F J S S P CDRL#9 MGM-1373: MGM Las Vegas Citycenter

FINAL JOB SPECIFIC SAFETY PLAN
CDRL#9 MGM-1373
MGM LAS VEGAS CITYCENTER
AUTOMATED PEOPLE MOVER
CDRL#9 MGM-1373
Project and Document Identification
Project title
MGM Las Vegas CityCenter Automated People Mover
DCC project number
EKA 0000 024
Document title
Final Job Specific Safety Plan, CDRL#9 MGM-1373
Document file reference / issue
MGM-1373 / Rev.2
DSI Agreement title and number
SP 11.5
Prepared by: Charles Lauren

Reviewed by: Markus Hämmerle
© This document contains intellectual property copyrighted by DCC Doppelmayr Cable Car GmbH & Co. No December 18, 2007
part of this document may be copied in whole or in part without written permission from DCC Doppelmayr
Cable Car GmbH & Co; all rights reserved. Page 1 of 28
MGM-1373_r2_JobSpecificSP_GC.doc
CDRL#9 MGM-1373
Document Verification
Original Approval:
Name Signature Date
Prepared by Charles Lauren May/10/2007
Reviewed by Markus Hämmerle May/10/2007
Revision Approval:
Revision
Prepared by Signature Date Reviewed by Signature Date
Number
1 Charles Lauren July 1, 2007 Ervin Rummel July 1, 2007
2 Thomas Kurz Dec. 15, 2007 Ervin Rummel Dec. 15, 2007
Revision history
Revision
Date Description including sections affected Reason for change
Number
1 July 1, 2007 See L+E comments to rev 0
Page 5, Thomas Kurz instead of Charles
2 Dec. 15, 2007 Change in personnel
Lauren as Construction / Safety Manager
Page 27, telephone number changed; Change in personnel, new revision of City
2 Dec. 15, 2007
additional medical provider Center project Safety Manual
2 Dec. 15, 2007 Appendix A Improvement
2 Dec. 15, 2007 Appendix B Additional option added
2 Dec. 15, 2007 Appendix C Reports changed from MGM
CDRL#9 MGM-1373
TABLE OF CONTENTS
TABLE OF CONTENTS
1. SAFETY POLICY AND GOALS _______________________________ 4
2. GENERAL DESCRIPTION ___________________________________ 5

PROJECT/SITE OWNER________________________________________________________ 5
PROJECT LOCATION__________________________________________________________ 5
SCOPE OF WORK _____________________________________________________________ 5
SCHEDULE __________________________________________________________________ 5
PROJECT TEAM ______________________________________________________________ 5
Sub contractor “COMPETENT PERSONS” _________________________________________ 5
MISCELLANEOUS INFORMATION______________________________________________ 5
3. PLANNING CHECKLIST FOR CONSTRUCTION SAFETY _________ 6
4. MISCELLANEOUS PROCEDURES____________________________ 9
RESPONSIBILITIES ___________________________________________________________ 9
TRAINING/MEETINGS ________________________________________________________ 9
AUDITS _____________________________________________________________________ 9
SUBSTANCE ABUSE AND DETECTION _________________________________________ 9
5. SUBCONTRACTOR COMPLIANCE __________________________ 10
6. JOB HAZARD ANALYSIS __________________________________ 11
7. EMERGENCY PROCEDURES_______________________________ 27
EMERGENCY ACTION PLAN _________________________________________________ 27
ACCIDENT REPORTING AND INVESTIGATION PROCEDURES____________________ 27
FACILITIES FOR THE TREATMENT OF ON-THE-JOB INJURIES ___________________ 27
Appendix A: Sub contractor Job Specific Safety Plan
Appendix B: Medical Provider Document
Appendix C: Incident Report
CDRL#9 MGM-1373
1. SAFETY POLICY AND GOALS
1. SAFETY POLICY AND GOALS
It is DCC policy that a safe work place will be provided at all times and that all operations will
be conducted in a manner as to provide protection for all individuals who might come into
contact with these operations. There shall be no operation considered so important or scheduling
deadline so critical that safety is compromised.
DCC employees, subcontractor employees and all persons who come on this site are expected to
conduct themselves in a safe manner and are required to comply with established safety
procedures and programs. All supervisory employees must accept their responsibility for
conducting all operations under their direction in a safe and efficient manner and for the
prevention of accidents. Ultimately, all individuals are responsible for safety and shall report any
unsafe condition or procedure immediately to their supervisor and/or the DCC safety
department.
Work on this project shall comply with the OSHA Safety and Health Standards for the
construction industry, the DCC Safety Manual, this Safety Plan and the project owner’s safety
requirements.
NOTE: This Job Specific Safety Plan is incomplete without the DCC Safety Manual.
This Plan addresses only project specific issues. Policies, procedures, rules
and regulations applicable to all DCC projects are located in the DCC Safety
Manual. This Plan shall be co-located with the Safety Manual.
Our goal is to effectively implement this Safety Plan as well as all applicable safety programs
and procedures so as to PREVENT ALL ACCIDENTS.
_______________________ _____________________
(Name) (Name)
Project Manager Construction Manager
Date: ___________________ Date: __________________
CDRL#9 MGM-1373
2. GENERAL DESCRIPTION
PROJECT/SITE OWNER
MGM
PROJECT LOCATION
3780 Las Vegas Boulevard South
Las Vegas, NV 89109
SCOPE OF WORK
Construct a dual APM system between the Monte Carlo and Bellagio Casinos with a
central stop at the new City Center complex.
SCHEDULE
Estimated start date: 04/12/06
Estimated completion date: 12/16/09
PROJECT TEAM
Senior Project Manager Markus Haemmerle
Project Manager: Gary Graff
Project Construction Manager Thomas Kurz
Project Safety Manager: Thomas Kurz
Sub contractor “COMPETENT PERSONS”

Forms / Flyers:
Excavations:
Scaffolds:
Fall Protection: Charles Lauren
Cranes:
MISCELLANEOUS INFORMATION
Number of workers (including subcontractors) expected on the job at peak? Approximately 25
Refer to the MGM safety manual regulations
Day/time of weekly Sub meetings: Mon. at 1:00 pm

Day/time of Safety Committee Meetings: 3rd Thu of each month at 8:30pm
Day/time of DCC Tool box meetings: Fri at 7:00am
CDRL#9 MGM-1373
3. PLANNING CHECKLIST FOR
CONSTRUCTION SAFETY
3. PLANNING CHECKLIST FOR CONSTRUCTION

SAFETY
This checklist is provided to assist and remind project staff of various safety related items and
actions that may need to be addressed prior to and during the job.
x PREPLANNING WHEN/WHAT REFERENCE - Safety
Manual unless otherwise noted
DCC Safety Manual Have copy N/A
OSHA Manual 29 CFR 1926 Have copy N/A
Job Safety Start-up Notebook Have copy N/A
OSHA/EEO Posters Posted in tool container N/A
Digital Camera Have available N/A
Stokes Litter Have available near crane N/A
PPE (Hard Hats, Safety Glasses, Harnesses) Have supplies N/A
OSHA Notification Form (NV) Prior to job start NVOSHA
Insurance Coverage (G/L, B/R, W/C) Prior to job start N/A
Sub JSSP Prior to Subs site work Contract
Superintendent Safety Meeting w/ Sub Prior to Subs work Contract
Sub Insurance Certificates Prior to Subs site work Contract
Asbestos Survey Not applicable DCC Safety Manual
MSDS/Inventory Current copies DCC Safety Manual
New Hire Drug Test Pre-hire MGM safety Manual
Post accident Drug Test Employee injury MGM safety Manual
CDRL#9 MGM-1373
CONSTRUCTION SAFETY
x TRAINING/MEETINGS WHEN/WHAT REFERENCE - Safety

