HomeMy WebLinkAboutContract (ED CAG-13-188
CITY OF RENTON
CONTRACT AGREEMENT
THIS AGREEMENT is made as of the ZZL -" day of �C� . 2013, between the CITY OF
RENTON, a municipal corporation of the State of Washington, hereinafter referred to as "CITY" and PSR
HVAC& Mechanical Services, hereinafter referred to as "CONTRACTOR," to Replace failed existing split
system AC unit with a DX cooling/Gas heat rooftop unit Renton Fire Station#16 located at 12923
156th Avenue SE, Renton. The City and Contractor agree as set forth below.
1. Scope of Services. The Contractor will provide all material and labor necessary to perform all work
described in the Proposal which is included with this Agreement as Attachment "A."
2. Changes in Scope of Services. The City, without invalidating the Contract, may order changes in the
Services consisting of additions, deletions or modifications,the Contract Sum being adjusted
accordingly. Such changes in the work shall be authorized by written Change Order signed by the
City and the Contractor.
3. Time of Performance. The Contractor shall commence performance of the Contract no later than
ten (10) calendar days after Contract's final execution, and shall complete the full performance of
the Contract not later than 60 (sixty) calendar days from the date of commencement.
4. Term Of Contract.The Term of this Agreement shall end at completion of the enclosed scope of
work. This Agreement may be extended to accomplish change orders, if required, upon mutual
written agreement of the City and the Contractor.
5. Contract Sum. The total amount of this Contract is the sum of$20,700.0 0, which includes
Washington State Sales Tax.
6. Retainage in Lieu of Bond. In lieu of a performance bond,the City will retain 50%of the contract
amount for a period of 45 days after Final Acceptance of the work.
7. Method of Payment. Payment by the City for the Services will only be made after the Services have
been performed and a voucher or invoice is submitted in a form acceptable to the City. Payment of
the initial 50%will be made in the next pay cycle of the Renton Finance Department after receipt of
such voucher or invoice (pay cycles are approximately bi-weekly). The remaining 50%will be paid 45
days after Final Acceptance and after all Intent/Affidavit documents for Contractor and any
subcontractors are approved by the State of Washington Department of Labor. The City shall have
the right to withhold payment to the Contractor for any work not completed in a satisfactory
manner until such time as the Contractor modifies such work so that the same is satisfactory.
8. Employment.The Contractor's employees are not employees of the City of Renton.
9. Assignment and Subcontract. The Contractor shall not assign or subcontract any portion of this
Contract without express written consent of the City of Renton.
At N
10. Record Keeping and Repor . The Contractor shall maintain acco and records which properly
reflect all direct and indirect costs expended and services provided in the performance of this
Agreement. The Contractor agrees to provide access to any records required by the City.
11. Hold Harmless. The Contractor shall indemnify, defend and hold harmless the City, its officers,
agents, employees and volunteers, from and against any and all claims, including claims from third
parties, losses or liability, or any portion thereof, including attorneys fees and costs, arising from
injury or death to persons, including injuries, sickness, disease or death to Contractor's own
employees, or damage to property occasioned by a negligent act, omission or failure of the
Contractor.
12. Insurance. The Contractor shall maintain throughout the duration of this contract the following
insurance requirements: General Liability insurance in the amount of$1,000,000 per
occurrence/$2,000,000 aggregate; Professional Liability insurance in the amount of$1,000,000 per
claim; Automobile Liability in the amount of$1,000,000 per accident; and proof of Workers'
Compensation coverage. The City of Renton will be name as a Primary and Non-Contributory
Additional Insured on the insurance policy and an endorsement stating such shall be provided.
13. Compliance with Laws. The Contractor and all of the Contractor's employees shall perform the
services in accordance with all applicable federal, state, county and city laws, codes and ordinances.
14. Conflicts. In the event of any inconsistencies between contractor proposals and this contract,the
City of Renton contract shall prevail.
15. Prevailing Wage Rates. The Contractor must comply with the State prevailing wage requirements.
The Contractor must file an Intent To Pay Prevailing Wage at the beginning of the project and an
Affidavit of Wages Paid at the end of the project with the Washington State Department of Labor
and Industries, http://www.Ini.wa.gov/TradesLicensing/PrevWage/default.asp.
This Agreement is entered into as of the day and year written above.
ONT R CITY OF RENTON
nature Signature
&AoE x4.t,--a5 Terry Higashiyama,Community Services Administrator
Printed Name and Title Printed Name and Title
PSR HVAC& Mechanical Services
Business Name
P.O. Box 27073 (3132 NE 133rd St)
Mailing Address
Seattle WA 98125
City State Zip
206-367-2500
Telephone
CITY OF RENTON
ATTACHMENT A
Renton Fires Station #16 HVAC Replacement Project
2013
' PROJECT AGREEMENT
Date: 06/28/18
Proposal: PP62692
' Agreement:
PSR Mechanical Page: 1 of 3
? Iding Effic`ency and custainabliiiv
AS rrt 1.o cq.:c C0,,Y r:s
Scott Obrigewitsch, HVAC Systems Technician
City of Renton
1055 South Grady Way
Renton,WA 98057-3232
p: 425-430-6643
f: 425-430-6613
e-mail: sobrigewitsch@rentonwa.gov
Location: Same
Scope of Work
Customer is requesting we propose replacement of the existing Goodman, gas fired furnace and Carrier split air
conditioning system, because it is experiencing more frequent mechanical failures, it is obsolete, and it is in-efficient.
We are proposing the labor and materials required to replace the one existing Goodman, gas fired furnace and
Carrier split air conditioning system with one new Carrier, rooftop gas packaged unit. (see Note)
Specifically includes the following items:
1. Isolate and disconnect the indoor and outdoor unit's electrical power wiring, natural gas piping, and control wiring.
2. Refrigerant reclaim and dispose of it, in accordance to EPA regulations
3. Removal of the existing Carrier, Model#38TKB048, outdoor condensing unit and dispose of it, in accordance to
EPA regulations.
4. Removal of the existing Carrier, Model#CD5AXW048, indoor evaporator/case cabinet unit and dispose of it.
5. Disconnect, remove and dispose of the existing indoor mezzanine supply, return and the indoor/outside air
intake ducts, as required,to make room for new systems duct distribution. The rooftop outside air intake will be
covered and caped to weatherproof.
6. Disconnect, remove and dispose of the existing Carrier, Model#HBA100ND5R, indoor gas fired furnace and its
associated flue vent piping.
7. Provide Structural engineering and modifications to support the new rooftop packaged unit and accommodate the
roof penetrations for the new supply and return plenums.
8. Provide and install one new Carrier,factory curb, attached to structure and roofing to weatherproof.
9. Provide and install one new Carrier, model #48TCDA05 (nominal 4.0 ton, 13 SEER), rooftop gas heat/ele tic
cooling packaped unit with the following added options: Economizerarometric relief damper, Electro-Mech.
controls, air filter and frame.
10. Provide and install new indoor, 26 gauge sheet metal supply and return duct,fittings and supports, with 1 inch
internal insulation liner, as required, to connect the new rooftop unit to the existing office area's indoor supply
and return duct distribution which is located in the mezzanine and fire truck bay area's.
11. Provide and install new control wiring to reconnect the customer's existing commercial electronic thermostat and
control wiring to the new rooftop gas pack.
12. Provide and install new electrical power wiring to reconnect the customer's existing outdoor service disconnect
and line side electrical power wiring to the new rooftop gas pack.eork does not include line side wiring, breaker
panel upgrades.)
13. Provide and install new gas pipe,fittings, isolation valve, pipe supports and modifications to connect the new
unit to the existing rooftop gas piping. This work includes pressure test and leak test new gas piping.
14. Startup and test.
15. Air Balance
16. One year parts and labor warranty,with an additional 4-year Carrier factory-extended compressor warranty.
3132 NE 133"'Street,Seattle,WA 98125 • Phone:(206)367-2500 Fax: (206)368-6856 9 www.psrmechanical.corn
PROJECT AGREEMENT
Date: 06/28/13
Proposal: PP62692
Agreement:
Page: 2 of 3
Scope of Work(cont.)
17. Roofing
18. Crane lift.
19. Structural engineering.
20. Permit, drawings, and equipment documentation (mechanical).
TotalProject Cost............................................................................................................................$18,904.00
20 -700 wss�
Note: The existing system design is a mixed manufacture assemble. This makes the service requirements in
three different locations, rooftop, mezzanine and fire truck bay areas. Because the new codes will require
duct modifications, installation of an economizer, changing refrigeration piping, structural modification and
other items, we are proposing a cleaner, simpler and more user friendly design.
Extended Warranty
An extended one-year warranty (two years total) is available on this equipment if covered under one of
PSR's comprehensive service programs.
Exclusions
• Washington State sales tax • Asbestos work
• Overtime and weekend labor • Electrical power wiring upgrades
• Equipment screening • Painting
• Fire alarm system interlocks • Electrical service outlet
• Smoke detector • Fire/smoke dampers
• Correcting existing sub-standard code conditions • Smoke detector
Payment Terms
Thirty percent (30%) down payment due upon acceptance. Monthly progress billings per Terms and
Conditions enclosed. Balance due within ten (10) days of receipt of invoice upon project completion.
The proposal is the property of the Contractor and is provided for Customer's use only. Contractor
guarantees the price stated in this Agreement for thirty (30) days from proposal date above. .
C Customer
By
N
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Approved for Contractor by: Signature
Neil Bavins, President Title
Date Date
3132 NE 133''Street,Seattle,WA 98125 • Phone:(206)367-2500 Fax:(206)368-6856 • www.psrmechanical.com
PROJECT AGREEMANiT FOR BUILDING ENVIROAENTAL SYSTEMS
As a condition of performance,payments are to be made on a progress basis. Invoice payment must be made within ten(10)days of receipt. Any alteration or deviation from the above
proposal involving extra cost of material or labor will become an extra charge over the sum stated above. This proposal will become a binding Agreement only after acceptance by Customer
and approved by Contractor's authorized agent by their signatures below. This Agreement sets forth all of the terms and conditions binding upon the parties hereto,and no person has authority
to make any claim,representation,promise,or condition on behalf of Contractor which is not expressed herein.
TERMS AND CONDITIONS
1. Contractor warrants that the workmanship hereunder shall be free from defects for one(1)year from date of installation. If any replacement part or item of equipment proves defective.
Contractor will extend to Customer the benefits of any warranty Contractor has received from the manufacturer.Removal and reinstallation of any equipment or materials repaired or
replaced under a manufacturer's warranty will be at Customer's expense and at the rates then in effect. Contractor warrants the title to the materials and equipment furnished to the
Customer pursuant to this Agreement.
2. Customer shall permit Contractor free and timely access to areas and equipment,and allow Contractor to start and stop the equipment as necessary to perform required services. All
planned work under this Agreement will be performed during Contractor's normal working hours.
3. Customer will promptly pay invoices within ten(10)days of receipt. Should a payment become thirty(30)days or more delinquent,Contractor may stop all work under this Agreement
Without notice and/or cancel this Agreement,and the entire Agreement amount shall become due and payable immediately upon demand. Furthermore,Customer shall purchase and
maintain insurance covering all interests of the Contractor in the work,naming the Contractor as a loss payee and entitling the Contractor to receive payment including the total unpaid
balance of the Agreement Price in the event of loss or damage including,but not limited to,loss or damage caused by fire,theft,vandalism or other perils. Customer shall bear all costs of
such insurance including,but not limited to,premiums,administrative expenses,and deductibles.
4. Customer shall be responsible for all taxes applicable to the services and/or materials hereunder.
5. Any alteration to,or deviation from,this Agreement involving extra work,cost of material or labor will become an extra charge(fixed-price amount to be negotiated or on a time-and-material
basis at Contractor's rates then in effect)over the sum stated in this Agreement.
