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1、Site Specific Safety PlanList Project name and Location1. INTRODUCTIONa) Name of organization/company) is committed to the health and safety of our employees.b) Company name has a SAFETY & HEALTH MANUAL, which is a crucial partof this sites specific safety plan. (Every Superintendent should have a c

2、opy or has access to one at anytime)c)The health and safety of our employees, our subcontractors, vendors and the general public is the first consideration in the operation of our business, andin particular, this project:(insert project name here)d) It is our goal to establish and maintain safety po

3、licies and practices which are in full compliance with all applicable federal, state and local laws, regulations and guidance, especially those issued by Federal OSHA2. HEALTH AND SAFETY DOCUMENTSa) Contract Documentsb) Work-SAFE Program Parts I, II, and III & IVc) All Federal, State and Local Healt

4、h & Safety requirements3. EMERGENCY NUMBERSa) Owner s specific requirementsb) Medical Emergency Facility-(for self perform only-Subcontractors required toFacilitate their own plan):(name of the nearest facility)Address:(physical address, city, state and zip code)Telephone ( (area code) and phone num

5、ber)c)Occupational Health Care Services(for non life threatening during availablehours):Address: (physical address, city, state and zip codeTelephone: (area code) and phone numberd) Superintendent sNumber: Mobile numberJobsite Trailer numbere) Local Police Dept.: _f) Local Fire Dept.: _g) Miss Dig (

6、 if applicable)h) Hazmat (for chemical spills and/or toxic releases)4. EMERGENCY and FIRST AID PROTOCOLa) Each contractor will provide first aid stations, well marked and available to site personnel during all working shifts.b) One person holding a valid first aid and CPR certificate will be respons

7、ible for the proper use and maintenance of the first aid station.1/27/20201 of 6Site Specific Safety PlanList Project name and Locationc)Each contractor will responsible for their own emergency plan.d)There will be a minimum of one ( site wide) known person per site with a valid CPR/First Aid certif

8、ication.e) Emergency procedures are as follows:Callfor all emergenciesEvacuation signals and meeting placeFire mustering point issignal isall clearTornado shelter issignal isall clearHazardous chemical mustering pointsignal isall clear is5. PROJECT ORGANINZATIONAL CHART & CONTACT INFORMATION Insert

9、project organization chart and staffing requirements for this siteAt the time of this publication, an organizational chart and staffing requirements havenot beendetermined.Upononsetof (companiesname ) mobilizingon-siteandperforming their scopes of work a staffing chart will be made available which w

10、ill include the following:Owner and/or Owner Representative:(name and phone number)Your Company Site Representative: (name and phone number)Your Company Safety Representative: (name and phone number)On-site Subcontractorsperson who is responsiblefor overall project;(name and phone number)On-siteSubc

11、ontractorsthat is responsiblefor safety on this project:(name and phone number)Subcontractors Main office:(name and phone number)All competent Persons for Hazardous Operations6. SPECIAL NEEDS of THE CUSTOMERd) Shift times (e.g. 1 st shift, 2 nd shift, etc.)e) Weekend workf) Restricted Areasg) Smokin

12、g Areash) Children s presence onor near the sitei) Handicapped people on or near the sitej) Other public Safety concerns7. PROTECTION of the GENERAL PUBLICa) Walkways, Sidewalks, Parking Lots cleared and accessibleb) Barricades, Flashing Barrels,DANGER“ DO NOT ENTER” postingsc) Project signaged) (An

13、y other protection not mentioned needs to be added here)1/27/20202 of 6Site Specific Safety PlanList Project name and Location8. PROTECTION of SITE WORK PERSONNELa) Work-SAFE Orientation Part I and Jobsite/New Hire Safety Orientationb) Work-SAFE Parts II, III and IVc) MSDSsand Chemical Inventory Loc

