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V REV MODIFICATION DESCRIPTION DATE SIGN

00 ISSUED SEPT 2013 CMM


TABLE OF CONTENT
1.0 SITE SAFETY REGULATIONS
2.0 SAFETY POLICY & STATEMENT
3.0 DESCRIPTION OF THE WORKS
4.0 OVERVIEW
5.0 INTRODUCTION
6.0 GENERAL ACCIDENT PREVENTIVE PLANNING
.0 DUTIES & RESPONSI!ILITES
".0 ORIENTATION & TRAINING
#.0 HOUSEKEEPING
10.0 FIRE PREVENTION & PROTECTION
11.0 FIRST AID AND MEDICAL SERVICES
12.0 ACCIDENT INVESTIGATION
13.0 ACCIDENT REPORTING & RECORDS
14.0 GENERAL INSPECTION
15.0 PERSONAL PROTECTIVE E$UIPMENT
16.0 INSPECTION & USE OF TOOLS AND E$UIPMENT
1.0 LADDERS
1".0 FALL PROTECTION
1#.0 !ARRICADES
20.0 ELECTRICAL HA%ARDS
21.0 MACHINERY & MECHANI%ED E$UIPMENT
22.0 CONFINED SPACES
23.0 HA%ARDOUS ENERGY CONTROL PLAN
24.0 MONITORING
25.0 WELFARE
26.0 SAFETY COMMITTEES AND MEETINGS
2.0 SECURITY
2".0 PERMIT TO WORK SYSTEM
2#.0 SCAFFOLDING

MAN.GRP. WORK N&.. $TY. REMARKS DWG. ORDERED ON POS.
M-4 CONSTRUCTION & MAINTENANCE
SERVICES, INC.
DOCUMENT NO.'
REV.NO.
M4CMSI-EHS-SHP-13-001 02
C()*+, TITLE
SIEMENS POWER OPERATION
ENVIRONMENTAL, SAFETY an HEALTH
PRO!RAM an PROCE"URE
NAME SIGNATURE DATE
PREPARED
A#S S*-,. 2013
CHECKED
RB"C S*-,. 2013
APPROVED
CMM S*-,. 2013
1.0. SITE SAFETY REGULATIONS
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
1.1 Hard hats must be worn.
1.2 Saet! "#asses or "o""#es must be worn $ there $s an! r$s% o e!e $n&ur$es.
1.3 Saet! boots must be worn on wor%$n" s$tes.
1.4 I ear 'rote(t$on $s $ssued or a &ob $t must be worn.
1.5 No unauthor$)ed 'eo'#e on s$te.
1.6 No unauthor$)ed *eh$(#es on s$te.
1.7 No a#(oho#, dru"s or $rearms on s$te.
1.8 A## a(($dents and dama"e must be re'orted to the oreman.
1.9 S(ao#d$n" must not be used un#ess $t $s "reen ta""ed.
1.10 +o not enter an unsu''orted e,(a*at$on more than - meter dee'.
DO JOB IS SO URGENT THAT IT CANNOT BE DONE SAFELY.
2.0. SAFETY POLICY & STATEENT
4 CONSTRUCTION & AINTENANCE SER!ICES" INC. .M4CMSI/ $s (omm$tted to 'ro*$de
a sae and hea#th! wor% en*$ronment, sae s!stems o wor% and mana"ement 'ra(t$(es that ensure h$"h
#e*e# o hea#th and saet! that are an $nte"ra# 'art o a## o'erat$ons.
To a(h$e*e these a$ms, M4CMSI w$## de*e#o', $m'#ement and ma$nta$n sound 'ra"mat$( o((u'at$ona#
hea#th and saet! 'ro"rams and 'ro(edures that u##! (om'#! w$th the re0u$rements o the 1h$#$''$ne
2o*ernment as set out $n the O((u'at$ona# Saet! and Hea#th Standards $ssued b! the +e'artment o
3abor and Em'#o!ment .
It w$## be o e0ua# $m'ortan(e to 'ro&e(t $m'#ementat$on that a## em'#o!ees are (omm$tted to 'os$t$*e
and a(t$*e $n*o#*ement $n Saet! 1ro"ram A(t$*$t$es and are $n*o#*ed $n the de*e#o'ment o
$m'ro*ements to the Saet! 1#an.
M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. a$ms to a(h$e*e a "oa# o )ero a(($dents and h$"h
standards o o*era## saet! 'erorman(e. Th$s w$## be a(h$e*ed b! a 'ers$stent and 'ro-a(t$*e
$m'#ementat$on o the saet! mana"ement '#an, a (o'! o wh$(h w$## be a*a$#ab#e at a## s$te o$(es.
3.0 #ESCRIPTION OF T$E %OR&S
3.1 The 5or%s $n*o#*ed the o##ow$n" 'ro&e(ts6
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
'.( P)o*+,+on o- T./0o)')1 S+t. #.*.2o0/.nt
3.( P)o*+,+on o- T./0o)')1 S+t. Po4.)
(./ P)o*+,+on o- T./0o)')1 56+27+n8,

3.2 5or% sha## be done $ns$de the '#ant o F+),t G', Po4.) P2'nt o'erated b! S+./.n, Po4.)
O0.)'t+on,, #o(ated at 5)81. S'n G'3)+.2" 5't'n8', C+t1, where saet! 're-(aut$ons are
"enera##! re0u$red.
4.0 O!ER!IE%
4.1 Ee(t$*e Saet! Mana"ement $s a (om'onent o 1rodu(t$*$t! and 7ua#$t!. It needs to be
ma$nta$ned at the h$"hest 'ro$#e to a(h$e*e the o*era## e$($en(! $n the underta%$n" o the 'ro&e(t.
4.2 Saet! $s not a (on(ern o mana"ement a#one. It re0u$res (ont$nues a(t$*e $n*o#*ement and
(omm$tment o a## 'art$es wor%$n" to"ether. It $s a tota# team eort $n*o#*$n" Contra(tor,
Consu#tant, Su''#$ers and Em'#o!er. It $n*o#*es mana"ement at a## #e*e#s and the wor% or(e
e0ua##!.
4.3 A sae and hea#th! wor%$n" en*$ronment $s (reated b! those that wor% $n $t. Se# re"u#at$ons $s a
ma&or %e! to ee(t$*e 'erorman(e.
4.4 Em'#o!ees w$## be en(oura"ed to a((e't res'ons$b$#$t$es or the$r own saet! and the saet! o
others.
4.5 Sub(ontra(tors w$## be re0u$red to de*e#o' sae wor% '#ans and methods that are $nte"rated w$th
and (om'at$b#e w$th the M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. saet! and hea#th '#an.
4.6 No Em'#o!ees w$## be term$nated or $ns$st$n" on 'ro'er 11E.
5.0 INTRO#UCTION
5.1 PURPOSE
Th$s manua# was wr$tten and des$"ned or the use o a## #e*e#s o mana"ement or the 're*ent$on and
(ontro# o a(($dents and hea#th ha)ards on the Insu#at$on 4 C#add$n" 1ro&e(t.
It $s a s$te s'e($$( '#an or "u$de to be used b! M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. and the$r
sub(ontra(tors $n (on&un(t$on w$th the re0u$rements (onta$ned $n the OSHC, 1EC, N81A, C3IENT
Saet! 1ro"ram and a## re#e*ant 1h$#$''$ne #aws, re0u$rements, standards, and 'ra(t$(es. M4CMSI $s
(omm$tted to the adheren(e o these re0u$rements and standards and to the saet! and hea#th o a##
'ersona# asso($ated w$th the.

5.2 USE OF ANUAL
A## ma&or mana"ement eorts su(h as saet! and hea#th must ha*e "u$de#$nes .(a##ed 'o#$(!, 'ro(edures,
or standards/ to assure that the wor% $s a((om'#$sh $n a (erta$n manner (ons$dered to o't$m$)e
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
'erorman(e. The "u$de#$nes are norma##! 'ut $n wr$t$n" to assure understand$n", m$n$m$)e (onus$on
and (on#$(t as to how wor% $s to be done. The A(($dent 1re*ent$on Manua# re'resents a 9"ame '#an:
to 'rote(t the em'#o!ees and to assure the su((essu#, 'ro$tab#e, and a(($dent ree (om'#et$on o the
'ro&e(t.
To ha*e an ee(t$*e 'ro"ram, a## #e*e#s o mana"ement must a((e't saet! $s a 'art o the wa! wor% $s
'erormed. Sae (onstru(t$on w$## resu#t $n 'ro$t6 thereore, saet! #$%e 'ro$t $s a resu#t o how we##
we do our wor%. Conse0uent#!, these "u$de#$nes as set orth $n th$s manua# must be o##owed. A##
#e*e#s o mana"ement are res'ons$b#e or $ts ee(t$*eness and $m'#ementat$on.
5.3 ANUAL RE!ISIONS
No manua# (an rema$n useu# $ the (ontents are not re*$ewed and u'dated on a re"u#ar bas$s.
Thereore, the 1ro&e(t Mana"er w$## re*$ew the (ontents o the manua# w$th a## 'ro&e(t su'er*$s$on at
the be"$nn$n" o the 'ro&e(t and e*er! month thereater. Re(ommendat$ons o (han"es or add$t$ons sha##
be 'ro*$ded to the Saet! +e'artment, wh$(h w$## be res'ons$b#e or $m'#ement$n" a''ro'r$ate
u'dates.
5.4 SU5CONTRACTOR OPERATIONS
Constru(t$on o'erat$ons 'erormed b! the sub(ontra(tors to M-4 Constru(t$on 4 Ma$ntenan(e
Ser*$(es, In(. sha## (onorm to the 'ro*$s$ons (onta$ned $n the M4CMSI Saet! 1#an and be $n
(om'#$an(e w$th the re0u$rements (onta$ned $n the OSHC, 1EC, N81A, C3IENT Saet! 1ro"ram and
a## re#e*ant 1h$#$''$ne #aws, re0u$rements, standards, and 'ra(t$(es.
Sub(ontra(tors sha## res'ons$b#e or the the$r own $m'#ementat$on o these 'ro*$s$ons, re0u$rements,
and standards and sha## 'ro*$de M4CMSI a## re0u$red and su''ort$n" re'orts and do(umentat$on wh$(h
the! "enerate dur$n" th$s $m'#ementat$on.
M4CMSI $s res'ons$b#e or sub(ontra(tor saet! (om'#$an(e. Sub(ontra(tor sha## (oord$nate a## o the$r
a(($dent re'orts throu"h the M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. S$te Saet! En"$neer.
Sub(ontra(tors or (ontra(tor 'ersonne# who demonstrate unw$##$n"ness to (om'#! w$th these
'ro*$s$ons, re0u$rements, and standards sha## not be a##owed to (ont$nue o'erat$ons on the 'ro&e(t.
Reeren(es $n th$s manua# su(h as 9em'#o!ee: or 9'ersonne#: sha## a''#! to both M4 Constru(t$on 4
Ma$ntenan(e Ser*$(es, In(. and sub(ontra(tors to M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(.
5.5 ACRONYS USE# IN T$E ANUAL
ANSI - Amer$(an Nat$ona# Standards Inst$tute
CFR 9 Code o 8edera# Re"u#at$ons
#OLE 9 +e'artment o 3abor and Em'#o!ment
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
#OT 9 +e'artment o Trans'ortat$on
FOPS 9 8a##$n" Ob&e(t$*e 1rote(t$*e Stru(ture
$CP 9 Ha)ard Commun$(at$on 1ro"ram
S#S 9 Mater$a# Saet! +ata Sheet
NFPA 9 Nat$ona# 8$re 1rote(t$on Asso($at$on
NIOS$ 9 Nat$ona# Inst$tute or O((u'at$ona# Saet! and Hea#th
OS$C 9 O((u'at$ona# Saet! and Hea#th Center as amended 4 Issued b!
+O3E
ROPS 9 Ro##o*er 1rote(t$*e Stru(ture
SAE 9 So($et! o Automot$*e En"$neers
6.0 GENERAL ACCI#ENT PRE!ENTI!E PLANNING
6.1 PRE9CONSTRUCTION
A. M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. and sub(ontra(tor su'er*$s$on ass$"ned to the &ob
sha## meet and (oner 'r$or to start - u' or the o##ow$n" 'ur'ose6
-./ Re*$ew and (#ar$! a(($dent 're*ent$on 'o#$(!, '#ans, 'ro(edures, res'ons$b$#$t$es, dut$es, and
author$t!.
;./ +eterm$ned $ the saet! re0u$rements o the M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(.
Saet! 1#an ha*e been or be$n" met.
<./ =ased on re*$ew, 're'are su''#ements to the Saet! 1#an as ne(essar! to (o*er those $tems o
saet! $n(#uded $n the =as$( Saet! 1ro"ram or 1re#$m$nar! 1#ans.
4./ Co'$es sha## be made a*a$#ab#e to a## sub(ontra(tors.
=. The estab#$shment o o-s$te med$(a# ser*$(es $n the area o the &ob w$## be made to assure 'ro'er
(are and (ontro# em'#o!ee $n&ur$es.
6.2 %OR& IN PROGRESS
8rom the start o the 'ro&e(t to (om'#et$on and 'r$or to start$n" an! ma&or 'hase o wor%, re"u#ar saet!
$ns'e(t$ons and ha)ard e*a#uat$ons sha## be made b! the Saet! Mana"er and S$te Su'er*$s$on. 1rom't
a(t$on w$## be ta%en to e#$m$nate unsae 'ra(t$(es or (ond$t$ons.
6.3 CONSI#ERATION FOR LOCAL LANGUAGE
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
8or a(($dent 're*ent$on to be su((essu# on the 'ro&e(t, ee(t$*e (ommun$(at$on w$## be re0u$red. +ue
to the a(t that ew members o su'er*$s$on w$## be ab#e to ee(t$*e#! (ommun$(ate $n the En"#$sh
#an"ua"e, some on#! $n #o(a# d$a#e(t and some members o the wor%or(e w$## on#! be ab#e to ee(t$*e#!
(ommun$(ate $n Ta"a#o" #an"ua"e, the o##ow$n" measures sha## be ta%en to assure the su((essu#
(ommun$(at$on o the Saet! 1ro"ram, wor% ass$"nment, and the ha)ards o those wor% ass$"nment6
A. A =$#$n"ua# $nter'retat$on 'ersonne# sha## be 'ro*$ded and made a*a$#ab#e to both su'er*$s$on and
wor% or(e.
=. Em'#o!ee Saet! and Ha)ards Commun$(at$on 1ro"ram Inormat$on Handboo% sha## be a*a$#ab#e $n
these two #an"ua"es.
C. Saet! and Ha)ards 5arn$n" S$"ns sha## be b$#$n"ua#.
+. Su'er*$s$on sha## (ommun$(ate saet! meet$n"s, tra$n$n", &ob ha)ard ana#!s$s, and other 'ro*$s$ons
o the saet! 'ro"ram throu"h the use o an $nter'reter.
6.4 LIG$TING
3$"ht$n" sha## be 'ro*$ded $n a((ordan(e w$th OSHC standards. Not w$thstand$n" the 'ro*$s$ons o
OSHC, dur$n" (onstru(t$on and unt$# $na# a((e'tan(e, a## areas $ns$de o bu$#d$n"s where wor% $s
underwa!, sha## be $##um$nated b! means o tem'orar! #$"hts, wh$(h sha## 'ro*$de $ntens$t! e0ua# to or
"reater than ;> oot (and#es.
6.5 SU5STANCE A5USE
M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. has a stron" (omm$tment to 'ro*$de a sae wor%'#a(e
wh$(h 'romotes h$"h standards o 0ua#$t! 'erorman(e. In the s'$r$t o th$s (omm$tment, M4
Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. has estab#$shed a 'o#$(! re"ard$n" dru" abuse $n the wor%
'#a(e. The "oa# $s to ma$nta$n a wor% en*$ronment that $s ree rom the ee(ts o dru" abuse.
5or%$n" under the $n#uen(e o, or the manua(ture, d$str$but$on, d$s'ensat$on, 'ossess$on, or use o
a#(oho#, nar(ot$(s, dru"s, or (ontro##ed substan(es $n the (ourse o em'#o!ment or on M4 Constru(t$on
4 Ma$ntenan(e Ser*$(es, In(. or $ts sub(ontra(tor or C#$ent 'ro'ert! $s 'roh$b$ted and w$## resu#t $n
d$s($'#$nar! a(t$on u' to $n(#ud$n" d$sm$ssa#.
In the e*ent a (ontra(tor em'#o!ee $s sus'e(ted o be$n" under the $n#uen(e o dru"s the! w$## be
re0u$red to ta%e a ur$ne test. A reusa# to (om'#! w$## resu#t $n d$s($'#$nar! a(t$on u' to $n(#ud$n"
d$sm$ssa#.
M-4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. and sub(ontra(tor em'#o!ees (an be ensured that
e*er! as'e(t o the enor(ement o th$s 'o#$(! w$## be %e't $n the str$(test o (on$den(e.
6.6 EERGENCY PLANS
O5:ECTI!ES; M$n$m$)e the (onse0uen(es o ser$ous a(($dents or natura# d$saster.
A. Em'#o!ees sha## be $nstru(ted $n the o##ow$n" s$te emer"en(! 'ro(edures6
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
-./ U'on w$tness$n" a ser$ous a(($dent or an emer"en(! s$tuat$on, sta! (a#m and re'ort the
emer"en(! to the Su'er*$sor or Saet! Mana"er $mmed$ate#!. 1ro*$de the o##ow$n"6
a. Name
b. Nature o the Emer"en(!
(. 3o(at$on o the Emer"en(!
d. T!'e o In&ur! .$ a''#$(ab#e/
;./ A## s$te te#e'hones sha## ha*e emer"en(! te#e'hone numbers and re'ort$n" $nstru(t$ons or
ambu#an(es, 'h!s$($ans, hos'$ta#s, $re, and 'o#$(e de'artments (ons'$(uous#! 'osted abo*e
them.
<./ I an emer"en(! s$tuat$on ne(ess$tates e*a(uat$on o the 'ro&e(t s$te, an e*a(uat$on a#arm
w$## be sounded b! a 'ortab#e (om'ressed "as s$"na# horn (ons$st$n" o three short s$"na#s.
Th$s ser$es o s$"na# w$## be re'eated on(e more or a tota# o two (om'#ete ser$es. U'on
hear$n" the a#arm $mmed$ate#! do the o##ow$n"6
a. Sto' wor% $mmed$ate#!?
b. Shut down a## s'ar% or #ame 'rodu($n" too#s or e0u$'ment.
(. 1ro(eed to an entran(e "ate sta!$n" u'w$nd o an! s$te $re s'$##, (hem$(a# re#ease, steam
#ea% or 'resen(e o an! ha)ardous umes?
d. On(e outs$de the entran(e, re'ort to !our oreman or $mmed$ate su'er*$sor who w$##
a((ount or a## 'ersonne# $n the (rew. Sta! $n-"rou's b! (rew. U'on (om'#et$n" the
(ount, a## oreman or su'er*$sors sha## re'ort the$r $nd$n"s to the Saet! Mana"er sha##
then re'ort a## a((umu#ated $nd$n"s to the M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es,
In(. 1ro&e(t Mana"er and the C3IENT Saet! Mana"er $mmed$ate#!.
e. Sta! $n !our (rew "rou's outs$de the 'ro&e(t s$te or urther $nstru(t$ons unt$# the 9A##
C#ear: s$"na# $s sounded. The 9A## C#ear: s$"na# w$## be a ser$es o three #on" horn s$"na#?
and
. Test horn s$"na# 'er$od$(a##! to a(0ua$nt wor%er w$th sound o horn.
=. U'on a ser$ous $n&ur!, M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. and@or sub(ontra(tors $rst
a$d 'ersonne# sha##6
-./ Adm$n$ster $rst a$d to the *$(t$m?
;./ +es$"nate a su'er*$sor to $mmed$ate#! not$! the 'ro&e(t ambu#an(e o6
a. name
b. (om'an! name and te#e'hone number
(. number o 'erson $n*o#*ed
d. t!'e o $n&ur!.s/
e. #o(at$on o the emer"en(!
<./ +es$"nate a su'er*$sor to meet the ambu#an(e at the dr$*e-$n entran(e "ate and d$re(t them
to the emer"en(! s(ene.
4./ Not$! C3IENT Saet! O$(er.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
C. Emer"en(!- e*a(uat$on 'ro(edures sha## be tested on a 'er$od$( bas$s to ensure the$r ee(t$*eness.
+. In$t$a# and 'er$od$( 're'aredness meet$n"s sha## be (ondu(ted and attended b! a## M4 Constru(t$on
4 Ma$ntenan(e Ser*$(es, In(. and sub(ontra(tor su'er*$sor! 'ersonne# $n order to re*$ew the s$te
emer"en(! '#an.
E. Emer"en(! te#e'hone numbers and re'ort$n" $nstru(t$on or ambu#an(e, 'h!s$($ans, hos'$ta#s, $re
and 'o#$(e, and (om'an! se(ur$t! sha## be (ons'$(uous#! 'osted at a## 'ro&e(t te#e'hone #o(at$ons.
7.0 #UTIES AN# RESPONSI5ILITIES
7.1 SCOPE
M-4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. saet! and hea#th 'ro"ram $s estab#$shed to (om'#!
w$th re0u$rements (onta$ned $n the OSHC, 1EC, N81A, C3IENT Saet! 1ro"ram and a## re#e*ant
1h$#$''$ne #aws, re0u$rements, standards, and 'ra(t$(es.
7.2 O5:ECTI!ES
The ma$n ob&e(t$*es o the Hea#th and Saet! 1ro"ram are to 'rote(t #$e and 'ro'ert!, 're*ent
a(($dents, 'romote and ma$nta$n a sae and hea#th! wor% en*$ronment or a## s$te 'ersonne# and *$s$tors.
7.3 RESPONSI5ILITIES
The adm$n$strat$on o the Sae and Hea#th 1ro"ram sha## be 'erormed b! #$ne mana"ement ass$sted b!
the Saet! En"$neer and w$th the (o-o'erat$on o a## em'#o!ees. The Saet! and Hea#th 1ro"ram sha##
a''#! to a## 'ro&e(t 'ersonne#, sub(ontra(tor and *$s$tors.
7.4 PROCE#URES
The o##ow$n" dut$es sha## be 'erormed b! a des$"nated 'ersonne# who w$## be res'ons$b#e and be
a((ountab#e or the su((ess o the 'ro&e(t saet! and hea#th at ea(h #e*e# o the$r author$t!.
A. E,e(ut$*e Mana"ement .1ro&e(t +$re(tor/
-./ E,e(ut$*e Mana"ement res'ons$b$#$t! at th$s #e*e# w$## be $n the orm o sett$n" ob&e(t$*es
and su''ort$n" #$ne and 'ersonne# $n the$r re0uest or ne(essar! $normat$on, a($#$t$es, too#s,
and e0u$'ment to (ondu(t an ee(t$*e ha)ard (ontro# 'ro"ram and estab#$sh a sae and
hea#th! wor% en*$ronment.
;./ E,e(ut$*e Mana"ement w$## be (erta$n that sub(ontra(tors, at the t$me o ne"ot$at$n" the
(ontra(t are u##! $normed o a''#$(ab#e standards.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
<./ E,e(ut$*e Mana"ement w$## show e*$den(e o $ts (omm$tment to saet! b! re*$ew$n" and
a(t$n" u'on a(($dent re'orts, saet! re(ords throu"h (oneren(es w$th de'artment heads and
b! sett$n" a "ood e,am'#e.
=. Saet! En"$neer
-./ Ad*$se and "u$de E,e(ut$*e Mana"ement, Su'er$ntendents, oreman, em'#o!ees and su(h
de'artments as 'ur(has$n" and 'ersonne# on a## matters 'erta$n$n" to saet! and OSHC
re0u$rements.
;./ Ha*e u## author$t! to sto' wor% deemed unsae and remo*e rom the &ob s$te an! em'#o!ees
who d$s'#a! an unw$##$n"ness to wor% $n a sae manner.
<./ In*est$"ate a(($dents 'ersona##!.
4./ Re*$ew su'er*$sorAs a(($dent re'orts and ma$nta$n the a(($dents re'ort s!stem, $n(#ud$n"
$#es.
B./ 1re'are and subm$t a## re0u$red do(uments and C3IENT a(($dent re'orts.
C./ Adm$n$ster an $n(ent$*e 'ro"ram.
D./ Co-o'erate and be member o the on-s$te emer"en(! res'onse team.
E./ Ass$st 3$ne Su'er*$sor $n the 're'arat$on o too# bo, meet$n" to'$(s.
F./ V$s$t a## &ob s$te wor% areas on a rout$ne bas$s and (ondu(t saet! sur*e!s.
->./ Set u' methods o saet! edu(at$on throu"h saet! meet$n"s, saet! ru#es and 'ro(edures
and new em'#o!ee $ndo(tr$nat$on.
--./ 1ro*$de ha)ards ana#!s$s '#an $n*o#*$n" a hea*! #$t, (r$t$(a# #$e, dee' e,(a*at$on, ha)ardous
wor%, et(.
-;./ Ma%e (han"es 4 $m'ro*ement $n Saet! Ru#es, 1o#$($es 4 'ro"ram.

-<./ 3ease w@ C3IENT Saet! O$(er.
C. 1ro&e(t Mana"er
-./ Assure that *ar$ous #e*e#s o su'er*$s$on estab#$shed an a''ro'r$ate #e*e# o saet! awareness
or the$r 'art$(u#ar area o a(t$*$t! and ab$de b! the 1ro&e(t Saet! Ru#es and re"u#at$ons.
;./ Ensure that Crat 8oreman and 2enera# 8oreman are res'ons$b#e or the 'romot$on and
enor(ement o the 'ro&e(t saet! and hea#th 'ro"ram s'e($a# saet! re"u#at$ons or the$r
'art$(u#ar (rats, $ssue saet! $nstru(t$on a#on" w$th wor% ass$"nment, su'er*$s$on o
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
wee%#! saet! meet$n"s w$th the *ar$ous (rats and that a## (rat members are am$#$ar and
(om'#! w$th 'ro&e(t saet! re"u#at$ons.
<./ In*est$"ate re'orted *$o#at$ons o 'ro&e(t saet! and hea#th ru#es and re"u#at$ons. Ensure
that a''ro'r$ate (orre(t$*e@ d$s($'#$nar! a(t$on re0u$red $s ta%en.