6. In the event Contractor must commence legal action in order to recover any amount payable under this Agreement,Customer shall pay Contractor all court costs and attorneys'fees
incurred by Contractor.
7. Any legal action relating to this agreement,or the breach hereof,shall be commenced within one(1)year from the date of the work.
8. Contractor shall not be liable for any delay, loss, damage or detention caused by unavailability of machinery, equipment or materials, delay of carriers,strikes, including those by
Contractor's employees,lockouts,civil or military authority,priority regulations,insurrection or riot,action of the elements,forces of nature,or by any cause beyond its control.
9. To the fullest extent permitted by law,Customer shall indemnify and hold harmless Contractor,its agents and employees from and against all claims,damages,losses and expenses,
including but not limited to attorneys'fees,arising out of or resulting from the performance of work hereunder,provided that such claim,damage,loss or expense is caused in whole or in
part by any active or passive act or omission of Customer,anyone directly or indirectly employed by Customer,or anyone for whose acts Customer may be liable,regardless of whether it
is caused in part by the negligence of Contractor.
10. Customer shall make available to Contractor's personnel all pertinent Material Safety Data Sheets(MSDS)pursuant to OSHA'S Hazard Communication Standard Regulations.
11. Contractor's obligation under this agreement and any subsequent contract does not include the identification, abatement or removal of asbestos or any other toxic or hazardous
substances,hazardous wastes or hazardous materials,or any fungus(es)or spore(s);substance,vapor or gas produced by or arising out of any fungus(es)or spore(s);or any material,
product,building component or structure that contains,harbors,nurtures or acts as a medium for any fungus(es)or spore(s). In the event such substances,wastes and materials are
encountered,Contractor's sole obligation will be to notify the Owner of their existence. Contractor shall have the right thereafter to suspend its work until such substances,wastes or
materials and the resultant hazards are removed. The time for completion of the work shall be extended to the extent caused by the suspension and the contract price equitably adjusted.
Contractor expressly disclaims any and all responsibility and liability for the indoor air quality of the customer's facility,including without limitation,injury or illness to occupants of the facility
or third parties,or any damage to the customer's facility,arising out of or in connection with the Contractor's work under this agreement,including without limitation any illness,injury or
damage resulting in any manner from any fungus(es)or spore(s),any substance,vapor or gas produced by or arising out of any fungus(es)or spore(s),or any material,product,building
component or structure that contains,harbors,nurtures or acts as a medium for any fungus(es)or spore(s).
12. Customer shall bear the risk of loss,destruction,or damage to all materials and equipment upon arrival of such materials and equipment at the Customer's premises.Customer shall also
bear the risk of any loss,destruction,or damage to the work performed by the Contractor.
13. UNDER NO CIRCUMSTANCES,WHETHER ARISING IN CONTRACT,TORT(INCLUDING NEGLIGENCE),EQUITY OR OTHERWISE,WILL CONTRACTOR BE RESPONSIBLE FOR
LOSS OF USE,LOSS OF PROFIT,INCREASED OPERATING OR MAINTENANCE EXPENSES,CLAIMS OF CUSTOMER'S TENANTS OR CLIENTS,OR ANY SPECIAL INDIRECT OR
CONSEQUENTIAL DAMAGES.
Disclaimer and Limitation of Liability:
Design and as-built drawings prepared by PSR and proposal information including scope of work/specifications,as defined by PSR,are intended for the exclusive use of PSR. If these
drawings,proposal information,and specifications are used by any person or business entity other than PSR,PSR disclaims all warranties on the use of this information,either express or
implied or otherwise,including but not limited to implied warranties of merchantability,fitness for a particular use,and non-infringement.
Under no circumstances,will PSR be liable to any person or business entity for any direct,indirect,special,incidental,consequential,punitive,or other damages based on the use of this
information,including,without limitation,any lost profits,or business interruption.This is a comprehensive limitation of liability that applies to all losses and damages of any kind.If you are
dissatisfied with the information,your sole and exclusive remedy is to discontinue using the information.
"NOTICE TO CUSTOMER"
This contractor is registered with the state of Washington,registration No.PSRHVMS924JT as a general and has posted a bond or cash deposit of$12,000.00 for the purpose of satisfying
claims against the contractor for negligent or improper work or breach of contract in the conduct of the contractor's business. This bond may not be sufficient to cover a claim which might arise
from the work done under your contract. If any employee of the contractor or subcontractor is not paid by the contractor or subcontractor on your job,your property may be liened to force
payment. If you wish additional protection,you may request the contractor to provide you with original,"LIEN RELEASE"documents for each supplier or subcontractor on your project. The
contractor is required to provide you with further information about lien release documents if you request it. General information is also available from the Department of Labor and Industries.
3132 NE 133"j Street,Seattle,WA 98125 a Phone:(206)367-2500 Fax: (206)368-6656 • MVW.psrmechanical.com
(r �M)
City of
Insurance Requirements For City of Renton
The City of Renton typically requires the following industry minimum insurance limits:
• $1,000,000 per occurrence Commercial General Liability(CGL);
• $2,000,000 in the Commercial General Liability aggregate;
• $1,000,000 Auto Liability(needed if a vehicle will be used in performance of work
beyond normal commutes. This would include delivery of products to worksite);
• Proof of Workers' Compensation coverage as required by the state (provide the
Washington L&1 or excess coverage policy number);
• Excess Liability or Umbrella (if needed, at levels to be determined by unique
exposure risk or if required in the contract;can be in tandem with CGL);
• $1,000,000 Professional Liability (if required in the contract or if the professional
services to be provided are excluded from the CGL policy).
Requirements unique to the City of Renton:
• Name the City of Renton as a Primary and Non-contributory Additional Insured
on the policy (only applies to Commercial General Liability);
• The City shall be provided with written notice of any policy cancellation within
two business days of receipt of such notice by the policy holder;
• Insurance certificate requirements can be waived for current WCIA members,
with Risk Manager approval;
• Put descriptive text of the project in the "Description of Operations" box; and
• The certificate holder should read:
City of Renton
ATTN: {enter your City contact's name here and Department)
1055 South Grady Way
Renton,WA.98057
Direct any questions, comments, or concerns to: Gary Lamb, Risk Manager
425.430.7669-direct
425.430.7650- main
425.430.7665 -fax
glamb @rentonwa.gov
Revised 4/5/13
L �j
Department of Labor and Industries STATEMENT OF INTENT TO
Prevailing Wage
(360)902-5335 PAY PREVAILING WAGES
www.lni.wa.gov//fradesLicensing/PrevailingWage
Public Works Contract
$25.00 Filing Fee Required
• This form must be typed or printed in ink. Project Name Contract#
• Large,bold numbers match instructions on back of form.
• Please allow a minimum of 10 working days for processing. Contract Awarding Agency(public agency-not federal or private)
• Once a roved your form will be posted online at the above website.
piR�l �� .. '*fin " = Address
Contractor,company or agency name,address,city,state&ZIP+4
City State ZIP+4
Awarding Agency Project Contact Person Phone#
County where work was performed City where work was performed
Bid due date (mm/dd/yy) Date contract awarded (mm/dd/yy)
Will all work be subcontracted? Do you intend to use subcontractors?
❑ Yes ❑ No ❑ Yes ❑ No
Prime contractor(has contract with the public agency) Contractor Registration# Expected job start date(mm/dd/yy) Do you intend to use apprentices?
❑ Yes ❑ No
Craft/trade/occupation(Do NOT list apprentices) Estimated no. Rate of Rate of hourly fringe
Indicate number of owners expected to perform work. of workers hourly a benefits
PF
Company name Indicate total dollar amount of your contract
or time and materials if applicable.
Address I hereby certify that the above information is correct and that all
workers I employ on this Public Works Project will be paid no less
City State ZIP+4 than the Prevailing Wage Rate(s) as determined by the Industrial
Statistician of the Department of Labor and Industries
Contractor Registration No. UBI Title Signature
Industrial Insurance Account Number
Email address Phone number ;� °'F r. I 11se Only
Check Number: ❑ $25 or $
41 La�t TTse w #exit Issued By:
APPROVED: Department of Labor and Industries
By
Industrial Statistician
F700-029-000 statement of intent to pay prevailing wages 12-04 After APPROVAL,send white copy to Awarding Agency.
Canary copy—L&I
How to expedite the processlig of your form:
REQUIRED FOR PROCESSING ERRORS THAT CAUSE REJECTION
Filing Fee No fee or wrong amount. $25.00 filing fee required.
Bid Due Date and Date Contract Awarded Missing. Award date is before bid due date. Prevailing Wage is based
on the date bids from prime contractor were due to the contract awarding
agency.
Craft/trade/occupation Craft not listed, not specific, or does not match prevailing wage
occupation listings.
Owner/Operators: If the work will be performed by owners/partners,
state"Owner/Operator' under the"Craft"section, and the wage and
fringe need not be completed. Do list the number of owners on the job.
(Individuals who own less than 30%of the company are not considered
to be owner/operators and must be paid prevailing wage.)
All work subcontracted: If all work will be performed by
subcontractors, check the appropriate box on the form.
Rate of Hourly Pay Missing or incorrect wages. Enter the rate of hourly pay and rate of
qualified hourly fringe benefits, as defined by RCW 39.12.010, that you
will actually provide to the workers. The amount listed for"Rate of
Hourly Pay" plus the amount listed for the"Rate of Hourly Fringe
Benefits", if any, must equal or exceed the Prevailing Wage rate.
Estimated number of workers Missing
Total Dollar Amount of Your Contract Missing—Enter"time and materials"if applicable.The exact dollar
amount will be required on the Affidavit of Wages Paid form.
Contractor Registration No. or UBI Missing or not registered. Companies not required to obtain a
contractor's registration number need only indicate UBI (i.e.,janitorial,
surveying,truck driving).
Signature Missing—Intent must be signed by an authorized representative.
Apprentices: Do not list apprentices or apprenticeship wages on this Statement of Intent. If you use apprentices on this project, they
must be listed on the Affidavit of Wages Paid form (F700-007-000), and registered with the Washington State Apprenticeship and
Training Council within 60 days of hire. Any workers not registered as such must be paid prevailing journey level wages. Call (360)
902-5323 to verify registration. Electrical and Plumber trainees registered with the Department of Labor and Industries MUST ALSO be
registered with the Washington State Apprenticeship and Training Council to qualify for apprentice rates.
If there is not enough space to list all required information on one form, use additional Intent forms as needed. Please indicate at the
top of each form"Page 1 of 2","Page 2 of 2",etc. No additional fee is required. No other attachments will be accepted.
Approval of this Intent will be based on the information provided by the contractor/subcontractor. It does not signify approval
of the classifications of labor used by the contractor/subcontractor.
L&I will mail the approved white copy of this Intent to the organization provided on the front of this form. Make a copy for your records.
A copy of the approved Intent form for each employer must be posted at the jobsite for contracts in excess of$10,000.00.