Orientation (Video, TV/VCR, Room, Handbooks) Prior to work DCC Safety Manual
Toolbox Weekly DCC Safety Manual
Fall Protection (Use of body harness) Orientation DCC Safety Manual
HAZCOM Orientation DCC Safety Manual
PPE At issue DCC Safety Manual
Power actuated tools Prior to use DCC Safety Manual
Aerial lifts Prior to use DCC Safety Manual
Forklift Prior to use DCC Safety Manual
OSHA 10 Hour As necessary DCC Safety Manual
1st Aid/CPR Early in project DCC Safety Manual
Tools Prior to use DCC Safety Manual
Crane signaling/rigging (incl. Subs) Prior to crane use DCC Safety Manual
Man Lift Operator Prior to work DCC Safety Manual
Crane Operator Prior to work DCC Safety Manual
Scaffold User/Erector/Competent Person Prior to work DCC Safety Manual
Confined Space Prior to entry DCC Safety Manual
Respirator Training/Fit Test/Physical Prior to use DCC Safety Manual
Safety Committee Meeting Quarterly DCC Safety Manual
x REPORTS WHEN/WHAT REFERENCE - Safety

Accident Investigation Reports Injured taken to clinic DCC Safety Manual
Monthly Safety Report By 5th of month N/A
OSHA 300 Log Log injury w/in 7 days OSHA
OSHA Notification of Injury Fatality/3 hospitalized OSHA
Verbal/Written Reprimands As Necessary DCC Safety Manual
x INSPECTIONS/CERTIFICATIONS WHEN/WHAT REFERENCE - Safety

DCC Audits Weekly DCC Safety Manual
Crane Certification Annual (copy on crane) Contract
Crane Inspections Daily DCC Safety Manual
Critical Lift Critical Lift Plan DCC Safety Manual
Man basket Ops Critical Lift Plan DCC Safety Manual
Sling/wire Rope Inspection Daily prior to use DCC Safety Manual
Man Lift Inspections Daily DCC Safety Manual
Scaffold Inspections Daily DCC Safety Manual
Scaffold/formwork P.E. stamp All formwork/unique DCC Safety Manual
designs
Fire Extinguisher Certification Annually OSHA
Fire Extinguisher Inspections Monthly OSHA
Confined Space Permit/Inspections Daily (Gases/Low O2) N/A
GFCI Inspection 90 days (OSHA)/Monthly DCC Safety Manual
(Thor)
1st Aid Kits Inspections Weekly OSHA
CDRL#9 MGM-1373
CONSTRUCTION SAFETY
Ladder Inspections Daily OSHA

Excavation Inspection Daily DCC Safety Manual
SCATS Visit As available N/A
x OTHER RULES/REGULATIONS WHEN/WHAT REFERENCE - Safety

Fire Extinguisher Quantity/Location Readily accessible and OSHA
conspicuous (one/3K sq ft)
Fire Watch Work near flammable OSHA
Material
Hot Work Permit As required DCC Safety Manual
Water Cups With water jug OSHA
1st Aid Kits Location Accessible around site OSHA
Chemical Containers Labeled DCC Safety Manual
CDRL#9 MGM-1373
4. MISCELLANEOUS PROCEDURES
4. MISCELLANEOUS PROCEDURES
RESPONSIBILITIES
All project staff subcontractor and employee responsibilities are detailed in the DCC Safety
Manual.
TRAINING/MEETINGS
All job-site training/meetings/committees shall be in accordance with the DCC Safety Manual.
AUDITS
All job-site audits shall be in accordance with the DCC Written Safety Manual requirements.
These are completed weekly by the Safety representative and/or the Superintendent and kept on
file at site.
SUBSTANCE ABUSE AND DETECTION

DCC employees on this job shall comply with DCC Substance Abuse Policy. In accordance
with this policy all employees shall submit to and pass a drug screening prior to employment and
subsequent to all accident/incidents.
Pre-hire drug testing shall be conducted at:
Atlas Drug Testing on site
Concentra (Polaris and Russell)
Subcontractor employees shall comply with their respective company’s Substance abuse
Program, their respective Collective Bargaining Agreement and/or the Owner’s requirements.
CDRL#9 MGM-1373
5. SUBCONTRACTOR COMPLIANCE
5. SUBCONTRACTOR COMPLIANCE
All subcontractors on this project shall comply with this Project Safety Plan. All of these
documents shall be reviewed with the subcontractor prior to commencement of work on the
project.
CDRL#9 MGM-1373
6. JOB HAZARD ANALYSIS
A Job Hazard Analysis has been conducted to identify hazards, safety issues and concerns
associated with the work to be accomplished. The completed Job Hazard Analysis is attached.
Subcontractors shall also provide a written hazard analysis as part of their project specific safety
plan.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: EXCAVATION
HAZARD(S) ABATEMENT PROCEDURE(S)
Soil collapse on workers All excavations will be stepped/sloped; shored or
underpinned where depth exceeds 5 feet. A competent
person to identify any unsafe areas that have developed
shall conduct daily inspections. Scaling 2’ back from
the top of the excavation shall be done to prevent
debris from falling on workers below.
Documented inspections to be provided to DCC.
Proper access in and out of excavations will be

required and adhered to.
No excavations greater than 20’ are anticipated. If it is

discovered that one is necessary, it will be designed by
a Registered P.E.
____________________________________________ ____________________________________________
Workers/public exposed to open trenches All excavations shall be barricaded as soon as possible
after creating the ground opening. Excavations shall
never be left unguarded and unbarricaded.
(Provide Public warnings.)
____________________________________________ ____________________________________________
Individuals on ground exposed to motorized heavy Equipment equipped with appropriate warning devices.
equipment All operators properly trained. Number of people in
area of heavy equipment operation kept to minimum.
All individuals in area made aware of heavy equipment
hazards. Operators properly trained
____________________________________________ ____________________________________________
Traffic congestion While excavation is in progress subcontractors shall
provide certified flag control for traffic where
construction and private vehicles interface. All trucks
will be guided on and off site.
____________________________________________ ____________________________________________
Falls Fall protection provided for all workers exposed to fall
hazards into excavations with depths greater than 5’.
____________________________________________ __________________________________________
Airborne dust Frequent watering will be done to control dust.
____________________________________________ ____________________________________________
Equipment striking underground utilities “Call Before You Dig” to be contacted prior to
commencement of any excavation.
____________________________________________ ____________________________________________
Blasting Operations in area All personnel to stay out of these areas/None at this
site
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: CONCRETE WORK