+. S$te En"$neers, Crat and 2enera# 8oreman
-./ Assure that Saet! and Hea#th Standards are enor(ed and u'he#d $n ea(h $nd$*$dua# area and
that enor(ement are un$orm throu"hout the wor% '#a(e.
;./ Gee' abreast o a(($dent and $n&ur! trends o((urr$n" $n the$r areas and ta%e 'ro'er
(orre(t$*e a(t$on to re*erse these trends.
<./ In*est$"ate a## a(($dents o((urr$n" w$th$n the$r &ur$sd$(t$on.
4./ Sae"uard, edu(ate and tra$n those who ha*e been '#a(ed under the$r d$re(t$on.
B./ 8urn$sh em'#o!ee w$th the 'ro'er 'ersona# 'rote(t$on e0u$'ment, $nstru(t them $n $ts 'ro'er
use, and ma%e (erta$n that $t $s wor%$n".
C./ Ma%e sure that "ood house%ee'$n" 'ra(t$(es are de*e#o'ed and used at a## t$mes.
D./ Assure that a## new em'#o!ees ha*e been $nstru(ted as to &ob ha)ards and (ontro#s 'r$or to
&ob ass$"nment.
E./ See that a## $n&ur$es are 'rom't#! treated and re'orted.
E. 8oreman
-./ 5or% (#ose#! w$th the Crat and 2enera# 8oreman.
;./ Ins$st wor%ers to (om'#! w$th the or"an$)at$on saet! and too# hea#th re"u#at$ons.
<./ +ete(t and re'ort saet! *$o#at$ons and ha)ardous ma(h$ner!, too#s, e0u$'ment and other
$m'#ements. Ta%e (orre(t$*e a(t$on when 'oss$b#e and re'ort to the su'er*$sor the ha)ard
and (orre(t$*e a(t$on ta%en or st$## re0u$red.
4./ Condu(t In$t$a# A(($dent In*est$"at$on.
B./ Amend Saet! Meet$n"s.
C./ Insure that (rew members and wor% areas are sae.
8. Em'#o!ees
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
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CLIENT UNIT N EDITED BY DATE
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
-./ Em'#o!ees sha## be res'ons$b#e or %now$n" and (om'#!$n" w$th sae wor% 'ra(t$(es,
'ro(edures and standards a''#$(ab#e to the$r &ob.
8.0 ORIENTATION AN# TRAINING
8.1 SCOPE
A## em'#o!ees on the 'ro&e(t sha## be 'ro*$ded w@ $n$t$a# or$entat$on b! the$r em'#o!er and su(h
(ont$nu$n" saet! $nstru(t$on or tra$n$n" as ne(essar! to enab#e them to 'erorm $n a sae manner.
8.2 O5:ECTI!ES
The ob&e(t$*es o em'#o!ee or$entat$on and tra$n$n" $s to a((om'#$sh a re*$ew and understand$n" o6
A. The OSHC Saet! and Hea#th Re0u$rements.
=. 94 Con,t)6<t+on & '+nt.n'n<. S.)*+<.," In<. and Sub(ontra(tor a(($dent 're*ent$on 'o#$($es
and 'ro"rams.
C. Saet! and hea#th standards on the &ob s$te.
8.3 RESPONSI5ILITIES
Em'#o!ee or$entat$on and tra$n$n" sha## be the res'ons$b$#$t! o the Saet! En"$neer.
Im'#ementat$on sha## be b! the Saet! En"$neer and S$te Su'er*$sor. A re(ord o em'#o!ee saet!
or$entat$on and tra$n$n" sha## be ma$nta$ned.
8.4 PROCE#URE
A. Saet! Or$entat$on
Or$entat$on and tra$n$n" sha## be based on the sub(ontra(tor a(($dent 're*ent$on 'ro"ram, the M4
Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. a(($dent 're*ent$on 'ro"ram, and the s'e($$( re0u$rements
o OSHC. It sha## $n(#ude but not be #$m$ted to6
-./ 2enera# Saet! 1o#$(!?
;./ Re0u$rements or em'#o!ee and 'ro&e(t saet!?
<./ Em'#o!ee res'ons$b$#$t! or 'ro'ert! and saet! o others?
4./ Em'#o!ee res'ons$b$#$t! or re'ort$n" a(($dents and $n&ur$es?
B./ Med$(a# a($#$t$es and re0u$red treatment?
C./ 1ro(edures or re'ort$n" and (orre(t$n" unsae 'ra(t$(es and (ond$t$ons?
D./ Emer"en(! 'ro(edures? and
E./ A(($dent 1re*ent$on.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
Saet! Or$entat$on sha## be do(umented .E,h$b$t B-A/ and a saet! handboo% sha## be "$*en to ea(h
em'#o!ee or reeren(e ater (om'#et$n" the saet! or$entat$on .E,h$b$t B-C/. A 'ro&e(t saet!
or$entat$on de(a# sha## be $ssued or the$r hardhat.
=. Su'er*$sor! Saet! Tra$n$n"
U'on a((e't$n" su'er*$sor! res'ons$b$#$t$es, a## su'er*$sors sha## be "$*en su'er*$sor! saet! tra$n$n".
The tra$n$n" sha## be des$"ned to enhan(e %now#ed"e and s%$## $n d$re(t$n" wor%, 're*ent$n" a(($dents,
$m'ro*$n" 'rodu(t$on, and (ontro##$n" (osts. Th$s $n$t$a# tra$n$n" sha## au"ment dur$n" em'#o!ment
throu"h mana"ement "rou' meet$n"s and mana"ement d$re(t$*es.
C. Em'#o!ee Crat Tra$n$n"
8o##ow$n" $n$t$a# or$entat$on, d$re(t su'er*$sors w$## ut$#$)e the$r da$#! (onta(ts w$th em'#o!ees as an on-
"o$n" o''ortun$t! to tra$n ea(h em'#o!ee. Saet! as 'art o 'rodu(t$on w$## be em'has$)ed b! the d$re(t
su'er*$sor when e,'#a$n$n" the &ob to be done. At the start o a new o'erat$on $n*o#*$n" (han"ed
(ond$t$ons, the su'er*$sors w$## e,'#a$n the wor% $n deta$#, $dent$!$n" the ha)ards and how to a*o$d or
(ontro# them.
+. 5ee%#! Too# Saet! =o, Meet$n"
5ee%#! too#bo, meet$n"s at a des$"nated t$me or a''ro,$mate#! -> m$nutes w$## be he#d under the
d$re(t$on o the d$re(t su'er*$sors. The re*$ew o a(($dents, the$r (auses, the sae wa! to 'erorm wor%
at the nature o ha)ards $n*o#*ed sha## be eatured at these meet$n"s. Ideas su""ested b! em'#o!ees or
wa!s to $m'ro*e saet! on the &ob sha## be en(oura"ed and ado'ted whene*er 'ra(t$(a#. Re'orts o a##
meet$n"s w$## be made and ma$nta$ned us$n" the 95ee%#! Too# =o, Saet! Meet$n" Re'ort: .See
E,h$b$t B-=/ . 5$th a (o'! $ssued to the C3IENT.
E. 1ro&e(t Saet! Or$entat$on
In add$t$on to sub(ontra(tor saet! or$entat$on and tra$n$n", a## 'ro&e(t em'#o!ees sha## be 'ro*$ded w$th
'ro&e(t saet! or$entat$on b! the M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. s$te Saet! En"$neer.
1ro*$de (o'! o handboo% to C3IENT.
9.0 $OUSE&EEPING
9.1 SCOPE
2ood house%ee'$n" $s a %e! e#ement o a(($dent 're*ent$on as a #ar"e share o (onstru(t$on a(($dent
and $n&ur$es are (aused, at #east $n 'art, b! 'oor house%ee'$n".
9.2 O5:ECTI!ES
To 're*ent a(($dents and $n&ur$es b! ma$nta$n$n" (#ear and or"an$)ed wor% areas.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
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02 OF
CLIENT UNIT N EDITED BY DATE
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OPERATION
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
9.3 RESPONSI5ILITIES
The Saet! En"$neer sha## be res'ons$b#e or ensur$n" the &ob s$te $s (#ean and or"an$)ed. A## 1ro&e(t
Su'er*$sor sha## be res'ons$b#e or $m'#ement$n" re"u#ar house%ee'$n" a(t$*$t$es.
9.4 PROCE#URE
A. +a$#! (#ean u' o s(ra' mater$a#, sawdust, ra"s, o$# and "rease, and other res$due o (onstru(t$on
o'erat$ons sha## be 'erormed. 5a#%wa!s sha## be ree rom mater$a#.
=. 1a##ets, b#o(%s, (r$bb$n", dunna"e or other s$m$#ar mater$a#s sha## be stored (#ear $n an or"an$)ed
manner when not $n use.
C. Mater$a#s sha## be sta(%ed, b#o(%ed, $nter#o(%ed and #$m$ted $n he$"ht so that $s stab#e and se(ured
a"a$nst s#$d$n" or (o##a'se.
+. 3a! down, 'ar%$n" and tem'orar! a($#$t! areas sha## be ma$nta$ned $n a neat and order#! manner.
E. Hoses, (ords, and we#d$n" #eads sha## be ma$nta$ned $n an order#! ash$on and (#ear o wa#%wa!s,
sta$rwa!s and other a((ess wa!s. I are no #on"er $n use, ro## them u' and '#a(e them out o the
wa!.
8. Mater$a# sha## not be stored on s(ao#ds or runwa!s $n e,(ess o needs or norma# '#a(ement
o'erat$ons or $n e,(ess o sae #oad #$m$ts.
2. Mater$a# sha## not be '#a(ed near #oor o'en$n"s or sta(%ed $n areas where $t (an be d$s#od"ed b!
*$brat$on.
H. Too#s or mater$a#s sha## not be sta(%ed abo*e s(ao#d or '#atorm toe-boards, mesh, or bu#%heads.
I. A## sta$rwa!s, 'assa"ewa!s, "an"s wa!s and a((ess wa!s sha## be %e't ree o mater$a#s, su''#$es
and obstru(t$on at a## t$mes.
10.0 FIRE PRE!ENTION AN# PROTECTION
10.1 SCOPE
The r$s% o $re dur$n" (onstru(t$on usua##! $s 0u$te h$"h. A $re 'rote(t$on '#an $s a 'art o the saet! and
hea#th or ea(h &ob s$te.
10.2 O5:ECTI!ES
The ob&e(t$*es o the $re 'rote(t$on '#an sha## be to redu(e the r$s% o $re and (onser*e 'ro'ert! b!
(ontro# o &ob s$te (ombust$b#e mater$a# stora"e, house%ee'$n", heat sour(es and 'ro*$s$on o ade0uate
$re 'rote(t$on.
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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HEALTH PROGRAM
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DOCUMENT N No Number
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CLIENT UNIT N EDITED BY DATE
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Te!" S#$e De%&$, S#$e
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10.3 RESPONSI5ILITIES
The Saet! En"$neer sha## ensure that 'ro*$s$ons are made or ade0uate $re 'rote(t$on a($#$t$es,
e0u$'ment and ser*$(es.
10.4 PROCE#URE9GENERAL
A. A sur*e! o the su$tab$#$t! and ee(t$*eness o 'ro&e(t $re 're*ent$on and 'rote(t$on measures and
a($#$t$es sha## be made b! the Saet! Mana"er $n$t$a##! thereater.
=. Combust$b#e trash and s(ra' w$## be (#eaned u' rom wor% areas and '#a(ed $n an a''ro*ed stora"e
area on a da$#! bas$s.
C. Tem'orar! bu$#d$n" s'a($n" sha## be $n (om'#$an(e w$th OSHC re0u$rements.
+. 8$re #anes 'ro*$d$n" a((ess to a## areas sha## be estab#$shed and ma$nta$ned ree o obstru(t$on.
E. Tem'orar! en(#osure sha## be (o*ered w$th #ame'roo tar'au#$ns or mater$a# o e0u$*a#ent $re-
res$stant (hara(ter$st$(s.
8. 8$re or o'en #ame de*$(es sha## not be #et unattended.
2. A## sour(es o $"n$t$on sha## be 'roh$b$ted w$th$n B> eet .-B.;4m/ o a 'otent$a# $re ha)ard. 8$re
ha)ard areas sha## be 'osted w$th s$"ns.
H. Smo%$n" sha## be restr$(ted to des$"nated areas on#!.
I. A## bott#ed "asses not $n use sha## be %e't se(ure en(#osed w$th ade0uate *ent$#at$on and s$"ns
'roh$b$t$n" an! sour(e o $"n$t$on w$th$n B> eet.
H. Ade0uate 0uant$t! o a''ro*ed $re e,t$n"u$sher o 'ro'er t!'e sha## be strate"$(a##! '#a(ed.
10.5 FLAA5LE AN# CO5USTI5LE LI=UI#S
A. Conta$ners o e'o,! 'a$nt, res$nous #oor$n" mater$a#, $ber"#ass res$n, and@or an! other #ammab#e
#$0u$ds sha## be stored outs$de o and at #east B> eet .-B.;4m/ awa! rom the nearest bu$#d$n".
And stored $n a $re-'roo #o(%er.
=. A## #ammab#e #$0u$ds w$## be hand#ed $n the$r or$"$na# (onta$ners or $n a''ro*ed saet! (ans
e0u$''ed w$th #ame arrestors.
C. 8#ammab#e #$0u$ds sha## be %e't $n (onta$ners when not $n use.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
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02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
+. 5or%ers sha## "uard a"a$nst the$r (#oth$n" be(om$n" (ontam$nated w$th #ammab#e or (ombust$b#e
#$0u$ds and sha## not be a##owed to (ont$nue wor%$n" shou#d the$r (#oth$n" be(om$n"
(ontam$nated.
E. E0u$'ment and *eh$(#es sha## be shut down or re-ue##$n".
10.6 FIRST RESPONSE FIRE PROTECTION
A. A''ro*ed 'ortab#e $re e,t$n"u$sher sha## be '#a(ed where needed and re0u$red b! OSHC
(on(ern$n" bu$#d$n"s, e0u$'ment, #ammab#e ha)ard stora"e areas, and we#d$n" areas, and be
'ro*$ded, $ns'e(ted and ma$nta$ned $n a a((ordan(e w$th manua(turers $nstru(t$ons.
=. A## em'#o!ees u'on h$r$n" w$## be tra$ned $n the$r $rst res'onse dut$es and ha)ard and the 'ro'er
use o 'ro&e(t $re e,t$n"u$sher.
C. 8$re e,t$n"u$sher that ha*e been d$s(har"ed or are not on#! u##! (har"ed sha## be ta%en out o
ser*$(e $mmed$ate#! and re'#a(ed w$th u##! (har"ed one.
11.0 FIRST AI# AN# E#ICAL SER!ICES
11.1 SCOPE
1r$or to (onstru(t$on a(t$*$t$es, a''ro'r$ate $rst a$d and med$(a# ser*$(es sha## be arran"ed.
11.2 O5:ECTI!ES
To 'ro*$de $rst a$d and med$(a# ser*$(es at the &ob s$te (ons$stent w$th OSHC standards.
11.3 RESPONSI5ILITIES
The Saet! En"$neer sha## su'er*$se the arran"ement o &ob s$te $rst a$d and med$(a# ser*$(es.
11.4 PROCE#URE
A. Inormat$on sha## be 'osted at ea(h 'ro&e(t te#e'hone not$n" $rst a$d and med$(a# ser*$(es a*a$#ab#e
to a## em'#o!ees.
=. 5hen there are more than <>> 'ersons em'#o!ed at the wor% s$te, a $rst a$d stat$on sha## be
'ro*$ded. A $rst a$d attendant sha## be on dut! $n the stat$on at a## hours when wor% $s $n 'ro"ress.
The $rst a$d stat$on sha## be e0u$''ed as 'er OSHC standards.
C. Un#ess a med$(a# a($#$t! or 'h!s$($an $s a((ess$b#e w$th$n $*e m$nutes o the &ob s$te, two em'#o!ees
on ea(h sh$t sha## ho#d (urrent (ert$$(at$ons $n 8$rst A$d and Card$o 1u#monar! Resus($tat$on
rom the 1h$#$''$ne Nat$ona# Red Cross or a''ro*ed e0u$*a#ent.
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
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+. 5hen em'#o!ees need to re(e$*e 'roess$ona# med$(a# attent$on, the! w$## be 'ro*$ded
trans'ortat$on.
12.0 ACCI#ENT IN!ESTIGATION
12.1 SCOPE
A## a(($dents sha## be (areu##! and 'rom't#! $n*est$"ated $n(#ud$n" $rst-a$d (ases, 'ro'ert! dama"e
a(($dents and near m$ss o((urren(es as the d$eren(e between m$nor and ma&or a(($dents are oten a
matter o #u(%. A## near m$sses must a#so be re'orted w$th ste's ta%en to a*o$d re(urren(e.
12.2 O5:ECTI!ES
The ob&e(t$*es o an! a(($dent $n*est$"at$on and (o##e(t$on o a(($dents data $s to $nd a(($dent (auses
and 're*ent the$r re(urren(e. Thorou"hness and attent$on to $dent$!$n" under#!$n" (auses are a##
$m'ortant.
12.3 RESPONSI5ILTIES
A(($dents and near m$sses sha## be $n*est$"ated b! the $mmed$ate Su'er*$sor and the Saet! En"$neer.
12.4 PROCE#URE
A. Start the $n*est$"at$on as soon as 'oss$b#e ater the a(($dent. Cond$t$ons ma! (han"e 0u$(%#! and
deta$#s are soon or"otten.
=. Meet w$th the 'eo'#e $n*o#*ed, te## them the reasons or the $n*est$"at$on, and estab#$sh a (o-
o'erat$*e att$tude w$th them.
C. It $s $m'ortant that an a((urate des(r$'t$on o the ($r(umstan(es #ead$n" to the a(($dent $s 'ro*$ded.
The o##ow$n" 0uest$ons shou#d be as%ed o ea(h 'erson $n*o#*ed and o ea(h w$tness.
-./ 5here was the 'erson when the a(($dent too% '#a(eI
;./ 5hat a(t$*$t! was be$n" 'erormed 'r$or to the a(($dentI
<./ 5hat mater$a#s, e0u$'ment or (ond$t$ons were $n*o#*edI
4./ 5hat ha''enedI
B./ 5h! d$d $t ha''enI In(#ude a## unsae (ond$t$ons and@or unsae a(ts. To the best o the
w$tnessesA %now#ed"e, was there a 're*$ous#! %nown and@or re'orted 'rob#em or (ond$t$on
asso($ated w$th the a(($dent.
C./ In*est$"ate ea(h (#ue to a(($dent (auses u##! - $n(#ud$n" those o seem$n"#! #$tt#e
$m'ortan(e.
D./ A## 'oss$b#e unsae (ond$t$ons and sae 'ra(t$(es shou#d be $n*est$"ated or 'robab#e (auses.
E./ 1ro*$de a de$ne re(ommendat$on a(t$on.
+. Re(ord a## s$"n$$(ant $normat$on and $n a((ordan(e w$th 'ro(edures $n the M4 Constru(t$on 4
Ma$ntenan(e Ser*$(es, In(. Saet! Manua#. And w$th C3IENT Saet! 'ro(edure.
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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DOCUMENT N No Number
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13.0 ACCI#ENT REPORTING AN# RECOR#S
13.1 SCOPE
Re'orts and re(ords o a(($dents $n*o#*$n" $n&ur$es, 'ro'ert! dama"e and (onstru(t$on $nterru't$ons are
essent$a# to e$($ent and su((essu# saet! and hea#th 'ro"rams, &ust as re'orts and re(ords o
'rodu(t$on, (osts, sa#es and 'ro$ts and #osses are essent$a# to the e$($ent and su((essu# o'erat$ons a
bus$ness. The su''#! the $normat$on ne(essar! to transorm ha'ha)ard, (ost#!, $nee(t$*e saet! wor%
$nto a '#anned saet! and hea#th (ontro#s o (ond$t$on and a(ts that (ontr$bute to the a(($dents. Not on#!
w$## su(h re'orts and re(ords ass$st $n (ontro##$n" a(($dents, but a#so the! (an be re#$ed u'on b!
mana"ement or 'rote(t$on a"a$nst man! sour(es o #$t$"at$on.
13.2 O5:ECTI!ES
A. To re'ort a## a(($dents $n*o#*$n" $n&ur$es, 'ro'ert! dama"e or $nterru't$on and #oss to (onstru(t$on
o'erat$ons.
=. To do(ument what ha''ened 4 a(ts $ $mmed$ate (auses and measures ta%en to 're*ent the
re(urren(es.
C. To use the re'orts to d$re(t mana"ement eorts to (orre(t and $m'ro*e &ob s$te saet! and hea#th.
13.3 PROCE#URE
The o##ow$n" 'ro(edure w$## be o##owed $n re'ort$n" o a## a(($dents.
A. A<<+7.nt, R.0o)t, 'n7 R.<o)7,
-./ An! a(($dents $n*o#*$n" 'ro'ert! dama"e or (onstru(t$on $nterru't$on on#! .e,(#ud$n"
$n&ur!/ sha## be re'orted $n deta$# b! memorandum to the 1ro&e(t Mana"er 'rom't#! and
urn$shed to the C3IENT (onsu#tants. Immed$ate#! see CLIENT S'-.t1 O--+<.)
+//.7+'t.21 thereater.
;./ An! a(($dents $n*o#*$n" $n&ur! sha## be re'orted to the C3IENT Saet! O$(er w$th$n ;4
hours. Add$t$ona# OSHC re0u$rements are a## the a(($dents be re'orted to +O3E w$th$n -
wee%. Ser$ous a(($dent are to be re'orted to C3IENT $mmed$ate.
<./ A da$#! $rst a$d treatment #o" sha## be ma$nta$ned and urn$shed to C3IENT or +O3E.
4./ M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(.A(($dent In*est$"at$on Re'ort - Th$s re'ort
$s re0u$red or a## a(($dents $n*o#*$n" OSHC re'ortab#e $n&ur! and urn$shed to the C3IENT
and@ or +O3E.
B./ An! a(($dent $n*o#*$n" ata#$t!, 'ermanent d$sab$#$t!, hos'$ta#$)at$on or 'ro'ert! dama"e 1h
B>,>>>.>> o or more sha## be re'orted to the M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es,
In(. Saet! En"$neer, 1ro&e(t Mana"er and the C3IENT Saet! O$(er b! te#e'hone
$mmed$ate#!.
C./ Re(ords o em'#o!ee $n&ur$es and e,'osure sha## be ma$nta$ned as 'er OSHC re(ord
%ee'$n" re0u$rements.
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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DOCUMENT N No Number
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D./ Sub(ontra(tors sha## subm$t a 5ee%#! A(($dent Summar! to M4 Constru(t$on 4
Ma$ntenan(e Ser*$(es, In(. Saet! +e'artment #$st$n" hours wor%ed and (ate"or$)ed $n&ur!
stat$st$(s.
E./ U'on a(($dents or $n&ur$es wh$(h $n*o#*e sub(ontra(tors em'#o!ee, the ae(ted
sub(ontra(tor sha##6
a. Com'#! w$th a## o the re0u$rements o th$s se(t$on?
b. Ma$nta$n a## re'orts and re(ords? and
(. 1ro*$de (o'$es o re'orts to M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. a## re(ord
%ee'$n" $normat$on and stat$st$(s.
F./ A(($dents re'orts and re(ords subm$tted to M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(.
w$## be (om'#eted $n the En"#$sh #an"ua"e.
14.0 GENERAL INSPECTION
A. M4 Constru(t$on 4 Ma$ntenan(e Ser*$(es, In(. w$th sub(ontra(tor su'er*$sors and Saet!
Mana"ers sha## $ns'e(t wor% areas or unsae a(ts or (ond$t$ons (ont$nuous#! and sha## ta%e
$mmed$ate (orre(t$*e ste's or a(t$on $n order to e#$m$nate an! de$($en($es d$s(o*ered.
=. 2enera# Saet! Aud$ts or Ins'e(t$on sha## be do(umented and subm$tted to M4 Constru(t$on 4
Ma$ntenan(e Ser*$(es, In(. $n the o##ow$n" manner.
-./ Su'er*$sors and Saet! Mana"ers sha## (ondu(t and subm$t a Saet! Aud$t on a wee%#! bas$s?
and
;./ Saet! Mana"ers sha## (ondu(t and subm$t a''#$(ab#e Saet! Ins'e(t$on Che(%#$st on a
month#! bas$s.
C. Sub(ontra(tor saet! de$($en($es sha## be noted b! Saet! V$o#at$on Not$$(at$on and subm$tted to
the sub(ontra(tor or abatement and res'onse. Sub(ontra(tor sha## be res'ons$b#e or ta%$n"
d$s($'#$nar! a(t$on a"a$nst the$r em'#o!ees as warranted.
15.0 PERSONAL PROTECTI!E E=UIPENT
15.1 SCOPE
The 'ur'ose o th$s se(t$on $s to 'ro*$de wor%ab#e "u$de#$nes or the 'ra(t$(e o one (are o 1ersona#
1rote(t$*e E0u$'ment $n (om'#$an(e w$th OSHC and re(o"n$)ed nat$ona# standards.
15.2 O5:ECTI!E
To redu(e em'#o!ee to ha)ards o the &ob and wor% en*$ronment b! use o 'ersona# 'rote(t$*e
e0u$'ment. A#so to ensure $ts (omort and san$tat$on, 'ro'er ma$ntenan(e and use b! em'#o!ees.
15.3 RESPONSI5ILITIES
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The Saet! En"$neer sha## ha*e the res'ons$b$#$t! or the adm$n$strat$on o the se#e(t$on and a*a$#ab$#$t!
o e0u$'ment. 8oreman and 3$ne Su'er*$sor at a## #e*e#s sha## be res'ons$b#e or see$n" be 'ro'er use,
ma$ntenan(e and ade0ua(! o 'ersona# 'rote(t$*e e0u$'ment . Em'#o!ees sha## use 'rote(t$*e (#oth$n"
and e0u$'ment as re0u$red and warranted b! e,'osure to the ha)ards o the &ob.
15.4 PROCE#URE
A## 1ersona# 1rote(t$*e E0u$'ment sha## be $ns'e(ted b! the user or dama"e or dete(t 'r$or to ea(h
use. Cont$nuous $ns'e(t$ons o th$s e0u$'ment sha## be 'erormed b! the Saet! En"$neer and 3$ne
Su'er*$sor.
A. $EA# PROTECTION
-./ It $s mandator! to wear a Ha)ard Hat $n a## areas, $n(#ud$n" roads, e,terna# wor%sho's and
out#!$n" wor% areas.
;./ In order to sat$s! the "enera# re0u$rements or hea*! (onstru(t$on, our hard hats must meet
the s'e($$(at$ons on ANSI >59 91969. A bum' (a' $s not a((e'tab#e hard hat.
<./ Hard Hat 1rote(t$on $s ee(t$*e on#! $ the hat $s ad&usted to $t 'ro'er#! and $s worn
s0uared o, stra$"ht and not (o(%ed at an an"#e, or 'er(hed on the ba(% o the head.
4./ The ha$r sha## be 'rote(ted a"a$nst be$n" (au"ht on mo*$n" ma(h$ner!, sub&e(ted to s'ar%s
or sna""$n" on ob&e(ts. 3on" ha$r shou#d be 'rote(ted b! (om'a(t$n" $t $nto the hard hat
she## or b! use o ha$rnets or t$es so that $t $s not #oose.
B./ Hard Hats must not be mod$$ed $n an! wa!.
5. EYE AN# FACE PROTECTION
Em'#o!ee sha## be re0u$red to wear the 'ro'er e!e 'rote(t$on or a## tas%s wh$(h e,'ose them to
re(o"n$)ed 'otent$a# e!e $n&ur$es as #$sted as be#ow but not #$m$ted to th$s #$st6
-./ Tas%s E!e 'rote(t$on
H$tt$n" stee# u'on stee# Saet! "#asses or mono "o""#es
2r$nd$n" 8a(e sh$e#d 4 mono "o""#es
Sand b#ast$n" A$r su''#$ed sandb#ast hood.
S%$## saw$n" Mono "o""#es or Saet! "#asses.
2as (utt$n" =urn$n" "o""#es J< to JC shade #enses.
2as we#d$n" 5e#d$n" "o""#es JD to JE shade #enses
E#e(tr$( ar( we#d$n" 5e#d$n" he#met J-> to J-4 shade #ens
5e#der he#'er Saet! "o""#es or mono "o""#es
Ma(h$ne w$re brush$n" 8a(e sh$e#d and mono "o""#es
A$rborne ob&e(t $n sho' Saet! "#asses or mono "o""#es
(ond$t$ons
5$nd and other a$r Mono "o""#es
turbu#en(e
;./ These are m$n$mum re0u$rements or ea(h tas%s shown.
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<./ Em'#o!ees ha*$n" wor% ass$"nment re0u$r$n" the$r 'resen(e $n (#ose 'ro,$m$t! to the
'erorman(e o those o those tas%s ha*$n" 'otent$a# e,'osure to e!e $n&ur$es w$## a#so be
re0u$red to wear the a''ro'r$ate e!e 'rote(t$on.
4./ E!e 'rote(t$on must (onorm to the Amer$(an Nat$ona# Standards Inst$tute .ANSI /
Standard KED.---FCE - 1ra(t$(es or O((u'at$ona# and Edu(at$ona# E!e and 8a(e
1rote(t$on.
B./ ->> 1er(ent E!e 1rote(t$on - the estab#$shment o a ->>L e!e 'rote(t$on area sha## be
(ons$dered $n wor% areas sub&e(t$n" em'#o!ees to s$"n$$(ant e!e ha)ards. S$"ns sha## be
'osted at a''ro'r$ate #o(at$ons, su(h as entran(es, $norm$n" em'#o!ee that the! are
enter$n" an area re0u$r$n" 'ro'er e!e 'rote(t$on.
C. RESPIRATORY PROTECTION
-./ Res'$rator! 'rote(t$on de*$(es and the$r use sha## (om'#! w$th OSHC.
;./ S$n(e the e,tent o the ha)ards are not a#wa!s %nown to em'#o!ees, $t be(omes the
res'ons$b$#$t! o the 1ro&e(t Mana"er or Su'er$ntendent to wor% w$th the Saet!
Coord$nator and C#$ent to $dent$! the ha)ards and ass$"n the 'ro'er res'$rator! 'rote(t$*e
de*$(e.
<./ No atmos'here shou#d be entered $ the ha)ards are not %nown.
4./ A## res'$rators 'ro*$ded w$## be NIOSH or MSHA a''ro*ed.
B./ No em'#o!ees sha## wear or be re0u$red to wear a res'$rator! unt$# the! ha*e been ound
med$(a##! $t to wear the res'$rator b! a 0ua#$$ed 'h!s$($an.
C./ 5ash$n" and d$s$ne(t$n" o res'$rat$on aords an o''ortun$t! to $ns'e(t them or ne(essar!
re'a$rs. In add$t$on, the! shou#d be $ns'e(ted thorou"h#! on a 'er$od$( bas$s, the t$me
$nter*a# de'end$n" on the a''aratus, (ond$t$ons o use and stora"e. 5hen $t $s ne(essar! to
re'#a(e worn or deter$orated 'arts, on#! those made s'e($$(a##! or the de*$(e b! the
manua(turer shou#d be used, and e,'er$en(ed 'ersonne# shou#d a((om'#$sh re'a$r wor%.
5ash ater ea(h use.
D./ Res'$rators w$## be stored $n a dust 'roo (onta$ner .or$"$na# (artons, (ases, or '#ast$( ba"s/
awa! rom sun#$"ht, heat, e,treme (o#d, and e,(ess$*e mo$sture. A (he(%out s!stem,
essent$a##! the same as that used or too#s, shou#d be used or the d$str$but$on o res'$rators
to the 'ro'er wor%man. The res'$rator shou#d on#! be $ssued w$th the a''ro*a# o the
1ro&e(t Mana"er.
E./ 8a($a# ha$r that 're*ents a "ood sea# between res'$rator a(e '$e(e and the wearerAs a(e or
$ntera(es w$th the 'ro'er un(t$on o the res'$rator sha## not be 'erm$tted.
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F./ It $s $m'ortant that the Crat 2enera# 8oreman 'ro'er#! $nstru(t the wearer $n the se#e(t$on,
use and ma$ntenan(e o the res'$rator. No one shou#d be 'erm$tted to wear a res'$rator
un#ess the wearer has been $nstru(ted $n $ts use. Su(h $nstru(t$on shou#d (o*er6
a. Instru(t$on $n the nature o the ha)ard, whether a(ute, (hron$(, or both and an honest
a''ra$sa# o what ma! ha''en $ the 'ro'er de*$(e $s not used.
b. E,'#anat$on o wh! more 'os$t$*e (ontro# $s not $mmed$ate#! eas$b#e. Th$s sha## $n(#ude
re(o"n$t$on that e*er! reasonab#e eort $s be$n" made to redu(e or e#$m$nate the need or
res'$rator! 'rote(t$on.
(. A d$s(uss$on o wh! th$s $s 'ro'er t!'e o un$t or the 'art$(u#ar 'ur'ose.
d. A d$s(uss$on o the de*$(es (a'ab$#$t$es and #$m$tat$ons. Tra$n$n" sha## 'ro*$de the wearer
an o''ortun$t! to hand#e the de*$(e, ha*e $t $tted 'ro'er#!, test $t a(e '$e(e- to a(e sea#
and wear $t $n norma# a$r or am$#$ar$t! 'er$od.
e. Ater the wearer $s $nstru(ted $n the use o a res'$rator, the Crat 2enera# 8oreman w$##
ade0uate#! su'er*$se the wearer to assure that the 'ro'er de*$(e $s be$n" used or ea(h
e,'osure (ond$t$on and that de*$(e $s $n "ood (ond$t$on and $s be$n" worn 'ro'er#!.
. C#ass$$(at$on o Res'$rator! E0u$'ment 'resent6
-./ A$r 1ur$!$n" +e*$(es - These de*$(es $#ter out or remo*e (ontam$nants rom the a$r
that $s drawn throu"h them.
E,am'#es are6
Me(han$(a# 8$#ter res'$rators
Chem$(a# Cartr$d"e Res'$rator
Comb$nat$on o the abo*e
;./ Su''#$ed A$r +e*$(es - These de*$(es su''#! a$r throu"h a sour(e that $s remote rom
the wearer.
E,am'#es are6
A$r 3$ne res'$rators w$th breath$n" a$r tan%s
A$r #$ne res'$rator w$th a (om'ressor.
<./ Se#-Conta$ned =reath$n" a''aratus - These de*$(e su''#! breath$n" a$r rom a
sour(e that $s (arr$ed b! the wearer. An e,am'#e $s6
O'en s!stem, where o,!"en or breath$n" a$r (omes rom tan%s and e,ha#ed breath $s
*ented to the atmos'here.
". 1rote(t$*e E0u$'ment 8or O,!"en +e$($ent Atmos'here -
-./ On#! se# - (onta$ned =reath$n" +e*$(e - The wearer breathes a$r throu"h a (!#$nder
usua##! (arr$ed on the wearerAs ba(%.
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Se#-Conta$ned =reath$n" +e*$(e - the wearer breathes a$r throu"h a (!#$nder
usua##! (arr$ed on the wearerAs ba(%.
Se#-Conta$ned 1ressure +emand Res'$rator Ma$nta$ns a s#$"ht 'ressure $n the
a(e '$e(e to 're*ent #ea%a"e o the surround$n" a$r $nto the mas% or a(e '$e(e.
#. $AN# PROTECTION
Some t!'e o "#o*e shou#d be worn b! a#most a## (onstru(t$on wor%ers e,(e't those wor%$n" near
re*o#*$n" ma(h$ner! or w$th$n C $n(hes o a 'owered (utt$n" ed"e su(h as a "r$nder or dr$## b$t. The
se#e(t$on o "#o*es or ea(h &ob $m'ortant, as o##ows6
-./ 3eather "#o*es are tou"h and oer "ood res$stan(e to abras$on and s'ar%s. The! are "ood
or "enera# (onstru(t$on wor% $n(#ud$n" man! mater$a#s hand#$n" tas%s.
;./ Cotton "#o*es are sat$sa(tor! or #$"ht sho' wor% and #$"ht hand#$n" &obs and rad$at$on
'rote(t$on.
<./ Rubber or neo'rene "#o*es 'rote(t a"a$nst a($ds, o$#s, so#*ents and (aust$( mater$a#s. Rubber
$s soter and a##ows or more de,ter$t! than neo'rene, but Neo'rene $s more durab#e.
4./ Heat 'roo "#o*es shou#d be used or hand#$n" hot wor% and or wor%$n" near e,(ess$*e#!
hot e0u$'ment.
B./ 1#ast$( d$''ed "#o*es are "ood or o$#! wor% and e,'osure to su(h mater$a#s as (on(rete,
e'o,$es, (reosote and some a($ds.
C./ 3eather we#derAs "#o*es are to used or ar( we#d$n".
D./ 2#o*es a#so (ome $n d$erent t!'es? there are "#o*es or m$ttens and the! ma! ha*e short,
med$um or #on" (us. The se#e(t$on o t!'e must mat(h the ha)ard e,'osure.
E./ The (are o "#o*es $s a#so $m'ortant. O$#! and "reas! "#o*es (onst$tute a 'otent$a# $re
ha)ard. 3ea%! neo'rene or d$e#e(tr$( "#o*es (ou#d (ause a ser$ous $n&ur!. 5orn or torn
"#o*es and those w$th ornamenta# r$n"e or #oose t$e str$n" are not to be used.
F./ Hands are used so oten $n so man! d$erent wa!s $n our wor% that the! are (onstant#!
*u#nerab#e to $n&ur!. It $s $m'erat$*e to ade0uate#! 'rote(t our hands the ma$n too#s o our
trade.
E. FOOT PROTECTION
An a''ro*ed saet! stee# toed #eather wor% shoe or boot $s to be worn or "enera# wor% b! wor%ers.
Snea%ers and (an*as #oaers are not a((e'tab#e as wor% shoes on the 'ro&e(t. There are man! t!'es and
st!#es o "ood wor% shoes that are a*a$#ab#e. S'e($$( ha)ards that re0u$re 'rote(t$on are as o##ows6
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-./ Stee# toe (a' rubber boots sha## be used to 'rote(t the eet rom water, mud, and wet
(on(rete. The! (ome $n three t!'es6 'u##-on o*er shoes, s#$'-on o*er so(%s w$th or w$thout
saet! (a' or toes and d$s'osab#e t!'e. Rubber boots a#so (ome $n *ar$ous #en"ths. The
%nee #en"th seems best or "enera# use.
;./ A smooth toe sha## be wor% b! we#ders and burners so that s'ar%s and s#a" w$## ro## o. 1ant
#e"s sha## o*er#a' the shoes and not ha*e (us.
<./ 8or wor%$n" w$th a($ds and (orros$*es the 'a$nts sha## o*er#a' the boots.
F. PROTECTI!E CLOT$ING
The 'ur'ose o 'rote(t$*e (#oth$n" $s to 're*ent harm to the bod! rom 'otent$a#. E,'osure asso($ated
w$th (onstru(t$on wor%. Se#e(t$on o 'rote(t$*e (#oth$n" su(h as Head (o*er$n", su$ts, (o*era##s,
&a(%ets, 'ants, or boots sha## be de'endent u'on the t!'e and nature o the 'otent$a# ha)ard.
G. $EARING PROTECTION PROGRA
-./ 2enera# - o*er e,'osure to no$se $s anno!$n" and (an tem'orar$#! $nterere w$th hear$n"
e$($en(!. In add$t$on, re'eated#! and 'ro#on"ed o*er e,'osure w$## 'ermanent#! dama"e the
ab$#$t! to hear.
;./ 8eas$b#e En"$neer$n" or Adm$n$strat$*e Contro#s w$## be ut$#$)ed to 'rote(t em'#o!ees
a"a$nst sound #e*e#s $n e,(ess o those shown $n the tab#e be#ow.
<./ 5hen en"$neer$n" or Adm$n$strat$*e Contro#s a$# to redu(e sound #e*e#s w$th$n the s'e($$ed
#$m$ts, ear 'rote(t$on sha## be 'ro*$ded and used.
4./ Tab#e o 1erm$ss$b#e No$se E,'osure6
+urat$on 1er +a!,Hour Sound 3e*e# +=A S#ow Res'onse
E F>
C F;
4 FB
< FD
; ->>
---@; ->;
- ->B
-@; -->
M or #ess --B
E,'osure too $m'u#s$*e or $m'a(t no$se shou#d not e,(eed -4>-d= 'ea% sound #e*e#.
-./ 5here the sound #e*e# e0ua#s or e,(eeds EB +=A .t$me we$"hted a*era"e / a (ont$nu$n"
ee(t$*e hear$n" (onser*at$on 'ro"ram sha## be adm$n$stered $n a((ordan(e w$th OSHC and
Industr! best 'ra(t$(e.
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;./ 1#a$n (otton $s not an a((e'tab#e 'rote(t$*e de*$(e.
<./ Hear$n" 'rote(t$on must be worn $n wor% areas abo*e +=A.
4./ Em'#o!ees sha## be tra$ned $n the ee(ts o no$se, hear$n" 'rote(t$on re0u$rements and use
o hear$n" 'rote(t$on.
B./ Contra(tors are res'ons$b#e or mon$tor$n" and e*a#uat$n" a(t$*$t$es wh$(h ma! (ause h$"h
no$se e,'osure .$.e., a$r ar( "ou"$n", &a(%hammer o'erat$on, et(./
C./ Ear '#u"s or mus redu(e the no$se #e*e# an a*era"e o ;> +=A to <> +=A.
D./ 1r$n($'#e t!'es o hear$n" 'rote(t$on6
a./ 1#u"s - 5hen 'ro'er#! $tted are more (omortab#e than mus when needed or an e$"ht
hour a da! e,'osure to moderate .E>-FBd=/ no$se #e*e#s. An! t!'e so#$d, s'on"e or a$r
$##ed? rubber neo'rene or '#ast$( $n a *ar$et! o s$)es ma! be used. Must be (#eaned ater
ea(h use.
b./ +$s'osab#e Ma##eab#e 1#u" - Same as '#u"s on#! made o ma##eab#e mater$a#s. Re(ent
stud$es $nd$(ate attenuat$on $s e0ua# to best '#u"s. The! sha## be thrown awa! ater ea(h
use.
(./ Mus - Sha## be 'ro*$ded or em'#o!ees who (annot wear $nserts .'#u"s/ due to med$(a#
reasons.