Prevailing wage rates are available on the Internet at www.Lni.wa.oov/TradesLicensing/PrevailinaWage
Submit both copies (white and canary) and the $25.00 filing fee to:
MANAGEMENT SERVICES Please fold in thirds so the address
DEPT.OF LABOR AND INDUSTRIES will show in a window envelope
PO BOX 44835
OLYMPIA,WASHINGTON 98504-4835 For questions call(360)902-5335
F700-029-000 statement of intent to pay prevailing wages—backer 12-04
PSR Mechanical
Building Efficiency and Sustainability
A service Logic company
SITE SAFETY PLAN
City of Renton
Fire Station #16
1055 South Way
Renton, WA
Replace Split System
Project # P4829
Cily of
k
r
PSR Mechanical
B3 iilding Efficiency and SLIstainability
A Service Logic Company
Project Manager: Chris Meilstrup
Project Supervisor: Randy Horner
3132 NE 133rd Street
Seattle, WA 98125-4423
PO Box 27073
Seattle, WA 98165-1473
p: 206-367-2500
f: 206-368-6856
Webpage: www.psrmechanical.com
PSRHVMS924JT
Dedicated to
maintaining the
World 's most
energy efficient buildings
PSR Mechanical
Building Efficiency and Sustainability
A Suvia,Luau.Cuiw mr
TABLE OF CONTENTS
o Worksheets
o Safety Program Objective
o Assured Equipment Grounding
O Eye Protection Policy
o Fall Protection Plan
o Ladders & Scaffolding
o Personal Protective Equipment
O Tools—Hand & Portable
o Haz-Mat Communications/MSDS
o Lockout & Tagout Safety
Pre Wor.`,k JobsitePanningIN'ork �eet � N
[J�obsite: City of Renton Fire Station #16 Date: 10/17/13
Lead: Randy Horner
VUorksie Issue O �s
. r ,
S
Pre-assessment done and pre-site safety huddle performed and documented
Sub/Prime Training & Communication/Jobsite Control
Anchor Points Set By Architect/ Builder
Personal Protective Equipment (Proper Shoes, Hard Hat, Safety Vest, Fall Gear, Other) and
Inspected
Work Surfaces/Access/Rebar(On Roof, and Ground); Exclusion Zones
Electrical and other hazards
Environmental controls (Heat, Sun, Cold, Weather, Insect, etc.)
Slick roof conditions (No Go Policy Employed)
Roof Loads/Structure/Placement Specified and Signed Off By Owner/Prime
Load Placement Sign Off by Prime or Owner:
Traffic Control Vests
Lift Placement and Access Control
Fall Hazards Identified (Internal/ External)
Fall Plan Established for Hazards; Fall Distance Calculation Established and Sign-off by
Competent Person:
Rescue Plan Established
First Person Up Protection
Holes/Skylight/Other Protection
Pendulum Control
Fall Gear and Harnesses T ight; Anchors to manufacturer Specs.
Ladder Placement, Securement, & Roof Access/Egress
Anchor Points: Number: Locations for 100% Protection:
Pre-Shift Safety Review
All Crew Training Current on Gear, Fall Protection, Boom, Conveyor, and Other Needs
Emergency Contacts and Communication Established Rescue
Other Noted Concerns/ Issues & Controls Established:
Competent Person Sign-off: Date:
Return to , and document in Training Tracking system
OperationYFaICi Prp4 c#iomP�anSafety ►u�
Operation: Date:
Manager:
z �� � �
AuditErient p '
?a
le
Fft
Competent Person Specified and trained for each crew
Worker Fitness Evaluations complete
Pre-assessments completed correctly and comprehensively for all jobs
Pre-site Safety Huddles occurring to review pre-assessments, and documented
Unannounced Site Safety Evaluations completed for all teams at least once a quarter
Only company specified Fall Gear and Personal Protective Equipment(PPE) in use
All staff trained with documentation:
✓ Written plan/ 100% protection
✓ All fall protection gear-donning, inspection, limitations, Fall Distance Calculation
✓ Establishing exclusion zones
✓ PPE
✓ Pre-site assessment process
✓ Environmental controls (Heat, Sun, Cold, Weather, Insect, etc.)
✓ Defensive Driving
✓ Safe Lifting
✓ Traffic control
✓ First Person Up Protection
✓ Emergency Contacts and Communication Established Rescue
✓ Slick roof conditions (No Go Policy Employed)
✓ Holes/Skylight/Other Protection
✓ Roof Loads/Structure
✓ Pendulum Control
✓ Anchor Points/Installation
✓ Ladder Placement, Securement, & Roof Access/Egress
✓ Electrical and other hazards
Documentation of all fitness evaluations, training, Pre-assessments, Site Surveys, Audits
Complete
Annual refresher training done for competent persons and crews in training subjects
Other:
Other:
FNoledcerns/Issues & Future Controls Established:
Return to , and document in Training Tracking system
t Jobsite SafenEvaluatio`n
IN
S t } k
FJobsite: City of Renton Fire Station #16 Date: 10/17/13
Lead: Randy Horner
ilk
isfci8eia�ior f er }
Sub/Prime Training &Communication/Jobsite Control
Anchor Points Set By Architect/Builder
Personal Protective Equipment(Proper Shoes, Hard Hat, Safety Vest, Fall Gear, Other) and
Inspected
Work Surfaces/Access/Rebar(On Roof, and Ground)
Electrical and other hazards
Environmental (Heat, Sun, Cold, Weather, Insect, etc.)
Slick roof conditions (No Go Policy Employed)
Roof Loads/Structure
Load Placements
Traffic Control Vests
Lift Placement and Access Control
Fall Hazards Identified (Internal/External)
Fall Plan Established for Hazards; Fall Distance Calculation Established and Sign-off by
Competent Person
Rescue Plan Established
First Person Up Protection
Holes/Skylight/Other Protection
Pendulum Control
Fall Gear Tight
Ladder Placement, Securement, & Roof Access/Egress
Anchor Points: Number: Locations for 100% Protection:
Pre-Shift Safety Review
All Crew Training Current on Gear, Fall Protection, Boom, Conveyor, and Other Needs
Emergency Contacts and Communication Established Rescue
Noted Concerns/ Issues & Future Controls Established:
Return to , and document in Training Tracking system
Job Hazard/ Safety Analysis Development Worksheet
Safety Team:
Basic Description of Duties:
rjob Llst t safe req��ren)ents fohis tas e ectie ul m �a ng, and material handling
Material handling
Slips/trips/falls
Exposure to falling materials-foot and head
injuries
Exposure to flying material-eye injury
Exposure to high noise environments or
tasks
Exposure to respiratory irritants
Forklift operation
Working with sharp items
Working with chemicals (specify)
Working with non-ionizing sources
Working with ionizing radiation sources
Desk work
Machine/tool operation (specify)
Machine/tool maintenance work
Machine/tool blade or tooling changes
F
mud
Machineltool unjamming work
Working with the public
Driving (specify)
Compressed air use
Hoist or crane use
Welding,torch cutting, brazing, grinding
Confined space work
Elevated work
Step ladder use
Extension ladder use
Exposure to electrical sources(specify)
Exposure to traffic
Traffic control
Handling hot items
Work in,exposure to trenches
Pallet jack use
Dolly or hand truck use
Abrasive blasting
Concrete work
Computer/VDT workstation use
jtepsofob �:ittsa'fe�y tequ�re` ien or is
�J
ersonal e4ivee ui
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
Other(specify):
ACCIDENT PREVENTION PROGRAM
SAFETY PROGRAM OBJECTIVE
The objective of this safety program is to develop a high standard of safety
throughout all operations of PSR, Inc. and to ensure that no employee is required
to work under any conditions what are hazardous or unsanitary.
We believe that the individual employee has the right to derive personal
satisfaction from their job and the prevention of occupational injury or illness is of
such consequence to this belief that it will be given top priority at all times.
It is our intention at PSR, Inc. to initiate and maintain complete accident
prevention and safety training programs. Each individual is responsible for the
safety and health of those persons in their charge and co-workers around them.
By accepting mutual responsibility to operate safely, we will all contribute to the
well be of personnel.
Neil Bavins
President
ACCIDENT PREVENTION PROGRAM
ASSURED EQUIPMENT GROUNDING
Description Of An Assured Equipment Grounding Conductor Program:
1. SCOPE:
The procedure described herein is suitable for compliance with the requirements of WAC 296-
155-477 (2) (iii). It is the policy of the undersigned to establish and implement an Assured
Grounding Conductor Program covering:
A. Cord sets and receptacles not a part of the permanent wiring of buildings or structure, and;
B. All electrical equipment and tools used in connection with process of construction or
alterations.
2. POLICY:
Ground Fault Circuit Interrupters (GFCI) are required by the captioned codes for all 120-volt,
single phase, 15-20 ampere receptacle outlets which are not a part of the permanent wiring of a
building or structure of/or on a construction project. As an alternative to the Ground Fault Ci rcuit
Interrupter requirement, it will be the policy of the undersigned to instruct employees not to use
equipment that does not meet the requirements of the Assured Grounding Program.
3. JOBSITE INFORMATION:
A. Employer: PSR Mechanical
B. Name or location of construction site: Brookdale Wynwood of Allenmore& Union Park—the
Villas
C. Person to implement the procedure: Jobsite Foreman
1. The person named above shall be designated as being competent, pursuant to WAC
296-155-012 (3). This person shall be capable of identifying hazards relating to grounding
and shall have the authority to make any corrections such that each item on a given jobsite
is adequately grounded.
4. PROCEDURE:
All equipment to be used on the construction site shall be tested, identi fied, and coded using the
following procedures with the exception of "double insulated" system, which need not be tested.
5. TESTING:
• All equipment shall be tested before first use for grounding and continuity of circuitry.
• Equipment returned to service following repairs shall be tested for continuity before
being used.
• These tests shall be done monthly.
• Tested equipment shall be identified by use of color coding. Two (2) colors shall be
used. First color to identify the Quarter and the second to identify the Month within the
quarter.
• Equipment shall be visually inspected before use each day for external defects, including
deformed or missing pins, insulation damage and indications of possible internal
damage. Equipment shall not be used until repaired, retested, and results recorded.
6. RECORDING:
The aforementioned tests shall be recorded on the attached schedule and retained at the
jobsite.
EYE PROTECTION POLICY
Eye protection shall be used in accordance with OSHA/WISHA requirements while on
the work site. This requirement applies to all company employees and company visitors
on the work site. This company will supply eye protection to their direct hire employees
and visitors at no cost. Subcontractors will be responsible for supplying eye protection
for their employees.
All eye protection will be ANSI Z87.1-1989 approved. Safety goggles must be worn over
prescription eyewear that does not meet the requirements of ANSI Z87.1-1989.
Spectacles approved fur use will have the following:
• All major spectacle components except lenses will be a trademark identifying the
manufacturer and shall be marked 787" to indicate compliance with this
standard.
• Frames shall completely encircle both lenses.
• Protective side shields shall be attached to the f rames.
Double eye protection must be worn when grinding, chipping, cutting, using a wire wheel
buffer, or doing a job that could create projectiles.
The proper double eye protection will be a part of soft sided goggles under a face shield,
or in the case of a welder, it will be safety glasses under the welding hood. If a person is
wearing prescription eye wear that does not meet the requirements of ANSI Z87.1
goggles must be worn over the prescription glasses under the face shield to be in
compliance with the double eye protection requirements.
The use of eye protection is mandatory on all company work sites.
FALL PROTECTION PLAN
PSR Mechanical does not foresee any fall hazards on this project, as no work will be
done over 10 feet above the floor. Therefore, no fall restraints or fall arrest will be
needed. This fall protection plan will be updated if new hazards develop.