Fall hazards to personnel while performing formwork Use of harnesses and tie-offs. Guardrails and/or
greater than 6' off the ground perimeter cables on open sided floors.
____________________________________________ ____________________________________________
Falling rebar columns or forms while setting Columns/forms will be properly secured prior to
release from crane. Workers shall not attach personal
fall protection devices to columns unless column/form
is adequately secured.
____________________________________________ ____________________________________________
Leading edge exposure while assembling scaffold for Harnesses and tie-offs to retractable lanyards or
deck shoring catenary lines. Guardrails and/or perimeter cables on
open sides.
____________________________________________ ____________________________________________
Fall hazard while moving flyers Harnesses and tie-offs to retractable lanyards or
catenary lines. Guardrails and/or perimeter cables on
floor above flyer.
___________________________________________ ____________________________________________
Fall hazard while working on outside of shear wall Platforms with guardrails on outside of form.
Guardrails on access to platform. Workers on platform
removed if wind conditions unsafe.
___________________________________________ ____________________________________________
Exposed rebar ends Where workers are exposed to ends of rebar, Orange
Reinforced Caps (or boards) will be used. OSHA
permitted.
____________________________________________ ____________________________________________
Fall hazards while working on rebar columns above 6' Harnesses with tie-offs and lifts when possible
___________________________________________ ____________________________________________
Concrete chemical burns The proper PPE to be worn; i.e., rubber boots, rubber
gloves, safety glasses is mandatory while pouring
concrete.
____________________________________________ ____________________________________________
Silica exposure while grinding/chipping cured concrete Respiratory protection will be worn as necessary;
safety glasses
____________________________________________ ____________________________________________
Fall hazards while erecting/dismantling scaffold Where feasible, fall protection measures will be used;
i.e., tie-off, fully planked decks, guard rails
____________________________________________ ____________________________________________
Falling objects while erecting/dismantling and “flying” Areas below work will be clear of other workers and
scaffold/formwork/flyers barricaded when possible.
All forms will be inspected for loose objects prior to

being flown.
____________________________________________ ____________________________________________
Flying concrete buckets overhead workers Block off area around concrete trucks and adjacent to
building
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: FLOOR OPENINGS, ELEVATOR SHAFTS, STAIR
BLOCKOUTS, GAPS IN FLYERS, LEADING EDGE WORK

Fall hazards, falling debris Openings to be protected with two line guardrail and
toe board at each floor. Openings to be completely
covered when possible and cover to be properly and
clearly marked.
Perimeter cable, toe boards and fencing will be

provided at all levels immediately following flyer
removal.
Gaps in Flyers shall be closed or barricaded as soon as

flyers or decking is in place.
Persons installing fall protection materials shall utilize

harnesses and retractable lanyards or centenary lines
for fall protection. The leading edge will be identified
immediately with flagging or cable.
Frequent housekeeping to eliminate potential for

falling debris.
All material stocked on floors will be 10’ from floor

edges
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: CRANE OPERATIONS
HAZARD(S) ABATEMENT PROCEDURE (S)

Workers exposed to airborne loads A specific plan shall be developed for each critical lift
as defined in the DCC Safety Manual.
Operator certification will be in accordance with

OSHA and local requirements. Operators shall be
properly trained.
Crane operators shall conduct and document daily

inspections. Perini Superintendents to monitor.
Individual in-charge of load will ensure horns are

sounded when load goes airborne.
Crane operators shall be aware of soil certification for

area crane is setting on.
Crane operators shall be aware of load weights and

ensure that 75% crane capacity is not exceeded without
developing a Critical Lift Plan.
All parties involved in a lift shall be aware of the

weights being lifted and the radii of the start and end
points.
Crane operator shall ensure that all personnel involved

in crane operations understand signaling and rigging
standards.
Crane Certification shall be presented to the

Superintendent prior to the Crane moving on site.
Copy kept on file in Perini office.
Crane communication and signaling shall be discussed

weekly during safety meetings and tailgate meetings.
____________________________________________ ____________________________________________
Personnel error or malfunction while Erection/dismantle Procedures in accordance with
erecting/dismantling tower cranes DCC Safety Manual and applicable OSHA guidelines.
N/A this site.
____________________________________________ ____________________________________________
Power Lines A Critical Lift Plan shall be developed for all picks
within a boom’s length of power lines.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: ERECTION OF STRUCTURAL STEEL
Fall hazards to workers working greater than 6' off the A Pre Job meeting will be held to discuss fall and safety
ground hazards.
100 % fall protection is required for all workers at all times.

Whenever possible, fall protection systems shall be attached
to all steel pieces on the ground prior to setting. Perimeter
cable and angle posts installed at all metal deck openings,
building edges and roof deck. Guardrails and toe boards
immediately installed around deck openings.
Scissor and boom lifts where areas allow. (Operators

properly trained)
Load line with quick release for setting columns.

____________________________________________ ____________________________________________
Fire hazards Fire extinguishers will be present at all times during welding
and cutting operations.
Fire watches will be required whenever flammable material

is present. The fire watch will remain until after
welding/cutting is stopped. Hot work permits are provided
by DCC safety department.
____________________________________________ ____________________________________________
Falling objects from elevations When heavy buckets/bolts are being used, personnel will be
cleared from the area below.
Whenever possible the area below will be barricaded.
A minimum of two bolts will be required at connection

points for all beams and four bolts for all columns prior to
the release of the crane line.
____________________________________________ ____________________________________________
Delivery trucks with oversize loads entering site. Trucks will be guided on site.
____________________________________________ ____________________________________________
Workers exposed to airborne loads Communication and signaling should be discussed during
weekly safety and daily tailgate meetings.
Training for signaling should be given by the Crane

Operators. (Audible signals used/2 short blasts horn)
Taglines to be used on all loads.
Crane pad and soil properly prepared.

____________________________________________
Crane in close proximity to power lines A Critical Lift Plan shall be developed for all work in close
proximity to power lines.
Barricades and signage as necessary.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: MATERIAL STORAGE AND HANDLING
Blocked access/clutter Subs lay-down/storage location to be fenced area
immediately north of trailer.
____________________________________________ ____________________________________________
Falling objects from upper levels All material to be stored 10’ from floor edges, floor
openings and hoist ways.
____________________________________________ ____________________________________________
Construction fluid spills All large quantity containers will be stored in lay-down
area and have spill containment where being
transferred to other containers. N/A this site.
____________________________________________ ____________________________________________
Fire Oxygen and acetylene containers to be stored 20’ apart
or separated by one hour fire wall in lay down yard.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: MASONRY BLOCK WALL
Fall hazard A competent person for scaffolding shall be
designated in writing and present during all work
associated with scaffolding.
Scaffolds shall be complete at all times while workers

are on them.
Fall protection consisting of guardrails, perimeter

cables and/or harnesses with lanyards shall be used by
all persons above 6’ working near leading edges, on
block walls or performing overhand block work.
Access/ladders shall be provided in accordance with

OSHA and manufacturers specifications.
Weekly safety/tailgate meetings to discuss hazards.

____________________________________________ ____________________________________________
Falling objects from elevations. Personnel will be cleared from below brick and block
work and the area will be barricaded off. Limited
access zone will be set up opposite of working side.
Adequate signaling/communications during grouting

operations.
____________________________________________ ____________________________________________
Exposure to concrete Proper PPE at a minimum rubber gloves and safety
glasses.
____________________________________________ ____________________________________________
Rebar Reinforced caps or boards shall be used.
____________________________________________ ____________________________________________
Lifting heavy blocks Employees shall be made aware of proper lifting
techniques.
____________________________________________ ____________________________________________
Elevated heavy loads while moving block Proper signaling and flagging as necessary.
Forklift operators properly trained for equipment they

operate.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: ELECTRICAL WORK

Electrical shock Spider boxes with GFCI’s to be supplied by Electrical
Subcontractor
All electrical cords will be in good condition. Jackets

will be free of cuts and exposed conductors.
GFCI will be installed on all power sources. GFCI’s

will by inspected daily prior to use.
Temporary power distribution assemblies will be

inspected monthly by the electrical subcontractor and
documented in writing and on the assembly.
No fish taping thru hot junction boxes will be allowed.
All existing circuits scheduled for demolition will be

double checked for deleting or removing of power to
the circuit prior to removal of the light or device.
Panels breakers will be removed as an additional

insurance.
Rubber gloves and insulated boots as necessary.
A Lockout / Tag out Plan shall be followed when

working on energized equipment/cables. (Copy to be
provided to DCC.)
____________________________________________ ____________________________________________
Soil collapse in trenches Subcontractor to ensure competent person for
excavation onsite with activity at all times.
Proper sloping, benching or shoring to be used on

excavations deeper than 5 feet and where required by
OSHA.
____________________________________________ ____________________________________________
Public exposed to open trenches Barricades and/or flagging will be placed around all
open trenches.
____________________________________________ ____________________________________________
Confined spaces Training and proper procedures implemented as
necessary.
____________________________________________ ____________________________________________
Equipment striking overhead power lines No overhead power lines located on or near project
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: JOBSITE SECURITY

Public exposed to construction hazards 6' Chain link and/or wood fencing will be installed
around entire perimeter of site. DCC personnel will
be assigned to lock gates and check integrity of fencing
at the completion of work each day. Combination will
be installed at fence gates to allow Fire Department
entry to the site in the off hours
Signage warning public of construction hazards posted

on fence. Covered walkways with adequate lighting
will be provided as necessary.
Security to be provided during non-working hours if

necessary.
Provide and monitor temporary exiting for casino.

