AMEC Construction Coordinator – Working Alone Trip/Travel Contingency Plan Form (Appendix A) Worker: Com. Device (circle one or more): AMEC logo Check Person (WCA): Cell / Phone / Spot Beacon Call-back No. (i.e. cell#): Spot Beacon (ID number) Com. Device (Circle one): Cell / Phone Call Number (i.e. phone#): Location and Nature of Job: IF WORKER DOES NOT CHECK-IN WITHIN 15 MIN OF CHECK-IN TIME, INITATE FAILURE TO CHECK-IN PROCESS Date (yy/mm/dd): Check-out Time: Final Check-in Time: Low (Check-in after leaving hazard area, < 4 hr intervals) Job Hazard Level (check one, see back): Medium (Check-in after each job, < 4 hr intervals) High (Check-in after each job, < 4 hr intervals, bring co-worker) Check-in Time (Interval 1): Check-in Time (Interval 2): Check-in Time (Interval 3): Check-in Time (Interval 4): Check-in Time (Interval 5): Check-in Time (Interval 6): When travelling outside of business hours ( 8 am - 4 pm), an alternate Check Person can be appointed. The alternative Check Person may be a AMEC Manager but must follow the check-in procedure and notify the appropriate persons in the event of a failure to check-in. After Hours Check Person: Phone/Cell Number Local Contact Person Name: Phone/Cell Number: FAILURE TO CHECK-IN PROCESS Step 1) The Check Person is to attempt to contact the Worker using the provided Call-back Number above. Step 2) If the Worker still cannot be contacted, the Check Person/ shall call the Worker’s Local Contact Person: The Check Person and the Local Contact Person shall agree on a time for the Local Contact to report back (Max 2 hr) Step 3) If the Local Contact Person is unable to contact the Worker and there has been no contact with the Worker, the Check Person shall call the AMEC manger (WCA) and request assistance. The manager will either find field resources to respond or call 911 to inform the local authorities of the situation and request assistance. The Check Person should remain involved until the rescue mission is complete and ensure that all other persons are safe and/or transported out of the site. Working Alone or In Isolation Risk Assessment Revision 1 December 4, 2013 Page 1 of 3 Appendix B – AMEC Construction Coordinator - Recognized Hazard List LOCATION OR CIRCUMSTANCE OF WORKING ALONE OR IN ISOLATION BARRIER TO REDUCE OR ELIMINATE HAZARD RANKING OF RISK CHECK IN PROCEDURE FORM OF DOCUMENTATION FREQUENCY Local day trip to non-remote site (ie residential areas, offices, main roads) with cell coverage. Overnight or multi-day trip to non-remote site (ie meetings out-of-town, site trips, etc) - Cell communication. None - Advise AMEC manager expected return time N/A - Cell communication. - Document travel plans. - SPOT beacon if no cell reception None N/A Local day trip to remote site via road with limited to no cell contact (ie logging roads, BCH Right-of-Way travel, Forestry roads, etc) - Worker Check-in Procedure in place. - SPOT beacon (if no cell reception) Low Local day trip to remote site via road with no cell/radio contact and departure from vehicle is necessary (road side check) - Appropriate PPE and footwear. - Worker Check-in Procedure in place. - SPOT beacon Med Local day trip to remote site via road with limited to no cell/radio contact and departure from vehicle less than 100m beyond the road site. *(providing terrain is relatively easy walking, otherwise go to next step) - Appropriate PPE and footwear. - Worker Check-in Procedure in place. - SPOT beacon Med - Advise AMEC manager the expected return time - Hotel and flight info. - Manager’s approval required. - Enter the expected return time - Complete the Trip/Travel Contingency Plan Form - Enter the expected return time - Complete the Trip/Travel Contingency Plan Form - Enter the expected return time on Microsoft Communicator - Complete the Trip/Travel Contingency Plan Form (front) Working Alone or In Isolation Risk Assessment Revision 1 Before and after leaving cell/radio coverage area. Max 4hr check-in interval. Before and after leaving cell/radio coverage area with job specific intervals. Max 4hr check-in interval. Before and after leaving cell/radio coverage area with job specific intervals. Max 4hr check-in interval. December 4, 2013 Page 2 of 3 Local day trip to remote site via road with no cell/radio contact and departure from vehicle greater than 100m beyond the road site or - Appropriate PPE and footwear. - Worker Check-in Procedure in place. - SPOT Beacon - Bring co-worker high - Enter the expected return time on Microsoft Communicator - Complete the Trip/Travel Contingency Plan Form (front) - Inform WCA expected return time - Complete the Trip/Travel Contingency Plan Form Before and after leaving cell/radio coverage area with job specific intervals. Max 4hr check-in interval. - Appropriate PPE and footwear. - Worker Check-in Procedure in place. - Training on machines, review competency of workers - SPOT Beacon - Bring co-worker - All persons trained high Mod Aircraft operations Procedures BCH OSH 407 Aircraft Tail Board Form to be completed (Working Alone form not required) Low - Enter the expected return time on Microsoft Communicator - Manager’s approval required. Before and after travelling. Min 4hr check-in interval. *as mentioned in previous step UTV’s and Snowmobiles (Snowmobiles to go in pairs only) Air Travel via Helicopter or Fixed Wing and completed METH-008 Basic Helicopter / Fixed Wing Safety training Boat Travel (BC Ferries Excluded) - Worker Check-in Procedure in place. - Review OSH Standard 408 Before and after leaving cell/radio coverage area with job specific intervals. Max 4hr check-in interval. Additional Notes; Hazards to consider; Wildlife, Weather, Access, Terrain, Communications, Road conditions, Remote work sites, Vehicles must have emergency survival kits at all times. Forest Fire regulations must be followed (forest fire season March 1 to November 1) Active logging/mining roads that are radio controlled Construction Coordinator must contact the company, have their radio Frequency on the radio, be escorted in and out of the area or borrow a radio with the frequency installed . Working Alone or In Isolation Risk Assessment Revision 1 December 4, 2013 Page 3 of 3