$. FALL PROTECTION 9 SAFETY 5ELT?$ARNESSES
-./ The most ser$ous $n&ur$es and man! ata#$t$es $n the (onstru(t$on $ndustr! are the resu#t o
a##s. A 'os$t$*e 'ersona# 'rote(t$on $tem to 're*ent ser$ous a##s $s the saet! be#t harness.
Thereore, a saet! be#t sha## be worn and t$ed o when there $s a (han(e o a a##.
;./ Saet! be#ts harness are re0u$red, but not #$m$ted to the tas%s #$sted be#ow6
<./ T$e o to $nde'endent #$e#$ne when or other substant$a# an(hor 'o$nt wor%$n" on a
sus'ended s(ao#d.
4./ 5hen on a s(ao#d or sus'ended #oat w$thout a handra$#.
B./ 5hen wor%$n" on to' o e0u$'ment su(h as an hous$n", '$'es, motors, and sw$t(h "ear
w$thout a handra$#.
C./ 5hen wor%$n" on a s#o'e or roo w$thout a handra$# and at an an"#e "reater than -B de"rees
to the hor$)onta#.
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D./ 5hen wor%$n" w$th$n s$, eet o the ed"e o a roo or other e#e*ated 'os$t$on w$thout a
handra$#.
E./ On o'en stee# stru(tures where there $s ne$ther saet! net nor '#atorm be#ow.
F./ Saet! be#ts sha## be at #east --B@E $n(hes .4.-D (m/ w$de and shou#d ha*e a bu(%#e t!'e
asten$n". The #an!ards shou#d be no more than s$, eet .-.E<(m/ #on" and sha## m$n$mum
tens$#e stren"th o B,>>> 'ounds .;;< %"/. The #an!ard sha## be e0u$''ed w$th dro' or"ed
sna' hoo's-e!es s'#$(ed on ea(h end.
->./ Saet! be#ts harness w$## be t$ed - o head h$"h whene*er 'oss$b#!. Ne*er t$e-o be#ow waste
#e*e#.
I. &EEP %AL& AREAS CLEAR OF O5STACLES.
16.0 INSPECTION AN# USE OF TOOLS AN# E=UIPENT
16.1 $AN#TOOLS
A. Ins'e(t a## too#s and e0u$'ment or dama"e, dee(t or m$ss$n" (om'onents at #east da$#! beore use.
A## $tems ound dama"e, dee(t$*e or $n(om'#ete must be ta%en out ser*$(e $mmed$ate#! and
ta""ed b! s$te su'er*$s$on as 9OUT o SERVICE.:
=. E*er! too# was des$"ned to do a (erta$n &ob? use $t on#! or $ts $ntended 'ur'ose. Remember that
e*er! too# needs (are and ma$ntenan(e.
C. S'e($$( saet! (ons$derat$ons6
-./ Gee' hand (utt$n" too#s shar', (#ean, o$#ed and dressed.
;./ 5orn too#s are dan"erous.
<./ Too#s wh$(h are sub&e(t to $m'a(t tend to 9mushroom:. Gee' th$s 9mushroom$n": "round
down.
4./ +o not or(e too#s be!ond the$r (a'a($t!.
B./ On#! use too#s that are des$"ned or the &ob.
C./ 8abr$(at$on o (h$se#, hammers and (h$''$n" too#s $s not a##owed.
16.2 PORTA5LE PO%ER TOOLS
A. Ma&or Ha)ards
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-./ Tor0ue - ensure !ou ha*e a "ood oot$n" and use two hands. =e read! to re#ease the 'ower
sw$t(h@tr$""er.
;./ 8#!$n" Ob&e(ts - 5arn an!bod! $n !our *$($n$t! o the r$s% and use su$tab#e e!e 'rote(t$on.
<./ Conta(t w$th mo*$n" 'arts - Gee' mo*$n" 'arts awa! rom !our bod! as ar as 'ra(t$(ab#e.
+o not wear #oose (#oth$n" or "#o*es. Ne*er de#$berate#! tou(h a mo*$n" 'art.
4./ 2uards - Ne*er remo*e a ma(h$ne "uard un#ess the ma(h$ne $s d$s(onne(ted rom $ts 'ower
sour(e. Re'#a(e $t beore re(onne(t$n" to $ts 'ower su''#!.
16.3 A#:USTENT" SER!ICING AN# REPAIRS
-./ Shut down ma(h$ne and #o(%-out the 'ower su''#!. Stab$#$)e an! 'neumat$( or h!drau#$(
me(han$sm to 're*ent mo*ement dur$n" re'a$rs.
;./ Re'#a(e a## "uards beore start$n" u' e*en or test$n".
<./ =e sure that re'#a(ement 'arts are (orre(t#! s'e($$ed beore $tt$n". Use on#! OE 'arts.
4./ Ta" a## e0u$'ment that (annot be re'a$red or ser*$(e.
B./ Ins'e(t a## ma(h$ner! da$#! beore start-u'.
C./ Ha*e $re e,t$n"u$sher a*a$#ab#e $ do$n" hot wor% or $ wor%$n" on "aso#$ne 'owered
ma(h$ner!.
D./ 5ear head and e!e 'rote(t$on as re0u$red.
E./ Gee' wor% areas (#ean and t$d!.
16.4 $OO&S" S$AC&LES" CLAPS
A. On#! one e!e $n a hoo%. Use a sha(%#e to ho#d two or more e!es.
=. A## hoo%s must ha*e a saet! #at(h.
C. A#wa!s '#a(e a #oad $n the (enter o a hoo% not on the 'o$nt.
+. 2et a''ro*a# rom !our su'er*$sor beore r$""$n" rom an! stru(tura# member to assure that w$##
su''ort the #oad be$n" ra$sed.
E. Hoo%s, sha(%#es and (#am's shou#d be *$sua##! (he(%ed beore use.
16.5 C$AIN FALL AN# $OIST
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A. A (ha$n ho$st must be used w$th$n $ts rated (a'a($t!.
=. +o not stand or ha*e an! 'art o the bod! be#ow a #oad sus'ended on a (ha$n ho$st.

C. +o not #ea*e an unse(ured and unattended #oad han"$n" on a ho$st or (ha$n a##.
+. +o not wra' the #oad (ha$n around the #oad to be $tted.
E. E*er! (ha$n ho$st shou#d be $ns'e(ted *$sua##! beore ma%$n" a #$t. The *$sua# $ns'e(t$on shou#d
$n(#ude?
-./ Hoo%s?
;./ Cha$n or wear or dama"e?
<./ An! e,terna# s$"ns o dama"e? and
4./ Use a sotener when 'oss$b#e to obta$n a ho#d mater$a# be$n" #$ted.
17.0 LA##ERS
17.1 GENERAL
A. Ins'e(t beore use. I dee(t$*e remo*e rom ser*$(e?
=. 3adders shou#d not be 'a$nted e,(e't or number$n" or $dent$$(at$on 'ur'oses?
C. +o no use #adders or s%$ds, bra(es, wor% ben(hes or an! 'ur'ose other than (#$mb$n".
+. I $t $s ne(essar! to '#a(e a #adder $n or o*er a doorwa!, barr$(ade the door and 'ost warn$n" s$"ns?
E. 5h$#e as(end$n" 4 des(end$n" #adder run"s? do not (arr! an!th$n" that w$## 're*ent ho#d$n" on w$th
both hands?
8. Gee' both eet on the #adder run"s? do not rea(h out too ar or '#a(e one oot on a #$ne or '$e(e o
e0u$'ment?
2. 8a(e a #adder when wor%$n" rom $t? a saet! be#t harness $s re0u$red $ $t $s ne(essar! to wor%
ba(%wards rom a #adder?
H. On#! one man to a #adder at a## t$mes?
I. Meta# #adders must not be used or e#e(tr$( we#d$n" or near e#e(tr$( #$nes?
H. 3adder are not to be used or s(ao#d$n"?
G. No wor% re0u$r$n" #$t$n" o hea*! mater$a#s or substant$a# e,ert$on sha## be done rom #adders?
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3. The three 'r$n($'a# (auses o #adder a(($dents are6
-./ C#$mb$n" or des(end$n" $m'ro'er#!.
;./ 8a$#ure to se(ure #adders at to' or bottom.
<./ The #adder (o##a'ses.
17.2 STRAIG$T AN# E@TENSION LA##ERS
A. 1#a(e a #adder so the d$stan(e rom the oot o the #adder $s a''ro,$mate#! one ourth .-@4/ $ts
#en"th awa! rom a *ert$(a# #$ne rom the to' su''ort?
=. 3adders shou#d be r$"$d?
C. 3adders must be se(ured and e0u$''ed w$th non-s%$d saet! eet?
+. To' o the #adder shou#d e,tend < eet .>.F- m/ be!ond o #and$n"?
8. Ater the e,tens$on se(t$on has been ra$sed to the des$red he$"ht, (he(% to see $ saet! #at(hes are $n
'os$t$on?
8. E,tens$on #adders must be o*er#a''ed to a m$n$mum o three .</ run"s?
2. +o not e,tend #adders a'art to use e$ther se(t$on se'arate#!.
H. I !ou ha*e read th$s ar !ou 0ua#$! or a 'r$(e o 1->>. That $n(#udes !ouN Hust a''#! to the saet!
de't or !our (ash.
17.3 STEP LA##ERS
A. A#wa!s o'en ste'#adders #e*e# on a## our eet and #o(% s'readers $n '#a(e. +o not use #$%e a stra$"ht
#adder.
=. Ne*er stand on the to' ste' o a ste'#adder?
C. +o not '#a(e too#s on the '#atorm.
18.0 FALL PROTECTION
18.1 GENERAL
A. 5or% on e#e*ated areas 'resent a (om'#$(ated 'rob#em $n (ontro# o a## ha)ards, thereore 'r$or to
an! $n e#e*ated areas, 'ro*$s$ons or a((ess and a## 'rote(t$on sha## be deta$#ed $n a ha)ard
ana#!s$s or ea(h a(t$*$t!.
=. S(ao#d, '#atorms, or tem'orar! #oors sha## be 'ro*$ded or a## #adders wor% e,(e't that wh$(h
(an be done saet! rom the "round or s$m$#ar oot$n".
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C. A## s(ao#d$n" $ns$de a bu$#d$n" sha## be 'ro*$ded w$th a s(reen (ons$st$n" o No. -E "au"e US
standard w$re wh$(h sha## be $nsta##ed between the toe board and the m$dra$# and e,tend$n" o*er
the ent$re o'en$n".
+. Sho' draw$n" sha## be 'ro*$ded or a## s(ao#d$n" s!stem $n e,(ess o ;>t. h$"h. +raw$n" w$##
(ons$st o the o##ow$n"?
-./ T!'e and #o(at$on o s(ao#d$n".
;./ Ere(t$on se0uen(e.
<./ 2uardra$# s!stem.
4./ Toeboard and s(reens.
B./ 1o$nts where s(ao#d$n" w$## be se(ured to the bu$#d$n".
C./ Outr$""ers.
D./ T!'e o '#atorm mater$a#, and method o $nsta##at$on.
E./ Em'#o!ee a((esses 'o$nts.
F./ Handra$#s.
18.2 SAFETY NETS
A. 1ersonne# $n un"uarded wor% '#a(es $n o*er dan"erous o'erat$ons sha## be o'erated b! saet! nets6
saet! nets are not re0u$red or short-term re'a$r wor% when other 'rote(t$on $s 'ro*$ded.
=. Saet! nets sha## be $nsta##ed and be des$"ned and tested as 'er OSHC re"u#at$ons.
C. Sho' w$## be 'ro*$ded 'r$or to $nsta##$n" or a(tua# wor% rom saet! nets.
Sho' draw$n" w$## (ons$st o the o##ow$n".
-./ T!'e and #o(at$on o nets?
;./ Method o $nsta##at$on?
<./ An(hor$n" 'o$nts? and
4./ +$stan(es o mater$a# or e0u$'ment be#ow and abo*e the net.
18.3 %OR& PLATFORS
A. 5or% '#atorms sha## be des$"ned and used $n (om'#$an(e w$th OSHC re0u$rements.
=. A wor% '#atorm saet! ta""$n" s!stem sha## be ut$#$)ed and (ons$st o the o##ow$n" 6
-./ A## wor%s '#atorms, both (om'#ete and $n(om'#ete sha## ha*e a ta" a$,ed to a stru(tura#
member $nd$(at$n" $ts use status.
;./ The ta""$n" o wor% '#atorms sha## be the res'ons$b$#$t! o the $mmed$ate su'er*$sor
res'ons$b#e or ere(t$n" or d$smant#$n" the wor% '#atorm and sha## be under the "u$dan(e o
the Saet! En"$neer.
M-4 CONSTRUCTION and
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<./ The (o#or (oded ta""$n" s!stem sha## be as o##ows.6
R.7 T'8 - Ind$(ates do not use. The '#atorm $s $n(om'#ete or otherw$se unsae. A## '#atorms
be$n" ere(ted or d$smant#ed sha## be red-ta""ed, On#! 'ersonne# ere(t$n" or
d$smant#$n" the '#atorm wh$#e wear$n" 'ersona# a## 'rote(t$on are a##owed to use
the '#atorm.
G)..n T'8 - Ind$(ates that '#atorm $s a''ro*ed or use as #on" as 'ersonne# us$n" the '#atorm
are w$th$n and not *$o#at$n" the standard "uardra$#.
19.0 5ARRICA#ES
19.1 TYPES
%')n+n8 - these (a## !our attent$on to a ha)ard but oer no 'h!s$(a# 1rote(t$on
E,am'#e6 !e##ow s!nthet$( ta'e or mu#t$-(o#ored #a""$n".
1rote(t$*e- these warn as we## as 'ro*$de 'h!s$(a# 'rote(t$on rom a##$n".
5ood 'ost and ra$# or 9A: rame barr$ers.
19.2 %$EN TO USE
An!one who ma%es a ho#e or o'en$n" $s res'ons$b#e or ha*$n" $t barr$(aded. Use barr$(ades around
e,(a*at$ons, ho#es or o'en$n"s $n #oor or roo areas. 5hene*er ne(essar! to warn 'eo'#e a"a$nst a##$n"
$n, throu"h or o.
19.3 ERECTION PROCE#URE
A. 5hen barr$(ades are needed to (om'#ete#! e#$m$n$nate entr!, the o##ow$n" re0u$rements shou#d be
$nst$tuted6
-./ Must be - meter h$"h, s0uare and #e*e#?
;./ Gee' - meter ba(% rom the ed"e o e,(a*at$ons, ho#es and '#atorms?
<./ I numerous barr$(ades are needed $n a (on$ned area, the area ma! be barr$(aded ee(t$*e#!
b! barr$(ad$n" the ent$re "enera# area. =#$n%$n" #$"hts shou#d be $nsta##ed or ater dar% use?
and
M-4 CONSTRUCTION and
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4./ 5arn$n"s s$"ns are to be '#a(ed on barr$(ade stands or 'ost or other 0ua#$$ed #o(at$ons.
The! must be '#a(ed as soon as barr$(ade $s ere(ted, S$"ns must be #e"$b#e 9#ANGER 9 #O
NOT ENTER.A
19.4 $OLE CO!ERS
-./ A## ho#es or o'en$n"s throu"h #oors or de(%$n" at a## e#e*at$ons must be 'ro*$ded w$th
(o*ers or barr$(ades. +o not store mater$a# or e0u$'ment on a ho#e (o*er.
;./ S$"n 5arn$n" that th$s (o*er $s tem'orar! and $s not to be remo*ed.
<./ Must be (#eaned, w$red or some other wa! se(ured so $t (annot s#$' s$dewa!s or hor$)onta##!
be!ond ed"e o ho#e.
4./ Three-0uarter $n(h .-.F; (m./ '#!wood ma! be used or ho#es (o*ers, 'ro*$ded one
d$mens$on o the o'en$n" $s #ess that -E $n. .>.4Cm/, otherw$se ; $n(h .B.-;(m/ th$(% #umber
$s re0u$red.
20.0 ELECTRICAL $A>AR#S
20.1 LO% !OLTAGE $A>AR#S
A. 3ow *o#ta"e annua##! %$##s man! 'ersons ma$n#! due to the a(t we do not re(o"n$)ed the ha)ards.
=. Ne*er #ea*e e#e(tr$(a# (onne(t$ons e,'osed where there $s an! 'oss$b$#$t! o em'#o!ees (om$n"
$nto (onta(t w$th (onne(t$ons.
C. Ins'e(t re0uent#! a## e#e(tr$(a# e0u$'ment or short $nsu#at$on brea%down, #oose (onne(t$ons and
$m'ro'er "round$n".
+. A## s$n"#e 'hase w$r$n" wh$(h $s not 'art o the 'ermanent w$r$n" o a bu$#d$n" or stru(ture sha##
ha*e a "round au#t ($r(u$t $nterru'ters or 'ersonne# 'rote(t$on? th$s $n(#udes -;>, ;>E, ;;>, and
;4> *o#t s$n"#e 'hase ($r(u$ts. Some s'e($a#$)ed e0u$'ment su(h as (on(rete *$brators ma! be
sens$t$*e to 2round 8au#t C$r(u$t Interru'ters, other means o 'ro*$d$n" 'rote(t$on must be
'ro*$ded. 2round au#t sens$t$*$t! sha## be ma,$mum o m$#$-am'eres '#us or m$nus - m$##$-
am'ere.
20.2 $IG$ !OLTAGE $A>AR#S
A. The ma$n sour(e o h$"h *o#ta"e ha)ards on or near most $e#d ere(t$on &obs$tes $s 'resent $n the
orm o o*erhead e#e(tr$(a# transm$ss$on and d$str$but$on #$nes.
=. A## o*erhead *o#ta"e #$nes are dan"erous and (onta(t b! men, mater$a# or ma(h$nes shou#d a#wa!s
be a*o$ded. I !ou ha*e a 'rob#em (on(ern$n" o*erhead *o#ta"e #$nes $norm the res'ons$b#e
(om'an! re'resentat$*e or the #o(a# 'ub#$( ut$#$t!.
M-4 CONSTRUCTION and
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AJS R*DC CMM
C. An!th$n" seen on stee# transm$ss$on towers $s to be (ons$dered *er! dan"erous. These 'ower #$nes
a#wa!s (arr! h$"h *o#ta"e .CC,>>> *o#ts or more/ and sha## a#wa!s be a*o$ded.
+. An!th$n" seen on wooden 'o#es $s a#so *er! dan"erous. Transm$ss$on and d$str$but$on #$nes o -->
to CC,>>> *o#ts are strun" on wooden 'o#es.
E. Street #$"ht w$res are ;,<>> *o#ts and (an be *er! dan"erous. +o not assume that an!th$n" $s sae. It
(an be ener"$)ed w$thout warn$n".
8. Var$ous t!'es o $nsu#ators are des$"ned to 'rote(t the e#e(tr$( w$re rom be(om$n" "rounded or
shorted. S$)e and des$"ned o the $nsu#ators and "round (#earan(e are $nd$(ators o *o#ta"e $n the
#$nes. The #ar"er the $nsu#ators and the h$"her the "round (#earan(e. The h$"her the *o#ta"e.
2. 5hen us$n" "u!#$nes, #oad#$nes and ta"#$nes ne*er a##ow then too (ome $n (onta(t w$th h$"h *o#ta"e
#$nes.
H. A "ood sae m$n$mum wor%$n" d$stan(e $s twe#*e .-;/ eet .<.CCm/ rom a## *o#ta"e transm$ss$on
#$nes. Th$s $s a#so a''#$(ab#e to wor%$n" o*er or abo*e the 'ower #$ne.
21.0 AC$INERY AN# EC$ANI>E# E=UIPENT
O'erat$ons $n*o#*$n" ma(h$ner! and me(han$)ed e0u$'ment sha## be $n (om'#$an(e o OSHC
re0u$rements, $n(#ud$n", but not #$m$ted to, the o##ow$n"6
21.1 GENERAL
A. =eore an! ma(h$ner! or me(han$)ed e0u$'ment $s '#a(e $n used, $t sha## be $ns'e(ted and tested b!
the Saet! En"$neer and (ert$$ed to be $n sae o'erat$n" (ond$t$on.