Provide adequate signage for exiting.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: ROOFING

Fall hazards 100% fall protection will be enforced at all times.
Roofing subcontractor shall provide a written fall
protection plan.
____________________________________________ ____________________________________________
Chemical hazards Proper PPE while handling chemicals.
____________________________________________ ____________________________________________
Fire Fire Extinguishers rated at “ABC” shall be in close
proximity to all open flames and propane tanks.
Hot work permit as directed by DCC safety

representative.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: FIRE PROTECTION
Fire Hazards One dedicated hydrant will be available. Fire Hydrants
will be located within 100’ of the trailers, and or
buildings in the process of construction.
One dry standpipe and construction water will be

available on each floor and go up with the tower.
Fire extinguishers will be placed on each floor per

OSHA requirements and inspected monthly. (A
minimum every 3000 sq. ft. with a travel distance of
no more than 100 feet to nearest extinguisher).
Signage and posters to highlight locations.
A fire watch will be posted for all cutting, welding and

grinding where slag and/or sparks are falling on
flammable material or to an area out of reach of the
person conducting the work. Fire watch to remain 30
minutes after work complete.
All flammable/combustible material will be stored

properly in dedicated/isolated areas.
All workers welding/cutting will be aware of DCC

Fire Safety Rules.
Hot work permits will be obtained from DCC safety

representative.
Demo procedures plan will be discussed in detail prior

to the start of work. Areas of demolition will be
flagged off and barricaded prior to the start of work.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: MOTOR VEHICLE OPERATIONS

Operator injuries Operators shall wear seatbelts (if installed) whenever
operating equipment.
Vehicles should be equipped with fire extinguishers.
No riding in the back of truck/cart beds is allowed.

____________________________________________ ____________________________________________
Pedestrian injuries All construction vehicles/equipment operated on-site
shall have operable back-up alarm.
____________________________________________ ____________________________________________
Motor vehicle accidents All oversized trucks will be guided into site. Flag
person utilized when necessary. All drivers shall
adhere to a speed limit that is safe for the conditions of
the site. In open areas this shall be no greater than 10
MPH.
Golf carts and mules should be equipped with flags so

that they can be seen.
All operators properly trained.
Flaggers properly trained.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: GENERAL ACTIVITIES, CLEANUP &
SANITATION

Injuries to eyes. 100% eye protection by all personnel while on site.
____________________________________________ ____________________________________________
Sanitation, fire and personal hazards associated with DCC and subcontractor personnel shall be assigned to
accumulated waste. and perform daily cleanup for their respective areas.
Water and floor sweep used as necessary to keep dust

down. Dust masks provided and Appendix D of
respirator standard is signed off by employee(s).
Trash containers placed around site.

____________________________________________ ____________________________________________
Fall hazards Fall protection shall be in accordance with the
applicable OSHA Standards.
____________________________________________ ____________________________________________
Communicable diseases associated with drinking water Source for drinking water will be domestic city water
from spigot on-site. Water to be directly transferred to
water jugs.
Workers shall not drink from water jug spigots. Cups
and trash receptacles shall be provided with all water
jugs. Jugs cleaned daily.
____________________________________________ ____________________________________________
Communicable diseases associated with toilet facilities One toilet and one urinal per 20 workers.
Separate facilities for men and women.
The facilities to be cleaned twice a week, minimum.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: DEMOLITION

Fall hazards 100% fall protection for heights over 6’shall be
enforced at all times.
Scissor and boom lifts where areas allow. (Operators

properly trained.)
Daily tool-box meetings will address current day’s

hazards to include fall prevention.
____________________________________________ ____________________________________________
Falling objects All nonessential personnel will remain well clear of
demo area. The demo crew foreman will establish
procedures to ensure and constantly verify that no
person is within the demo confines while work is in
progress.
All demo areas to flagged/barricaded with adequate

signage.
Evacuation routes/plan discussed daily.

____________________________________________ ____________________________________________
Fire hazards Hot work permits to be obtained daily from the DCC
safety representative.
Fire extinguishers in-place prior to the start of work.
Fire watch will remain ½ hour after the work

completion.
Combustible material storage discussed prior to start of

work.
CDRL#9 MGM-1373
JOB HAZARD ANALYSIS

ACTIVITY: SCAFFOLDING

Fall hazards Fall protection consisting of guardrails, perimeter
cables and/or harnesses with lanyards shall be used by
all persons working above 6’.
Access/ladders shall be provided in accordance with

OSHA and manufacturers specifications.
____________________________________________ ____________________________________________
Falling objects Toe boards and/or screening will be installed on all
working levels of the scaffold above access areas.
Other areas at the base of the scaffold will be
barricaded.
____________________________________________ ____________________________________________
Scaffold failure A competent person for scaffolding shall be designated
in writing and present during all work associated with
scaffolding.
The Competent Person for each subcontractor shall

inspect all scaffolds daily prior to their employees
accessing them. Copy of inspection to be provided to
Perini.
Scaffold parts shall not be removed, moved, disturbed

or altered in any way except by trained scaffold
erectors. Any scaffold discovered damaged shall be
red-tagged and all workers removed until repaired.
CDRL#9 MGM-1373
7. EMERGENCY PROCEDURES
All incidents of a crisis nature must be reported immediately to the following persons:
- Jack Anderson (702) 303 - 7239
- Bellagio Security (702) 693 - 7175
- Thomas Kurz (702) 523 - 0182
IF CIRCUMSTANCES WARRANT, THE JOB-SITE CRISIS MANAGEMENT PLAN

MAY NEED TO BE INITIATED.
EMERGENCY ACTION PLAN

An Emergency Action Plan (EAP) for the project has been developed which establishes
the immediate procedures to follow in the event of an accident on the job. The Plan is
attached to this section and shall be distributed to key personnel and posted at conspicuous
locations on-site. Information on this Plan is given during safety orientation.
ACCIDENT REPORTING AND INVESTIGATION PROCEDURES

All procedures and forms for accident investigation and reporting are located in the DCC
Safety Manual.
FACILITIES FOR THE TREATMENT OF ON-THE-JOB INJURIES

Adequate first aid kits shall be present on the jobsite for those injuries that require first aid
treatment only and do not necessitate professional medical attention. No on-site medical
assistance (EMT/Paramedic) is planned.
All Employees on the job requiring professional medical treatment shall be transported to:
Harmon Medical Clinic Concentra Medical Center
150 East Harmon Avenue 5850 S. Polaris Road #100

Las Vegas, NV 89118 Las Vegas, NV 89118
(702) 739-9957 (702) 239-9957
Junction of (Russell Road and Polaris)
CDRL#9 MGM-1373
EMERGENCY ACTION PLAN
Closest person to injured worker:

• Notify closest Foreman/supervisor
Foreman/supervisor:
• Contact the DCC Construction Manager
• Advise location, nature and extent of injury (Ensure you know the exact location of the injury)
• Make sure area is safe to prevent further injuries
• Clear area, stop all work in area (However, attempt to preserve accident site as much as
possible.)
Do not move injured person or allow them to move
NOTE: Any 911 calls should be made by the DCC Construction Manager. However, if this
would significantly delay emergency help when it is obvious that an ambulance is
necessary anyone with a cell phone may make the call.
(Superintendent):
• Proceed to location of injured worker
• Determine if 911 call is necessary and, if so, make call. Advise which gate/street for
ambulance to enter
(Assistant Superintendent):
• Proceed to entrance gate (Las Vegas Blvd.)
(Safety Representative):
• Proceed to exit gate (Harmon.)
• Ensure site roads are clear for ambulance
• Escort Emergency vehicle/personnel
Manlift Operator (If applicable):

• Unless directed otherwise by a DCC Construction Manager, one Lift will proceed and remain
at the Incident site until emergency personnel assess need.
IMPORTANT:
• During the Emergency, all work in the vicinity of the emergency and near access routes will
cease. Unless workers in the area are assisting the Emergency Personnel in gaining access to
injured worker/or hazard, they will clear the area.
EMERGENCY EVACUATION
In the event of a catastrophic event requiring the evacuation of the jobsite:
• Evacuation notification will be by radio, cell phone, or one continuous blast of air horn type
signaling device.
• All workers proceed to evacuation assembly area: Outside of Entry Gate on Harmon Ave.
• DO NOT leave assembly area until you are accounted for
• Each Company will be responsible to report to DCC Company.
• The “All Clear” signal will come from individual company supervisors to their employees.
CDRL#9 MGM-1373
APPENDIX A
Appendix A: Sub contractor Job Specific Safety Plan
© This document contains intellectual property copyrighted by DCC Doppelmayr Cable Car GmbH Dezember 18, 2007
s document may be copied in whole or in part without written permission from DCC Doppelmayr
Co; all rights reserved.
APPENDIX A
SUBCONTRACTOR JOB SPECIFIC SAFETY
PLAN
Subcontractor Superintendent - Please complete and return this Plan

prior to commencement of work.
***FAILURE TO COMPLY WITH THIS REQUIREMENT MAY

RESULT IN WORK STOPPAGE***
SUBCONTRACTOR NAME: _______________________________
PROJECT NAME: ________________________________________
DATE: __________________________
WELCOME!
It is DCC’s intent and goal to establish and maintain the safest work-site possible. To help
accomplish this task we have instituted safety standards that we feel are more stringent than
OSHA regulations and well above what is commonly accepted around the construction industry.
This higher level of safety cannot be achieved throughout the job-site unless all
SUBCONTRACTORS CONTRIBUTE BY ADHERING TO AND ENSURING

EMPLOYEES BEHAVE IN A MANNER SO AS TO MEET THE STANDARDS
EXPECTED BY DCC
NOTE: The information requested here is to be considered the minimum necessary to commence
work. Additional information may need to be developed and provided to DCC as the job
progresses and the necessary safety precautions become more defined. Contractors developing
their own Job Specific Safety Plan shall complete this document and provide their Plan as an
attachment.
Date completed JSSP received by DCC: ____________________

Date of Safety Meeting with Subcontractor: ____________________
© This document contains intellectual property copyrighted by DCC Doppelmayr Cable Car GmbH & Co. No Dec. 15, 2007
MGM-1373_r2_Appendix_A.doc
APPENDIX A
PLAN
TABLE OF CONTENTS
1. Subcontractor Requirements......................................................................3
1.1 Subcontractor Compliance ............................................................................................................................ 3
1.2 ADDITIONAL REQUIREMENTS............................................................................................................... 3
1.3 EMPLOYEE ORIENTATION...................................................................................................................... 4
1.4 PERSONAL PROTECTIVE EQUIPMENT ................................................................................................. 4
1.5 ACCIDENT REPORTING............................................................................................................................ 5
1.6 MISC ............................................................................................................................................................. 5
2. GENERAL DESCRIPTION.......................................................................... 6
2.1. SCOPE OF WORK ....................................................................................................................................... 6
2.2. PROJECT TEAM.......................................................................................................................................... 6
2.3. POINT OF CONTACT IN THE EVENT OF AN EMERGENCY: .............................................................. 6
2.4. COMPETENT PERSONS............................................................................................................................. 7
2.5. SUBSTANCE ABUSE PREVENTION AND DETECTION ....................................................................... 7
2.6. FACILITIES FOR THE TREATMENT OF ON-THE-JOB INJURIES ....................................................... 7
2.7. SUB-TIER CONTRACTORS....................................................................................................................... 8
3. SITE PROCEDURES / JOB HAZARD ANALYSIS ................................... 9
3.1. TRAINING.................................................................................................................................................... 9
3.2. PERSONAL PROTECTIVE EQUIPMENT (PPE) ....................................................................................... 9
3.3. HOUSEKEEPING....................................................................................................................................... 11
3.4. MATERIAL STORAGE ............................................................................................................................. 11
3.5. TOOLS ........................................................................................................................................................ 12
3.6. FALL PROTECTION ................................................................................................................................. 14
3.7. SCAFFOLD ................................................................................................................................................ 15
3.8. EXCAVATION/TRENCHING................................................................................................................... 16
3.9. AERIAL LIFTS........................................................................................................................................... 17
3.10. FORKLIFTS................................................................................................................................................ 18
3.11. CRANES ..................................................................................................................................................... 18
3.12. HOT WORK ............................................................................................................................................... 20
3.13. CONCRETE................................................................................................................................................ 20
3.14. ELECTRICAL............................................................................................................................................. 21
3.15. PLUMBING ................................................................................................................................................ 22
3.16. MASONRY................................................................................................................................................. 23
3.17. DEMOLITION............................................................................................................................................ 23
3.18. ASBESTOS ................................................................................................................................................. 24
3.19. PUBLIC PROTECTION ............................................................................................................................. 25
3.20. OTHER SAFETY ISSUES/CONCERNS THAT NEED TO ADDRESSED:............................................. 25
Attachments
I Subcontractor Safety Requirements

II Monthly Subcontractor Safety Report
III Subcontractor Employee Orientation Verification
APPENDIX A
PLAN
1. Subcontractor Requirements
1.1 SUBCONTRACTOR COMPLIANCE
The following regulating documents apply to this job-site:
• State or Federal Occupational Safety and Health Standards for the Construction
Industry
• DCC Job Specific Safety Plan
• DCC Project Site Safety Plan
• City Center Project Safety Manual
1.2 ADDITIONAL REQUIREMENTS
The following shall be provided to DCC:
• Company safety program to include the Hazard Communication Program and

MSDS sheets.
• This Job Specific Safety Plan ensuring it addresses known or anticipated hazards
and procedures to eliminate each identified hazard
• Weekly Toolbox meeting attendance reports.
• The name of the designated job-site safety person for the project.
• The name, in writing, of the on-site “competent person” (as defined by OSHA) for
each type of task being performed.
• Monthly report of man-hours and lost-time injuries. (See Attachment II)
NOTE: The Subcontractor Superintendent/Safety Representative shall meet with the

DCC Safety Manager to discuss safety prior to the Subcontractor performing
any work. Subcontractor questions/issues should be addressed at that time.
***FAILURE TO COMPLY WITH ANY OF THESE REQUIREMENTS WILL BE

GROUNDS FOR PAYMENT WITHHOLDING!***
APPENDIX A
PLAN
1.3 EMPLOYEE ORIENTATION
The Subcontractor SHALL provide each employee a site specific safety

orientation prior to them performing any work on this job. The orientation shall
consist of the following:
• General safety orientation