FALL PROTECTION PLAN
PROJECT DATE
DESIGNATED COMPETENT PERSON
In accordance with WAC 296-155-24501 through WAC 296-155-24525, the following FALL PROTECTION
PLAN is hereby formulated for
located at the following jobsite address
A. IDENTIFY ALL FALL HAZARDS WITH ELEVATIONS C. TRAIN EMPLOYEES
OF 10' OR GREATER. 1. Employee trained: Yes [ ] No [ ]
1. Leading edges [ ] If no training, explain
2. Perimeter edge [ ]
3. Elevator openings [ ] 2. Documentation available of training
4. Stairway openings [ ] received? Yes [ ] No [ ]
5. Vent, mechanical openings [ ] Location of documentation: Jobsite [ ]
6. Open-sided floors [ ] [ ] Office [ ] Other, Specify
7. Articulated snorkel lifts [ ] D. DESCRIBE FALL PROTECTION
8. Scaffolds [ ] SYSTEM PROCEDURES
9 Stairways [ ] 1. Assembly:
10. Other, Specify ( ] Name of responsible person(s)
2. Maintenance of equipment or systems used:
B. SPECIFY METHODS OF FALL PROTECTION Name of responsible person(s)
1. Elevations of 10' or greater: As needed [ ]
a. Safety harness/lanyards [ ] 3. Inspection of equipment or systems used:
b. Safety belt/lanyards [ ] Name of responsible person(s)
c. Horizontal lines [ ] Inspection schedule
d. Standard guardrails [ ] Equipment or systems inspected
2. Deck/floor openings:
a. Standard guardrails [ ] 4. Procedures for handling, storing & securing
b. Other, Specify [ ] tools & materials at jobsite:
3. Stairways: a. Describe how materials will be moved.
a. Handrails [ ] [ ] Cranes [ ] Forklifts [ ] Other
4. Articulated lifts: b. Limit overhead hazards [ ]
a. Safety belt/harness [ ] c. Material secured when in position [ ]
5. Scaffolds: d. Equipment secured when not in use [ ]
a. Guardrails and toeboards [ ] 5. Methods of providing overhead protection:
6. Safety monitor system:* a. Barricading (eliminating acces) [ ]
a. Monitor Name(s) b. Warning signs posted [ ]
c. Hard hats required [ ]
b, Monitor(s)trained* [ ] d. Toeboards installed around
* In accordancde with WAC 296-155-24521, floor openings [ ]
Safety Monitor System e. Other [ ]
(Over, please)
Complete& file in jobsite notebook until project is complete, then forward to Main Office.
1
FALL PROTECTION TRAINING
E. PREPARE FOR PROMPT, SAFE, REMOVAL OF
INJURED WORKER
1. Initiate 911 emergency medical system [ ] DATE
2. Utilize lift truck w/personnel platform [ ]
3. Utilize articulated boom lift platform [ ] All new employees will be given instructions on the
4. Erect ladders [ ] proper use of fall protection devices before they
5. Use droplines or retraction device [ ] begin work. They will sign a form stating that they
6. Assist medical, fire, or emergency [ ] have been given this information. This form will be
response team [ ] maintained at the jobsite until project has/is ended
7. Other [ ] and then forwarded to main office for filing.
F. LIST OTHER SAFETY MEASURES OR SYSTEMS The fall protection program will be reviewed before
TO BE USED TO ENSURE & ESTABLISH AN work begins on the jobsite. Fall protection
ADEQUATE FALL PROTECTION PROGRAM. equipment use will be reviewed regularly at the
1. Explain weekly safety meeting.
Employee:
F. ADDITIONAL FALL HAZARDS
2
(00
FALL PROTECTION
1.0 Applicability
This procedure applies to all facilities and field operations where personnel could be
exposed to fall hazards of 4 feet or greater.
2.0 Purpose and Scope
The purpose of this procedure is to provide criteria for the recognition and control of fall
hazards.
3.0 Implementation
Implementation of this procedure is the responsibility of the Location Manager.
4.0 Requirements
A. Training
1. Designate a competent person to provide training in fall hazard recognition to each
employee and their supervisor who may be exposed to falls. The competent
person must be qualified in the following areas:
a) The nature of fall hazards in the work area.
b) The correct procedures for erecting, maintaining, disassembling, and
inspecting the fall protection systems to be used.
c) The use and operation of guardrail, personal fall arrest, safety net, warning
line, and safety monitoring systems, controlled access zones, and other
protection to be used.
d) The role of each employee in the safety monitoring system, when used.
e) The limitations on the use of mechanical equipment during the performance of
roofing work on low-sloped roofs.
f) The correct procedures for the handling and storage of equipment and
materials and the erection of overhead protection.
g) The role of employees in fall protection plans.
h) Use of fall protection equipment, manufacturer limitations, and fall protection
standards.
2. Prepare a written certification record which includes the name of the employees
trained, the date(s) of training, and the signature of the person who conducted the
training.
3. Provide retraining when one of the following situations occur:
a) Changes in the workplace render previous training obsolete.
b) Changes in the types of fall protection systems or equipment to be used
render previous training obsolete.
c) Inadequacies in affected employee's knowledge or use of fall protection
systems or equipment indicate that the employee has not retained the
requisite understanding or skill.
B. Fall Protection —General
Require that one or m ore of the fall protection/prevention systems outlined in this
procedure is provided at all locations where fall hazards of 4 feet or greater exist.
These locations include, but are not limited to, excavations, unprotected
elevations, ladders, scaffolds, floor holes, wall openings, formwork, rebar tying,
and all other locations and operations where potential fall hazards exist.
C. Guardrail Systems
1. Provide guardrail systems, when feasible, at all locations where a fall hazard of 4
feet or greater exists. Where guardrail systems are impractical, an alternative form
of fall protection as outlined elsewhere in this procedure must be provided.
2. Require that guardrail systems meet the following criteria:
a) Toprails must be installed 42 inches above the walking/working surface and
be capable of withstanding, without failure, a minimum force of 200 pounds in
any outward or downward direction with no more than 3 inches of deflection.
b) Midrails must be installed 21 inches above the walking/working surface and be
capable of withstanding, without failure, a minimum force of 150 pounds in any
outward or downward direction.
C) Posts must be spaced not more than 8 feet apart on centers.
3. Require that there are no openings more than 19 inches wide in any guardrail
system.
4. Do not use plastic or steel banding as toprail or midrail.
5. Provide toprails and midrails of at least one-quarter inch nominal thickness or
diameter, and smoothly surfaced to prevent cuts and punctures.
6. Flag the toprail with high-visibility material when using wire rope for toprails.
7. Erect guardrails on al I sides when using guardrail systems around holes.
8. When guardrails are used around holes that are used f or access, such as
ladderways, provide a gate or offset the guardrail so that a person cannot walk
directly into the hole.
9. When guardrails are used at hoisting areas, place a chain, gate, or rem ovable
guardrail section across the acces s point when hoisting operations are not taking
place.
10. Provide guardrail systems at all locations above dangerous equipm ent, whether 4
feet or not.
11. Provide guardrails at all wall openings where the outside botto m edge of the
opening is 4 feet or more above lower levels and the inside bottom edge of the
wall opening is less than 39 inches above the w alking/working surface.
12. Erect guardrail systems on all unprotected sides or edges of ramps and runways
when such systems are used.
D. Personal Fall Arrest Systems
1. Provide and require the proper use of personal fall arrest systems on all
unprotected elevations 4 feet or more above a lower level. Where these systems
are impractical, an alternative form of fall protection as outlined elsewhere in this
procedure must be provided.
2. All aspects of personal fall protections systems must be designed, installed, and
used under the supervision of a qualified person.
3. Maintain a safety factor of at least 2 in all components of a personal fall protection
system.
4. Safety belts (body belts) are prohibited.
5. Use only full body harnesses, shock-absorbing lanyards, lifelines, and anchorage
points which meet the following criteria:
a) Body harness design and construction m ust meet the specifications set forth
in current OSHA Standards.
b) All snaphooks must be of the locking type.
c) Ropes and webbing used in lanyards, lifelines, and body harnesses must be
made of synthetic fibers.
d) The attachment point(dee-ring) of a body harness must be located in the
center of the wearer's back near shoulder level, or above the wearer's head.
e) Horizontal lifelines must be designed, installed, and used under the
supervision of a qualified person; be capable of supporting at least 5,000
pounds per employee attached; and maintain a safety factor of at least 2.
fl Lanyards and vertical lifelines must have a minimum breaking strength of
5,000 pounds.
g) Self-retracting lifelines and lanyards which limit free fall to 2 feet or less must
be capable of sustaining a minimum tensile load of 3000 pounds in the fully
extended position.
h) Self-retracting I ifelines and lanyards which do not limit free fall to 2 feet or
less, ripstitch, and other shock-absorbing lanyards must be capable of
sustaining a minimum tensile load of 5,000 pounds in the fully extended
position.
i) Anchorage points for personal fall protection systems must be independent of
any anchorage point being used to support or su spend platforms and must be
capable of supporting at least 5,000 pounds per employee attached.
6. Inspect all fall protection components for wear, damage, and deterioration prior to
each use.
7. Require employees to be familiar with the fitting and donning of body harnesses;
proper tie-off techniques, and suitable anchorage points.
8. Instruct employees to rig fall protection such that they can neither free fall more
than 4 feet, nor contact any lower level.
9. Never tie off to guardrail systems or hoists.
10. Require employees to remain tied off 100% of the time at or above 4 feet by
means of horizontal lifelines, vertical lifelines, a double lanyard system, or other
suitable means.
11. Remove from service any component of a personal fall protection system that has
been subjected to impact loading and do not use again until inspected by a
competent person and determined to be undamaged and suitable for reuse.
12. Make provisions for the prompt rescue of personnel in the event of a fall, or require
that employees are capable of self-rescue.
13. Provide separate vertical lifelines for each employee using a vertical lifeline. 5/8-
inch nylon rope is recommended for lifeline use.
14. Protect lifelines against cuts and abrasions.
15. Use rope grabs to attach to vertical lifelines— never use knots.
E. Safety Net Systems
1. Provide safety net systems at locations where a fall hazard of 4 feet or greater
exists, and other forms of fall protection are not feasible. Where safety net systems
are impractical, an alternative form of fall protection as outlined elsewhere in this
procedure must be provided.
2. Require that safety net systems meet the criteria set forth in— current OSHA
standards.
3. Install safety nets as close as possible under the walking/working surface on which
employees are working, but never more than 30 feet below this level.
4. Require that the potential fall area from the walking/working surface to the net is
unobstructed.
5. Install safety nets with enough clearance under them to prevent contact with the
surface or structures below when subjected to an impact force equal to the drop
test specified below.
6. Extend the outer edge of the net 8 feet from the edge of the working surface when
the vertical distance from the working level to the net is 5 feet or less.
7. Extend the outer edge of the net 10 feet from the edge of the working surface
when the vertical distance from the working level to the net is 5 feet to 10 feet.
8. Extend the outer edge of the net 13 feet from the edge of the working surface
when the vertical distance from the working level to the net is greater than 10 feet.
9. Conduct a drop test of the safety net after installation and before being used as a
fall protection system; whenever relocated; after major repair; and at 6-month
intervals if left in one place.
10. Conduct the drop test by dropping a 400 pound sandbag, 30 inches in diameter,
into the net from at least 42 inches above the highest walking/working level at
which employees are exposed to a fall.
11. Inspect safety nets at least once a week, and after any occurrence that could
affect the integrity of the system, for wear, damage, and deterioration. Remove
defective nets and components from service.
12. Remove all materials, scrap, equipment, and tools which have fallen into the net
as soon as possible, but at least before the next work shift.
F. Hole Covers
1. Provide covers in roadways and vehicle aisles that are capable of supporting at
least twice the maximum axle load of the largest vehicle expected to cross over
the cover.
2. Provide walking/working surface hole covers that are capable of supporting at
least twice the weight of employees, equipment, and materials that may be
imposed on the cover at any one time.
3. Secure covers at the time of installation to prevent displacement by the wind,
equipment, or employees.
4. Color code or mark all hole covers with the word "HOLE"or"COVER"to provide
warning of the hazard.
G. Safety Monitoring Systems, Warning Line Systems, and Controlled
Access Zones
Consult the competent person prior to performing any roofing, overhand bricklaying,
leading edge, or other elevated work which may require the use of one or more of
these systems.
H. Protection from Falling Objects
1. Install toeboards along the edge of the overhead walking/working surface.
2. Require that toeboards a re a minimum of 4 inches in height;that they are capable
of withstanding at least 50 you nds of force applied in any downward or outward
direction; and that there is no more than %4 inch clearance between the toeboard
and the walking/working surface.
3. Install paneling or screening from the top of the toeboard to the top rail or midrail
when tools, equipment, or materials are piled higher than the top of the toeboard.