-./ Ins'e(t$ons and tests sha## be $n a((ordan(e w$th manua(turerAs re(ommendat$ons and sha##
be do(umented.
;./ Re(ords o tests and $ns'e(t$ons sha## be ma$nta$ned at the s$te and sha## be made a*a$#ab#e
u'on re0uest o the C#$ent and sha## be(ome 'art o the o$($a# 'ro&e(t $#e.
=. +a$#!@sh$t $ns'e(t$ons and tests
-./ A## ma(h$ner! and e0u$'ment sha## be $ns'e(ted da$#! .when $n use/ to ensure sae o'erat$n"
(ond$t$ons6 the 0ua#$$ed o'erator under the su'er*$sor o the Saet! En"$neer sha## (ondu(t
the da$#! $ns'e(t$ons and tests.
M-4 CONSTRUCTION and
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ENVIRONMENTAL,
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DOCUMENT N No Number
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Te!" S#$e De%&$, S#$e
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*+#,d#n-.
AJS R*DC CMM
;./ Test sha## be made at the be"$nn$n" o ea(h sh$t dur$n" wh$(h the e0u$'ment $s to be used.
+eterm$ne that the bra%es and o'erat$n" s!stems are $n 'ro'er wor%$n" (ond$t$on and that
a## re0u$red saet! de*$(es are $n '#a(e and un(t$ona#.
C. 5hene*er an! ma(h$ner! or e0u$'ment $s ound to be unsae, or whene*er a de$($en(! wh$(h
ae(ts the sae o'erat$on o e0u$'ment $s obser*ed, the e0u$'ment sha## be $mmed$ate#! ta%en out
o ser*$(e, 'ro'er#! ta""ed, and $ts used 'roh$b$ted unt$# unsae (ond$t$ons ha*e been (orre(ted.
+. Ma(h$ner! and me(han$)ed e0u$'ment sha## be o'erated on#! b! des$"nated 0ua#$$ed 'ersonne#.
E. No mod$$(at$ons or add$t$ons wh$(h ae(t the (a'a($t! or sae o'erat$on o ma(h$ner! or
e0u$'ment sha## be made w$thout the manua(turerAs wr$tten a''ro*a#.
8. A## se#-'ro'e##ed (onstru(t$on and $ndustr$a# e0u$'ment, whether mo*$n" a#one or $n (omb$nat$on,
sha## be e0u$''ed w$th a re*erse s$"na# a#arm. E0u$'ment des$"nated and o'erated so that the
o'erator $s a#wa!s a($n" the d$re(t$on o mot$on does not re0u$re a re*erse s$"na# a#arm. Re*erse
s$"na# a#arms sha## be $n add$t$on to re0u$rements or s$"na# 'ersons.
2. A## be#ts, "ears, shats, 'u##e!s, s'ro(%ets, s'$nd#es, drums, #!whee#s, (ha$ns, or other re($'ro(at$n",
rotat$n" or mo*$n" 'arts o e0u$'ment sha## be "uarded when e,'osed to (onta(t b! 'ersons or
when the! otherw$se (reate a ha)ard.
H. No "uard, saet! a''#$an(e, or de*$(e sha## be remo*ed rom ma(h$ner! or e0u$'ment or made
$nee(t$*e e,(e't or ma%$n" $mmed$ate re'a$rs, #ubr$(at$ons, or ad&ustments and then on#! ater
the 'ower had been shut o. A## "uards and de*$(es sha## be re'#a(ed $mmed$ate#! ater
(om'#et$on o re'a$rs and ad&ustments and beore 'ower $s turned on.
I. Seatbe#ts and an(hora"e sha## be $nsta##ed and worn $n a## #$"ht motor *eh$(#es .$nsta##at$on and usa"e
on buses $s o't$ona#/? two-'$e(e seatbe#ts and an(hora"e or (onstru(t$on e0u$'ment sha## (om'#!
w$th a''#$(ab#e nat$ona# s'e($$(at$on or SAE H <ECa.
H. Su$tab#e 'rote(t$on a"a$nst the e#ements, a##$n" or #!$n" ob&e(ts, sw$n"$n" #oads, and s$m$#ar
ha)ards sha## be 'ro*$ded or o'erators o a## ma(h$ner! e0u$'ment? "#ass used $n w$ndsh$e#d or
(abs sha## be saet! "#ass.
G. Ma(h$ner! and e0u$'ment sha## be e0u$''ed w$th a##$n" ob&e(t a ro##o*er 'rote(t$*e stru(ture
.8O1S and RO1S/.
21.2 CRANES
A. A## (ranes sha## ha*e the re0u$red do(uments w$th them at a## t$mes the! are to be o'erated as
out#$ned $n OSHC -4.B.
=. On#! those o'erators 0ua#$$ed to o'erate a 'art$(u#ar t!'e o (rane ma! o'erate that t!'e o
ma(h$ner!. O'erator 0ua#$$(at$ons and tra$n$n" sha## be $n (om'#$an(e w$th 84R Trad$n" 4
Constru(t$on Saet! 1#an and nat$ona# re0u$rements.
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C. Crane $ns'e(t$ons sha## be (ondu(ted and do(umented b! a 9res'ons$b#e 'erson:.
+. 1erorman(e #oad tests sha## be (ondu(ted and do(umented $n a((ordan(e w$th OSHC re0u$rement
E. Cr$t$(a# #$t '#ans sha## be 're'ared and do(umented b! the (rane o'erator, #$t su'er*$sor, and the
r$""er and be re*$ewed and s$"ned b! the Saet! En"$neer. A (o'! o the '#an sha## be 'ro*$ded to
the C3IENT.
8. A((ess$b#e areas w$th$n the sw$n" rad$us o the rear o the rotat$n" stru(ture must be ro'ed o or
barr$(aded to 're*ent an em'#o!ee rom be$n" stru(% or (rushed b! the ta$# sw$n".
2. An! o*erhead w$re sha## be (ons$dered to be an ener"$)ed #$ne un#ess and unt$# the 'erson own$n"
su(h #$ne (on$rms there $s no *o#ta"e.
H. The (rane o'erator $s res'ons$b#e or the sae o'erat$on o h$s (rane.
I. O'erator shou#d ta%e s$"na#s rom on#! one 'erson, the tra$ned and (ert$$ed s#$n"er who w$## wear
an oran"e he#met to $dent$! h$mse# (#ear#! to the (rane o'erator.
H. 5hen an un#oaded s#$n" $s be$n" (arr$ed, the s#$n"hoo%s shou#d be hoo%ed to the b#o(%hoo% to
're*ent str$%$n" or hoo%$n" other ob&e(t.
G. No one $s to use be 'erm$tted to r$de the (rane, s#$n", hoo%, or #oad.
3. Ta" #$nes shou#d be used to 're*ent #oads rom sw$n"$n".
M. The ho$st$n" (ab#e $s ne*er to be used as s#$n".
N. 8#a"men shou#d be used at a## t$mes when (rane $s mo*ed throu"h (onstru(t$on areas.
O. O'erat$n" a (rane on s#o'$n" or sot "round shou#d be a*o$ded. Outr$""ers ma! ha*e to be b#o(%ed
or (r$bbed under to obta$n se(ure oot$n".
22.0 CONFINE# SPACES
22.1 SCOPE
The 'ro&e(t w$## ha*e numerous en(#osed wor%s'a(es that w$## be (#ass$$ed as (on$ned s'a(es,
$n(#ud$n" tan%s and *esse#s. An en(#osed wor% s'a(e sha## be (#ass$$ed a (on$ned s'a(e $ $t has one or
more o the o##ow$n"?
A. 3$m$ted means o entr! or e,$t?
=. Is unsu$tab#e or (ont$nuous human o((u'an(!?
M-4 CONSTRUCTION and
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C. Conta$ns, or has a %nown 'otent$a# to (onta$n a ha)ardous atmos'here or an! other re(o"n$)ed
ser$ous saet! or hea#th ha)ard? or
+. Conta$ns a mater$a# w$th the 'otent$a# or en"u#ment o an $nd$*$dua#, has an $nterna# (on$"urat$on
su(h that an entrant (ou#d be tra''ed or as'h!,$ated b! $nward#! (on*er"$n" wa##s or has a #oor
that s#o'es downwards and tra''ers to a sma##er (ross-se(t$on.
22.2 O5:ECTI!ES
+ue to the $n(reased ha)ards that (an be asso($ated w$th (on$ned s'a(e wor%, s'e($a# 're(aut$ons and
tra$n$n" are ne(essar! to ensure the sae and hea#thu# (om'#et$on o the wor%.
22.3 RESPONSI5ILITIES
The Saet! Mana"er sha## be res'ons$b#e or6
A. Ins'e(t$n" the (on$ned s'a(e 'er un$t area or unsae (ond$t$ons or 'ra(t$(es?
=. Issuan(e and (an(e##at$on o 'erm$ts? and
C. Atmos'her$( test$n" and mon$tor$n"?
The su'er*$sor $n-(har"e o the (on$ned s'a(e wor% sha## be res'ons$b#e or6
A. Su'er*$s$n" the 're'arat$on o the (on$ned s'a(e or entr!?
=. Ins'e(t$n" the (on$ned s'a(e 'er un$t area or unsae (ond$t$ons or 'ra(t$(es?
C. Ensur$n" the 'erm$t s'a(e has been $so#ated rom 'otent$a# ener"! sour(es, $n(#ud$n" b#$nd$n" and
#o(%@ta" out?
+. Ensur$n" author$)ed em'#o!ees %now how to use the ne(essar! 'ersona# 'rote(t$*e e0u$'ment?
E. Condu(t$n" a 're-entr! (oneren(e to ensure the author$)ed em'#o!ees understand the 'ro*$s$ons
and re0u$rement o the 'erm$t and the ha)ards asso($ated w$th the wor%.
22.4 PROCE#URE
A## (on$ned s'a(e wor% sha## be $n (om'#$an(e w$th EM <EB----, Se(t$on C.-, $n(#ud$n", but not
#$m$ted to the o##ow$n"6
A. Ea(h (on$n$n" s'a(e sha## ha*e an Entr! 1erm$t 1ro"ram, as de#$neated $n Tab#e C-- o EM <EB----
or 're*ent$n" unauthor$)ed em'#o!ee entr! and ensur$n" sae entr!, wor% and e,$t b! author$)ed
em'#o!ees.
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*+#,d#n-.
AJS R*DC CMM
=. Author$)ed em'#o!ees, attendants, and su'er*$sors res'ons$b#e or entr! sha## be tra$ned $n Con$ned
S'a(e Entr! 'ro(edures as out#$ned $n EM <EB----, Se(t$on C.-.B.
C. The orm to be used or entr! sha## be Con$ned S'a(e Entr! 1erm$t.
+. An attendant sha## be stat$oned outs$de the wor%s'a(e at a## t$mes dur$n" (on$ned s'a(e entr!, wor%
and e,$t. The attendants so#e un(t$on sha## be attend$n" to the (on$ned s'a(e entrants and sha##
not be ass$"ned other dut$es or res'ons$b$#$t$es.
E. A tra$ned res(ue team sha## be 'ro*$ded to res'ond to re0uest or res(ue ser*$(es. Un#ess
arran"ements are made or outs$de res(ue team ser*$(es, an on s$te res(ue team sha## be tra$ned
and 'ro*$ded.
8. A ha)ard ana#!s$s '#an sha## be subm$tted to the C3IENT Res$dent En"$neer or a''ro*a# 'r$or.
23.0 $A>AR#OUS ENERGY CONTROL PLAN
23.1 PURPOSE
The 'ur'ose o th$s $s to estab#$sh un$orm "u$de#$nes and sae wor% 'ra(t$(es to be used or the (ontro#
ha)ardous ener"! sour(es.
23.2 SCOPE
Th$s '#an $s to be adhered to b! a## M4CMSI and sub(ontra(t sta on the 'ro&e(t to ensure sae and
un$orm wor%$n" 'ra(t$(es.
23.3 O5:ECTI!ES
=eore an em'#o!ee 'erorms an! ser*$($n" or ma$ntenan(e on a s!stem where the une,'e(ted startu',
ener"$)$n" or re#ease o %$net$( or stored ener"! (ou#d o((ur and (ause $n&ur! or dama"e, the s!stem
sha## be $so#ated $n a((ordan(e w$th th$s 'ro(edure. 1ersonne# and resour(es sha## not be (ons$dered
'rote(ted unt$# ha)ardous ener"! (ontro# 'ro(edures ha*e been $m'#emented.
23.4 RESPONSI5ILITIES
A. The M4CMSI Saet! En"$neer sha## ha*e 'r$mar! res'ons$b$#$t! or the '#ann$n" and $m'#ementat$on
o the 'ro(edure.
=. S$te Su'er*$s$on sha## be res'ons$b#e or $m'#ementat$on o the 'ro(edure and o*ersee$n" $ts
$m'#ementat$on b! the em'#o!ees under the$r su'er*$s$on.
C. A## em'#o!ees sha## be res'ons$b#e or the o##ow$n" the 'ro*$s$ons o th$s 'ro(edure.
23.5 #EFINITIONS
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A--.<t.7 E/02o1.. ; A 'erson whose &ob re0u$res h$m to o'erate or use a s!stem wh$(h $s
under #o(%-out or ta" out $s be$n" ser*$(ed or ma$nta$ned.
A6tBo)+C.7 E/02o1..; A 0ua#$$ed 'erson who $s des$"nated $n wr$t$n" b! the Saet! En"$neer
to $m'#ement and remo*e ener"! (ontro# 'ro(edures.
E2.<t)+<'2 ED6+0/.nt; An! de*$(e wh$(h 'rodu(es, (onsumes, stores, transm$ts or (on*erts
e#e(tr$(a# ener"!.
E2.<t)+<'2 L+n. ; Is an! (ondu(tor used $n the transm$ss$on o e#e(tr$(a# ener"! rom one
'o$nt to another.
En.)81 Cont)o2 P)o<.76).; The o*era## wr$tten 'ro(edure . $n(#ud$n" res'ons$b$#$t$es,
'ro(edura# ste's o #o(%-out and ta" out and re0u$rements or test$n"
the ee(t$*eness o ener"! (ontro# measure/ to be ut$#$)ed or the
(ontro# o ha)ardous o ener"!.
En.)81 I,o2't+on #.*+<.; A 'h!s$(a# de*$(e that 're*ents the transm$ss$on or re#ease o
ener"!. In(#udes, but $s not #$m$ted to, manua##! o'erated ($r(u$t
brea%ers, d$s(onne(t sw$t(hes, s#$de "ates, s#$' b#$nds, #$ne *a#*es,
b#o(%s or s$m$#ar de*$(es (a'ab#e or $so#at$n" or b#o(%$n" ener"!, w$th
a 'os$t$on $nd$(ator. The term does not $n(#ude 'ush buttons, se#e(tor
sw$t(hes and other (ontro# ($r(u$t t!'e de*$(es.
En.)81 So6)<. ; In(#udes e#e(tr$(a#, me(han$(a#, h!drau#$(, 'neumat$(, (hem$(a#,
therma#, nu(#ear or other orm o ener"!.
F622 E/02o1.. S.2.<t+on; 5hen a ta" out de*$(e $s used $n '#a(e o a #o(% out de*$(e, u##
em'#o!ee 'rote(t$on $s 'ro*$ded when .-/ the ta" out de*$(e $s atta(hed
at the same #o(at$on as the #o(%-out de*$(e wou#d ha*e been atta(hed
.;/ a## ta" out re#ated re0u$rements o th$s se(t$on ha*e been (om'#$ed
w$th, and .<> add$t$ona# means ha*e been ta%en to 'ro*$de a #e*e# o
saet! (ommensurate w$th that o a #o(% out de*$(e. Su(h add$t$ona#
means $n(#ude the remo*a# o an $so#at$n" ($r(u$t e#ements, b#o(%$n" o
a (ontro# sw$t(h, o'en$n" and ta""$n" an e,tra . se'arated b! d$stan(e/
d$s(onne(t$n" de*$(e, or the remo*a# o a *a#*e hand#e to redu(e the
#$%e#$hood o ener"$sat$on.
$'C')7o6, En.)81 Cont)o2 P)o<.76).,; A de$n$te o'erat$n" arran"ement whereb! an
author$)ed em'#o!ee, a(t$n" $nd$*$dua##! or as a re'resentat$*e o a
(rew, $so#ates a #o(% out or ta" out. A de*$(e or 'o$nt under sae
(#earan(e does not ne(essar! $nd$(ate a )ero ener"! state at the de*$(e
or 'o$nt.
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In<+7.nt'2 E/02o1.. ; An em'#o!ee who, under norma# ($r(umstan(es, wou#d not be $n
an area where a s!stem $s under #o(% out and ta" out but $s re0u$red to
enter or 'ass throu"h su(h an area.
I,o2't+on ; An a(t$*$t! wh$(h 'h!s$(a##! 're*ents the transm$ss$on or re#ease o
ener"!.
Lo<E O6t ; A orm o ha)ardous ener"! (ontro# ut$#$)$n" the '#a(ement o a #o(%
out de*$(e, $n a((ordan(e w$th estab#$sh 'ro(edures, on an ener"!
$so#at$n" de*$(e to ensure that the ener"! $so#at$n" de*$(e and the
s!stem be$n" (ontro##ed (annot be o'erated unt$# the #o(% out de*$(e $s
remo*ed.
Lo<E O6t #.*+<. ; A de*$(e that ut$#$)es a 'os$t$*e means, su(h as %e! or (omb$nat$on
$so#at$n" de*$(e $n the sae 'os$t$on and 're*ent the ener"$)$n" o a
s!stem.
P).,,6). S1,t./ ; A## '$'es, tub$n", *a#*es, (ontro#s and other de*$(es wh$(h o'erates or
are ma$nta$ned abo*e atmos'her$( 'ressure. See de$n$t$on o *a(uum
s!stem.
Sto).7 En.)81 ; .e#e(tr$(a#, me(han$(a#, or (hem$(a# / that m$"ht be ound $n a (har"e
(a'a($tor, a #oaded s'r$n", (hem$(a# so#ut$ons, or other s$m$#ar
ha)ardous orm.
S1,t./ ; In(#udes ma(h$ner!, e0u$'ment, and e#e(tr$(a#, h!drau#$(, and 'neumat$(
#$nes and the$r subs!stems.
T'8 O6t ; a orm o ha)ardous ener"! (ontro# 'ro(edure ut$#$)$n" the '#a(ement
o a ta""$n" de*$(e? $n a((ordan(e w$th estab#$shed 'ro(edure on an
ener"! $so#at$n" de*$(e to $nd$(ate that the ener"! $so#at$n" de*$(e and
the s!stem be$n" (ontro##ed ma! not be o'erated unt$# the ta" out
de*$(e remo*ed.
T'8 O6t #.*+<. ; a 'rom$nent warn$n" de*$(e, su(h as ta" w$th a means o atta(hment,
wh$(h (an be se(ure#! atta(hed to an ener"! $so#at$n" de*$(e $n
a((ordan(e w$th estab#$shed 'ro(edures to $nd$(ate that the ener"!
$so#at$n" de*$(e and s!stem be$n" (ontro##ed ma! not be o'erated unt$#
the ta" out de*$(e $s remo*ed.
!'<66/ S1,t./ ; A## '$'e,tan%s, tub$n", *a#*es, (ontro#s, and other de*$(es wh$(h
o'erate or are ma$nta$ned be#ow atmos'her$( 'ressure.
P.),on'2 Lo<E ; A #o(% that $s un$0ue#! %e!ed and ass$"ned to an $nd$*$dua# (rats
'erson. It (an on#! be $nsta##ed b! the $nd$*$dua# to whom $t was
ass$"ned and (an on#! be remo*ed b! the same $nd$*$dua#. In s'e($a#
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(ases, another $nd$*$dua# ma! remo*e $t. The 91ersona# #o(%: $s
$nsta##ed at the be"$nn$n" o ea(h sh$t and $s remo*ed at the end o
ea(h sh$t.
C)'-t Lo<E ; A "rou' #o(% that $s ass$"ned to a 'art$(u#ar (rat F $.e. 2enera#
Ma$ntenan(e, Ma(h$n$sts, and E#e(tr$($ans/. The 9 Crat: $s used $n
add$t$on to the ass$"ned 91ersona# 3o(%s:. The 9Crat 3o(%: $s
$nsta##ed b! the 93ead Crats 'erson 9 and rema$ns on the 9 Iso#at$n"
+e*$(e: unt$# the &ob $s (om'#eted, or as man! sh$ts as re0u$red. Th$s
#o(% (an be remo*ed b! another 9 3ead Crats 1erson: who (om'#ete
the wor%. Crat #o(% ma! be %e!ed a#$%ed.
#.,+8n.7 A6tBo)+t1 ; The 'erson who has 'r$mar! res'ons$b$#$t! or the '#ann$n" and
$m'#ementat$on o ha)ardous ener"! (ontro# 'ro(edures.
62t+02. Lo<E O6t ; An a''aratus that a##ows the $nsta##at$on o two or more #o(% out
de*$(es on an $so#at$on o ha)ardous ener"! (ontro# 'ro(edures.
L.'7 C)'-t, P.),on; The Constru(t$on Su'er*$sor or ea(h (rat or (rew, who has 'r$mar!
res'ons$b$#$t! or a 'art$(u#ar tas% on &ob.
23.6 PROCE#URE 9 GENERAL
A. A## (ontro# a(t$*$t$es sha## be (oord$nated w$th and a''ro*ed b! the C3IENT. Res$dent en"$neer.
=. C#$ent and (ontra(tor des$"nated author$t$es sha## u##! (oord$nate the$r (ontro# a(t$*$t$es w$th one
another throu"hout the '#ann$n" and $m'#ementat$on o these a(t$*$t$es. Ea(h sha## $norm the
other o the$r ener"! (ontro# 'ro(edure, ensure that the$r own 'ersonne# understand and (om'#!
w$th ru#es and restr$(t$on o the 'ro(edures, and ensure that the$r em'#o!ees ae(ted b! the
ha)ardous ener"! (ontro# a(t$*$t! are not$$ed when the 'ro(edura# ste's out#$ned $n the ha)ardous
ener"! (ontro# '#an are to be $n$t$ated.
C. A 're'arator! $ns'e(t$on w$th C#$ent and (ontra(tor 'ersonne# sha## be (ondu(ted to ensure that a##
ae(ted em'#o!ees understand the ener"! ha)ards and the 'ro(edures or the$r (ontro#.
+. 3o(%-out and ta"-out sha## be 'erormed on#! b! author$)ed em'#o!ees.
E. 3o(%-out and ta"-out de*$(es $n the$r use sha## be $n (om'#$an(e w$th nat$ona# standards.
8. Contra(tor sha## ma$nta$n a #o" o a## #o(%-out and ta"-out de*$(es $ssued to the$r em'#o!ees.
2. Contra(tor em'#o!ee tra$n$n" sha## be (ondu(ted and $n (om'#$an(e w$th nat$ona# standards.
H. +a$#! $ns'e(t$on sha## be made and do(umented to ensure the ha)ardous ener"! (ontro# 'ro(edures
are be$n" o##owed.
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I. Contra(tor or em'#o!ees who a$# to (om'#! w$th ha)ardous ener"! (ontro# 'ro(edures sha## be
sub&e(t to $mmed$ate d$sm$ssa#.
23.7 LOC&9OUT ? TAG9OUT
A. The 8oreman E#e(tr$($an and@or the E#e(tr$(a# En"$neer w$## sur*e! the wor% to $dent$! and #o(ate
a## 9Ener"! Sour(es: and $so#at$n" de*$(es and not$! a## 'ersons ae(ted b! the #o(%-out@ta"-out
o the $n$t$at$on o #o(%-out@ ta"-out 'ro(edures.
=. The 8oreman E#e(tr$($an .or E#e(tr$($an $ re0u$red/ w$## o'erate the $so#at$n" thereb! $so#at$n" the
ener"! sour(e.
C. the 8oreman E#e(tr$($an w$## then ta" the $so#at$n" de*$(e 9+an"er -+o Not O'erateN: The ta" w$##
be dated and s$"ned b! the #ead (rats 'erson.
+. The 8oreman E#e(tr$($an w$## then $nsta## the 9mu#t$'#e #o(%-out de*$(e:.
E. The 8oreman E#e(tr$($an ass$"ned to the &ob, w$## then $nsta## on the mu#t$'#e #o(%-out de*$(e6
-./ H$s@Her (rat 3o(%
;./ H$s@ Her 1ersona# 3o(%
8. A## other em'#o!ees ass$"ned to wor% on the e0u$'ment or &ob w$## then $nsta## the$r 91ersona#
3o(%s: on the 9Mu#t$'#e 3o(%-out +e*$(e:.
2. I the wor% re0u$res the e0u$'ment to be out o ser*$(e or an e,tended 'er$od o t$me.
-./ A## 9Crat 3o(%s: w$## rema$n on the e0u$'ment unt$# the &ob as been (om'#eted.
;./ 91ersona# 3o(%s: w$## be remo*ed b! the $nd$*$dua# (rats 'erson when the$r sh$t $s o*er.
H. 1r$or start$n" o wor% on s!stem wh$(h ha*e been #o(%ed out or ta""ed out, the author$)ed
em'#o!ee sha## ensure a## 'otent$a##! ha)ardous stored or res$dua# ener"! has been re#$e*ed,
d$s(onne(ted, restra$ned or otherw$se rendered sae.
I. 1r$or to start$n" wor% on s!stem wh$(h ha*e been #o(%ed out or ta""ed out, the author$)ed
em'#o!ee sha## *er$! that $so#at$on and de-ener"$)at$on o the s!stem ha*e been su((essu##! the
ener"! (ontro# 'ro(edure $s (om'#ete.
H. 5hen there $s a 'oss$b$#$t! o re-a((umu#at$on o stored ener"! to a ha)ardous #e*e#, *er$$(at$on
o $so#at$on sha## be (ont$nued unt$# the ener"! (ontro# 'ro(edure $s (om'#ete.
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G. I there $s an! doubt as to how 93o(%-Out: a '$e(e o e0u$'ment or $ an! 9Iso#at$n" +e*$(es:
(an not be #o(%ed out, (onsu#t the des$"nated author$t! beore start$n" an! wor% .
23.8 RESTORING E=UIPENT TO NORAL OPERATION
A. =eore #o(%-out or ta"-out de*$(es are remo*ed and ener"! restored to the s!stem, the 93ead Crats
1erson: sha## ensure that o##ow$n" a(t$ons ha*e been ta%en.
-./ The wor% area has been $ns'e(ted and a## non-essent$a# $tems .e.". too#s and mater$a#s/ ha*e
been remo*ed rom the s!stem, the s!stem (om'onents are o'erat$ona##! $nta(t, and a##
em'#o!ees ha*e been saet! 'os$t$oned or remo*ed rom the area? and
;./ A## ae(ted em'#o!ees ha*e been not$$ed that the #o(%-out or ta"-out de*$(es are about to
be remo*ed.
=. 5$th the e,(e't$on o the o##ow$n" (ond$t$ons, ea(h #o(%-out and@or ta"-out de*$(e sha## be
remo*ed rom ea(h ener"! $so#at$n" de*$(e b! the author$)ed em'#o!ee who a''#$ed the de*$(e.
5hen th$s em'#o!ee $s not a*a$#ab#e, the de*$(e ma! be remo*ed b! another $nd$*$dua# a''o$nted
b!, and under d$re(t$on o, the des$"nated author$t! .Cor's or (ontra(tor, as a''ro'r$ate/ 'ro*$de
that the o##ow$n" 'ro(edures are (om'#$ed w$th?
-./ The des$"nated author$t! ensures that the $nd$*$dua# a''o$nted to remo*e #o(%-out and@or
ta" out de*$(es has %now#ed"e o the s(o'e and 'ro(edures o the (#earan(e?
;./ Th$s $nd$*$dua# and the re0u$rements or transerr$n" remo*a# author$t! to h$m@her rom the
author$)ed $nd$*$dua# are #$sted $n the ha)ardous ener"! (ontro# '#an?
<./ Ver$$(at$on b! the des$"nated author$t! that the author$)ed em'#o!ee who a''#$ed the
de*$(e $s not at the a($#$t!?
4./ The des$"nated author$t! ma%es a## reasonab#e eorts to (onta(t the author$)ed 'erson to
$norm h$m@her that the #o(%-out and@or ta"-out de*$(es are to be remo*ed? and
B./ The author$)ed em'#o!ee $s $normed that the #o(%-out and@ or ta"-out de*$(es ha*e been
remo*ed 'r$or to the$r resum$n" wor% at the a($#$t!.
24.0 ONITORING
24.1 Mon$tor$n" o the Saet! 1#an $s essent$a# to ma$nta$n ee(t$*e (ontro# o the '#an. Mon$tor$n" w$##
ta%e the o##ow$n" orms6
;4.-.- +a$#! (he(%s and re'orts b! the Saet! En"$neers and Ins'e(tors on d$re(t wor%or(e
and Sub(ontra(tors?
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;4.-.; Com'$#at$on and e*a#uat$on o stat$st$(s b! the Saet! Coord$nator?
;4.-.< The sett$n" o tar"ets or ea(h de'artment and e*a#uat$n" the 'erorman(e a"a$nst
tar"ets *$a mana"ement saet! re'orts?
;4.-.4 Com'$#at$on and e*a#uat$on o re'orts rom the nurse?
;4.-.B Saet! aud$ts o d$re(t wor%or(e and Sub(ontra(tors?
;4.-.C Ha)ard@R$s% assessment and re*$ews?
;4.-.D Saet! Comm$ttee re'orts? and
;4.-.E Mana"ement meet$n"s.
24.5 INSPECTION CRITERIA
Ins'e(t$ons (r$ter$a o the s$te w$## be (ondu(ted at #east da$#! b! a Saet! En"$neer or Ins'e(tor us$n" a
standard (he(% sheet that w$## be (om'#eted and returned to the Saet! Coord$nator. A## $tems o
(on(ern w$## be #o""ed and rema$n on $#e unt$# the! ha*e been (orre(ted. S(ao#d$n" w$## be $ns'e(ted
wee%#! or ater substant$a# (han"e or dama"e whoe*er (aused.
24.5 RECOR# AN# STATISTICS
A## (om'#eted re(ords, sheets, et(. w$## be returned to the Saet! Coord$nator. He w$## (o##ate a## the
stat$st$(s and ma%e them a*a$#ab#e to Saet! +e'artment Mana"ement to e*a#uate. Stat$st$(s w$## be
e*a#uated on a wee%#! bas$s. .See a''end$,/. Med$(a# and ma&or e*ent re'orts w$## be orwarded to the
re#e*ant "o*ernment a"en(!.
;4.<.- A## $normat$on "a$ned w$## be d$ssem$nated to mana"ement and saet! (omm$ttee
members on a wee%#! bas$s memo w$th an! s$"n$$(ant trends h$"h#$"hted. A (o'! o the
wee%#! re'orts w$## be '$nned to the Saet! =u##et$n =oard.
;4.<.; C3IENT orms sha## be (om'#eted month#! and orwarded to the C3IENT Saet! O$(er
on the se(ond wor%$n" da!s.
24.4 TARGETS
Tar"ets w$## be set or ea(h se(t$on o the wor%s based u'on the 're*$ous months $"ure. 5e are a$m$n"
or )ero a(($dents and mater$a# #osses. The a(h$e*ement o these tar"ets w$## be en(oura"ed b! the
sett$n" u' o an $n(ent$*e the$r tar"ets. .See A''end$,/.
24.5 E#ICAL REPORTS
M-4 CONSTRUCTION and
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and PROCEDURE
DOCUMENT N No Number
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*+#,d#n-.
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An! $n&ur! re0u$r$n" med$(a# attent$on w$## be re(orded on the a''ro'r$ate orms and orwarded wee%#!
to the Saet! +e'artment An! #ost t$me a(($dents w$## be re(orded and orwarded 7+).<t21 to the Ch$e
Saet! En"$neer. .See A''end$, 8orm/ who w$## not$! a## ne(essar! de'artments. In the e*ent o
hos'$ta#$)at$on or death, the Ch$e Saet! En"$neer w$## be $normed +//.7+'t.21. Ch$e Saet!
En"$neer w$## not$! the C3IENT Saet! O$(er $mmed$ate#!.
24.6 SAFETY AU#ITS
Aud$ts w$## be made on a random the bas$s. =ut e*er! se(t$on and de'artment $n(#ud$n" Sub(ontra(tors
w$## be aud$ted at #east on(e 'er !ear. These aud$ts w$## o##ow a standard ormu#a .See A''end$,/ and
w$## be (arr$ed out b! the Saet! En"$neer and a member o the +e'artment or Sub(ontra(tor
mana"ement Team. Re(ommendat$ons w$## be a*a$#ab#e to the hea#th and Saet! Comm$ttee.
24.7 $A>AR#S ? RIS& ASSESSENTS
These w$## be (arr$ed out on a## new wor% 'ro(esses. The! w$## be (arr$ed out b! a Saet! En"$neer and
$ a*a$#ab#e the Se(t$on 8oreman or Mana"er w$## a((om'an! the en"$neer. The resu#ts w$## be #o""ed
and (o'$ed and w$## be sent to the re#e*ant Mana"er. The resu#ts o the assessment w$## be used to
estab#$sh a sae method o wor%$n". These assessment w$## be re*$ewed $ a s$"n$$(ant (han"e $n
methods $s ant$($'ated and $n an! e*ent e*er! ; !ears. A t!'$(a# assessment $n $n(#uded $n the a''end$,.
Th$s w$## be (om'#eted, subm$tted and a''ro*ed b! the C3IENT Saet! En"$neer or ea(h new 'hase o
wor%, 'r$or to the start o wor%.
24.8 SAFETY COITTEE REPORTS
5$## be $##ed and an! areas o (on(ern addressed as a matter o ur"en(!. The (omm$ttee w$## be %e't
u##! $normed o a## ste's be$n" ta%en and the! w$## be the sub&e(t o a re'ort to the (om'#ete
(omm$ttee at the ne,t meet$n" so that the! (an be(ome 'art o the re(ord. A## m$nutes o the Saet!
Comm$ttee w$## be 'osted on the Saet! =u##et$n board. M$nutes w$## orwarded to the C3IENT Saet!
O$(er.
24.9 ANAGEENT EETINGS