• Hazard Communication/MSDS
• Fall protection (OSHA Standards Subpart M).
• Site specific conditions and/or hazards.
• Personal protective equipment.
• Emergency Action Plan procedures.
• Emergency Response Procedures.
• Employee Disciplinary Policy.
• Documentation of the completed orientation shall be reported to DCC Safety
Manager.
1.4 PERSONAL PROTECTIVE EQUIPMENT
All employees shall wear, at minimum, the following personal protective equipment
(PPE) and clothing:
• Hard hat.
• Proper long pants and shirts with sleeves.
• Work boots, with steel toes if necessary for the work being performed.
• Eye, respiratory and hearing protection as required.
• Fall protection - Full body harness with appropriate lanyard shall be worn and
properly attached AT ALL TIMES when working at elevations greater than 6 feet
and guard rails are not present for fall protection.
APPENDIX A
PLAN
1.5 ACCIDENT REPORTING
All incidents of a serious nature shall be handled in accordance with the project
emergency action plan. The DCC Construction / Safety Manager shall be notified
immediately whenever an injury or significant incident occurs.
1.6 MISC
• All personnel are responsible for safety and shall report any unsafe condition or
procedure immediately to their supervisor and DCC
• Any worker or Subcontractor that disturbs / removes a safety device (i.e.,
perimeter cable, hole cover, etc.) is responsible for guarding/protecting that area
until it is safe again and for restoring the device to proper safety standards prior
to leaving the area.
• Supervisors are responsible for enforcing safety procedures.
APPENDIX A
PLAN
2.1. SCOPE OF WORK
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Expected number of employees to be working on-site ___________________________
2.2. PROJECT TEAM
Project Manager ________________________________________________________
Project Superintendent ___________________________________________________
Safety Representative ____________________________________________________
2.3. POINT OF CONTACT IN THE EVENT OF AN EMERGENCY:
Name: ________________________________________________________________
Phone number: _________________________________________________________
Name: ________________________________________________________________
Phone number: _________________________________________________________
APPENDIX A
PLAN
2.4. COMPETENT PERSONS
Task: _____________________________ Name:___________________________
Task: _____________________________ Name:___________________________
Task: _____________________________ Name:___________________________
Task: _____________________________ Name:___________________________
Task: _____________________________ Name:___________________________
2.5. SUBSTANCE ABUSE PREVENTION AND DETECTION
An active substance abuse program that includes new hire and post-accident drug
testing does ___ does not ___ exist for our company.
2.6. FACILITIES FOR THE TREATMENT OF ON-THE-JOB

INJURIES
Where will you take employees that require professional medical treatment while on this
job-site?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
2.7. SUB-TIER CONTRACTORS
Please list all sub-tier contractors you anticipate hiring: (if you know you will have sub-
tier subs but do not know who they are yet, please list the work and estimated date)
DATE
WORK NAME ON-SITE
__________________________ _________________________ __________
__________________________ _________________________ __________
__________________________ _________________________ __________
__________________________ _________________________ __________
__________________________ _________________________ __________
__________________________ _________________________ __________
__________________________ _________________________ __________
__________________________ _________________________ __________
__________________________ _________________________ __________
APPENDIX A
PLAN
3. SITE PROCEDURES / JOB HAZARD ANALYSIS
PLEASE NOTE: If you check “No” to a task or hazard and your employees are
subsequently observed exposed to a hazard not addressed here you will be required to
provide a supplemental Hazard Analysis. Depending on the hazard, work may be
suspended until the Hazard Analysis is complete.
3.1. TRAINING
When will Toolbox Meetings be conducted? ___________________________________
Location of meeting? _____________________________________________________
3.2. PERSONAL PROTECTIVE EQUIPMENT (PPE)
Will your employees be exposed to dust, fumes or potentially harmful gases?
Yes No
If yes:
Describe: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
Do you have a written Respiratory Protection Program?
Yes No
What respirator precautions will you take? ____________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
Have you conducted proper training with documentation?
Yes No
Will your employees be exposed to eye hazards? Yes No
If yes:
Describe: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
What eye protection measures will you take? __________________________________
______________________________________________________________________
______________________________________________________________________
Will your employees be exposed to any potentially harmful chemicals?
Yes No
If yes:
Describe: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
What PPE requirements will be necessary? ___________________________________
______________________________________________________________________
______________________________________________________________________
Do you have a written HAZCOM Program and all MSDS for all on-site chemicals?
Yes No
Where are these located? _________________________________________________
APPENDIX A
PLAN
Will you have work that requires any special PPE? Yes No
If yes:
Describe: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.3. HOUSEKEEPING
What will be your procedures for housekeeping and cleanup? (NOTE: Your contract
with DCC requires daily clean-up!)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.4. MATERIAL STORAGE
Where will construction material be stored / staged? ____________________________
______________________________________________________________________
______________________________________________________________________
For material stored in or around building, how will it be stocked / stored so as not to
interfere with ongoing work or create a falling object hazard within 10’ of building edge?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
Will you be using any flammable/combustible liquids? Yes No

If yes:
Where will these be stored? _______________________________________________
______________________________________________________________________
______________________________________________________________________
What fire prevention precautions will be taken? ________________________________
______________________________________________________________________
______________________________________________________________________
What spill prevention precautions will be taken? ________________________________
______________________________________________________________________
______________________________________________________________________
3.5. TOOLS
Will you be using powder-actuated tools? Yes No

If yes:
How will you provide the proper training? _____________________________________
______________________________________________________________________
______________________________________________________________________
How will the unused shots be stored? ________________________________________
______________________________________________________________________
______________________________________________________________________
How will the used shots be disposed?________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
Will you be operating lasers? Yes No

If yes:
How will your employees be provided the proper training? ________________________
______________________________________________________________________
______________________________________________________________________
Do you have the proper signage to post in areas where lasers are being used? Yes No
Will you be operating table saws? Yes No

If yes:
How will you ensure guards remain in place? __________________________________
______________________________________________________________________
______________________________________________________________________
Will you be using other power tools? Yes No

If yes:
List tool with safety precautions/guards/training necessary for operation:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
3.6. FALL PROTECTION
Will your employees be exposed to any fall hazards? Yes No

If yes:
Describe: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
What fall protection measures will you use? ___________________________________
______________________________________________________________________
______________________________________________________________________
Have workers been properly trained? Yes No

Will your work be performed on any roof areas? Yes No
If yes:
What procedures will be implemented to ensure workers are provided positive fall
protection at all times?____________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
(NOTE: If conditions are not favorable to traditional fall protection measures, a written
Fall Protection Plan may be requested)
APPENDIX A
PLAN
Will your work expose your employees to floor openings or open/leading edge work?
Yes No
If yes:
Describe: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
What procedures will you use to ensure your employees and other site workers are not
exposed to fall hazards?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.7. SCAFFOLD
Will you be using scaffold? Yes No

If yes:
Who is your Competent Person for scaffolding? ________________________________
What type of scaffolding? _________________________________________________
Location? ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
Who will erect it? ________________________________________________________
APPENDIX A
PLAN
What fall protection measures will be taken during scaffold erection/dismantle? (NOTE:
If the Competent Person determines traditional fall protection measures are not feasible,
a written Fall Protection Plan shall be provided to DCC.)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Who will inspect it daily? __________________________________________________
Will the nature of the scaffold require it be designed by a Registered Professional

Engineer? (Contact DCC Superintendent or DCC Safety Director for special
requirements!)
Yes No
Will you be using scaffold to shore formwork or for reshoring?
Yes No
If yes, the stamped drawings shall be provided to DCC.
3.8. EXCAVATION/TRENCHING
Will you be moving any dirt? Yes No

If yes:
Who is your Competent Person for excavations? _______________________________
Will you be using any heavy equipment? Yes No