5.0 Documentation Summary
Place in the Project Safety Files:
A. Competent Person Qualifications.
B. Employee Training Documents.
LADDERS AND SCAFFOLDING
LADDERS
Ladders are used on most construction projects. They may be fixed or portable, manufactured, or job
made. Ladders can be made of wood, aluminum, steel, fiberglass, or a combination of these materials.
The regulations covering the construction, components, and use of ladders are contained in WISHA
Standard 296-155-475 and ANSI Standards A14.1, A14.2, and A14.3, and they should be referred to
for complete details and specifications.
Some, but not all, of the safety criteria that apply to ladders are:
1. All ladders should be in a good condition without damage.
2. Step ladders should be used only in the full open position and never be leaned up against
something and used as an extension ladder.
3. All other types of ladders, except for some special fixed ladders, should be used in a
position that is no less than one-fourth the distance from the ladder base to the top support.
4. Non-step ladders should have safety feet or be blocked or scabbed to prevent slippage, be
tied off or otherwise secured at the top, and extended at least 3 feet above the level they are
accessing if it is a roof, floor, or otherwise elevated area.
5. Aluminum and steel ladders should not be used when electrical power sources are present.
6. Personnel should always face the ladder when they are using it and should use both hands
while climbing.
7. If materials are needed for work tasks, they should be placed in a work belt or be raised to
the work point using ropes or cables.
8. Personnel should clean their shoes before they climb a ladder.
9. Ladders should not be place in f ront of doors or other devices that may be moved into it.
10. The maximum length of a single ladder should not exceed 30 feet.
11. Permanent fixed ladders over 20 feet in length should be equipped with safety cages. They
may also require a platform at 20 foot intervals.
12. The minimum standard for job made ladders are:
a. Side rails on single cleat ladders up to 16 feet should a made of 2-in.x 4-in. lumber.
Those over 16 feet up to a maximum limit of 30 feet should be 3-in. x 6-in. lumber.
b. Side rails and midrails on double cleat ladders up to 12 feet should be made of 2-in. x 4-
in. lumber. Those over 12 feet up to the maximum limit of 24 feet should be 2-in. x 6-in.
lumber.
c. Cleats should be made from 2-in. x 4-in. lumber, be spaced at 12 inch intervals, and be
no less than 15 inches nor more than 20 inches wide.
SCAFFOLDING
Each scaffold must be inspected prior to initial use and of ter alteration or moving.
General
1. There is no such thing as temporary scaffold. All scaffolding must be erected and
maintained to conform with established standards.
2. Guardrails, midrails, and toe-boards must be installed on all open sides of scaffolds more
than 4 feet in height, and be constructed f rom components furnished by the manufacturer.
3. Scaffold planks must be at least 2-in. x 10-in. full thickness lumber, scaffold grade, or
equivalent.
4. Scaffold planks must be cleated and extend over the end supports at least 6 inches but not
more than 12 inches.
5. All scaffolds must be at least two planks wide; no employee may work from a single plank.
The work surface must be a minimum of 18 inches wide.
6. Scaffold planks must be visually inspected before each use. Damaged scaffold planks must
be destroyed immediately.
7. Access ladders must be provided for each scaffold. Climbing the end frames is prohibited
unless their design incorporates an approved ladder.
8. Adequate mudsills or other rigid footing, capable of withstanding the maximum intended
load, must be provided and used.
9. Scaffolds must be tied onto the building or structure at intervals, which do not exceed 30
feet horizontally, and 26 feet vertically.
10. Do not overload scaffolds. Materials should be brought up as needed. Scaffolds must not
be loaded in excess of one-fourth of their rated capacity.
11. Barrels, boxes, kegs, and similar unstable objects must never be used as work platforms or
to support scaffolds.
12. Where persons are required to work or pass under a scaffold, a screen of 18 gauge, %-in.
wire mesh is required between the toe-boards and the guardrail.
13. Overhead protection is required if employees working on scaffolds are exposed to overhead
hazards.
ROLLING SCAFFOLDS
1. The height of rolling scaffolds must not exceed four time the maximum base dimensions.
2. Suspended scaffolds must not be less than 20 inches or more than 36 inches wide.
3. Wire ropes used to suspend such scaffolds must have a safety factor six times the
maximum intended load.
4. Non-conductive insulating material must be placed over the suspension cables of each
scaffold for protection when the chance of contact with an electric are exists.
NEEDLE BEAM SCAFFOLDS
1. All needle beam scaffolds must be constructed to support the intended load with a safety
factor of four.
2. All employees working from needle beam scaffolds must use safety belts and lifelines.
3. Needle beams must be at least 4-in. x 6-in. and the span m ust not exceed 10 feet.
4. Rope supports must be at least 1-in. manilla or larger, and attached with a scaffold hitch or
eye splice properly secured to prevent the beam from rolling or being displaced.
5. Needle beam suspended by wire rope must be secured with three wire rope clamps properly
attached.
FLOATS
1. Floats are intended to support no more than three workmen and a few tools. They must be
inspected carefully and prior to each use.
2. The platform must be constructed from '/-in. exterior plywood, Grade B-B or better. The
area platform shall not be less than 3 feet wide and 6 feet long.
3. The supporting beams must be 2-in. x 4-in. select lumber and must project at least 6 inches
beyond each side of the platform.
4. A 1-in x 2-in. edging must be placed on all side of the platform to prevent tools from rolling
off.
5. Supporting ropes must be 1-in. manilla, or equivalent, in "as new" condition and must be
fastened so that the platform cannot slip or shift.
6. When working from floats, each employee shall wear a safety harness and lanyard, properly
attached.
ACCIDENT PREVENTION PROGRAM
PERSONAL PROTECTIVE EQUIPMENT
1. Head Protection: All employees on any construction site shall be provided an individual hard
hat. Employers shall provide individual hard hats at no costs to the employee.
a. Hard hats for the protection of employees against impact and/or penetration of falling or
flying objects shall meet the specifications contained in ANSI Z89.1-1969, Safety
Requirements for Industrial Head Protection.
b. Hard hats for the head protection of employees exposed to high voltage electrical shocks
and burns shall meet the specifications contained in ANSI Z89.2-1971.
c. All employees must have their individual hard hats on site and readily available at all
times.
d. All employees shall wear a hard hat on any construction site whenever there is a potential
exposure to danger of flying or falling objects to persons working or occupying the area.
2. Hearing Protection: The hearing protection requirements of the general occupational health
standards, chapter 296-62 WAC, shall apply.
3. Leg Protection: Employees whose duties require them to operate a power chain saw shall
wear flexible ballistic nylon pads, sewn or otherwise fastened into the trousers, or other
equivalent protection that will protect the vulnerable areas of the legs.
4. Foot Protection: Substantial footwear, made of leather or other equally firm material, shall e
worn by employees in any occupation in which there is a danger of injury to the feet through
falling or moving objects, or from burning, scalding, cutting, penetration, or like hazard.
a. The soles and heels of such footwear shall be of a material that will not create a slipping
hazard.
b. Shoes made of leather or other firm materials that have soft athletic type soles which
would protect employees from foot injuries and at the same time provide soft and firm
footing while working under specialty requirements or with specialty materials are
acceptable if meeting safety shoe requirements established by OSHA or ANSI.
c. Footwear that has deteriorated to a point where it does not provide the required protection
shall not be used.
5. Eye and Face Protection:
a. Employees shall use eye and face protection equipment when machines or operations
present potential eye or face injury from physical, chemical, or radiation agents.
b. Eye and face protection equipment required by this part shall meet the requirements
specified in ANSI Z87-1-1968, Practice for Occupational and Educational Eye and Face
Protection.
c. Employees whose vision requires the use of corrective lenses in spectacles, when
required by this regulation to wear eye protection, shall be protected by goggles or
spectacles of one of the following types:
1. Spectacles whose protective lenses provide optical correction.
2. Goggles that can be worn over corrective spectacles without disturbing the
adjustment of the spectacles.
3. Goggles that incorporate corrective lenses mounted behind the protective lenses.
d. Face and eye protection equipment shall be kept clean and in good repair. The use of this
type of equipment with structural or optical defects shall be prohibited.
6. Respiratory Protection: Appropriate respiratory protection devises shall be provided by the
employer and shall be used in accordance with WAC 296-62-071.
Sterilization of protective equipment: Goggles, gloves, respirators, and other protectors shall not be
interchanged among employees for use unless they have been thoroughly cleaned since the last use.
ACCIDENT PREVENTION PROGRAM
HAND AND PORTABLE POWER TOOLS
POLICY
A craftsperson is evaluated by the condition of their tools and the way they use them. Only
tools in safe working condition will be issued. Employees must comply with all the
manufacturer's instructions. In addition, observe the following safe practices.
GENERAL
1. Inspect tools daily to ensure they are in proper working order. Damaged or defective
tools must be returned to the tool room immediately.
2. Power saws, grinders, and other power tolls must have proper guards in place at all
times. Removing guards or rendering them inoperable may be grounds for
discharge.
3. Power tools should be hoisted or lowered by a hand line, never by the cord or hose.
4. Cords and hoses must be kept out of the walkways and off stairs and ladders. They
must be placed so as not to create a tripping hazard for employees or be subjected
to damage from equipment or materials.
5. When using the tools listed below or working near others using such tools, additional
personal protective equipment may be required. If you have questions about the
protective equipment or safety rules, ask your supervisor. Examples of types of
personal protective equipment are as follows:
Equipment Type Personal Protective Equipment
Jackhammers Eye Protection and Hearing Protection
Tampers Hearing Protection and Food Protection
Chipping Hammers Eye Protection and Hearing Protection
Impact Wrenches Eye Protection and Hearing Protection
Reamers Eye Protection and Hearing Protection
Cutting Torches Eye Protection and Hearing Protection
Arc Welders Hand Protection and Eye Protection
Power-Actuated Tools Eye Protection
Grinders Eye Protection and Hearing Protection
Hand-held Chipping H ammers Eye Protection and Hearing Protection
ELECTRICAL
1. All portable electrical tools must be grounded (except Underwriter's Laboratory
approved, double insulated tools).
2. All electric cords and cables must be covered or elevated to protect them from
damage and to eliminate tripping hazards.
PNEUMATIC
1. An approved safety check valve must be installed at the manifold outlet to each
supply line for hand held pneumatic tools.
2. All pneumatic hose connections must be fastened securely.
3. Safety clips or retainers must be installed on all pneumatic tools to prevent the
accidental expulsion of the tool from the barrel.
FUEL POWERED
1. All fuel powered tools must be shut down while being refueled.
2. Smoking is prohibited during refueling operation. Other nearby sources of ignition,
such as burning and welding, must also be halted during refueling operations.
POWDER ACTUATED
Only employees who posses valid credentials are permitted to use powder actuated tools. The
manufacturer's representative will conduct training classes at the jobsite upon request. A
"powder actuated tool in use" sign must be posted in the immediate area where such tool is in
use.
TOOLS—HAND AND POWER
General Requirements:
1. All hand and power tools and similar equipment, whether furnished by the employer
or employee, shall be maintained in a safe condition.
2. When power operated tools are designed to accommodate guards, they shall be
equipped with such guards when in use.
3. Belts, gears, shafts, pulleys, sprockets, spindles, drums, fly wheels, chains, or other
reciprocating, rotating, or moving parts of equipment shall be guarded if such parts
are exposed to contact by employees or otherwise create a hazard.
4. Employees using hand and power tools and exposed to the hazard of falling, flying,
abrasive, and splashing objects, or exposed to harmful dusts; fumes, mists, vapors,
or gases shall use the particular personal protective equipment necessary to protect
them from the hazard.
5. All hand held powered platen sanders, grinder with wheel 2-in. diameter or less,
routers, planers, laminate trimmers, nibblers, shears, scroll saws, and jigsaws with
blade shanks Y4-in. wide or less may be equipped with only a positive"on/off' control.