Saet! w$## orm an $nte"ra# 'art o an! 'ro"rammed mana"ement meet$n". A ded$(ated meet$n" to
d$s(uss saet! $ssues w$## be he#d at #east on(e a month and the resu#ts w$## be re(orded. An! areas o
(on(ern w$## be addressed and the resu#ts w$## be 'resented to the ne,t meet$n". An! Mana"er d$re(t#!
(on(erned w$th the $ssue w$## be memoAd on 'ro"ress.
25.0 %ELFARE
;B.- To$#ets and wash$n" a($#$t$es w$## be 'ro*$ded at the de'ot and a## s$tes. These 'rem$ses w$## be
%e't $n a (#ean and san$tar! (ond$t$on b! the (om'an!. 5ash$n" a($#$t$es w$## $n(#ude soa', towe#,
and waste b$n. A su''#! o 'otab#e dr$n%$n" water w$## be mar%ed 9 NOT SAFE FOR
#RIN&INGA at the ta'.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
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SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
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OPERATION
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
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;B.; 5ash$n" and to$#et a($#$t$es on s$te w$## be 'ortab#e, (hem$(a# t!'e. The to$#ets w$## be em't$ed
re"u#ar#! and re(har"ed w$th the (orre(t (hem$(a#s.
;B.< Rest a($#$t$es w$## a#so be mob$#e or a tem'orar! stru(ture su$($ent to "$*e 'rote(t$on rom the
e#ements.
26.0 SAFETY COITTES AN# EETINGS
;C.- A## 'ro&e(t meet$n"s ha*e saet! meet$n" on the a"enda no matter at what #e*e# the meet$n" $s
he#d.
;C.; The 'ur'ose o saet! meet$n" and (omm$ttees $s to ensure that ee(t$*e two wa!
(ommun$(at$ons (an ta%e '#a(e to reso#*e out stand$n" or 'otent$a# saet! $ssues and to 'ro*$de an
ee(t$*e me(han$sm to (oord$nate saet! $n$t$at$*es dur$n" a## sta"es o the 'ro&e(t. Ge! meet$n"s
are6
;C.;.- Sub(ontra(tor 're tender and 're start meet$n"s?
;C.;.; Mana"ement s$te saet! meet$n"?
;C.;.< S$te Saet! (omm$ttee meet$n"?
;C.;.4 M-4CMSI and Sub(ontra(tor too#bo, meet$n"?
;4.< Mana"ement S$te Saet! Meet$n"s
Mana"ement w$## be he#d on(e as a matter o (ourse but $nter$m meet$n" w$## be s(hedu#ed $
($r(umstan(es re0u$re. A## s$te mana"ement, rom the 1ro&e(t Mana"er to oreman w$## be e,'e(ted to
attend. The meet$n" w$## be (ha$red b! the SSE Mana"er and (ons$der re'orts re(e$*ed rom the Saet!
+e'artment on the 're*$ous months 'erorman(e, stat$st$(s and the u'(om$n" months 'otent$a#
(on(erns. The meet$n" w$## then be(ome o'en to d$s(uss$on. An! $ssues or (auses or (on(ern ra$sed
w$## be noted and re'ort u'on the status o these $ssues and (on(erns o the meet$n" w$## be memoAd to
the re#e*ant Mana"ers. The m$nutes o the meet$n" w$## be 'osted on the s$te Saet! =u##et$n =oard.
;C.4 S$te Saet! Comm$ttee
Saet! (omm$ttee w$## be he#d e*er! month. The! w$## be (ha$red b! the 1ro&e(t Mana"er or h$s de'ut!.
The Saet! Coord$nator w$## ta%e the m$nutes. The (omm$ttee w$## (ons$st o two de'artment heads or
the$r de'ut$es, the Ch$e Saet! En"$neer and our .4/ e#e(ted members o the wor%or(e. The Ch$e
Saet! En"$neer or h$s de'ut! w$## "$*e a re'ort on the 're*$ous months saet! 'erorman(e, stat$st$(s
and an! areas o (on(ern. The (omm$ttee $s at #$bert! to d$s(uss an! saet! or we#are to'$( and to
re0u$re an! $normat$on to be 'resented to them e,(e't 'ersona# re(ords o sta and (ommer($a##!
sens$t$*e $normat$on. An! (on(erns or $ssues ra$sed w$## be noted and a(ted u'on. A re'ort o the status
o these (on(erns and $ssues w$## be made at the ne,t (omm$ttee meet$n". The m$nutes and re'orts to
the (omm$ttee w$## be 'osted on the Saet! =u##et$n =oard. E#e(ted members o the (omm$ttee w$## be
a##owed 'a$d t$me to attend meet$n"s.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
;C.B Too# =o, Ta#%s
These w$## be he#d on(e a wee% on a Monda! morn$n". A to'$( w$## be 're'ared b! the Saet!
Coord$nator and w$## 'resented b! the oreman or Se(t$on Mana"er. An! areas o 'otent$a# (on(ern $n
the ne,t wee% w$## be d$s(ussed and an! $ssues or (on(erns ra$sed about saet! w$## be addressed b! the
Se(t$on mana"ement, $ 'oss$b#e, or 'assed on to the Saet! de'artment $ the Se(t$on mana"ement
does not ha*e the e,'ert$se. These re'orts w$## be #o""ed and re'ort on the$r status w$## be returned $n
t$me or the ne,t too# bo, meet$n". Sub(ontra(tor w$## ta%e 'art $n th$s meet$n"s, but $ the! w$sh, the!
ma! run the$r own. A re'ort o the to'$( and $ssues ra$sed must be $#ed w$th the Saet! Coord$nator
w$th$n 4E hours.
27.0 SECURITY
;D.- To %ee' (ontro# o saet! on the s$tes we need to be ab#e to (ontro# who enters the s$te. Thereore
ea(h wor%$n" s$te shou#d ha*e ; se(ur$t! sta. These w$## a#so a(t as tra$( enor(ers at e,$t and
entr! to the s$te. One on the entran(e "ate, one on the e,$t "ate. The wor% s$te w$## be barr$ered
o e*er!where e#se e,(e't or the entran(e and e,$t "ate.
;D.; The se(ur$t! "uards w$## be res'ons$b#e or (he(%$n" the se(ur$t! o the 'er$meter and the
(ond$t$on o e,terna# #$"hts as we## as se(ur$t! . The! shou#d a#so be en(oura"ed to "a$n $rst a$d
(ert$$(ates and attend (om'an! $n($dent mana"ement (ourses.
;D.< On#! those $n 'ossess$on o a hand boo%@I+, su''#$ers ma%$n" de#$*er$es w$## be a##owed a((ess.
An!bod! w$thout su$tab#e author$)at$on w$## on#! be a##owed a((ess $ a((om'an$ed b! a member
o mana"ement or author$)ed em'#o!ee.
;D.4 Se(ur$t! w$## bar entran(e to the s$te an! 'erson not (om'#!$n" w$th 11E re0u$rements.
28.0 PERIT TO %OR& SYSTE
;E.- A## hot wor% or ha)ardous wor% w$## re0u$re a 'erm$t to wor%. The reasons or th$s are to
m$n$m$)e #oss or dama"e to #$e or mater$a#. The s!stem w$## re0u$re an!bod! re0u$r$n" to do an!
ha)ardous wor% to show that ade0uate 're(aut$ons ha*e been ta%en beore wor% (ommen(es.
The s!stem w$## wor% $n the o##ow$n" wa!s6
;E.; I an! hot wor% $s to '#a(e, the saet! (oord$nat$on w$## $ssue a 'erm$t to wor% on the (om'#et$on
o a orm deta$#$n".
;E.< 5here, when, and how the wor% w$## be (arr$ed out. It w$## a#so out#$ne the Saet! 1ro(edures to
be o##owed. I an! doubt e,$st as to the (orre(t saet! re0u$rements or the tas%s a (he(% #$st w$##
be 'ro*$ded. An! a$#ure to o##ow the sae method o wor% w$## resu#t $n the 'erm$t be$n"
w$thdrawn.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
;E.4 Ha)ardous wor%s? Th$s w$## be (om'#eted, subm$tted and a''ro*ed b! the C3IENT Saet! O$(er
or ea(h new 'hase o wor%, 'r$or to the start o wor%.
;E.4 A## 'erm$ts to wor% w$## be not$$ed to the Saet! En"$neer so that the! (an 'a! 'art$(u#ar#!
attent$on to these 'arts o the &ob.
;E.B A## 'erm$ts w$## be or a #$m$ted t$me. I wor% $s to e,tend be!ond th$s t$me #$m$t the 'erm$t must
be e,tended.
;E.C An! emer"en(! wor% (an be author$)ed b! a man"er and a 'erm$t w$## be $ssued retros'e(t$*e to
ma$nta$n the $nte"r$t! o the re(ords.
The Contra(tors Saet! En"$neer must be not$$ed when th$s s$tuat$on e,$st. He w$## $n turn not$! the
C3IENT Saet! En"$neer.
PROCE#URE -o)
PERIT TO %OR& SYSTE
1.0 PURPOSE
2.0 SCOPE
3.0 #EFINTIONS
4.0 REFERENCES
5.0 PERIT PROCESS
6.0 RESPONSI5ILITIES
6.1 Designated Pe!it A"t#$it%
6.& Pe!it Re'"est$
6.( Tas) S"*e+is$
6., -$) G$"* .e!/e
6.0 Res1"e Pes$nne2
6.6 HSE .anage
6.3 Aea HSE Ad+is$ $ Designee
7.0 PROCE#URE
3.1 Pe!it Pe*aati$n
3.& Signat"es and A**$+a2
3.( Pe!issi$n t$ Stat -$)
3., St$* -$) C$nditi$n
3.0 L$1ati$n $4 A**$+ed Pe!it F$!s
3.6 St$**ing t#e -$)5Pe!it S"s*ensi$n
3.3 Pe!it Ti!e4a!e and Re67a2idati$n
3.8 E9*iati$n $4 Pe!it and C$!*2eti$n $4 t#e -$)
8.0 $OT %OR& PERIT
8.1 S1$*e
8.& H$t -$) Pe!it P$1ed"e
8.( H$t -$) Pe!it C$nditi$ns
8., Pe6Stat S"+e%
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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DOCUMENT N No Number
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Te!" S#$e De%&$, S#$e
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8.0 Fie:at1#e
9.0 CONFINE# SPACE PERIT
;.1 S1$*e
;.& C$n4ined S*a1e Pe!it P$1ed"e
;.( Signat"es and A**$+a2
;., Pe!issi$n t$ Stat -$)
;.0 E9*iati$n $4 Pe!it and C$!*2eti$n $4 t#e -$)
;.6 C$n4ined S*a1e Pe!it C$nditi$ns
F.C.- 1re-Start Sur*e! and R$s% Assessment
F.C.; C#ean$n" and 1ur"$n"
F.C.< Hot 5or%
F.C.4 1ortab#e E#e(tr$(a# E0u$'ment
F.C.B Rad$at$on C#earan(es
F.C.C Se(ur$t! and S$"n'ost$n"
;.3 C$n4ined S*a1e Stand/% Pes$n
F.D.- Standb! 1erson 7ua#$$(at$ons
F.D.; Standb! 1erson +ut$es
;.8 Res1"e and Fist Aid P$1ed"e
;.1< Res*iat$% E'"i*!ent
;.11 FACIAL SEALS OF RESPIRATORS
;.1& CONFINED SPACE REGISTER
10.0 E@CA!ATION" TRENCING" GROUN# PENETRATION PERIT
1<.1 Signat"es and A**$+a2s
1<.& E9*iati$n $4 Pe!it and C$!*2eti$n $4 t#e -$)
1<.( Re+$)ing Pe!it
11.0 RA#IOGRAP$Y PERIT
11.1 Signat"es and A**$+a2s
11.& E9*iati$n $4 Pe!it and C$!*2eti$n $4 t#e -$)
12.0 $Y#ROSTATIC TEST?PRESSURE TEST PLAN AN# PERIT
13.0 GRATING" $AN#RAIL AN# STAIR%AY REO!AL PERIT
1(.1 Gating Re!$+a2
1(.& Handai2 Re!$+a2 and 5$ .$di4i1ati$n
1(.( Stai:a% Re!$+a2
14.0 AN5AS&ET?%OR&5O@ PERIT
15.0 %OR&ING NEAR ENERGISE# E=UIPEENT PERIT
16.0 %OR&ING O!ER %ATER
17.0 SYSTE AN# E=UIPENT SAFETY LOC&OUT?TAGOUT
18.0 PERIT TO %OR& ASSESSENTS AN# AU#IT PROCESS
19.0 ATTAC$ENTS
Atta(hment -A O Hot 5or% 1erm$t
Atta(hment -= O Hot 5or% 1erm$t 2as Mon$tor$n" Test 3o"
Atta(hment -C O Hot 5or% 1erm$t Che(% Sheet
Atta(hment ;A O Con$ned S'a(e Entr! 1erm$t
Atta(hment ;= O Con$ned S'a(e 2as Test 3o"
Atta(hment ;C O Con$ned S'a(e 1re-Start Sur*e! Che(%#$st and Sam'#e R$s% Assessment
Atta(hment ;+ O Con$ned S'a(e Entr! 3o"
Atta(hment < O E,(a*at$on 1erm$t
Atta(hment 4 O Rad$o"ra'h! 1erm$t
Atta(hment B O 2rat$n", Handra$#, Sta$rwa! Remo*a# 1erm$t
Atta(hment C O Manbas%et@5or%bo, 1erm$t
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
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DOCUMENT N No Number
M4CMSI-EHS-
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02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
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Atta(hment D O Ener"$)ed E#e(tr$(a# 5or% 1erm$t
Atta(hment EA O 5or%$n" O*er 5ater 1erm$t
Atta(hment E= O 5or%$n" O*er or Near 5ater Che(%#$st
1.0 PURPOSE
Th$s 1ro(edure deta$#s the re0u$rements o the Constru(t$on 1erm$t to 5or% S!stem or
a''#$(at$on on the T./0o)')1 S+t. #.*.2o0/.nt P)oF.<t" S+t. Po4.) & T./0o)')1 S+t.
56+27+n8,.
The 'ur'ose $s to6
Author$)e and (ontro# h$"h-r$s% wor% des$"nated as re0u$r$n" a 5or% 1erm$t.
1ro*$de a 'ro(ess or (om'etent 'ersonne# to author$)e 'ro"ress o h$"h-r$s% wor%.
Ensure that a## ha)ards are $dent$$ed and that a''ro'r$ate (ontro#s are $n '#a(e and
(ommun$(ated 'r$or to wor% (ommen($n".
1ro*$de a orma# hand-o*er 'ro(ess to a(%now#ed"e that a## ha)ards ha*e been
addressed.
Ensure that 'ersonne# (arr!$n" out the wor% are aware o the e,a(t s(o'e o wor% and
the ha)ards (ontro#s re0u$red.
Ensure the $m'a(t o wor% on other tas%s and o'erat$ons $s understood.
1ro*$de a orma# (#ose out 'ro(ess to ensure the wor% area $s sae to return to norma#
dut$es when the wor% $s (om'#eted.
1ro*$de a 'ro(ess or (ontro##$n" the saet! o s'e($$( t!'es o wor% that, due to
($r(umstan(es, ha*e been (#ass$$ed as h$"h r$s% wor% Fe.". some Hot 5or% and
Con$ned S'a(e $ns'e(t$on a(t$*$t$es/
1ro*$de a re(ord o a sae s!stem o wor%.
2.0 SCOPE
Th$s 'erm$t to 5or% 1ro(edure a''#$es to a## Tem'orar! S$te +e*e#o'ment 1ro&e(t 4
Tem'orar! S$te =u$#d$n"s S$emens 1ower O'erat$on, In(. and sub(ontra(tor 'ersonne#
em'#o!ed on the (onstru(t$on 'hase o the Tem'orar! S$te +e*e#o'ment 1ro&e(t 4 Tem'orar!
S$te =u$#d$n"s, sha## be assessed to determ$ne $ $t $s re0u$red to be (ondu(ted under a re#e*ant
1erm$t to 5or% .1T5/ and where a''#$(ab#e, sha## be author$)ed throu"h the 1T5 S!stem.
Th$s 1ro(edure de$nes a (om'rehens$*e Constru(t$on 1erm$t to 5or% S!stem. Th$s do(ument
$n(#udes se(t$ons that des(r$be 'art$(u#ar ha)ard (ontro#s and other re0u$rements that need
(ons$derat$on when estab#$sh$n" wor% (ontro#s or des$"nated h$"h-r$s% wor% a(t$*$t$es. Th$s set
o h$"h-r$s% wor% a(t$*$t$es $n(#udes6
Hot 5or% 1erm$t
Con$ned S'a(e Entr! 1erm$t
E,(a*at$on 1erm$t
Rad$o"ra'h! 1erm$t
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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DOCUMENT N No Number
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Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
H!drostat$( and 1neumat$( Test$n" 1erm$t
2rat$n", Handra$#, Sta$rwa! Remo*a# 1erm$t
Manbas%et@5or%bo, 1erm$t
5or%$n" On or Near Ener"$)ed C$r(u$ts 1erm$t
S!stem And E0u$'ments Saet! 3o(%out@Ta"out .3OTO/
In some (ases, the abo*e tas%s ma! not re0u$re a 5or% 1erm$t. Howe*er, th$s determ$nat$on
w$## on#! be made on(e a u## assessment o the wor% has been 'erormed.
S$m$#ar#! there ma! be other a(t$*$t$es der$*$n" rom r$s% assessment 'ro(ess that w$##
re0u$re a 5or% 1erm$t. T!'$(a# e,am'#es o h$"h-r$s% wor% are wor%$n" at he$"ht and
wor%$n" w$th m$nera# $bres.
3.0 #EFINITIONS
Atmos'her$( Test$n" O The measurement o o,!"en (on(entrat$on or a$rborne (ontam$nants that
$s not (ont$nuous.
Author$)ed 2as Tester O A 'erson who has attended an a''ro*ed "as test$n" tra$n$n" (ourse and
has demonstrated (om'eten(! $n the (orre(t use, ser*$($n" and (a#$brat$on o des$"nated "as
mon$tor$n" e0u$'ment and has 'assed a orma# e,am$nat$on and been (ert$$ed a((ord$n"#!.
Com'etent 1erson O A 'erson who has, throu"h a (omb$nat$on o tra$n$n", edu(at$on and
e,'er$en(e, a(0u$red %now#ed"e and s%$##s enab#$n" that 'erson to 'erorm a s'e($$ed tas%
(orre(t#!.
Con$ned S'a(e O An en(#osed or 'art$a##! en(#osed s'a(e that $s not $ntended or des$"ned
'r$mar$#! or human o((u'an(!, w$th$n wh$(h there $s a r$s% o one or more o the o##ow$n"6
An o,!"en (on(entrat$on outs$de the sae o,!"en ran"e.
A (on(entrat$on o a$rborne (ontam$nant that ma! (ause $m'a$rment, #oss o
(ons($ousness or as'h!,$at$on.
A (on(entrat$on o #ammab#e a$rborne (ontam$nant that ma! (ause $n&ur! rom $re or
e,'#os$on.
En"u#ment $n a store ree-#ow$n" so#$d or r$s$n" #e*e# o #$0u$d that ma! (ause
suo(at$on or drown$n".
Contam$nant O An! dust, ume, m$st, *a'our, b$o#o"$(a# matter, "as or other substan(e $n #$0u$d
or so#$d orm, the 'resen(e o wh$(h ma! be harmu# to 'ersons.
+es$"nated 1erm$t Author$t! O The +es$"nated 1erm$t Author$t! $ssues wor% $n a s'e($$( area
o the '#ant ater understand$n" the s(o'e o the wor% to be done, d$s(uss$n" the ha)ards and
(ommun$(at$n" the (ontro# measures to the wor% "rou', wh$(h $s do(umented $n a wor% 'erm$t.
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Emer"en(! A#arm O Emer"en(! a#arm sounds when a ha)ardous (ond$t$on o((urs. A## 5or%
1erm$ts are sus'ended wh$#e the emer"en(! (ond$t$ons e,$st. Sus'ended 'erm$ts must be
re*a#$dated u'on the sound$n" o a## the (#ear beore wor% (an resume.
Ener"! Iso#at$on O The methods used to ma%e e0u$'ment used $n a ha)ardous area or $n
ha)ardous ser*$(e, sae or wor% to be (arr$ed out or the 'ur'oses o re'a$r, re'#a(ement,
ma$ntenan(e or mod$$(at$on.
En"u#ment O The $mmers$on or en*e#o'ment o a 'erson b! a so#$d or #$0u$d .e.". "ra$n, su"ar,
#our, sand, (oa#, ert$#$)er and other substan(es $n a 'owder or "ranu#ar orm/ that $s stored
w$th$n the (on$ned s'a(e.
Entr! .to a Con$ned S'a(e/ O when a 'ersonAs head or u''er bod! $s w$th$n the boundar! o the
(on$ned s'a(e.
NOTE; Insert$n" an arm or the 'ur'ose o atmos'her$( test$n" $s not (ons$dered as entr! to a
Con$ned S'a(e.
EPC O En"$neer$n", 1ro(urement and Constru(t$on.
E,'#os$*e 3$m$ts6
Lower Explosive Limits (LEL) The concentration of a flammable contaminant in air below
which the propagation of a flame does not occur on contract with an ignition source.
Upper Explosive Limit (UEL) The concentration of a flammable contaminant in air above
which the propagation of a flame does not occur on contract with an ignition source.
NOTE; The terms Pe,'#os$*e #$m$tA and P#ammab#e #$m$tA are e0u$*a#ent. AS@NKS C>>DF.;> and
AS@NKS C-DDF.- use the terms P#ammab#e #$m$tA wh$#st other standards use the more w$de#!
a((e'ted term Pe,'#os$*e #$m$tsA.
E,(a*at$on, Tren(h$n" and 2round 1enetrat$on O +$""$n"@'enetrat$on $nto an! sura(e
$n(#ud$n", but not #$m$ted to, "round, #oor, wa##s, (e$#$n" et(.
E,'osure Standard O a a$rborne (on(entrat$on o a 'art$(u#ar substan(e $n the 'ersons breath$n"
)one, e,'osure to wh$(h, a((ord$n" to (urrent %now#ed"e, shou#d not (ause ad*erse hea#th
ee(ts or undue d$s(omort to near#! a## 'ersons. The e,'osure standard (an be o three orms6
The we$"hted a*era"e .T5A/, short term e,'osure #$m$ts .STE3/ or 'ea% e,'osure #$m$t.
N$te= See Safe or! "ustralia #a$ardous Substances %nformation S&stem (#S%S) for
additional information on exposure limits.
Hot 5or% O The use o too#s and e0u$'ment that "enerate, who ha*e or 'otent$a# o "enerat$n",
#ames s'ar%s and heat, e."., we#d$n", therma# or o,!"en (utt$n", heat$n", $n(#ud$n" $re-
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'rodu($n" or s'ar%-'rodu($n" o'erat$on, that ma! 'ro*$de a sour(e o $"n$t$on w$th
(onse0uen(es o a $re or e,'#os$on.
HSE- Hea#th, Saet! and En*$ronment.
HHA .Hob Ha)ard Ana#!s$s/ O A r$s% assessment 'ro(ess to ensure ha)ards o wor% a(t$*$t$es are
$dent$$ed and su$tab#e (ontro# measures 'ut $n '#a(e to e#$m$nate or m$t$"ate the r$s% to
'ersonne#, 'ro'ert! and en*$ronment.
5MS .5or% Method Statement/ O A do(ument that des(r$bes s'e($$( deta$#s, or a(t$*$t! ste's
to be 'erormed to a(h$e*e the re0u$rements o a 'ro(edure w$th re#at$on to h$"h r$s% a(t$*$t$es,
and wh$(h are $m'ra(t$(ab#e to be $n(or'orated $nto the 'ro(edure be(ause o the$r s'e($$(
a''#$(at$on. 5MS are a#so a statutor! re0u$rement or des$"nated h$"h-r$s% under the
7ueens#and 5or%'#a(e Hea#th and Saet! A(t.
N+E O Non +estru(t$*e E,am$nat$on.
1erm$t +$s'#a! =oard O The d$s'#a! board on wh$(h (urrent 5or% 1erm$ts are d$s'#a!ed to show
the re#ated 1erm$ts be$n" 'erormed on the 1ro&e(t s$te.
14I+ O 1$'$n" and Instrumentat$on +$a"ram.
1ressure Test$n" O A test to (on$rm the $nte"r$t! o e0u$'ment b! 'ressur$)$n" $t to a set
'ressure and obser*$n" $ the 'ressure $s ma$nta$ned.
1T5 O 1erm$t to 5or%
Tas% Su'er*$sor O The Tas% Su'er*$sor (he(%s the 're-(ond$t$ons o the 5or% 1erm$t ha*e been
met and $ $s sae or wor% to ta%e '#a(e.
Restr$(ted Area O The restr$(ted area $s the area o the s$te where no wor% (an ta%e '#a(e
w$thout (ontro#s and 'erm$ts. These areas (an e*o#*e as the '#ant $s handed o*er rom the
(onstru(t$on 'hase to the o'erat$ona# 'hase.
Sae O,!"en Ran"e O A (on(entrat$on o o,!"en $n the atmos'here ha*$n" a m$n$mum o -F.BL
b! *o#ume and a ma,$mum o ;<.BL b! *o#ume, under norma# atmos'her$( (ond$t$ons.
N$te= "t pressures significantl& higher or lower than normal atmospheric pressure' expert
advice should be sought.
Saet! Tas% Ana#!s$s R$s% Redu(t$on Ta#% .STARRT/ Card O A r$s% assessment 'ro(ess used to
ensure ha)ards o wor% a(t$*$t$es are $dent$$ed and su$tab#e (ontro# measures 'ut $n '#a(e to
e#$m$nate or m$t$"ate r$s% to 'ersonne#, 'ro'ert! and the en*$ronment. STARRT (ard $s &o$nt#!
(om'#eted b! Tas% Su'er*$sor and 'ersonne# 'erorm$n" the a(tua# wor%.
Se#-(onta$ned =reath$n" A''aratus .SC=A/ O A 'ortab#e res'$rator that su''#$es o,!"en, a$r or
other res'$rab#e "as rom a sour(e (arr$ed b! the user.
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Sha## O Ind$(ates that a statement $s mandator!.
Shou#d O Ind$(ates the re(ommendat$on.
Standb! 1erson O A (om'etent 'erson ass$"ned to rema$n on the outs$de o, and $n (#ose
'ro,$m$t! to, the (on$ned s'a(e and (a'ab#e o be$n" $n (ont$nuous (ommun$(at$on w$th and, $
'ra(t$(a# obser*$n" those $ns$de and $n$t$ate emer"en(! res'onse where re0u$red. In add$t$on,
where ne(essar!, the Stand-b! 1erson ma! o'erate and mon$tor e0u$'ment or the saet! o
'ersonne# $n the (on$ned S'a(e.
Sub(ontra(tor O Or"an$)at$on sub(ontra(ted b! the E1C or the (onstru(t$on 'hase.
Su''#$ed-a$r Res'$rator O A de*$(e that su''#$es a$r to the wearer rom a sour(e other than the
amb$ent atmos'here.
Sus'ens$on o 1erm$ts O $ wor% (annot 'ro(eed or an! reason .saet! or otherw$se/, 5or%
1erm$ts are w$thdrawn rom the '#a(e o wor% and return to the 1erm$ts O$(e. 5or% (annot
resume ater a 'erm$t sus'ens$on unt$# a re-*a#$dat$on o((urs.
S511 O Standard 5or% 1ro(ess 1ro(edure.
Tas%-re#ated Ha)ard O In res'e(t to a Con$ne S'a(e, e,'osure to ha)ard be(ause o the tas%
be$n" (ondu(ted on or $n Con$ne S'a(e.

4.0 REFFERENCES
7ueens#and 5or%'#a(e Hea#th and Saet! A(t -FFB
7ueens#and 5or%'#a(e Hea#th and Saet! Re"u#at$ons ;>>E
AS -<-F O Saet! s$"ns or the o((u'at$ona# use
AS -CD4 O Saet! $n we#d$n" and a##$ed 'ro(esses
AS -CD4.- O 1art -6 8$re 're(aut$ons
AS -CE> O Inter$or and wor%'#a(e #$"ht$n"
AS -D-B O Se#e(t$on and ma$ntenan(e o res'$rator! 'rote(t$*e de*$(es
AS -D-D O Res'$rator! 'rote(t$*e de*$(es
AS ;ECB O Con$ned s'a(es
AS <>>> O E#e(tr$(a# $nsta##at$ons
AS <->> O A''ro*a# and test s'e($$(at$ons O 2enera# re0u$rements or e#e(tr$(a#
e0u$'ment
AS <-F> O A''ro*a# and test s'e($$(at$on O Res$dua# (urrent de*$(es
5or% need
$dent$$ed
S(o'e o 5or%
de*e#o'ed
$n(#ud$n"
$dent$$(at$on o
ha)ards
Carr! out wor%
us$n" 5MS, HHA,
STARRT (ard
5or% (om'#ete
Ha)ard (ontro#s
rema$n $n '#a(e
dur$n" wor%
'ro"ress
5or% Commen(es
.5or% to Sto' $
(ond$t$ons (han"e/
+es$"nated 1erm$t
Author$t! #o"s
1erm$t
Area made (#ean
and sae and a##
'ersonne#
a((ounted or
1erm$t Re0uest or
Tas% Su'er*$sor
s$"ns o 'erm$t.s/
+es$"nated 1erm$t
Author$t! s$"ns o
on 1erm$t.s/
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AS <-F- E#e(tr$(a# #e,$b#e (ords
AS <FFE.- +estru(t$*e Test$n" O 7ua#$$(at$ons and Cert$$(at$on o 1ersonne#
AS@NKS C>>DF O E,'#os$*e Atmos'heres
AS@NKS C-DDF O E#e(tr$(a# a''aratus or the dete(t$on and measurement o #ammab#e
"ases
7ueens#and 5or%'#a(e Hea#th and Saet! Mob$#e Cranes Code o 1ra(t$(e
7ueens#and 5or%'#a(e Hea#th and Saet! R$s% Mana"ement o Code 1ra(t$(e
Con$ned Saet! entr! O ->>-211-2HQ->>>44
Saet! 5at(hes O ->>-211-2HQ->>>B4
C1-;<4 O Ut$#$t! C#earan(e O ->>-211-2HQ->>>C-
S511 O 3o(%out@Ta"out 1ro(edure .4-M1-TE-->-<>D/
S511 O S$te E,(a*at$on and =a(%$## .4-M1-TE--><;>;/
S511 O 1ressure Test$n" o 1$'$n", Tub$n" and Com'onents .4M1-TE--><B>C/
S511 O S!stem and E0u$'ment Saet! 3o(%out @ Ta"out .4M1-TE-->-<>D/
S511 O 5or%$n" on or Near Ener"$)ed C$r(u$ts .4M1-TE--><<-4/
5.0 PERIT PROCESS
F2o4<B')t No. 1 P.)/+t to %o)E S1,t./ P)o<.,,
No
Is a
5or%
1erm$t
Re0u$re
dI
A"ree sae wor%
're(aut$ons and
're'are re0u$red
'erm$ts
Im'#ement
wor%'#a(e ha)ard
(ontro#
+es$"nated 1erm$t
Author$t! br$es
1erm$t Re0uest or
Tas% Su'er*$sor on
ha)ard (ontro#s
5or% 1erm$t and
an! asso($ate
do(uments $ssued
1erm$t A''#$(ant Tas%
Su'er*$sor re*$ews 1erm$t.s/
w$th 5or% 2rou' and &o$nt#!
de*e#o', where re#e*ant, r$s%
assessment,
5MS@HHA@STARRT (ard and
re*$ew the re#e*ant (he(%#$sts
Area HSE Ad*$sor
(he(%s wor% area and
s$"ns 'erm$t when
sat$s$ed that a## 'erm$t
(ond$t$on ha*e been met
5or% 2rou' s$"ns
onto 'erm$t and a##
re#ated do(uments
Area a*a$#ab#e or
norma# o'erat$ons
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Res
6.0 RESPONSI5ILITIES
Res'ons$b$#$t$es are de$ned $n the o##ow$n" sub-se(t$ons.
6.1 #.,+8n't.7 P.)/+t A6tBo)+t1
Res'ons$b$#$t$es o the +es$"nated 1erm$t Author$t! are as o##ows6
Author$)e wor% 'erm$ts other than those re0u$r$n" s$"no b! ta""$n" Author$t!.
Re"u#ate the number o s$mu#taneous wor% 'erm$ts on use.
Ma%e re#e*ant assessment o 'erm$t $mmed$ate#! beore author$)$n" 'erm$t.
Assess that the wor% $s ne(essar! and re0u$red to be (arr$ed out.
Assess that the a(t$*$t$es under one 'erm$t do not (on#$(t w$th a(t$*$t$es under
another 'erm$t.
Ver$! that the 'ersons $n*o#*ed $n the wor% 'erm$t 'ro(ess ha*e the ne(essar!
0ua#$$(at$ons, tra$n$n" and e,'er$en(e to sae 'erorm the$r tas%s.
Ensure that 'erm$ts ha*e been (om'#eted (orre(t#! and (onta$n a## re0u$red
$normat$on.
3o" a## 'erm$ts and ma$nta$n a re(ord o a## 'erm$ts $ssued.
Co'! o 1erm$t
ar(h$*ed $n #$ne w$th
M4CMSI and
statutor!
re0u$rements
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C#oseout 'erm$ts $n #o" when wor% $s (om'#ete.
Ensure the 1T5 s!stem 'ro(edure $s o##owed and a## 'art$es (om'#! w$th $ts
re0u$rements.
1art$($'ate $n aud$ts o 1T5 s!stem.
C.; P.)/+t R.D6.,to)
Res'ons$b$#$t$es o the 1erm$t Re0uestor are as o##ows6
Th$s 'erson ma! a#so un(t$on as the Author$)ed Tas% Su'er*$sor.
Ha*e su$tab#e 0ua#$$(at$on, tra$n$n" and e,'er$en(e to ee(t$*e#! su'er*$se and (arr!
out the a(t$*$t$es (o*ered under the 1T5 s!stem.
8a($#$tate r$s% assessments and 're'are wor% $nstru(t$ons re#e*ant to wor% 'erm$ts.
Assess 5MS@HHA@STARRT (ard $s (om'#eted and r$s% e,'osure o 'ersonne#
$n*o#*ed $n the a(t$*$t! $s as #ow as reasonab#e 'ra(t$(ab#e.
Ma$nta$ns (ommun$(at$on w$th Area HSE Ad*$sor.
Ensures a## terms and (ond$t$ons o the wor% 'erm$t are ma$nta$ned.
6.3 T',E S60.)*+,o)
Res'ons$b$#$t$es o the Tas% Su'er*$sor are as o##ows6
Che(%s that 'erm$t a(t$*$t$es do not (on#$(t w$th other a(t$*$t$es $n the area.
Ma! be res'ons$b#e or 're'ar$n" re#e*ant do(umentat$on or wor% 'erm$ts.
Is res'ons$b#e or the 're'arator! wor% re#ated to the wor% 'erm$t.
Che(%s 5MS@HHA@STARRT (ard $s (om'#eted and r$s% e,'osure o 'ersonne#
$n*o#*ed $n the a(t$*$t! $s as #ow as reasonab#! 'ra(t$(ab#e.
Ensures that a## 'ersonne# wor%$n" under the 'erm$t are u##! tra$ned and ad*$sed o
wor%s 'erm$ts (ond$t$ons and asso($ated do(umentat$on, e."., 5MS@HHA@STARRT
(ard, et(.
Ensure res(ue re0u$rements ha*e been addressed.
Ma$nta$ns (ommun$(at$on w$th Area HSE Ad*$sor.
C#oseout 'erm$ts ater ensur$n" area has been made sae and a## 'ersonne# are
a((ounted or.
6.4 %o)E G)o60 ./3.)
Res'ons$b$#$t$es o the 5or% 2rou' Member are as o##ows6
Ha*e had a (urrent $ndu(t$on and $s u##! aware o a## the s$te saet! re0u$rements.
Ha*e re(e$*ed re0u$red tra$n$n" rom Re"$ster Tra$n$n" Author$t! .RTO/ where
a''#$(ab#e or $nterna##! where 'erm$tted.
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Is am$#$ar w$th the re0u$rements o the 1T5 S!stem and the$r ro#e and
res'ons$b$#$t$es.
Is res'ons$b#e or 'erorm$n" a tas%s as $dent$$ed on the wor% 'erm$t w$th$n the
s(o'e o the de$ned wor%.
Is tra$ned $n the use o 5MS@HHA@STARRT (ard, and has read and understood the
5MS@HHA@STARRT (ard and re0u$red (ontro# measures to m$n$m$)e r$s% 'r$or to
(ommen(ement o wor%.
Understands that $ the &ob tas%s (han"es rom what the 'erm$t or
5MS@HHA@STARRT (ard ha*e been wr$tten or, that the &ob must sto' and (onsu#t
w$th Tas% Su'er*$sor 'r$or to 'ro(eed$n" w$th wor% a(t$*$t!.
1art$($'ates $n (om'#et$n" 5MS@HHA@STARRT (ard beore (ommen($n" wor%.
1art$($'ates $n de*e#o'ment o r$s% assessment, where a''#$(ab#e.
6.5 R.,<6. P.),onn.2
Res'ons$b#e or Res(ue 1ersonne# are as o##ows6
=e orma##! tra$ned and (ert$$(ate to u#$## res(ue dut$es.
Rema$n aware o what wor% $s be$n" 'erormed that ma! re0u$re res(ue su''ort.
Ma$nta$n res(ue s%$##s b! attend$n" and 'erorm$n" $n re"u#ar s(hedu#e dr$##s and
tra$n$n" 'ro"rams.
Ins'e(t and ma$nta$n a## res(ue e0u$'ment on a s(hedu#ed bas$s.
1art$($'ate $n emer"en(! e,er($ses and des%to' e,er($ses are re0u$red. 1art$($'ate $n
re*$ews o emer"en(! e,er($ses an a(tua# e*ent to determ$ne areas or $m'ro*ement
$n res(ue methods and 'ro(esses.
C.C $SE 'n'8.)

Res'ons$b$#$t$es o HSE Mana"er are as o##ows6
1ro*$de o*ers$"ht or 'erm$t 'ro(ess.
Ma$nta$n th$s 'ro(edure and u'date a((ord$n"#!.
Arran"e month#! aud$ts o 'erm$t 'ro(ess.
Ensure 'erm$ts 'ro(ess $s re*$ewed dur$n" wee%#! s$te HSE wa#%-downs.
Ad*$(e mana"ers o re0u$red (han"es to 'erm$t 'ro(ess.
Ensure 'ro*$s$on o a## re0u$red orms, e0u$'ment and 'ersonne# or ee(t$*e
runn$n" o 'erm$t 'ro(ess dur$n" (onstru(t$on 'hase.
5or% w$th Startu' Mana"er and Tem'orar! S$te +e*e#o'ment 1ro&e(t 4 Tem'orar!
S$te =u$#d$n"s to ensure smooth trans$t$on o 'erm$t 'ro(ess 'r$or to trans$t$on o
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S$emens 1ower O'erat$on, In(. start-u' 'erm$t s!stem and then to Tem'orar! S$te
+e*e#o'ment 1ro&e(t 4 Tem'orar! S$te =u$#d$n"s 'erm$t s!stem.
Arran"e month#! assessment and 'er$od$( aud$ts o 1T5 S!stem $n #$ne w$th aud$t
(r$ter$a (onta$ned $n se(t$on -E.>.
6.7 A).' $SE A7*+,o) o) #.,+8n..
Res'ons$b$#$t$es o the Area HSE Ad*$sor! In(#ude6
=e orma##! tra$ned $n 'erm$t to wor% s!stem and rema$n aware o (han"es to 'erm$t
s!stem.
1erorm re0u$red "as (he(%s, e0u$'ment $ns'e(t$ons, et(., 'r$or to the
(ommen(ement o wor% and throu"hout the #$e o the 'erm$t as needed.
Condu(t an $nde'endent assessment o the wor% area and 1erm$t (ond$t$ons to
(on$rm that m$t$"at$on measures are $n '#a(e 'r$or to s$"n$n" the 1T5 or wor% to
(ommen(e.
1ro*$de $na# a''ro*a#@den$a# as to whether wor% ma! 'ro(eed.
Sto' wor% and@or sus'end the 'erm$t due to (han"e s$te (ond$t$ons, wor% s(o'e, et(.
Condu(t month#! assessment o 1T5 s!stem and 'art$($'ate $n 'er$od$( aud$ts o
'erm$t s!stem.
Not.; S$emens 1ower O'erat$on, In(. su'er*$s$on and saet! 'ersonne# w$## re*$ew and s$"n
Sub(ontra(tors 'erm$ts.
7.0 PROCE#URE
The Constru(t$on 1T5 S!stem or the Tem'orar! S$te +e*e#o'ment 1ro&e(t 4 Tem'orar! S$te
=u$#d$n"s 1ro&e(t addresses the o##ow$n" 'erm$ts6
Hot 5or% 1erm$t
Con$ned S'a(e Entr! 1erm$t
E,(a*at$on 1erm$t
Rad$o"ra'h! 1erm$t
H!drostat$( and 'neumat$( Test$n" 1erm$t
2rat$n" and Handra$#, Sta$rwa! Remo*a# 1erm$t
Manbas%et@5or%bo, 1erm$t
5or%$n" on or Near Ener"$)ed C$r(u$ts 1erm$ts
S!stem and E0u$'ment Saet! 3o(%out@Ta"out .3OTO/
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Not.; (or wor! involving a Suspended or! )latform exhibits "*+ of pro,ects Suspended
or! )latform procedure -../0))/0#1/...23 shall be used in planning and execution o f
wor!. " 4is! "ssessment and or! 5ethod Statement (5S) shall be conducted to determine
if wor! can be safel& .performed.
Not.; Standard or! )rocess )rocedure' or!ing 6n or 7ear Energi$ed 8ircuits 7o.25)/
T9-/.::-2 shall be emplo&ed when Siemens )ower 6peration' %nc. personnel have to wor! on
or near energi$ed circuits.
7.1 P.)/+t P).0')'t+on
The 'erm$t 're'arat$on 'ro(ess w$## be 'erormed as o##ows6
-. The 1erm$t Re0uestor sha## (om'#ete the a''#$(at$on se(t$on o a 1T5, 1ro*$d$n" the
re0u$red $normat$on to the best o the$r %now#ed"e, and subm$t $t to the 'erm$t
o$(e -; hours $n ad*an(e o the wor%, where*er 'oss$b#e.
;. The re0uest w$## be 'ro(essed b! the des$"nated 'erm$t author$t! $n (onsu#tat$on w$th
the res'ons$b#e Tas% Su'er*$sor.
<. The 'erm$t sha## then be #o""ed b! the +es$"nated 1erm$t Author$t! and w$## be
$ssued or s$"natures on the morn$n" o the date re0uested or the a(t$*$t! to be"$n.
4. +es$"nated tra$ned and (ert$$ed Stand-b! 1erson@8$re 5at(her sha## assess a## 'erm$t
(ond$t$ons and s$"n the 'erm$t, where a''#$(ab#e, to *er$! that the! u##! understand
the$r ro#e and that a## 'erm$t (ond$t$ons ha*e been addressed.
B. Area HSE Ad*$sor s$"ns the 'erm$ts on(e the! sat$s$ed that a## 'erm$t (ond$t$ons
ha*e been met.
Not.; No wor% sha## (ommen(e unt$# a## 'art$es ha*e s$"ned the 'erm$t.
7.2 S+8n't6)., 'n7 A00)o*'2,
The 'erm$t s$"nator! and a''ro*a# 'ro(ess w$## be 'erormed as o##ows6
-. 5hen the +es$"nated 1erm$t Author$t! $s sat$s$ed w$th the $normat$on 'resented,
the! w$## s$"n the 'erm$t orm. =! s$"n$n" the orm, the +es$"nated 1erm$t Author$t!
$s "$*$n" a''ro*a# o the wor% 'erm$t.
;. The 'erm$t orm w$## then be #o""ed $n a 'erm$t re"$ster des$"nated to the t!'e o
'erm$t be$n" $ssued .e."., (on$ned s'a(e, e,(a*at$on, hot wor%, et(./.
<. The res'ons$b#e Tas% Su'er*$sor 're'ares the wor%s$te a((ord$n" to the (ond$t$ons
o the 'erm$t and s$"ns the orm.
4. +es$"nated tra$ned and (ert$$ed Stand-b! 1erson@8$re 5at(her sha## assess a## 'erm$t
(ond$t$ons and s$"n the 'erm$t, where a''#$(ab#e, to *er$! that the! u##! understand
the$r ro#e and that a## 'erm$t (ond$t$on ha*e been addressed.
B. Area HSE Ad*$sor s$"ns the 'erm$t on(e the! are sat$s$ed that a## 'erm$t (ond$t$ons
ha*e been met.
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Not.; No wor% sa## (ommen(e unt$# a## 'art$es ha*e s$"ned the 'erm$t.
7.3 P.)/+,,+on to St')t %o)E
The res'ons$b#e tas% su'er*$sor w$## *$s$t the wor% s$te w$th the area HSE Ad*$sor to'
assess whether a## re0u$red saet! 're(aut$ons are $n '#a(e and that a## em'#o!ees
'art$($'at$n" $n the wor% are aware o the 'erm$t re0u$rements @ (ond$t$ons and ha*e
s$"ned onto the 'erm$t. 5hen the Area HSE Ad*$sor $s sat$s$ed that a## 'erm$t
(ond$t$ons ha*e been met, the! w$## s$"n the 'erm$t orm so wor% (an (ommen(e.
=! s$"n$n" the orm, the Area HSE Ad*$sor $s "$*$n" 'erm$ss$on or the wor% to
(ommen(e.
The S$emens 1ower O'erat$on, In(. S$te Mana"er or h$s des$"nee has $na# author$t! as
to whether wor% sha## 'ro(eed.
7.4 Sto0 %o)E+n8 Con7+t+on,
-. A## wor% w$## (ease $ (ond$t$on (han"e or 'ersonne# wor%$n" under a 'erm$t are
not$$ed to sto' wor% b! another 'art! due to nearb! ha)ards, (on#$(t$n"
s$mu#taneous o'erat$on, et(.
;. The +es$"nated 1erm$t Author$t! and Res'ons$b#e Tas% Su'er*$sor (annot be the
same s$"nator! on an! one "$*en 'erm$t.
7.5 Lo<'t+on o- A00)o*.7 P.)/+t Fo)/,
A (o'! o the 'erm$t sha## rema$n w$th the re0uest$n" 'art! or the durat$on o the wor%
and be a*a$#ab#e at the a(tua# wor% #o(at$on. 1#ast$( weather 'roo 9)$' #o(%: en*e#o'es
w$## be 'ro*$ded to house $e#d (o'$es o the 'erm$t.
A (o'! w$## be 'osted on the 'erm$t d$s'#a! board $n the 'erm$t o$(e and the or$"$na#
(o'! ma$nta$ned $n a $#e $n the 'erm$t o$(e.
7.6 Sto00+n8 tB. 4o)E?P.)/+t S6,0.n,+on
The wor% ma! be sto''ed and 'erm$ts sus'ended b! the o##ow$n" 'ersons or or the
o##ow$n" reasons6
=! the +es$"nated 1erm$t Author$t!, Tas% Su'er*$sor, Area HSE Ad*$sor or an!
other S'erson who has reason to be#$e*e that an unsae (ond$t$on ma! e,$st.
=! the sh$t end$n".
=! a (han(e o wor% s(o'e.
=! emer"en(! a#arm on the s$te.
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=e(ause o the wor% has been (om'#eted.
5hen the wor% $s sto''ed, the wor% s$te sha## be made sae .$ sae to do so $n an
emer"en(! s$tuat$on/, and a## e0u$'ment $n(#ud$n" we#d$n" sets and 'ower too#s sha## be
$so#ated, "as (!#$nders sha## be $so#ated at (!#$nder and hoses de-'ressur$)ed. 1ersonne#
(an then #ea*e the area. The Res'ons$b#e Tas% Su'er*$sor sha## be $normed that the
wor% $s sto''ed as soon as 'ra(t$(a#.
5or% ma! on#! be resumed when 'erm$ss$on $s "$*en b! the +es$"nated 1erm$t
Author$t! and the wor% area reassessed and the 'erm$t $s res$"ned b! Area HSE Ad*$sor.
7.7 P.)/+t T+/.-)'/. 'n7 R.9!'2+7't+on
The *a#$d$t! o 'erm$ts w$## *ar! de'end$n" on the t!'e o 'erm$t be$n" $ssued, e.".,
Con$ned S'a(e, Hot 5or%, Rad$o"ra'h!, et(. T!'$(a##!, the 'erm$t w$## on#! be *a#$d or
a ma,$mum 'er$od o one sh$t. The +es$"nated 1erm$t Author$t! (an $ssue or a #esser
'er$od than one sh$t at the$r d$s(ret$on due to mu#t$'#e wor% "rou's $n area, (rane #$ts,
or s$m$#ar h$"h r$s% tas%s.
=#an%et 'erm$ts w$## be 're(#uded rom be$n" used on the Tem'orar! S$te +e*e#o'ment
1ro&e(t 4 Tem'orar! S$te =u$#d$n"s 'ro&e(t as the! 'ro*$de no rea# method o ensur$n"
(ontro# o*er the wor%. Howe*er, $n man! $nstan(es Hot 5or% w$## be a##owed to be
underta%en under a 5MS@HHA and STARRT (ard where no s$"n$$(ant r$s% o $re or
e,'#os$on $s 'resent.
7.8 EG0+)'t+on o- P.)/+t 'n7 Co/02.t+on o- tB. %o)E
U'on e,'$rat$on or u'on (om'#et$on o the wor%, a## (o'$es o the 'erm$t sha## be
"athered and s$"ned o b! the 1erm$t Re0uestor and the +es$"nated 1erm$t Author$t!.
The +es$"nated 1erm$t Author$t! w$## ensure that the 'erm$t #o" $s u'dated. A##
(om'#eted 1erm$ts w$## be %e't $n the 1erm$t O$(e or a m$n$mum o one !ear and then
a(h$e*ed $n a((ordan(e w$th S$emens 1ower O'erat$on, In(.As and statutor! retent$on
re0u$rements.
At (om'#et$on o wor% the wor% s$te sha## be (#eared o an! rubb$sh, debr$s and s(ra'.
A## too#, e0u$'ments, mater$a#s and (onsumab#es sha## be remo*ed. The wor% s$te sha##
be #et $n a sae, (#ean and t$d! (ond$t$on.
8.0 $OT %OR& PERIT
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The bas$( a$m o Hot 5or% 1erm$t $s to 're*ent sour(es o $"n$t$on (om$n" $nto (onta(t w$th
e,'#os$*e en*$ronments and@or (ombust$b#e mater$a#s.
The sour(es o $"n$t$on are t!'$(a##! na%ed #ames, e#e(tr$( ar(s, and h$"h tem'erature sura(es.
Na%ed #ames ma! ar$se rom we#d$n", bra)$n", #ame-(utt$n", d$re(t-$red e0u$'ment and
burn$n" debr$s. E#e(tr$( ar(s ma! ar$se rom we#d$n", e#e(tr$( 'ower too#s, stat$( d$s(har"es or
s'ar% $"n$t$on en"$nes. H$"h tem'erature sura(es (ou#d ar$se rom "r$nd$n", heat$n", e,haust
s!stem, et(.
8$re and E,'#os$*e atmos'heres ma! ar$se rom #ea%$n" h!dro(arbons, *a'ors rom
h!dro(arbons #$0u$ds, "ases, #ammab#e (hem$(a#s, (ombust$b#e mater$a#s .e.". wood, ro'e dust,
and "rass/ and dust (#ouds.
8.1 S<o0.
A Hot 5or% 1erm$t sha## be re0u$red when6
8#ammab#e and (ombust$b#e mater$a#s are w$th$n -B meters o hot .wor% and (annot
be remo*ed or (o*ered.
Hot 5or% w$th an o$(e (onta$ner or bu$#d$n" hous$n" (ombust$b#e mater$a#s.
Hot 5or% on an! s!stem (onta$n$n" #ammab#e "asses or #$0u$ds.
+ur$n" the (ourse o (onstru(t$on wor% on the Tem'orar! S$te +e*e#o'ment 1ro&e(t 4
Tem'orar! S$te =u$#d$n"s 'ro&e(t, man! a(t$*$t$es $n*o#*$n" Hot 5or% w$## not re0u$re a
Hot 5or% 1erm$t due to absen(e o r$s%. Howe*er, these hot wor% tas%s w$## be sub&e(t
to 5MS@HHA and STARRT (ard (ontro#s, and a## as'e(ts o the wor% (orre(t#! '#anned
and e,e(uted a((ord$n"#!. 5here doubt e,$sts, a HSE Ad*$sor sha## be (onsu#ted.
8.2 $ot %o)E P.)/+t P)o<.76).
1r$or to the start o an! wor% (o*ered under a Hot 5or% 1erm$t, the 1erm$t sha## be
a''ro*ed b! the +es$"nated 1erm$t Author$t! and the Res'ons$b#e 5or% Su'er*$sor $n
whose area the wor%s$te $s #o(ated. See 8#ow(hart No. ; or Hot 5or% 1erm$t 1ro(ess.
See Se(t$ons B and D or 1erm$t 1ro(ess and 1ro(edure.
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F2o4<B')t No.2 H $ot %o)E P.)/+t P)o<.,,
No
Res
Hot 5or% need
$dent$$ed
S(o'e o 5or%
de*e#o'ed
$n(#ud$n"
$dent$$(at$on o
ha)ards
A"ree sae wor%
're(aut$on and
're'are re0u$red
Hot 5or% 1erm$t
+es$"nated
1erm$t Author$t!
br$es 1erm$t
Re0uestor on
Ha)ard (ontro#s
5or% 1erm$t and
an! asso($ate
do(uments $ssued
Hot
5or%
1erm$t
re0u$red
A#ternat$*e
method o wor%
not re0u$r$n" Hot
5or% estab#$shed
8$re 5at(her
ass$"ned
A## #ammab#e
mater$a#s and
substan(es
remo*ed or
'rote(ted rom
Hot 5or%
a(t$*$t$es
Hot 5or%
(ommen(es In
#$ne w$th 1erm$t
(ond$t$ons
Area (#ean and
made sae O 8$re
5at(her to
obser*e or hot
s'ots and dam'
down where
re0u$red
Area HSE
Su'er*$sor
(ondu(t "as (he(%
and (he(%s wor%
area and s$"ns
'erm$t when
sat$s$ed that a##
'erm$t (ond$t$ons
ha*e been met
Tas% Su'er*$sor
and 8$re 5at(her
s$"n Hot 5or%
1erm$t and a##
re#ated do(uments
Hot 5or%
Com'#eted
Area a*a$#ab#e or
norma# o'erat$ons
1erm$t Re0uestor@
Tas% Su'er*$sor
s$"ns o on Hot
5or% 1erm$t ater
ha*$n" ensured
that area are sae
+es$"nated
1erm$t Author$t!
s$"ns o Hot 5or%
1erm$t
Co'! the 1erm$t
ar(h$*ed $n #$ne w$th
S$emens 1ower
O'erat$on, In(.As and
Statutor!
re0u$rements
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8.3 $ot %o)E P.)/+t Con7+t+on,
The o##ow$n" (ond$t$ons a''#! to the Hot 5or% 1erm$t.
8.4 P).9St')t S6)*.1
A re-start sur*e! sha## be (ondu(ted or a## Hot 5or% 1erm$ts. The sur*e! sha## be
(arr$ed out b! the Tas% Su'er*$sor. The sur*e! w$## o##ow the saet! (he(%#$st $tems on
the wor% 'erm$ts orm a#on" w$th other 'ert$nent $tems .see atta(hment -C or a sam'#e
Hot 5or% 1re-start Sur*e! (he(%#$st/.
8.5 F+). %'t<B.)
The +es$"nated 1erm$t Author$t! and Res'ons$b#e Tas% Su'er*$sor sha## de($de on
whether a 8$re 5at(h $s re0u$red. T!'$(a##!, or we#d$n", 8#ame (utt$n" and "r$nd$n"
a(t$*$t$es a 8$rewat(her w$## be ass$"ned. 8or some other a(t$*$t$es $t ma! be deemed not
ne(essar!.
8or Hot 5or% (#ose to bu#%heads or wa##s the heat transm$ss$on throu"h the stee#
members or '$'e sha## be (ons$dered and $ ne(essar! a 8$rewat(her ass$"ned on both
s$des. Th$s a#so a''#$es to wor% at he$"ht where s'ar%s (an a## to area be#ow.
The 8$rewat(her sha## understand the nature o hot wor% and be orma##! tra$ned $n
8$rewat(her dut$es and the 'ro'er use o a $re e,t$n"u$sher and or (har"ed $re hose.
The! sha##6
Sur*e! the area to be sure the ne(essar! $re 'rote(t$on e0u$'ment $s $n '#a(e and
read! or use.
Ma%e sure a## re#e*ant saet! e0u$'ment $s $n '#a(e 'r$or to wor% (ommen($n",
$n(#ud$n" (ommun$(at$ons or an emer"en(!.
Ensure the! are am$#$ar w$th emer"en(! 'roto(o#s.
Sur*e! the area o (ombust$b#e or #ammab#e mater$a#s. 1er$od$(a##! sur*e! a "as
meter to ensure the area $s su$tab#e or hot wor%. Sto' the wor% $ the (ombust$b#e
"as dete(tor a#arms $nd$(at$n" an e,'#os$*e atmos'here.
+es$"nated
1erm$t Author$t!
#o"s 1erm$t
1erm$t Re0uestor@Tas%
Su'er*$sor re*$ews Hot 5or%
1erm$t w$th 5or% 2rou' and
&o$nt#! de*e#o', where re#e*ant,
5MS@HHA@1STA (ard and
re*$ew re#e*ant Hot 5or%
1erm$t (he(%#$sts
Im'#ement
wor%'#a(e ha)ard
(ontro#s as
out#$ned $n Hot
5or% 1erm$t
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=e $n the read! 'os$t$on at a## t$mes when hot wor% $s be$n" 'erormed. The read!
'os$t$on (ons$sts o be$n" attent$*e and ha*$n" e,t$n"u$sher or (har"ed hose $n
'os$t$on w$th the no))#e at hand .the $re e,t$n"u$sher sea# not be bro%en un#ess a $re
a(tua##! o((urs/.
Rema$n $n the area wh$#e the wor% $s be$n" 'erormed and rema$n $n (ommun$(at$on
ran"e w$th those (arr!$n" out the hot wor%. The! sha## not #ea*e the area or an!
reason w$thout be$n" re'#a(ed or $rst sto''$n" the Hot 5or%.
Turn o the we#d$n" set and "as (!#$nders $n an emer"en(!. Ma$nta$n a wat(h o<>
m$nutes ater (om'#et$on o we#d$n" or (utt$n" o'erat$on to dete(t and e,t$n"u$sh
'oss$b#e smo#der$n" mater$a#s, e,(e't $n an emer"en(! s$tuat$on at wh$(h t$me the!
w$## be e,'e(ted to ma%e the$r area sae and 'ro(eed to the$r des$"nated muster
'o$nt.
9.0 CONFINE# SPACE PERIT
The bas$( a$m o a Con$ned S'a(e 1erm$t $s to ensure the sae entr! o 'ersonne# and
e0u$'ment $nto a s'e($$( (on$ned S'a(e b! determ$n$n" and m$t$"at$n" e,$st$n" ha)ards and to
ensure that the Con$ned S'a(e wor% area $s not e,'osed to r$s%s when o((u'$ed.
1otent$a# ha)ards asso($ated w$th Con$ned S'a(e wor% are, but not #$m$ted to6
8#ammab#e@e,'#os$*e atmos'heres
O,!"en de$($en(! due to o,$dat$on, (ombust$on, d$#ut$on, absor't$on and 'h!s$(a# a(t$*$t!
O,!"en e,(ess due to #ea%$n" o,!"en hoses or (!#$nders $n or at entran(e to (on$ned s'a(e
A$rborne and@or sura(e (ontam$nants
Inert "ases
To,$( "ases@ (hem$(a# e,'osure
1ressure
Tem'erature O e,treme heat and (o#d
E#e(tro(ut$on
+$sor$entat$on
No$se
V$brat$on
1h!s$(a# e,ert$on O b$ome(han$(a#
1s!(ho#o"$(a# re#ated stress O (#austro'hob$a
En"u#ment@drown$n"
Un(ontro##ed $ntrodu(t$on o #u$ds, e."., steam, water, (hem$(a#s, et(.
E0u$'ment ener"$)at$on
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Rad$at$on
3$m$ted or 'oor #$"ht$n"
Con$ned wor% area
Stat$( e#e(tr$($t!
8a##$n" rom he$"ht
Manua# hand#$n"
S#$', tr$'s and a##s
8a##$n" ob&e(ts
Restr$(ted a((ess and@or e"ress
8$re and e,'#os$*e atmos'heres ma! ar$se rom #ea%$n" h!dro(arbons, *a'ours rom
h!dro(arbon #$0u$ds, "as #ea%s, #ammab#e (hem$(a#s, (ombust$b#e mater$a#s .e.". wood, ro'e,
dust and "rass/ and dust (#ouds.
9.1 S<o0.
A Con$ned S'a(e 1erm$t $s re0u$red or a## wor% that w$## be 'erormed w$th$n a wor%
en*$ronment that a##s under the de$n$t$on o a (on$ned s'a(e O see +e$n$t$ons.
9.2 Con-+n.7 S0'<. P.)/+t P)o<.76).
1r$or to the start o a Con$ned S'a(e Entr! (o*ered under the Con$ned S'a(e 1erm$t,
the 'erm$t sha## be a''ro*ed b! the +es$"nated 1erm$t Author$t! and the res'ons$b#e
tas% su'er*$sor who $s su'er*$s$n" the Con$ned S'a(e a(t$*$t!. See 8#ow(hart No. <or
Con$ned S'a(e 1erm$t 1ro(ess and Con$ned S'a(e Entr! 1ro(edure, ->>-211-2HQ-
>>>44.
The re0uest$n" 'art! sha## (om'#ete the a''#$(at$on se(t$on o a Con$ned S'a(e 1erm$t
.see Atta(hment ;A or an e,am'#e o Con$ned S'a(e 1erm$t/, 'ro*$d$n" a re0u$red
$normat$on to the best o the$r %now#ed"e, and subm$t $t to the 'erm$t o$(e twe#*e .-;/
hours $n ad*an(e o the wor%, where*er 'oss$b#e. The re0uest w$## be 'ro(essed b! the
+es$"nated 1erm$t Author$t! $n (onsu#tat$on w$th the Tas% Su'er*$sor.
The 'erm$t sha## then be 'ro(essed b! the +es$"nated 1erm$t Author$t! and w$## be
$ssued or s$"natures on the morn$n" o the date re0uested or the a(t$*$t! to be"$n. 1r$or
to the 'erm$t be$n" $ssued b! the +es$"nated 1erm$t Author$t!, the re0uest$n" 'art! w$##
d$s(uss the ha)ards $dent$$ed and 're(aut$ons as stated on the 1T5.
The re0uest$n" 'art! sha## obta$ned 're'ared (on$ned s'a(e 'erm$t rom the 'erm$t
o$(e 'r$or to the start o wor%, re*$ew the $normat$on on the 'erm$t and s$"n $n
re#e*ant s'a(e.
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1r$or to the (ommen(ement o a(tua# wor%, the re0uest$n" 'art! and a## 'ersonne#
wor%$n" on the tas% sha## (om'#ete a R$s% Assessment .see Atta(hment ;C> and
STARRT (ard. A## 'ersonne# wor%$n" on the &ob sha## &o$nt#! 'art$($'ate $n the
de*e#o'ment o the R$s% Assessment and STARRT (ard and sha## s$"no these
do(uments. The (om'#eted R$s% Assessment and STARRT (ard must be atta(hed to the
'erm$t beore an! wor% a(t$*$t$es (ommen(e. R$s% Assessment must a#so address an!
wor% to be 'erormed w$th Con$ned S'a(e, e."., hot wor%, 'a$nt$n", s(ao#d$n", h$"h
'ressure b#ast$n", et(.
9.3 S+8n't6)., 'n7 A00)o*'2,
5hen the +es$"nated 1erm$t Author$t! $s sat$s$ed or the $normat$on 'resented the!
w$## s$"n the orm. =! s$"n$n" the orm, the +es$"nated 1erm$t Author$t! $s a''ro*$n"
the Con$ned S'a(e 1erm$t.
The 'erm$t w$## then be 'assed to the 'erm$t o$(e to be added to the Con$ned S'a(e
1erm$t re"$ster.
The Tas% Su'er*$sor 're'ares the wor%s$te a((ord$n" to the (ond$t$ons o the 'erm$t and
s$"ns the orm.
9.4 P.)/+,,+on to St')t %o)E
The Area HSE Ad*$sor w$## *$s$t the wor%s$te w$th the Tas% Su'er*$sor to assess
whether a## saet! 're(aut$ons are $n '#a(e and whether Con$ned S'a(e Entr! (an
'ro(eed.
A "as test must be 'erormed b! an author$)ed "as tester $mmed$ate#! 'r$or to wor%
(ommen($n" and the resu#ts re(orded $n the "as test #o" o the Con$ned S'a(e 1erm$t
.see Atta(hment ;= or a sam'#e (on$ned s'a(e "as test #o"/. Cond$t$ons set b! the
+es$"nated 1erm$t Author$t! ma! re0u$re re'eated or (ont$nuous "as mon$tor$n" wh$#e
the wor% a(t$*$t! $s $n 'ro"ress. 1ersonne# ma! be re0u$red to wear $nd$*$dua# "as
mon$tors, wh$(h at a m$n$mum w$## measure o,!"en and (arbon mono,$de.
5hen the Area HSE Ad*$sor $s sat$s$ed then the! w$## s$"n the Con$ned S'a(e 1erm$t.
=! s$"n$n" the Con$ned S'a(e 1erm$t, the Area HSE Ad*$sor $s "$*$n" 'erm$ss$on or
the wor% to (ommen(e.
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F2o4<B')t No. 3 H Con-+n.7 S0'<. Ent)1 P.)/+t P)o<.,,
No
Res
Con$ned S'a(e
.CS/ Entr! need
$dent$$ed
A"ree sae wor%
're(aut$ons and
're'are re0u$red
CS 1erm$t
S(o'e o wor%
de*e#o'ed
$n(#ud$n"
$dent$$(at$on o
ha)ards
A#ternat$*e
method o wor%
not re0u$r$n"
Con$ned S'a(e
Entr! estab#$shed
+es$"nated
1erm$t Author$t!
br$es 1erm$t
Re0uestor on
ha)ard (ontro#s
5or% 1erm$ts and
an! asso($ated
do(uments $ssued
CS
5or%
1erm$t
re0u$re
d
+es$"nated
1erm$t Author$t!
#o"s 1erm$t
1erm$t Re0uestor@Tas%
Su'er*$sor re*$ews CS
1erm$t w$th wor% 2rou'
and &o$nt#! de*e#o', r$s%
assessment us$n"
"u$de#$nes estab#$shed $n
th$s 'ro(edure
Tas% Su'er*$sor (he(%s
wor% area and s$"ns
Con$ned S'a(e 1erm$t
when sat$s$ed that a##
'erm$t (ond$t$ons ha*e
been met
Area Saet! Su'er*$sor
(ondu(ts "as and area
(he(%s and s$"ns o on
Con$ned S'a(e 1erm$t
Standb! 1erson
3o"s ea(h CS
entr!
Con$ned S'a(e
Entr! (ommen(es
$n #$ne w$th 1erm$t
(ond$t$ons
Com'#et$on o
wor%6 Area (#ean
and made sae,
Standb! 1erson
a((ounts or a##
'ersonne# and
se(ure CS entr!
'o$nts
1erm$t
Re0uestor@Tas%
Su'er*$sor s$"ns
o (on$ned S'a(e
1erm$t ater
ha*$n" ensured
that area $s sae
+es$"nated 1erm$t
Author$t! s$"ns
Con$ned S'a(e 1erm$t
and Asso($ated R$s%
Assessment
Stand-b! 1erson
ass$"ned
A## Con$ned S'a(e
Cond$t$ons (onta$ned $n
1erm$t, R$s% Assessment
and a## asso($ated 1erm$ts,
e."., 3OTO, Hot 5or%,
Rad$at$on, et(. ha*e been
addressed
Im'#ement wor%'#a(e
ha)ard (ontro#s as out#$ned
$n Con$ned S'a(e 5or%
1erm$t, Che(%#$sts and
R$s% Assessment
+es$"nated 1erm$t
Author$t! s$"ns o
Con$ned S'a(e
1erm$t
Con$ned S'a(e
Entr! $s not
a##owed w$thout
$ssuan(e o new
'erm$t
Co'! o 1erm$t
ar(h$*ed $n #$ne w$th
S$emens 1ower
O'erat$on, In(.As and
statutor! re0u$rements
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9.5 EG0+)'t+on o- P.)/+t 'n7 Co/02.t+on o- tB. %o)E
In add$t$on to the "enera# $normat$on on 'erm$t e,'$rat$on and (om'#et$on o the wor%
'ro*$ded $n 8#ow(hart No. <, the o##ow$n" sha## a''#! to Con$ned S'a(e Entr!
Com'#et$on6
On(e a## 'ersonne# ha*e s$"ned out, the area sha## be (he(%ed@$ns'e(ted to ma%e
(erta$n $t $s u##! *a(ated.
Con$ned s'a(e entr! 'o$nts sha## be s$"n'osted, and sea#ed w$th e$ther a 'ermanent
or tem'orar! barr$er to 're*ent unauthor$)ed entr!.
9.6 Con-+n.7 S0'<. P.)/+t Con7+t+on,
The o##ow$n" (ond$t$ons a''#! to the Con$ned S'a(e 1erm$t.
9.6.1 P).9St')t S6)*.1 'n7 R+,E A,,.,,/.nt
A 1re-Start Sur*e! and R$s% Assessment sha## be (ondu(ted or a## Con$ned
S'a(e 1erm$ts. The sur*e! and R$s% Assessment sha## be (arr$ed out &o$nt#! b!
the Tas% Su'er*$sor and a## 'ersonne# $n*o#*ed $n the Con$ned S'a(e Entr!. The
sur*e! sha## o##ow the saet! (he(%#$st $tems on the Con$ned S'a(e 1erm$t a#on"
w$th other 'ert$nent $tems .see Atta(hment ;C or e,am'#e o Con$ned S'a(e
1re-start Sur*e! Che(%#$st and R$s% Assessment orm/.
9.6.2 C2.'n+n8 'n7 P6)8+n8.
C#ean$n" and 'ur"$n" o a## (on$ned s'a(es sha## where 'ra(t$(ab#e, be
'erormed rom the outs$de the s'a(e $n su(h the manner that does not re0u$red
the breath$n" )one o a 'erson to enter the s'a(e. I th$s $s not 'oss$b#e or urther
'ur"$n" or (#ean$n" $s re0u$red, a Con$ned S'a(e 1erm$t and 3OTO 1erm$t $s
a((ordan(e w$th th$s 'ro(edure and the Iso#at$on Mana"ement 'ro(edure $s
re0u$red.
C#ean$n" a(t$*$t$es su(h as H!dro&ett$n", Stem C#ean$n", Abras$*e =#ast$n" and
Chem$(a# C#ean$n" sha## be sub&e(ted to a r$s% assessment 'r$or to wor%
(ommen($n" sha## address areas out#$ned $n A''end$, 2 o Austra#$an Standard
;ECB O Con$ned S'a(es.
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9.6.3 $ot %o)E
A Hot 5or% 1erm$t $s re0u$red or an! Con$ned S'a(e Entr! where the
Con$ned S'a(e R$s% Assessment or that 'art$(u#ar S'a(e has $dent$$ed the
'resen(e or 'oss$b$#$t! o #ammab#e or e,'#os$*e substan(es or atmos'here.
An! de$ned Hot 5or% w$th$n the Con$ned S'a(e sha## on#! be 'erormed $n
a((ordan(e w$th the Hot 5or% 1erm$t 1ro(ess (onta$ned w$th$n th$s 'ro(edure.
The Hot 5or% 1erm$t sha## be atta(hed to and rema$n w$th the Con$ned S'a(e
1erm$t or the durat$on o the wor%.
9.6.4 Po)t'32. E2.<t)+<'2 ED6+0/.nt
1ortab#e e#e(tr$(a# e0u$'ment used $n a (on$ned s'a(e sha##6
Use the #e,$b#e hea*!-dut! 'ower su''#! (ab#e o a #east AS@NKS <-F-
standard.
Ha*e the 'ower su''#! (ab#e@s sus'ended or "uarded a"a$nst dama"e.
=e doub#e $nsu#ated.
=e $n (om'#$an(e w$th re#e*ant statutor! re0u$rements and standards where
a''#$(ab#e.
=e (onne(ted, $nd$*$dua##! or (o##e(t$*e#!, to an earth-ree, 'rote(ted, e,tra
#ow *o#ta"e su''#! .see AK@NKS <>>>/ rom an $so#at$n" transormer@s
(om'#!$n" w$th AS@NKS <->E, w$th the transormers be$n" #o(ated outs$de
the Con$ned S'a(e.
=e 'rote(ted throu"h a res$dua# (urrent de*$(e (om'#!$n" w$th Austra#$an
Standard <-F>, w$th the de*$(e be$n" #o(ated outs$de the (on$ned s'a(e.
=e $ntr$ns$(a##! sae, where there $s a 'otent$a# or (ombust$b#es.
Not.; $n a## (ases (ons$derat$on must be "$*en to the use o e,tra #ow *o#ta"e, a$r, h!drau#$( or
other means o 'ower$n" 'ortab#e e0u$'ment $n (on$ned s'a(es.
9.6.5 R'7+'t+on C2.')'n<.
5here the wor% $n*o#*es wor%$n" $n (#ose 'ro,$m$t! to a rad$at$on em$tt$n"
de*$(e or substan(e $ns$de a Con$ned s'a(e, a Rad$at$on 1erm$t $s a#so re0u$red.
9.6.6 S.<6)+t1 'n7 S+8n0o,t+n8
CONFINED SPACE
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Con$ned S'a(es sha## be at a## t$mes se(ured a"a$nst unauthor$)ed entr! and sha##
be s$"ned 'osted at ea(h entr! 'o$nt - e,am'#e o re0u$red Con$ned S'a(e s$"n be#ow.
9.7 Con-+n.7 S0'<. St'n7')7 P.),on
1r$or to an! entr! $nto a (on$ned s'a(e, a tra$ned and (ert$$ed Standb! 1erson, a 'erson
must ha*e the o##ow$n" 0ua#$$(at$ons6
The Con$ned s'a(e Standb! 1erson sha## be u##! tra$ned $n a## as'e(ts o Con$ned
S'a(e Entr! and sha## u##! standard the nature o Con$ned S'a(e wor% and be tra$ned
$n the 'ro'er use o emer"en(! (ommun$(at$on e0u$'ment, "as dete(t$on e0u$'ment,
entr! re0u$rements and emer"en(! res'onse.
9.7.1 St'n731 P.),on =6'2+-+<'t+on
To 'erorm dut$es o a (on$ned S'a(e Standb! 1erson, a 'erson must ha*e the
o##ow$n" 0ua#$$(at$ons6
Must ho#d a (urrent Con$ned S'a(e Standb! (ard wh$(h (ert$$es
(om'eten(! $n6
-. Commun$(at$on te(hn$0ues *$a ora#.En"#$sh/, 'ortab#e rad$o@(e##
'hone and s$"na# #$nes
;. Emer"en(! and res(ue 'ro(ess
<. Se# (onta$ned breath$n" a''aratus .where a''#$(ab#e/
Must understand r$s% assessment 'ro(ess and how to re*$ew r$s%
assessment and ensure that a## (ond$t$ons ha*e been met.
Must ha*e a sound understand$n" and be (om'etent $n the use o a##
e0u$'ment asso($ated w$th sae entr! and o((u'an(! o a Con$ned
S'a(e, e."., *ent$#at$on ans, a$r #$ne e0u$'ment, e,'#os$*e 'roo #$"ht$n"
and e0u$'ment, "as mon$tors, et(.
Must u##! understand Con$ned S'a(e 'erm$t s!stem as $t a''#$es to
Con$ned S'a(e entr! re0u$rements.
DANGER
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
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02 OF
CLIENT UNIT N EDITED BY DATE
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OPERATION
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
8$rst a$d 0ua#$$(at$ons sha## be determ$ned b! R$s% Assessment.
M$n$mum 0ua#$$(at$ons are6
Card$o-1u#monar! Resus($tat$on .C1R/
Emer"en(! 8$rst A$d
9.7.2 St'n731 P.),on #6t+.,
+ut$es o Con$ned S'a(e 1erson are to6
Ensure that a *a#$d Con$ned S'a(e 1erm$t $s a*a$#ab#e and "as (he(%s ha*e
been 'erormed and a''ro*e 'r$or to a##ow$n" entr!.
Ensure a## re#e*ant saet! e0u$'ment $s $n '#a(e 'r$or to wor% (ommen($n",
$n(#ud$n" rad$o (ommun$(at$ons or an emer"en(!.
Ensure that there $s a sae means o a((ess $nto the (on$ned s'a(e.
Rema$n on the outs$de o and $n (#ose 'ro,$m$t! to the (on$ned s'a(e entr!
'o$nt at a## t$mes when the Con$ned S'a(e $s o((u'$ed.
Re*$ew R$s% Assessment 'r$or to entr! $nto the (on$ned S'a(e and ensure a##
(ond$t$ons ha*e been addressed.
Contro# entr! o on#! (ert$$ed@author$)ed 'ersonne# $nto the Con$ned S'a(e.
On#! a##ow the 'ersonne# who ha*e a *a#$d Con$ned S'a(e bad"e entr! $nto
the Con$ned S'a(e.
Re"$ster a## entr! and e,$sts $nto the Con$ned S'a(e on entr! #o" .see
Atta(hment ;d or a sam'#e (on$ned s'a(e entr! #o"/.
Ensure that nom$nated 'er$od$( "as (he(%s are be$n" 'erormed. Sto'
Con$ned S'a(e 5or% $n the e*ent that (he(%s are not (arr$ed out.
Mon$tor area around (on$ned s'a(e to ensure that 'ersonne# $ns$de S'a(e
are not '#a(ed at r$s% rom nearb! a(t$*$t$es.
=e $n the read! 'os$t$on at a## t$mes at Con$ned S'a(e entr! 'o$nt when
Con$ned S'a(e wor% $s be$n" 'erormed. The read! 'os$t$on (ons$sts o
be$n" attent$*e and ma$nta$n$n" (onstant (onta(t w$th 'ersonne# $ns$de
Con$ned S'a(e.
5arm 'ersonne# $ns$de the Con$ned S'a(e o $mm$nent or $mmed$ate dan"er.
Not #ea*e the area or an! reason w$thout be$n" re'#a(ed b! a (ert$$ed
Standb! 1erson or $rst sto''$n" the wor%.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
Ensure that *ent$#at$on ans (ont$nue to run when Con$ned S'a(e $s
o((u'$ed.
In$t$ate emer"en(! 'ro(edures $n the e*ent o an emer"en(!.
5$thdraw a## 'ersonne# rom the Con$ned S'a(e $n the e*ent o an
emer"en(! and ensure the area $s made sae.
O'erate and mon$tor a## e0u$'ment asso($ated w$th sae a((ess $nto the
Con$ned S'a(e.
=e $n 'ossess$on o a''ro'r$ate (ommun$(at$on e0u$'ment and be ab#e to
ma$nta$n (ommun$(at$ons w$th 'eo'#e w$th$n the (on$ned s'a(e at a## t$mes.
Ensure that on the (om'#et$on o wor% $ns$de the Con$ned S'a(e that a##
'ersonne# are a((ounted or and the entr! $s sea#ed and (orre(t#! s$"n'osted
to 're*ent unauthor$)ed a((ess.
9.8 R.,<6. 'n7 F+),t A+7 P)o<.76).
Emer"en(! res'onse and $rst a$d 'ro(edures and 'ro*$s$ons sha## be '#anned,
estab#$shed, re"u#ar#! rehearsed, and $m'#emented $n res'onse to an emer"en(! $n a
Con$ned S'a(e.
In (ases o emer"en(! res'onse $n*o#*$n" emer"en(! ser*$(es 'ersonne#, these 'ersons
sha## be made aware o the (ond$t$ons $n the Con$ned S'a(e 'r$or to entr!.
5hen a r$s% assessment has determ$ned the need or emer"en(! res'onse "reater than
that $n the emer"en(! res'onse 'ro(edures, $nd$*$dua# 'ro(edures w$## be '#anned,
estab#$shed and re"u#ar#! tested.
The standb! 'erson sha## under no ($r(umstan(es attem't to enter the Con$ned S'a(e.
9.9 T)'+n+n8
A## 'ersons w$th wor% a(t$*$t$es re#ated to a (on$ned S'a(e sha## be tra$ned and assessed
as (om'etent to 'erorm those a(t$*$t$es. The tra$n$n" must be underta%en b! an
a''ro*ed re"$stered tra$n$n" and or"an$)at$on and $n(#ude at #east the o##ow$n"6
The ha)ards asso($ated w$th (on$ned s'a(es
R$s% assessment 'ro(edures
Contro# measures
Emer"en(! 'ro(edures
The se#e(t$on, use, $t and ma$ntenan(e o saet! e0u$'ment and
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
3e"$s#at$*e re0u$rements
A## tra$ned 'erson sha## ha*e the$r (om'eten(! reassessed annua##! to ensure the$r
on"o$n" (om'eten(! to 'erorm the a(t$*$t$es re#e*ant to the$r entr! and the wor%
asso($ated w$th Con$ned S'a(es.
9.10 R.,0+)'to)1 ED6+0/.nt
Res'$rator! e0u$'ment used $n Con$ned S'a(e entr! must (onorm to AS@NKS -D-B
Se#e(t$on, use and ma$ntenan(e o res'$rator! 1rote(t$*e de*$(es, AS@NKS -D-C
Res'$rator! 1rote(t$*e +e*$(es and AS@NKS ;>D41ortab#e (!#$nders or resus($tators
and se#-(onta$ned breath$n" a''aratus .non-underwater/ saet! "u$de.
9.11 FACIAL SEALS OF RESPIRATORS
A## 'ersonne# re0u$red to enter a Con$ned S'a(e, where a R$s% assessment has $dent$$ed
the need or a res'$rator to be worn, sha## be sha*en $n a((ordan(e w$th AS -D-B
A''end$, E O Se#e(t$on, use and ma$ntenan(e o res'$rator! 'rote(t$*e de*$(es.
9.12 CONFINE# SPECE REGISTER
A re"$ster o a## $dent$$ed Con$ned S'a(e sha## be ma$nta$ned and u'dated as re0u$red.
The re"$ster sha## (onta$n the o##ow$n" $normat$on and@or #$n%s6
A des(r$'t$on and the un$0ue $dent$$(at$on number o ea(h s'a(e.
A (o'! o or a #$*e #$n% to the (om'#eted e*a#uat$on rom ea(h s'a(e.
A (o'! o or a #$*e #$n% to the $so#at$on #$st or ea(h s'a(e.
A (o'! o or a #$*e #$n% to the 1ro(edure, 5or% Instru(t$on or HHA or 'erorm$n"
wor% $n ea(h (on$ned s'a(e.
A (o'! o, or a #$*e #$n% to the res(ue '#an .where a''#$(ab#e/.
10.0 E@CA!ATION" TRENC$ING" GROUN# PENETRATION PERIT
+ur$n" (onstru(t$on, a## e,(a*at$on, tren(h$n" and "round@wa## 'enetrat$ons sha## be
(ondu(ted under an E,(a*at$on, tren(h$n", 2round 1enetrat$on 5or% 1erm$t
.E,(a*at$on 1erm$t/ and sha## be underta%en $n a((ordan(e w$th Standard 5or% 1ro(ess
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
1ro(edure .S511/ 9S$te E,(a*at$on and =a(%$##: No. 4M1-TE--><;>; and E,(a*at$on
and Tren(h$n" 1ro(edure, ->>-211-2HQ->>>4B.
1r$or to an! e,(a*at$ons, tren(h$n" or "round 'enetrat$ons (ommen($n" on the
(onstru(t$on s$te the Author$)ed Tas% Su'er*$sor sha## 1ro*$de u## deta$#s o the
e,(a*at$on to be 'erormed on an E,(a*at$on 1erm$t .see Atta(hment </ and ha*e
'erm$t assessed and s$"ned b! a## a''ro*ed author$t$es. See 8#ow(hart No. 4 or
E,(a*at$on, Tren(h$n" and 2round 1enetrat$on 1erm$t 1ro(ess.
A## e,(a*at$ons -.; meters or more $n de'th sha## be $ns'e(ted da$#! b! tas% Su'er*$sor
and Area HSE Ad*$sor 'r$or to the (ommen(ement o an! wor% $n the e,(a*at$on us$n"
the da$#! Tren(h Saet! Re'ort orm (onta$ned $n S511 9S$t E,(a*at$on and =a(%$##:
No. 4M1-TE--><;>;. An! as'e(ts o non (om'#$an(e ound dur$n" these $ns'e(t$ons
sha## be re(orded and re(t$$ed 'r$or to 'ersonne# enter$n" the e,(a*at$on.
10.1 S+8n't6)., 'n7 A00)o*'2,
The e,(a*at$on 1erm$t sha## be (hanne#ed throu"h the en"$neer$n" d$s($'#$nes where a##
a*a$#ab#e $normat$on w$## be re*$ewed, #$nes 'h!s$(a##! $dent$$ed and mar% on the
draw$n"s@14I+As and s'e($a# 're(aut$ons $dent$$ed.
In $nstan(es where under"round (ab#e are ener"$)ed @ de-ener"$)ed, a Cab#e A*o$dan(e
Too#s .CAT/ w$th s$"na# "enerators sha## be used to #o(ate th$s (ab#es and the "round
abo*e mar%ed w$th a br$"ht 'a$nted mar%er #$ne. Ea(h d$s($'#$ne en"$neer ($ted on the
1erm$t ater re*$ew$n" e,(a*at$on $normat$on and $dent$!$n" under"round w$r$n" and
'$'$n" or the re#e*ant a(t$*$t! that $s be$n" (arr$ed out as we## as address$n" an!C s'e($a#
're(aut$ons that must be adhered to, e."., hand d$""$n", CAT test$n", te(.
On (om'#et$on o a## (he(%s, the Tas% Su'er*$sor sha## re*$ew #o(at$on o ma%ers,
e0u$'ment ut$#$)ed and saet! $ns'e(t$on o the area, s$"n o the 1erm$t and return to
1erm$t O$(e Va#$d$t! sha## be determ$ned based on the tas% and area the wor% $s be$n"
'ro'osed $n 1erm$t re0u$rements sha## be *a#$dated w$th the e,(a*at$on team and $n #$ne
w$th r$s% assessment and STARRT (ard.
O'erators underta%$n" me(han$(a# e,(a*at$ons, tren(h$n" or "round 'enetrat$on, sha## be
u##! aware o a## 'erm$t and '#an re0u$rements, $n(#ud$n" nearb! s!stems, ho#d 'o$nts,
hard d$" areas and e,$st$n" ser*$(es.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
It $s essent$a# that those 'erson.s/ (ondu(t$n" e,(a*at$on a(t$*$t$es are u##! ad*$sed o a##
saet! re0u$rements and ho#d 'o$nts and 'art$($'ate $n a 1erm$t re*$ew and STARRT
(ard 'ro(ess 'r$or to an! e,(a*at$on wor% (ommen($n".
10.2 EG0+)'t+on o- P.)/+t 'n7 Co/02.t+on o- tB. %o)E
In add$t$ona# to the "enera# $normat$on on 'erm$t e,'$rat$on and (om'#et$on o the wor%
'ro*$ded $n 8#ow(hart No. 4, the o##ow$n" sha## a''#! to e,(a*at$on wor% (om'#et$on6
5here an e,(a*at$on has been #et o'en, $t sha## be (orre(t#! barr$(aded, s$"n'ost$n"
and n$"ht #$"hts $tted where re0u$red.
+a$#! tren(h re'orts sha## be on"o$n" unt$# e,(a*at$on $s 'ro'er#! ba(%$##ed.
10.3 R.*oE+n8 P.)/+t
I an! (han"es are made to the E,(a*at$on 1erm$t s(o'e or as-bu$#t draw$n"s, the 1erm$t
w$## be w$thdrawn and re*$ew underta%en to ensure (han"es are a##owed and (atered or
$n the 1erm$t.
F2o4<B')t No. 4 H EG<'*'t+on P.)/+t P)o<.,,
E,(a*at$on
$dent$$ed
S'otter ass$"ned, $ re0u$red
+es$"nated 1erm$t
Author$t! br$es
1erm$t Re0uestor
on ha)ard (ontro#s
A"ree sae wor%
're(aut$ons and
're'are re0u$red
E,(a*at$on 1erm$t
S(o'e o 5or%
de*e#o'ed
$n(#ud$n"
$dent$$(at$on
o ha)ards
Area HSE Su'er*$sor (he(%s
wor% area@ho#d 'o$nts w$th
ma(h$ne o'erator.s/ and
s$"no on 'erm$t when
sat$s$ed that a## 'erm$t
(ond$t$ons ha*e been met
Ma(h$ne O'erator s$"ns
E,(a*at$on 1erm$t $nd$(at$n"
that the! are aware o a##
'erm$t (ond$t$ons and ho#d
'o$nts
E,(a*at$on
1erm$t
re0u$red
5or% 1erm$t and
an! asso($ated
do(uments $ssued
+$s($'#$nes ($ted on the
e,(a*at$on 1erm$t assess
a## (ond$t$ons and s$"no
a((ord$n"#!
Tas% Su'er*$sor Assesses
#o(at$on o a## e,$st$n"
under"round ser*$(es. Che(%s
w$th the +$a# =eore Rou +$"
.>>--/ or e,$st$n"
under"round ser*$(es on non
'ro&e(t #o(at$ons and s$"ns
'erm$t when a## (ond$t$ons
ha*e been met
Is Road
C#osure
Re0u$redI
Im'#ement wor%'#a(e ha)ard
(ontro#s as out#$ned $n
E,(a*at$on 5or% 1erm$t,
Mar%ed u' +raw$n", 5MS
and 1STA (ard and asso($ated
1erm$ts
N' D)a(#n- / N' Pe)#$
1erm$t Re0uestor@Tas%
Su'er*$sor Re*$ews
E,(a*at$on 1erm$t w$th 5or%
2rou' and &o$nt#! de*e#o',
5MS and 1STA (ard us$n"
"u$de#$nes estab#$shed $n th$s
1ro(edure
+es$"nated 1erm$t
Author$t! 3o"s 1erm$t
E,(a*at$on (ommen(es
$n #$ne w$th 1erm$t
(ond$t$ons
+a$#! Tren(h Re'orts
underta%en *er$!$n"
that e,(a*at$on $s sae
to a((ess
Com'#et$on o wor%6
Area (#ean and made
sae
As-bu$#t draw$n"
mar%ed u' to re#e(t
(han"es to #o(at$on o
e,$st$n" ser*$(es or
$nsta##at$on o new
under"round ser*$(es
1erm$t Re0uestor@Tas%
Su'er*$sor s$"ns o on
E,(a*at$on 1erm$t
ater ha*$n" ensured
that area $s sae
+es$"nated 1erm$t
Author$t! s$"ns o
E,(a*at$on 1erm$t
Co'! o 1erm$t
ar(h$*ed $n the #$ne
w$th S$emens 1ower
o'erat$on, In(. and
Statutor!
re0u$rements
Not$! Emer"en(!
Res'onse
Coord$nator
A#ternat$*e wor%
method
determ$ned, e.".,
runn$n" '$'e abo*e
"round, et(.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
No
Res
No
Res
11.0 RA#IOGRAP$Y PERIT
A## rad$o"ra'h! sha## be (ondu(ted under a rad$o"ra'h! 'erm$t and sha## be underta%en $n
a((ordan(e w$th the re0u$rements o Core 1ro(esses ;>F O Non-destru(t$*e E,am$nat$on and
Rad$at$on 1rote(t$on 1ro(edure O ->>-211-2HQ->>><B.
1r$or to an! rad$o"ra'h! (ommen($n" on the (onstru(t$on s$te, the Tas% Su'er*$sor and 3e*e# II
rad$o"ra'her sha## 'ro*$de u## deta$#s o rad$o"ra'h! to be 'erormed on a Rad$o"ra'h! 1erm$t
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
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DOCUMENT N No Number
M4CMSI-EHS-
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02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
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Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
.see Atta(hment 4 or a sam'#e rad$o"ra'h! 'erm$t/ and ha*e 'erm$t assessed and s$"ned b! a##
#$sted author$t$es.
11.1 S+8n't6)., '7 A00)o*'2,
Rad$o"ra'h! 1erm$ts w$## be 're'ared and assessed to ensure that a## re0u$rements (onta$ned $n
Core 1ro(esses ;>F O Non-destru(t$*e E,am$nat$on and Core 1ro(esses <>F O Rad$at$on
1rote(t$on 1ro"ram and AS <FFE.- +estru(t$*e Test$n" O 7ua#$$(at$ons and Cert$$(at$on o
1ersonne# are assessed and $m'#emented where a''#$(ab#e.
On(e sat$s$ed that a## 1erm$t (ond$t$ons ha*e been met, the tas% Su'er*$sor, 3e*e# II
Rad$o"ra'her and Area HSE Ad*$sor sha## s$"n the 1erm$t a##ow$n" the rad$o"ra'h! test to
(ommen(e.
See 8#ow(hart No. B or Rad$o"ra'h! 1erm$t 1ro(ess.
On (om'#et$on o the wor%, the Tas% Su'er*$sor and 3e*e# II Rad$o"ra'her w$## ensure that
e,am$nat$on #o(at$on $s returned to norma# state and a## asso($ated 'erm$ts, $.e., 3OTO are
s$"ned o.
It $s essent$a# that those 'erson.s/ (ondu(t$n" rad$o"ra'h! tests are u##! ad*$sed o a## saet!
re0u$rements and 'art$($'ate $n a 'erm$t re*$ew, HHA and STARRT (ard 'ro(ess 'r$or to the
e,am$nat$on (ommen($n".
11.2 EG0+)'t+on o- P.)/+t 'n7 Co/02.t+on o- tB. %o)E
In add$t$on to the "enera# $normat$on on 'erm$t e,'$rat$on and (om'#et$on o the wor%
'ro*$ded $n 8#ow(hart No. B, the o##ow$n" sha## a''#! to rad$o"ra'h! e,am$nat$on
(om'#et$on6
Ensure rad$oa(t$*e sour(e $s (orre(t#! housed and made sae.
Remo*e a## barr$ers and s$"ns.
Ensure rad$oa(t$*e sour(e $s returned to a''ro*ed sae stora"e area and #o""ed
a((ord$n"#!.
M-4 CONSTRUCTION and
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SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
F2o4<B')t No. 5 H R'7+o8)'0B1 P.)/+t P)o<.,,
Rad$o"ra'h! re0u$rement
$dent$$ed O Non
+estru(t$*e E,am$nat$on
S(o'e o wor% de$ned
and t!'e o N+E to be
'erormed
1erm$t Re0uestor@Tas%
Su'er*$sor re*$ews Rad$at$on
test$n" w$th 3e*e# II
Rad$o"ra'her and assesses a##
re0u$red 1erm$t (ond$t$ons and
(ontro#s
+es$"nated 1erm$t Author$t!
re*$ews 1erm$t w$th 1erm$t
Re0uestor@Tas% Su'er*$sor and
3e*e# II Rad$o"ra'her
Area Made Sae
Rad$o"ra'h! (om'#eted
+es$"nated 1erm$t
Author$t! 3o"s 1erm$t
5or% 1erm$t and an!
asso($ated do(uments $ssued
Im'#ement wor%'#a(e ha)ard
(ontro#s as out#$ned $n
Rad$o"ra'h! 1erm$t, Mar%ed
u' =oundar! +raw$n", 5MS
and 1STA (ard and asso($ated
1erm$ts
No Boundary Drawing
No Permit
S$te w$de not$$(at$ons $ssued
deta$#$n" t$me and #o(at$on o
'ro'osed rad$o"ra'h!
Tas% Su'er*$sor, 3e*e# II
Rad$o"ra'her and Area HSE
Su'er*$sor assess a## 1erm$t
re0u$rements and a## s$"n
1erm$t when a## 1erm$t
(ond$t$ons ha*e been met.
5or% 'ro"resses under (ontro#
o 3e*e# II Rad$o"ra'her and
Author$)ed rad$at$on wor%ers
Rad$o"ra'her area barr$(aded,
s'otters '#a(ed around
'er$meter o test area and area
(he(%ed to ensure a## 'ersonne#
ha*e *a(ated the #o(at$on
Is Road
C#osure
re0u$redI
Not$! Emer"en(!
Res'onse Coord$nator
Rad$o"ra'her 3e*e# II
s$"ns o Rad$o"ra'h!
1erm$t ater ha*$n"
ensured that area $s sae
Area around test s$te
mon$tored or e,'osure
b! HSE Su'er*$sor .s/
+es$"nated 1erm$t
Author$t! s$"ns o
E,(a*at$on 1erm$t
Co'! o 1erm$t ar(h$*ed
$n #$ne w$th S$emens
1ower O'erat$on, In(.
and Statutor!
re0u$rements
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
No
Res
12.0 $Y#ROSTATIC TEST?PRESSURE TEST PLAN AN# PERIT
A## 'ressure test$n", $.e., h!drostat$( or 'neumat$( test$n" *esse#s, '$'$n", tub$n" and
(om'onents w$## be underta%$n" $n a((ordan(e w$th the re0u$rements o S511 O 1ressure
Test$n" o 1$'$n", Tub$n" and Com'onents No. 4M1-TE--><B>C.
13.0 GRATING" $AN#RAIL AN# STAIR%AY REO!AL PERIT
1r$or to an! 'ermanent or tem'orar! "rat$n", handra$# and@or sta$rwa! remo*a#, a 2rat$n",
Handra$# and Sta$rwa! remo*a# 1erm$t .see Atta(hment B or a sam'#e 2rat$n", Handra$# and
Sta$rwa! Remo*a# 1erm$t/ w$## be $ssued b! +es$"nated 1erm$t Author$t!.
M-4 CONSTRUCTION and
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SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
1r$or to an! remo*a# o tem'orar! and@or 'ermanent "rat$n", handra$# and@or sta$rwa!s, the
o##ow$n" a(t$ons sha## be ta%en.
See 8#ow(hart No. C or 2rat$n", Handra$#, and Sta$rwa! Remo*a# 1ro(ess.
13.1 G)'t+n8 R./o*'2
An a#ternate sae means o wor% sha## be a''#$ed, where 'ra(t$(a#, as an a#ternat$*e to
"rat$n" remo*a#. I "rat$n" remo*a# and@or mod$$(at$on $s determ$ned to be ne(essar!,
the o##ow$n" sha## be a''#$ed6
Area at 'er$meter o "rat$n" to be remo*ed must be hard barr$(aded w$th s(ao#d
barr$ers, or e0u$*a#ent, (ons$st$n" o a to'-ra$#, m$d-ra$# and toe boards that are
'os$t$oned@#o(%ed to 're*ent the stru(ture orm mo*$n". Toe boards to be 'os$t$oned
;B (m out rom ed"e o "rat$n".
S(ao#d barr$ers sha## be $,ed $n 'os$t$on w$th beam (#am's and@or s(ao#d sto's to
're*ent the s(ao#d rom mo*$n" and@or be(om$n" d$s#od"ed.
1ersonne# remo*$n" "rat$n" must, where 'ra(t$(ab#e, wor% on the outs$de o the
s(ao#d and be ->> 'er(ent hoo% u' to a sat$sa(tor! an(hor 'o$nt at a## t$mes dur$n"
the remo*a# 'ro(ess. 5here 'ersonne# are re0u$red to wor% on the $ns$de o the
barr$er, the! sha## ensure ->> 'er(ent hoo%-u' $n #$ne w$th 5or% at he$"ht 1ro(edure
- - ->>-211-2HQ->>><E.
Area be#ow "rat$n" remo*a# 'o$nt sha## be hard barr$(aded and s$"n'osted to 'rote(t
'ersonne# rom (om$n" $nto (onta(t w$th a##$n" ob&e(ts.
Hard s(ao#d barr$er to be h$"h #$"htened w$th 9Red and 5h$te: barr$er ta'e.
No "rat$n" remo*a# w$## o((ur unt$# the "rat$n" remo*a# area has been $ns'e(ted b!
the Area HSE Ad*$sor and a 'erm$t $ssued.
S(ao#d barr$er on#! to d$sassemb#e when "rat$n" when "rat$n" has been saet!
re'#a(ed and (orre(t#! #o(%ed $n 'os$t$on w$th "rat$n" (#$'s.
1erm$t to be $,ed to s(ao#d barr$er $n weather 'roo 9)$'#o(%: en*e#o'e unt$# area
made sae.
13.2 $'n7)'+2 R./o*'2
An a#ternate sae means o wor% sha## be a''#$ed where 'ra(t$(a# as an a#ternat$*e to
handra$# remo*a# and@or mod$$(at$on. I handra$# remo*a# and@or mod$$(at$on $s
determ$ned to be ne(essar!, the o##ow$n" sha## be a''#$ed6
1r$or to an! handra$# be$n" remo*ed and@or mod$$ed, a tem'orar! handra$# must be
$nsta##ed that has been assessed b! a 8$e#d En"$neer to ensure that $t 'ro*$des a
sat$sa(tor! #e*e# o (om'#$an(e@saet!.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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HEALTH PROGRAM
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DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
Area be#ow handra$# remo*a# 'o$nt sha## be hard barr$(aded and s$"n'osted to
'rote(t 'ersonne# rom (om$n" $nto a (onta(t w$th a##$n" ob&e(ts.
On(e a tem'orar! handra$# has been $nsta##ed, the area w$## be $ns'e(ted b! a 8$e#d
En"$neer and Area HSE Ad*$sor to determ$ne that the area $s sae and a 'erm$t
$ssued or a remo*a#@mod$$(at$on o the 'ermanent handra$#.
1ersonne# remo*$n" the 'ermanent handra$# must be on the $ns$de o the tem'orar!
handra$# and must be->> 'er(ent hoo%-u' to a sat$sa(tor! an an(hor 'o$nt at a##
t$mes dur$n" the remo*a# 'ro(ess.
The tem'orar! s(ao#d handra$# sha## on#! to be d$sassemb#ed when the 'ermanent
handra$# has been (orre(t#! re'#a(ed.
1erm$t to be $,ed to s(ao#d barr$er $n weather 'roo 9)$'#o(%: en*e#o'e unt$#
handra$# re$nstate and tem'orar! handra$# remo*ed.
13.3 St'+)4'1 R./o*'2
An a#ternate sae means o wor% sha## be a''#$ed where 'ra(t$(a# as a a#ternat$*e to
sta$rwa! remo*a# .$n(#ud$n" an! 'art o a sta$rwa!/. I sta$rwa! remo*a# and@or
mod$$(at$ons determ$ned to be ne(essar!, the o##ow$n" sha## be a''#$ed6
1r$or to an! sta$rwa! or se(t$on o sta$rwa! be$n" remo*ed or mod$$(at$on or
re'#a(ement, a## a((ess areas to the sta$rwa! o'en$n" sha## be barr$(aded o w$th
s(ao#d (ons$st$n" o a to'-ra$#, m$d-ra$# and toe board.
Area be#ow sta$rwa! remo*a# 'o$nt sha## be hard barr$(aded and s$"n'osted to
'rote(t 'ersonne# rom (om$n" $nto (onta(t w$th a##$n" ob&e(ts.
S$"ns sha## be '#a(ed at ea(h entran(e 'o$nt denot$n" tem'orar! handra$# $s not to be
remo*ed unt$# sta$rwa! $s re$nsta##ed.
1ersonne# remo*$n" 'ermanent sta$rwa! sha## be ->> 'er(ent hoo%-u' to su$tab#e
an(hor 'o$nt and sha## not wor% outs$de o handra$#s, where 'ra(t$(ab#e.
Tem'orar! s(ao#d barr$ers w$## on#! be remo*ed on(e 'ermanent sta$rwa! $s
re'#a(ed.
1erm$t to be $,ed to s(ao#d barr$er $n weather 'roo 9)$'#o(%A en*e#o'e unt$#
sta$rwa! $s re$nstated.
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
F2o4<B')t No. 6 H G)'t+n8" $'n7)'+2" St'+)4'1 R./o*'2 P.)/+t P)o<.,,
Need to remo*e or mod$!
"rat$n", handra$# or sta$rwa!
S(o'e o wor% and t!'e o wor%
to be 'erormed de$ned
1erm$t Re0uestor@Tas%
Su'er*$sor re*$ews remo*a# or
mod$$(at$on 'ro(ess and
assesses a## re0u$re 1erm$t
(ond$t$ons and (ontro#s
+es$"nated 1erm$t Author$t!
re*$ews 1erm$t w$th
Re0uestor@Tas% Su'er*$sor
5or% 1erm$t and an!
asso($ated do(uments $ssued $n
#$ne w$th re0u$rements o C1
;-B6 8#oor or 5a## O'en$n"s
Im'#ement wor%'#a(e ha)ard
(ontro#s as out#$ned $n 2rat$n",
Handra$# or Sta$rwa! 1erm$t,
Mar%ed u' 3o(at$on +raw$n",
HHA and 1STA (ard
No Loation drawing No
Permit
1erm$t@Re0uestor@Tas%
Su'er*$sor s$"ns o "rat$n",
handra$# or Sta$rwa! 1erm$t ater
ha*$n" ensured that area $s sae
Area Made Sae
2rat$n", Handra$# or Sta$rwa!
remo*a# (om'#eted
+es$"nated 1erm$t Author$t!
3o"s 1erm$t
5or% area assessed b! tas%
Su'er*$sor and Area HSE
Su'er*$sor and 1erm$t s$"ned
Re0u$red 5arn$n" s$"ns
're'ared or 'ost$n"
5or% area barr$(aded be#ow,
s'otters '#a(ed as a''#$(ab#e, and
tem'orar! "uard ra$#s .s(ao#ds/
$nsta##ed and s$"ns 'osted
5a#%down area and
determ$ne a#ternate
sae a((ess 'ath .s/
+es$"nated 1erm$t Author$t!
s$"ns o 2rat$n", Handra$# or
Sta$rwa! 1erm$t
A#ternat$*e sae a((ess routes
(#ear#! mar%ed and s$"n'osted.
Hard barr$ers '#a(ed to 're*ent
a((ess to 'erm$tted area.
A#ternat$*e
a((ess
re0u$redI
C#osed (o'! o 1erm$t
ar(h$*ed $n #$ne w$th
S$emens 1ower
O'erat$on, In(. and
Statutor! re0u$rements
F+.27, En8+n..) 4+22 ',,.,,
+nt.8)+t1 o- t./0o)')1
B'n7)'+2 0)+o) to +t, 6,..
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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DOCUMENT N No Number
M4CMSI-EHS-
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02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
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Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
No
Res
14.0 AN5AS&ET?%OR& 5O@ PERIT
1r$or to us$n" a (rane manbas%et@wor%bo, on the (onstru(t$ons s$te to ho$st 'ersonne# to a
wor%a(e, a deta$#ed r$s% assessment sha## be (ondu(ted to ensure that a## other sae means o
'r$mar! a((ess, e."., s(ao#d$n", tem'orar! '#atorms, et(. (annot be em'#o!ed. The 'ro*$s$on
and use o a (rane manbas%et@wor%bo, sha## be underta%en $n a((ordan(e w$th 7ueens#and
5or%'#a(e Hea#th and Saet! Mob$#e Crane Code o 1ra(t$(e and 1ro&e(t 'ro(edure Sus'ended
5or% '#atorm O ->>-211-2HQ->>>4C. On(e the r$s% assessment has determ$ned the use o a
(rane manbas%et@wor%bo, $s re0u$red, a 5or%bo, 1erm$t .see Atta(hment Sus'ended 5or%
1#atorm O ->>-211-2HQ->>>4C/ sha## be (om'#eted and a## (ond$t$ons met 'r$or to wor%
(ommen($n".
15.0 %OR&ING NEAR ENERGISE# E=UIPENT PERIT
5here 0ua#$$ed e#e(tr$(a# 'ersonne# are re0u$red to wor% near ener"$sed e0u$'ment, the wor%
sha## be assessed and underta%en $n #$ne w$th Standard 5or% 1ro(ess 1ro(edure O 5or%$n" on
or Near Ener"$sed E0u$'ment O 4M1-TE--><<-4. 1r$or to an! wor% (ommen($n" near
ener"$sed e0u$'ment, an Ener"$sed E#e(tr$(a# 5or% 1erm$t .see Atta(hment D/ sha## be
(om'#eted and author$sed b! des$"nated wor%'#a(e author$t$es. See Se(t$on < +e$n$t$ons o
S511 O 5or%$n" on or Near Ener"$sed E0u$'ment O 4M1-tE--><<-4 or de$n$t$on o 9Near
Ener"$sed E0u$'ment:.
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
16.0 %OR&ING O!ER %ATER
5hen em'#o!ees are re0u$red to wor% o*er water, the! sha## (om'#! w$th the re0u$rements o
5or% O*er 5ater 1ro(edure O ->>-211-2HQ->>>BF and sha## ra$se a 5or% O*er 5ater 1erm$t
.see Atta(hment D/ and address and (he(% o a## $tems #$sted on 5or%$n" O*er or Near 5ater
Che(%#$st .see Atta(hment E/.
17.0 SYSTE AN# E=UIPENT SAFETY LOC&OUT?TAGOUT
A## s!stem and e0u$'ment saet! 3o(%outs @ Ta"out on 'ro&e(t s$te areas sha## be (ondu(ted
under a s!stem@(om'onent saet! ta""$n" 'erm$t and sha## be underta%en $n a((ordan(e w$th
Standard 5or% 1ro(ess 1ro(edure .S511/ 9S!stem and E0u$'ment Saet! 3o(%out @ Ta"out:
No. 4M1-TE-->-<>D.
1r$or to an! wor% (ommen($n" on an! '#ant or e0u$'ment that has a 'otent$a# to rema$n
ener"$sed or be(ome ener"$sed dur$n" the 5or% 1ro(ess w$th resu#tant $n&ur! and@or 'ro'ert!
dama"e, the ma(h$ner!@e0u$'ment w$## be 3o(%ed-out @ Ta""ed-out $n a((ordan(e w$th the
re0u$rements (onta$ned $n standard 5or% 1ro(ess 1ro(edure .S511/ 9S!stem and E0u$'ment
Saet! 3o(%out @ Ta"out: No. 4M1-TE-->-<>D.
Constru(t$on S$te Mana"er@Start-u' Mana"er sha## orma##! nom$nate an Author$)ed Ta""$n"
Author$t! to adm$n$ster the 3o(%out @ Ta"out s!stem.
Tra$n$n" sha## be 'ro*$ded to a## #e*e#s w$th$n the 'ro&e(t team to ensure that a## as'e(ts o the
3o(%out @ Ta"out s!stem are u##! understood and a''#$ed.
18.0 PERIT TO %OR& ASSESSENTS AN# AU#ITS PROCESS
Month#! assessments o the 1erm$t to 5or% S!stem sha## be (ondu(ted $n the $e#d b! Area HSE
Ad*$sor and Tas% Su'er*$sors. The re0uen(! and de"ree o deta$# $n(#uded $n th$s assessments
sha## be based on the #e*e# o r$s% and (om'#e,$t! o the tas% be$n" 'erormed at the t$me.
The assessment sha## $n(#ude6
A re*$ew o the 5or% 1erm$t do(umentat$on O ;>L o $e#d sam'#es and ;>L o 'ost wor%
sam'#es.
Con$rmat$on that the a(tua# wor% be$n" 'erormed $s (ons$stent w$th the de$ned ha)ard
(ontro#s $n '#a(e or wor% be$n" underta%en.
Con$rmat$on that a''ro'r$ate 're-wor% (he(%s were (ondu(ted and 'ro'er#! re(orded.
Con$rmat$on that the ha)ard (ontro#s de$ned $n the 5or% 1erm$t rema$n $n '#a(e.
M-4 CONSTRUCTION and
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TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
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DOCUMENT N No Number
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02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
Con$rmat$on that em'#o!ees $n*o#*ed $n the wor% are tra$ned and (ert$$ed and are aware o
a## 'erm$t re0u$rements and (ond$t$ons.
An assessment o s$"nator$es and a''ro*a#s.
Con$rmat$on that a## re#ated 'erm$t re0u$rements ha*e been estab#$shed and (orre(t#!
$m'#emented.
Con$rmat$on that a R$s% Assessment, 5MS, HHA and STARRT (ard ha*e been (om'#eted,
where a''#$(ab#e.
Con$rmat$on that re0u$red "as tests and a$r mon$tor$n" ha*e been underta%en and re(orded
b! a (om'etent 'erson.
Con$rmat$on that a## re0u$red e0u$'ment has been $ns'e(ted and $s $t or 'ur'ose.
Con$rmat$on that 2as Che(%ers and Standb! 1ersons ha*e been tra$ned and (ert$$ed or
these dut$es.
Con$rmat$on that (#osure and retent$on o 'erm$ts $s (orre(t#! 'erormed.
A 'erson, $nde'endent to the 'ro&e(t, sha## (arr! out a (om'#$an(e aud$t o the o*er-a##
un(t$on$n" o the 1erm$t to 5or% S!stem at #east annua##!. Th$s w$## be a (om'onent o
s(hedu#ed =ESH Cor'orate Assessments.
19.0 ATTAC$ENTS
Atta(hment -A O Hot 5or% 1erm$t
Atta(hment -= O Hot 5or% 1erm$t 2as Mon$tor$n" Test 3o"
Atta(hment -C O Hot 5or% 1erm$t Che(% Sheet
Atta(hment ;A O Con$ned S'a(e Entr! 1erm$t
Atta(hment ;= O Con$ned S'a(e 2as Test 3o"
Atta(hment ;C O Con$ned S'a(e 1re-Start Sur*e! Che(%#$st and Sam'#e R$s% Assessment
Atta(hment ;+ O Con$ned S'a(e Entr! 3o"
Atta(hment < O E,(a*at$on 1erm$t
Atta(hment 4 O Rad$o"ra'h! 1erm$t
Atta(hment B O 2rat$n", Handra$#, Sta$rwa! Remo*a# 1erm$t
Atta(hment C O Manbas%et@5or%bo, 1erm$t
Atta(hment D O Ener"$)ed E#e(tr$(a# 5or% 1erm$t
Atta(hment EA O 5or%$n" O*er 5ater 1erm$t
Atta(hment E= O 5or%$n" O*er or Near 5ater Che(%#$st
29.0 SCAFFOL#ING
;F.- There are #$%e#! to be number o d$erent t!'es o s(ao#d$n" used dur$n" the 'ro&e(t. The! w$##
$n(#ude trad$t$ona# tubu#ar s(ao#d$n", 0u$(% $re t!'e, and towers. A## t!'es o s(ao#d must be
ere(ted and stru(% b! (om'etent ere(tors. I there $s an! doubt the stren"th or the saet! o a
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'art$(u#ar s(ao#d $t must not be used and the saet! de'artment not$$ed at on(e. A## s(ao#ds w$##
a#so $ns'e(t ater an! ma&or a#terat$ons or dama"e and a#so ater se*ere weather. These $ns'e(t$ons
w$## a#so be #o""ed.
;F.; An! t!'e o (ant$#e*ered, sus'ended or other s'e($a# des$"n s(ao#d must ha*e des$"n subm$tted
to 8RTC en"$neers or a''ro*a# beore ere(t$on. 8RTC en"$neers w$## then subm$t the a''ro*ed
des$"n to the C3IENT en"$neer or a''ro*a# 'r$or to ere(t$on.
;F.< A 92reen Ta": s!stem w$## be o'erated to s$"n$! the s(ao#d must ha*e the des$"n subm$tted to
8RTC en"$neers or a''ro*a# beore ere(t$on.
;F.4 The "enera# ru#es or sae ere(t$on and use are set out be#ow6
;F.4.- S(ao#ds are (om'#eted the! must e,am$ned b! a Saet! En"$neer to (ert$! them as
beore the! are used. The en"$neer w$## a$, a "reen ta" to the s(ao#d to s$"n$! that $t
has been e,am$ned and 'assed as sae.
;F.4.; S(ao#d must be ere(ted and d$smant#ed b! (om'etent 'ersons.
;F.4.< I the s(ao#d $n(om'#ete or unsae $n an! wa! a red ta" w$## be a$,ed to $t to s$"n$! th$s.
TB. on21 0.),onn.2 '22o4.7 onto ' ).7 t'88.7 ,<'--o27 '). tB. S'-.t1 En8+n..), o)
tB. ,<'--o27.),.
;F.4.4 A## s(ao#ds w$## be e$ther se(ure#! $,ed to the stru(ture or be a true $nde'endent s(ao#d.
;F.4.B A## u'r$"hts w$## be 'ro*$ded w$th base '#ates. I the "round $s sot then t$mber so#e '#ates
must be used.
;F.4.C A## #adders or ste's must be se(ure#! astened to' and bottom and must 'rotrude at
#east a meter abo*e the #and$n" de(% or su$($ent handho#ds must be 'ro*$ded.
;F.4.D On a## wor%$n" '#atorms abo*e ; meters h$"h "uard ra$#s and toe boards w$## be $tted.
;F.4.E A## wor%$n" '#atorms w$## be u##! boarded. The boards w$## arran"ed so as to a*o$d tra's
or o*erhan"s.
;F.4.F S(ao#d outr$""ers are re0u$red at s'e($$ed he$"hts.
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E#ICAL SER!ICE AGREEENT
NAE OF $OSPITAL;IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
#IRECTOR OF $OSPITAL;IIIIIIIIIIIIIIIIIIIIIIIIIII
A##RESS OF $OSPITAL;IIIIIIIIIIIIIIIIIIIIIIIIIIIII
It $s mutua##! a"reed between 4 Con,t)6<t+on & '+nt.n'n<. S.)*+<.," In<. En8+n..)+n8
& Con,t)6<t+on and TTTTTTT.Name o Hos'$ta# /TTTTTTTTTTTTTTTTTTTTTTT$s res'ons$b#e or
treatment o a##