If yes:
What type?_____________________________________________________________
What is the deepest excavation?____________________________________________
APPENDIX A
PLAN
What type of cave-in protective measures will you take? _________________________
______________________________________________________________________
______________________________________________________________________
Will you be moving any dirt off-site? Yes No

If yes:
What special procedures will be necessary for hauling dirt on public streets?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Where will you be using flaggers?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.9. AERIAL LIFTS
Will your employees be operating aerial/scissor lifts? Yes No

If yes:
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
3.10. FORKLIFTS
Will you be operating forklifts? Yes No

If yes:
______________________________________________________________________
______________________________________________________________________
3.11. CRANES
NOTE: Be advised that a current annual inspection shall be provided to DCC prior to
any crane operating on this job-site. Crane operator qualifications must be provided to
DCC Safety Manager.
Will you be using a crane? Yes No

If yes:
Will you be hiring your own crane? Yes No

Are you aware of DCC’s Critical Lift Procedures? Yes No
If no, please contact the DCC Safety Manager for additional information.
What will you be lifting? (If your crane requirements are more extensive than can be
described here, please provide a separate, complete and detailed description of your
requirements.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
Where will the crane be located?____________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Where will the pick start and end?___________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Do you anticipate any picks being Critical Lifts? Yes No

If yes, please describe:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Who is your Competent Person for crane activities?
______________________________________________________________________
Who is your Competent Person for signaling/rigging?
______________________________________________________________________
Please Note: Anyone signaling / rigging loads must complete training for signaling /
rigging. How will you complete this training?
______________________________________________________________________
Please provide DCC with documentation of the completed training.
APPENDIX A
PLAN
3.12. HOT WORK
Will you be doing any welding or torch cutting? Yes No

If yes:
What fire prevention precautions will be taken? ________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
What precautions will you take to protect your employees and other site workers from
welding/cutting hazards? NOTE: THE CITY CENTER PROJECT SAFETY MANUAL
REQUIRES THAT A HOT WORKS PERMIT BE ISSUED PRIOR TO ANY HOT
WORK BEING DONE.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.13. CONCRETE
Will you be doing any concrete work? Yes No

If yes:
What type of form-work will you be using? ____________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
What type of shoring will you be using? ______________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
All form-work/shoring shall be designed by a P.E. Please provide name:
______________________________________________________________________
What type of fall protection will be used on form-work (i.e., decks/walls)?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.14. ELECTRICAL
Will you be doing any electrical work? Yes No

If yes:
What are the voltages you will be working with ________________________________
Will employees be handling live electrical lines? Yes No

If yes:
Describe: ______________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
Will you be responsible for providing temporary power/lights? Yes No

If yes:
Describe daily maintenance procedures:
______________________________________________________________________
______________________________________________________________________
(Note: Records of temporary power supply monthly inspections must be provided to

DCC.)
Do you have a Lock-out/Tag-out Program? Yes No

If yes, please provide copy to DCC.
If no, why not? __________________________________________________________
3.15. PLUMBING
Will you be working with plumbing? Yes No

If yes:
Will this plumbing contain high pressure fluids/gas? Yes No

If yes:
What precautions are required? ____________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
3.16. MASONRY
Will you be doing any masonry work? Yes No

If yes:
How will you protect impalement hazards? ____________________________________
______________________________________________________________________
______________________________________________________________________
What precautions will you take while cutting blocks? ____________________________
______________________________________________________________________
______________________________________________________________________
What precautions will you take to protect your employees and other site workers
below and around your work?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.17. DEMOLITION
Will your work require any demolition? Yes No

If yes:
Please describe: ________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
Who is your Competent Person for demolition? ________________________________
Note: In accordance with OSHA Regulations, prior to commencing demolition work, an

engineering survey shall be conducted by a Competent Person to determine the
soundness of the structure. Documentation of the survey shall be in writing and
provided to DCC.
What precautions will be necessary to protect workers?__________________________
______________________________________________________________________
______________________________________________________________________
What will you do restrict unauthorized personnel from entering demo area?
______________________________________________________________________
______________________________________________________________________
3.18. ASBESTOS
Will your work require handling, disturbing, abating or working around any asbestos or
asbestos containing material? Yes No
If yes:
Please describe: ________________________________________________________
______________________________________________________________________
______________________________________________________________________
What training have you provided your employees for this? ________________________
______________________________________________________________________
______________________________________________________________________
What testing organization has identified “hot” areas for you? ______________________
______________________________________________________________________
______________________________________________________________________
NOTE: Any reports concerning asbestos must be provided to DCC
APPENDIX A
PLAN
3.19. PUBLIC PROTECTION
Will any of your work be in close proximity to the public or employees of an existing
facility? Yes No
If yes:
What precautions will be necessary to protect non-construction personnel? __________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3.20. OTHER SAFETY ISSUES/CONCERNS THAT NEED TO

ADDRESSED:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
APPENDIX A
PLAN
This Job Specific Safety Plan has been prepared specifically for:
______________________________________________________
Project Name
By a representative of:
______________________________________________________
Company Name
I, as a member of the Project Team, have read and am fully aware of the contents of
this Plan. Additionally, my company is aware of and understands the safety
requirements governing this job-site and will, in good faith, attempt to perform all tasks
in accordance with same.
______________________________________________________
Signature of Project Team Member
____________________________
Date
APPENDIX A
PLAN
ATTACHMENT I
SUBCONTRACTOR SAFETY
REQUIREMENTS
• Please refer to document Final Project Site Safety Plan, Document No.
MGM-1303, current revision
• Please refer to City Center Project Safety Manual Construction Safety and Health
Guidelines, current revision
APPENDIX A
PLAN
ATTACHMENT II
Contractor Monthly Report of Safety Statistics

INJURY AND ILLNESS STATISTICS
Month _____________ Year ___________
Name of Contractor: ___________________________________________________________________
Name of Subcontractor: ________________________________________________________________
Location: ____________________________________________________________________________
Prepared by: _________________________________________________________________________

(Name, Title, and Company)
Single Contractor Report

Contractor’s composite report; list names of subcontractors in Remarks and attach a copy of each
subcontractor’s single monthly report.
Total for Month Cumulative Total YTD
First Aid Cases ____________ ____________

*OSHA Recordable Cases ____________ ____________
*OSHA Lost Workday Cases ____________ ____________
*Lost Workdays ____________ ____________
Fatalities ____________ ____________
Total Work Hours ____________ ____________
Remarks: ____________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
* As defined by OSHA
o Contact the DCC Safety Manager with questions concerning this report.
o This report must be submitted to DCC by the 5th of the month.
APPENDIX A
PLAN
ATTACHMENT III
Subcontractor Employee Orientation Verification

SUBCONTRACTOR: ____________________________________ DATE:________________
JOB LOCATION: _______________________________________

DCC JOB NO:________
The individuals listed below have completed an orientation/indoctrination for the above named
job-site. The orientation consisted of the following subjects:
1. General safety orientation
1. Hazard Communication and MSDS
2. Fall protection (OSHA Standards Subpart M)
3. Site specific conditions and/or hazards
4. Personal protective equipment
5. Emergency Action Plan procedures
6. Emergency Response procedures
7. Employee Disciplinary Policy
Signature Print name
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
______________________________________ _____________________________________
Supervisor signature ____________________________________

These are minimum requirement topics. Actual Orientation exceeds these.
CDRL#9 MGM-1373
APPENDIX B
Appendix B: Medical Provider Document
CDRL#9 MGM-1373
APPENDIX C
Appendix C: Incident Report
APPENDIX C
INCIDENT REPORT
Incident No.______________________
INCIDENT INVESTIGATION REPORT