6. All hand held powered drills, tappers, fastener drivers, horizontal, vertical, and angle
grinders with wheels greater than 2 inches in diameter, disc sanders, belt sanders,
reciprocating saws, saber saws, and other similar operating powered tools shall be
equipped with a momentary contact "on/off' control and may have a lock-on control
provided that turn off can be accomplished by a single motion of the same finger or
fingers that turn it on.
7. All other hand held power tools such as circular saws, chain saws, and percussion
tools, shall be equipped with a constant pressure switch that will shut off the power
when the pressure is released.
Hand Tools
1. Wrenches, including adjustable, pipe, end, and socket wrenches shall not be used
when jaws are sprung or worn to the point that slippage occurs.
2. Nails shall not be cut with an ax.
3. Impact tools such as drift pins, wedges, and chisels shall be kept free of
mushroomed heads.
4. The wooden handles of tools shall be kept free of splinters or cracks and shall be
kept tight in the tool.
Power Operated Hand Tools
1. Electric power operated tools shall either be of the approved double insulated type or
grounded.
2. The use of electric cords for hoisting or lowering tools shal I not be permitted.
3. Pneumatic power tools and hose sections shall be secured by threaded couplings,
quick disconnect couplings or by 100-pound tensile strength safety chains or
equivalent across each connection to prevent the tool or hose connection from
becoming accidentally disconnected.
4. Safety clips or retainers shall be securely installed and maintained on pneumatic
impact (percussion)tools to prevent attachments from being accidentally expelled.
5. All pneumatically driven nailers, staplers, and other similar equipment provided with
automatic fastener feed shall have a safety device on the muzzle to prevent the tol
from ejecting fasteners, unless he muzzle is in contact with the work surface.
6. Compressed air shall not be used at the nozzle for cleaning purposed except where
reduced to less than 30psi and then only with effective chip guarding and personal
protective equipment.
7. The manufacturer's safe operating pressure for hoses, pipes, valves, filters, and
other fitting shall not be exceeded.
8. The use of hoses for hoisting or lowering tolls shall not be permitted.
9. All hoses exceeding '/-in. inside diameter shall have a safety device at the source of
supply or branch line to reduce pressure in case of hose failure.
10. All fuel powered tools shall be stopped while being refueled, serviced, or maintained,
and fuel shall be transported, handled, and stored safely.
11. When fuel powered tools are used in enclosed spaces, the applicable requirements
for concentrations of toxic gases and use of personal protective equipment shall
apply.
12. The fluid used in hydraulic powered tools shall be fire resistant fluid approved under
schedule 30 of the Bureau of Mines, US Department of Interior, and shall retain its
operating characteristics at the most extreme temperatures to which it will be
exposed.
Powder Actuated Tools
1. The tool shall be designed to prevent inadvertent actuation.
2. The tool shall be designed to prevent actuation when dropped in any attitude from a
height of 10 feet onto a smooth, hard surface such as concrete or steel, if such
actuation can propel a fastener or any part thereof in free flight.
3. Actuation of the tool shall be dependent upon at least two separate and distinct
operations by the operator, with at least one operation being separate from the
operation of holding the tool against the work surface.
4. The tool shall be designed not to be operable other than against a work surface with
a force on the work surface equal to 5 pounds greater than the weight of the tool at a
minimum impact energy of 3 feet—pound.
5. All tools shall be designed so that compatible protective shields or fixtures designed,
built, and supplied by the manufacturer of the tool can be used.
6. The tool shall be designed so that a determinable means of varying the power levels
is available for selecting a power level adequate to perform the desired work.
7. The tool shall be designed so that all principal functional parts can be checked for
foreign matter that may affect operation.
8. The tool shall be designed so that all parts will be of adequate strength to resist
maximum stresses imposed upon actuation when the tool is used in accordance with
the manufacturer's instructions and is powered by an commercially available power
load which will properly chamber in the tool.
9. Each tool shall bear a legible permanent model designation, which shall serve as a
means of identification. Each tool shall also bear a legible, permanent
manufacturer's unique serial number.
10. A lockable container shall be provided for each tool. The words "Powder Actuated
Tool" shall appear in plain sign on the outside of the container. The following notice
shall be attached on the inside cover of the container: "Warning — Powder Actuated
Tool. To be used only by a qualified operator and kept under lock and key when not
in use."
11. Each tool shall bear a durable warning label with the following statement, or the
equivalent: "Warning — For use only by qualified operators according to
Manufacturer's Instruction Manual."
12. Each tool shall be supplied with the following:
a. Operator's Instruction and service manual.
b. Power load chart.
c. Tool inspection record.
d. Service tools and accessories.
13. The tool shall be supplied with a shield.
14. Fasteners for use in powder actuated tools shall be designed and manufactured to
function compatibly with these tools and, when use in masonry, concrete, or steel, to
effect properly the application for which they are recommended.
Operation
1. Only qualified operators shall operate tools.
2. The lowest velocity class of tool that will properly set the fastener shall be used.
3. Tools shall be operated in strict accordance with the manufacturer's instructions.
4. Eye or face protection, or both, shall be worn by operators, assistants, and adjacent
personnel when tool is in use. Hearing protection shall be used when making
fastening in confined areas.
5. Each day, prior to use, the operator shall inspect the tool to determine that it is in the
proper working condition in accordance with the testing methods recommended by
the manufacturer of the tool.
6. Any tool found not in proper working condition shall be immediately removed from
service and tagged "Defective."
7. The proper shield, fixture, adapter, or accessory suited for the application, as
recommended and supplied by the manufacturer, shall be used.
8. Only those types of fasteners and power loads recommended by the tool
manufacturer shall be used.
9. No tool shall be loaded unless it is being prepared for immediate use. If the work is
interrupted after loading, the tool shall be unloaded at once.
10. Powder actuated magazine or clip-fed tools are not considered loaded unless a
power load is actually in the ram, even though the magazine or clip is inserted in the
tool. If work is interrupted, the firing chamber shall be cleared and the magazine or
clip removed.
11. Neither loaded nor empty tools are to be pointed at any person; hands shall be kept
clear of the open barrel end. The tool shall always be held perpendicular to the work
surface when fastening into any material, except for specific applications
recommended by the tool manufacturer.
12. In the event of the misfire, the operator shall should hold the tool firmly against the
work surface for a period of 30 seconds and then follow the explicit instructions set
forth in the manufacturer's instructions.
13. Power loads of different power levels and types shall be kept in separate
compartments or containers.
14. The tool shall not be used in an explos ive or flammable atmosphere.
15. A tool shall never be left unattended in a place where it would be available to
unauthorized persons.
16. Fasteners shall not be driven into very hard or brittle materials including, but not
limited to cast iron, glazed tile, hardened steel, glass block, natural rock, hollow tile,
or most brick.
17. Fasteners shall not be driven into easily penetrated or thin materials, or materials of
questionable resistance, unless backed by a material that will prevent the fastener
from passing completely through the other side.
18. Fasteners shall not be driven closer that '/-in. from the edge of steel except for
specific applications recommended by the tool manufacturer.
19. Fasteners shall not be driven closer than 3-in. from the unsupported edge of
masonry materials except for specific applications recommended by the tool
manufacturer.
20. Fasteners shall not be driven into concrete unless material thickness is at least three
times the fastener shank penetration.
21. Fasteners shall not be driven into any spalled area.
22. Fasteners shall not be driven through existing holes unless a specific guide means,
as recommended and supplied by tool manufacturer, us used to ensure positive
alignment.
Qualified Operator
1. The operator shall be trained by an authorized instructor to be familiar with the
provisions of this standard and the instructions provided by the manufacturer for
operation and maintenance. The operator shall also be capable of:
a. Reading and understanding the manufacturer's instruction manual.
b. Cleaning the tool properly.
c. Recognizing any worn or damaged parts or defective operation.
d. Recognizing the number color code system used in this standard to identify
power load levels. In the event the operator is unable to distinguish the colors
used, they shall be given special instruction to enable them to avoid error.
e. Using the tool correctly within the limitations of its use and demonstrating his
competence by operating the tool i n the presence of the instructor.
2. After training, the operator shall, to substantiate their competency, satisfactorily
complete a written examination provided by the manufacturer of the tool. The
operator's written examination provided by the manufacturer of the tool. The
operator's written examination shall consist of questions to establish the operator's
competence with respect to:
a. The requirements of this standard.
b. The powder actuated fastening system.
c. The specific details of operation and maintenance of the tool involved.
d. The examination shall provide a statement, attested to by the instructor, that the
applicant can (or cannot) readily distinguish the colors used to identify power
load levels.
3. Each applicant who meets the requirements as set forth in subsections 1 and 2 of
this section shall receive a qualified operator's card, issued and signed by both the
instructor and applicant. While using the tool, the operator shall have this card in
their possession.
4. The qualified operator's card supplied by the manufacturer shall be wallet size.
There shall be printed on the card a notation reading: "Revocation of card — Failure
to comply with any of the rule and regulations for safe operation of powder actuated
fastening tools shall be cause of the immediate revocation of this card."
Abrasive wheels and tools
1. All grinding machines shall be supplied with sufficient power to maintain the spindle
speed at safe levels under all conditions of normal operation.
2. Grinding machines shall be equipped with safety guards in conformance with the
requirements of American National Standards Institute.
3. Floor stand and bench mounted abrasive wheels, used for external grinding, shall be
provided with safety guards (protection hoods). The maximum angular exposure of
the grinding wheel periphery and sides shall be not more than 90 degrees except
that when work requires contact with the wheel below the horizontal plane of the
spindle, the angular exposure shall not exceed 125 degrees. In either case, the
exposure shall begin not more than 65 degrees above the horizontal plane of the
spindle. Safety guards shall be strong enough to withstand the effect of a bursting
wheel.
4. Floor and bench mounted grinders shall be provided with work rests which are rigidly
supported and readily adjustable. Such work rests shall be adjusted to a distance
not to exceed 1/8-in. from the surface of the wheel. The work rest may be omitted
when contacts of the work piece with the grinding surface below the horizontal plane
of the spindle are necessary and unavoidable or where the size or shape of the work
piece preludes use of the work rest.
5. Cup type wheels used for external grinding shall be protected by either a revolving
cup guard or a band type guard in accordance with the provisions of the American
National Standards Institute.
6. When safety guards are required, they shall be so mounted as to maintain proper
alignment with the wheel, and the guard and its fastenings shall be made of sufficient
strength to retain fragments of the wheel in case of accidental breakage. The
maximum angular exposure of the grinding wheel periphery and side shall not
exceed 180 degrees.
7. When safety flanges are required, they shall a used only with wheels designed to fit
the flanges. Only safety flanges, of a type and design and properly assembled so as
to ensure that the pieces of the wheel will be retained in case of accidental breakage,
shall be used.
8. All abrasive wheels shall be closely inspected and ring-tested before mounting to
ensure that they are free from cracks or defects.
9. Grinding wheels shall fit freely on the spindle and shall not be forced on. The spindle
nut shall be tightened only enough to hold the wheel in place.
10. All employees using abrasive wheels shall be protected by eye protection equipment
except when adequate eye protection is afforded by eye shields which are
permanently attached to the bench of the floor stand.
Woodworking tools
All portable, hand held power driven circular saws shall be equipped with guards above and
below the base plate or shoe. The upper guard shall cover the saw to the depth of the teeth,
except for the minimum are required to permit the base to be tilted for bevel cuts. The lower
guard shall cover the saw to the depth of the teeth, except for the minimum are required to allow
proper retraction and contact with the work. When the tool is withdrawn from the work, the
lower guard shall automatically and instantly return to the covering position.
Jacks—Lever and ratchet, screw, and hydraulic
1. The manufacturer's rated capacity shall be legible marked on all jacks and this
capacity shall not be exceeded.
2. All jacks shall have a positive top to prevent over-travel.
3. Specially designed jacks constructed for specific purposed shall meet the approval of
the division of Industrial Safety and Health before being placed in service.