14、ationd) Job Board Locatione) REACH Board Locationf) Hardhats, Safety glasses with side shields, ear plugs, construction-worthyfootwear, gloves, face shields, Safety Vests, and all applicable Personal Protection Equipmentg) Any other specialized training that may be specific to this site but not limi

15、ted to the following;Excavation Confined space Scaffold erection Critical Rigging Lock Out/ Tag Out9. PROJECT SAFETY SITE DRAWINGa) Site Drawing highlightingb) Hazardous areasExcavation areasDemolition areasTrenching areas, etc.c) Emergency exit routesd) First Aid statione) Employee parkingf) Employ

16、ee breaks areas, etc.g) Job Boardh) Reach Board10. SPECIAL PROJECT HAZARDSThis is determined and discussed on a daily basis as the project progresses and the circumstances, project site etc., develops and changes.All Contractors/Subcontractors and/or supervisor must review and document the plan for

17、performing the work task to the employee prior to hazardous operation beginning . (This is not a an inclusive list, each supervisor must use common sense when determining the degree of hazard associate with the task). Note: Pre-Task Planning and Pre-Construction Forms to be utilized (enclosed herein

18、)a) Excavation / Trenching/ Caissonsb) Crane lifts and rigging operations1/27/20203 of 6Site Specific Safety PlanList Project name and Locationc) Confined Spaced) Steel Erection/ working from heightse) Roof Top Work-penetrations, roofing installation and or repair etc.f) Working on or around high te

19、nsion wiresg) Demolitionh) Traffic Controli) Scaffolds / Ariel lift workj) Working on or around energized equipment or systemsk) Use of chemical materialsl) Cutting and capping utilitiesm) Working on or around substationsn) Working on or around pitso) Any respirator type activitiesp) Any use of tar,

20、 asphalt kettle or tankers11. SITE SIGNAGE REQUIREMENTSProject Sign will detail specific information regarding ownership, architectural firm, contractor, etc.a) Any Hazardous chemicalsb) Confined Spacec) Overhead Wiresd) DANGER DO NOT ENTERe) DANGER HARD HATS REQUIREDf) DANGER EYE AND EAR PROTECTION

21、 REQUIREDg) MSDS for this are locatedh) First Aid stationi) Job Board complete with all the following current Federal and State postings:j) Right-to-Know postings-One complete set for the site office/Gang boxNote: Failure to comply with Right-To-Know, Hazardous Materials Communications regulations m

22、ay result in a fine up to $10,0000 per violationOSHA and/or MIOSHA 300 Log (to be posted a minimum from February 1 until April 30)Project Safety Site DrawingEmergency ProcedureEmergency Phone NumbersSafety progress(if applicable ) man hours verses accidentsk) REACH Board (if applicable )l) First Aid

23、 Stations1/27/20204 of 6Site Specific Safety PlanList Project name and Location12. EMPLOYEE ORIENTATIONa) Drug screening per Work-SAFE and/or Owner requirementsb) Work-SAFE Part I & Jobsite / New Hire Safety Orientationc) Documentation of equipment certificationsd) Documentation of First Aid and CPR

24、 certifications13. SAFETY MEETINGSa) Weekly Tool Box Talks will be held with employees everyNote:Subcontractors are required to complete their own Tool Box Talks every.b) Progress meetings will be held everywith Safety as the first topic.Any and all problems will be listed and a method for correctiv

25、e action will be determined and implemented as a result of the meeting.c)Superintendents should walk the project site everywith allcontractors completing a site inspection of all areas.14. PROJECT SAFETY DOCUMENTATIONNote: all safety related documents will be kept at the job site until the end of th

26、e project and then will be stored in accordance with the (company name) record storage policies.a) A completed OSHA/MIOSHA 300A “ Summaryof work Related Injuries and Illness for” each contractor/subcontractor (to be collected at the end of the project)b) A safety and Health Plan from each Contractor/Subcontractorc)A site safety plan for each site and for each contractor/subcontractor(ifapplicable)d)All complet

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