o((urr$n" dur$n" the 'erorman(e o (ontra(t made and entered $nto on -> Mar(h -FFD between
TTTTTTTTTTTTTTTTTTTTTT re'resented b! TTTTTTTTTTTTTTTTTT. Th$s a"reement sha## be $n ee(t
dur$n" the #$e o the (ontra(t 'er$od. A## med$(a# e,'enses sha## be borne b! 8RTC u'on 'resentat$on o
(orres'ond$n" do(uments and o $n*o$(es.
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT TTTTTTTTTTTTTTTTTTTTTTT
CARLO . ERCA#O J$o,0+t'2 (
2enera# Mana"er
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Re'ub#$( o the 1h$#$''$nes
+e'artment o 3abor and Em'#o!ment
=UREAU O8 5ORGIN2 CON+ITIONS
Man$#a
+ate TTTTTTTTTTTTTTTTTT
ANNUAL %OR& ACCI#ENTAL? ILLNESS E@POSURE #ATA REPORT
Name o Estab#$shement6TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
Nature o =us$ness6TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
Address6TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
E,'osure +ataTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT Hanuar! to +e(ember -FTTTTTTT
Numbers o Em'#o!eesTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
Tota# Hours 5or%ed b! A## TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
Em'#o!ees +ur$n" the RearTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
In&ur! Summar! TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
Tota# - A## +$sab#$n" In&ur$es @ I##nessesTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
Tota# - Non- +$sab#$n"TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
8re0uen(! RateTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
Se*er$t! RateTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
2enera# Mana"er
Th$s re'ort sha## be a((om'#$shed whether or not there were a(($dent @ $##ness dur$n" the 'er$od, (o*ered and
subm$tted to the Re"$ona# 3abor O$(e or #o(a# "o*ernment ha*$n" &ur$sd$(t$on not #ater than the <>
th
da! o the
month o##ow$n" the end o ea(h (a#endar !ear.
8re0uen(! Rate $s the tota# d$sab#$n" $n&ur$es 'er m$##$on em'#o!ee hours o e,'osure.
Number o d$sab#$n" $n&ur$es , -,>>>.>>>
8re0uen(! Rate U --------------------------------------------------------
Em'#o!ee hours o E,'osure
Se*er$t! Rate $s the tota# number o da!s #ost or (har"ed 'er m$##$on em'#o!ee hours o e,'osure.
Number o da!s #ost or (har"ed , -,>>>.>>
Se*er$t! Rate U ----------------------------------------------------------
Em'#o!ee hours o E,'osure
E,'osure $s the tota# number o hours wor%ed b! a## em'#o!ees $n ea(h estab#$shed $n(#ud$n" em'#o!ees or
o'erat$n" 'rodu(t$on, ma$ntenan(e, trans'ortat$on, (#er$(a#, adm$n$strat$*e, sa#es and other de'artments.
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Project OR! N PREPARED REVISED APROVED
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+$sab#$n" In&ur$es- wor% $n&ur$es wh$(h resu#t death 'ermanent tota# d$sab$#$t!, 'ermanent 'art$a# d$sab$#$t! or
tem'orar! tota# d$sab$#$t!.
Non- +$sab#$n" In&ur$es .Med$(a# Treatment/ - In&ur$es wh$(h do not resu#t $nto d$sab#$n" but re0u$re $rst -a$d
med$(a# attent$on o an! %$nd.
Re'ub#$( o the 1h$#$''$nes
+e'artment o 3abor and Em'#o!ment
=UREAU O8 5ORGIN2 CON+ITIONS
Man$#a
EPLOYERKS %OR& ACCI#ENT ? ILLNESS REPORT
.Th$s re'ort sha## be subm$tted b! the em'#o!er or e*er! a(($dent or $##ness to the Re"$ona# O$(e
ha*$n" &ur$sd$(t$on on or beore the ;>
th
da! o the month o##ow$n" the date o o((urren(es/.
-. Estab#$shment6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
;. Address6 TTTTTTTTNature o =us$ness6 TTTTTTTTTTTTTTT
EM13ORER <. Name o Em'#o!er6 TTTTTTTTTTNat$ona#$t!6 TTTTTTTTTT
4. No. o Em'#o!ees6 TTTM6 TTT 86 TTTTota#6 TTTTTTTTTTTT
INHURE+ B. Name6 TTTTTTTTTTA"e6 TTTT Se,6 TTTTC$*$# status6 TTTTT
OR I33 C. Address6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
1ERSON D. A*e. 5ee%#! wa"e6 1 TTTT No. o de'endents6 TTTTTTTTTT
E. 3en"th o ser*$(e 'r$or to a(($dent or $##ness6 TTTTTTTTTTTT
OCCU1ATIONA3 F. O((u'at$on6 TTTTTTT E,'er$en(e at o((u'at$on6 TTTTTTTTT
HISTORR ->. 5or% sh$t6 TTT-
st
TTT;
nd
TTT<
rd
TTTHours o wor%@da!6TTT
--. +ate o a(($dent@ $##ness6 TTTTTTTTTTTTTT T$me6 TTTTTTTT
ACCI+ENT -;. The a(($dent $n*o#*ed6 TTTTTTTTT 1ersona# In&ur!6 TTTTTT
OR I33NESS 1ro'ert! dama"e6 TTTTTTTTTTTTTTT
-<. +es(r$'t$on o a(($dent@ $##ness. "$*e u## deta$#s on how a(($dents @ $##ness
o((urred/6TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
-4. 5as $n&ured do$n" re"u#ar 'art o &ob at the t$me o a(($dent
or $##ness6 I not, 5h!I TTTTTTTTTTT
NATURE 4 -B. E,tent o d$sab$#$t!6 TTTTTata#6 TTT'ermanent tota#6 TTTTT
EQTENT O8 'ermanent 'art$a#6 Ttem'orar! tota#6 TTTmed. treatment6 TT
INHURR OR -C. Nature o $n&ur! or $##ness6 TTTT 'arts o bod! ae(ted6 TTT
I33NESS -D. +ate d$sab$#$t! be"un6 TTTT +ate returned to wor%6 TTTTTT
-E. +a!s #ost6 TTTTTTTTTT or da!s (har"ed6 TTTTTTTTTTTTTTT
CAUSE O8 -F. The a"en(! $n*o#*ed6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTT
ACCI+ENT ;>. The a"en(! 'art $n*o#*ed6 TTTTTTTTTTTTTTTTTTTTTTTTTTT
OR I33NESS ;-. A(($dent t!'e6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
;;. Unsae me(han$(a# or 'h!s$(a# (ond$t$on6 TTTTTTTTTTTTTT
;<. The unsae a(t 6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
;4. Contr$but$n" a(tor6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
;B. 1re*ent$*e measure .ta%en or re(ommended/6 TTTTTTTTTTTT
1REVENTIVE ;C. Me(han$(a# "uards, 'ersona# 'rote(t$*e e0u$'ment and other
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MEASURES sae"uards 'ro*$ded6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
;D. 5ere a## sae"uards $n useI TTTTT I not, wh!I TTTTTTTTTTT
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
;E. Com'ensat$on6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
MAN1O5ER ;F. Med$(a# 4 hos'$ta#$)at$on6 TTTTTTTTTTTTTTTTTTTTTTTTT
<>. =ur$a#6 TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
<-. T$me #ost on da! o $n&ur!6 TTTTTTTTTTTTTTTTTTTTTTTTTT
Hrs 6TTTTTTTTTTTT m$ns6 TTTTTTTTTTTTTTTTTTTTT
<;. T$me #ost on subse0uent da!s6 TTTTTTHrs6 TTTTTm$ns6TTTT
.treatment or other reasons/
<<. T$me on #$"ht wor% or redu(e out'ut6 TTTTTTTda!6 TTTTTTT
'er(ent out'ut6 TTTTTTTTTTTTTTTT
<4. +ama"e to ma(h$ner! 4 too#s.des(r$be/6 TTTTTTTTTTTTTTTT
MACHINERR<B. Cost o re'a$r or-re'#a(ement6 TTTTTTTTTTTTTTTTTTTTTTTT
4 TOO3S 1 6 TTTTTTTTTTTTTTTTTTTTTTTTTTTT
<C. 3ost 'rodu(t$on t$me6 TTTTTTTTTTTTTT (ost6 TTTTTTTTTTTTT
<D. +ama"e to e0u$'ment. des(r$bed/6 TTTTTTTTTTTTTTTTTTTTT
MATERIA3S <E. Cost o re'a$r or re'#a(ement6 TTTTTTTTTTTTTTTTTTTTTTTT
16 TTTTTTTTTTTTTTTTTTTTTTTTTTTTT
<F. 3ost 'rodu(t$on t$me6 TTTTTTTTTTTTTTT(osts6TTTTTTTTTTTTT
4>. +ama"e to e0u$'ment.des(r$bed/6 TTTTTTTTTTTTTTTTTTTTT
E7UI1MENT 4-. Cost o re'a$r or re'#a(ement6 TTTTTTTTTTTTTTTTTTTTTTTT
16 TTTTTTTTTTTTTTTTTTTTTTTTTTTT
4;. 3ost 'rodu(t$on t$me6 TTTTTTTTTTTTTT(osts6TTTTTTTTTTTTT
I HERE=R CERTI8R on m! on honor to the a((ura(! o the ore"o$n" $normat$on.
TTTTTTTTTTTTTTTTTTTTTTTTTTTT
+ate
TTTTTTTTTTTTTTTTTTTTTTTTTTTT IIIIIIIIIIIIIIIIIIIIII
In*est$"at$n" O$(er 4 1os$t$on Em'#o!er
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S'-.t1 A4')7 S<B./.
To en(oura"e the 'art$($'at$on o a## em'#o!ees and de'artments $n the s$te saet! '#an, an award and
reward s(heme $s 'ro'osed. It $s 'ro'osed that the s(heme ta%es the o##ow$n" orm.
-./ E*er! three.</ months a## s$tes that ha*e met the$r saet! tar"ets are awarded a (ert$$(ate
'resented b! the 1ro&e(t Mana"er.
;./ The s$te w$th the best 'erorman(e w$th$n th$s 'er$od w$## be awarded a sma## '#a0ue or s$m$#ar
award. Th$s w$## be 'resented b! the 1ro&e(t Mana"er. Th$s awarded or a < months 'er$od.
<./ At the end o the !ear the s$te w$th the best saet! 'erorman(e w$## "et a #ar"er '#a0ue or
s$m$#ar award, to be reta$ned or - !ear. A sma## (e#ebrat$on unded b! the (om'an! wou#d a#so
be a''ro'r$ate. Th$s award shou#d awarded b! a the "enera# Mana"er as th$s w$## h$"h#$"ht the
$m'ortan(e the (om'an! '#a(es on saet! and the we#are o $ts em'#o!ees.
4./ A (ommendat$on or sae wor%$n" (ou#d be '#a(ed on the 'ersona# re(ords o a## those $n*o#*ed
$n the "a$n$n" o an award.
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TARGETS FOR SAFETY
-./ Tar"et$n" as a saet! too# $s a means to en(oura"e (ont$nua# $m'ro*ements $n saet!
'erorman(e and a#so $s a method o en(oura"$n" the ma$ntenan(e o th$s $m'ro*ement. It a#so
a(ts as a h$"h#$"ht$n" me(han$sm or an! a##$n" awa! o standards, a##ow$n" or ear#! (orre(t$on
o an! 'otent$a# 'rob#ems.
;./ Tar"ets w$## be set or *ar$ous (ate"or$es as a 'er(enta"e o 'ere(t$on. $.e. The wear$n" o
saet! hats on s$te (ou#d be set at FEL to a(h$e*e tar"ets. A(h$e*$n" or e,(eed$n" th$s $"ure
wou#d o (ourse re'resent a(h$e*ement o the tar"ets.
<./ These tar"ets w$## be (ommun$(ated to re#e*ant se(t$ons and de'artments at the month#! saet!
meet$n"s. Resu#ts w$## a#so be (ommun$(ated at these meet$n". =oth tar"ets and resu#t w$## a#so
be d$s'#a!ed on the saet! bu##et$n board.
4./ 8$"ures w$## be (o##ated on a month#! bas$s us$n" the da$#! saet! (he(% sheets as bas$s or the
data. An! saet! aud$ts that ha*e ta%en '#a(e the dur$n" the month w$## a#so be $n(or'orated $n
the months end $"ures.
B./ The $rst month o the 'ro&e(t w$## not be the sub&e(t o an! tar"ets as $t w$## be used to (o##e(t
data wh$(h w$## a(t as our base#$ne or uture months.
C./ Cate"or$es or tar"et$n" w$## be6
5ear$n" o hard hats
5ear$n" o saet! boots
House%ee'$n"
Se(ur$t!
A(($dents to 'ersonne#
A(($dents to 'ro'ert$es
Use and (ond$t$on o s(ao#d$n" and a#se wor%.
The abo*e w$## be sub&e(t to re*$ew and $ re0u$red re*$s$on at three month#! $nter*a#s.
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G)..n T'8 S1,t./
-/. S(ao#d$n" must be (he(%ed beore be$n" used and ater an! ma&or a#terat$on or se*ere weather
e*ent and on a wee%#! bas$s.
;/. Ea(h o these (he(%s w$## be (arr$ed out b! a Saet! En"$neer and the resu#ts w$## be entered $n a
#o".
</. I the $ns'e(t$on $s sat$sa(tor! a "reen ta" w$## $,ed to the s(ao#d w$th the date o $ns'e(t$on
u'on $t and the s$"nature o the $ns'e(t$n" en"$neer.
4/. I the $ns'e(t$on 'ro*es to be unsat$sa(tor! then a red ta" w$## be atta(hed to the s(ao#d w$th
the words 9#O NOT USE UNSAFEA 'r$nted on $t. The date and the name o the $ns'e(t$n"
en"$neer w$## a#so be wr$tten on the ta".
B/. Th$s ta" w$## rema$n $n '#a(e unt$# the s(ao#d $s $t or use. TB. on21 0.),onn.2 '22o4.7 on to
' ).7 t'88.7 ,<'--o27 4+22 3. tB. ,<'--o27.), o) ' S'-.t1 En8+n..).
C/. Sam'#e #o" #a!out
+ate Re. Resu#t o
Ins'e(t$on
2reen ta" Red ta" En"$neer
Lo88+n8 S1,t./ -o) $'C')7? R+,E R.0o)t+n8
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-/. Ha)ard@r$s% not$$(at$on $s sent to the saet! (oord$nator *$a memo, s'e($$( not$(e o ha)ard@
r$s% or da$#! re'ort sheet.
;/. The r$s% e*a#uated and a ur"en(! (ode $s ass$"ned. The (ode $s a number rom - to B be$n" the
most ur"ent and B be$n" the #east ur"ent.
</. The deta$#s are then entered $n the #o" and a(t$on orm $s ra$sed. Th$s orm $s $ssued to the
de'artmenta# or s$te Mana"er or h$m to re(t$! the au#t, w$th a (o'! be$n" sent to the en"$neer
who ra$sed the matter.
4/. 5hen the au#t $s re(t$$ed the (om'#eted orm w$## be returned to the Saet! Coord$nator who
w$## $norm the re#e*ant en"$neer so he (an (he(% the re(t$$(at$on resu#ts 'r$or to s$"n$n" o the
a(t$on orm.
B/. The (om'#eted orm $s then entered $nto #o" and no a(t$on w$## be re0u$red.
C/. I on $ns'e(t$on the #o" shows an o*erdue a(t$on orm the re#e*ant Saet! En"$neer w$## be
$normed and he w$## (he(% on the 'ro"ress o the re(t$$(at$on wor%, oer$n" an! ad*$(e or he#'
needed.
Sam'#e o #o" #a!out
+ate Re. Ha)ard
@R$s%
des(r$'t$on
+ate a(t$on
orm ra$sed
Ur"en(!
(ode
+ate a(t$on
orm
returned
Che(%ed b!
4 date
SAFETY #EPARTENT
STOP %OR& NOTICE
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
N'/. o- Cont)'<to); IIIIIIIIIIIIIIIIIIIIIIIIII#'t. IIIIIIIIIIIT+/.IIIIIII
N'/. o- 'n'8.); IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
N't6). o- R+,E; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
#.t'+2, ; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
A<t+on R.D6+).7; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
R.<.+*.7 51; IIIIIIIIIIIIIIIIIIIIIIIIII En8).S+8n; IIIIIIIIIIIIIIIIIIIIIIIII
A<t+on t'E.n; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
T+/.; IIIIIIIIIIIIIIIIIII #'t.; IIIIIIIIIIIIIII R.,t')t 4o)E; IIIIIIIIIIIIIII
En8).S+8n; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
SAFETY #EPARTENT USE
%B1 7+7 tB+, not+<. 3.<o/. n.<.,,')1; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
%.). 4')n+n8, 8+*.n ; Y., IIIIIIII No;IIIIIIIIIIIII R.-.; IIIIIIIIIIIIIIIIIIII
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
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and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
#.t'+2, o- 02'nt; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
#.t'+2, o- 'n0o4.) ; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
#.t'+2, o- 't.)+'2,; IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT
PERIT TO %OR&
T!'e o wor%6 VVVVVVVVVVVVVVVVVVVV +ateVVVVVVVV
Saet! '#an subm$ttedVVVVVVVVV..1erm$t *a#$d unt$#VVVVVVVVVVV
Res'ons$b#e 'erson on s$teVVVVVVVVVVVVVVVVVVVVVVVVV..
1os$t$on VVVVVVVVVVVVVV.Conta(t NoVVVVVVVVVVVVVV
I understand that th$s 'erm$t to wor% $s on#! *a#$d unt$# the abo*e date and that I must (onorm to the
subm$tted saet! do(ument.
S$"nedVVVVVVVVVVVVVV..Com'an!VVVVVVVVVVVVVVV.
STAN#AR#S COLOR OF SIGNS FOR SAFETY INSTRUCTIONS
AN# %ARNING IN 5UIL#ING PREISES
St'n7')7, <o2o) U,.,
o- S+8n,
R.7 8$re 1rote(t$on to (a## attent$on to $re 'rote(t$on e0u$'ment a''aratus and
a($#$t$es?
EG'/02.,;
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
- 8$re stat$ons and e0u$'ment .e,t$n"u$sher, 'um's bu(%ets, hose, h!drants/
- 8$re e,t$n"u$sher s!stem .*a#*es, a#arm, s'r$n%#er '$'$n", et(./
- 8$re 'rote(t$on mater$a#s. doors, b#an%ets, e,t$n"u$sher a"ents/
- To $dent$! +an"er, Sto' s$"na# . red #$"hts '#a(ed on barr$(ades at tem'orar!
obstru(t$on or on tem'orar! (onstru(t$on? sto' buttons or e#e(tr$(a# sw$t(hes
used or the emer"en(! sto''$n" o ma(h$ner!? emer"en(! sto' bands
on ha)ardous ma(h$nes su(h as rubber m$##s/
G)..n Saet! +es$"nat$n" 9 saet!:
EG'/02.,;
- #o(at$on o $rst-a$d e0u$'ment? #o(at$on o saet! and a##$ed de*$(es? saet!
bu##et$n boards
%B+t. Tra$(, wh$te, b#a(%, or a (omb$nat$on o these are the bas$( (o#ors or the
des$"nat$on o tra$( and house%ee'$n" mar%$n", so#$d wh$te, so#$d b#a(%, s$n"#e
(o#or str$'$n" or a#ternate str$'es o b#a(% and wh$te.
EG'/02.,;
- .house%ee'$n"/#o(at$on o reuse (ans, wh$te (orners or rooms or
'assa"ewa!s? dr$n%$n" ounta$ns and ood d$s'ens$n" e0u$'ment #o(at$on.
- .tra$(/ #o(at$on and w$dth o a$s#e wa!s-? dead ends o a$s#e or 'assa"ewa! ?
sta$rwa! and d$re(t$ona# s$"ns.
Y.22o4 Caut$on. To des$"nate (aut$on and or ma%$n" 'h!s$(a# ha)ards, su(h as str$%$n"
a"a$nst, stumb#$n", a##$n", tr$''$n" and 9(au"ht between:. So#$d !e##ow, !e##ow
and b#a(% str$'es, !e##ow and b#a(% (he(%ers or !e##ow w$th su$tab#e (ontrast$n"
ba(%"round sha## be used $nter(han"eab#!, us$n" the (omb$nat$on wh$(h w$##
attra(t the most attent$on $n the 'art$(u#ar en*$ronment.
EG'/02.,;
- (onstru(t$on e0u$'ment, su(h as bu##do)ers, tra(tors, handra$#s, "uardra$#s or
to' and bottom trends o sta$rwa!s where (aut$on $s needed #ower 'u##e!
b#o(%s and (ranes, '$'$n" s!stem (onta$n$n" dan"erous mater$a#s waste
(onta$ner or e,'#os$*e or h$"h#! (ombust$b#e mater$a#s.
O)'n8. A#ert to des$"nate dan"erous 'arts o ma(h$ne or ener"$)ed e0u$'ment wh$(h
ma! (ut, (rush, sho(% or otherw$se $n&ure, and to em'has$)e su(h ha)ard when
en(#osure doors are o'en or remo*ed, e,'os$n" un"uarded ha)ards.
EG'/02.,;
9 To des$"nate the s$"n 9+o not o'en or remo*e: . the $ns$de o mo*ab#e
"uards? saet! start$n" buttons and bo,es? e,'osed 'arts o "ears, 'u##e!s,
ro##ers, (utt$n" de*$(es, $ns$de o the bo, door or (o*er o o'en use, 'ower
and e#e(tr$(a# sw$t(hes bo,es/.
526. 1re(aut$on. To des$"nate (aut$on, #$m$ted to warn$n" a"a$nst start$n" use o, or
the mo*ement o e0u$'ment wh$(h $s under re'a$r or be$n" wor%ed u'on.
EG'/02.,;
M-4 CONSTRUCTION and
MAINTENANCE
SERVICES, INC.
TITLE / FRTC REVISION PAGE
ENVIRONMENTAL,
SAFETY and
HEALTH PROGRAM
and PROCEDURE
DOCUMENT N No Number
M4CMSI-EHS-
SHP-13-001
02 OF
CLIENT UNIT N EDITED BY DATE
SIEMENS POWER
OPERATION
NA AJS SEPT 2013
Project OR! N PREPARED REVISED APROVED
Te!" S#$e De%&$, S#$e
P'(e) and S#$e
*+#,d#n-.
AJS R*DC CMM
9 9Men at 5or%: s$"na# or ra$#road tra(%s . $ men are wor%$n" or $ tan% (ars
are (onne(ted, or s$m$#ar wor%/
- 9Under Re'a$r: s$"na#s warn$n" o dan"er a"a$nst use wh$#e under"o$n"
re'a$rs . e#e*ators, bo$#ers, e#e(tr$(a# (ontro#s, #adders, s(ao#d$n"
*au#ts, et(./
P6)02. Rad$at$on. To des$"nate ha)ards. Re##ow $s used wh$#e $n (omb$nat$on w$th 'ur'#e
or mar%ers, su(h as ta"s, #abe#s, s$"ns and #oor mar%ers.
A. O*era## +$mens$ons o Saet! S$"ns
3;
SW -----------
;>>>
S 4 3 U E,'ressed $n the same un$t o measurement
S U Area o Saet! S$"n
XXXXXXXXXXXXXXXXXXXXXXXXXXXX
3 U +$stan(e o Obser*at$on

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