PSR
HAZ-MAT COMMUNICATIONS PROGRAM
Complete Hazardous Materials Communications Program per Department of L&I
regulations.
Binder for every truck. Will stay in the truck along with the Safety Manuals.
Binder includes the Haz Mat policy and all Material Safety Data Sheets (MSDS) for commonly
used products in our industry. MSDS are listed in the Table of Contents. The Service
Coordinator is responsible for making sure you have updated MSDS so occasionally you will
receive revised or new sheets to insert in your binders. If you come across a product that has a
warning label and you do not have a MSDS, please notify the office immediately and they will
get a MSDS for you.
The program is set-up so that you know what products you are using that are considered
hazardous materials. There should be a MSDS in the binder that outlines all the pertinent
information regarding the materials including:
1. Manufacturers name and contact information
2. Health hazards
3. Emergency &first aid procedures
4. Preventive measures -what you can do to avoid any health hazards
5. Hazard components & exposure limits
6. Physical & chemical characteristics
7. Fire & explosion hazard data
8. Reactivity data -what happens if it is exposed to another chemical component, etc.
9. Spills, disposal and any additional information.
All hazardous materials should come with a label from the manufacturer stating contents,
manufacturer name and address, and any hazardous warnings. If a product is not labeled (or
the label has been removed), labels are provided in your binder that you need to complete and
put on the container.
Your MSDS binder should be available for customers, subcontractors or general contractors to
look at, if requested. Please keep in a secure place.
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Company Policy
In order to ensure that information about the dangers of any hazardous chemicals that
may be used by PSR are known by all affected employees, the following Hazard
Communication Program has been established:
• The Department of Labor and Industries administers worker right-to-know through
regulations incorporated into the Hazard Communication Standard (WAC 296-62
part C). The rules require all Washington State employers to inform employees about
chemical hazards in the workplace.
• All work units of the company will participate in the Hazard Communication Program.
This written program is available for review by any interested employee. The
Hazcom Program and MSDS are kept in a well-marked binder for easy recognition. A
master copy is maintained in the Service Supervisor's office, and copies are carried
in each service van.
• If any hazardous chemicals are in use in your immediate work area, to which you
may be exposed, you have the right to know about the hazards of that chemical. This
program, along with the Material Safety Data Sheets (MSDS), protects your right-to-
know.
• Prior to conducting any on site work, the General Contractor and all sub-contractors
will be given access to our written Hazard Communication Program so that they may
review it. They will also be given access to our hazardous materials list, as well as
any applicable MSDS for the areas in which they will be working. Copies of any
pertinent MSDS will be provided to the General Contractor and any sub-contractors
upon request.
• We will require that the General Contractor and all sub-contractors disclose any
hazardous material they intend to bring into our work areas, and they must provide
us with the appropriate Material Safety Data Sheets upon request, as needed. PSR's
Service Supervisor has been designated as our liaison with these contractors and
will provide and obtain all the information discussed above.
This program will be reviewed annually for content and compliance by PSR's Service
Supervisor, in order to ensure the contents are accurate, and that all information is
current.
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Container Labeling
Manufacturers of hazardous chemicals are required by federal regulation to
appropriately label all containers. In general, we rely on the manufacturers and suppliers
to provide products in properly labeled containers, in accordance with such regulations.
PSR's Service Supervisor will verify that all potentially hazardous products received by
us for use will be clearly labeled as to the contents, that the labels note the hazard
warnings, and that the label includes the name and address of the manufacturer.
PSR's Service Supervisor will check the MSDS tracking sheet to be sure we have the
appropriate and current MSDS on file. If a new or revised MSDS is included with the
product, the Service Supervisor will incorporate it into,the job site MSDS file and send a
copy to the corporate safety office for the master MSDS file.
The foremen in each section will ensure that any secondary containers used are labeled
with either a duplicate copy of the original manufacturer's label or with durable labels
produced on site that include the identity of the hazardous chemical contained therein,
the appropriate hazard warnings, and the name of the manufacturer. It is important that
the hazard warning clearly convey the specific health hazard of the chemical. Labels are
to be of prominent size and firmly attached to the container in such a location to be
easily read, yet not obstruct any other labels or create a hazardous handling situation.
PSR's Service Supervisor will review the company labeling procedures annually, and
update as required.
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Employee Training and Information
PSR's Service Supervisor is responsible for generating and distributing the company's
employee safety training programs. Actual employee training, in accordance with these
training programs, is the responsibility of, and is provided by, the employee's supervisor.
On the first day of employment, all new employees dispatched to PSR will receive a
copy of "PSR's Employee Handbook". This handbook includes PSR's employee safety
orientation program. This handbook contains an overview of PSR's safety program and
requirements, and shall become property of the employee to keep for future reference.
Each new employee must receive safety orientation, which includes the required
information regarding our "Right-to-Know Hazard Communication Program". Each new
employee is required to read the employee handbook and must sign an
acknowledgement form confirming the employee's receipt of the above, prior to reporting
to the job site and starting work.
Upon arrival at the job site, the new employee will receive site-specific safety orientation
and Hazcom training from PSR's Service Supervisor, including information regarding
any potential exposure to hazardous materials.
Site Specific Training Outline—Hazard Communication
1. Give employees an overview of the requirements of the Hazard Communications
regulations, stressing the employee's right to know.
2. Advise employees of the hazardous chemicals present in the work place.
3. Explain the physical and health risks of those hazardous chemicals.
4. Describe the symptoms of overexposure to those chemicals.
5. Explain how to determine the presence of, or release of, hazardous chemicals.
6. Explain how to reduce or prevent exposure to hazardous chemicals through the
use of control procedures, work practices, and personal protective equipment.
7. Describe the steps PSR and other employers on site have taken to reduce or
prevent exposure to hazardous chemicals.
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Training Outline (Continued)
8. Define the procedures to be followed if an employee becomes overexposed to a
hazardous chemical.
9. Explain how to read container labels and how to review an MSDS in order to
obtain hazard information.
10. Describe how to check for the presence of labels on all containers, and how to
put correct labels on secondary containers as necessary.
11. Clearly identify the location of PSR's MSDS notebook and Hazard
Communication Program, as well as the MSDS files for other employers on site.
The General Contractor is expected to maintain an MSDS file for all hazardous
chemicals used on the job site.
12. A record of employee training should be maintained at each job site. At the close
of each job, the training records should be forwarded to the main office.
Important Note: Prior to introducing a new chemical hazard into any worksite, each
affected employee will be given information and training as outlined above for the new
chemical hazard.
Hazardous Non-Routine Tasks
Periodically, employees may be required to perform potentially hazardous non-routine
tasks. An example would be to work in a confined space. Prior to starting work on such a
project, each affected employee will be given information by PSR's Service Supervisor
about the hazardous chemicals or conditions the employee may encounter during such
activity. This information must include any specific chemical hazards, personal protective
equipment and safety measures the employee must use, and steps the company is
using to reduce or eliminate the hazards, including ventilation requirements, respirator
use, or the presence of another person (attendant) and a site specific emergency rescue
plan, as well as procedures as necessary for a permit required confined space.
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Material Safety Data Sheets (MSDS)
PSR's Service Supervisor is responsible or establishing, monitoring, and maintaining the
company's MSDS files. He will review incoming MSDS's for new or significant health and
safety information. He will see that any new information is immediately passed on to the
affected employees.
Copies of MSDS's for all hazardous chemicals in use will be kept at each job site in the
superintendent's office, in all PSR service vans, and at the corporate headquarters in the
safety office. MSDS sheets will be available to all employees during each work shift. If
an MSDS is not currently on-site, contact the product manufacturer for the appropriate
MSDS. If unable to obtain MSDS from the manufacturer, contact the Service Supervisor
at(206) 367-2500 for assistance.
It is the responsibility of the General Contractor to make available MSDS for all
chemicals used by themselves and by other sub-contractors at the job site.
How to Read A Material Safety Data Sheet (MSDS)
The Material Safety Data Sheet (MSDS) is used to relay chemical hazard information
from the manufacturer to you. The Hazard Communication Standard (29 CFR
1910.1200) specifies the minimum information that an MSDS must contain. Typical
MSDS have multiple sections. Listed below is a description of what information is found
in those sections. Refer to the sections as necessary to determine the characteristics of
the substance in question.
• Heading — Includes name, address, and phone of the manufacture, as well as date
prepared.
• Trade name or product identity.
• Hazardous ingredients/identity information and OSHA Permissible Exposure Limits
(PEL) and/or the American Conference of Governmental Hygienists (ACGIH)
Threshold Value Limits (TVL) and any manufacturer's limits.
• Physical and chemical characteristics, such as vapor pressure and flash point.
• Physical hazards, including the potential for fire, explosion, and reactivity.
• Health hazard data, including primary routes of entry into the body, such as
inhalation, ingestion, or skin absorption. Also includes acute and chronic hazards,
signs and symptoms of exposure, and medical conditions aggravated by exposure.
Also advises if the substance is listed as a carcinogen by NTP, IARC, or OSHA.
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Reading MSDS (Continued)
• Emergency and First Aid procedures.
• Precautions for safe handling and use, including hygiene practices, protective
measures, and spill/leak clean up.
• Exposure control methods such as engineering controls, work practices, and
personal protective (PPE).
Hazardous Chemicals List
The following pages are PSR's Hazardous Chemicals List. This list also serves as an
MSDS tracking log. The list is arranged in alphabetical order by product. Included on the
list are the manufacturer's name, their current phone numbers, emergency numbers (if
different), the manufacturer's latest MSDS revision date, and the date the MSDS was
received by PSR. The MSDS file is arranged in sections by product type, then
alphabetically by product. The Hazardous Chemicals List (MSDS Tracking Log) also
references these file section numbers for easy cross-reference to the MSDS file.
The MSDS sheets are arranged alphabetically within the appropriate sections as follows:
Section A—Adhesives
Section B— Batteries
Section.0—Caulk/Sealants
Section D—Cleaners
Section E—Coolants
Section F— Detectors/Instruments
Section G—Fuels/Oils
Section H—Gasses
Section I —Insulation
Section J—Metals
Section K— Miscellaneous
Section L— Paints/Coatings
Section M —Plastics
Section N —Refrigerant
Section O—Solvents
Section P —Tools/Blades
Section Q—Welding/Solder
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Sample "Tool Box" Training Topic
Working Safely With Hazardous Materials
Chemicals in the workplace are nothing more than tools that we use to make the job
easier. Like any tool, they have to be used properly to do the job right. There are also
some hazards in using these tools wrong. It is important to know how to use chemicals
properly and what to do to keep them from causing health problems later on.
Before using any chemical, check to see if there is a Material Safety Data Sheet (MSDS)
on file for that chemical. The MSDS is supplied by the manufacturer and is to be kept in
the MSDS file at the job site. If an MSDS is not available, one must be requested from
the manufacturer or distributor, received, and read, before using the chemical.
On the MSDS, the manufacturer will list the precautions that are needed to avoid
problems with that particular chemical. If the MSDS says gloves are needed, then the
chemical can either cause dermatitis or can be absorbed through your skin, and thus
taken into your body where it can cause damage.
If the MSDS says that adequate ventilation is needed, or that a respirator is needed, that
means the chemical releases a vapor that can be absorbed through your lungs. When it
enters your lungs, it can either cause damage there, or it can be transported through
your bloodstream to another organ where it can cause problems.
The MSDS should also tell you if there is a problem mixing this chemical with another.
This is known as the chemical's reactivity. Sometimes there are strong reactions when
two commercial products are mixed, such as ammonia and chlorine, creating ammonium
chloride, which can create a major problem for you.
After reading the MSDS, read the label on the product. If it says to dilute the product, do
not use it full strength. Not only would you be subjecting yourself to greater exposure to
the chemical, but it may not do the job as well.
While working with any hazardous chemical, monitor yourself for any symptoms of
exposure that may be related to the chemical. If there are any problems, stop working
immediately and get help.
EMPLOYEE RIGHT-TO-KNOW
HAZARD COMMUNICATION PROGRAM
PSR
Sample MSDS Request Letter
Each hazardous chemical must have an MSDS. If a hazardous chemical arrives on site
for our use and we do not have an MSDS, one must be requested from the
manufacturer. You may use a letter fashioned after the one below, or create one of your
own. Request may also be made by telephone or facsimile transmittal. Keep a copy of
your MSDS request on file until the MSDS arrives.
Date
Manufacturer or Distributor
P.O. Box or Street Address
City, State, Zip Code
RE: Material Safety Data Sheet
Please send us a Material Safety Data Sheet(MSDS)for the product(s) below:
1.
2.
3.
The MSDS is required for our hazard communication program, as required by the OSHA
Hazard Communication Standard (29 CFR 1910.1200). Please send the MSDS without
delay to:
Name
Address
Phone
Thank you,
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WEEKLY SAFETY MEETING
FOR PSR
Company Name Job Nam a Date
MSDS—Your Material Safety"Blueprints"
When you build a building you follow a set of blueprints. When you build a model airplane you
use a set of plans. Handling hazardous materials is similar — here the "blueprint" is a Material
Safety Data Sheet, or MSDS. Having an MSDS for each hazardous material you work with is part
of the Hazard Communication Standard developed by the Occupational Safety and Health
Administration (OSHA). An MSDS, which can be obtained from the manufacturer, is required for
every hazardous material on the job site.A typical MSDS has eight sections:
Section 1: Identity—the manufacturer's name, address, emergency number, and the date the
MSDS was prepared
Section 2: Hazardous Ingredients — the chemical's components and common name(s), the
OSHA Permissible Exposure Limit (PEL), and the Threshold Limit Value (TLV) set
by the American Conference of Government Industrial Hygienists(ACGIH)
Section 3: Physical and Chemical Characteristic — the boiling point, specific gravity, vapor
pressure, vapor density, solubility in water, reactivity in water, appearance, odor,
and melting point
Section 4: Fire and Explosion Data — the flash point, flammable limits, lower explosion limit
(LEL), upper explosion limit (LIEL), extinguishing media, and special fire-fighting
procedures
Section 5: Reactivity Data — substance stability, conditions to avoid, and incompatibility with
other materials
Section 6: Health Hazards—signs and symptoms of acute or chronic exposure, routes of entry
(eye or skin contact, ingestion, inhalation), and whether a chemical is a carcinogen
or potential carcinogen
Section 7: Special Precautions and Spill or Leak Procedures — what to do if the substance
spills or leaks, and how to dispose of the substance properly and safely
Section 8: Special Protection Information and Control Measures— Requirements for ventilation
and local exhaust, respiratory and eye protection, gloves, and other PPE, work and
hygienic practices
An MSDS is only helpful if you take time to read it before you use the material. Think of it as your
blueprint to work safely with hazardous materials. If you need other information about a material,
check with your supervisor or the manufacturer. For additional information on Material Safety
Data Sheets refer to OSHA standard 29 CFR 1910.1200.
Safety Reminder
Know where your employer keeps MSDS's and take the time to read them!
Special topics for your project:
Employee Safety Recommendations:
Reviewed MSDS# Subject:
Meeting Attended By:
SAFETY MANAGEMENT STANDARD
LOCKOUT AND TAGOUT SAFETY
Applicability
This procedure applies to facilities and projects involving exposure to uncontrolled sour ces of energy.
Purpose and Scope
This procedure outlines the requirements that must be followed to prevent injuries, either direct or
indirect, when work is performed near or on an energy source that is unexpectedly operated.
Some energy sources that should be protected against include:
A. Electrical circuits
B. Fluid systems (water and liquid product)
C. Pneumatic and hydraulic systems
D. Flammable systems (including liquid and gaseous fuels)
E. Thermal systems (steam)
F. Gravity systems
G. Hazardous material systems
Implementation
Implementation of this procedure is the responsibility of the Manager.
Requirements
A. General
1. "Authorized employee" means a person who locks/tags out machines or equipment in order
to perform servicing or maintenance on that machine or equipment, and who has received
the training described in Section C, below.
2. "Affected employee" means an employee whose job requires him/her to operate or use a
machine or equipment on which servicing or maintenance is being performed under lockout
and tagout, or whose job requires him/her to work in an area in which such servicing or
maintenance is being performed.
3. "Qualified person" means person who is familiar with the construction and operation of the
equipment and the hazards involved, and who:
a) Requests de-energizing of an energy source
b) Inspects de-energizing with the authorized employee
c) Assures that authorized employee has locked and tagged the source
d) Requires that all applicable authoriz ed employees affix lock/tags at the same
locations(s)
e) Operates the equipment controls or otherwise verifies that the equipment cannot be
restarted after being locked out
fl Coordinates the continuation of lock/tagout protection through shift or personnel
changes.
g) Controls accountability of locks and tags
h) Makes appropriate entries on Attachment 1
i) Conducts tests and visual inspections prior to re-energizing to check that circuits and
equipment can be safely energized
4. Employees shall not work on or in equipment, vessels, etc., which are not in a "zero energy
state".
5. Coordinate all I ockout and energy control activities with client, owner, contractor, and
subcontractor practices and programs.
6. Require that all locks are keyed differently and that only one key exists for each lock and
remains in the possession of the authorized employee to whom it has been assigned.
B. Procedure
Follow this lock and tagout procedure whenever the unexpected operation of equipment, switch,
or valve or other energy sources could injure someone. Only authorized employees may perform
jobs requiring lockout procedures.
1. Step 1 -Achieving Zero Energy
a) Identify and locate all sources of energy that could affect individuals involved.
b) Notify all affected personnel that equipment is going to be de-energized and accessed.
C) This can be done verbally, visually, or by hanging a warning tag on the control panel.
d) Disconnect the main sources of power by breaking the primary power circuit, valve, pipe,
etc. Locking out a low voltage control circuit is not considered breaking a main power
source.
e) Disconnect each separate power source of multiple power systems, e.g., air over
hydraulic, electric over hydraulic, etc.
fl Release all residual energy remaining behind the power source, e.g., hydraulic or air
pressure, etc.
g) Secure all power sources in the de-energized position with a lockout device. Use
multiple lock devices when more than one lock is required. Each person who is
protected by the lockout:
(1) Places a signed lock and tag on source location(s).
(2) Keeps the key to his/her own lock.
(3) Removes own lock(only exception: person not o n site and person is contacted).
(4) Works only on protected source(s).
(5) Removes lock at completion for work shift or transfer.
h) Block or blank any machinery, device, or piping system that can move on its own or
deliver energy with or without the power source.
i) Test equipment, prior to working on it, to insure that all sources of energy have been
isolated and that it is "safe".
2. Step 2 - Preparing to Re-Energiz e
a) Once the task has been completed, tools picked up, safety chains, guards, guard rails,
warning signs, etc. are replaced, notify affected personnel that the lockout device is
going to be removed.
b) Remove locks and tags.
c) Once all lockout devices have been removed, the equipment or process may be
restarted.
3. Temporary operation of locked out source
a) Make sure everyone is clear of the system.
b) Make sure tools are clear.
C) Remove lock(s).
d) Energize the system and conduct check.
e) Immediately de-energize the system and replace locks.
4. Unauthorized removal of lock and tag is prohibited. Use the following procedure for
Supervisor or Qualified Person to remove lock/tag when employee is not available:
a) Verify authorized employee is not on site and available to remove own tag.
b) Check that employees are not exposed to haz ards.
c) Verify equipment is safe to operate, tools have been removed and guards have been
replaced.
d) Remain with affected equipment so that no one returns while equipment or process is
being restarted.
e) Remove lock/tag and energize equipment.
fl Require that affected employee knows the lockout device(s) has been removed before
he/she resumes work.
C. Training
1. Authorized employees must receive training prior to conducting lockout/tagout activities.
Awareness Level Training is required for all employees covering when Lockout is required, a
description of Lockout and its requirements, and who is authorized to perform these activities.
2. Authorized employees must receive training that includes:
a) Purpose of lockout procedure.
b) Hazards associated with different energy sources.
c) Recognition of when to lockout.
d) Electrical lockout procedures.
e) Valve lockout procedures.
D Compliance with lockout procedures.
g) Discussion of specific procedures.
3. Employees will be retrained in lockout procedures whenever:
a) there is a change in their job assignment;
b) changes in machines, equipment or processes that present a new hazard; or
c) where there is a change in the actual energy control (lockout) procedures; and
d) at least on an annual basis to assure that all are aware of the procedures.
Written certification will be required to assure that this has been done.
Audit
Periodic inspections and reviews of the lockout/tagout program will be done at least annually to ensure
that proper procedures and the program's requirements are being followed. These periodic reviews
and inspections are to improve and make any corrections in our procedures. This will include the
following:
✓ Each Authorized Employee will be subject to an oral review of machine-specific lockout procedures
for equipment that he/she is authorized to service. This review will address that employee's
responsibilities under the lockout procedure for each piece of machinery that he/she is authorized to
work on.
✓ Each Authorized Employee will also be subject to an observed evaluation of their proficiency in
controlling hazardous energy on selected equipment that he/she is authorized to service.
✓ An Authorized employee (other than those using the lockout procedure for that equipment) will
conduct these reviews and inspections.
✓ A document of the reviews and inspections will be developed to include the names of the reviewer
and observed employee, dates of reviews, pieces of equipment, problems observed and
recommendations to correct those problems.
✓ Review of equipment to assure that it has the capability of easy and complete lockout
The consequences of violating this policy can be severe in terms of human suffering and loss.
Violations of this policy will be handled aggressively, with a goal of determining how to improve the
employee behaviors and procedures so that no similar violation will occur.
Documentation Summary
File the following documents are to be retained and send copy to Human Resources/Safety.
A. Training records for affected and authorized employees
B. Lockout Forms
C. Audit Reports
SAFETY MANAGEMENT STANDARD
LOCK AND TAG FORM
WARNING- SAFETY ISSUE
THIS EQUIPMENT MUST BE LOCKED-OUT BEFORE MAINTENANCE/SERVICE,
REPAIR, OR UN-JAMMING
Equipment: Location:
1) Electrical Sources and Magnitudes: Lock(Taq Location:
2) Chemical Sources and Concentration: Lock/Tag Location:
3) Mechanical Sources: LocWTag Location:
4) Pressure(Hydraulic or Pneumatic), Lock/Tag Location:
or Stored Enerciv Sources:
5) Other Enemy Sources: LocWTac i Location:
6)Authorized Personnel:
i
Lockout Program Audit Report
Ok NI
1. Written program developed and accessible ❑ ❑
2. Awareness Level Training Provided to all employees ❑ ❑
3. Full Lock-out Training with specific Lock-out procedures
for specific machinery/equipment provided to authorized
employees ❑ ❑
4. Lock-out supplies readily available ❑ ❑
5. Locks individually keyed ❑ ❑
6. Lock-outs identify who is performing lock-out, and equipment
being serviced ❑ ❑
7. Lock-out performed for de-jamming activities ❑ ❑
8. Lock-out effective in that no employee is reaching in or exposing
any part of their body to areas where injury could occur ❑ ❑
9. Lock-out Program addresses all applicable stored energies ❑ ❑
10. Lock-out procedures included for vehicles and mobile equipment ❑ ❑
11. Specific Lock-out Procedures developed for each piece of
machinery and posted on each piece of machinery ❑ ❑
12. Front-line supervisory staff are observing employee behavior
and enforcing the Lock-out Procedures ❑ ❑
13. The Lock-out Program and supervisory staff are audited quarterly
to ensure that an effective program is in place and that all affected
and authorized employees are aware and follow the procedures. ❑ ❑
NI = Needs Improvement