1. Complete all applicable sections.
2. Form to be completed by injured person’s Supervisor.
3. Copy to MGM MIRAGE Safety Department within 24 hours of the incident.
Project Information:
Project Name/# _____________________________________________ Date of Report ___________________
Date of Incident _____________________________________________ Time Incident Occurred ____________
Name of Person Who Reported Incident __________________________ Transported To___________________
Time Reported ______________________________________________
Type of Incident (Check All That Apply):

Injury Property Damage Vehicle Incident Other ____________________
Injured Person and/or Employee Name____________________________________________________________
Date of Birth___________________________________ SS# ___________________
Employer Name _____________________________ Supervisor Name _________________________________
Address__________________________________________________________ Phone # __________________
Date of Hire ____________________________ Employee Occupation _________________________________
How Long In Trade_____________________ How Long At City Center ________________________________
Place of Injury (Bldg/Area) ____________________________________________________________________
Type of Injury and Body Part Affected ___________________________________________________________
Is Injury Believed to be Job Related? Yes No Unknown
Recording Information (Check All That Apply):

First Aid Only (provided by) OSHA Recordable Non-Recordable
Restricted Work Lost Work Days _________ (Date Returned to Work ___________________)
Incident Information:
Brief Description of Incident ___________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
© This document contains intellectual property copyrighted by DCC Doppelmayr Cable Car GmbH & Co. No part Dec. 15, 2007
of this document may be copied in whole or in part without written permission from DCC Doppelmayr Cable Car
GmbH & Co; all rights reserved. Page 1 of 4
MGM-1373_r2_Appendix_C.doc
APPENDIX C
INCIDENT REPORT
Description of Property Damage ________________________________________________________________

___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Value of Property Damage _________________ Owner of Property/Material _____________________________
Location of Damaged Property/Material __________________________________________________________
Witness(s) __________________________________________________________________________________
Cause Factors:
Weather conditions: Water Wind Sun
Details: _________________________________________________________________
Site conditions: Mud Dust Lighting Unprotected hazard
Details: _______________________________________________________________________
Housekeeping: Debris Cords/Hoses Building Materials
Details: _________________________________________________________________
Rules/Regulations: Violation Not Trained Disregarded
Details: _________________________________________________________________
Personal Conditions: Physical Mental Prescription Meds Non-Prescription Meds
Details: _________________________________________________________________
Equipment: Wrong Type Defective Not Trained Missing Guard Improper Use
Details: _______________________________ ________________
Procedures: Unsafe Not Trained Improper Use
Details: _________________________________________________________________
PPE: Not Wearing Wearing Improperly Defective
Details: _________________________________________________________________
Behavior: Horse Play Body Position Inattention Inexperience
Details: _________________________________________________________________
Communication: Inadequate Misunderstood
Details: _________________________________________________________________
Planning: Inadequate Unforeseen Situation Unqualified Personnel
Details: _________________________________________________________________
Corrective Action:
What actions have been or are planned to prevent recurrence of this or similar incidents?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Report Prepared By (Print Name) _________________________ Signature ______________________________
Project Manager/Superintendent ____________________________________ Date ________________________

(Signature)
APPENDIX C
INCIDENT REPORT
INJURED EMPLOYEE’S STATEMENT
Company Working For_____________________________ Date of Report _______________________________

Name _________________________________________Date/Time of Incident ___________________________
Last First MI ___________________________
Title __________________________________________Supervisor’s Name _____________________________
SS#___________________________________________Years of Experience in This Trade _________________
Date of Birth ___________________________________Age _______________ Hire Date _________________
Permanent Address ______________________________Witness ______________________________________
______________________________________________ _____________________________________
Phone Number __________________________________ _____________________________________

Location at Time of Incident: (Bldg, Area, Level, Etc.) _______________________________________________
How long at CityCenter______________________ Name of Union ___________________________________
Type of Injury and Injured body part______________________________________________________________
Describe, to the best of your knowledge, how the accident happened. Include a description of your job assignment.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Signature ________________________________________________________ Date ______________________
APPENDIX C
INCIDENT REPORT
WITNESS STATEMENT
1. Complete form as necessary for incident.

2. Have each witness complete separate statement.
Date of Incident _________________________________Time of Iincident ______________________________
Name of Individuals Involved ____________________________ _______________________________
____________________________________________________ _______________________________
Title __________________________________________Supervisor’s Name _____________________________
Describe, to the best of your knowledge, exactly what you observed. Describe where you where when the accident
occurred.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Print name _________________________________________________ Phone number_____________________
Signature _____ Date

F J S S P CDRL#9 MGM-1373: MGM Las Vegas Citycenter

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F J S S P CDRL#9 MGM-1373: MGM Las Vegas Citycenter

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FINAL JOB SPECIFIC SAFETY PLAN

MGM LAS VEGAS CITYCENTER

AUTOMATED PEOPLE MOVER

FINAL JOB SPECIFIC SAFETY PLAN

Project and Document Identification

Prepared by: Charles Lauren

Prepared by Charles Lauren May/10/2007

Reviewed by Markus Hämmerle May/10/2007

1 Charles Lauren July 1, 2007 Ervin Rummel July 1, 2007

1. SAFETY POLICY AND GOALS _______________________________ 4

2. GENERAL DESCRIPTION ___________________________________ 5

6. JOB HAZARD ANALYSIS __________________________________ 11

Appendix B: Medical Provider Document

Appendix C: Incident Report

1. SAFETY POLICY AND GOALS

Date: ___________________ Date: __________________

Sub contractor “COMPETENT PERSONS”

Refer to the MGM safety manual regulations

Day/time of weekly Sub meetings: Mon. at 1:00 pm

3. PLANNING CHECKLIST FOR CONSTRUCTION

x TRAINING/MEETINGS WHEN/WHAT REFERENCE - Safety

x REPORTS WHEN/WHAT REFERENCE - Safety

x INSPECTIONS/CERTIFICATIONS WHEN/WHAT REFERENCE - Safety

Ladder Inspections Daily OSHA

x OTHER RULES/REGULATIONS WHEN/WHAT REFERENCE - Safety

SUBSTANCE ABUSE AND DETECTION

Atlas Drug Testing on site

Concentra (Polaris and Russell)

6. JOB HAZARD ANALYSIS

JOB HAZARD ANALYSIS

Proper access in and out of excavations will be

No excavations greater than 20’ are anticipated. If it is

JOB HAZARD ANALYSIS

HAZARD(S) ABATEMENT PROCEDURE(S)

All forms will be inspected for loose objects prior to

JOB HAZARD ANALYSIS

HAZARD(S) ABATEMENT PROCEDURE(S)

Perimeter cable, toe boards and fencing will be

Gaps in Flyers shall be closed or barricaded as soon as

Persons installing fall protection materials shall utilize

Frequent housekeeping to eliminate potential for

All material stocked on floors will be 10’ from floor

JOB HAZARD ANALYSIS

HAZARD(S) ABATEMENT PROCEDURE (S)

Operator certification will be in accordance with

Crane operators shall conduct and document daily

Individual in-charge of load will ensure horns are

Crane operators shall be aware of soil certification for

Crane operators shall be aware of load weights and

All parties involved in a lift shall be aware of the

Crane operator shall ensure that all personnel involved

Crane Certification shall be presented to the

Crane communication and signaling shall be discussed

JOB HAZARD ANALYSIS

100 % fall protection is required for all workers at all times.

Scissor and boom lifts where areas allow. (Operators

Load line with quick release for setting columns.

Fire watches will be required whenever flammable material

Whenever possible the area below will be barricaded.

A minimum of two bolts will be required at connection

Training for signaling should be given by the Crane

Taglines to be used on all loads.

Crane pad and soil properly prepared.

Date: _ Date: