding conductor.

9. Attachment plugs and receptacles may not be connected or altered in a manner that
would prevent proper continuity of the equipment grounding conductor at the point
where plugs are attached to receptacles. Additionally, those devices may not be
altered to allow the grounding pole of a plug to be inserted into slots intended for
connection to the current-carrying conductors.

10. Adapters that interrupt the continuity of the equipment grounding connection may not
be used.

11. Portable electric equipment and flexible cords used in highly conductive work locations
(such as those inundated with water or other conductive liquids), or in job locations
where employees are likely to contact water or conductive liquids, shall be approved for
those locations.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.03 Health and Physical Requirements Revision Date: 8/28/2015
File Name: P303

HEALTH AND PHYSICAL REQUIREMENTS

1. All personnel must be physically and mentally fit for duty. Fitness for duty is the
ability to work safely.

2. Workers who are not fit for duty will not be allowed on the job site.

3. Personnel shall NEVER work under the influence of any form of intoxicant or
drug.

4. Personnel may never perform work if they are under the influence of a medicine
that could affect their ability to work safely.

5. Employees must never come to work if they are feeling tired, or sick.

6. Personnel taking prescription medicine must notify their supervisor and have a
valid prescription or label for use of their medicine.

7. Supervisors shall watch for workers that are unfit for duty. They will take
appropriate steps, such as, take a worker home, or arrange for other
transportation when he or she seems unfit for duty.

Page 1 of 1
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.04 Heavy Equipment Revision Date: 8/28/2015
File Name: P304

HEAVY EQUIPMENT

1. When working near any piece of operated equipment such as a stinger truck,
backhoe, crane, backhoe, dozer or pick-up truck, make sure the operator of the
equipment is aware that you are in the vicinity of the work area. You should
always try to make eye contact with an operator so as to be sure that they see
you.

2. When working with or near heavy equipment, frequently check around yourself
and make sure you are not between the equipment or load and a stationary
object. If you see others in a potential "pinch point" warn them immediately.

3. Standing under any suspended load is strictly prohibited.

4. Heavy equipment always has the right-of-way.

Page 1 of 1
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.05 Housekeeping Revision Date: 8/28/2015
File Name: P305

HOUSEKEEPING

1. Scrap lumber and debris must be keep reasonably clear from work surfaces,
passageways and stairs.

2. Every job site, shop or office shall be kept in an orderly manner.

3. Storage facilities, vehicles and equipment shall be kept in a safe, clean condition.

4. Combustible scrap and debris shall be removed at regular intervals during the
course of construction.

5. Proper containers shall be provided for the collection and separation of waste,
trash and oily rags.

6. Piping shall be properly stored on racks, or chocked to prevent movement.

7. Materials for the job shall be kept in an orderly fashion not to interfere with the
work at hand.

Page 1 of 1
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.06 Ladders Revision Date: 8/28/2015
File Name: P306

LADDERS

1. Ladder rungs, cleats, and steps shall be parallel, level, and uniformly spaced,
when the ladder is in position for use.

2. Ladder safe work practices must be followed. This includes not standing on the
top two rungs of a step ladder, facing the ladder when ascending or descending,
and instructing employees to not carry objects that could cause injury in the
event of a fall.

3. Ladders shall not be loaded beyond the maximum intended load for which they
were built, nor beyond the manufacturer's rated capacity.

4. Ladders shall be used only for the purpose for which they were designed. Never
use ladder in a horizontal position or as scaffolding, do not place ladders on top
of boxes, barrels, crates, etc.

5. Ladders shall be inspected by a competent person for visible defects prior to

each use, on a periodic basis and after any occurrence that could affect their
safe use.

6. Portable and fixed ladders with structural defects, such as, but not limited to,
broken or missing rungs, cleats, or steps, broken or split rails, corroded
components, or other faulty or defective components, shall either be immediately
marked in a manner that readily identifies them as defective, or be tagged with
"Do Not Use" or similar language, and shall be withdrawn from service until
repaired.

7. The ladder side rails shall extend at least 3 feet (.9m) above the upper landing
surface. When ladders are not able to be extended then the ladder shall be
secured at its top to a rigid support that will not deflect.

8. Ladders shall be used at an angle such that the horizontal distance from the top
support to the foot of the ladder is approximately one-quarter (1/4) of the working
length of the ladder. (The distance along the ladder between the foot and the top
support.)

9. Ladders shall be placed on stable, level surface. Employees may not stand on
top two rungs, or top of step ladders. Employees may not carry anything in hands
that could cause injury in case of fall. Employees must face the ladder when
ascending or descending.

10. Always face the ladder when climbing or descending.

11. Never stand on the top three rungs of a ladder.

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CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.06 Ladders Revision Date: 8/28/2015
File Name: P306

12. No ladder shall be erected within 10 feet of a power line.

13. All ladders must be secured from movement.

14. Extension ladders must have both top and bottom tied off before work is
performed.

15. Metal ladders must never be used where there is an exposure to electrical
hazards. They shall have non-conductive side rails.

16. All ladders shall be erected so at least three feet of the rails extend over the
landing.

17. Ladders shall be of the proper size and design for which it is used.

18. Any ladder found in an unsafe condition shall be removed from service.

19. It is prohibited to place a ladder in front of doors opening toward the ladder
except when the door is blocked open, locked or guarded.

20. It is prohibited to place ladders on boxes, barrels, or other unstable bases to

obtain additional height.

21. Employees are prohibited from using ladders that are broken, missing steps,
rungs, or cleats, broken side rails or other faulty equipment.

22. It is required that when portable rung or cleat type ladders are used the base is
so placed that slipping will not occur, or it is lashed or otherwise held in place.

23. Employees are prohibited from using ladders as guys, braces, skids, gin poles, or
for other than their intended purposes.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.07 Lifting Revision Date: 8/28/2015
File Name: P307

LIFTING

1. No employee shall be required to lift more than they can easily manage.

2. Use a forklift or other lifting device on heavy lifts.

3. When material must be carried, use proper lifting and carrying techniques:

a. Keep feet apart, one along side and one behind the object to be lifted.
Feet should be comfortably spread to give stability.

b. Keep back arched. An arched back means the spine, back muscles and
body are in correct alignment.

c. Grip the object with your whole hand, both the palm and fingers.

d. Keep the elbows and arms tucked to side of body. This reduces fatigue in
chest and arm muscles and is the position where the most power can be
generated for lifting. This position also helps control the body's center of
gravity.

e. Keep head high and chin tucked in.

f. Keep your body weight (center of gravity) directly over your feet. Start the
lift with the thrust of the foot behind the object being lifted. Bring the load
close to your body for the most efficient carrying position. Lift smoothly.
Do not jerk up, back or rotate quickly.

g. To raise an object above shoulder height, first lift the waist height.

h. To change direction, turn the entire body, including the feet. DO NOT
twist your body at the waist while lifting.

i. Do not carry an object that is too big to see over or around.

j. For objects that are too large or bulky to be carried by one person, use
proper moving equipment or GET HELP.

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CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.07 Lifting Revision Date: 8/28/2015
File Name: P307

General Requirements

1. Before manual lifting is performed, a hazard assessment must be completed.

The assessment must consider size, bulk, and weight of the object(s), if
mechanical lifting equipment is required, if two-man lift is required, whether vision
is obscured while carrying and the walking surface and path where the object is
to be carried.

2. Training on proper lifting techniques shall be provided. The intent is to avoid

musculoskeletal injuries. Training must include general principles of ergonomics,
recognition of hazards and injuries, procedures for reporting hazardous
conditions, and methods and procedures for early reporting of injuries.
Additionally, job specific training shall be given on safe lifting and work practices,
hazards, and controls.

3. Any injury caused by improper lifting shall be investigated. Investigation findings

shall be incorporated into work procedures to avoid future injuries.
Musculoskeletal injuries caused by improper lifting must be investigated and
documented.

4. Where use of lifting equipment is impractical or not possible, two man lifts must
be used.

5. Site supervision must periodically evaluate work areas and employees' work
techniques to assess the potential for and prevention of injuries. New operations
shall be evaluated to engineer out hazards before work processes are
implemented.

6. Manual lifting equipment such as dollies, hand trucks, lift-assist devices, jacks,
carts, hoists must be provided for employees. Other engineering controls such as
conveyors, lift tables, and work station design should be considered.

7. Use of provided manual lifting equipment by employees must be enforced by site

supervisors.

Page 2 of 2
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.08 Loading and Hauling Equipment Revision Date: 8/28/2015
File Name: P308

LOADING AND HAULING EQUIPMENT

1. All loads hauled on vehicles MUST be securely tied down with approved rope, straps or
chains.

2. Under no circumstances shall a load be hauled with out proper tie downs.

3. When loading a flat bed place load as far forward as possible preferably against a
stationary object such as a head ache rack. When this is not feasible place the load
centered over the rear axle.

4. Before hauling a load make a quick walk around the vehicle to assure all tool boxes are
closed and that the load is secure.

5. When hauling a load check to be sure the load stays secure while under way. It's a
good idea to pull over and re-tighten your load periodically.

6. It's the driver's responsibility to assure that the vehicle is rated for the weight that is
carried on it.

Page 1 of 1
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.09 Machine Guarding Revision Date: 8/28/2015
File Name: P309

MACHINE GUARDING

Machine guards are your fist line of defense against injuries caused by machine
operation. Each machine must have adequate safeguards to protect operators from the
machine's hazards.

Hazards Involved with Machine Operation

Each machine has its own unique mechanical and non-mechanical hazards. Machines
can cause severe injuries: amputations, fractures, lacerations, or crushing injuries.
Machines can also cause minor injuries: bruises, abrasions, sprains or strains, burns, or
cuts.

Examples of mechanical hazards that can hit, grab, crush, or trap an operator are:

 Hazardous motions-rotating machine parts, reciprocating motions (sliding parts or

up/down motions), and transverse motions (materials moving in a continuous line-a
power transmission belt).
 Points of operation-the areas where the machine cuts, shapes, bores, or forms the
stock being fed through it.
 Pinch points and shear points-areas where a part of the body can be caught
between a moving part and a stationary object.

Examples of non-mechanical hazards that can injure operators, or other people in the
area, include chips, splashes, sparks, or sprays that are created as the machine is
running.

Methods of Safeguarding
There are five general types of safeguards that can be used to protect workers:

 Guards-These are physical barriers that prevent contact. They can be fixed,
interlocked, adjustable, or self-adjusting.
 Devices-These limit or prevent access to the hazardous area. These devices can be:
presence-sensing devices, pullback or restraint straps, safety trip controls, two-hand
controls, or gates.
 Automated feeding and ejection mechanisms-These eliminate the operator's
exposure to the point of operation while handling stock.
 Machine location, or distance-This method removes the hazard from the operator's
work area.
 Miscellaneous aids-These methods can be used to protect both operators and
people in the area. Examples include shields to contain chips, sparks, or sprays;
holding tools that an operator uses to handle materials going into the point of
operation; and awareness barriers to warn people about hazards in the area.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.09 Machine Guarding Revision Date: 8/28/2015
File Name: P309

Operating Instructions
Following the machine's operating instructions ensures that the machine is being run
correctly and safely. Understand how the machine works, and reduce your risk of injury,
by following the instructions. Each machine should have its own set of operating
instructions that outline:

 What to look for during the pre-start-up inspection.

 The location of the machine's control panel(s), and how each control functions to
operate the machine.
 How to adjust the machine (including how to adjust any adjustable guards), and how
to feed stock into the machine during the job set-up.
 How to start, run, and shut-down the machine under normal operations.
 How to perform emergency shut-down procedures.

The pre-start-up inspection procedures include an inspection of the machine's

safeguards. Check that fixed guards are secure, in proper alignment, and intact. Check
adjustable guards for proper operation and damage. Test trip cables, electrical sensing
devices, safety tripods, interlocks, etc. to make sure that they are functioning properly
before you start the job.

Missing or Damaged Guards

Report a machine that is missing a guard. It is unsafe to operate the machine until the
guard is replaced. If your inspection shows a damaged guard, also report it. The
damaged guard may not be providing adequate protection. If a guard becomes
damaged while you are operating the machine, stop the machine and have the guard
inspected. It may need to be replaced or repaired before you can continue to work
safely.

Maintenance Allowed During Normal Operation

Routine adjustments or lubrication that can be done without removing or bypassing a
guard may be done without taking any extra precautions.

Ask your supervisor about extra precautions that need to be taken if routine or repeated
adjustments, tool changes, or other minor work requires that a guard be removed or
bypassed.

Know When to Use Lockout/Tagout

If unexpected machine start-up could cause injury, use a lockout/tagout program. Any
major repair or tool change that would expose workers to the machine's hazards
requires lockout/tagout. For example, if a machine gets jammed, and a guard has to be
removed or bypassed in order to remove the jam, the machine needs to be locked out
to protect the person who is reaching into the point of operation to clear it.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.10 Office Safety Revision Date: 8/28/2015
File Name: P310

OFFICE SAFETY RULES

Many people have the misconception that office work is not hazardous and consider
office injuries inconsequential. The listed precautions, along with each individual's safe
behavior, can serve as a basis for an effective office safety program and the prevention
of unsafe acts and conditions.

A. Examples of Office Incidents

 Falls from chairs

 Slips, trips and falls on the same level or from elevations

 Lifting or moving heavy or bulky objects

 Repetitive or awkward movements (ergonomics)

 Falling objects or encounters with fixed or moving objects

 Pinches, mashes or abrasions

 Eye strain or muscle aches

B. Precautions

1. Safety meetings should be held at regular intervals by office supervisors.

2. Office personnel going to field locations should be aware of the training and personal
protective equipment that will be required for their visit. Ensure you bring the
equipment with you, or make arrangements for the field to furnish the equipment
before you arrive.

3. Be familiar with the location of the fire alarm pull station nearest to your work station.

4. Become familiar with emergency procedures and know the appropriate evacuation
route for your work station. Evacuation routes for each floor and building area are
clearly marked. Personnel are responsible for visitor orientation and evacuation.

5. Properly position a chair before sitting down, and once seated, keep at least one foot
and all chair legs on the floor at all times.

6. Keep all passageways, entryways, aisles, storerooms, service rooms and work
areas clean, orderly, sanitary and well maintained, with no obstructions.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.10 Office Safety Revision Date: 8/28/2015
File Name: P310

7. Aisles and hallways shall provide unobstructed movement and immediate access to
emergency exits and to fire protection equipment.

8. Safely stack materials and boxes to avoid creating a hazard.

9. File drawers and desk drawers should not be left open. Do not overload top drawers
so that files tip over. Secure file cabinets and bookcases as appropriate. Keep
heavy files in lower drawers.

10. Do not open a file drawer if someone is working underneath.

11. Each work station should be arranged to meet specific individual needs. Select the
proper chair, adjust the chair height, organize the desk, position the video display
terminal (VDT) screen, and position the keyboard to suit the individual.

12. When working at a VDT or PC for long hours, periodically change position, stand up,
or stretch to relieve muscle tension and eye strain.

13. Lighting should be installed or positioned to minimize direct or reflected glare or

harsh shadows and to counteract potential stress and eye fatigue in VDT users.

14. Use of extension cords should be minimized and arranged to avoid tripping hazards
and electrical overload.

15. Do not pull an electrical cord to shut off power to any equipment.

16. Disconnect (unplug) the power source before trying to remove jammed materials
from a machine.

17. Installation or repair of any electrical equipment shall be done by qualified workers
using only approved materials.

18. Office machines with moving parts, high temperature hazards, and electrical shock
potential shall not be operated without proper safeguards in place.

19. Keep flammable or combustible material and residue in a building or operating area
to a minimum. Stored in metal safety cans or storage cabinets which meet
Underwriter's Laboratories, Inc. or Factory Mutual approval.

20. Keep food, drink and excessive combustible materials away from electrical
equipment, computers, work stations or PC's. Damage to circuitry or destructive
fires may result.

21. Secure paper cutter blades in the down position when not in use.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.10 Office Safety Revision Date: 8/28/2015
File Name: P310

22. Store Xacto knives, thumb tacks and other sharp objects in proper containers or with
the blades and points covered or shielded. Secure sharp edges before disposing of
these items.

23. Do not scoot across the floor while sitting in a chair and do not lean sideways from a
chair to pick up an object.

24. Use only stools or step ladders to reach materials stored above eye level. Rolling
stools and ladders should be equipped with brakes that operate automatically when
weight is applied. Chairs are unacceptable to use as climbing devices.

25. When moving equipment, furniture, or boxes, use proper carts, dollies or trucks.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.11 Personal Protective Equipment Revision Date: 8/28/2015
File Name: P311

PERSONAL PROTECTIVE EQUIPMENT

Personal Protective Equipment (PPE) is among the most obvious forms of controlling
incidents in the work place. Each person employed at the Company shall be made
available the proper PPE for the task at hand. It is the employee's responsibility to then
follow proper maintenance, and replacement procedures to ensure paramount
protection during their course of employment. There are no excuses for not donning the
proper PPE. When in doubt an employee should consult a Supervisor, Safety
Representative, or simply look up requirements on a safety data sheet.

PPE shall be provided, used and maintained in a sanitary and reliable condition. PPE
hazard assessments shall be via appropriate Job Safety Analysis (JSA) and/or
applicable safe work procedures. It is essential that each employee is properly fitted to
the PPE selected. Defective or damaged PPE shall NOT be used. Employee owned
equipment shall be maintained in accordance with the provisions outlined below:

EYE and FACE PROTECTION

1. ANSI Z 87.1 approved, safety glasses with side shields are required on all job
sites by all personnel.

2. Full face shields in combination with ANSI approved safety glasses are required
when engaging in any activity that includes hazards to the unprotected face and
eyes from chipped or flying particles. Some examples are chipping, scraping,
buffing, grinding, etc.

3. Contact lenses should not be worn on job sites where there is a risk of liquid
spray from hydrocarbons, chemicals, acid, caustics, or any liquid substances that
can burn, or be corrosive to the eye. Wearers of contact lenses must inform their
supervisors and co-workers that they wear the lenses so that the proper
emergency treatment can be given if necessary.

4. Splash proof goggles are required when handling hazardous chemical liquids,
powders, or vapors. Goggles are also required when an individual is in the
immediate vicinity of these chemicals.

5. Beards that constitute a hazard while a person is near moving machinery or

rotating tools are not permitted.

FOOT PROTECTION

1. ASTM Rated F2413-05 M I/75 C75 approved steel toe boots must be worn on all
job sites.

2. Hobnailed boots, or boots with protruding nails or metal taps are PROHIBITED.

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CODE OF SAFE PRACTICES Revision Number: 1
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3. Non-slip soles that are oil resistant are recommended.

4. Lace up boots are highly preferred to slip on type, due to the increased ankle
support.

HAND PROTECTION

1. Heavy leather gloves shall be worn any time an employee is using an

abrasive grinder.

2. Leather or leather palm gloves should be worn when wire rope is being
handled.

3. Chemical resistant gloves must be worn when acids, solvents, caustic

soda, and soda ash are handled.

4. Insulated gloves must be worn when regular work gloves cannot

adequately protect against burns.

HEAD PROTECTION

1. Hardhats must meet ANSI-Z89.1, type I or Type II, specifications.

2. Hard hats must be worn by all employees on all job sites that have
overhead hazards.

3. They must be worn in the appropriate manner. Not Backwards!

4. Metal hard hats are not allowed under any circumstances.

5. Long hair enough to constitute a hazard while a person is working near

moving machinery or rotating tools and equipment must be secured by a
net or tied back. Hair styles that make it impossible for a person to
properly wear a hard hat are NOT PERMITTED.

BODY PROTECTION

1. The wearing of jewelry such as rings, watchbands or neck chains on the

job is discouraged because it can cause or contribute to accidents and
injury.

2. Loose clothing is strictly prohibited. This includes neck ties, over sized
jackets, and baggy clothes.

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CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.11 Personal Protective Equipment Revision Date: 8/28/2015
File Name: P311

HEARING PROTECTION

1. Noise levels above 90 dBA require hearing protection. If a person has to

speak up to be heard then hearing protection will be required.

2. Appropriate hearing protection is provided by the Company and must be

worn by all personnel in areas where signs are posted warning of
excessive noise levels. Hearing protection must also be worn in areas
that are not posted, but suspected of temporary excessive noise, such as
where jack hammering or sand blasting are taking place.
3. Refer to Hearing Conservation Program section for additional information
regarding hearing protection.

RESPIRATORY PROTECTION

1. When appropriate engineering, or operational controls are not practical to limit

harmful exposure to air borne contaminants, a MSHA or NIOSH approved
respirator must be worn by employees.
2. Refer to Respiratory Protection Program section for additional information on
Respiratory Protection.

TRAINING

When PPE is necessary for work assignment training will be provided.

Appropriate training will cover:

 What PPE is necessary;

 How to properly don, doff, adjust & wear PPE;
 The limitations of PPE;
 The proper care, maintenance, useful life & disposal of PPE.

Retraining is required when the workplace changes, making the earlier training
obsolete; the type of PPE changes; or when the employee demonstrates lack of
use, improper use, or insufficient skill or understanding. Certification records
must include the employee name, the dates of training, and the certification
subject.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.11 Personal Protective Equipment Revision Date: 8/28/2015
File Name: P311

HAZARD ASSESSMENT AND EQUIPMENT SELECTION

The Company shall assess the workplace to determine if hazards are present, or are
likely to be present, which necessitate the use of personal protective equipment (PPE).
If such hazards are present, or likely to be present, the Company shall:

 Select, and have each affected employee use, the types of PPE that will protect
the affected employee from the hazards identified in the hazard assessment;

 Communicate selection decisions to each affected employee; and,

 Select PPE that properly fits each affected employee.

The Company shall verify that the required workplace hazard assessment has been
performed through a written certification that identifies the workplace evaluated; the
person certifying that the evaluation has been performed; the date(s) of the hazard
assessment; and, which identifies the document as a certification of hazard
assessment.

DEFECTIVE AND DAMAGED EQUIPMENT

Defective or damaged personal protective equipment shall not be used. Any damaged
or defective PPE shall be removed from service and properly disposed.

PPE HAZARD ASSESMENT RESPONSIBILITIES

It is a management responsibility to identify the need for, and to provide personal

protective equipment for the work force. OSHA requires formal analysis and definition
of such equipment, as well as training on how to use, and when and where such
equipment is required.

In order to meet these requirements, and in order to maintain a safe working

environment, it will be necessary for all supervisors and managers to analyze the
potential job hazards within their area.

Each job must be evaluated for Personal Protective Equipment needs. The following
table shall be used to evaluate core tasks within the Company. Contact the Company
Safety Representative to evaluate PPE needs for tasks not found on the assessment
form.

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 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.11 Personal Protective Equipment Revision Date: 8/28/2015
File Name: P311

PPE HAZARD ASSESSMENT

Tasks, Job
Classification or Potential Hazard Type of PPE Required
Workstation
Arc Welding or Cutting Electric shock, metal sparks, Insulated/heat and puncture resistant
molten and hot metal, UV, IR, gloves, steel toed boots, hard hat,
arc visible light, falling, dropping, safety glasses, welding shield or
rolling and sharp objects. helmet with appropriate eye shade.
General Mechanical Flying particles, falling, falling Safety glasses, steel toed boots, hard
objects, cuts/puncture, hat, cut/puncture resistant gloves, fall
lifting/carrying, noise protection when working at elevations.
Appropriate respirator. When using
high speed power tools, a face shield.
Metal Grinding Flying particles, falling, falling Safety glasses, steel toed boots, hard
objects, cuts/punctures, hat, cut/puncture resistant gloves, fall
lifting/carrying protection when working at elevations.
When using high speed power tools, a
face shield.
General Maintenance Rough surfaced materials, Cut/puncture resistant gloves, safety
Work lifting/carrying glasses, steel toed boots.
Welder Helper Flying particles, falling, falling Safety glasses, steel toed boots, hard
objects, cuts/puncture, hat, cut/puncture resistant gloves, fall
lifting/carrying, noise protection when working at elevations.
When using high speed power tools, a
face shield.
Painting Work Flying particles, falling, falling Safety glasses, steel toed boots, hard
objects, cuts/puncture, hat, cut/puncture resistant gloves, fall
respiratory hazards, protection when working at elevations.
lifting/carrying, cleaning solvents Appropriate respirator. When using
high speed power tools, a face shield.
Working with chemicals Refer to chemical specific MSDS Safety glasses, goggles for splash
(corrosives, solvents, for health and physical hazards. hazard
toxics, etc.) Light chemical resistant gloves
Lab coat, closed shoe, pants
Use PPE for applicable tasks as
identified on the specific MSDS.

Working with human Potentially infected with Safety glasses, face shield if washing
waste and/or small infectious disease (BBP) down, disposable nitrile gloves, closed
volumes of human blood, Potential spread of infectious shoe, pants.
body fluids or other disease
potentially infectious
materials (OPIM) as
defined in the Bloodborne
Pathogen Exposure
Control Plan

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 CODE OF SAFE PRACTICES Revision Number: 1
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The Company Safety Representative will assess the workplace to determine if hazards
are present or likely to be present which requires the use of Personal Protective
Equipment (PPE). If hazards are present or likely to be present, the you must:

 Select the type of PPE that will protect the employee

 Require the employee to use the PPE
 Communicate selection decisions to each affected employee

The Company Safety Representative shall verify the hazard assessment has been
performed through a written certification. The certification shall:

 Identify the workplace where assessment was performed.

 Name the person certifying that the assessment was performed.
 Give the date(s) that the hazard assessment was performed.
 Be identifiable as a document of certification of hazard assessment.

Assure that defective or damaged PPE not be used.

The Company Safety Representative will provide training to each employee who is
required by this section to use PPE. Each employee shall be trained to know at least
the following:

 When PPE is necessary;

 What PPE is necessary;
 How to put on, take off, adjust, and wear PPE;
 Limitations of PPE; and
 Proper care, maintenance, useful life, and disposal of the PPE.

Before being allowed to perform work that requires the use of PPE, each employee
shall;

 Demonstrate an understanding of training provided;

 Demonstrate ability to properly use PPE.

When anyone has reason to believe that an employee does not understand the training
or possess the skill required to wear the PPE the employer shall retrain the employee.
Other circumstances where retraining is required include, but not limited to:

 Changes in the workplace that render previous training obsolete.

 Changes in PPE that render previous training obsolete.
 Employee does not retain understanding or skill to use PPE.

Page 6 of 8
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.11 Personal Protective Equipment Revision Date: 8/28/2015
File Name: P311

The site supervisor shall verify that each affected employee receives and understands
the required training. The verification shall:

 Be a written certification.
 Show the name of the employee trained.
 Show the date(s) of training.
 Identify the subject of certification.

The hazard assessment must indicate a determination if hazards are present or are
likely to be present, which necessitate the use of PPE.
General Requirements

1. Each employee who may need to wear PPE shall be properly trained. Proper
training includes at least, when PPE is necessary, what PPE is necessary, how
to properly don, doff, adjust & wear PPE, the limitations of PPE, the proper care,
maintenance, useful life and disposal of PPE.

2. Retraining will be conducted when the workplace changes making the earlier
training obsolete, the type of PPE changes or when the employee demonstrates
lack of use, improper use, or insufficient skill or understanding. Retraining of the
employee is required when the workplace changes, making the earlier training
obsolete, the type of PPE changes or when the employee demonstrates lack of
use, improper use, or insufficient skill or understanding.

3. PPE training must be documented. The certification must include the employee
name, the dates of training, and the certification subject.

4. Protective equipment, including personal protective equipment for eyes, face,

head, and extremities, protective clothing, respiratory devices, and protective
shields and barriers, shall be provided, used, and maintained in a sanitary and
reliable condition 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. If employees provide their own PPE, the Company shall be responsible to assure
its adequacy, including proper maintenance, and sanitation of such equipment. If
used, it must be adequate for use, inspected, maintained, and kept sanitary as
per Company policy

Page 7 of 8
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.11 Personal Protective Equipment Revision Date: 8/28/2015
File Name: P311

6. A written hazard assessment must be performed and signed. The hazard

assessment must indicate a determination if hazards are present or are likely to
be present, which necessitate the use of PPE. Certifier's name, signature, date(s)
and identification of assessment documents

7. Selected PPE must be fitted to each affected employee. Fitting must include
proper donning, doffing, cleaning, and maintenance.

8. Defective or damaged PPE shall not be used

Page 8 of 8
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.12 Pipe Handling Revision Date: 8/28/2015
File Name: P312

PIPE HANDLING

1. Do not stand on loads or pipe.

2. Do not stand under any suspended pipe.

3. Do not stand between the truck or any other piece of equipment and a suspended
piece of pipe.

4. DO NOT stand between the truck and/or any other piece of equipment and a
suspended piece of pipe.

Page 1 of 1
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.13 Public Protection Revision Date: 8/28/2015
File Name: P313

PUBLIC PROTECTION

1. No visitors are allowed onto any job sites without expressed permission from
Company management.

2. No visitors shall be allowed on to any job site without proper personal protective
equipment, i.e., hard hat, safety glasses, steel toed boots.

3. Warning signs, barriers or devices shall be placed where necessary to provide

adequate warning of hazards to the public.

4. Heavy equipment and tools will be secured when company personnel are not
present.

5. Job sites will be left clean and free of obvious hazards to the public prior to the
end of each shift.

Page 1 of 1
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.14 Slips, Trips and Falls Revision Date: 8/28/2015
File Name: P314

SLIPS, TRIPS AND FALLS

Slips, trips, and falls are a major contributor to injuries and lost time accidents. Be
careful and observe the following rules.

1. Remove any spilled liquid from the floor immediately.

2. Good traction helps prevent slipping. The soles of some boots may increase the
chance of slipping; therefore, wear boots that provide good traction.

3. Good housekeeping helps prevent tripping.

4. In addition to tools used in day-to-day operations, many items can cause tripping.
Be alert for tripping hazards such as garden hoses, shovels, rakes, concrete
bumpers in parking lots, uneven grating in catwalks, extension cords, loose shoe
laces, etc. Take action to prevent tripping hazards where possible.

5. Every opening in a deck, a floor, or the ground, and pits which a person could
accidentally step into should be constantly attended, protected by barricades or
standard railings, or roped off before any grating or boards are removed, or before
any holes are opened.

6. Tools, equipment, and materials MUST NOT be left on walkways or stairs.

Page 1 of 1
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.15 Tools (Hand, Power, and Pneumatic) Revision Date: 8/28/2015
File Name: P315

TOOLS (HAND, POWER, AND PNEUMATIC)

1. All hand and power tools shall be maintained in a safe condition.

2. Guards shall be in place and operable at all times while the tool is in use. The
guard may not be manipulated in such way that will comprise its integrity or
compromise the protection in which intended. Guarding shall meet the
requirements set forth in ANSI B15.1. Never remove safety guards from power
tools.

3. Employees using hand and power tools and exposed to the hazard of falling,
flying, abrasive, and splashing objects, or exposed to harmful dust, fumes, mists
vapors, or gases shall be provided with particular PPE, necessary to protect
them from the hazard.

4. Any tool which is not in compliance with any applicable requirement of this part
is prohibited. Such tool shall either be identified as unsafe by tagging or locking
the controls to render them inoperable or shall be physically removed from its
place of operation.

5. Pneumatic power tools shall be secured to the air hose either by an approved
quick connect fitting or by Chicago fittings with safety clips.

6. Before servicing any power tool, such as changing drill bits, saw blades, or
grinding wheels, you must unplug the tool first.

7. NEVER plug in a wheel grinder or wire brush without first making sure the power
switch is in the "off" position.

8. All tools and equipment shall be maintained in good condition.

9. Only appropriate tools shall be used for the job.

10. Files shall be equipped with handles and not used to punch or pry.

11. A screwdriver shall not be used as a chisel.

12. Wheelbarrows shall not be pushed with handles in an upright position.

13. Portable electric tools shall not be lifted or lowered by means of the power cord.
Ropes shall be used.

14. Boards must not be thrown or left around with nails protruding. The nails should
be removed or bent down.

15. Electric cords shall not be exposed to damage from vehicles driving over them.

Page 1of 1
CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.16 Traffic Safety and Controls Revision Date: 8/28/2015
File Name: P316

TRAFFIC SAFETY AND CONTROLS

All traffic control devices, affecting public traffic, shall be placed according to Cal-Trans
traffic manuals and Cal-OSHA standards. No changes shall be made to traffic control
device configuration unless directed to do so by an authorized personnel. The safety of
the public and fellow workers is dependent on proper traffic control. All employees
performing traffic control, and their supervisors, are trained in traffic control techniques
in accordance with Cal/OSHA.

GENERAL RULES

1. No employee should commence work without approval and use of appropriate

safety devices
2. Signs and devices, used for traffic control, must be in position before work
begins. Placement of warning signs will be in accordance with “Manual of Traffic
Controls For Construction and Maintenance Work Zones – 1996 published by the
California Department of Transportation (CalTrans).
3. Flaggers must be trained in traffic control techniques, have all necessary protective
clothing and use appropriate devices to control or otherwise direct traffic through the
job site.
4. Any work site, which encroaches upon public streets, walks or right of ways,
should conform to the current laws and regulations established by the work area
traffic handbook or other similar publication, which may be obtained from your
supervisor.
5. A plan of action at a tailgate conference should be conducted with all involved
personnel before work begins.
6. No employee should set up cones while sitting or standing on a running board.
7. When traffic control is set up, a supervisor should drive through the work area to
check clearly defined pathways for motorists.
8. When possible, trucks and equipment should be placed between the work site
and oncoming traffic for the protection of the crew.
9. Check placement of lighted barricades at night to see that they are properly
placed and functioning.
10. Use flashing and warning lights on vehicles when appropriate.
11. During non-business hours, traffic must safely pass through the work zone.

Page 1of 1
 CODE OF SAFE PRACTICES Revision Number: 1
Section: 3.17 Welding Revision Date: 8/28/2015
File Name: P317

WELDING

The following rules and procedures apply when trained employees, involved in
mechanical, repair or construction projects are authorized to use welding equipment:

1. Proper precautions for fire prevention shall be taken in areas where welding and
other “hot” works are being conducted.
2. Whenever welding or cutting must be performed around dry grass or
combustibles, a “fire watch” shall be posted and one individual will maintain fire-
fighting apparatus. The person assigned fire watch duties shall have no other
duties.
3. Hot work permits must be applied for whenever conditions identified by the
Company require.
4. Flameproof shields protect employees from arc rays while arc welding and
cutting.
5. No welding, cutting, nor heating shall be done where the application of flammable
paints, other flammable compounds or heavy dust concentrations creates a fire
hazard.

6. Grounding of the machine frame and safety ground connections of portable

machines must be checked periodically. Electrodes must be removed from the
holders when not in use. All electric power to the welder must be shut off when
no one is in attendance.
7. Suitable fire extinguishing equipment must be available for immediate use before
starting to ignite the welding torch. The welder is strictly forbidden to coil or loop
the welding electrode cable around his/her body.
8. Mechanical ventilation or airline respirators shall be provided when welding,
cutting or heating zinc, lead, cadmium, mercury, or beryllium bearing based or
coated materials in enclosed spaces.
9. Employees, exposed to the hazards created by welding, cutting or brazing
operations, must be protected with personal protective equipment and clothing to
include: Eye protection, helmets and gloves.
10. Check for adequate ventilation where welding or cutting is performed. When
working in confined spaces, environmental monitoring tests should be taken and
means should be provided for quick removal of welders in case of an emergency.

Page 1of 1
 SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.01 Confined Space Awareness Revision Date: 8/28/2015
File Name: P401

CONFINED SPACES

Our Company does not perform work that requires personnel to enter confined
spaces. Entry of confined spaces requires special training, supervision and
testing that are beyond the scope of our work. Do not enter any situation (such
as a vacuum truck tank) where lack of oxygen or harmful gases could be
encountered on a jobsite, and immediately ask your supervisor for instructions if
you are unsure of any condition.

A Confined Space is a space that: 1) Is large enough and so configured that an

employee can bodily enter and perform assigned work: and, 2) Has limited or restricted
means for entry or exit (for example, tanks, vessels, silos, storage bins, hoppers, vaults,
vacuum truck tank, and pits), and 3) Is not designed for continuous employee
occupancy.

A Confined Space Entry is an action by which a person passes through an opening

into a permit required confined space. Entry includes ensuing work activities in that
space and is considered to have occurred as soon as any part of the entrants body
breaks the plane of an opening into the space.

Permit Required Confined Space: A confined space that has one or more of the
following:

 Contains a hazardous atmosphere (or has potential to contain one).

 Contains a material that has potential for engulfing an entrant.
 Has an internal configuration in which an entrant could be trapped or
asphyxiated.
 Contains any other recognized serious safety or health hazard.

Hazardous atmospheres include those that expose employees to the risk of death,
incapacitation, or impairment of ability to self-rescue, injury, or acute illness.

Page 1 of 1
 SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.02 Crane Operations Revision Date: 8/28/2015
File Name: P402

CRANE SAFETY

A. Crane Operator Qualification

1. Cranes should be operated only by the following:

a. Qualified operators designated by the Company

b. Trainee under direct supervision of a qualified operator
c. Maintenance, test personnel and inspectors, when necessary in the
performance of their duties

2. No one, other than personnel specified above should enter a crane cab,
with the exception of persons such as oilers and supervisors, whose
duties require them to do so, and then only in the performance of their
duties and with the knowledge of the operator or other appointed persons.

B. Safety Precautions

1. A standard hand signal system should be used on all crane operations.

2. When there are several riggers, only one rigger should be designated as signalman.

3. The operator should never start machine movement until the signalman is within
sight and hand signals are understood.

4. Obey an emergency stop signal given by anyone.

5. Radio communication should be used in addition to hand signals when possible.

6. All cranes should have load charts and boom angle indicators located at the
operator's position. Offshore cranes should have dynamic load charts installed in
the cab.

7. While the crane is in operation, the operator should neither perform any other work
nor leave the controls until the load has been safely landed.

8. Tag lines for controlling loads should be used whenever possible.

9. All hooks used should be self-closing.

10. Cranes should be placed on a firm level foundation and properly secured in place
before being operated.

11. No one should ride on leads, buckets, or hooks suspended from crane, boom or
derrick.

Page 1 of 2
 SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.02 Crane Operations Revision Date: 8/28/2015
File Name: P402

12. Heavy machinery, equipment, or parts thereof which are suspended by slings or
hoists should also be substantially blocked or cribbed before workers are permitted
to work underneath or between them.

13. All personnel should stand clear of a cable under tension.

14. The crane operator should not carry a load above personnel on the floor.

15. An appropriate fire extinguisher should be in the cab of the crane, when applicable.

16. Offshore personnel baskets should be used only for transferring personnel and their
personal equipment.

17. Special planning and precautions should be taken offshore with regard to rigging and
clearance of the area (including Production Deck) when lifting extremely heavy loads
or hazardous material, such as tanks containing liquid nitrogen or pressurized
hydrocarbons.

18. Loads should be marked with their weight in a location visible to the crane operator
before being transported offshore.

19. When working with a crane never place any part of the machine or load within
Fifteen feet of a power line.

20. Never exceed load capacities specified by the manufacturer.

21. A mobile crane is least stable when operating from the side position.

22. A qualified spotter should assist the operator in placing or retrieving a load. Use
only one spotter. A confused operator is more likely to have accidents.

23. The crane operator is responsible for the condition of the cable and associated
rigging.

24. When equipment is moved with a crane a tag line must be attached to the load, so
the oiler/helper can stand in the clear and still control the load. An exception to this
rule is when a tag line presents additional hazards such as catching on a stationary
object.

Page 2 of 2
 SAFETY STANDARDS ( PROCEDURES ) Revision Number: 2
Section: 4.03 Dig Alert Call 811 Revision Date: 8/28/2015
File Name: P403

DIG ALERT CALL 811

GENERAL REQUIREMENTS

The approximate location of subsurface installations, such as sewer, telephone, fuel,

electric, water lines, or any other subsurface installations that reasonably may be
expected to be encountered during excavation work, shall be determined prior to
opening an excavation.

Excavation shall not commence until:

1. The proposed excavation area has been marked as specified by the Dig Alert (Dial
811) system; Delineation of the proposed excavation site is mandatory. Mark the
area to be excavated with water soluble or chalk based white paint on paved
surfaces or with other suitable markings such as flags or stakes on unpaved areas.

2. Call at least Two (2) full working days prior to digging.

3. Your permit for digging will not be valid without a Dig Alert ticket number.

4. If the members have facilities within the work area, they will mark them prior to the
start of your excavation and if not, they will let you know there is no conflict.
5. The Law requires you to hand expose to the point of no conflict 24" on either side of
the underground facility, so you know its exact location before using power
equipment.

6. The Site Supervisor has received a positive response from all known
owner/operators of subsurface installations within the boundaries of the proposed
project; those responses confirm that the owner/operators have located their
installations, and those responses either advise the excavator of those locations or
advise the excavator that the owner/operator does not operate a subsurface
installation that would be affected by the proposed excavation.

7. When the excavation is proposed within 10 feet of a high priority subsurface

installation, the Site Supervisor shall be notified by the facility owner/operator of the
existence of the high priority subsurface installation before the legal excavation start
date and time in accordance with the Dig Alert (811) system, and an onsite meeting
involving the excavator and the subsurface installation owner/operator's
representative shall be scheduled by the excavator and the owner/operator at a
mutually agreed on time to determine the action or activities required to verify the
location of such installations.

8. When excavation operations approach the approximate location of subsurface

installations, the exact location of the installations shall be determined by safe and
acceptable means that will prevent damage to the subsurface installation.

Page 1 of 1
 SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.04 Emergency Response/Emergency Action Revision Date: 8/28/2015
File Name: P404

TABLE OF CONTENTS

I. PURPOSE................................................................................................................ 2

II. SCOPE .................................................................................................................... 2

III. REFERENCES ...................................................................................................... 2

IV. EVACUATION ROUTES/PROCEDURES ............................................................. 2

V. EMERGENCY RESPONSE GUIDELINES............................................................... 4

Page 1 of 6
SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.04 Emergency Response/Emergency Action Revision Date: 8/28/2015
File Name: P404

EMERGENCY RESPONSE/EMERGENCY ACTION

I. PURPOSE

The Company will make an organized effort to protect personnel from injury and
to minimize property damage in an emergency event. Resources will be made
available to respond to an emergency by using trained employees and additional
outside response agencies. All employees shall be aware of these emergency
response procedures. These emergency response procedures supplement any
response plans required by specific standards.

The purpose of the Emergency Response Procedure is to establish a systematic

method for ensuring safe working conditions and procedures are followed during
an emergency condition.

II. SCOPE

This standard will define: the type of work requiring an Emergency Response
Plan, the qualifications of personnel involved in the response procedure, and
instructions on how to properly implement the plan.

III. REFERENCES

TITLE 8 CCR, subsection 3220, Emergency Action Plan

29 CFR 1910.38, Emergency Action Plans

IV. EVACUATION ROUTES/PROCEDURES

Company supervisory personnel must review the site-specific Emergency Action Plan
prior to commencing work. In the event of an emergency that necessitates an
evacuation of a work site, the following procedures will be implemented:

 Evacuation notification should be made using the car horn, bull horn, hand-held
radios or other communication methods.

 All personnel should evacuate upwind of any activities. Ensure that a predetermined
meeting location is identified off-site in case of an emergency, so that all personnel
can be accounted for in the event of an emergency.

Page 2 of 6
 SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.04 Emergency Response/Emergency Action Revision Date: 8/28/2015
File Name: P404

Personnel will be expected to proceed to the closest exit with their buddy and mobilize
to the safe distance area associated with the evacuation route. Personnel will remain at
that designated safe briefing area until an authorized individual provides further
instructions.

Management shall ensure that emergency programs are instituted at all sites, and that
they are reviewed frequently. All employees are encouraged to contribute to the
development of the emergency response/action program. As a minimum site specific
emergency action plans shall include the following:

 Procedures to be followed by employees who remain to perform or shut down critical

operations before they evacuate;

 Emergency escape procedures and emergency escape routes;

 Procedures to account for all employees after an emergency evacuation has been
completed;

 Rescue and medical duties for those employees who are to perform them;

 The preferred means for reporting fires and other emergencies;

 Names and phone numbers of nearest emergency services.

The site specific plan must detail evacuation procedures and meeting places in case of
an emergency, emergency fire fighting procedures, and emergency rescue procedures
for "man down" situations. The supervisor must ensure that every employee at each job
site is familiar with the Plan. The Emergency Plan must be maintained by the Safety
Representative to reflect changes in the job.

Page 3 of 6
SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.04 Emergency Response/Emergency Action Revision Date: 8/28/2015
File Name: P404

V. EMERGENCY RESPONSE GUIDELINES

A. INJURIES

You must report any injury to your Supervisor immediately. In the event of an
injury, the following procedures should be performed:

1) Provide first aid to the injury

2) Shut down operations if necessary.
3) Control access to the area.
4) Instruct all personnel involved not to discuss the accident with
anyone except the immediate Supervisor.
5) Supervisors must prepare an accident report by the end of that
workday to be turned into the main office.

B. FIRE OR EXPLOSION

In the event of a fire or explosion, the fire department should be contacted

immediately. Upon the arrival of the fire department, the person in charge, or
designated alternative will advise the fire officer of the location, nature, and
identification of the hazardous materials on-site. If it is safe to do so, site
personnel may use fire-fighting equipment available on-site to control or
extinguish the fire and remove or isolate flammable or other hazardous materials
which may contribute to the fire. Company personnel should not attempt to fight
a fire beyond the incipient stage.

Report a fire to your supervisor immediately. Supervisors shall ensure that the
fire is reported directly to the Fire Department, or 911.

1. Stay on the line until the Fire Department tells you to hang up. Be sure the
Fire Department has all pertinent information such as:

• Exact Location
• Your name, Company name and purpose of call
• Description of the type of fire
• Your phone number
• Location where someone will meet the Fire Department

2. Isolate all fuel and electrical sources if possible.

3. Try to put out the fire if you have the proper equipment and are trained.
Never endanger yourself or others.
4. Stay out of the way when the Fire Department arrives. Be ready to help if you
have the proper training.
5. After the fire is extinguished, stand by in case of a re-start.

Page 4 of 6
SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.04 Emergency Response/Emergency Action Revision Date: 8/28/2015
File Name: P404

C. EARTHQUAKES

Earthquakes are a frequent occurrence in the Pacific, but major earthquakes are
a rare occurrence. Most injuries from earthquakes occur from falling objects and
debris. The safest place to be in an earthquake is outdoors away from buildings
and wires.

During an earthquake:

Remain calm as you will be better able to access your situation.

If you are indoors:

If you are Indoors

 Stand under a doorway, get under heavy furniture or stand against a wall
in the center of the building. Keep away from windows and outside doors.
 Get under a heavy piece of furniture or move toward a interior wall
 Stay clear of windows, bookcases and mirrors
 Turn off any gas appliances

If you are Outdoors

 Stay away from buildings, poles, wires, and windows.
 Get into a open area away from buildings, trees, walks or power lines
 Sit or lie down and brace yourself

If you are in a vehicle:

 Pull off the road away from overpasses, bridges or power lines
 Stay in your vehicle

After an earthquake aftershocks can occur. Report any broken power, gas, or
water lines and stay tuned to local radio and television stations for Civil Defense
messages.

In all cases follow your supervisors instructions after the earthquake. Stay away
from power lines and shut off any leaking fuel sources.

Page 5 of 6
SAFETY STANDARDS (Procedures) Revision Number: 1
Section: 4.04 Emergency Response/Emergency Action Revision Date: 8/28/2015
File Name: P404

D. VEHICLE ACCIDENTS

If you are involved in a vehicle accident you must follow the procedures listed
below:

1) Set out emergency reflectors to protect yourself and others. These

are located under the seat in all Company vehicles.
2) Administer first aid to injured persons.
3) Notify the appropriate emergency personnel, including the local
Police Department.
4) Notify your Supervisor.
5) Exchange drivers license numbers, insurance Company and policy
number with other driver(s) involved. All Company vehicles are
required to have the vehicle insurance I.D. card in the glove
compartment.
6) Complete a Vehicle Accident Report with the Safety Representative
at the main office.
7) Take pictures of damage to

E. CHEMICAL SPILLS

1) Try to contain the spill if possible.

2) Notify your immediate Supervisor and standby for further
instructions.

F. EMERGENCY EQUIPMENT

General emergency equipment and supplies in Company vehicles shall include

the following:

 First-aid kit
 Bloodborne Pathogen kit, barriers, gloves, ect..
 Fire extinguisher
 Communication device (radio or mobile telephone)

Page 6 of 6
 SAFETY STANDARDS (PROCEDURES) Revision Number: 1
Section: 4.05 Fall Protection Revision Date: 8/28/2015
File Name: P405

TABLE OF CONTENTS

I. PURPOSE ................................................................................................................ 2

II. SCOPE ..................................................................................................................... 2

III. REFERENCE ........................................................................................................ 2

IV. WORKING SURFACES ELEVATED MORE THAN FOUR (4) FEET .................... 2

V. WORKING AT ELEVATIONS GREATER THAN SIX (6) FEET ............................. 2

VI. QUALIFICATION OF PERSONNEL ...................................................................... 2

VII. GENERAL REQUIREMENTS ............................................................................... 3

Page 1 of 4
 SAFETY STANDARDS (PROCEDURES) Revision Number: 1
Section: 4.05 Fall Protection Revision Date: 8/28/2015
File Name: P405

FALL PROTECTION

I. PURPOSE

This standard establishes procedures necessary for protection of employees working in

elevated positions. It is designed to maintain a safe environment for personnel working
above four (4) feet from the ground level.

II. SCOPE

This standard describes the personnel training requirements, minimum fall protective
equipment, and safe work practices to be taken while working in elevated positions.

III. REFERENCE

TITLE 8 CCR, subsection 3299, Personal Fall Protection

TITLE 8 CCR, subsection 1670, Personal Fall Arrest Systems
29 CFR 1926.503, Fall Protection

IV. WORKING SURFACES ELEVATED MORE THAN FOUR (4) FEET

Working surfaces that are more than four feet above ground or more than four feet
above an adjacent platform or work surface must be equipped with protective
handrails/guardrails, or another means of fall protection must be provided.

V. WORKING AT ELEVATIONS GREATER THAN SIX (6) FEET

Appropriate fall protection must be used at all times while personnel are working at
elevations greater than six feet above the ground or an adjacent platform/working
surface (measured by the level of the workers' feet).

Personnel climbing to or from such working surfaces should use a ladder, stairs, or
an appropriate means of fall protection (i.e., safety climbs).

VI. QUALIFICATION OF PERSONNEL

Specific fall protection plan(s) shall be developed by qualified/competent personnel.

This task should be completed by the job site supervisor, i.e. Site Foreman.

In rare circumstances, where no other alternative methods have been implemented a

safety monitoring system shall be implemented and Competent personnel assigned
monitoring duties shall: recognize fall protection hazards, warn employees if they are
unaware of a fall hazard or are acting in an unsafe manner, stay on working surfaces
and in visible light, and stay close enough for verbal communications, not have any
other duties that would take monitors attention from the monitoring function.

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VII. GENERAL REQUIREMENTS

1. A training program shall be provided for each employee who might be exposed to
fall hazards. Employees shall receive training pertaining to the recognition and
elimination of fall hazards. Training shall enable each employee to recognize the
hazards of falling and shall train each employee in the procedures to follow to
minimize these hazards.

2. Re-training shall be provided when the following are noted: 1) Deficiencies in

training. 2) Work place changes. 3) Fall protection systems or equipment
changes that render previous training obsolete.

3. Written certification records shall be maintained showing the following: 1) Who

was trained, when, dates of training 2) Signature of person providing training and
date Company determined training was deemed adequate.

4. Fall protection is required whenever employees are potentially exposed to falls

from heights. For general industry every wall opening from which there is a drop
of more than 4 feet shall be guarded. For Construction, each employee on a
walking/working surface (horizontal and vertical surface) with an unprotected side
or edge which is 6 feet or more above a lower level shall be protected from falling
by the use of guardrail systems, safety net systems, or personal fall arrest
systems.

5. Site specific plans shall be developed by a qualified person. The fall protection
plan shall be prepared in accordance with this program and by a qualified person
for the specified work site.

6. Accident investigations shall be conducted to evaluate the fall protection plan for
potential updates to practices, procedures or training in order to prevent
reoccurrence

7. When purchasing equipment and raw materials for use in fall protection systems
applicable ANSI & ASTM requirements should be met.

8. Site Supervisors shall provide for prompt rescue of employees in the event of a
fall or shall assure the employees are able to rescue themselves when working
from heights.

9. Full body safety harnesses are required anytime a person is working over 6 feet
off the ground or above the existing walking or working surface. Standard waist
type safety belts are strictly prohibited.

10. Any time a person is working over 6 feet off the ground they must be tied off to a
stationary object capable of withstanding 5,400 pounds.

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11. Approved rope grabs and safety lines shall be used any time a worker is required
to work in an area with out adequate tie off protection, such as while using a
spider basket or shuttling.

12. A full body harness must be worn whenever fall protection is required. Safety
harnesses should fit snugly and comfortably.

13. When safety harnesses are used for fall protection, they must use lanyards with
shock/absorber systems.

14. When working at elevations where it is necessary to disengage a lanyard to

move around equipment or obstacles, a double lanyard must be utilized to
assure fall protection.

15. All equipment must be inspected for excessive wear or damage prior to each
use.

16. Modifications to any fall protection equipment, other than those performed by the
manufacturer, may result in premature failure of the equipment and are strictly
prohibited.

17. All equipment must be worn in accordance with the manufacturer's

recommendations.

18. Any fall protection equipment that is worn or damaged must be destroyed so that
it is no longer usable, and then discarded.

19. Safety belts, harnesses, and lanyards that have been used to stop a fall must be
destroyed and discarded.

20. Safety harnesses shall be stored properly and inspected on a regular basis for
excessive wear. Warn or damaged harnesses shall be destroyed prior to
discarding.

21. Anytime personnel work from heights provisions for prompt rescue of employees
in the event of a fall and/or supervisors shall assure the employees are able to
rescue themselves.

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TABLE OF CONTENTS

I. INTRODUCTION .................................................................................................. 2
II. REFERENCE ....................................................................................................... 2
III. SCOPE ................................................................................................................. 2
IV. RESPONSIBILITIES ............................................................................................. 2
V. GENERAL REQUIREMENTS............................................................................... 2
VI. TRAINING ............................................................................................................ 3
TRAINING PROGRAM CONTENT ....................................................................... 3
REFRESHER TRAINING ..................................................................................... 4
VII. INSPECTIONS ..................................................................................................... 4
PRE-USE INSPECTION (Daily) ........................................................................... 4
POWER SOURCE INSPECTION ......................................................................... 4
Battery Power ............................................................................................ 4
Propane Power .......................................................................................... 5
VIII. FUEL HANDLING AND STORAGE ...................................................................... 5
IX. BATTERY HANDLING AND STORAGE............................................................... 5
DESIGNATED AREAS ......................................................................................... 5
CHARGING BATTERIES ..................................................................................... 5
X. MAINTENANCE ................................................................................................... 6
XI. GENERAL FORKLIFT SAFETY ........................................................................... 6
XII. FORKLIFT OPERATING GUIDELINES ............................................................... 6
XIII. HANDLING AND MOVING LOADS ...................................................................... 7
TO PICK UP A LOAD ........................................................................................... 7
DRIVING WITH A LOAD ...................................................................................... 8
SAFE STEERING ................................................................................................. 8
TO PUT A LOAD DOWN ...................................................................................... 8

APPENDIX A – FORKLIFT PRE-USE INSPECTION FORM

APPENDIX B – FORKLIFT OPERATOR PERFORMANCE EVALUATION
APPENDIX C – CALOSHA - FORKLIFT OPERATING RULES

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I. INTRODUCTION

It is the policy of the Company that all employees who operate or anticipate operating a
forklift during their employment must complete forklift safety training and comply with
this program. Only trained and certified operators, including supervisors, are allowed to
operate Industrial Lift Trucks.

II. REFERENCE

The following requirements are incorporated into the forklift safety program.

Title 8 CCR 3650-3668 Industrial Trucks

29 CFR1910.178, Powered Industrial Trucks,
29 CFR 1926.602, Material Handling Equipment, and
NFPA 505, Fire Safety Standard for Powered Industrial Trucks Including Type
Designations, Areas of Use, Maintenance, and Operation.

III. SCOPE

This program covers all persons who are employed by the Company and related
facilities who are designated responsibility to operate a forklift.

IV. RESPONSIBILITIES

 The Company will provide forklift training

 Departmental supervisors are responsible for ensuring employees attend training
and that forklifts are repaired when malfunctioning

V. GENERAL REQUIREMENTS

All powered industrial trucks acquired and used after February 15, 1972 are required to
meet the design and construction requirements for powered industrial trucks established
in the American National Standards Institute (ANSI) Standard for Powered Industrial
Trucks, Part II, ANSI B56.1-1969, except for vehicles intended primarily for earth
moving or over-the-road hauling. Approved trucks are required to bear a label or some
other identifying mark indicating approval by the testing laboratory.

Nameplates and markings must be in place and must be maintained in a legible

condition.

Modifications and additions which affect capacity and safe operation without the
manufacturer's prior written approval are prohibited. Capacity, operation, and
maintenance instruction plates, tags, or decals should be modified accordingly.
All Company forklifts are used in unclassified locations according to 29 CFR 1910.178
Table N-1. If the location is classified as hazardous, 29 CFR 1910.178 (c) should be
consulted in order to determine the appropriate type of forklift.

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High lift rider trucks must be equipped with an overhead guard manufactured in
accordance with 29 CFR 1910.178 (a)(2), unless operating conditions do not permit the
use of the guard. The overhead guard is intended to offer protection from the impact of
small packages, boxes, bagged material, etc., but not to withstand the impact of a falling
capacity load.

VI. TRAINING

Forklift operators are required to attend and pass forklift safety training at least every
three years, operate and maintain their vehicles in a safe manner according to their
training, and report all vehicle problems to their supervisor. Training will include:
lecture, discussion, and/or interactive computer learning, videos, and written materials.
Forklift operator training includes instructor demonstrations and trainee exercises.
Operator evaluation (critiques) are documented on the evaluation form shown in
appendix B. All operator training and evaluation shall be conducted by persons who
have the knowledge, training and experience to train powered industrial truck operators
and evaluate their competence.

TRAINING PROGRAM CONTENT

Powered industrial truck operators shall receive initial training in the following topics:

1. Operating instructions, warnings, and precautions for the types of truck the operator will be
authorized to operate;
2. Differences between the truck and the automobile;
3. Truck controls and instrumentation: where they are located, what they do, and how they work;
4. Engine or motor operation;
5. Steering and maneuvering;
6. Visibility (including restrictions due to loading);
7. Fork and attachment adaptation, operation, and use limitations;
8. Vehicle capacity;
9. Vehicle stability;
10. Any vehicle inspection and maintenance that the operator will be required to perform;
11. Refueling and/or charging and recharging of batteries;
12. Operating limitations;
13. Any other operating instructions, warnings, or precautions listed in the operator's manual for the
types of vehicle that the employee is being trained to operate.
14. Surface conditions where the vehicle will be operated;
15. Composition of loads to be carried and load stability;
16. Load manipulation, stacking, and unstacking;
17. Pedestrian traffic in areas where the vehicle will be operated;
18. Narrow aisles and other restricted places where the vehicle will be operated;
19. Hazardous (classified) locations where the vehicle will be operated;
20. Ramps and other sloped surfaces that could affect the vehicle's stability;
21. Closed environments and other areas where insufficient ventilation or poor vehicle maintenance
could cause a buildup of carbon monoxide or diesel exhaust;
22. Other unique or potentially hazardous environmental conditions in the workplace that could affect
safe operation.
23. The requirements of applicable OSHA regulations.

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REFRESHER TRAINING
Refresher training in relevant topics shall be provided to the operator when:

1. The operator has been observed to operate the vehicle in an unsafe manner;
2. The operator has been involved in an accident or near-miss incident;
3. The operator has received an evaluation that reveals that the operator is not
operating the truck safely;
4. The operator is assigned to drive a different type of truck; or
5. A condition in the workplace changes in a manner that could affect safe operation of
the truck.
6. An evaluation of each powered industrial truck operator's performance shall be
conducted at least once every three years.

Employer certification must include operator name, training date, evaluation date, and
trainer/evaluator name.

VII. INSPECTIONS

PRE-USE INSPECTION (Daily)

A daily pre-use inspection identifies potential hazards that may be encountered from a
damaged forklift and should be performed at least daily. If at any time a forklift is found
to be in need of repair, defective, or in any way unsafe, remove it from service until it
has been restored to safe operating condition.

The pre-use inspection process is as follows:

1. Inspect the mast for broken or cracked weld points and any other obvious
damage.
2. Ensure roller tracks are greased and that chains are free to travel.
3. Forks should be equally spaced and free from cracks along the blade and at the
heels.
4. Check hydraulic fluid levels.
5. Check each hydraulic line and fitting for excessive wear or crimping.
6. Check lift an tilt cylinders for damage or leaking fluid.
7. Inspect mounting hardware on the cylinders.
8. Check tires for excessive wear, splitting or missing tire material.
9. Check pneumatic tires for proper pressure indicated on the tire.

POWER SOURCE INSPECTION

Battery Power
Batteries contain acid so protective gloves, goggles, and long sleeves must be worn
when working with batteries.

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Batteries should be inspected for:

1. cracks or holes,
2. securely sealed cells,
3. frayed cables,
4. broken insulation,
5. tight connections, and
6. clogged vent caps.
Propane Power
1. The propane tank should be inspected for cracks, broken weld points, and other
damage.
2. All valves, nozzles, and hoses should be secure and do not leak.
3. If damage is found, the equipment should not be operated until the damage has
been corrected.

VIII. FUEL HANDLING AND STORAGE

Store and handle liquid fuels such as gasoline and diesel in accordance with NFPA
Flammable and Combustible Liquids Code (NFPA No. 30-1969).

Store and handle liquefied petroleum gas in accordance with NFPA Storage and
Handling of Liquefied Petroleum Gases (NFPA No. 58-1969).

Turn off engine before filling fuel tanks.

IX. BATTERY HANDLING AND STORAGE

DESIGNATED AREAS
1. Locate battery charging installations in designated areas that provide flushing
and neutralizing of spilled electrolyte, fire protection, protection of charging
apparatus, damage by trucks, and adequate ventilation for dispersal of battery
gassing fumes.
2. Battery handling equipment and a carboy tilter or siphon for handling electrolyte
should be provided.
3. Smoking is prohibited in the designated area.

CHARGING BATTERIES
1. When charging batteries, pour acid into water; not water into acid.
2. Properly position forklift and apply brake before attempting to change or
charge batteries.
3. Ensure vent caps are functioning and the battery (or compartment) cover(s)
are open to dissipate heat.
4. Prevent open flames, sparks, or electric arcs in battery charging areas.
5. Keep tools and other metallic objects away form the top of uncovered
batteries.

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X. MAINTENANCE

 Do not use open flames to check for electrolyte level in storage batteries or liquid
fuel level in tanks.
 Conduct repairs to fuel and ignition systems of forklifts which involve fire hazards
in designated locations.
 Disconnect batteries prior to repairing electrical systems.
 Use only replacement parts equivalent with those in the original design.
 Do not alter the relative positions of various parts from what they were received
from the manufacturer. Do not add any parts not supplied by the manufacturer
nor delete any parts supplied by the manufacturer (no additional
counterweighting of forklifts unless approved by the manufacturer).
 Keep forklift mufflers in proper working condition and free of debris.
 Keep the forklift in clean condition, free of lint, excess oil, and grease.

XI. GENERAL FORKLIFT SAFETY

The most common forklift accidents are caused: when a person is struck by the forklift,
stock is shoved into or falls upon another person or falls upon the forklift operator, the
operator is injured when getting on or off the forklift, when the forklift collides with
another forklift or other vehicle, when the forklift falls off the dock or tips over, where the
operator is struck by passing objects, or the forklift tips over because the rated capacity
is exceeded or the load is handled improperly.

When mounting or dismounting a forklift, always:

 face the vehicle,

 never jump off,
 use a three-point stance (always have both hands and one foot or vice-versa in
contact with the unit),
 wear proper shoes (oil resistant and non-slippery),
 wear proper clothing (do not wear loose clothing or dangling jewelry), and
 restrain long hair.

After mounting the vehicle, always fasten the seat belt, apply the brake, and shift to
neutral. Also, check around the forklift for clearance and pedestrians before moving.

XII. FORKLIFT OPERATING GUIDELINES

A. Only trained and authorized personnel are permitted to operate a forklift.

B. Do not stand or pass under the elevated portion of any forklift.
C. Passengers are prohibited from riding on forklifts.
D. Do not place arms or legs between the uprights of the mast or outside the running
lines of the truck.

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E. A forklift is considered unattended when the operator is 25 feet or more away from
the vehicle and it remains in his view, or whenever the operator leaves the vehicle
and it is not in his view. When a forklift is left unattended:

1. fully lower load engaging means,

2. neutralize controls,
3. shut off power; and
4. set brakes.

F. When the forklift operator is dismounted, within 25 feet and in view of the forklift,
then fully lower the engaging means, neutralize the controls, and set the brakes to
prevent movement.
G. Maintain a safe distance from the edge of ramps or platforms while on any elevated
dock or platform.
H. Forklifts are not to be used to open or close freight doors.
I. Where general lighting is less than two lumens per square foot, provide auxiliary
directional lighting on the truck.
J. Fixed jacks may be necessary to support a semi trailer and prevent upending during
the loading or unloading when the trailer is not coupled to a tractor.
K. Set brakes and block wheels to prevent movement of trucks and trailers while
loading or unloading.
L. Check the flooring of trucks and trailers for breaks and weakness before loading or
unloading.
M. Check for sufficient headroom under overhead hazards such as lights, pipes, or
sprinkler systems.
N. Use only approved forklifts in hazardous locations.
O. The brakes of highway trucks shall be set and wheel chocks placed under the rear
wheels to prevent the trucks from rolling while they are boarded with powered
industrial trucks.

XIII. HANDLING AND MOVING LOADS

TO PICK UP A LOAD
1. Only pick up stable and safely arranged loads within the rated capacity of the
forklift.
2. Adjust long or high (including multiple tiered) loads which may affect capacity.
3. Square up on the center of the load and approach it straight with forks in
traveling position.
4. Stop when the tips of the forks are about a foot away from the load.
5. Level the forks and slowly drive forward until the load is resting against the
backrest.
6. Lift the load high enough to clear whatever is under it.
7. Carefully tilt the mast back to stabilize the load.

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DRIVING WITH A LOAD

1. Starts and stops should be gradual.

2. Observe all traffic regulations and keep forklift under control at all times.
3. Reduce speed and sound horn at cross aisles and other locations where vision is
obstructed.
4. Pedestrians have the right-of-way. Always be aware of their presence especially in
aisles and doorways.
5. Do not drive forklift up to anyone standing in front of a bench or other fixed object.
6. Keep a clear view of the path of travel. Always look in the direction of travel.
7. Always travel with a load tilted slightly back for added stability. Do not lift or lower the
load when the forklift is in motion.
8. Travel with the load at a height of four to six inches at the tips and two inches at the
heels to clear most uneven surfaces and avoid debris.
9. Horse play is not permitted.
10. Slow down for wet, slippery or uneven floors.
11. Avoid running over loose objects on the roadway surface.
12. Properly secure dockboards and bridgeplates before driving over them. Drive over
slowly and never exceed their rated capacity.
13. Drive in reverse rather than looking around the load if you are unable to see over it.
14. Travel down inclines in reverse and up inclines going forward. Ascend and descend
grades slowly. If the grade is in excess of 10 percent, drive with load upgrade.

SAFE STEERING
1. Never make a turn at normal traveling speed, always slow down to maintain
balance.
2. Stay wide when turning into an aisle to help clear the sides and square up with the
destination.
3. Allow enough room for forks to clear the sides before turning, when backing out of
an aisle.
4. When negotiating turns, turn the steering wheel in a smooth sweeping motion. At
very low speeds, turn the steering wheel at a moderate, even rate.

TO PUT A LOAD DOWN

1. Square up and stop about a foot away.
2. Level the forks and then drive the rest of the way in.
3. Lower the load.
4. Tilt the forks slightly forward to avoid hooking the load.
5. Look over both shoulders and back straight out until the forks clear the pallet.

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APPENDIX A – FORKLIFT PRE-USE INSPECTION FORM

FORKLIFT PRE-USE INSPECTION

(COMPLETE PRIOR TO START OF EACH SHIFT)

DATE TRUCK NO. LOCATION SHIFT

TYPE: HOUR METER:

INTERNAL COMBUSTION ELECTRIC

OPERATOR’S SIGNATURE SUPERVISOR’S SIGNATURE

CHECK OFF INSPECTED AND CLEARED ITEMS “”

CHECK ANY DEFECTIVE WITH AN “X” AND GIVE DETAILS BELOW.

ACCELERATOR HOUR METER

ALARMS HYDRAULIC CONTROLS
BATTERY CONNECTOR LIGHTS – HEAD AND TAIL
BATTERY – INDICATOR LIGHTS-WARNING
BELTS MAST
BRAKES-PARKING OIL LEAKS
BRAKES-SERVICE OIL PRESSURE
CABLES OVERHEAD GUARD
ENGINE OIL LEVEL RADIATOR LEVEL
FORKS SAFETY EQUIPMENT
FUEL LEVEL STEERING
GAUGES TIRES
HORN UNUSUAL NOISES
HOSES OTHER

DETAILS:

ORIGINAL

5181

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APPENDIX B – FORKLIFT OPERATOR PERFORMANCE EVALUATION

Employee Name Employee ID Number Date Time:

N/A Yes No Comments

1. Followed proper instructions for

maintenance-conducted inspections
2. Shows familiarity with truck controls

3. Approached load properly

4. Checked for overhead clearances and

hazards

5. Load balanced and secured properly

6. Forks placed under load completely

7. Lifted load properly

8. Maneuvered properly

9. Sounded horn at intersections

10. Kept a clear view of direction of travel

11. Turned corners correctly – was aware of

rear swing
12. Yielded to pedestrians

13. Drove under control; Forklift and load

stable
14. Traveled with load at proper height

15. Lowered load smoothly/slowly

16. Stops smoothly/completely

17. Demo: place loads within marked area

18. Demo: drive backward when required

19. Demo: check load weights

20. Demo: place forks on ground when parked,

controls neutralized, brake on set, power
off

Total Rating
Evaluator Signature Date

ORIGINAL
5182

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APPENDIX C – CALOSHA - FORKLIFT OPERATING RULES

OPERATING RULES FOR INDUSTRIAL TRUCKS

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TABLE OF CONTENTS

I. OBJECTIVE .............................................................................................................. 2

II. AUTHORITY ............................................................................................................. 2

III. POLICY ................................................................................................................. 2

IV. DEFININTIONS ..................................................................................................... 2

V. RESPONSIBILITIES.............................................................................................. 3

VI. GENERAL REQUIREMENTS ............................................................................... 3

VII. PROCEDURES ..................................................................................................... 4

VIII. PROVISIONS FOR WATER .................................................................................. 5

IX. ACCESS TO SHADE ............................................................................................ 7

X. HIGH HEAT PROCEDURES ................................................................................. 7

XI. EMERGENCY PROCEDURES ............................................................................. 8

XII. TRAINING ............................................................................................................. 9

Appendix A - Guidelines for Heat Exposure Limits

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HEAT ILLNESS

I. OBJECTIVE

Many workers at Company locations work in hot environments. Working in hot

conditions poses many safety and health hazards to the workers. This policy addresses
ways to minimize and control these hazards. The objective of this policy is to reduce the
risk of illness, injury or fatality to Company employees, contractors and related
personnel from heat related disorders.

California Employers with any outdoor places of employment must comply with the Heat
Illness Prevention Standard T8 CCR 3395. These procedures have been created to
assist the employer in crafting their heat illness prevention procedures, and to reduce
the risk of work related heat illnesses among their employees.

II. AUTHORITY

Title 8 CCR 3395, Heat Illness Standard

III. POLICY

This policy sets forth Company requirements for work in hot environments.

IV. DEFININTIONS

"Acclimatization" means temporary adaptation of the body to work in the heat that
occurs gradually when a person is exposed to it. Acclimatization peaks in most people
within four to fourteen days of regular work for at least two hours per day in the heat.

"Heat Illness" means a serious medical condition resulting from the body's inability to
cope with a particular heat load, and includes heat cramps, heat exhaustion, heat
syncope and heat stroke.

"Environmental risk factors for heat illness" means working conditions that create
the possibility that heat illness could occur, including air temperature, relative humidity,
radiant heat from the sun and other sources, conductive heat sources such as the
ground, air movement, workload severity and duration, protective clothing and personal
protective equipment worn by employees.

"Personal risk factors for heat illness" means factors such as an individual's age,
degree of acclimatization, health, water consumption, alcohol consumption, caffeine
consumption, and use of prescription medications that affect the body's water retention
or other physiological responses to heat.

"Preventative recovery period" means a period of time to recover from the heat in
order to prevent heat illness.

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"Shade" means blockage of direct sunlight. Canopies, umbrellas and other temporary
structures or devices may be used to provide shade. One indicator that blockage is
sufficient is when objects do not cast a shadow in the area of blocked sunlight. Shade is
not adequate when heat in the area of shade defeats the purpose of shade, which is to
allow the body to cool. For example, a car sitting in the sun does not provide acceptable
shade to a person inside it, unless the car is running with air conditioning.

V. RESPONSIBILITIES

Safety Manager is available to monitor the heat exposure of individual jobs and make
recommendations to reduce heat stress risk. If employees must work for extended
periods (i.e. more than 1 continuous hour/day) outdoors during hot weather or above
the threshold limit value (TLV) for heat exposure.

Supervisors have the primary responsibility for the implementation of the Heat Stress
Prevention Program in their work area. The supervisor has ultimate responsibility for the
safety of the employees. This includes evaluation of the work to be performed, providing
ready access to drinking water or electrolyte replacement drinks, ensuring workers are
familiar with the signs and symptoms of heat related disorder, allow for acclimatization
of workers in hot environments, adoption of work rest regimes and scheduling of work to
reduce heat stresses as appropriate and providing training for employees.

Employees are responsible for attending training and following the instructions given.
They are also responsible for monitoring themselves for signs and symptoms of heat
stress.

VI. GENERAL REQUIREMENTS

1. Employees shall have access to potable drinking water. Where it is not plumbed
or otherwise continuously supplied, it shall be provided in sufficient quantity
throughout the work shift.

2. Employees suffering from heat illness or believing a preventative recovery period

is needed, shall be provided access to an area with shade that is either open to
the air or provided with ventilation or cooling. Such access to shade shall be
permitted at all times.

3. Supervisors must receive training in the prevention of heat related illnesses prior
to supervising employees working in heat.

4. Supervisors must be trained in the employer's heat illness procedures to prevent

heat illness and procedures to follow when a employee exhibits symptoms
consistent with possible heat illness, including emergency response procedures.

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5. Procedures must be in place to control the effects of environmental factors that

can contribute to heat related illness. The most common environmental factors
are air temperature, humidity, radiant heat sources and air circulation. Refer to
section VII for specific requirements.

6. Physical factors that contribute to heat related illness should be taken into
consideration before performing a task. The most common physical factors that
can contribute to heat related illness are type of work, level of physical activity
and duration, and clothing color, weight and breathability.

7. Supervisors must ensure personal factors that contribute to heat related illness
are taken into consideration before assigning a task where there is the possibility
of a heat-related illness occurring. The most common personal factors that can
contribute to heat related illness are age, weight/fitness, drug/alcohol use, prior
heat-related illness, etc.

8. Employees will have access to shade. At or below 80 degrees Fahrenheit all

employees shall have timely access to shade upon request. For temperatures at
or above 80 degrees Fahrenheit, one or more areas with shade shall be provided
at all times while employees are present. Shade shall accommodate the number
of employees on recovery or rest periods.

9. High-heat procedures shall be followed when the temperature exceeds 95

degrees Fahrenheit. High-heat procedures shall include, but are not limited to:

 Effective communication by voice, observation or electronic means

 Observation of employees for alertness and signs/symptoms of heat illness
 Designating one or more employees on each worksite as authorized to call for
emergency medical services
 Reminding employees to drink water throughout the shift
 Pre-shift meetings before beginning work to review the high heat procedures,
encourage drinking water, and remind employees of their right to take a cool-
down rest when necessary.

Refer to section X of this policy for additional guidance on high heat procedures.

VII. PROCEDURES

These procedures are not intended to supersede or replace the application of any other
Title 8 regulation, particularly T8 3203 Injury and Illness Prevention Program (IIPP).
Title 8 CCR 3203 requires an employer to establish, implement, and maintain an
effective IIPP.

There are other standards that apply to Heat Illness Prevention some of the provisions
that were already required by regulation include:

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 Providing for Emergency Medical Services (EMS)

 Providing adequate supply of Potable Water
 Keeping drinking water fresh and suitably cool
 Keeping clean drinking cups available
 Provide CPR/First Aid training for any remote location.

The key elements within this Heat Illness Prevention Program are those contained in
Title 8 of the California Code of Regulations, Section 3395 (T8 CCR 3395) and consist
of the following:
1. Provisions for Water
2. Access to Shade
3. Written Procedures
4. Training

VIII. PROVISIONS FOR WATER

Water is a key preventive measure to minimize the risk of heat related illnesses.
3395 (c) Employees shall have access to potable drinking water meeting the
requirements of Sections 1524, 3363, and 3457, as applicable. Where the supply of
water is not plumbed or otherwise continuously supplied, water shall be provided in
sufficient quantity at the beginning of the work shift to provide one quart per employee
per hour for drinking for the entire shift.

Supervisors may begin the shift with smaller quantities of water if they have effective
procedures for replenishment during the shift as needed to allow employees to drink
one quart or more per hour. The frequent drinking of water, as described in (e), shall be
encouraged.

Procedures for Provisions of Water

1. Bring at least 2 quarts per employee at the start of the shift, and
Supervisor/designated person will monitor water containers every 30 minutes,
and employees are encouraged to report to supervisor/designated person low
levels or dirty water.
2. Supervisor will provide frequent reminders to employees to drink frequently, and
more water breaks will be provided.
3. On days that will exceed 75 degrees F, every morning there will be short tailgate
meetings to remind workers about the importance of frequent consumption of
water throughout the shift.
4. Place water containers as close as possible to the workers, not away from them.

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5. When drinking water levels within a container drop below 50%, the water shall be
replenished immediately; or water levels should not fall below the point that will
allow for adequate water during the time necessary to effect replenishment.
6. Disposable/single use drinking cups will be provided to employees, or provisions
will be made to issue employees their own cups each day.
7. Noise making devices, such as air horns, may be used to remind employee’s to
take their water break.

To ensure access to sufficient quantities of potable drinking water Supervisors must

either provide clean iced coolers or iced bottled water one quart per employee per
hour.

To encourage frequent drinking of potable water Supervisors must give adequate work
breaks and ensure employees are drinking water on regular intervals.

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IX. ACCESS TO SHADE

Access to rest and shade or other cooling measures are important preventive steps to
minimize the risk of heat related illnesses. 3395 (d) Employees suffering from heat
illness or believing a preventative recovery period is needed, shall be provided access
to an area with shade that is either open to the air or provided with ventilation or cooling
for a period of no less than five minutes. Such access to shade shall be permitted at all
times.

Procedures for providing Shade:

 Supervisor will set-up an adequate number of; umbrellas, canopies or other

portable devices, at the start of the shift and will relocate them to be closer to the
crew, as needed. Equipment should be placed in close proximity (i.e., no more
than 50-100 yards) to the work activity.
 Employees have access to office or construction trailer, or other building with air
conditioning.
 Every morning there will be short tailgate meetings (in the employees’ language)
to remind workers about the importance of rest breaks and the location of shade.
 Non-agricultural employers can use other cooling measures if they demonstrate
that these methods are as effective as shade.

To ensure access to shade at all time Supervisors shall provide easy ups when ambient
temperature exceeds 75 degrees F. To ensure that employees have access to a
preventative recovery period Supervisors shall ensure employees take regular breaks in
increasing amounts based on temperature.

X. HIGH HEAT PROCEDURES

When the temperature equals or exceeds 95 degree Fahrenheit, the Site Supervisors
shall implement the high-heat preventive procedures by:

1. Ensuring that effective communication by voice, observation, or electronic means

is maintained so that employees at the work site can contact a supervisor when
needed. An electronic device, such as a cell phone or text messaging device,
may be used for this purpose only if reception in the area is reliable.

This preventive measure is particularly important in circumstances where the

supervisor is not present at the site and needs to be immediately alerted of a
problem, such as when the outdoor temperature has suddenly spiked or the
water used for replenishing containers have run out.

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2. Observing employees for alertness and signs or symptoms of heat illness.

Recognition of signs or symptoms of heat illness by a supervisor is crucial for

assuring that sick workers be provided immediate access to shade and medical
treatment. Delay of prompt medical response is likely to occur if employees
working individually or in small groups suffer heat syncope, disorientation or loss
of consciousness or any other symptoms of heat illness without the supervisor’s
knowledge.

In instances where employees work in small groups without a supervisor present

throughout the shift, the supervisor must designate an employee with sufficient
experience and training to look for signs and symptoms of heat illness. Such a
designated observer must know what steps to take if heat illness occurs.

3. Reminding employees throughout the shift to drink plenty of water.

During period of high temperatures workers may be more likely to skip drinking
water and or take rest breaks because they are in a rush to finish their work, and
do not realize this can increase their risk of heat illness.

4. Close supervision of a new employee’s for the first 14 days of employment.

Exceptions to the close supervision requirements are if the employee indicates at
the time of hire that he or she has been doing similar outdoor work for at least 10
of the past 30 days for 4 or more hours per day.

It is important to supervising new employees to ensure that necessary preventive

measures such as frequent drinking of water and taking cool down breaks are
followed.

XI. EMERGENCY PROCEDURES

Written emergency procedures help reduce the risk of heat related illnesses, and
ensure that assistance is provided without delay. 3395 (e) (3) The Company’s
procedures required by subsections (e) (1) (B), (G), (H), and (I) shall be in writing and
shall be made available to employees and to representatives of the Division upon
request. These include:

 Procedures for complying with the requirements of this standard,

 Procedures for responding to symptoms of possible heat illness, including how
emergency medical services will be provided should they become necessary,
 Procedures for contacting emergency medical services, and if necessary, for
transporting employees to a point where they can be reached by an emergency
medical service provider;

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 Procedures for ensuring that, in the event of emergency, clear and precise
directions to the work site can and will be provided as needed to emergency
responders.

Procedures for complying with the Heat Illness Standard:

 All employees will be trained prior to working outdoors.

 Working hours will be modified to work during the cooler hours of the day, when
possible.
 When a modified or shorter work-shift is not possible, more water and rest breaks
will be provided.
 Supervisors will continuously check all employees, and stay alert to the presence
of heat related symptoms.
 Supervisors will carry cell phones or other means of communication, to ensure
that emergency services can be called, and check that these are functional at the
worksite prior to each shift.
 Every morning, workers will be reminded about address and directions to the
worksite and emergency procedures.

To reduce the risk of heat-related illness (HI) and respond to possible symptoms of HI
Supervisors shall monitor employees for heat related illnesses during hot days. In the
event of an emergency Supervisors shall keep emergency medical numbers to the
nearest location readily available.

XII. TRAINING

Training is critical to help reduce the risk of heat related illnesses and to assist with
obtaining emergency assistance without delay. 3395 (e) (1) Employee training: Training
in the following topics shall be provided to all supervisory and non-supervisory
employees:

 The environmental and personal risk factors for heat illness;

 The employer’s procedures for complying with the requirements of this standard;
 The importance of frequent consumption of small quantities of water, up to 4
cups per hour, when the work environment is hot and employees are likely to be
sweating more than usual in the performance of their duties;
 The importance of acclimatization;
 The different types of heat illness and the common signs and symptoms of heat
illness;

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 The importance to employees of immediately reporting to the employer, directly

or through the employee’s supervisor, symptoms or signs of heat illness in
themselves, or in co-workers;
 The employer’s procedures for responding to symptoms of possible heat illness,
including how emergency medical services will be provided should they become
necessary;
 The employer’s procedures for contacting emergency medical services, and if
necessary, for transporting employees to a point where they can be reached by
an emergency medical service provider;
 The employer’s procedures for ensuring that, in the event of an emergency, clear
and precise directions to the work site can and will be provided as needed to
emergency responders. Communication for employees shall be in a form readily
understandable by all affected employees.

Supervisor training: Prior to assignment to supervision of employees working in the

heat, training on the following topics shall be provided:

 The information required to be provided by section (e) (1) above.

 The procedures the supervisor is to follow to implement the applicable provisions
in this section.
 The procedures the supervisor is to follow when an employee exhibits symptoms
consistent with possible heat illness, including emergency response procedures.

Procedures for complying with the heat illness training provision:

 All employees will receive heat illness prevention training prior to working
outdoors. Especially all newly hired employees.
 On hot days, and during a heat wave, supervisors will hold short tailgate
meetings to review this important information with all workers.
 All newly hired workers will be assigned a buddy or experienced coworker to
ensure that they understood the training and follow the company procedures.
 Supervisors will be trained prior to being assigned to supervise outdoor workers.

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Appendix A - Guidelines for Heat Exposure Limits

Always monitor signs and symptoms of heat-stressed workers. Discontinue any activity
for a person when:
 Sustained heart rate greater than 160 beats per minute for those under 35 and
140 for those 35 and over.
 There are complaints of sudden and severe fatigue, nausea, dizziness,
lightheadedness, or fainting.
 There are periods of inexplicable irritability, malaise or flu-like symptoms.
 Sweating stops and the skin becomes hot and dry.

Apparent temperature, Heat Stress Index (HSI): A measure of how hot it really feels in
degrees Fahrenheit when relative humidity is factored with the actual air temperature.
This chart has been adapted from the National Weather Service’s “heat index” and an
adjustment has been made with the apparent temperature categories to match more
closely working in full sunshine. This guideline should be followed for employees not
wearing protective clothing.

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HIRING PROCEDURE

• Review employment applications and check all references.

• Schedule and conduct employment interviews with all perspective employees.

• Give perspective employee the Company Safety Handbook. Perspective

employee must study the Code of Safe Practices, Injury and Illness Prevention
Program, and Hazardous Communication Section in the Safety Handbook. They
will be tested on these programs and must score 75% or higher to be hired.

• Contact perspective employees' to schedule a time for the Pre Employment

Training.

• Schedule a pre-employment drug test and physical for perspective employee.

After approximately three days, the M.R.O will contact you with the results of the
drug test and physical. If drug test is negative and there are no restrictions on
physical abilities then proceed with hiring.

• Upon acceptable completion of the Pre-Employment and Hazardous

Communication Training, go through New Employee Checklist (Form 4061) at
the end of this section. Thoroughly review all documentation upon completion,
supervisor and new hire shall initial the checklist. Be sure that the employee
understands the company commitment to safety and what is expected.

• Turn the New Employee Checklist, acknowledgements, and testing information

into the main office for review and record keeping.

• Notify new employee that they are under a 30-day trial period. Notify the
foreman that he is responsible for ensuring that the new employee receives On-
The-Job Training.

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 NEW EMPLOYEE CHECK LIST

New or Reassigned Employee Safety, Health and Environmental Orientation

Prospective employee must initial the box(s) as the following Company policies are
discussed.

GENERAL
Employment application
I-9 and W-4
Pre-placement physical
Pre-employment Drug/Alcohol screen
Safety Manual issued and explained
Required attendance and participation in safety meetings explained
Required reporting to Supervisor of every injury, property loss, unsafe condition and every
unsafe practice
Lockout/Tagout Standard discussed
Confined Space/Safe Work Permit/Hot Work Standard discussed
Fire protection equipment and extinguishing agents discussed
Electrical safety training, as needed
Respiratory protection training, if applicable
Enforcement policy ( verbal, written, terminated )
Employee responsibility for preventing accidents
Discuss the safety suggestion box
HAZCOM overview training received, as needed
Accident Reporting and Investigation Procedures received and discussed
Review Drug and Alcohol Policy
Company Vehicle Policy reviewed
Vehicle safety inspection form reviewed
Hard hat issued
Safety glasses issued
Uniform and steeled toed boot policy reviewed
Policy for, PPE reviewed ( hard hat, ANSI Z87.1 safety glasses, steel toed boots ).
SAFETY INCENTIVE PROGRAM
Company Safety Incentive Program explained.
Employee agrees to fully cooperate with the safety efforts of the employer and use good
judgment, concerning safe behavior.

All of the above has been diligently and completely explained to me. I have read and
understand the safety expectations of the Company and understand what is expected of
me as an employee.

Employee Signature Date

Completed copies of this form must be kept in the safety files for a minimum of three years.

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TABLE OF CONTENTS

I. PURPOSE ................................................................................................................ 2
II. SCOPE ..................................................................................................................... 2
III. REFERENCES ......................................................................................................... 2
IV. RESPONSIBILITIES ................................................................................................. 2
V. DEFINITIONS ........................................................................................................... 3
VI. GENERAL REQUIREMENTS ................................................................................... 4

APPENDIX A

SAMPLE – TAGOUT DEVICE

APPENDIX B

PERIODIC (Lockout/Tagout) INSPECTION FORM

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I. PURPOSE

This policy establishes procedures for the safety of personnel working on equipment that
must be locked out to prevent the unexpected energization, start-up or release of stored
energy. They shall be followed by all employees whose duties require them to service,
repair, adjust, lubricate, or perform work activities in which the unexpected energization,
start-up or release of stored energy could cause injury. Hazardous energy includes, but
is not limited to, electrical, hydraulic, pneumatic, mechanical, chemical, thermal, stored
and momentum/gravity. These forms of energy must be eliminated, isolated or controlled
prior to servicing, repairing or maintaining equipment and machines.

II. SCOPE

These procedures are generic to provide direction to all operations. However, the OSHA
regulation requires specific procedures for different types of machines and equipment.
Therefore, each operating entity shall develop written procedures for the different types
of equipment in their operation. Similar machines and/or equipment (those using the
same type and magnitude energy), which have the same or similar types of controls, can
be covered with a single procedure.

This procedure does not apply to cord and plug connected electrical equipment if the
equipment is unplugged and the plug is in the exclusive control of the employee who is
performing the servicing or maintenance of that equipment. The cord and plug is
considered to be within the employee’s control if it is in sight or is otherwise under their
physical control. If the cord and plug is not within the employee’s sight or physical control,
a lockout device shall be attached to the plug in such a way that it shall not permit the
plug to be inserted into the outlet.

III. REFERENCES

Title 8 CCR 3203 Injury and Illness Prevention Program;

Title 8 CCR 3314 Cleaning, repairing, servicing and adjusting of prime movers;
29 CFR 1910.147 Control of hazardous energy (lockout/tagout)

IV. RESPONSIBILITIES

Safety Officer

 The Safety Officer will administer the Lockout/Tagout Program.

 Conduct or contract for employee training and notification.
 Ensure that an audit of the Lockout/Tagout program is conducted at least annually.
Those conducting the audit may Company employees but they may not audit their
own systems.

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Site Supervisors/Foremen shall be responsible for ensuring the following:

 Verifying the use of energy control procedures where the procedures are required.
 Assuring the availability of lock out devices.
 Assuring new process equipment is designed to accept a lock out device.

Employees / Contractors are responsible for ensuring the following:

 Using energy control devices and following the Energy Control Procedures.
 Verifying that process equipment is disengaged or de-energized before working on
the equipment.
 Helping develop Energy Control Procedures for equipment that currently does not
have procedures.
 Safely returning equipment to service.

V. DEFINITIONS

Affected Employee – An employee who operates equipment or machines on which

service or maintenance is being performed under lockout/tagout procedures, or whose
job requires him to work in an area in which such servicing or maintenance is being
performed.

Authorized Employee – An employee who is authorized to initiate the lockout/tagout

procedure on machines or equipment to perform servicing or maintenance, provided they
have received the proper training.

Blockout – A blockout may be necessary when potential energy does not a means for
lock and/or tag placement. Examples of this are when safety blocks, or stands, are
placed under raised equipment so that parts that may fall are braced. Another example
is when blinds are placed in piping systems so that substances cannot pass through.
Blocks and blinds do not de-energize equipment. Use them only after the machinery
has been isolated from its main energy sources.

Energized – Connected to an energy source or containing stored or residual energy.

Energy Isolating Device – A mechanical device that physically prevents the

transmission or release of energy including, but not limited to, the following: manually
operated electrical circuit breaker, disconnect switch, slip blind, blind flange, line valve,
a block or similar device, etc. This does not include a push button or selector type
switch.

Energy Source – Any source of electrical, mechanical, hydraulic, pneumatic, chemical,

thermal, pressurized piping, compressed air or other energy which, if unexpectedly
released, could cause injury to employees.

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Lockout – The placement of a lockout device or energy isolating device, in accordance

with an established procedure, to ensure that the energy isolating device and equipment
being controlled cannot be operated until the lockout device is removed.

Lockout Device – A device that uses a positive means such as a keyed lock or
combination lock to hold any energy isolating device in a safe position and prevent the
energizing of a machine or equipment. Examples include lockout hasps, valve lockouts,
chain with a lock and circuit breaker lockout.

Shall – Mandatory, must be done.

Should – Advisory, may be done.

Standard Operating Procedure (SOP) – A set of instructions written in such detail that
the desired operation can be performed repeatedly with a consistently desirable end
result.

Tagout – The placement of a tagout device on an energy isolating device, in accordance

with an established procedure, to indicate that the energy isolating device and the
equipment being controlled may not be operated until the tagout device is removed.

Tagout Device – A prominent warning device, such as a tag and a means of attachment,
which can be securely fastened to an energy isolating device, in accordance with an
established procedure, to indicate that the energy isolating device and equipment being
controlled may not be operated until the tagout device is removed. See Appendix A.

VI. GENERAL REQUIREMENTS

1. This program addresses potential energy from any source of electrical,

mechanical, hydraulic, pneumatic, chemical, thermal, or other energy. Other
energy may include potential exposure to steam, tension, gravity, ect..

2. Lockout Tagout devices shall indicate the identity (name) of the employee
applying the device.

3. Periodic inspections of the company Lockout/Tagout procedures are required to

be conducted and documented at least annually to ensure procedures &
requirements are being followed.

The Lockout/Tagout inspection shall be performed by someone other than those

actually using the procedure. A certified review of the inspection including date,
equipment, employees and the inspector should be documented on the form
shown in Appendix B.

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4. Before an authorized or affected employee turns off a machine or equipment, the

authorized employee shall have knowledge of the type and magnitude of the
energy, the hazards of the energy to be controlled, and the methods or means to
control the energy.

5. The machine or equipment shall be turned off or shutdown using the procedures
established for the machine or equipment. Refer to equipment shut down
procedures (if available). An orderly shutdown must be utilized to avoid any
additional or increased hazard(s) to employees as a result of the equipment
stoppage.

6. All energy isolating devices that are needed to control the energy to the machine
or equipment shall be physically located and operated in such a manner as to
isolate the machine or equipment from the energy source.

7. Stored energy and the possibility of re-accumulation:

1) Following the application of lockout or tagout devices to energy isolating

devices, all potentially hazardous stored or residual energy shall be
relieved, disconnected, restrained and otherwise rendered safe.
2) If there is a possibility of re-accumulation of stored energy level,
verification of isolation shall be continued until the servicing or
maintenance is completed, or until the possibility of such accumulation no
longer exists.

8. Prior to starting work on machines or equipment that have been locked or tagged
out; the authorized employee shall verify that isolation and deenergization of the
machine or equipment have been accomplished.

9. This program addresses specific procedures for handling multiple groups of

workers involved in a lockout. The procedure must afford the group of employees
a level of protection equal to that provided by a personal lockout or tagout device.
Refer to “Procedure Involving More Than One Person - GROUP LOCKOUT”
within this document.

10. The authorized employee should ascertain the exposure status of individual
group members. Each employee shall attach a personal lockout or tagout device
to the group's device while he/she is working and then remove it when finished.
During shift change or personnel changes, there should be specific procedures to
ensure the continuity of lockout or tagout procedures. Refer to “Procedure
Involving More Than One Person - GROUP LOCKOUT” within this document.

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Appendix A: Sample Tagout Device

Name Date Time

Name Date Time

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Appendix B: Periodic Inspection Form

LOCKOUT/TAGOUT PROCEDURE INSPECTION

Machine or Equipment Reviewed: ___________ Location:

Employees Included in the Inspection

Last Name First Name MI

Was the Lockout/Tagout Procedure performed correctly? YES NO

Do all employees understand their responsibilities in the procedure? YES NO
If tags were used, do the employees understand their limitations? YES NO

Employees Requiring Additional Training

Last Name First Name MI

Comments

Signature of Inspector/Supervisor Date

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TABLE OF CONTENTS

Purpose ........................................................................................................................... 2

Scope .............................................................................................................................. 2

Introduction ..................................................................................................................... 2

Safe work procedures for vacuum truck operators .......................................................... 2

Preventing exposure to toxic gases during transfer operations: ...................................... 3

Operator Responsibilities ................................................................................................ 3

Supervisor Responsibilities ............................................................................................. 3

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VACUUM TRUCK OPERATIONS

Purpose

This policy has been created to reduce, if not eliminate, the number of work related
incidents related to vacuum truck operations.

Scope

This program applies to company operated vacuum trucks, which is defined company
owned, leased, rented, or otherwise designated for Company use.

Introduction

During vacuum truck operations, workers are at risk of being exposed to many hazards.
The potential for releasing toxic gases exists whenever vacuum trucks suck up liquid
waste to be transported to disposal sites. Low levels of exposure to hydrogen sulfide
(H2S) can result in symptoms such as eye irritation, sore throat, nausea, and vomiting.
At high levels of exposure, workers not wearing the appropriate protective equipment
will pass out. Too much of the gas can kill a worker in seconds.

The tank on a vacuum truck is a confined space. An operator may be handling toxic
chemicals. If he enters the tank for any reason, he might be overcome by fumes. There
is only one way in and one way out of the tank, so it is a confined space in the truest
sense. Never enter a vacuum truck tank unless following comprehensive confined
space entry procedures.

Safe work procedures for vacuum truck operators

Safe work procedures for vacuum truck operators address the potential for chemical
reactions and the potential release of toxic gas or fumes. They also take into account
the variety of fluids or substances that vacuum trucks typically carry. Before starting any
vacuum truck operations make sure that workers understand the following:

 The hazards associated with the liquids or substances to be vacuumed or

transferred.
 The evacuation and rescue procedures in the event of a toxic gas leak.
 Ensure that air quality monitoring at the work site is continuous at such locations
as the discharge area of the vacuum truck venting hose.
 Ensure that first aid is readily available on site in the event of exposure to toxic
gas.
 Consult the manufacturer’s instructions to confirm that the vacuum equipment is
designed for the particular transfer operation.
 Ensure that all equipment, i.e. (tank, vacuum truck, and pumping equipment) is in
safe working condition.

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 Ensure back-up alarms are working properly.

 Use signal man while backing vacuum truck.
 Ensure hose ends are hobbled prior to work.
 Ensure all personnel are aware vaults and cellars are not to be entered. If it
becomes necessary to enter, update JSA and adhere to confined space entry
procedures.

Preventing exposure to toxic gases during transfer operations:

 Never transfer fluids from one truck to another unless it has been established
that no chemical reaction will occur.
 Position trucks to minimize exposure to any discharged gases and fumes.
 Ensure that discharge lines are long enough and large enough for safe operation.
 Position vent lines away from workers and workstations, including control panels,
valve handles, gauges, shut-offs, and hose attachment points. If possible, use a
vertical exhaust stack to divert exhaust gases away from workers and ignition
sources.
 Check air monitoring equipment during operations to confirm that venting is
proceeding safely.

Operator Responsibilities

Operator Responsibilities include monitoring the following:

1) Tank level indicators to avoid overfilling

2) Tank pressure gauges to avoid over pressurizing receiving tanks or creating
excessive vacuum in supply tanks
3) Tank temperature gauges to help identify possible chemical reactions
4) Minimize the air introduced into the system when pressure loading or unloading.
Submerge the suction line in liquid, or reduce the vacuum pump speed when
skimming or nearing the end of a load.
5) Maintain a log of transported fluids and any potential residue.
6) Use gravity loading and unloading whenever possible.
7) Use a vapor recovery system when available to avoid venting tanks directly to
the atmosphere.
8) Double valve and cap all connections prior to driving vehicle.
9) Always ground hose connections prior to transfer.
10) Never leave the truck unattended while running.
11) Splash caps on the bleeder valve.
12) Splash caps on all hoses.
13) Bypass filter installed.

Supervisor Responsibilities

Page 3 of 4
 SAFETY STANDARDS (Procedure ) Revision Number: 1
Section: 4.10 Vacuum Truck Operations Revision Date: 8/28/2015
File Name: P410

Before starting any vacuum truck operations, supervisors should:

1) Make sure that workers understand hazards associated with the substances to
be vacuumed and the evacuation procedures in the event of a toxic gas leak.
2) Ensure that air quality monitoring at the work site is continuous and first aid is
readily available on site.
3) Consult the manufacturer's instructions to confirm that the vacuum equipment is
designed for the particular transfer operation.
4) Ensure that all equipment including tank and vacuum trucks, and pumping
equipment, is in safe working condition.

Page 4 of 4
 SAFETY STANDARDS (Procedure ) Revision Number: 1
Section: 4.11 Vehicle Policy and Safe Driving Practices Revision Date: 8/28/2015
File Name: P411

TABLE OF CONTENTS

Purpose ........................................................................................................................... 2

Scope .............................................................................................................................. 2

Reference ........................................................................................................................ 2

Responsibilities ............................................................................................................... 2

Defensive Driving ............................................................................................................ 3

Commentary Driving Techniques .................................................................................... 3

General Vehicle Safety Rules ......................................................................................... 4

Training ........................................................................................................................... 5

Page 1 of 5
 SAFETY STANDARDS (Procedure ) Revision Number: 1
Section: 4.11 Vehicle Policy and Safe Driving Practices Revision Date: 8/28/2015
File Name: P411

VEHICLE POLICY

Purpose

According to the Bureau of Labor Statistics (BLS); more than 2,000 deaths a year are
caused by occupational motor vehicle incidents. This figure represents greater than 30
percent of the annual number of fatalities from occupational injuries. Vehicle Accidents
is the #1 cause of job related injuries and deaths. Therefore this policy has been
created to reduce, if not eliminate, the number of work related vehicle incidents in our
Company.

Scope
This program applies to motor vehicle safety while driving Company vehicles, which is
defined as the use of vehicles that are Company owned, leased, rented, or otherwise
designated for Company use, including personal vehicles used for Company business.

Reference

Best Practices - Vehicle Safety Training is not mandated by law.

Responsibilities

Supervisors shall be responsible for ensuring the following:

 Incident free driving on Company business.
 Verifying that drivers under their control have a valid and appropriately
designated driver’s license.
 Ensuring daily pre-trip inspections of the vehicle and its emergency equipment
are performed.
 Ensuring employee and passenger safety, including requiring the use of safety
belts.
 Reporting defects so that corrective action can be taken.


Employees / Contractors are responsible for ensuring the following:

 The safety of you and all passengers.
 Incident free driving on Company business.
 Driving with appropriate and valid driver’s license.
 Informing your supervisor in the event your driver’s license becomes suspended
for any reason.
 Completing daily pre-trip inspections and walk around of the vehicle and its
emergency equipment.
 Safely returning vehicles and equipment to service.

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 SAFETY STANDARDS (Procedure ) Revision Number: 1
Section: 4.11 Vehicle Policy and Safe Driving Practices Revision Date: 8/28/2015
File Name: P411

Defensive Driving

Incident free driving is the key responsibility of all Company personnel. To obtain this
goal requires the attitude of a professional defensive driver. A defensive driver is one
who drives to prevent incidents despite weather conditions, the actions of others, road
conditions, etc.

Defensive driving includes the following behaviors:

 Conducting pre-trip inspections of the vehicle and its emergency equipment.
 Walking around your vehicle prior to leaving.
 Ensuring passenger safety, including the use of safety belts.
 Reporting defects so that corrective action can be taken.
 Journey planning and anticipating delays.
 Eliminating distractions, such as cell phone/radio use, eating, or drinking.
 Obeying traffic laws.
 Ensuring that vehicle cab housekeeping is maintained.
 Utilizing defensive driving techniques at all times.

The Defensive Driving Principles of Space Cushion driving shall be observed. Allowing
adequate space for the vehicle and adequate visibility provides time to predict the
actions of others. It also allows the driver to avoid potentially dangerous situations and
to communicate their presence and/or intentions to other drivers.

The keys to Space Cushion driving are summarized as follows:

 Aim High in Steering

 Get the Big Picture
 Keep Your Eyes Moving
 Leave Yourself An Out
 Make Sure They See You

Commentary Driving Techniques

Commentary driving is a valuable training tool, it forms part of the process of becoming
an advanced driver. The ability to give a driving commentary will help you (amongst
other things) to improve your concentration level and to drive systematically. These are
two of the key areas that need development when learning to drive at the advanced
standard required by the advanced driving tests.
Quite a lot of drivers find it difficult to talk and drive at the same time. The reasons for
this range from the variation in the ways that our brains (as individuals) process
information, through to the simple fact that some people are embarrassed about talking
out loud as they drive.

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 SAFETY STANDARDS (Procedure ) Revision Number: 1
Section: 4.11 Vehicle Policy and Safe Driving Practices Revision Date: 8/28/2015
File Name: P411

When trying commentary driving for the first time some drivers slow down as they
struggle for words to describe the ever changing scene ahead.
In extreme cases the commentary can cause problems if one aspect of the driving
scene is dwelt on for too long.

The ability to give a running commentary, like any other aspect of driving, improves with
constant practice. Consider the following aspects of commentary driving:

 Keeping it relevant
 Keeping it simple
 The benefits for your training

A good commentary includes information about:

 The driver's actions

 Weather conditions
 The actions of other road users
 Time and location
 Physical features of the road
 The characteristics of the road surface
 Traffic signs and road markings

While talking about all the factors listed above the driver will be anticipating the likely
outcome of any developing situation and the action that will be taken to negotiate that
situation safely.

By talking out loud you will start to 'prioritize' areas which require a specific course of
action – in turn this will help to raise your awareness of the importance of planning
ahead.

Your commentary will help you to structure the way you think while driving.

General Vehicle Safety Rules

1. You shall have a valid driver’s license to drive any vehicle on company premises.
All drivers of company vehicles must have the appropriate driver's license i.e.
(Class A, B, or C).

2. Each company vehicle must be inspected by the employee prior to driving. All
trash must be removed before you leave your vehicle at the end of day.

3. It is company policy for all drivers and passengers to wear seat belts.

4. Company vehicles are not to be used for non-Company business.

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 SAFETY STANDARDS (Procedure ) Revision Number: 1
Section: 4.11 Vehicle Policy and Safe Driving Practices Revision Date: 8/28/2015
File Name: P411

5. Use drive-through parking whenever possible to reduce backing accidents.

When parking your vehicle leave enough room ahead to allow exiting in forward
gear. Never leave a running vehicle unattended. Wheel chocks are required on
vehicles in excess of 1 ton capacity.

6. Perform the circle of safety, i.e. circle your vehicle prior to leaving to avoid hitting
low level objects. Do not back up any vehicle or equipment when you do not
have a clear view. Have an observer signal you if the rear view is blocked.

7. The maximum speed limit on any job site is 25 MPH, unless posted otherwise.

8. Never drive over unprotected flow lines or other barriers. Do not park in areas
that contain weeds or other combustible barriers.

9. Passengers may not ride outside the cad of any truck, i.e. they must not ride in
beds, on truck bumpers, running boards, or tailgates.

10. Pipe carrying racks must never be overloaded. All fittings, tools, supplies,
equipment and loose objects hauled on trucks must be firmly secured or
restrained to prevent them from falling off into the path of other vehicles.

11. All loads hauled on vehicles must be securely tied down with approved rope,
straps or chains. Under no circumstances shall a load be hauled without proper
tie downs. Before hauling a load make a quick walk around the vehicle to assure
all tool boxes are closed and that the load is secure. Use red flags on any load
that exceeds 4 feet overhang beyond truck, trailer or dolly.

12. When hauling a load check to be sure the load stays secure while under way. It's
a good idea to pull over and re-tighten your load periodically.

13. DO NOT stand near trucks when unbinding or unloading pipe.

14. NEVER attempt to perform work or drive a vehicle when you are impaired by
alcohol, medication or drugs.

15. Vehicles shall not be parked behind other vehicles or in such a position that
places the vehicle in another vehicle’s blind spot.

Training

All drivers of Company or rental vehicles must complete an initial defensive driving
course, participate in the commentary drive program, and participate in BBS
observations. Drivers shall also attend periodic refresher defensive driving course as
required.

Page 5 of 5
 VEHICLE INSPECTION REPORT

WEEK ENDING DATE: DRIVER:

CHECK ITEMS WHICH ARE DEFECTIVE (X) AND SUPPLY DETAILS ABOUT THE DEFECT IN THE “REMARKS”
SECTION BELOW. USE () IF INSPECTION WAS SATISFACTORY. MARK N/A FOR NOT APPLICABLE.

VEHICLE NO.: M T W T F S S TRAILER NO.: M T W T F S S

BRAKES (SERVICE) BRAKES
BRAKES (PARKING) BRAKE CONNECTIONS
BODY BUMPER
CLUTCH COUPLING DEVICE
COOLING SYSTEM DOORS
DEFROSTER HITCH
DRIVE LINE KINGPIN
ENGINE LANDING GEAR
EXHAUST SYSTEM LIGHTS
FRAME REFLECTORS
FUEL TANKS SECUREMENT SYSTEMS
HEATERS SUSPENSION SYSTEM
HORN TIRES
LEAKS WHEELS & RIMS
LIGHTS OTHER
OIL PRESSURE SAFETY/EMERGENCY EQUIPMENT
REAR VISION MIRRORS FIRE EXTINGUISHER
REFLECTORS FLAGS
SPEEDOMETER FUSES & FLARES
STEERING SYSTEM REFLECTIVE TAPE
SUSPENSION SYSTEM FIRST AID KIT
TIRES SEATBELTS
WHEELS & RIMS OTHER:
WINDOWS
WINDSHIELD WIPERS
OTHER: REMARKS:

CONDITION OF VEHICLE IS SATISFACTORY

I CERTIFY THAT I AM SATISFIED THAT THIS VEHICLE IS IN SAFE OPERATING CONDITION AND I HAVE
REVIEWED THE LAST VEHICLE INSPECTION REPORT AND VERIFIED THAT REQUIRED REPAIRS HAVE BEEN
COMPLETED.

DRIVER’S SIGNATURE DATE

ABOVE DEFECTS CORRECTED

ABOVE DEFECTS NEED NOT BE CORRECTED FOR SAFE OPERATION OF VEHICLES

MECHANIC’S SIGNATURE DATE

4111
 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.01 Asbestos Awareness Revision Date: 8/28/2015
File Name: P501

TABLE OF CONTENTS

I. Recognition of Industry Asbestos Hazards ............................................................... 2

II. General Requirements .............................................................................................. 3

Page 1 of 3
 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.01 Asbestos Awareness Revision Date: 8/28/2015
File Name: P501

ASBESTOS AWARENESS

I. Recognition of Industry Asbestos Hazards

The first step in recognition of industrial asbestos hazards is to develop knowledge of

the types of construction materials that historically have contained asbestos. Common
materials that may contain asbestos include:

 sprayed-on insulation on ceilings or walls

 sprayed-on insulation on beams
 insulation around or in duct work
 boiler insulation
 pipe coverings
 ceiling, floor or wall tiles or panels
 fire walls and doors
 sprayed-on decorative surfaces
 gaskets in piping or other systems
 automotive braking systems (covered under general industry standard even
when found in a construction environment)

The second step is positive identification of asbestos in the material. This is done by
taking a bulk sample of the material and submitting it to a laboratory for analysis. Only
a small amount of the material is needed for analysis. The samples should be shipped
to the laboratory in 20-milliliter scintillation vials, 35-millimeter film canisters, or small
prescription bottles from pharmacies. Do not send samples in plastic bags or
envelopes, as these may break or leak and contaminate other samples in the same
shipment and/or the laboratory environment and personnel. The recommended
analytical technique is polarized light microscopy.

To obtain samples from some materials it may be necessary to use a scraping or cutting
tool, such as a penknife, putty knife or sheetrock knife. In some cases it may be
necessary to patch-up places where a sample has been taken. For example, duct tape
may be applied over a hole in pipe lagging.

In all cases, be careful not to overexpose yourself when taking a sample. Use of an
appropriate respirator and other protective equipment may be required.

NOTE: OSHA does not recommend the use of commercially available kits for screening
for the presence of asbestos in construction materials because of the following
problems:

Page 2 of 3
GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.01 Asbestos Awareness Revision Date: 8/28/2015
File Name: P501

II. General Requirements

1. Asbestos awareness training is required for employees whose work activities

may contact asbestos containing material (ACM) or presumed asbestos
containing material (PACM) but do not disturb the ACM or PACM during their
work activities. The training must be documented.

2. Possible locations where employees may be exposed to asbestos during their job
functions include: asbestos materials are used in the manufacture of heat-
resistant clothing, automotive brake and clutch linings, and a variety of building
materials including insulation, soundproofing, floor tiles, roofing felts, ceiling tiles,
asbestos-cement pipe and sheet, and fire-resistant drywall. Asbestos is also
present in pipe and boiler insulation materials, pipeline wrap and in sprayed-on
materials located on beams, in crawlspaces, and between walls.

3. Health effects of asbestos include respiratory disease and various types of

cancer. Exposure to asbestos has been shown to cause lung cancer, asbestosis,
mesothelioma, and cancer of the stomach and colon.

4. Employees will abide by warning signs and labels and will not disturb the
asbestos containing material. Signs and labels shall identify the material which is
present, its location, and appropriate work practices which, if followed, will ensure
that asbestos containing material (ACM) and/or presumed asbestos containing
material (PACM) will not be disturbed.

5. When working on multi-contractor worksites, employees shall be protected from

exposure. If employees working immediately adjacent to a Class I asbestos jobs
are exposed to asbestos due to the inadequate containment of such job, the
company shall either remove the employees from the area until the enclosure
breach is repaired or perform an initial exposure assessment.

Page 3 of 3
 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

TABLE OF CONTENTS

I PURPOSE ................................................................................................................. 2

II APPLICABILITY ........................................................................................................ 2

III DEFINITIONS ........................................................................................................ 2

IV GENERAL REQUIREMENTS ............................................................................... 3

V GENERAL PROGRAM MANAGEMENT ................................................................... 4

VI EXPOSURE DETERMINATION ............................................................................ 4

VII METHODS OF COMPLIANCE .............................................................................. 4

VIII PERSONAL PROTECTIVE EQUIPMENT (PPE) .................................................. 6

IX RESPONSE PROCEDURES ................................................................................ 6

X INFORMATION AND TRAINING............................................................................... 7

XI LABELING ............................................................................................................. 7

XII POST-EXPOSURE EVALUATION AND FOLLOW-UP ......................................... 8

XIII MAINTENANCE OF RECORDS............................................................................ 8

Appendix A ...................................................................................................................... 9

Page 1 of 9
 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

BLOODBORNE PATHOGEN POLICY

I PURPOSE

An infection control plan must be prepared for all persons who handle, store, use,
process, or dispose of infectious medical wastes, or may foreseeably be exposed to
blood or body fluids in the conduct of their job. This infection control plan was written to
comply with OSHA requirement, 29 CFR 1910.1030, Blood Borne Pathogens. The plan
includes requirements for personal protective equipment, housekeeping, training, and a
procedure for reporting exposures. Employees who provide 1st aid response as part
of their job task must be included in the program. Ordinarily, custodial workers do
not need to be included in the program, however, their jobs should be evaluated to
determine the risk of exposure for their particular worksite.

The purpose of the Bloodborne Pathogens Standard is to "reduce occupational exposure

to Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV), the virus that causes
AIDS, and other Bloodborne pathogens" that employees may encounter in their workplace.

II APPLICABILITY

The Bloodborne Pathogen program applies to all company personnel that can reasonably
anticipate exposure to blood or other infectious material. Exposure determinations shall be
made without regard to use of personal protective equipment, i.e. employees protected
with appropriate PPE are considered exposed in the determination. Exposure shall be
assumed for all personnel expected to provide emergency care and/or trained in First Aid
procedures.

III DEFINITIONS

Biological Hazard - The term biological hazard or biohazard is taken to mean any
viable infectious agent that presents a risk, or a potential risk, to the well
being of humans.

Medical Wastes/Infectious Wastes - All waste emanating from human or animal

tissues, blood or blood products or fluids. This includes used first aid bandages,
syringes, needles, sharps, material used in spill cleanup and contaminated PPE or
clothing.

Universal Precautions - Refers to a system of infectious disease control that assumes

that every direct contact with body fluids is infectious and requires every employee
exposed to be protected as though such body fluids were infected with blood-borne
pathogens. All infectious/medical material must be handled according to Universal
Precautions (OSHA Instruction CPL 2-2.44A)

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

Hazards - Unprotected exposure to body fluids presents the possible risk of infection
from a number of bloodborne pathogens notably Hepatitis and HIV.

Engineering Controls - Refers to prevention of exposure to bloodborne pathogens via

controls that include proper storage facilities and containers, autoclaves, and
disinfectant equipment.

Administrative Controls - Administrative controls include universal precautions,

assignment of PPE, employee training, use of spill kits specifically designed for blood
and body fluids, restricted access to waste collection points and waste disposal
procedures.

IV GENERAL REQUIREMENTS

1. Training shall be provided at the time of initial assignment and within 1 year of
their previous training.

2. Occupational exposure to blood or other potentially infectious materials requires

that all employers that can "reasonably anticipate exposure" of employees to
infectious material to prepare and implement a written exposure control plan. Site
specific exposure control plans shall be developed.

3. Universal precautions must be observed. Under circumstances in which

differential between body fluids is difficult or impossible, all body fluids will be
considered potentially infectious.

4. Employees will have access to a copy of the exposure control plan. Access to a
copy of the exposure control plan shall be provided in a reasonable time, place,
and manner.

5. Hand washing facilities must be readily available at all work locations or ensure
antiseptic solutions/ towelettes will be available for use. If provision of hand
washing facilities are not feasible, then an appropriate antiseptic hand cleanser in
conjunction with cloth/paper towels or antiseptic towelettes must be provided.

6. When the possibility of occupational exposure is present, PPE is to be provided

at no cost to the employee such as gloves, gowns, etc. PPE shall be used unless
employees temporarily declined to use under rare circumstances. PPE shall be
repaired and replaced as needed to maintain its effectiveness

7. All equipment or environmental surfaces shall be cleaned and decontaminated

after contact with blood or other infectious materials.

8. The Hepatitis B vaccine shall be available to all employees that have

occupational exposure at no cost to the employee(s).

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

9. Accurate records for each employee with occupational exposure must be

maintained for at least the duration of employment plus 30 years.

10. Training records shall be maintained for 3 years from the date of training.

V GENERAL PROGRAM MANAGEMENT

There are a number of general principles that should be followed when an employee has
occupational exposure to blood or other potentially infectious materials. Under all
circumstances it shall be assumed universal procedures apply, i.e. all body fluids shall be
considered potentially infectious.

1. It is prudent to minimize all exposure to bloodborne pathogens.

2. Risk of exposure to bloodborne pathogens shall never be underestimated.
3. Engineering and work practice controls shall be structured to eliminate or minimize
employee exposure to bloodborne pathogens.

Other Potential Infectious Materials (OPIM)

All occupational exposure to blood or other potentially infectious materials (OPIM)

place workers at risk for infection with bloodborne pathogens. OSHA defines blood to
mean human blood, human blood components, and products made from human blood.
Other potentially infectious materials (OPIM) means: (1) The following human body
fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid,
pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body
fluid that is visibly contaminated with blood, and all body fluids in situations where it is
difficult or impossible to differentiate between body fluids; (2) Any unfixed tissue or
organ (other than intact skin) from a human (living or dead); and (3) HIV-containing cell
or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other
solutions; and blood, organs, or other tissues from experimental animals infected with
HIV or HBV.

VI EXPOSURE DETERMINATION

Tasks and procedures in which occupational exposure to blood or other potentially

infectious materials can occur are as follows:

1. Care of Lacerations and Similar Wounds

2. Administering First Aid or CPR
3. Caring for Burned Skin

VII METHODS OF COMPLIANCE

Employee Access to Exposure Plan

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

Employees shall receive a copy of the exposure control plan upon hire. Additional
copies are available from the company Safety Representative upon request.

Communication of Hazards
Bloodborne Pathogen hazards shall be communicated to employees via information
within this policy, information booklets, training and warning labels/signs.

Universal Precautions
Universal Precautions will be used to prevent contact with blood and other potentially
infectious material. Unless it is known otherwise, all human blood, or bodily fluids will
be treated as if they are infected with HBV, HIV or other bloodborne pathogens.

Engineering Controls
The Safety Representative or his designee will work with department managers and
supervisors to review tasks and procedures performed at the work sites in situations
where engineering controls can be implemented and/or updated. Engineering controls
shall be examined and maintained or replaced on a regular schedule to ensure their
effectiveness.

The following engineering controls are used throughout each location:

 Hand washing facilities, which are readily accessible to all employees who have the
potential for exposure.

 If hand-washing facilities are not feasible, an appropriate antiseptic hand cleanser in

conjunction with cloth/paper towels or antiseptic towelettes shall be provided.

Work Practice Control

All appropriate work practice controls shall be in place as follows:

 Specimens of blood or potentially infectious materials must be put in leak proof bags
for handling.

 Hands are to be washed immediately or as soon as feasible, after removal of gloves

or other personal protective equipment.

 Following any contact of body areas with blood or any other potentially infectious
materials, wash hands and any other exposed skin with soap and water as soon as
possible. Flush exposed eyes, nose and/or mouth if any of these areas are
affected.

 In all procedures involving blood or other potentially infectious material, employees

should minimize splashing, spraying or other actions generating droplets of these
materials.

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

 Equipment or environmental surfaces shall be thoroughly cleaned &

decontaminated after contact with blood or other infectious material.

VIII PERSONAL PROTECTIVE EQUIPMENT (PPE)

Personal Protective Equipment is provided to Company employees for protection

against occupational exposure to blood and other potentially infectious material. It
shall be used when rendering aid and provided at no cost to employees. PPE shall
be appropriately sized for responders and readily available. PPE shall be
cleaned/laundered and properly disposed. The specific PPE available at Company
Facilities includes, but is not limited to, the following:

Type Available Locations

Disposable gloves In all first aid boxes

Safety glasses with solid side shields In all first aid boxes

Disposable pocket masks with one way valves In all first aid boxes

IX RESPONSE PROCEDURES

Incidents involving exposure to blood or other potentially infectious material are to

be dealt with as follows:

1. The employee is to report the incident to his/her direct supervisor before the
end of the work shift during which the incident occurred. The employee's
supervisor will notify the Safety Representative when the employee reports
the incident.

2. Employees who render first aid assistance in any situation involving the
presence of blood, or other potentially infectious material, regardless of
whether or not a specific exposure incident occurs will be offered a series
of Hepatitis B (HBV) immunizations at no cost to employee as soon as
possible, but no later than 24 hours following initial exposure. The
employee's direct supervisor is to inform the employee of this when the
exposure is reported.

3. The Safety Representative or his designee will contact the locally approved
Medical Facility to arrange for the exposed employee to receive the HBV
immunization series.

4. Exposed employees that decline the HBV vaccination series should read and
sign the OSHA Declination Form.

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GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

X INFORMATION AND TRAINING

Information will be provided to all employees during Company provided CPR/ Medic
First Aid / Bloodborne pathogens training program. The written policy may be
obtained from any Safety Representative, or within the Company Safety Manual.

All personnel assigned duties as deemed at risk of exposure will receive initial
and annual training by a qualified instructor on the Bloodborne Pathogen Policy.
Additionally, personnel trained in First Aid shall be offered this annual training. All
new and current affected Employees will be trained initially and annually
thereafter.

The content of the training program will include:

 Facility Policy
 Types and transmission of Blood-Borne Pathogens
 General Safety Rules
 Universal Precautions
 Use of Personal Protective Equipment
 Waste Disposal Procedures
 Post Exposure Treatment and Procedures
 HBV Vaccinations

XI LABELING

Warning labels must be affixed to containers of infectious waste. Labels must

include the BIOHAZARD legend and symbol. Labels must be fluorescent
orange or orange-red, or predominantly so, with lettering or symbols in
contrasting color.

 Labels should be affixed as close as possible to the container by

string, wire, adhesive, or another method that prevents loss or
unintentional removal.

 Labels for contaminated equipment must meet the specifications

above, and must state the portions of the equipment which remain
contaminated.

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

LABELS SHOULD DISPLAY THIS

UNIVERSAL BIOHAZARD SYMBOL

The area Safety Representative must be contacted to determine appropriate

disposal of biohazard waste.

XII POST-EXPOSURE EVALUATION AND FOLLOW-UP

Accident Investigation
If an employee is involved in an incident where exposure to blood or other
potentially infectious materials occurs:

 The exposed employee's supervisor will investigate the circumstances

surrounding the exposure incident.
 Make sure that medical consultation and treatment (if required) is provided
as quickly as possible.

XIII MAINTENANCE OF RECORDS

Documents related to the Company Bloodborne Pathogen Policy are maintained

in the main office. Accurate records for each employee with occupational
exposure must be maintained for at least the duration of employment plus 30
years.

Records include:

 Individual exposure and/or medical documents.

 Applicable training records, to include: date and content of training, name
and job title of personnel attending.

All records required by this section shall be made available upon request of
employees, Assistant Secretary and the Director for examination. and copying.
Medical records must have written consent of employee before released. The
employer shall comply with the requirements involving transfer of records set
forth in 29 CFR 1910.1020(h). The company Safety Representative is
responsible for maintaining medical and/or training records and has the overall
responsibility for the effectiveness of this policy.

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.02 Bloodborne Pathogen Policy Revision Date: 8/28/2015
File Name: P502

Appendix A

Record of Hepatitis "B" Vaccine Declination

I understand that due to my occupational exposure to blood or other potentially

infectious materials, I may be at risk of acquiring hepatitis B virus (HBV) infection. I
have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge
to me. However, I decline hepatitis B vaccination at this time. I understand that by
declining this vaccine, I continue to be at risk of acquiring Hepatitis B, a serious disease.
If in the future, I continue to have occupational exposure to blood or other potentially
infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive
the vaccination series at no charge to me.

Employee’s Name (Print) Date

Employee’s Signature Date

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TABLE OF CONTENT

I. PURPOSE ................................................................................................................ 2

II. SCOPE ..................................................................................................................... 2

III. REFERENCE ........................................................................................................ 2

IV. RESPONSIBILITIES.............................................................................................. 2

V. GENERAL REQUIREMENTS ............................................................................... 3

VI. ABC EVALUATION ............................................................................................... 4

VII. SEVERE BLEEDING ............................................................................................. 5

VIII. FIRST AID KIT INVENTORIES ............................................................................. 6

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I. PURPOSE

The Company Inc. will provide employees with CPR/First Aid training so that personnel
will be available for initial first aid treatment of injuries should an accident occur. Any
employee who feels they are not capable of administering CPR/First Aid should seek
immediate help by calling 9-1-1 for the victim of an accident and stay with the victim
until help arrives, or seek out another employee that can administer this service.

II. SCOPE

Each remote work site shall have a person certified in first aid and CPR available to
render emergency care. Although the Company does not have designated First
aid/CPR responders we do provide First Aid/CPR training for all of its employees every
two years. Employees are not required to respond to first aid or CPR events, but if they
feel they have adequate knowledge, training and capability, they may respond as “Good
Samaritans”.

III. REFERENCE

29 CFR 1910.151(b), Medical Services and First Aid

29 CFR 1910.1030(d), Bloodborne Pathogens
29 CFR 1926.23, First Aid and Medical Attention
CCR Title 8, Sections 1512 and 3400, Emergency Medical Services and First Aid

IV. RESPONSIBILITIES

 Site supervisors shall ensure first aid kits are inspected before being sent to each
job and weekly to ensure expendable items are replaced as necessary.

 Site supervisors shall keep a list of appropriate emergency phone numbers, for
hospitals, physicians, ambulance and other emergency services necessary in the
event an injured person must be transported.

 Site supervisors shall ensure appropriate fresh water, drinking cups, washing
facilities are available at each site.

 Site supervisors shall ensure appropriate eye wash facilities are available when
employees are exposed to corrosive materials.

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V. GENERAL REQUIREMENTS

1. In the absence of an infirmary, clinic, hospital, or physician, that is reasonably

accessible in terms of time and distance to the worksite, which is available for the
treatment of injured employees, a person who has a valid certificate in first aid
shall be available at the worksite to render first aid.

2. A valid certificate in first aid training must be obtained from the U.S. Bureau of
Mines, the American Red Cross, or equivalent training that can be verified by
documentary evidence.

3. First aid supplies must be readily available and easily accessible when required

4. First aid kits shall consist of appropriate items which will be adequate for the
environment in which they are used (refer to inventory list shown above). For
construction operations, items shall be stored in a weather proof container with
individual sealed packages of each type of item.

5. Site Supervisors shall ensure the availability of adequate first aid supplies, and
periodically reassess the demand for supplies and adjust their inventories. For
construction operations, first aid kits shall be checked before being sent out to
each job and at least weekly.

6. Proper site specific equipment for prompt transportation of the injured person to a
physician or hospital or a communication system for contacting necessary
ambulance service shall be provided.

7. Where the eyes or body of any person may be exposed to injurious corrosive
materials, suitable facilities shall be provided within the work area.

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VI. ABC EVALUATION

The initial evaluation of a victim should follow the procedure developed by the American
Red Cross for basic life support, called the “ABC Evaluation” (Airway, Breathing,
Circulation).

A review of the procedure for performing ABC evaluation is provided in the table below.

Step Action Explanation

1 Check for  If the victim responds, monitor condition and
responsiveness consider obtaining medical attention for the
victim.
 No additional action is required by the rescuer.
 If the victim does not respond, call for help and
proceed to Step 2.
2 Position the victim  If necessary, move the victim so he/she is lying
on their back.
3 Clear the victim’s  Open the airway by using the head-tilt/chin-lift
airway method.
 Look into the victim’s mouth and remove anything
that is blocking or could block the airway.
4 Determine whether or  Place your cheek next to the victim’s nose and
not the victim has mouth to feel an exchange of air for 3 to 5
stopped breathing seconds.
 At the same time, watch for any chest movement.
 If the victim is breathing, proceed to Step 5.
 If breathing has stopped, begin rescue breathing.
5 Locate the carotid  Initially place the tips of two fingers on the larynx
artery to feel if the (voice box).
heart is circulating  Gently slide your fingers into the groove between
blood the voice box and the large muscle of the neck.
 Feel for the victim’s pulse
If circulation has stopped, begin CPR.

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File Name: P503

VII. SEVERE BLEEDING

Severe bleeding is the result of a wound to large vessels of the body and MUST be
controlled quickly.
Prior to performing any first aid on a bleeding victim, you should:

 Call for medical help or have someone else call while first aid is being initiated.
 Use personal protective clothing such as surgical gloves, mask, and other protective
items from the first aid kit.

Control severe bleeding by referring to the table below to identify and initiate the correct
procedure.

If the bleeding… Then…

Can be controlled with a: 1. Place a clean pad, handkerchief, or cloth over the
 clean pad wound and press firmly with your hands
 handkerchief, or
 cloth
Note: If you do not have a pad or bandage, close the
wound with your hand or fingers.
2. Apply pressure directly over the wound.
3. Hold the pad firmly in place with a bandage,
necktie, or cloth strip, etc.
If the bleeding… Then…
is the result of an injury Apply pressure at a point and then if not controlled
such as amputation, apply a tourniquet to the wound by:
mangled, or crushed arms
or legs and CANNOT be 1. finding a strong, wide piece of cloth;
controlled with the 2. placing it immediately above the wound, making
procedure described sure that it is just tight enough to stop the bleeding,
above and;
3. notify medical responders that a tourniquet is in
place.

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File Name: P503

VIII. FIRST AID KIT INVENTORIES

First aid kits will be provided by the company. The size of the kit will be determined by
the number of employees it will serve. The contents of the first aid kits shall be stored in
a weatherproof container with individually sealed packages and inspected regularly (at
least weekly) to ensure that the expended items are replaced. The contents of first aid
kits shall be arranged to be quickly found and remain sanitary. Each kit has been
approved by our company physician and should include at a minimum:

Truck Kits (up to 10 people)

32 Sheer Bandages, 3/4X3" 4 NON-STICK pads medium

2 KLING Gauze Bandages, 2" 2 Oval Eye Pads

1 Triangle Bandages 1 First Aid Tape, 1/2x180"
10 Antiseptic Wipes 1 First Aid Guide
2 Disposable Gloves 2 Burn Cream, 1/8 oz. packs
2 CPR Barriers

JOB SITE KITS (up to 25 people)

32 Sheer Bandages, 3/4x3" 2 KLING Gauze Bandages, 2"

4 NON-STICK pads medium 2 Oval Eye Pads

1 Triangle Bandages 1 First Aid Tape, 1/2x180"
10 Antiseptic Wipes 2 Burn Cream, 1/8 oz. packs
2 Disposable Gloves 20 Flex. Fabric Bandages,1x3
2 CPR Barriers 4 NON-STICK Pads Small
1 First Aid Guide 1 Elastic Bandage, 2"
1 Scissors & Tweezers 1 Instant Cold Pack, Small

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JOB SITE KITS (up to 100 people)

4 Disposable Gloves 12 Burn Cream, 1/8 oz. packs

30 Antiseptic Wipes 2 First Aid Tape, 1/2x180"
2 Triangle Bandages 4 KLING Gauze Bandages, 2"
4 NON-STICK pads medium 4 Oval Eye Pads
1 First Aid Guide 100 Sheer Bandages, 3/4x3"
4 CPR Barriers 40 Flex. Fabric Bandages, 1x3
2 NON-STICK Pads Small 1 Elastic Bandage, 2"
2 Instant Cold Pack, 41/2x6" 1 Scissors & Tweezers
10 Plastic Bandages , Ex. Lg. 10 Flex. Fabric Knuckle Band.
10 Flex. Fabric Finger Band. 2 NON-STICK Pads, Medium
2 NON-STICK Pads, Large 2 NU-Gauze Sterile Sponges
2 KLING Rolled Bandages, 4" 2 Combined Dressings, 5x9"
1 Tourniquet, 3/4x36" 1 Elastic Bandage 2"
1 First Aid Cream, 8oz. 2 Ophthalmic Irrigating Fld.
1 Rescue Blanket, 56"x 84"

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TABLE OF CONTENTS

I. PURPOSE ................................................................................................................ 2

II. REFERENCE............................................................................................................ 2

III. GENERAL REQUIREMENTS ................................................................................... 2

IV. SAFETY REPRESENTATIVE RESPONSIBILITIES: ................................................ 3

V. WORKPLACE FIRE HAZARDS................................................................................ 4

VI. POTENTIAL IGNITION SOURCES .......................................................................... 5

VII. FIRE PROTECTION EQUIPMENT ........................................................................... 5

VIII. MAINTENANCE OF FIRE PROTECTION EQUIPMENT .......................................... 5

IX. FIRE EXTINGUISHER INSPECTION AND MAINTENANCE ................................... 6

X. TRAINING ................................................................................................................ 6

XI. RESPONSIBLE PROCEDURES .............................................................................. 8

XII. FIRE PREVENTION GUIDELINES ........................................................................... 8

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FIRE PREVENTION AND PROTECTION

I. PURPOSE

OSHA's Fire Prevention Plan regulation, requires the company, to have a written fire
prevention plan (FPP). This plan applies to all operations in our company where
employees may encounter a fire.

This FPP is in place at this company to control and reduce the possibility of fire and
to specify the type of equipment to use in case of fire. This plan addresses the
following issues:

 Major workplace fire hazards and their proper handling and storage procedures.
 Potential ignition sources for fires and their control procedures.
 The type of fire protection equipment or systems which can control a fire
involving them.
 Regular job titles of personnel responsible for maintenance of equipment and
systems installed to prevent or control ignition of fires and for control of fuel
source hazards.

II. REFERENCE

TITLE 8 CCR, subsection 3221, Fire Prevention Plan

29 CFR 1910.38, Emergency Action Plans

III. GENERAL REQUIREMENTS

The plan is closely tied to our emergency action plan where procedures are described
for emergency escape and route assignments, procedures to account for all employees
after emergency evacuation has been completed, rescue and medical duties for those
employees who perform them. Please see the emergency action plan for this
information.

1. Fire equipment training (an educational program) shall be provided to employees

whose duties require the use of fire protective equipment. The goal is to
familiarize employees with the general principles of fire extinguisher use and the
hazards involved in incipient stage fire fighting.

2. Training will be provided before initial assignment and annually thereafter.

3. Portable fire extinguishers are subjected to monthly visual inspections and an

annual maintenance check.

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IV. SAFETY REPRESENTATIVE RESPONSIBILITIES:

The assigned Safety Representative is responsible for the following activities. He must:

1. Develop a written fire prevention plan for day and evening work conditions.
2. Immediately notify the Long Beach fire or police departments, and the building
owner/superintendent in the event of a fire affecting the office.
3. Integrate the fire prevention plan with the existing general emergency plan
covering the building occupied.
4. Distribute procedures for reporting a fire, the location of fire exits, and evacuation
routes to each employee.
5. Conduct drills to acquaint the employees with fire procedures, and to judge their
effectiveness.
6. Satisfy all local fire codes and regulations as specified.
7. Train designated employees in the use of fire extinguishers and the application of
medical first-aid techniques.
8. Keep key management personnel home telephone numbers in a safe place in
the office for immediate use in the event of a fire. Distribute a copy of the list to
key persons to be retained in their homes for use in communicating a fire
occurring during non-work hours.
9. Decide to remain in or evacuate the workplace in the event of a fire.
10. If evacuation is deemed necessary, the Operations Manager ensures that:

o All employees are notified and a head count is taken to confirm total
evacuation of all employees.
o When practical, equipment is placed and locked in storage rooms or desks for
protection.
o The building owner/superintendent is contacted, informed of the action taken,
and asked to assist in coordinating security protection.
o In locations where the building owner/superintendent is not available, security
measures to protect employee records and property are arranged as
necessary.

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V. WORKPLACE FIRE HAZARDS

It is the intent of this company to assure that accumulation of combustible waste

materials are controlled so that a fast developing fire, rapid spread of toxic smoke, or
an explosion will not occur. Employees are to be made aware of the hazardous
properties of materials in their workplaces, and the degree of hazard each poses.

Fire hazards at our facilities include, but are not limited to, oily waste, such as oily
rags, compressed gases contained in cylinders, and petroleum fuel materials.

Fire prevention measures must be developed for all fire hazards found. Once
employees are made aware of the fire hazards in their work areas, they must be
trained in the fire prevention measures developed and use them in the course of
their work. For example, oil soaked rags must be treated differently than general
paper trash in office areas. In addition, large accumulations of waste paper or
corrugated boxes, etc., can pose a significant fire hazard. Accumulations of
materials which can cause large fires or generate dense smoke that are easily
ignited or may start from spontaneous combustion, are the types of materials with
which this fire prevention plan is concerned. Such combustible materials may be
easily ignited by matches, welder's sparks, cigarettes and similar low level energy
ignition sources. It is the intent of this company to prevent such accumulation of
materials.

Certain equipment is often installed in workplaces to control heat sources or to

detect fuel leaks. An example is a temperature limit switch often found on deep-fat
food fryers found in restaurants. There may be similar switches for high temperature
dip tanks, or flame failure and flashback arrester devices on furnaces and similar
heat producing equipment. If these devices are not properly maintained or if they
become inoperative, a definite fire hazard exists. Again employees and supervisors
should be aware of the specific type of control devices on equipment involved with
combustible materials in the workplace and should make sure, through periodic
inspection or testing, that these controls are operable. Manufacturer's
recommendations should be followed to assure proper maintenance procedures.

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VI. POTENTIAL IGNITION SOURCES

Flammable or combustible materials may not ignite on their own without an external
source of ignition.

The following procedures are used to control known ignition sources at this
company: no accumulation of oily rags; cylinders are inspected and maintained in
proper working condition; fuel materials are not exposed to external ignition sources

VII. FIRE PROTECTION EQUIPMENT

Fire protection equipment, selected and purchased by the Operations Manager, in

use at this company includes the following extinguishers to protect from the various
types of fire hazards.

Type of Fire: B, flammable liquids, gases and greases. Type of Extinguisher: B or

ABC, foam, carbon dioxide, dry chemicals
In addition, Fire hoses are also present to control fires. They are located at various
places throughout the plants.

VIII. MAINTENANCE OF FIRE PROTECTION EQUIPMENT

Once hazards are evaluated and equipment is installed to control them, the
equipment must be monitored on a regular basis to make sure it continues to
function properly.

Housekeeping Procedures

Our company controls accumulations of flammable and combustible waste materials

and residues so that they do not contribute to a fire. We have identified the following
potential hazards in our facility:

Accumulation of oily rags

Open fuel oil containers
Stockpiled Paper products

The following procedures have been developed to eliminate or minimize the risk of
fire due to improperly stored or disposed of materials.

Keep floor free of paper and dust.

Store oily rags in specially designed containers.
Store all flammables in fire cabinets when not in use.

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IX. FIRE EXTINGUISHER INSPECTION AND MAINTENANCE

All Company vehicles (except personal vehicles) should be equipped with an

approved fire extinguisher. The size of the extinguisher should be determined by the
anticipated need:

VEHICLE TYPE MINIMUM REQUIREMENT

Pickups and Cars 2-1/2 pound fire extinguisher
Heavy equipment, hydro-cranes 20-pound fire extinguisher
ect…

 Fire extinguishers are an important segment of any fire protection program.

Fire extinguishers should be:

a. Accessible
b. Properly maintained
c. Inspected monthly by trained personnel and documented
d. Inspected annually by qualified personnel and documented

 The supervisor is responsible for ensuring that all extinguishers are properly
maintained and inspected. Each employee should know how to identify and
report extinguishers needing recharging and/or maintained.

 Portable fire extinguishers shall be inspected visually monthly and re-certified

on an annual basis. Appropriate records of annual certifications shall be kept
with each individual fire extinguisher.

X. TRAINING

At the time of a fire, employees should know what type of evacuation is necessary
and what their role is in carrying out the plan. In cases where the fire is large, total
and immediate evacuation of all employees is necessary. In smaller fires, a partial
evacuation of nonessential employees with a delayed evacuation of others may be
necessary for continued plant operation. We must be sure that employees know
what is expected of them during a fire to assure their safety.

This document is not one for which casual reading is intended or will suffice in
getting the message across.

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If passed out as a statement to be read to oneself, some employees will choose not
to read it, or will not understand the plan's importance. In addition, training on the
plan's content is required by OSHA.

A better method of communicating the fire prevention plan is to give all employees a
thorough briefing and demonstration.

Training, conducted on initial assignment, includes:

What to do if employee discovers a fire

Demonstration of alarm, if more than one type exists
How to recognize fire exits
Evacuation routes
Assisting employees with disabilities
Measures to contain fire (e.g., closing office doors, windows, etc. in
immediate vicinity)
Head count procedures (see EAP for details)
Return to building after the "all-clear" signal

If the Operation Manager has reason to believe an employee does not have the
understanding required, the employee must be retrained.

The Environmental Compliance Consultant certifies in writing that the employee has
received and understands the fire prevention plan training.

Because failure to comply with company policy concerning fire prevention can result
in OSHA citations and fines as well as employee injury, an employee who does not
comply with this program will be disciplined.

The Environmental Compliance Consultant provides training for each employee who
is required to use fire prevention equipment. Employees shall not use fire
prevention equipment without appropriate training. Training, before an individual is
assigned responsibility to fight a fire, includes:

Types of fires
Types of fire prevention equipment
Location of fire prevention equipment
How to use fire prevention equipment
Limitations of fire prevention equipment
Proper care and maintenance of assigned fire prevention equipment and
Extinguishing a small oil fire

Employees must demonstrate an understanding of the training and the ability to use
the equipment properly before they are allowed to perform work requiring the use of
the equipment.

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If the Operation Manager has reason to believe an employee does not have the
understanding or skill required, the employee must be retrained.

The Environmental Compliance Consultant certifies in writing that the employee has
received and understands the fire prevention equipment training.

XI. RESPONSIBLE PROCEDURES

In case of fire the following procedure should be used:

1. Summon help by whatever means available. Do not fight a fire before

alerting someone else.

2. Analyze the situation, considering:

a. Threat to life?
b. Damage to public property?
c. Evacuate or is extinguishing the fire possible?
d. Notification and assistance from outside authorities appropriate?
e. Hazardous or toxic chemicals present?

3. Isolate all fuel sources and/or threatened facilities.

4. Fighting a fire in the initial stages is considered incipient fire fighting. DO

NOT FIGHT FIRES BEYOND THE INCIPIENT STAGE UNLESS YOU
ARE TRAINED AND EQUIPPED TO DO SO AS A PART OF A FIRE
BRIGADE OR EMERGENCY RESPONSE TEAM. Such fire fighting
should be limited to trained personnel using fire extinguisher and water
streams at long range.

5. Locate the fire fighting equipment and approach the fire FROM THE
UPWIND SIDE. In the case of a gas fire, extinguish the fire by shutting off
the fuel source.

6. NEVER OPERATE AN EXTINGUISHER IN SUCH A MANNER THAT

ANY PART OF THE BODY IS LOCATED DIRECTLY IN FRONT OF THE
FILL CAP.

7. After the fire is extinguished, stand by to ensure that there are no

flashbacks.

XII. FIRE PREVENTION GUIDELINES

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1. Class A fire materials should not be stored in or used as construction

material in process areas.

2. Keep all buildings in which solvents or chemicals are being handled well
ventilated at all times.

3. Report and repair all hydrocarbon liquid or gas leaks immediately. If

immediate repairs are not possible, post an adequate warning sign, isolate
the area and take extra precautions against fire.

4. In the event of a hydrocarbon liquid or gas leak, extinguish all fires and
remove other sources of ignition immediately. Shut down engines and
other potential sources of ignition, such as pilot lights. Report the leak
promptly to the supervisor in charge. Shut off fuel supply or process if
possible.

5. Use soap suds when testing for gas leaks on connections. Never use an
open flame.

6. Use gasoline as a motor fuel only. Using gasoline as a cleaning agent on

Company property is strictly forbidden. Use a high flash point (140 +F)
safety solvent to clean tools, machinery and other similar equipment.
Wear gloves made of hydrocarbon-resistant rubber to protect hands.

7. Transport gasoline only in approved, clearly marked containers. Never

place gasoline containers inside car or truck passenger compartments.

8. Follow proper procedures when lighting direct-fired heater. Lighting

procedure stickers are available from your Compliance director.

9. Flame arresters should be properly maintained and inspection port covers

keep in place.

10. When transferring hydrocarbon (especially "flashing" liquids) form a line or

vessel to another container, the source container and the receiving
container should be electrically bonded to prevent ignition due to static
electricity.

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TABLE OF CONTENTS

I. PURPOSE ................................................................................................................ 2

II. SCOPE ..................................................................................................................... 2

III. APPLICABILITY .................................................................................................... 2

IV. REFERENCE ........................................................................................................ 2

V. DEFINITIONS ........................................................................................................ 2

VI. RESPONSIBILITIES.............................................................................................. 3

VII. EMPLOYEE RIGHTS ............................................................................................ 3

VIII. GENERAL REQUIREMENTS ............................................................................... 4

IX. LIST OF HAZARDOUS CHEMICALS.................................................................... 5

X. PROPOSITION 65 LISTED CHEMICALS ............................................................. 5

XI. HAZARDOUS CHEMICAL COMMONLY FOUND ON SITE ................................. 6

XII. SAFETY DATA SHEETS....................................................................................... 7

XIII. LABELS AND OTHER FORMS OF WARNING ..................................................... 7

XIV. PICTOGRAMS AND HAZARDS ........................................................................ 8

XV. NON-ROUTINE TASKS ........................................................................................ 9

XVI. TRAINING .......................................................................................................... 9

XVII. SUBCONTRACTORS AND MULTI-EMPLOYER SITES ................................. 10

XVIII. ADDITIONAL INFORMATION.......................................................................... 11

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I. PURPOSE

This written Hazard Communication Plan covers the requirements of OSHA’s Hazard
Communication Standard. Our Company is committed to administering legally and
morally correct actions to protect its employees, contractors, the surrounding
communities and the environment from exposure to chemical and/or hazardous
substances.

II. SCOPE

To ensure that information about the dangers of hazardous chemicals used at our
locations is known by all affected employees, the following hazard information program
has been established. Under this program, you will be informed of the contents of
OSHA’s hazard communication standard, the hazardous properties of chemicals with
which you work, safe handling procedures, and measures to take to protect yourself
from these chemicals.

III. APPLICABILITY

This program applies to all work operations in our company where you may be exposed
to hazardous chemicals under normal working conditions or during an emergency
situation. All work units of this company will participate in the hazard communication
program. Copies of the program are available in the main office for review by any
interested employee.

Our Safety Representative is the program coordinator who has overall responsibility for
the program. He will review and update the program, as necessary. Copies of the
written program may be obtained from him at the main office.

IV. REFERENCE

29 CFR 1910.1200, Hazard Communication

CCR Title 8, Section 5194, Control of Hazardous Substances

V. DEFINITIONS

Hazardous Chemical: means any chemical which is classified as a physical hazard or

a health hazard, a simple asphyxiant, combustible dust, pyrophoric gas, or hazard not
otherwise classified.
Health Hazard: means a chemical which is classified as posing one of the following
hazardous effects: acute toxicity (any route of exposure); skin corrosion or irritation;
serious eye damage or eye irritation; respiratory or skin sensitization; germ cell
mutagenicity; carcinogenicity; reproductive toxicity; specific target organ toxicity (single
or repeated exposure); or aspiration hazard.

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Globally Harmonized System (GHS): is an internationally agreed-upon system for

labeling, created by the United Nations. It is designed to replace the various
classification and labeling standards used in different countries by using consistent
criteria for classification and labeling on a global level.

Label: means an appropriate group of written, printed or graphic information elements

concerning a hazardous chemical that is affixed to, printed on, or attached to the
immediate container of a hazardous chemical, or to the outside packaging.

Physical Hazard: means a chemical that is classified as posing one of the following
hazardous effects: explosive; flammable (gases, aerosols, liquids, or solids); oxidizer
(liquid, solid or gas); self-reactive; pyrophoric (liquid or solid); self-heating; organic
peroxide; corrosive to metal; gas under pressure; or in contact with water emits
flammable gas.

Safety Data Sheet (SDS): Formally known as Material Safety Data Sheet (MSDS);
means written or printed material concerning a hazardous chemical that is prepared in
accordance with the regulation.

VI. RESPONSIBILITIES

Management is responsible to ensure adequate resources are dedicated to provide for

compliance with the standard.

Employees must review this written hazard communication plan and:

 Follow all safety instructions provided by this plan and by your supervisor
 Complete hazard communication training and pass the test
 Obtain an SDS for any new chemical to be tested or purchased
 Forward new SDSs to the Safety Representative to facilitate updating SDS
binders.
 Label containers that are used for the transfer of chemicals (secondary or
portable containers)
 Read Safe Use Guide information and chemical labels prior to working with a
chemical
 Always wear personnel protective equipment specific to each chemical

VII. EMPLOYEE RIGHTS

Under the law, the hazard communication program also establishes rights for
employees:

1. You have the right to personally receive information regarding hazardous

substances to which you may be exposed.
2. You have the right for your physician or collective bargaining agent to receive
information regarding hazardous substances to which you may be exposed.
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3. You may exercise your rights under the provisions of the Occupational Safety
and Health Act (OSHA) without concern for any discharge or discrimination.
4. This written hazard communication program is available for you to read at any
time mutually acceptable between employer and employee.
5. You have the right to refuse to work with a toxic substance if you have not been
provided with SDS information within the prescribed time limits.
6. You may petition OSHA to have any chemical or substance added, removed or
modified on the OSHA toxic substance list.
7. You may request a copy of an SDS for a material to which you may be exposed.

VIII. GENERAL REQUIREMENTS

1. Employees shall be provided with effective information and training on hazardous

chemicals in their work area at the time of their initial assignment, and whenever a
new physical or health hazard the employees have not previously been trained
about is introduced into their work area. Information and training shall be designed to
cover categories of hazards (e.g., flammability, carcinogenicity) or specific
chemicals. Chemical-specific information must always be available through labels
and safety data sheets.

2. A written hazard communication program (this program) shall be developed,

implemented, and maintained at each workplace that describes how labels and other
forms of warning, safety data sheets, and employee information will be met.

3. A list of the hazardous chemicals known to be present at each location must be

maintained, using an identity that is referenced on the appropriate SDS.

4. When you are required to perform hazardous non-routine tasks (e.g., cleaning tanks,
entering confined spaces, etc.), special training will be provided in order to inform
you regarding the hazardous chemicals to which you might be exposed and the
proper precautions to take to reduce or avoid exposure.

5. Site specific programs shall have specific methods for providing information
concerning hazardous chemicals at job sites, methods of providing SDS sheets,
methods of precautionary measures to be taken and methods of providing
information on labeling systems. Where employees must travel between work places
during a work shift (multi job sites), the written program may be kept at a primary job
site. If there is no primary, then the program should be sent with employees.

6. Container labels shall contain the following information: Identity of hazardous

chemicals, appropriate hazard warnings and name and address of the chemical
manufacturer, importer or other responsible party.

7. Chemical manufacturers are responsible for developing SDSs. The Company shall
have a SDS for each chemical used.

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8. SDSs shall be maintained and readily accessible in each work area. SDSs can be
maintained at the primary work site. However, they must be available in case of an
emergency. SDS must be made available, upon request, to employees, their
designated representatives, the Assistant Secretary and the Director.

IX. LIST OF HAZARDOUS CHEMICALS

Our Safety Representative will make a list of all hazardous chemicals used at each
location, and will update the list as necessary. Our list of chemicals identifies all of the
chemicals used in our work areas. It identifies the corresponding SDS for each chemical
by using the same name as that used on the corresponding SDS. For example, if the
label says "DYCOTE 8" on the container, any time you want to know more about it, go
to the SDS listed under the name "DYCOTE 8". The labels of all containers shipped to
us from outside will also contain the name and address of the chemical manufacturer
who can be contacted if additional information is desired.

X. PROPOSITION 65 LISTED CHEMICALS

The Safe Drinking Water and Toxic Enforcement Act of 1986 requires that the Governor
revise and republish at least once per year the list of chemicals known to the State to
cause cancer or reproductive toxicity. The following chemicals are known to be on the
proposition 65 list and may be present at any job site.

Location Chemical Prop65

Field Diesel #2 (diesel exhaust is prop 65 listed) Cancer
Field Gasoline Unleaded (vapors are prop 65 listed) Cancer
Field Paints Cancer
Field Solvents Cancer
Field Thinners Cancer
Field Select Process Chemicals Cancer

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XI. HAZARDOUS CHEMICAL COMMONLY FOUND ON SITE

ACETONE CUTTING OIL

ACETYLENE GAS DE-EMULSIFIER FOR OIL
ADHESIVES DIESEL GAS, DIESEL OIL
AGGREGATE DRYWALL
ALUMINUM ETCHING AGENT ENAMEL
AMMONIA ETHYL ALCOHOL
ANTI-FREEZE EXPLOSIVES
ARSENIC COMPOUNDS ETCHING AGENTS
ASBESTOS FIBERGLASS
ASPHALT (PETROLEUM) FOAM INSULATION
BENZENE (and derivatives) FORM OILS
BLEACHING AGENTS FREON 20, R20 (AND OTHERS)
CARBON BLACK GALVANIZING MATERIALS
CARBON MONOXIDE (IN CYLINDERS) OUTLETS, SWITCHES
CAULKING, SEALANT AGENTS GASOLINE (PETROL, ETHYL)
CAUSTIC SODA (SODIUM HYDROXIDE) GLUES
CEMENT GRAPHITES
CHROMATE SALTS GREASES
CHROMIUM GROUTS
CLEANERS GYPSUM (CALCIUM SULFATE)
COAL TAR PITCH HELIUM (IN CYLINDERS)
COATINGS (BRUSH OR SPRAY) HYDRAULIC BRAKE FLUID
COBALT HYDAULIC ACID
CONCRETE CURING COMPOUNDS INKS
CREOSOL INSULATION
KEROSENE IRON
LEAD PHOTOGRAVURE INK (COPY
LIME MACHINES)
LIMESTONE PIPE COATINGS
LUBRICATING OILS PIPE THREADING OIL
LYE (SODIUM HYDROXIDE PLASTICS
SODIUM HYDROXIDE) POLISHES
MAGNESIUM PROPANOL
MASONRY MATERIALS PUTTY
METAL CONDUIT PVC-PIPE CEMENT
METALS ROOFING FELTS
METHANOL (METHYL ALCOHOL) SEALERS
METHYL ETHYL KETONE SOLDER, FLUX
(2-BUTANONE) SOLVENTS
MORTAR SOLDER, SOFT (LEAD, TIN)
MOTOR OIL ADDITIVES SULFURIC ACID
MURIATIC ACID THINNER, PAINT/LACQUER
NAPTHA (COAL TAR) TIN
NITROGLYCERIN DIOXIDE (IN TRANSITE
CYLINDERS) TURPENTINE, GUM SPIRIT
OXYGEN (IN CYLINDERS) VARNISHES
PAINT REMOVER WAXES
PAINT STRIPPER WOOD ALCOHOL (METHANOL)
PAINTS WOOD DUST

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XII. SAFETY DATA SHEETS

SDS's provide specific information on the chemicals in use. Our Safety Representative
will maintain a binder in his office with an SDS on every hazardous chemical on our
premises. Each SDS will be a fully completed OSHA Form 174 or the equivalent and
maintained as appropriate.

The Safety Representative will also make sure that each work site maintains an SDS for
the hazardous chemicals in that area at a place where it is readily available to
employees while they are at work. If you do not know where they are located, ask your
supervisor.

Our Safety Representative is responsible for acquiring and updating SDS's. He will
contact the chemical manufacturer or vendor if additional information is necessary or if
an SDS has not been supplied with an initial shipment. All new procurements for the
company must be cleared by the Safety Representative.

These Safety Data Sheets contain the following information about the chemicals in your
workplace and will be IN compliance with the GHS requirements.

Section 1. Identification
Section 2. Hazard(s) identification
Section 3. Composition/information on ingredients
Section 4. First-Aid measures
Section 5. Fire-fighting measures
Section 6. Accidental release measures
Section 7. Handling and storage
Section 8. Exposure controls/personal protection
Section 9. Physical and chemical properties
Section 10. Stability and reactivity
Section 11. Toxicological information
Section 12. Ecological information
Section 13. Disposal considerations
Section 14. Transport information
Section 15. Regulatory information
Section 16. Other information, including date of preparation or last revision

XIII. LABELS AND OTHER FORMS OF WARNING

Our Safety Representative will also ensure that all hazardous chemicals on work sites
are properly labeled and updated, as necessary. The labels list at least the chemical
identity, appropriate hazard warnings, and the name and address of the manufacturer,
importer or other responsible party.

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Container labels must contain the following information: Identity of hazardous

chemicals, appropriate hazard warnings and name and address of the chemical
manufacturer, importer or other responsible party. Company and/or employees shall
not remove or deface labels on incoming containers of hazardous chemicals.

Containers of products that include any hazardous chemical that is shipped from our
location will be checked by the Safety Representative or a person assigned to that
responsibility, in order to make sure all containers are properly labeled.

If there are a number of stationary containers within a work area that have similar
contents and hazards, each of them need not be labeled. However, signs will be posted
to convey the needed hazard information.

On our stationary process equipment, we may sometimes substitute regular process

sheets, batch tickets, blend tickets, and similar written materials for container labels—
but they will contain the same information as labels. If used, those written materials will
be readily available to you during your work shift.

If you transfer chemicals from a labeled container to a portable container that is

intended only for your immediate use, no labels are required on the portable container.

Pipes or piping systems do not have to be labeled but their contents will be described in
the training sessions. If you ever have any questions about pipes or their contents, ask
your supervisor.

XIV. PICTOGRAMS AND HAZARDS

Workplace chemical containers are labeled by the chemical manufacturer when

received. Under OSHA’s HAZCOM GHS standard, labels need to include the following:

 Pictogram: a symbol plus other graphic elements, such as a border, background

pattern, or color that is intended to convey specific information about the hazards of a
chemical. Each pictogram consists of a different symbol on a white background within a
red square frame set on a point (i.e. a red diamond). There are nine pictograms under
the GHS.
 Signal words: a single word used to indicate the relative level of severity of hazard and
alert the reader to a potential hazard on the label. The signal words used are "danger"
and "warning." "Danger" is used for the more severe hazards, while "warning" is used
for less severe hazards.
 Hazard Statement: a statement assigned to a hazard class and category that describes
the nature of the hazard(s) of a chemical, including, where appropriate, the degree of
hazard.
 Precautionary Statement: a phrase that describes recommended measures to be
taken to minimize or prevent adverse effects resulting from exposure to a hazardous
chemical or improper storage or handling of a hazardous chemical.

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XV. NON-ROUTINE TASKS

When you are required to perform hazardous non-routine tasks (e.g., cleaning tanks,
entering confined spaces, etc.), special training will be provided in order to inform you
regarding the hazardous chemicals to which you might be exposed and the proper
precautions to take to reduce or avoid exposure.

XVI. TRAINING

Everyone who works with or is potentially exposed to hazardous chemicals will receive
initial training from the Safety Representative (or his designee) on the hazard
communication standard and the safe use of those hazardous chemicals to which you
may be exposed.

A program that uses both audiovisual materials, classroom-type training, and/or on-the-
job training has been prepared for this purpose. The training program may vary among
workers but every worker will be trained in the OSHA hazard communication standard
and all chemicals to which he or she may be exposed while at work.

Whenever a new hazard is introduced, additional training will be provided as

appropriate. Regular safety meetings may also be used to review the information
presented in the initial training. Site supervisors will be extensively trained regarding
hazards and appropriate protective measures so they will be available to answer
questions from employees and provide daily monitoring of safe work practices. If you
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are ever unsure about what you should do or uncertain about the consequences of any
action you plan to take, DON'T ACT. Ask your supervisor beforehand!

The training plan will emphasize these items:

 Summary of the standard and this written program.

 Chemical and physical properties of hazardous materials (e.g., flash point,

reactivity) and methods that can be used to detect the presence or release of
chemicals (including chemicals in unlabeled pipes).

 Physical hazards of chemicals (e.g., potential for fire, explosion, etc.).

 Health hazards, including signs and symptoms of exposure, associated with

exposure to chemicals and any medical condition known to be aggravated by
exposure to the chemical.

 Procedures to protect against hazards (e.g., personal protective equipment

required, proper use, and maintenance; work practices or methods to assure
proper use and handling of chemicals; and procedures for emergency response).

 Work procedures to follow to assure protection when cleaning hazardous

chemical spills and leaks.

 Where SDS's are located, how to read and interpret the information on both
labels and SDS's, and how employees may obtain additional hazard information.

The Safety Representative or designee will regularly review our employee training
program and advise management on training or retraining needs. As part of the
assessment of the training program, he or she may want to obtain input from employees
regarding the training they have received, and their suggestions for improving it. If you
have any suggestions, give them to your supervisor. He or she will see to it that they are
provided to the appropriate party.

Retraining is required when the hazard changes or when a new hazard is introduced
into the workplace. It is also company policy to provide training whenever it is needed to
whoever needs it. If you do not think you are fully or properly trained, or if you ever feel
you need additional training in any aspect of your job or your work environment, report
that to your supervisor immediately!

XVII. SUBCONTRACTORS AND MULTI-EMPLOYER SITES

Upon notification by the responsible supervisor, our Safety Representative or a person

specifically designated for the purpose will provide outside contractors with notice of any
chemical hazards that may be encountered in the normal course of their work on the
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premises, the labeling system in use, the protective measures to be taken, the safe
handling procedures to be used, and the location and availability of SDS’s. Each
contractor bringing chemicals on-site must provide us with the appropriate hazard
information on those substances, including the labels used and the precautionary
measures to be taken in working with those chemicals.

XVIII. ADDITIONAL INFORMATION

All employees, or their designated representatives, can obtain further information on this
written program, the hazard communication standard, applicable SDS’s, chemical
information lists and any other safety or health matter that may interest or concern them
at our main office.

Non-English speaking employees’ information shall be presented in their native

language. Labels shall be legible and in English.

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 SAFETY STANDARDS ( PROCEDURES ) Revision Number: 1
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File Name: P506

TABLE OF CONTENTS

I. Purpose .................................................................................................................... 2

II. Policy ........................................................................................................................ 2

III. Definitions ................................................................................................................. 2

IV. Intent......................................................................................................................... 2

V. Responsibilities and Procedures............................................................................... 3

VI. Release from Light Duty Assignments ...................................................................... 3

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RESTRICTED DUTY/ LIGHT DUTY POLICY

I. Purpose
The purpose of this policy is to provide a mechanism for the Company to assist injured
employees to return to work as soon as possible after an accident, injury, or illness.

II. Policy
Return-to-work policies include light and alternate duty assignments whereby
employees with work related injuries or illnesses are encouraged to return to work as
soon as possible, in accordance with the operational needs of the Company and the
medical restrictions established by the treating physician. The safety representative will
help facilitate early return-to-work activities, as required to ensure a quick return to work
of the employee.

III. Definitions

Light Duty (also known as modified duty): A situation where an employee returns
from a workrelated injury to modified or restricted duties in the previously held position.

Alternate Duty: A situation where temporary medical restrictions preclude return to

duty in the employee's previous position, and a temporary assignment to an alternate
position is offered within the home department or a hosting department.

Department: The department to which the employee is assigned during her/his normal
employment.

Safety Representative - The person that provides, or assists in providing alternate duty
to an injured employee.

IV. Intent
Where practical, Company employees on temporary disability due to a workers'
compensation covered injury will be afforded the opportunity to return to work in light or
alternate duty status.

In either of these instances, the duty being offered will meet the physician's
recommendations and be subject to the provisions of the Family and Medical Leave act,
on Leaves of Absence, and this policy.

Light duty policies should be used in all departments to keep an employee working and
productive. In situations where Light duty is not practical, the department should initiate
and continue communications with the employee and the employee's physician to
expedite the employee's return to regular duty.

Employees on temporary disability leave suffering any permanent disability as defined

by the Americans with Disabilities Act (ADA) should be provided reasonable

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accommodations and considered for other positions in the Company for which they are
qualified.

V. Responsibilities and Procedures

Granting alternate/light duty is optional to the Company. The offer of alternate/light duty
may be terminated at any time in accordance with its operational needs. The offer or
termination of alternate/light duty must be communicated to the employee in writing
using the Bona Fide Offer of Employment. Under this scenario the Company is not
obligated to create alternate/light duty positions.

Each department should implement procedures that encourage employees who are
away from work due to a work-related injury or illness to return to work in such a
capacity as the employee is able. A safety representative and/or management
representative can facilitate this by identifying light duty assignments that conform to the
employee's particular limitations as prescribed by the treating physician.

This may consist of either modifying the employee's current job requirements (light duty)
or assigning the employee other responsibilities in another position (alternate duty).

Light duty may consist of any tasks, full or part-time, in an employee's position that they
are qualified to perform when unable to perform regularly assigned duties. This
procedure does not require elimination or reassignment of a substantial number of
essential functions related to the position.

Employees on light or alternate duty shall maintain their salary and status except in
such circumstances approved by the appropriate management representative. The
duration of light duty or alternate duty should be the lesser of the duration of the medical
restriction or three months. At the end of three months, the case shall be reviewed for
determination of status.

VI. Release from Light Duty Assignments

Following the employee's release for restricted duty by a physician, the department
should review the medical limitations relevant to the essential functions of the
employee's job description. The Company should offer the employee light duty if such
duty is compatible with the employee's medical restrictions and is available. The offer
must be in writing using a Bona Fide Offer of Employment.

If alternate duty is required, the Company should prepare an Alternate Duty Job
Description demonstrating that such duty is in accordance with the employee's medical
restrictions. The claimant's treating physician must sign the Alternate Duty Job
Description sheet. The Safety representative will assist departments in writing these
assignments, as needed. The management representative must approve any offer of
alternate duty prior to forwarding such an offer to the employee.

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The Bona Fide Offer of Employment should clearly state the following:

(1) The position offered;

(2) The hours of duty;
(3) The wages;
(4) Job description, including duty hours, and maximum physical requirements of the
position (lifting and approximate lbs., approximate time stooping, pushing,
standing, sitting, etc.);
(5) The address, location, and approximate distance in miles from the employee’s
residence; and
(6) The beginning and ending date of the position.

The employee's physician must review and certify that the employee can perform the
tasks defined. If the physician modifies the Alternate Duty Job Description, the physician
should recertify the job description. The Company maintains the right to withdraw the
offer of alternate duty if the job description, as modified by the physician, is
unacceptable to meet operational needs.

The employee who does not agree to or accept a bona fide offer of employment that
has been approved by her/his physician may be subject to disciplinary action (e.g.,
termination) and/or a reduction in income benefits as allowed by the Workers’
Compensation law.

The employee shall be required to provide the Company a medical report form the
attending physician following each physician's visit, but not less than every 30 days,
throughout the duration of relevant medical restriction. At the end of alternate duty, the
employee must return to regular duty, seek reassignment to a position that meets that
employee's capabilities, or be placed on disability leave in accordance with Company
policy.

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File Name: P507

TABLE OF CONTENTS

I. PURPOSE ................................................................................................................. 2

II. ADMINISTRATIVE DUTIES .................................................................................. 2

III. GENERAL REQUIREMENTS ............................................................................... 2

IV. RESPIRATOR SELECTION .................................................................................. 4

V. MEDICAL EVALUATIONS .................................................................................... 6

VI. FIT TESTING PROCEDURES .............................................................................. 7

VII. PROPER USE PROCEDURES ............................................................................. 8

VIII. MAINTENANCE AND CARE PROCEDURES ..................................................... 10

IX. AIR QUALITY PROCEDURES ............................................................................ 12

X. TRAINING ........................................................................................................... 14

XI. PROGRAM EVALUATION .................................................................................. 15

APPENDICES

APPENDIX A USER SEAL CHECK PROCEDURES ....................................15-16

APPENDIX B RESPIRATORY CLEANING PROCEDURES .........................17-18

APPENDIX C REFERENCES........................................................................19

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RESPIRATORY PROTECTION PROGRAM

I. PURPOSE
This respiratory protective equipment program initiates standard operating procedures
to ensure the protection of all employees from respiratory hazards through proper
selection and use of respirators. Respiratory protective equipment is to be used only
where engineering control of respiratory hazards is not feasible, while engineering
controls are being installed, or in emergencies. This program is in accordance with the
requirements of OSHA 29 CFR 1910.134.

II. ADMINISTRATIVE DUTIES

The designated Respiratory Protection Program Administrator is the Compliance
director. This person is solely responsible for all facets of the program and has full
authority to make necessary decisions to ensure success of this program. The Program
Administrator will develop written detailed instructions covering each of the basic
elements in this program, and is the sole person authorized to amend these
instructions.
He is also qualified by appropriate training and experience that is commensurate with
the complexity of the program to administer or oversee our Respiratory Protection
Program and conduct the required evaluations of program effectiveness.
Employees may review a copy of our Respiratory Protection Program in the Safety
Manual. The Program Administrator reviews this program periodically to ensure its
effectiveness. The Program Administrator may also amend the written program.

III. GENERAL REQUIREMENTS

1. Respiratory protection training must be completed initially and annually
thereafter. The training program must address employee knowledge of
respirators, fit, use, limitations, emergency situations, wearing, fit checks,
maintenance and storage, medical signs and symptoms of effective use, and
general requirements of the OSHA standard. The training must be provided
before requiring the employee to use the respirator.

2. Respiratory equipment will be provided to all employees that may be exposed to

harmful vapors and oxygen deficient atmospheres. Respirators are to be used
when engineering control measures are not feasible or during emergency
situations with high exposure. Respirators shall be provided that are applicable
and suitable for purpose intended.

3. The respiratory program administrator is the Safety Manager. This person is the
individual who is knowledgeable of the complexity of the program, able to
conduct evaluations and has the proper training.

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4. Respiratory protection equipment is provided by the company to all affected

employees at no cost.

5. Respiratory Hazards must be identified and NIOSH certified respirators must be

selected and provided based on those hazards and factors affecting
performance.

6. Medical evaluations shall be completed prior to fit-testing and be confidential,

held during normal working hours, convenient, understandable, and the
employee given a chance to discuss the results with the physician or other
licensed health care professional (PLHCP).

7. Fit-testing of tight-fitting face pieces must be done by either qualitative or

quantitative methods. Employees are required to pass qualitative fit test (QLFT)
or quantitative fit test (QNFT) before initial use, if a different respirator is used,
and annually.

8. If an employee cannot wear tight-fitting face pieces, if the seal is broken.

Anything that can affect the seal is prohibited. This includes facial hair, glasses,
etc. Respirators with tight-fitting facepieces shall not be worn by employees who
have facial hair that comes between the sealing surface of the facepiece and the
face or that interferes with valve function.

9. Employees must leave the area to wash, change cartridges, or if they detect
break-through or resistance The program administrator must address appropriate
surveillance, and ensure employees leave the area to wash, change cartridges,
or if they detect break-through or resistance.

10. If employees need to work in IDLH environments work will commence following
the IDLH selection criteria shown on page 5. Additionally, outside standby
persons must be provided, maintaining communication, proper training and
equipment, notification procedures, and necessary action to take in an
emergency. Mandatory equipment must include SCBA or SAR with auxiliary air
supply and appropriate retrieval equipment or equivalent rescue means.

11. Respirators must be maintained and cared for to ensure they are clean and
sanitary. Respirators are required to be provided in a clean and sanitary manner
using procedures in Appendix B of the regulation or equally effective
manufacturer's procedures. Our Safety Representative is responsible for
ensuring employees are maintaining and caring for respirators.

12. Respiratory protective equipment must be properly stored and inspected They It
must be protection from damage, contamination, etc. For emergency use
respirators must be stored accessible, clearly marked. Respirators must be
inspected on a routine basis - before use and during cleaning; emergency -

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monthly, and before and after each use; escape-only - before being carried into
workplace.

IV. RESPIRATOR SELECTION

Respirators are selected on the basis of respiratory hazards to which the worker is
exposed and workplace and user factors that affect respirator performance and
reliability. All selections are made by the Foreman, Compliance director, or designee.
Respirators, training and medical evaluations are provided at no cost to employees.
The Program Administrator will develop detailed written standard operating procedures
governing the selection of respirators using the NIOSH Respirator Decision Logic and/or
OSHA standards. Outside consultation, manufacturer's assistance, and other
recognized authorities will be consulted if there is any doubt regarding proper selection.

Selection Procedure Checklist

When selecting any respirator in general:

Select and provide respirators based on respiratory hazard(s) to which a worker is
exposed and workplace and user factors that affect respirator performance and
reliability.

Select a National Institute for Occupational Safety and Health (NIOSH) certified
respirator.

Identify and evaluate the respiratory hazard(s) in the workplace, including a reasonable
estimate of employee exposures to respiratory hazard(s) and an identification of the
contaminant's chemical state and physical form. Consider the atmosphere to be
immediately dangerous to life or health (IDLH) if you cannot identify or reasonably
estimate employee exposure.

Select respirators that provide protection to the employee, and correctly fits, the user.
When selecting respirators for IDLH atmospheres

Provide these respirators:

A full face piece pressure demand Self-contained, positive pressure, breathing

apparatus (SCBA) certified by NIOSH for a minimum service life of thirty minutes, or
 A combination full-face piece pressure demand supplied-air respirator Self-
contained breathing apparatus (SAR) with auxiliary self-contained air supply.

 Provide a NIOSH-certified 5-minute escape bottle to be used in conjunction with the

above respiratory protective equipment in IDLH conditions, or when using a
atmosphere-supplying respirator.

 Consider all oxygen-deficient atmospheres to be IDLH. Exception: If the program

administrator, or designee, can demonstrate that, under all foreseeable conditions,

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the oxygen concentration can be maintained within the ranges specified in Table II of
29 CFR 1910.134 (i.e., for the altitudes set out in the table), then atmosphere-
purifying respirators may be used.

When selecting respirators for atmospheres that is not IDLH

 Provide a respirator that is adequate to protect the health of the employee and
ensure compliance with all other OSHA statutory and regulatory requirements, under
routine and reasonably foreseeable emergency situations.

 Select respirators appropriate for the chemical state and physical form of the
contaminant.

 For protection against gases and vapors, provide:

 An atmosphere-supplying respirator, or
 An air-purifying respirator, provided that: (1) The respirator is equipped with an
end-of-service-life indicator (ESLI) certified by NIOSH for the contaminant; or (2)
If there is no ESLI appropriate for conditions in our workplace, implement a
change schedule for canisters and cartridges that is based on objective
information or data that will ensure that canisters and cartridges are changed
before the end of their service life.
 For protection against particulates, provide:
 An atmosphere-supplying respirator; or
 An air-purifying respirator equipped with a filter certified by NIOSH as a high
efficiency particulate air (HEPA) filter, or an air-purifying respirator equipped with
a filter certified for particulates by NIOSH; or
 For contaminants consisting primarily of particles with mass median aerodynamic
diameters (MMAD) of at least 2 micrometers, an air-purifying respirator equipped
with any filter certified for particulates by NIOSH.

Respirator Types and Uses

The following types of respirators are in use in this facility:

Types: Situation used:
30 Minute SCBA Emergency escape and Confined Space Entry
15 Minute SCBA Confined Space Entry (Escape Only)
Supplied Air Respirator (SAR), or Confined Space Entry
airline
Air Purifying Respirator (APR) Blasting/Painting/and some Chemical Loading

Only NIOSH-certified respirators are selected and used. Where practicable, the
respirators will be assigned to individual workers for their exclusive use.

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V. MEDICAL EVALUATIONS
A medical evaluation to determine whether an employee is able to use respiratory
protective equipment is an important element of an effective Respiratory Protection
Program and is necessary to prevent injuries, illnesses, and even, in rare cases, death
from the physiological burden imposed by respiratory protection equipment use.
Persons will not be assigned to tasks requiring the use of respirators nor fit tested
unless it has been determined that they are physically able to perform the work and use
the respirator.
An approved physician, licensed health care professional (PLHCP) and/or designee will
perform medical evaluations using a medical questionnaire found in Sections 1 and 2,
Part A of Appendix C of 29 CFR 1910.134.
All medical questionnaires and examinations are confidential and handled during the
employee's normal working hours or at a time and place convenient to the employee.
The medical questionnaire is administered so that the employee understands its
content. All employees are provided an opportunity to discuss the questionnaire and
examination results with their physician or other licensed health care professional
(PLHCP).
Before any initial examination or questionnaire is given, we supply the PLHCP with the
following information so that he/she can make the best recommendation concerning an
employee's ability to use a respirator:

 Type and weight of the respiratory protection equipment to be used by the

employee;
 Duration and frequency of respirator use (including use for rescue and escape);
 Expected physical work effort;
 Additional protective clothing and equipment to be worn;
 Temperature and humidity extremes that may be encountered.
Once the PLHCP determines whether the employee has the ability to use or not use
respiratory Protective equipment, he/she sends the a written recommendation
containing only the following information:

 Limitations on respirator use related to the medical condition of the employee, or

relating to the workplace conditions in which the respirator will be used, including
whether or not the employee is medically able to use the respirator;
 The need, if any, for follow-up medical evaluations; and
 A statement that the PLHCP has provided the employee with a copy of the PLHCP's
written recommendation.

Follow-up medical examination

A follow-up medical examination will be provided if a positive response is given to any

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question among questions 1 through 8 in Section 2, Part A of Appendix C of 29 CFR

1910.134 or if an employee's initial medical examination demonstrates the need for a
follow-up medical examination. Our follow-up medical examination includes tests,
consultations, or diagnostic procedures that the PLHCP deems necessary to make a
final determination.
If the respirator is a negative pressure respirator and the PLHCP finds a medical
condition that may place the employee's health at increased risk if the respirator is used,
our company shall provide a powered air-purifying respirator (PAPR), if the PLHCP's
medical evaluation finds that the employee can use such a respirator. In the above
case the company may choose to transfer an employee to a position that does not
require a respirator. If a subsequent medical evaluation finds that the employee is
medically able to use a negative pressure respirator, then the company is no longer
required to provide a PAPR.

Additional medical examinations

Our company provides additional medical evaluations if:

 An employee reports medical signs or symptoms that are related to ability to use a
respirator;
 A PLHCP, supervisor, or the respirator program administrator informs the employer
that an employee needs to be re-evaluated;
 Information from the respiratory protection program, including observations made
during fit testing and program evaluation, indicates a need for employee re-
evaluation; or
 A change occurs in workplace conditions (e.g., physical work effort, protective
clothing, and temperature) that may result in a substantial increase in the
physiological burden placed on an employee. Contact the approved
physician/licensed health care professional (PLHCP ) for a copy of your confidential
medical evaluation or questionnaire.

VI. FIT TESTING PROCEDURES

Respiratory protective equipment must fit properly to provide protection to users. If a
tight seal is not maintained between the facepiece and the employee's face,
contaminated air can be drawn into the facepiece and be breathed by the employee. Fit
testing seeks to protect the employee against breathing contaminated ambient air and is
one of the core provisions of our respirator program.
In general, fit testing may be either qualitative or quantitative. Qualitative fit testing
(QLFT) involves the introduction of a gas, vapor, or aerosol test agent into an area
around the head of the respirator user. If that user can detect the presence of the test
agent through subjective means, such as odor, taste, or irritation, the respirator fit is
inadequate.
In a quantitative respirator fit test (QNFT), the adequacy of respirator fit is assessed by

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measuring the amount of leakage into the respirator. Appropriate instrumentation is

required to quantify respirator fit in QNFT.
The Program Administer makes sure those employees are fit tested at the following
times with the same make, model, style, and size of respirator that will be used:

 Before any of our employees are required to use any respirator with a negative or
positive pressure tight-fitting facepiece;
 Whenever a different respirator facepiece (size, style, model, or make) is used;
 At least annually;
 Whenever the employee reports, or our company, PLHCP, supervisor, or Program
Administrator makes visual observations of changes in the employee's physical
condition that could affect respirator fit. Such conditions include, but are not limited
to, facial scarring, dental changes, cosmetic surgery, or an obvious change in body
weight; and
 When the employee, subsequently after passing a QLFT or QNFT, notifies the
company, Program Administrator, supervisor, or PLHCP that the fit of the respirator
is unacceptable. That employee will be re-tested with a different respirator
facepiece.
Employees must pass one of the following fit test types that follow the protocols and
procedures contained in 29 CFR 1910.134 Appendix A:

 QLFT (May be used to test tight-fitting atmosphere-supplying respirators and tight-

fitting powered air-purifying respirators if tested in the negative pressure mode); or
 QNFT (May be used to fit test a tight-fitting half facepiece respirator that must
achieve a fit factor of 100 or greater OR a tight-fitting full facepiece respirator that
must achieve a fit factor of 500 or greater OR tight-fitting atmosphere-supplying
respirators and tight-fitting powered air-purifying respirators if tested in the negative
pressure mode).

VII. PROPER USE PROCEDURES

Once the respirator has been properly selected and fitted, its protection efficiency must
be maintained by proper use in accordance with 29 CFR 1910.134(g). Our company
ensures with written procedures that respirators are used properly in the workplace.
Our company has used the following checklist to ensure that proper use procedures
include coverage of OSHA requirements:

Facepiece Seal Protection

 Do not permit respirators with tight-fitting facepieces to be worn by employees who

have:
 Facial hair that comes between the sealing surface of the facepiece and the face
or that interferes with valve function; or

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 Any condition that interferes with the face-to-facepiece seal or valve function.

 If an employee wears corrective glasses or goggles or other personal protective

equipment, ensure that such equipment is worn in a manner that does not interfere
with the seal of the facepiece to the face of the user.

 For all tight-fitting respirators, ensure that employees perform a user seal check
each time they put on the respirator using the procedures in 29 CFR 1910.134
Appendix B-1 (User Seal Check Procedures) or procedures recommended by the
respirator manufacturer that you can demonstrate are as effective as those in
Appendix B-1.

Continuing Respirator Effectiveness

 Appropriate surveillance must be maintained of work area conditions and degree of

employee exposure or stress. When there is a change in work area conditions or
degree of employee exposure or stress that may affect respirator effectiveness,
reevaluate the continued effectiveness of the respirator.

 Ensure that employees leave the respirator use area:

 To wash their faces and respirator facepieces as necessary to prevent eye or

skin irritation associated with respirator use; or
 If they detect vapor or gas breakthrough, changes in breathing resistance, or
leakage of the facepiece; or
 To replace the respirator or the filter, cartridge, or canister elements.
 If the employee detects vapor or gas breakthrough, changes in breathing
resistance, or leakage of the facepiece, replace or repair the respirator before
allowing the employee to return to the work area.

Procedures for IDLH Atmospheres

Ensure that:
 One employee or, when needed, more than one employee is located outside the
IDLH atmosphere;

 Visual, voice, or signal line communication is maintained between the employee(s) in

the IDLH atmosphere and the employee(s) located outside the IDLH atmosphere;

 The employee(s) located outside the IDLH atmosphere are trained and equipped to
provide effective emergency rescue;

 The employer or designee is notified before the employee(s) located outside the
IDLH atmosphere enter the IDLH atmosphere to provide emergency rescue;

 The employer or designee authorized to do so by the company, once notified,

provides necessary assistance appropriate to the situation;

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 Employee(s) located outside the IDLH atmospheres are equipped with:

 Pressure demand or other positive pressure SCBAs, or a pressure demand or

other positive pressure supplied-air respirator with auxiliary SCBA; and either:
 Appropriate retrieval equipment for removing the employee(s) who enter(s) these
hazardous atmospheres where retrieval equipment would contribute to the
rescue of the employee(s) and would not increase the overall risk resulting from
entry; or

 Equivalent means for rescue where retrieval equipment is not required under the
bullet item above this one.

VIII. MAINTENANCE AND CARE PROCEDURES

In order to ensure continuing protection from respiratory protective devices, it is
necessary to establish and implement proper maintenance and care procedures and
schedules. A lax attitude toward maintenance and care will negate successful selection
and fit because the devices will not deliver the assumed protection unless they are kept
in good working order.

Cleaning & disinfecting

Our company provides each respirator user with a respirator that is clean, sanitary, and
in good working order. We ensure that respirators are cleaned and disinfected using
the procedures below:
In Appendix B-2 of 29 CFR 1910.134 (refer to appendix B).

 Recommended by the respirator manufacturer. These procedures are of equivalent

effectiveness as Appendix B-2 of 29 CFR 1910.134.
The respirators are cleaned and disinfected at the following intervals:

Respirator type: Are cleaned and disinfected at the following

interval:
Issued for the As often as necessary to be maintained in a sanitary
exclusive use of an condition
employee
Issued to more than Before being worn by different individuals
one employee
Maintained for After each use
emergency use
Used in fit testing After each use
and training

Storage

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Storage of respirators must be done properly to ensure that the equipment is protected
and not subject to environmental conditions that may cause deterioration. We ensure
that respirators are stored to protect them from damage, contamination, dust, sunlight,
extreme temperatures, excessive moisture, and damaging chemicals, and they are
packed or stored in a clean dry place to prevent deformation of the facepiece and
exhalation valve. In addition, emergency respirators are kept accessible to the work
area; stored in compartments that are clearly marked as containing emergency
respirators; and stored in accordance with any applicable manufacturer instructions.

Inspection
In order to assure the continued reliability of respirator equipment, it must be inspected
on a regular basis. The frequency of inspection is related to the frequency of use. Here
are our frequencies for inspection:

Respirator type: Inspected at the following frequencies:

All types used in Before each use and during cleaning
routine situations
Maintained for use in
At least monthly and in accordance with the manufacturer's
emergency situations
recommendations, and checked for proper function before and
after each use
Emergency escape- Before being carried into the workplace for use
only respirators

Any one of our respirator inspections includes a check:

 For respirator function, tightness of connections, and the condition of the various
parts including, but not limited to, the facepiece, head straps, valves, connecting
tube, and cartridges, canisters or filters; and
 Of elastomeric parts for pliability and signs of deterioration.
 For self-contained breathing apparatus, in addition to the above, monthly, we
maintain air and oxygen cylinders in a fully charged state and recharge when the
pressure falls to 90% of the manufacturer's recommended pressure level and
determine that the regulator and warning devices function properly.
Also for respirators maintained for emergency use, we certify the respirator by
documenting the date the inspection was performed, the name (or signature) of the
person who made the inspection, the findings, required remedial action, and a serial
number or other means of identifying the inspected respirator. This information shall be
maintained until replaced following a subsequent certification.
See the attached respirator inspection records.

Repairs
Respirators that fail an inspection or are otherwise found to be defective are removed
from service, and are discarded or repaired or adjusted in accordance with the following

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procedures:

 Repairs or adjustments to respirators are to be made only by persons appropriately

trained to perform such operations and only with the respirator manufacturer's
NIOSH-approved parts designed for the respirator;
 Repairs must be made according to the manufacturer's recommendations and
specifications for the type and extent of repairs to be performed; and
 Reducing and admission valves, regulators, and alarms must be adjusted or
repaired only by the manufacturer or a technician who is certified by the
manufacturer.

Discarding of respirators
Respirators that fail an inspection or are otherwise not fit for use and cannot be repaired
must be discarded in a manner to ensure they are not used again.

IX. AIR QUALITY PROCEDURES

When atmosphere-supplying respirators are being used to protect employees it is
essential to ensure that the air being breathed is of sufficiently high quality. Our
company's procedures to ensure adequate air quality, quantity, and flow of breathing air
for atmosphere-supplying respirators include coverage of the following OSHA
requirements:

Compressed Air, Compressed Oxygen, Liquid Air, and Liquid Oxygen Used for
Respirators

 Compressed and liquid oxygen must meet the United States Pharmacopoeia
requirements for medical or breathing oxygen.

 Compressed breathing air must meet at least the requirements for Grade D
breathing air described in ANSI/Compressed Gas Association Commodity
Specification for Air, G-7.1-1989, to include:

 Oxygen content (v/v) of 19.5-23.5%;

 Hydrocarbon (condensed) content of 5 milligrams per cubic meter of air or less;
 Carbon monoxide (CO) content of 10 ppm or less;
 Carbon dioxide content of 1,000 ppm or less; and
 Lack of noticeable odor.

 Documentation for the quality of compressed breathing air must be kept with each
bottle and/or available at the location of intended use.

 Ensure that compressed oxygen is not used in atmosphere-supplying respirators

that have previously used compressed air.

 Ensure that oxygen concentrations greater than 23.5% are used only in equipment
designed for oxygen service or distribution.

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Cylinders Used to Supply Breathing Air to Respirators

 Cylinders must be tested and maintained as prescribed in the Shipping Container
Specification Regulations of the Department of Transportation (49 CFR 173 and
178), or acceptable manufacturer standards.
 Cylinders of purchased breathing air must have a certificate of analysis from the
supplier that the breathing air meets the requirements for Grade D breathing air.
 The moisture content in the cylinder must not exceed a dew point of -50 deg. F (-
45.6 deg. C) at 1 atmosphere pressure.

Compressors
 Ensure that compressors used to supply breathing air to respirators are constructed
and situated so as to:

 Prevent entry of contaminated air into the air-supply system;

 Minimize moisture content so that the dew point at 1 atmosphere pressure is 10
degrees F (5.56 deg. C) below the ambient temperature;
 Have suitable in-line air-purifying sorbent beds and filters to further ensure
breathing air quality. Sorbent beds and filters must be maintained and replaced
or refurbished periodically following the manufacturer's instructions; and
 Have a tag containing the most recent change date and the signature of the
person certified to perform the change. The tag must be maintained at the
compressor.
 For compressors that are not oil-lubricated, ensure that carbon monoxide levels in
the breathing air do not exceed 10 ppm.
 For oil-lubricated compressors, use a high-temperature and carbon monoxide alarm,
to monitor levels.

Breathing Air Couplings

 Ensure that breathing air couplings are incompatible with outlets for non-respirable
worksite air or other gas systems. No asphyxiating substance must be introduced
into breathing air lines.

Breathing Gas Containers

 Use breathing gas containers marked in accordance with the NIOSH respirator
certification standard, 42 CFR part 84, or other acceptable standard.

Filters, Cartridges, and Canisters

 Ensure that all filters, cartridges and canisters used in the workplace are labeled
properly with the NIOSH approval label and that the label is not removed and
remains legible.

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X. TRAINING
The most thorough respiratory protection program will not be effective if employees do
not wear and maintain respiratory protective equipment properly. Simply put, employee
training is an important part of the respiratory protection program and is essential for
correct respirator use.
Our training program covers both the:
1. Respiratory hazards to which our employees are potentially exposed during routine
and emergency situations, and
2. Proper use of respirators, including putting on and removing them, any limitations on
their use, and their maintenance.
Both training parts are provided prior to requiring an employee to use a respirator in our
workplace. However, if an employee has received training within 12 months addressing
the seven basic elements of respiratory protection (see "Seven basic elements" below)
and the Company and the employee can demonstrate that he/she has knowledge of
those elements, then that employee is not required to repeat such training initially.

We require all employees that will be wearing respiratory protective equipment to

be retrained annually and when the following situations occur:

 Any change in the workplace that requires a different type of respiratory protective
equipment to be worn;

 Inadequacies in the employee's knowledge or use of the respiratory protective

equipment indicate the employee has not retained the proper understanding or skill;
or

 Any other situation arises in which retraining appears necessary to ensure safe
respirator use.

Seven basic elements

Our employees are trained sufficiently to be able to demonstrate knowledge of at least
these seven elements:
1. Why the respirator is necessary and how improper fit, usage, or maintenance can
compromise the protective effect of the respirator.
2. What the limitations and capabilities of the respirator are.
3. How to use the respirator effectively in emergency situations, including situations
in which the respirator malfunctions.
4. How to inspect, put on, remove, use, and check the seals of the respirator.
5. What the procedures are for maintenance and storage of the respirator.

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6. How to recognize medical signs and symptoms that may limit or prevent the
effective use of respirators.
7. The general requirements of 29 CFR 1910.134.
The basic advisory information on respirators, as presented below is provided by our
Program Administrator and /or designee in any written or oral format, to employees who
wear respirators when such use is not required by the regulations or by our company:

Voluntary use of respirators

If in the event an employee feels like it is necessary to wear a respirator in an

environment where hazardous substances are below OSHA limits they must contact
their Compliance director and be entered into the respiratory protection program.
Exception: Employees whose only use of respirators involves the voluntary use of
filtering (non-sealing) facepieces (dust masks).

XI. PROGRAM EVALUATION

It is inherent in respirator use that problems with protection, irritation, breathing
resistance, comfort, and other respirator-related factors occasionally arise in most
respirator protection programs. Although it is not possible to eliminate all problems
associated with respirator use, we try to eliminate as many problems as possible to
improve respiratory protection and encourage employee acceptance and safe use of
respirators. By having our program administrator thoroughly evaluate and, as
necessary, revise our Respiratory Protection Program, we can eliminate problems
effectively.
Program evaluation, performed by your Program Administrator, involves the following:

 Conducting evaluations of the workplace as necessary to ensure that the provisions

of the current written program are being effectively implemented and that it
continues to be effective.

 Regularly consulting employees required to use respirators to assess their views on

program effectiveness and to identify any problems. Any problems that are
identified during this assessment must be corrected. Factors to assess include, but
are not limited to:

 Respirator fit (including the ability to use the respirator)

 Appropriate respirator selection for the hazards to which the employee is
exposed
 Proper respirator use under the workplace conditions the employee encounters
 Proper respirator maintenance

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APPENDIX A USER SEAL CHECK PROCEDURES

RE-PRINT OF: APPENDIX B-1 TO §1910.134:

USER SEAL CHECK PROCEDURES (Mandatory)

The individual who uses a tight-fitting respirator must perform a user seal check to
ensure that an adequate seal is achieved each time the respirator is put on. Either the
positive and negative pressure checks listed in this appendix, or the respirator
manufacturer's recommended user seal check method shall be used. User seal checks
are not substitutes for qualitative or quantitative fit tests.

I. Facepiece Positive and/or Negative Pressure Checks:

A Positive pressure check. Close off the exhalation valve and exhale gently
into the facepiece. The face fit is considered satisfactory if a slight positive
pressure can be built up inside the facepiece without any evidence of
outward leakage of air at the seal. For most respirators this method of
leak testing requires the wearer to first remove the exhalation valve cover
before closing off the exhalation valve and then carefully replacing it after
the test.
B. Negative pressure check. Close off the inlet opening of the canister or
cartridge(s) by covering with the palm of the hand(s) or by replacing the
filter seal(s), inhale gently so that the facepiece collapses slightly, and
hold the breath for ten seconds. The design of the inlet opening of some
cartridges cannot be effectively covered with the palm of the hand. The
test can be performed by covering the inlet opening of the cartridge with a
thin latex or nitrile glove. If the facepiece remains in its slightly collapsed
condition and no inward leakage of air is detected, the tightness of the
respirator is considered satisfactory.

II. Manufacturer's Recommended User Seal Check Procedures:

The respirator manufacturer's recommended procedures for performing a user
seal check may be used instead of the positive and/or negative pressure check
procedures provided that the employer demonstrates that the manufacturer's
procedures are equally effective.

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APPENDIX B RESPIRATORY CLEANING PROCEDURES

RE-PRINT OF: APPENDIX B-2 TO §1910.134:

RESPIRATOR CLEANING PROCEDURES (Mandatory)

These procedures are provided for employer use when cleaning respirators. They are
general in nature, and the employer as an alternative may use the cleaning
recommendations provided by the manufacturer of the respirators used by their
employees, provided such procedures are as effective as those listed here in Appendix
B-2. Equivalent effectiveness simply means that the procedures used must accomplish
the objectives set forth in Appendix B-2, i.e., must ensure that the respirator is properly
cleaned and disinfected in a manner that prevents damage to the respirator and does
not cause harm to the user.

I. Procedures for Cleaning Respirators:

A. Remove filters, cartridges, or canisters. Disassemble facepieces by

removing speaking diaphragms, demand and pressure-demand valve
assemblies, hoses, or any components recommended by the
manufacturer. Discard or repair any defective parts.

B. Wash components in warm (43° C [110° F] maximum) water with a mild

detergent or with a cleaner recommended by the manufacturer. A stiff
bristle (not wire) brush may be used to facilitate the removal of dirt.

C. Rinse components thoroughly in clean, warm (43° C [110° F] maximum),

preferably running water. Drain.

D. When the cleaner used does not contain a disinfecting agent, respirator
components should be immersed for two minutes in one of the following:

1. Hypochlorite solution (50 ppm of chlorine) made by adding

approximately one milliliter of laundry bleach to one liter of water at 43°
C (110° F); or,
2. Aqueous solution of iodine (50 ppm iodine) made by adding
approximately 0.8 milliliters of tincture of iodine (6-8 grams ammonium
and/or potassium iodide/100 cc of 45% alcohol) to one liter of water at
43° C (110° F); or,
3. Other commercially available cleansers of equivalent disinfectant
quality when used as directed, if their use is recommended or
approved by the respirator manufacturer.

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E. Rinse components thoroughly in clean, warm (43° C [110° F] maximum),

preferably running water. Drain. The importance of thorough rinsing
cannot be overemphasized. Detergents or disinfectants that dry on
facepieces may result in dermatitis. In addition, some disinfectants may
cause deterioration of rubber or corrosion of metal parts if not completely
removed.

F. Components should be hand-dried with a clean lint-free cloth or air-dried.

G. Reassemble facepiece, replacing filters, cartridges, and canisters where

necessary.

H. Test the respirator to ensure that all components work properly.

APPENDIX C REFERENCES

American National Standards Institute

Respiratory Protection, ANSI Z88.2

Barclays Official California, Code of Regulations (CCR)

Respiratory Protective Equipment, Cal/OSHA Title 8 CCR §1531

Department of Labor
Respiratory Protection, and Appendices, OSHA 29 CFR 1910.134
Approval of Respiratory Protective Devices, 42 CFR 84

Government Institutes, Inc., Rockville, Maryland

OSHA's Respiratory Protection Standard 1996, Mark McGuire Moran

National Institute Occupational Health (NIOSH)

Guide to Industrial Respiratory Protection-1987,
Guide to the Selection and Use of Particulate Respirators Certified Under
42 CFR 84 (4/23/96).

Page 18 of 18
 RESPIRATOR FIT TEST RECORD

A. Employee: Date:
Employee No:
Employee Job Title/Description:

Chemical Cartridge Dust/Fume/Mist

B. Respirator: Self-Contained Supplied Air w/Pre-Filter Filter
Chemical
Powered Air Cartridge Dust/Mist Filter HEPA Filter

Respirator Selected:
Manufacturer:
NIOSH Approval Number:
Model Number:

C. Conditions which could affect respirator fit:

Beard Dentures Glasses
Facial Scar Moustache None
Comments:

D. Fit Check:
Negative Pressure: Pass Fail Not Done
Positive Pressure: Pass Fail Not Done
Isoamyl Acetate: Pass Fail Not Done
Sweetner Test: Pass Fail Not Done
Irritant Smoke: Pass Fail Not Done
Comment:

E. Maintenance: Cleaning: Daily Weekly Other Individual None

Disposal: Daily Weekly Other Plant

F. Employee acknowledgement of test results:

Employee Signature: Date:

Test conducted by: Date:

5071
 SAFETY STANDARDS ( PROCEDURES ) Revision Number: 1
Section: 5.08 Subcontractor Management Program Revision Date: 8/28/2015
File Name: P508

TABLE OF CONTENTS

I. Purpose .................................................................................................................... 2

II. Contractor Selection Criteria ..................................................................................... 2

III. General Requirements .............................................................................................. 3

Page 1 of 4
 SAFETY STANDARDS ( PROCEDURES ) Revision Number: 1
Section: 5.08 Subcontractor Management Program Revision Date: 8/28/2015
File Name: P508

SUBCONTRACTOR MANAGEMENT PROGRAM

I. Purpose

This Subcontractor Management Program establishes and implements safe work

practices designed to minimize the risks associated with subcontract operations.

This Subcontractor Management Program also requires a detailed contractor selection

criteria. When selecting a contractor, site supervisors must obtain and evaluate
information regarding the contractor’s safety and environmental performance.

Management must also ensure that contractors have their own written safe work
practices. Agreement must be documented on appropriate contractor safety and
environmental policies and practices before the contractor begins work at any company
run facilities (refer to the company Master Service Agreement (MSA) required of all field
contractors).

Contracted employees must be knowledgeable and experienced in the work practices

necessary to perform their job in a safe and environmentally sound manner.
Documentation of each contracted employee’s expertise to perform his/her job and a
copy of the contractor’s safety policies, procedures and training records must be made
evaluated prior to awarding any contract.

II. Contractor Selection Criteria

A major step in achieving acceptable subcontractor performance is selecting a safe and

environmentally responsible contractor. Therefore, it is appropriate for management to
request that contractors submit specific performance information in their contract
response proposals.

Management must:

1. Perform periodic evaluations of the performance of contract employees that

verifies they are fulfilling their obligations, i.e. (site evaluation, incident tracking
and/or BBS observation), and
2. maintain a subcontractor employee injury and illness log for all applicable
subcontract work.

Site supervisors must inform subcontractors of any known hazards at the facility they
are working on including, but not limited to potential for fires, explosions, slips, trips,
falls, other injuries, and hazards associated with lifting operations.

Site supervisors must also develop and implement safe work practices to control the
presence, entrance, and exit of subcontract employees in operation areas.

Page 2 of 4
SAFETY STANDARDS ( PROCEDURES ) Revision Number: 1
Section: 5.08 Subcontractor Management Program Revision Date: 8/28/2015
File Name: P508

III. General Requirements

Safe work practices should meet the most current provisions of any applicable federal,
state, or local regulations. Company safety manuals clearly illustrate applicable safe
work practices required at each location. The company safety manual (or equivalent)
must be kept up to date and made readily available at each work site.

1. Subcontractors will be pre-qualified by reviewing their safety programs, safety

training documents, and safety statistics prior to issuing a Master Service
Agreement (MSA).

2. A series of safety metrics such as, Total Recordable Incident Rate (TRIR),
Experience Modifier Rating (EMR), Lost Time Incident Rate (LTIR), and Fatality
Rate shall be used as a criteria for selecting subcontractors.

Any subcontractor failing to meet the following minimum safety metric criteria
shall not be considered for work:

 Failing to maintain proper insurance coverage, MSA documentation, and/or

applicable contractor license.
 Being cited by OSHA or other agency for a significant violation within the
last three (3) years.
 Experience modification rating (EMR) in excess of 1.0 for the previous three
(3) year average.
 Total Recordable Incident Rate (TRIR) or Lost Time Incident Rate (LTIR)
for a contractor is in excess of 4.0.

The contractor safety questionnaire attached to the appendix of this document

shall be utilized for this purpose.

3. Subcontractors shall be included in pre-job meetings or kick-off meetings, and

safety orientations. Subcontractors must check in with the Company site
supervisor daily to ensure all applicable personnel are included in pre-job safety
orientations and pre-job meetings.

4. Subcontractors will be included in tailgate safety meetings, job safety analysis or

hazard assessments, and on the job safety inspections. Subcontractors must
check in with the Company site supervisor daily to ensure all applicable
personnel are included in regular job safety inspections and participate in job
hazard analysis.

Page 3 of 4
SAFETY STANDARDS ( PROCEDURES ) Revision Number: 1
Section: 5.08 Subcontractor Management Program Revision Date: 8/28/2015
File Name: P508

5. Post-job safety performance reviews are required of all subcontractors. At a

minimum a rehash of the subcontractors performance with regard to the safety
metrics stated above shall be completed by site supervisors upon completion of
job.

Page 4 of 4
 MASTER SERVICES AGREEMENT

This MASTER SERVICES AGREEMENT (the “Agreement”) is entered into this ___
day of _________________, 20__, by, between and among: (1) Fence Factory., a California
corporation (the "Company"); and (2) ________________________________________,
a____________________________ (the “Contractor”). The Company and the Contractor may
be referred to herein individually as a "Party" and collectively as the "Parties."

RECITALS:

WHEREAS, the Company is engaged in oil, gas and hydrocarbon drilling, operating and
production operations in the United States.

WHEREAS, the Contractor renders services and provides materials that are related and
incident to certain portions and various phases of the oil and gas drilling, operating and
production business.

WHEREAS, the Company and the Contractor are desirous of entering into this
Agreement for purposes of agreeing upon the manner, type, quantity and quality of Services (as
defined below) the Contractor agrees to provide for and on behalf of the Company, including the
Contractor’s compensation for the same, as well as otherwise providing for and establishing the
terms, conditions and provisions governing the independent contractor relationship provided for
herein.

NOW THEREFORE, in consideration of the covenants, agreements and undertakings

contained in this Agreement and in accordance with the terms, conditions and provisions set
forth herein, the Parties agree as follows:

SECTION I

“Purpose and Scope of Agreement”

This Agreement is a master contract and agreement between the Company and the
Contractor, and shall control and govern all services performed and materials supplied by the
Contractor and Contractor’s employees and other persons provided by the Contractor to render
and provide services under this Agreement (collectively the “Contractor Personnel”) to, for and
on behalf of the Company. The Contractor is in the business of performing, rendering, supplying
and providing the kinds and types of labor, services, work, products, materials, goods and
supplies that are related to the oil, gas and hydrocarbon business, including, but not limited to
those kinds and types of services and materials set forth in the national, state or local price sheets
and discount schedules, bid and quote sheets and forms, lists and schedules, materials, products,
supplies and goods, and descriptions of techniques, technology and technological expertise
attached hereto as EXHIBIT “A” and incorporated herein for all purposes by this specific
reference (collectively, the “Service(s)”). This Agreement shall be effective for all purposes as
of the earlier of the date the Services commence, or the date both Parties execute this Agreement
(the "Effective Date"). Unless the Parties agree otherwise in writing, this Agreement shall govern
and control solely with respect to the Services performed by the Contractor for the Company
within the United States and any and all states therein, as well as any federal and state territorial
waters, if applicable. The Services to be performed by the Contractor and any liabilities assumed
by the Contractor hereunder shall be governed and controlled solely by the terms of this
Agreement, and the Contractor may not transfer or assign any of its responsibilities or liabilities
under this Agreement to a third party.

SECTION II

“Independent Contractor Status”

The Contractor and Contractor Personnel shall be and hereby are independent contractors
with respect to all Services, and shall act as independent contractors at all times during the term
of this Agreement. Neither the Contractor nor the Contractor Personnel shall be deemed, for any
purpose whatsoever, to be an agent, servant, employee or representative of the Company. The
Contractor shall retain and exercise the authority and right to direct and control the manner in
which all Services are performed for the Company; however, the Company retains the right to
provide general instructions to and observe the Contractor in the performance of all Services
performed hereunder. The Contractor shall have no right or authority to supervise, instruct or
give orders to any of the Company’s employees, agents, representatives, consultants or
subcontractors, and all such persons shall be and remain under the Company’s direct and sole
supervision and control at all times. The Contractor and Contractor Personnel shall serve in an
advisory capacity only and shall have no right or power to bind the Company to any contracts or
agreements with third parties or otherwise without specific written authority from the Company.
The Contractor understands that, as an independent contractor, the Company does not provide to
the Contractor or Contractor Personnel any benefits such as medical insurance, dental insurance,
vacation plans, savings or retirement plans or any other similar benefit.

SECTION III

“Services”

The Services shall be the subject of a purchase order, work order, work ticket, change
order, field ticket, letter, memorandum, verbal acknowledgment or receipt order, verbal or
written instruction, or any other similar instrument, document or direction for Services issued by
the Company to the Contractor (collectively, the “Service Order(s)”). Service Orders may be
either oral or written and will provide or contain, where applicable, a description of the Services
to be performed and the consideration to be paid for same, as well as the specific personnel to be
provided and the particular job location where the Services will be performed. If the Service
Order is in writing, it may be in a form similar to EXHIBIT “B” attached hereto, or in any other
form agreed to by the Parties. All Service Orders shall be controlled and governed by this
Agreement, and shall not modify or change the terms contained herein. This Agreement shall
define and govern the rights and obligations of the Company and the Contractor during the term
hereof. Any other agreements, stipulations or provisions contained in any Service Order that are
contrary to or do not conform to the terms, conditions and provisions of this Agreement shall be
null and void, unless the same are in writing and have been executed by an authorized

-2-
representative of both the Company and the Contractor; and any such written instrument shall
contain and specifically state that a particular provision therein constitutes an amendment to or
otherwise controls a provision in this Agreement. However, in the event the Parties enter into a
separate contract or agreement concerning a specific project, service or product that is limited
solely to the subject matter thereof, then this Agreement shall not apply to such contract, unless
otherwise provided for therein.

SECTION IV

“Term and Termination”

This Agreement shall be effective as of the Effective Date and shall continue in full force
and effect until the earlier of: (A) _________________ (___) months after the Effective Date;
(B) sixty (60) days following the Company’s receipt of written notice of termination from the
Contractor; (C) at any time or immediately, in the sole discretion of the Company, by delivering
written notice of termination to the Contractor; or (D) upon a Party’s failure to cure an Event of
Default (as hereafter defined) within ninety (90) days following receipt of written notice of the
Event of Default by the other Party. An “Event of Default” means: (A) a breach of any warranty
or other material provision hereof; (B) failure to comply with any obligation required hereby; or
(C) the Contractor becomes subject to any bankruptcy, insolvency or receivership proceeding.
Upon termination of this Agreement, the Company may deduct unearned cash advances or other
payments due to the Company from any amounts owed to the Contractor. In no event shall the
Contractor be entitled to be paid for services that have not been performed by reason of such
termination, and the Contractor shall not be entitled to any compensation or damages for any loss
of future compensation or anticipated profits by reason of such termination. If the Contractor
terminates this Agreement, the Contractor shall complete any Services that have been
commenced prior to such termination. If the Company terminates this Agreement, the Company
shall have no further obligation to the Contractor, other than payment for Services properly
performed prior to such termination. Within ten (10) days after this Agreement terminates, the
Contractor shall remove any and all equipment and Contractor Personnel from the premises or
work site where the Services were being performed.

SECTION V

“Compensation”

A. The Company agrees to pay the Contractor, as full compensation for Services
actually performed, the amount provided for in the applicable Service Order or as may be agreed
upon prior to commencement of the Services; which amount shall be inclusive of all applicable
federal, state, county, city, municipal and local taxes, of any kind or type.

B. The Contractor shall be solely responsible for all of its general, administrative and
overhead costs, including but not limited to insurance and taxes. The Contractor shall be solely
responsible for and shall fully comply with all applicable laws, statutes, rules and regulations
concerning workers’ compensation insurance, Social Security, Medicare and Medicaid taxes,
unemployment insurance, federal, state and local income, sales, use, excise and gross receipts

-3-
taxes, hours of labor, wages, working conditions and all other employer/employee related
matters, including the proper filing and payment of all taxes which may apply to the Contractor.
The Company will timely prepare, issue and forward to the Contractor, in the year following the
calendar year in which Services are rendered, a federal Form 1099 reflecting all compensation
paid for such Services during the prior calendar year.
C. The Contractor shall assume full, exclusive and complete liability for, and agrees
to pay and discharge all valid taxes, lienable claims, license and permit fees, levies, charges,
contributions or other items imposed or to be imposed, assessed or levied by any governmental
authority, regulatory agency or law on, with respect to, measured by or associated with the
Contractor, the Services or any Contractor Personnel, including but not limited to value added,
capital gains, corporation or individual income taxes relating to or assessed upon the actual or
assumed income, profits or gains of the Contractor or Contractor Personnel, as well as
unemployment insurance, pensions, contribution plans and social security payments arising
directly or indirectly out of the performance of the Services.

SECTION VI

“Invoices and Payments”

A. The Contractor shall submit an invoice to the Company at least once each
calendar month for the Services performed during the preceding calendar month. Invoices shall
set forth in detail: (i) a description of the Services performed; (ii) the date(s) the Services were
performed; (iii) the rate charged for and total amount due for the Services; (iv) the location of or
area where the Services were performed; (v) any applicable well, project or location number or
description; (vi) any applicable purchase order, authority for expenditure, accounting or other
identifying number(s); and (vii) any other information reasonably requested by the Company.
All invoices shall be accompanied and supported by the applicable signed Service Order(s) and
all original delivery tickets, field tickets, work orders and other documentation reasonably
requested by the Company. Any obligation of the Company to reimburse expenses of any kind
shall be set forth in the applicable Service Order; provided, however, that no expenses other than
necessary, reasonable and verifiable expenses shall be reimbursed. The Contractor shall provide
original receipts or vouchers for such expenses with any request for expense reimbursement.

B. The Company shall pay all undisputed portions of any applicable invoice within
thirty (30) days after receipt of the invoice. In the event the Company disputes one or more
items in an invoice, the Company shall, within thirty (30) days after receipt of such invoice,
notify the Contractor of the item or items being disputed and the reasons therefor. The Company
may withhold payment for such disputed items until settlement of the dispute. Payments made
hereunder shall not in any event prejudice the right of the Company under Section XII of this
Agreement to question the propriety, reasonableness, necessity or accuracy of any costs, charges
or expenses.

-4-
 SECTION VII

“Contractor’s Responsibilities and Warranties”

A. Unless otherwise provided in a Service Order, the Contractor shall furnish, at its
sole cost, expense and risk, any and all machinery, equipment, tools, repairs, spare parts,
automobile(s), transportation, supplies, goods, materials and any other items necessary for the
performance and timely completion of the Services. The Contractor represents that all products,
tools, supplies, materials and other items necessary for the performance of the Services shall
conform to the highest applicable quality and specification standards required by or applicable to
the Services then being performed. The Contractor warrants that all such products shall be free
of defects in material and workmanship for a period of twelve (12) months from and after the
date of installation. The Contractor shall furnish the Contractor Personnel who are skilled in
their trades, trained in safety and have the ability to properly perform and timely complete the
Services.

B. The Contractor and Contractor Personnel shall perform the Services in accordance
with the specifications in the Service Order and the terms of this Agreement. The Contractor and
Contractor Personnel shall act in accordance with the best professional practices at all times, and
shall perform the Services in a competent, prudent and workmanlike manner. “Workmanlike
manner” means that the Services are performed in a manner considered skillful by those with the
special knowledge, training and experience to evaluate and judge such Services. In the event the
Company, in its sole discretion, determines that the Services have not been performed in
accordance with this Section, the Contractor shall: (1) promptly re-perform any nonconforming
Services at the Contractor’s sole cost and expense and to the reasonable satisfaction of the
Company; or (2) at the Company’s option, refund to the Company that portion of the
consideration that is attributable to the nonconforming Service(s).

C. The Contractor agrees, represents and warrants that any actions undertaken in
connection with Services shall be in compliance with all applicable federal, state, county, city
and local statutes, laws, rules, regulations, standards and codes adopted or enacted by
governmental agencies or authorities, or industry groups or organizations. The Contractor agrees
to and shall obtain and maintain in full force and effect all applicable and necessary permits,
licenses and approvals for the performance of Services under this Agreement; and agrees to
forward photocopies of any and all such licenses to the Company. The Contractor represents
and warrants that all Services shall be performed by the Contractor in accordance with any and
all applicable federal, state, county, city and local safety rules, regulations and requirements.

D. The Contractor agrees to and shall furnish originals or photocopies of work

tickets, delivery tickets, field tickets, work orders, reports or any other relevant documentation to
the Company on a daily or regular basis during the time Services are being performed under this
Agreement. In addition, the Contractor shall verbally inform the Company, as soon as practical,
of any and all accidents, occurrences or injuries arising out of or occurring during the period of
time Services are being performed hereunder that result in death or injuries to the Contractor or
the Contractor Personnel, or result in physical damage to personal or real property of the
Company, the Contractor, the Contractor Personnel or third parties. As soon as possible

-5-
following any such incident, the Contractor agrees to furnish the Company with a written report
of such incident, along with a copy of all non-privileged reports provided by the Contractor to
the Contractor’s insurance company or governmental authorities.

E. The Contractor represents and warrants that each member of the Contractor
Personnel is an employee of the Contractor, and that the Contractor will withhold applicable
federal, state and local income taxes, and Medicare, Medicaid and Social Security taxes with
respect to such Contractor Personnel. The Contractor will pay all applicable taxes and will file a
federal W-2 form with the appropriate federal, state and local tax authorities for each member of
the Contractor Personnel.

SECTION VIII

“Patents, Copyrights, Intellectual Property and Confidential Information”

A. As used in this Agreement, the term “Intellectual Property” means any material or
subject matter that: (1) is potentially patentable, is embodied in a patent application or is, as of
the date hereof, patented or covered by a patent; (2) is potentially copyrightable, is embodied in a
copyright registration application, or constitutes a copyright, regardless of whether registered or
not; (3) is potentially usable as a trademark or service mark, is embodied in a trademark or
service mark application, or constitutes a trademark or service mark, regardless of whether
registered or not; (4) constitutes or potentially constitutes a trade secret or is in fact currently a
trade secret; or (5) constitutes or potentially constitutes a protectable intellectual property right in
any applicable state, federal or foreign jurisdiction. Intellectual Property also includes any
existing trade secrets and proprietary information owned, claimed or to be claimed or owned in
the future by the Company.

B. The Contractor specifically acknowledges and agrees that any business, technical,
proprietary, financial or other information, including Intellectual Property, acquired, discussed,
used or developed in connection with activities or Services under this Agreement, regardless of
the manner in which or by whom the same are developed, shall be deemed confidential in nature,
and shall not be disclosed by the Contractor or Contractor Personnel without the express written
consent of the Company.

C. The Contractor specifically acknowledges and agrees that any Intellectual

Property owned or claimed by the Company and existing on or prior to the date of this
Agreement is and shall be the sole property of the Company, and the Contractor acquires no
rights of any kind or type in any such Intellectual Property. The Contractor also agrees that all
existing and future improvements, modifications or alterations to the Company’s existing
Intellectual Property and any Intellectual Property that is developed, modified, altered or
improved during the term of this Agreement shall be and remain the sole property of the
Company, regardless of whether the Company or the Contractor conceived, developed or
improved the same. In that regard, the Contractor agrees to cooperate with the Company in
connection with and sign any applications or registrations for any existing or new patents,
trademarks, service marks and copyrights covering any and all such new or improved Intellectual
Property; as well as execute any transfers, assignments or conveyances to and in favor of the

-6-
Company which effectively transfer and convey all of the Contractor’s right, title and interest in
any and all improvements to the Company’s Intellectual Property, even if developed or
conceived by the Contractor.

D. The Contractor agrees to and shall defend, indemnify and hold the Company
harmless from and against any and all claims, demands, and causes of action for any patent,
copyright, trademark or service mark infringement, or misappropriation of any trade secrets and
Intellectual Property resulting from the Contractor’s performance of Services under this
Agreement.

SECTION IX

“Release and Indemnity”

A. Notwithstanding anything to the contrary in the other provisions of this

Agreement, the CONTRACTOR AGREES TO BE RESPONSIBLE AND ASSUME ALL
LIABILITY FOR, AND HEREBY AGREES TO DEFEND, RELEASE, INDEMNIFY
AND HOLD HARMLESS THE COMPANY, and its affiliate companies and their officers,
directors, agents, representatives, employees and insurers, as well as its subcontractors (other
than the Contractor and Contractor Personnel) and their employees (collectively, the “Company
Indemnitees”), from all losses, costs (including attorneys' fees, court costs, costs of investigation
and any costs incurred in enforcing this indemnity obligation), expenses, damages, claims,
lawsuits and causes of action (including but not limited to loss of parental or spousal consortium
or wrongful death) whether arising from or under any theory of tort, contract, breach of contract,
negligence, gross negligence or otherwise (including claims which arise by reason of
indemnification or assumption of liability contained in other contracts entered into by the
Company Indemnitees) arising out of, incident to, or in connection with any and all Services and
the Contractor’s activities, operations and materials under this Agreement (collectively the
"Claims") arising in connection with the loss of or damage to the property of the Contractor,
Contractor Personnel or either of their invitees (collectively the “Contractor Group”), and/or the
injury or death of any member of the Contractor Group. Furthermore, the Contractor agrees to
be responsible and assume all liability for and hereby agrees to defend, release, indemnify and
hold harmless the Company Indemnitees from and against any and all Claims of any person or
entity directly or indirectly arising out of or related to the negligent acts or omissions of the
Contractor Group.

B. Notwithstanding anything to the contrary in the other provisions of this

Agreement, the COMPANY AGREES TO BE RESPONSIBLE AND ASSUME ALL
LIABILITY FOR, AND HEREBY AGREES TO DEFEND, RELEASE, INDEMNIFY
AND HOLD HARMLESS THE CONTRACTOR, and its affiliate companies and their
officers, directors, agents, representatives, employees and insurers, as well as its subcontractors
and their employees (collectively the “Contractor Indemnitees”), from all losses, costs (including
attorneys' fees, court costs, costs of investigation and any costs incurred in enforcing this
indemnity obligation), expenses and causes of action (including but not limited to loss of
parental or spousal consortium or wrongful death) whether arising from or under any theory of
tort, contract, breach of contract or otherwise arising out of, incident to, or in connection with

-7-
any and all of the Company’s activities or operations under this Agreement (collectively, the
"Claims") arising in connection with the loss of or damage to the property of the Company or its
invitees (collectively, the “Company Group”), and/or the injury or death of any member the
Company Group. Furthermore, the Company agrees to be responsible and assume all liability
for and hereby agrees to defend, release, indemnify and hold harmless the Contractor
Indemnitees from and against any and all Claims of any person or entity directly or indirectly
arising out of or related to the negligent acts or omissions of the Company Group.
C. Notwithstanding any provision in this Agreement to the contrary, this Agreement
does not authorize one Party to sue for or collect from the other Party its own consequential,
special or indirect damages, and each Party hereby waives any and all Claims it may have
against the other Party for its own such damages, including but not limited to lost profits or
business interruption, however the same may be caused or arise.
D. In the event a Party fails to provide a defense and perform the indemnity
obligations provided for herein, the other Party shall be entitled to receive from such Party, in
addition to its attorneys' fees, costs, expenses and any amounts paid in judgment or settlement,
all costs, expenses, and attorneys' fees incurred in the enforcement of this Agreement.
Furthermore, the prevailing Party in any litigation relating to this Agreement, other than that
involving defense and indemnity which is addressed above, shall be entitled to recover its
reasonable and necessary attorneys’ fees and costs of litigation from the other Party.

SECTION X

“Pollution, Contamination and Environmental Matters”

A. The Contractor agrees to and shall comply with any and all applicable laws, rules,
regulations, statutes and ordinances which now exist or may hereafter be enacted during the time
Services are being performed under this Agreement relating to environmental matters and the
control, regulation or prevention of pollution and contamination. The Contractor also warrants
that it will comply with and cause others to comply with the highest prevailing and approved
standards of care and business judgment in order to control and dispose of all waste, oil, water
and other waste materials that may accumulate or be caused by or arise in connection with the
performance of Services by the Contractor in order to prevent pollution and contamination of any
nature, kind or type resulting from or associated with the Services.

B. The Contractor agrees to and shall assume all responsibility for (including the
control and removal of hazardous materials) and shall defend, indemnify and hold the Company
Indemnitees and the Company Group harmless from and against all claims, demands, liabilities,
causes of action, damages and losses of every kind, character and nature, including death, injury,
illness, loss or damage to persons and property, arising from or associated with pollution,
contamination, environmental negligence, hazardous materials, discharges or other activities
associated with the Services and materials provided by the Contractor and the Contractor
Personnel hereunder. The Contractor’s obligation provided for above includes, but is not limited
to, fines, penalties, cleanup actions, remedial actions, repair or restoration of property and any
other legal or equitable liabilities that may be ordered, assessed or required by any applicable
state, federal, county, city or local governmental agency or authority.

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 SECTION XI

“Insurance”

As additional security for the indemnity obligations provided above, the Contractor
agrees to provide coverage and amounts of liability insurance, which in no event shall be less
than the minimum types and amounts set forth in EXHIBIT “C" attached hereto; PROVIDED,
HOWEVER, AND NOTWITHSTANDING THE ABOVE, in the event an injury or accident
causing loss or liability occurs that is subject to a jurisdiction where there is a prohibition or
limitation of the Contractor’s ability to indemnify the Company Indemnitees, then, if such law
must be applied, the Contractor's liability shall exist to the full extent allowed by the law of such
jurisdiction.

SECTION XII

“Verification and Audit Rights”

A. The Contractor agrees that all invoices, financial settlements, billings and reports
rendered to the Company in connection with this Agreement and/or the Services will properly
reflect the facts concerning all Services, activities and transactions performed and handled for the
account of the Company, and such data may be relied upon as being complete and accurate in
any reporting and recording made by the Company for any purpose. The Contractor agrees to
notify the Company promptly upon discovery of any event or instance where the Contractor fails
or may fail to comply with this provision.

B. The Company and its authorized representatives shall have reasonable and
sufficient access to time, quantity, rate and other information in order to satisfy themselves that
no costs or expenses that are required to or should be included in the rates of the Contractor are
directly invoiced as reimbursable costs, and that all expenses that are required to or should be
provided for either in the rates of the Contractor or as a reimbursable cost are properly accounted
for. If any costs or expenses are disputed and the Contractor refuses to provide access to the
relevant information, then such costs and expenses shall be deemed to be included in the rates of
the Contractor and shall not be allowable or payable as reimbursable costs.

C. The Contractor and each of its subcontractors shall maintain a true and correct set
of books and records concerning the amounts invoiced for the Services, including auditable
records of labor, materials, invoices and other supporting documents relating to the Services for a
period of not less than three (3) years after the date of the applicable invoice. The Company
may, upon request and for a period of up to one (1) year after the date of each invoice, audit any
and all books and records of the Contractor, the Contractor Personnel and any of their
subcontractors relating to the invoiced Services; provided, however, that the Contractor, the
Contractor Personnel and any subcontractor shall have the right to exclude any proprietary trade
secrets, formulas or processes from such audit and inspection. Within sixty (60) days after
receipt of the audit report from the Company, the Contractor, the Contractor Personnel and/or
any subcontractor shall respond in writing to all issues identified in an audit by the Company or

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representatives of the Company. The Contractor, the Contractor Personnel and/or any
subcontractor and the Company shall work to expeditiously resolve all audit issues.

SECTION XIII

“Force Majeure”

Neither Party shall be liable for failure to perform the terms of this Agreement when such
performance is prevented, delayed or rendered impossible by a condition of Force Majeure.
“Force Majeure” shall include, but not be limited to, acts of God, action of the elements, war,
strikes, acts of the public enemy, quarantine, epidemic, blockade, civil disturbance, riots,
insurrection, fire, rules or regulations of any governmental authority having or claiming
jurisdiction or control in the premises (the compliance with which makes continuance of
performance impossible), or any other cause beyond the reasonable control of such Party,
whether or not similar to the causes specified above. A condition of Force Majeure shall not
relieve the Company from an obligation to make payment hereunder when due for Services
already performed. Except when the Services are suspended due to a labor dispute by the
Contractor or its subcontractors with its or their employees, no payment shall be due the
Contractor for the period during which the Services are suspended.

SECTION XIV

“Assignment and Subcontracting”

The Contractor shall not, without the prior written consent of the Company, engage any
subcontractor (including other contractors) for performance of the Services or assign any rights,
duties or obligations arising under this Agreement, either in whole or in part, including but not
limited to the assignment of monies payable under this Agreement. In the event the Company
consents to the assignment of this Agreement or the Contractor's use of a subcontractor, the
Contractor shall continue to be responsible for the due observance of all requirements of this
Agreement, and any breach thereof by any assignee or subcontractor shall be deemed to be a
breach by the Contractor.

SECTION XV

“Notices”

All notices required or permitted to be given hereunder shall be given in writing and shall
be effective: (A) upon receipt when hand-delivered, telefaxed or delivered by courier; or (B)
three (3) days after deposit in the U.S. Mail when mailed to the addresses set forth below with
postage thereon prepaid. The Parties may designate a different or other address from time to
time in the same manner.

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 Company:
Fence Factory
2419 Palma Drive
Ventura, CA 93003

Contractor:
___________________________
___________________________
___________________________
Telephone: _________________
Telefax: ___________________

SECTION XVI

“Standards of Business Conduct”

The Company requires the highest possible standards of ethical and business conduct and
safety from the Contractor in the performance of the Services and its responsibilities under this
Agreement. For purposes of this Section, “Contractor” shall include Contractor Personnel. The
Contractor shall adhere to and comply with the following:

A. United States Department of Transportation (“DOT”) Regulations. If the

Contractor is subject to the rules and regulations of the DOT, the Contractor agrees to implement
and comply with all such rules and regulations applicable to drug testing, education and training
of the Contractor’s employees. The Contractor further agrees, upon request by the Company, to
provide to the Company a copy of the Contractor’s drug testing program, evidence of
compliance therewith and any additional information requested pursuant to applicable DOT rules
and regulations.

B. Safety Matters. The Contractor agrees to and shall take all steps and perform all
actions that are necessary, required or advisable in order to maintain adequate protection of
persons and property during the Contractor’s performance of Services hereunder, and shall
perform all Services in a safe manner that minimizes interference with the Company’s
operations. The Contractor will maintain in full force and effect and will enforce, throughout the
term hereof, a safety manual, including safety and loss prevention standards and provisions,
which comply with all applicable federal, state, county, city, local and municipal safety laws,
statutes, rules, regulations and ordinances. Prior to commencement of any Services, the
Contractor shall inspect the location, land, premises and facilities on, in or around which the
Services will be performed in order to assess and determine any and all risks and conditions
incident or related thereto. Upon completion of the Services, the Contractor shall remove all
trash, rubbish and waste materials associated with or caused by the performance of the Services,
and shall leave the Company’s land, premises, location and facilities in a clean, neat and orderly
condition.

C. Non-Discrimination. The Contractor shall not discriminate against any

employee or any applicant for employment based on or because of race, creed, color, sexual

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orientation, religion or national origin; and shall take any and all affirmative actions and steps as
are or may be necessary, required or advisable in order to insure that employees and applicants
for employment are treated by the Contractor during their employment relationship fairly,
equally and without regard to their race, creed, color, sexual orientation, religion or national
origin. Any and all such affirmative actions and steps shall apply to all applicable employment,
promotion, demotion, transfer, recruitment, advertising, layoff, termination, pay rates, forms of
compensation, training and advancement activities, and any other policies and procedures of the
Contractor. If or to the extent necessary or required while occupying the lands, premises or
facilities owned by the Company, the Contractor agrees to and shall post in conspicuous places
and make available to employees and applicants for employment any and all applicable notices
containing the provisions of this paragraph. In addition and while occupying the lands, premises
or facilities owned by the Company, the Contractor shall, in all solicitations or advertisements
for employment or positions with the Contractor, state that all qualified persons will receive
equal consideration for employment without regard to race, creed, color, sexual orientation,
religion or national origin. If or to the extent necessary, required or applicable, the Contractor
shall comply with any and all applicable portions, titles and parts of the Code of Federal
Regulations, including, but not limited to: Affirmative Action Programs, Small Business and
Small Disadvantaged Business Subcontracting Plans, Labor Surplus Area Concerns
Subcontracting Program, Contractor Work Hours and Safety Standards, Affirmative Action for
Handicapped Workers, Clean Air and Water, Hazardous Materials Identification and Material
Safety Data, and Immigration Reform and Control Act, including all rules and regulations
promulgated thereunder and all amendments thereto.

D. Governmental Regulations. In addition to the specific regulations referred to

above, the Contractor agrees to and shall comply with all other applicable federal, state, county,
city, local and municipal statutes, rules, laws, regulations and ordinances pertaining to equal
opportunity employment, affirmative action programs, disabled and handicapped workers, non-
segregated facilities, rehabilitation programs, utilization of minority business enterprises, age
discrimination, non-discrimination, Vietnam and other war era veterans, small businesses and
disadvantaged businesses, labor laws, employment laws and any and all other applicable laws,
rules and regulations pertaining to rendering Services under this Agreement.

E. Policies on Drugs, Alcohol & Firearms. The Contractor shall not perform any
Services for the Company when the Contractor is impaired by alcohol or any controlled
substance. While on the Company’s premises or performing the Services, the Contractor shall
not: (1) use, possess, distribute or sell firearms, explosives, weapons, alcoholic beverages, illicit
or non-prescribed controlled drugs, or drug paraphernalia; or (2) misuse legitimate prescription
or over-the-counter drugs. Any person who violates these provisions shall be immediately and
permanently removed from the premises. When Services are being performed by the Contractor
on premises owned or controlled by, or at work sites of, the Company, the Company has the right
to: (1) request the Contractor to submit to alcohol or drug testing at an authorized facility
designated by the Company; and (2) without prior notice, search the person, possessions and
vehicles of the Contractor for contraband or prohibited items. The Company has the right to
request the Contractor to immediately discontinue using a particular individual in the
performance of Services for the Company any time: (1) reasonable cause exists to suspect

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alcohol or drug use by such individual; and/or (2) such individual either refuses to take, or tests
positive in, any alcohol or drug test.

F. Background Searches and Checks. The Company shall have the right to
conduct background searches and checks on the Contractor or any personnel of the Contractor
who will be performing Services for the Company. The Contractor shall take all actions, execute
all documents and cause the Contractor’s personnel to take all actions and execute all documents
as are or may be necessary or required to assist the Company in this process.

G. Gifts and Gratuities. The Contractor acknowledges and agrees that the
Company has a policy with respect to gifts and gratuities, and it is a conflict of interest for any of
the Company’s employees or immediate family members to accept gifts, payments, gratuities,
extravagant entertainment, services or loans in any form (not including items of nominal value
that are customary and proper under the applicable circumstances) from anyone soliciting
business from or that has an existing business relationship with the Company. The Contractor
agrees to notify the Company in the event any employee of the Company solicits a gift or
gratuity from the Contractor, and the Company agrees to maintain confidentiality of such
communication and notification.

H. Insider Trading. The Contractor must not buy or sell securities of the Company,
directly or indirectly, on the basis of nonpublic information (or communicate such information to
others for that purpose) learned, obtained or gathered by the Contractor while performing the
Services.

I. Computer and Communication Facilities. The Contractor may be provided or

given access to telephones and computer work stations, including the Company’s internal
network access and computing facilities such as the Internet and electronic mail. In such case,
the Contractor shall be responsible and liable for any inappropriate use of such facilities.

Notwithstanding anything to the contrary in the other provisions of this Agreement, the
Company has the right to request the Contractor to immediately discontinue using a particular
individual in the performance of the Services for the Company any time without notice and
without liability if the Contractor fails to comply with this Section.

SECTION XVII

“Arbitration”

A. In the event a dispute arises under this Agreement, the Parties agree to and shall
use their best efforts to mutually resolve such dispute within sixty (60) days after one Party
notifies the other Party that a dispute or disagreement exists. The Parties shall use their best
efforts, through private discussions between representatives of each Party or through an agreed
upon mediation procedure, to resolve any such dispute.

B. If the Parties are unable to resolve any claim, dispute or controversy, as provided
above, then the same shall be settled and determined by the arbitration procedures set forth

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below. Any dispute, controversy, or claim (a “Dispute”) arising from, out of or in connection
with this Agreement shall be settled and determined by binding arbitration, as the sole and
exclusive remedy of the Parties. The arbitration shall be conducted by the American Arbitration
Association (“AAA”) in accordance with its Commercial Arbitration Rules (the “Rules”), as now
in effect or amended hereafter; which are deemed to be incorporated herein by reference. In the
event a conflict arises between the Rules and the arbitration provisions set forth below, then the
provisions set forth below shall govern and control. The Dispute shall be determined and
resolved by a panel composed of three arbitrators (the “Panel”). Each Party shall appoint one
arbitrator, and the two arbitrators previously appointed shall appoint the third arbitrator, who
shall act as chairman of the Panel. Each arbitrator shall be knowledgeable of and have at least
ten (10) years of experience dealing with or involving the particular kind and type of Dispute to
be determined by the Panel. In the event any arbitrator is not appointed, as provided above, then
such arbitrator shall be appointed by the AAA in accordance with the Rules. The arbitration
shall be held in Los Angeles County, California, and the proceedings shall be conducted and
concluded as soon as reasonably practical based on the schedule established by the Panel.
However, the Panel shall use its best efforts to render its decision within one hundred eighty
(180) days after the selection of the chairman of the Panel. The decision of the Panel shall be
final and binding on the Parties. Judgment upon the decision and award rendered by the Panel
may be entered in, and enforced by, any court of competent jurisdiction. Each Party shall bear
the fees and expenses of the arbitrator selected by it, and both Parties shall equally share and pay
the fees and expenses of the chairman of the Panel, provided; however, the Panel may award to
the prevailing Party its costs, expenses and attorneys’ fees incurred in connection with such
proceedings.

SECTION XVIII

“General Provisions”

A. Incorporation by Reference. The Exhibits attached to this Agreement and any

additional Service Orders are incorporated into this Agreement by this specific reference.
However, in the event of a conflict between the provisions of this Agreement and those
contained in the Exhibits and/or Service Orders, the provisions in this Agreement shall prevail.

B. Applicable Laws and Venue. This Agreement shall be governed by and

interpreted in accordance with the laws of THE STATE OF CALIFORNIA (EXCLUSIVE
OF ANY PRINCIPLES OF CONFLICTS OF LAWS WHICH WOULD DIRECT OR
REQUIRE THE APPLICATION OF THE SUBSTANTIVE LAWS OF ANOTHER
JURISDICTION). In the event of a dispute concerning the meaning or application of this
Agreement, then this Agreement shall be construed fairly and reasonably and neither more
strongly for nor against either Party. The Parties agree that in the event any arbitration or
litigation arises in connection with this Agreement, any action must be brought in Los Angeles
County, California.

C. Entire Agreement. This Agreement constitutes the entire agreement of the

Parties and supersedes and replaces any and all prior oral or written agreements or any other

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communications relating to the Services. Any and all prior contracts and agreements between
the Parties are hereby cancelled and terminated, and shall be of no further force or effect.

D. Survival of Terms. Notwithstanding the suspension or termination of this

Agreement or any Force Majeure event, the Parties shall continue to be bound by the provisions
of this Agreement that require some action or forbearance after such termination, including but
not limited to those related to confidentiality, indemnity, warranty and insurance.

E. Modifications, Amendments and Waivers. This Agreement may be amended,

modified or otherwise altered, or its provisions waived, only by an amendment in writing signed
by an authorized representative of each Party. The waiver of any requirement or provision in
this Agreement on any particular occasion or at any particular time shall not be deemed a waiver
of such requirement or provision, or serve as a precedent, on other occasions or at other times.

F. Enforceability of the Agreement. If any part or provision of this Agreement is

judicially or by arbitration declared invalid, such declaration shall not have the effect of
invalidating or voiding the remainder of this Agreement. The Parties agree that the part or
provision of this Agreement held to be invalid, void or unenforceable shall be modified to the
extent necessary or required in order to make this Agreement enforceable; or if necessary, this
Agreement shall be deemed to be amended to delete the unenforceable part or provision, and the
remainder shall have the same force and effect as if such part or provision had never been
included.

G. Headings. Headings, captions or other subdivisions of this Agreement have been

inserted for convenience or reference only and shall not limit or affect the legal construction of
any provision hereof.

H. Binding Authority. Each of the persons executing this Agreement represents and
warrants that he or she has the full right and authority to execute this Agreement on behalf of the
Company and the Contractor, respectively, and to bind the applicable Party to the fulfillment of
all of the terms, conditions and provisions hereof.

I. Successors and Assignees. This Agreement shall be binding upon and inure to
the benefit of the Parties and their respective heirs, devisees, personal representatives, successors
in interest and assignees.

J. Further Assurances. The Parties agree to and shall take any and all actions and
steps, and prepare, execute and acknowledge any and all applicable instruments, documents and
agreements, in order to fully effectuate the intent of the Parties and this Agreement and otherwise
comply with the terms, conditions and provisions contained herein.

K. Solicitation of Employees. The Parties shall not directly, indirectly or through

any third parties solicit, recruit, entice or induce any employee, consultant or representative of
the other Party to terminate his, her or its employment, association or relationship with such
Party in order to become an employee, consultant or representative of the other Party.

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 L. Counterparts. This Agreement may be executed in one or more or multiple
counterparts; each of which shall be considered an original instrument, and all of which shall be
considered one and the same original instrument and agreement. The Company is hereby
authorized to assemble all separate counterparts into one original document.

IN WITNESS WHEREOF, the Parties have caused this Agreement to be duly executed
on the date first set forth above.

Company Contractor

Fence Factory __________________________________

By:_____________________________ By:_________________________________
(Signature) (Signature)

______________________________ ________________________________
(Printed Name) (Printed Name)

______________________________ ________________________________
(Title) (Title)

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.09 Waste Storage and Handling Revision Date: 8/28/2015
File Name: P509

TABLE OF CONTENTS

I. WASTE STORAGE AND HANDLING ...................................................................... 2

II. WASTE STORAGE .................................................................................................. 2

III. CONTAINERS ....................................................................................................... 2

IV. TIME LIMIT FOR STORAGE................................................................................. 2

V. STORAGE CONTAINER LABELS ........................................................................ 3

VI. WASTE PROFILING AND DISPOSAL .................................................................. 4

VII. TRANSPORTATION OF WASTE .......................................................................... 4

VIII. DOCUMENTATION AND RECORD KEEPING ..................................................... 5

IX. CONTINGENCY SPILL RESPONSE AND REPORTING ...................................... 5

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.09 Waste Storage and Handling Revision Date: 8/28/2015
File Name: P509

I. WASTE STORAGE AND HANDLING

Field personnel must be familiar with and implement the following health and safety
procedures during waste management activities, especially during packaging, sampling,
handling or similar activities where it is likely to be exposed.
 Review SDS for chemicals suspected to be in the waste.
 Refer to typical health and safety requirements specific to field operations and
wear the proper personal protective equipment.
 Drums containing waste should never be lifted by hand; use proper waste
handling equipment.
 Follow confined space entry standard in enclosed areas.
 If there are any unsafe conditions or items needing repair, contact immediate
supervisor and take corrective action immediately.
 Review first aid and fire fighting protocols prior to initial exposure to material.
 Be sure to contact the EH&S contact if uncertainties exist.

II. WASTE STORAGE

Storage procedures begin when waste is generated and ends at removal and
transportation of the waste for recycling, disposal or treatment. All wastes should be
stored and handled in a manner that prevents the creation of nuisances (odor, spills,
dust, etc.).

III. CONTAINERS

Containers used to store waste should be nonabsorbent, durable, watertight, and

designed for safe handling. Containers should also be of sufficient size to prevent
overflow (22 CCR 66262.30). Waste storage and handling may include the following list
of storage containers:
 Bulk liquid storage tanks (Baker tanks)
 Roll-off bins/boxes [California Highway Patrol (CHP) or Department of
Transportation (DOT) approved]
 DOT Drums

IV. TIME LIMIT FOR STORAGE

Per 22 CCR 66262.34, the time limit for hazardous waste storage is 90 days and
requires the following:
 Appropriate containers.
 Proper storage area.

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.09 Waste Storage and Handling Revision Date: 8/28/2015
File Name: P509

 Properly filled-out hazardous waste label affixed to all hazardous waste

containers immediately.
 The date which each period of accumulation begins must be clearly marked on
the storage container or entered on the label.
 Storage of hazardous waste for more than 90 days requires a special permit
from the appropriate regulatory agencies.
 Weekly inspections and records must be completed by the Site Supervisor, or
designee, weekly while waste is in storage. Copies should be forwarded to the
Company environmental contact.

V. STORAGE CONTAINER LABELS

A properly completed label must be placed on all waste containers. Labels are
available at the field office. Depending upon the hazardous characteristics of the waste
stored in the container, the following types of labels should be used. All labels must be
filled out completely using a waterproof pen:
 Waste Pending Analysis Labels–For wastes that are suspected to be
hazardous but are awaiting laboratory analysis to determine the hazardous
classification, a waste label indicating the laboratory analysis is pending must
be affixed to the storage container.
 Hazardous Waste Labels–For wastes that are known to be hazardous or
determined to be hazardous through laboratory analysis. A special label must
be used, “hazardous waste”.
 Non-hazardous Waste Labels–This type of label should be used for wastes that
are known to be non-hazardous or determined to be non-hazardous through
laboratory analysis, “non-hazardous waste”.
 Non-regulated Waste Labels–This label should be used for wastes that are
accumulated pending disposal that are not regulated as hazardous or universal
wastes.
 Drained Used Oil Filter Labels–Used oil filters should be drained and placed in
a closed drum exhibiting a “drained used oil filter” label.

 Empty Labels–Drums that are onsite and planned to be utilized for containing
wastes may be marked with the “Empty’ label. Additionally, drums that held a
hazardous waste or hazardous material and are now empty may be marked as
such.

Alternative methods of identification (such as temporary type signs) may be acceptable

when storing waste in rented bins or tanks. Additional labels may be required for DOT,
or other regulatory agency.

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.09 Waste Storage and Handling Revision Date: 8/28/2015
File Name: P509

VI. WASTE PROFILING AND DISPOSAL

Each waste material must be identified as either hazardous or non-hazardous so it is

properly disposed of. Once a waste stream has been identified as hazardous or non-
hazardous, an application must be submitted to an approved disposal or recycling
facility for acceptance of the waste. Most disposal and recycling facilities require a
properly completed waste profile sheet, appropriate laboratory report and may also
request a sample. The Company will coordinate the profiling function on a case by case
basis. Please refer to the flow chart in Figure 1 for assistance in determining whether or
not a material is hazardous and how to dispose of it. Please take note:

 EPA “Listed” waste can be found at

http://www.epa.gov/osw/hazard/wastetypes/listed.htm

 “Universal Waste” consists of: electronic devices, batteries, mercury-containing

equipment, cathode ray tubes and non-empty aerosol cans.

VII. TRANSPORTATION OF WASTE

All shipments of both hazardous and non-hazardous waste require documentation to

track the material from the generating facility to the disposal or recycling facility (Title 22
CCR 66262.20). The type of documentation approved as shipping papers include:

 Uniform Hazardous Waste Manifest–The Company will coordinate the preparation of

the hazardous waste shipping paperwork with help from field personnel on a case by
case basis. Uniform hazardous waste manifests are obtained from EPA approved
vendors. Every container of 119 gallons or less must be marked with the following
words and information (See Figure 2 for sample label):
HAZARDOUS WASTE-Federal Law Prohibits Improper Disposal. If
found, contact the nearest police or public safety authority or the U.S.
Environmental Protection Agency.

Generator’s Name and Address ____________.

Generator’s EPA Identification Number ____________.
Manifest Tracking Number ____________.

 Non-hazardous Waste Manifest–For non-hazardous wastes, these forms are

available from the transportation vendor at the time of shipment pickup.
 Bill of Lading–Used for non-hazardous wastes only.

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 GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.09 Waste Storage and Handling Revision Date: 8/28/2015
File Name: P509

VIII. DOCUMENTATION AND RECORD KEEPING

Regulatory agencies require record retention from three up to five years.

Documentation requests from the regulating agencies are routine, therefore, complete
records are important. Duplicate files should be kept at the particular facility as backup
copies.

IX. CONTINGENCY SPILL RESPONSE AND REPORTING

The Business Plan contains specific information regarding hazardous waste spills.
Please follow the appropriate spill response and reporting procedure when required.

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GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.09 Waste Storage and Handling Revision Date: 8/28/2015
File Name: P509

FIGURE 1 – Waste Classification and Disposal Flow Chart

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GENERAL SAFETY POLICIES Revision Number: 1
Section: 5.09 Waste Storage and Handling Revision Date: 8/28/2015
File Name: P509

FIGURE 2 – Hazardous Waste Label

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