PARSONS SAFETY & HEALTH MANAGEMENT Highest ranking safety/health professional in the company: Contact: Telephone: Fax: Do you have or provide: a. Full time Safety/Health Director b. Full time Site Safety/Health Supervisor c. Full Time Job Safety/Health Coordinator Do you have or provide: a. Safety/Health Rewards and Recognition or incentive program b. Company paid safety/health training c. Company Safety Philosophy or Mission Statement d. Core Processes for Safety, Health and Risk Management Programs SAFETY & HEALTH PROGRAMS & PROCEDURES a. b. c. Do you have a written Safety and Health Program? Does the program address the following key elements? 1. Management commitment and expectations 2. Employee participation 3. Accountabilities and responsibilities for managers, supervisors, and employees 4. Resources for meeting safety & health requirements 5. Periodic safety and health performance appraisals for all employees 6. Safety Recognition Program 7. Hazard recognition and control Does the program satisfy your responsibility under the law for: 1. Ensuring your employees follow the safety rules of the facility? 2. Advising owner of any unique hazards presented by the contractor’s work, and of any hazards found by the contractor? Does the program include work practices and procedures such as: a. Road and Highway Safety Practices b. Aviation Construction Safety Practices c. Tunnel Safety Practices d. Bridge Construction Safety Practices e. Railroad Construction Safety Practices f. Others: Compliant Programs g. Integrated Safety Management Systems h. Equipment Lockout and Tagout i. Confined Space Entry j. Injury & Illness Recording k. Fall Protection l. Personal Protective Equipment m. Portable Electrical/Power Tools n. Vehicle Safety o. Compressed Gas Cylinders p. Electrical Equipment Grounding Assurance/GFCI’s 1 q. r. s. t. u. v. w. Powered Industrial Vehicles (Cranes, Forklifts, JLGs, etc.) Housekeeping Accident/Incident Reporting Unsafe Condition Reporting Emergency Preparedness, including evacuation plan Waste Disposal Back Injury Prevention Other programs and processess include: statisitcal analysis, Activity Hazard Analysis (AHA), Daily Safety Planning for Employees, and Subcontractor Weekly look-ahead Safety Plan Submission. ZERO Incident Techniques process based on Construction Industry “Best Management Practices” and draws upon fourteen core processes to reach ZERO Incident guidelines. 9. Do you have written programs for the following: a. Hearing Conservation b. Respiratory Protection Where applicable, have employees been: Trained Fit tested Medically approved c. Hazard Communication Have employees been trained d. Program to support the contractor requirements of the Process Safety Management of Highly Hazardous Chemicals; Explosives and Blasting Agents Standard NOTE: As required by Regulatory, Client and Project requirements 11. 13. Do your employees read, write, and understand English such that they can perform their job tasks safely without an interpreter? If no, provide a description of your plan to assure that they can safely perform their jobs. Medical – Exams are conducted based upon project requirements a. Do you conduct medical examinations for: • Pre-placement • Preplacement Job Capability • Hearing Function (Audiograms) • Pulmonary • Respiratory b. Describe how you will provide first aid and other medical services for your employees while on-site. Arrangements Specify who will provide this service: c. 14. Do you have personnel trained to perform first aid and CPR? Do you hold site safety and health meetings for: Project Management Field Supervisors Employees New Hires Subcontractors 2 Are the safety and health meetings documented? 15. Personal Protection Equipment (PPE) a. Is applicable PPE provided for employees? b. Do you have a program to assure that PPE is inspected and maintained? 16. Do you have a corrective action process for addressing individual safety and health performance deficiencies? 17. Equipment and Materials: a. Do you have a system for establishing applicable health, safety, and environmental specifications for acquisition of materials and equipment? b. Do you conduct inspections on operating equipment (e.g., cranes, forklifts, JLGs) in compliance with regulatory requirements? c. Do you maintain operating equipment in compliance with regulatory requirements? d. Do you maintain the applicable inspection and maintenance certification records for operating equipment? 18. 19. Subcontractors Do you use subcontractors? a. Do you use safety and health performance criteria in selection of subcontractors? b. Do you evaluate the ability of subcontractors to comply with applicable health and safety requirements as part of the selection process? c. Do your subcontractors have a written Safety & Health Program? d. Do you include your subcontractors in: • Safety & Health Orientation • Safety & Health Meeting • Inspections • Audits Inspections and Audits a. Do you conduct safety and health inspections? b. Do you conduct safety and health program audits? c. Are corrections of deficiencies documented? SAFETY & HEALTH TRAINING 20. Safety & Health Training a. Do you know the regulatory safety and health training requirements for your employees? b. Have your employees received the required safety and health training and retraining and is it documented? c. Do you have a specific safety and health training program for supervisors? d. Are all employees trained in the work practices needed to safely perform his/her job? e. Is each employee instructed in the known potential of fire, explosion, or toxic release hazards related to his/her job, the process and the applicable provisions of the emergency action plan? 3 INFORMATION SUBMITTAL Please provide copies of checked () item with the completed PQF: x Safety & Health Program x Safety & Health Incentive Program x Hazard Communication Program x Respiratory Protection Program x Housekeeping Policy x Accident/Incident Investigation Procedure x Unsafe Condition Reporting Procedure x Safety & Health Inspection Form x Safety & Health Audit Procedure or Form x Safety & Health Orientation Safety & Health Training Program Example of Employee Safety & Health Training Records Safety & Health Training Schedule Safety & Health Training for Supervisors x Organization Chart List of major equipment (e.g., cranes, JLGs, forklifts) your company has available for work at this facility. 4