Brun-Way Contractor Health and Safety Standard. Revision History. Revision Date Description Prepared by Approved by

Transcription

1 Bru-Way Cotractor Health ad Safety Stadard Revisio History Revisio Date Descriptio Prepared by Approved by 0 April 1 st, 2013 Origial Issue Bru-Way Colee Gorma- Asal 1 March 14, 2014 Updated to 2014 requiremets Bru-Way Adrew Christie 2 February 2, 2015 Updated to 2015 Requiremets Bru-Way Adrew Christie Cautio: U-Cotrolled Copy Valid oly at time of retrieval from etwork source directory. User should verify that the revisio umber is the most curret. Documet Number Last prited :54:00 AM Page 1 of 20

2 Bru-Way Cotractor Health ad Safety Stadard Table of Cotets 1.0 PURPOSE SCOPE DEFINITIONS RESPONSIBILITIES REFERENCES Forms Documets PROCEDURE Health ad Safety Program Flow Chart Pre-Qualificatio Job Safety Aalysis Critical Risk Cotrol Protocols Commuicatio Safe work permittig systems ad programs Persoal Protective Equipmet stadard Geeral Safety Rules Moitorig Security Reportig Emergecy pla cotets 20 Documet Number Last prited :54:00 AM Page 2 of 20

3 Bru-Way Cotractor Health ad Safety Stadard 1.0 PURPOSE Cotractors ca have a sigificat role o the Operator s projects ad historical records show Cotractor ijury rates are sigificatly higher tha compay ijury rates. As well, Cotractors have bee resposible for may serious icidets which cause project delays ad damage to the Operator s reputatio. As such, effective Cotractor maagemet is deemed a key compoet for reducig cotractor geerated risks. We must actively esure our Cotractors effectively maage their Health ad Safety (H&S) resposibilities while o the Operator s Facility. The objective of this Cotractor Maagemet stadard is to: Iform the Cotractor that the Operator will evaluate the Cotractor OH&S program ad idustry safety record as part of the teder ad selectio process. Iform the Cotractor of the specific health ad safety measures which the Operator expects ad requires the Cotractor to udertake durig the course of the Cotractor work o the project. Defie the actio(s) the Operator may take for o-compliace to regulatory ad or the Operator health ad safety requiremets. 2.0 SCOPE This program is applicable to all of the Operator s operatio, maiteace, ad rehabilitatio activities ad projects o the Facility. Each perso is resposible for the diliget, ogoig implemetatio of this program. Cotractors have obligatios uder OH&S Acts, Codes ad Regulatios to implemet, eforce ad maitai health ad safety stadards for their respective workforces, processes ad areas. The duties ad expectatios detailed i this documet i o way relieve the Cotractor of their obligatios uder applicable OH&S Acts, Codes or Regulatios. Rather, it stipulates the health ad safety requiremets prescribed for the Operator projects i furtherace of compliace by Cotractors. Documet Number Last prited :54:00 AM Page 3 of 20

4 Bru-Way Cotractor Health ad Safety Stadard 3.0 DEFINITIONS Health ad Safety Program Meas the health ad safety program that must be prepared ad implemeted by the Cotractor. WorkSafeNB WorkSafeNB is a Crow corporatio charged with overseeig the implemetatio ad applicatio of the New Bruswick Occupatioal Health ad Safety Act, the Workers' Compesatio Act of New Bruswick, the Workplace Health, Safety ad Compesatio Commissio Act of New Bruswick, ad the Firefighters' Compesatio Act. Facility Meas the highway, iterchages, structures, cross overs, facilities, fixtures, ad all other assets situated o the Facility Lads. Facility Lads Meas the lad betwee the highway right-of-way lies located o Route 2, betwee the Quebec border (km marker 0) ad Logs Creek (km marker 257) ad o Route 95 betwee the Maie border (km marker 0) ad Route 2 (km marker 14). Cotractor: The Geeral Cotractor, its sub-cotractors, suppliers, private hired trucks, employees, represetatives whom will perform the work o the Facility. Operator Meas Bru-Way Highways Operatios Ic. ( Bru-Way ), a divisio of SNC Lavali O&M with head office located at 1754, Route 640, Hawell, NB. This shall iclude without beig limited to ay represetatives authorized ad actig o behalf of Bru-Way such as the Project Maager, Ispectors, Cosultats by whom all explaatios ad directios was give to perform the work. 4.0 RESPONSIBILITIES The Project Maager shall admiister the program ad eforce its use. Each Cotractor shall receive a copy of this program ad be resposible to review this stadard with their employees ad to esure compliace with the Operator Health ad Safety rules ad regulatios. Documet Number Last prited :54:00 AM Page 4 of 20

5 Bru-Way Cotractor Health ad Safety Stadard 5.0 REFERENCES 5.1 FORMS Cotractor Pre-Selectio Form Job Safety Aalysis Work Sheet Team StepBack Card Persoal StepBack Card Cotractor Safety Orietatio Form Cotractor Pre Mobilizatio Form Immiet Dager Form Icidet Notificatio Form Icidet Ivestigatio Reportig Form ICAM Chart Template Site Ispectio Report Field Safety Observatio Report Corrective ad Prevetative Actio Request Stop Work Form Cotractor Safety Report 5.2 DOCUMENTS Cotractor Maagemet Stadard Job Safety Aalysis Stadard StepBack Risk Evaluatio Stadard Critical Risk Cotrol Protocols Persoal Protective Equipmet Stadard Icidet Ivestigatio Stadard 6.0 PROCEDURE 6.1 HEALTH AND SAFETY PROGRAM FLOW CHART The Health ad Safety Project Flow chart idetifies the typical iteractio betwee the Operator ad the Cotractor. Documet Number Last prited :54:00 AM Page 5 of 20

6 Bru-Way Cotractor Health ad Safety Stadard FLOW CHART PREPARE TENDER (RFQ or RFP): 1. Idicate Cotractor Classificatio level Operator PRE-Qualificatio: Cotractor submits required documets with the Bid Submissio Sectio 6.2 Cotractor CONTRACTOR SELECTION: The Operator reviews the bid submissios ad evaluates each cotractor with respect to H&S, Bid Price ad compliace. Cotract is awarded to the successful bidder. Operator PROJECT ORIENTATION & SAFETY RULES: Cotractor will esure that all employees receive the H&S orietatio prior to workig o the Project Sectio Cotractor Operator MEETINGS: Pre-Start meetigs Tool box meetigs The Operator shall atted the Pre-Start meetigs. Sectio Sectio Cotractor Operator CONTRACTOR INSPECTIONS: Cotractor Self Moitor Process Equipmet Ispectios Sectio Sectio Cotractor OPERATOR INSPECTIONS: Site Safety Ispectios Sectio Operator REPORTING: Cotractor hours worked Icidet Reportig Icidet Ivestigatio Sectio 6.11 Cotractor Operator PRE-MOBILIZATION MEETING: Meetig will be held prior to mobilizig to the project site. Project Maager will coduct the meetig with the Cotractors site leadership team. Sectio Cotractor Operator PROJECT COMPLETION: A meetig will be held at the ed of the project to review the health ad safety performace. All ispectio results, meetig miutes, etc. will be kept i the Cotractors file for future referece. Cotractor Operator Documet Number Last prited :54:00 AM Page 6 of 20

7 Bru-Way Cotractor Health ad Safety Stadard 6.2 PRE-QUALIFICATION Cotractors will be evaluated with respect to Health ad Safety ability ad performace, alog with the other procuremet requiremets. Cotractors must complete the Cotractor Pre-Selectio Form ad meet the miimum stadard as outlied i Cotractor Maagemet Stadard for the appropriate classificatio level. This form must be completed ad submitted alog with the other documets as listed i sectio with the bid documets. The Operator will use the Pre-Selectio form to evaluate the bidders with respect to Health ad Safety before choosig the successful bidder Cotractor Pre-Selectio Form Cotractor Maagemet Stadard CONTRACTOR SUBMISSIONS FOR PRE-QUALIFICATION As part of the Pre-Selectio process, the Cotractor is expected to submit the followig with the bid proposal to the Operator. 1. A copy of the Cotractor OH&S Maagemet System ad a Project Specific H&S pla. 2. A list of all the specific sectios of the H&S Maagemet System ad Project Specific Safety pla that apply to the Scope of work. 3. A completed Cotractor Pre-Selectio Form with requested documets 4. Details of key project persoel ad their safety resposibilities ad traiig. 5. H&S record ad idustry performace materials: Experiece Ratig Assessmet from WorkSafe NB for the past 3 years. Aual safety data as described below for the past 3 years. If Cotractors use subcotractors, show separated data for both cotractor ad subcotractors: Total aual hours worked, Number of fatalities, Number of lost time icidets, Number of days lost, Number of modified work icidets, ad Number of medical aids. 6. Summary record of ay pealties levied by WorkSafe NB agaist the Cotractor withi the past 3 years. 7. Cotractor summary reports for ay workplace fatality ad / or icidets which resulted i sigificat property ad/or evirometal damage. 8. Notificatio of ay pedig admiistrative actios agaist the cotractor by the Regulator WORKSAFENB COMPENSATION CLEARANCE CERTIFICATES Every Cotractor or employer workig for the Operator must have valid Workers compesatio coverage for the Provice of New Bruswick. Sole proprietors must obtai a waiver from WorkSafe NB where available. Documet Number Last prited :54:00 AM Page 7 of 20

8 Bru-Way Cotractor Health ad Safety Stadard Where a waiver is obtaied or where coverage does ot exist the Operator will eed to accept the liability by completig a Risk Evaluatio Form (REF). A certificate is typically valid for betwee 45 days from the date of issuace. The Cotractor is resposible to submit updated WorkSafe NB workers compesatio clearace certificates if they expire durig the duratio of the Cotract LIABILITY INSURANCE Every Cotractor must demostrate proof of valid liability isurace i accordace with Strategic Procuremet policy LICENSES Cotractors ad their employees must be licesed ad or registered i the Provice of New Bruswick for the work they are performig as applicable. 6.3 JOB SAFETY ANALYSIS The Operator is required to iform cotractors of kow hazards that they ad their employees will be exposed to i the locatios where the work is to be completed. The Operator will also provide a list of the proposed cotrols for ay kow hazards. The cotractor will i tur eed to iform their employees of the hazards ad cotrol measures i place for this work. The Operator may request writte proof that this iformatio was commuicated at ay time. A Job Safety Aalysis (JSA) is a comprehesive hazard assessmet process iteded to establish stadard safeguards ad specific methods for the work. The Cotractor must complete a JSA o the form provided i advace of the work. More iformatio o completig a JSA ca be foud i the Job Safety Aalysis Stadard. The JSA will be submitted to the Operator for review ad approval prior to the Pre- Mobilizatio meetig. If the Operator does ot approve the Cotractor s JSA, they will be otified alog with reasos why the JSA was ot accepted. The Cotractor would the implemet the chages ad re-submit the JSA to the Operator Job Safety Aalysis Stadard Job Safety Aalysis Work Sheet STEP BACK The Operator StepBack Risk Evaluatio process is a field-level risk assessmet tool. It ecourages all persoel ad Cotractors to step back 2 metres ad take 2 miutes at the commecemet of a ew day, ew work assigmet ad/or whe coditios have chaged to thik critically about their workig eviromet. Documet Number Last prited :54:00 AM Page 8 of 20

9 Bru-Way Cotractor Health ad Safety Stadard It is required that the Cotractor use the StepBack Risk Evaluatio process. There are two types of StepBack Risk Evaluatio processes curretly i use Team ad Persoal. The Operator will provide the applicable forms ad cards alog with traiig to the Cotractor for the use throughout the duratio of the project StepBack Risk Evaluatio Stadard TEAM STEPBACK Work teams or idividuals shall participate i a Team StepBack at the start of each day, ew task or whe the scopes of work or hazard coditios have chaged. The Team StepBack is a documeted discussio of the hazards, associated cotrols, ad subsequet risk levels associated with the plaed work for that day/shift. The activities of every team member, as well as the activities of ayoe else withi the same area, shall be idetified, documeted, adequately cotrolled with a record retaied Team StepBack Card PERSONAL STEPBACK (INFORMAL) Persoel shall esure their ow safety ad that of their co-workers by usig the Persoal StepBack process prior to commecig ay task or activity. This process provides situatioal awareess that assists persoel i stayig alert, keepig their mid o their tasks, ad kowig how chages affect them ad others. The StepBack card is a visual remider to esure all staff members are cued to the risk levels i their tasks ad assigmets Persoal StepBack Card RISK REGISTER The Operator will have a Risk Register available for all projects. The Risk Register is reviewed as ofte as required ad wheever project coditios chage or ew hazards develop. The Cotractor must otify the Operator whe ew hazards develop or coditios chage. Attach Risk Register for project MATERIAL SAFETY DATA SHEETS (MSDS) Cotractor shall provide up-to-date MSDS for every WHMIS cotrolled substace to be used i the course of the work to the Project Maager prior to the begiig of the work. The MSDS will remai o site i hardcopy i a locatio readily available to ay perso who may require access for the duratio of the work. All employees must be able to show proof of WHMIS certificatio upo request by the Operator. Documet Number Last prited :54:00 AM Page 9 of 20

10 Bru-Way Cotractor Health ad Safety Stadard 6.4 CRITICAL RISK CONTROL PROTOCOLS Protocol 1 The Critical Risk Cotrol Protocols provide the cotrols deemed ecessary to prevet fatalities, serious icidets ad ijuries arisig from the most commo hazards ad associated risk levels by our busiess. These protocols apply to all the Operator cotrolled sites ad activities, ad to all employees, Cotractors ad visitors whe ivolved i these cotrolled activities. Below is a listig ad brief descriptio of the 8 Critical Risk Cotrol Protocols. Vehicles ad Mobile Equipmet This protocol applies to all self-propelled vehicles ad mobile equipmet. This protocol does ot apply to employees persoal vehicles. Protocol 2 Protocol 3 Protocol 4 Protocol 5 Protocol 6 Hazardous Materials Maagemet This protocol applies to hazardous materials that, i oe or more of their forms (solid, liquid or gas), have the potetial to harm people, the eviromet, or the commuities, this could be a icidet ivolvig loss of cotrol / cotaimet or uder ormal activities such as storage, hadlig, productio, trasport, recyclig ad disposal. Equipmet Safeguardig This protocol applies to the safeguardig of people from mobile machies, equipmet, power tools, movig equipmet, high pressure equipmet, electrical equipmet, stored eergy, ad objects projected from movig parts. De-Eergizatio, Isolatio, Lock-out ad Taggig This protocol applies to the isolatio of all sources of eergy (electrical, mechaical, hydraulic, chemical, gravitatioal, peumatic, kietic, stored eergy, etc.). Workig at Heights This protocol applies where there is potetial for ay perso to fall 1.8metres (6 feet) or more or where uprotected access to the perimeter of ope side of ay work surface exists ad the height differetial is 1.8 metres or more, or, where ay fall from a lesser height ivolves a uusual risk or ijury. This protocol does ot apply to rope rescue or rappellig because they are specialist fuctios. Liftig Operatios This protocol applies wherever liftig operatios are udertake. It icludes lifts ivolvig SNC-Lavali owed, hired or cotracted craes such as mobile, crawler, tower, derrick, portal ad pedestal-type, vehicle loadig craes, electric overhead travellig craes, ad moorail craes. This protocol also applies to liftig accessories icludig sligs, chais, wire ropes, shackles, padeyes, cotaiers, baskets, tuggers, wiches, ma-ridig wiches ad baskets. Documet Number Last prited :54:00 AM Page 10 of 20

11 Bru-Way Cotractor Health ad Safety Stadard Protocol 7 Protocol 8 Cofied Space This protocol applies to all spaces / areas, which meet the SNC-Lavali or prevailig legislated defiitios for a cofied or restricted space. Furthermore, these protocols apply to ay space/area which may become a cofied or restricted space as a result of work activities, coditios ad/or locatio. As soo as it becomes apparet that a space or area is becomig cofied or restricted space, this protocol shall be applied. Excavatios, Treches ad Corig This protocol applies whe creatig ad/or workig i ad aroud excavatios ad treches. It is the Cotractors resposibility to review these 8 Critical Risk Cotrol Protocols with their employees ad implemet the oes that apply to the specific project i the Site Safety Pla. The full descriptio of the 8 Critical Risk Cotrol Protocols ca be foud i Critical Risk Cotrol Protocols. Documetatio of this review must be available to the Operator upo request Critical Risk Cotrol Protocols. 6.5 COMMUNICATION PROJECT ORIENTATION AND TRAINING Every Operator Facility or Operatio should be able to provide a documet cotaiig sufficiet iformatio to allow the cotractor to uderstad the operatioal ad emergecy requiremet of the locatio to which they will be grated access. Iformatio o Geeral Safety Rules ad ay special coditios should also be provided i writig with the teder package. I additio to the iformatio provided i the teder package, the Operator will provide a Cotractor Safety Orietatio that must be completed by all employees, ad subcotractor employees that will be ivolved with workig o the Facility. This orietatio must be completed prior to the employee startig work. A form will be provided for sig off that this orietatio has bee completed Cotractor Safety Orietatio Form PRE-MOBILIZATION MEETING Prior to mobilizig to the project site, operatio office or as requested by the Operator, each Cotractor s site leadership team shall atted meetigs with members of the project maagemet team. This meetig will review the H&S associated with the Cotractor scope of work prior to mobilizatio ad esure the Cotractor clearly uderstads the H&S expectatios, stadards ad objectives. A Cotractor Pre-Mobilizatio Form ( ) must be completed siged ad dated Cotractor Pre-Mobilizatio Form Documet Number Last prited :54:00 AM Page 11 of 20

12 Bru-Way Cotractor Health ad Safety Stadard PRE START MEETINGS Oce mobilized to site, it is expected that each Cotractor with its Subcotractors shall coduct its ow kick-off meetigs o a scheduled basis, or as the eed arises, ad as each ew Subcotractor arrives for each separate phase of the project. Cotractor kick-off meetigs shall be atteded by the Operator represetative(s) TOOL BOX TALKS Tool box talks are completed daily, weekly or prior to begiig ay ufamiliar or hazardous work. Tool box meetigs are the resposibility of the Cotractor supervisor ad must be documeted. Records of participatio i a tool box meetig do ot eed to follow a specific format so log as the date, topic, ad cotet as well as the ames ad sigatures of the supervisor ad participats are clear ad legible. I additio to the Tool box talks metioed above, the New Bruswick WATCM maual requires that a tool box talk is orgaized prior to the erectio of work area traffic cotrol devices. The meetig shall icluded all staff ivolved with the erectio of work area traffic cotrol devices ad the orgaizer shall record the date ad time of the meetig SITE SAFETY PLAN The Project Safety Pla is geerated by the Cotractor usig the iformatio provided with the teder package. It cotais iformatio o the project specific hazards ad measures the cotractor iteds to implemet to cotrol said hazards. The Cotractor s geeral safety pla may be acceptable for the work, provided the cotrols idetified ca be implemets o the project i a effective maer. The Operator will require additioal cotrols to be implemeted if it feels that the Site Specific Safety Pla eeds to be reviewed or if job scope or site coditios chage PROOF OF TRAINING FOR CONTRACTOR EMPLOYEES The Operator requires proof that the Cotractor employees received iformatio o site hazards, safety rules ad that the agreed upo cotrol measures i place are fully uderstood. I additio, the Operator requires from the Cotractor proof of its employees qualificatios ad trade certificates. Prior to startig work o the Facility, the Cotractor must provide the followig iformatio to support the traiig ad istructio of their work forces. Copies of certificates for ay employees egaged i activities where a safety certificatio is required. Examples of these are: WATCM Awareess everyoe o site Traffic Cotrol Aget Fall Protectio Lock out Tag out Excavatios Respiratory (Fit Test) Documet Number Last prited :54:00 AM Page 12 of 20

13 Bru-Way Cotractor Health ad Safety Stadard NB Evirometal Maagemet Traiig WHMIS 6.6 SAFE WORK PERMITTING SYSTEMS AND PROGRAMS A Safe Work Permit is a writte documet issued by authorized persoel that allows a specific task to be carried out durig a specific period of time i a defied area. Safe Work Permits defie, documet ad state the agreemet betwee the persos authorized to carry out a task ad the persos resposible for the work area. A Safe Work Permit esurig that the work will be doe safely must be obtaied for ay work that, because of its ature or the area i which is carried out, poses or may pose a risk to workers, equipmet, the eviromet, productio or other costructio activities. To obtai a Safe Work Permit, the perso resposible for the task shall describe the equipmet ad tools that will be used ad the safety measures that will be take. The perso resposible for the task shall carry out a risk assessmet before obtaiig the Safe Work Permit. All Safe Work Permits specify the risks to employees ad the safety measures to be take whe carryig out the work described i the permit. Safe Work Permits are required i the followig cases: All Work requirig Fall Protectio All hot work that may create a flame source (cuttig, weldig, gridig, chippig, heatig etc.) ad that is doe i a restricted access area or i a area of operatios. All excavatio work to a depth of more tha 1.2 metres All Critical Lift operatios All work requirig de-eergizig, isolatio, lock-out ad taggig. Other work where deemed critical by the Operator 6.7 PERSONAL PROTECTIVE EQUIPMENT STANDARD Every practicable measure shall be take to elimiate hazards through substitutio for less hazardous materials or by egieerig meas accordig to the hierarchy of cotrols. PPE selectio shall be based o a risk assessmet process. Persoel are required to use PPE i order to provide themselves with the maximum level of protectio for the task at had. Traiig is to be provided i the correct wear, use ad ispectio of all issued PPE. All PPE shall be wor, ispected ad moitored i a maer i which does ot deviate from origial equipmet/maufacturers specificatios. Full details regardig the proper PPE is detailed i the PPE Stadard. Documet Number Last prited :54:00 AM Page 13 of 20

14 Bru-Way Cotractor Health ad Safety Stadard Persoal Protective Equipmet Stadard BASIC PPE MINIMUM REQUIREMENTS At all Facilities, Cotractors will: Wear CSA approved safety hard hats/helmets. Utilize hearig protectio it shall be carried at all times ad used if eterig a desigated oise zoe. Wear safety glasses with side shields. Wear CSA approved safety footwear. Carry had protectio at all times o material hadlig may take place without use of appropriate gloves. Wear shirts with a miimum 4 sleeve. Wear log trousers, jeas, or full overalls (o shorts). Use high visibility attire (Class I, II, or III) appropriate to the work/role ASSESSMENT OF WORK ACTIVITIES FOR ADDITIONAL PPE Cotractors are resposible for reviewig work activities to idetify situatios i which additioal PPE may be required. For example, durig gridig work, a face shield ad safety glasses with side shields must be wor as stated above. Cotractors are required to moitor work practices o a cotiuig basis, to esure that all persoel wear (PPE) suitable clothig to the task beig carried out. 6.8 GENERAL SAFETY RULES To esure that all persoel work safely o the site, a wide ragig set of geeral safety rules ad regulatios shall be implemeted by the Cotractor. The Cotractor will esure that the rules will apply across the Project ad are a reflectio of idustry stadards ad best practices. Workig safely is everyoe s resposibility. Cotractors shall esure ad documet that all workers received a copy of ay site safety rules either as part of the Site Orietatio or as a stadaloe documet. Cotractors are resposible to esure their employees uderstad ad follow the rules. I additio to the Cotractor site safety rules, the Operator has 14 Blue Rules / Safety Absolutes added to complemet existig stadards ad set o-egotiable practices which all employees must follow: ALWAYS Coduct a StepBack prior to startig work Use fall protectio whe workig above 1.8 m (6 ) Wear a seatbelt whe i ay movig vehicle Use a spotter / flag perso as required Verify isolatio of all eergy sources Comply with the scaffold color tag system Hold the hadrail whe usig stairs NEVER Documet Number Last prited :54:00 AM Page 14 of 20

15 Bru-Way Cotractor Health ad Safety Stadard Work from a ladder without maitaiig 3 poits of cotact Drive above speed limits or while usig a mobile phoe Work uder the effects of drugs or alcohol Modify, remove or override ay machie guards Commece work without wearig required PPE Eter a excavatio, cofied space or exclusio zoe without authorizatio Walk uder a suspeded load Cotractors may be requested to submit proof that their employees ad subcotractors have uderstood the requiremets for a particular job site PROGRESSIVE DISCIPLINE SYSTEM Disciplie of Cotractor s employees is the resposibility of the Cotractor s maagemet. However, if actios by a Cotractor s employee(s) edager the safety of other workers o the Facility or the Public at risk, the Operator will prompt the Cotractor to iitiate discipliary proceedigs i lie with the followig Progressive Disciplie System. Providig positive reiforcemet ad recogitio for those employees who cosistetly comply with site rules ad safe work procedures is importat. Workers are resposible for beig kowledgeable regardig geeral rules ad regulatios. Failure to comply with the geeral safety rules ad regulatios is a serious violatio ad will require applicatio of a progressive disciplie system. All Cotractors shall develop ad implemet a progressive disciplie process that will be cosistet with the priciple defied below. A effective progressive disciplie system must meet the followig requiremets: Use complete ad objective evidece Be based o rules which have bee commuicated to workers Be fair ad applied cosistetly Be applied i a calm ad ratioal maer Is a progressive eforcemet system Is well documeted 6.9 MONITORING CONTRACTOR SELF MONITOR PROCESS The Cotractor is expected to perform regular audits ad ispectios o their operatios to esure compliace to their documet HSE Plas for the project. At a miimum the Cotractor is required to complete at a miimum a weekly Health ad Safety Ispectio ad submit the same to the Operator. Verificatio of the accuracy of these reports may be completed by the Operator at ay time. Cotractors ca use the Site Ispectio Report if they do ot have their ow. Documet Number Last prited :54:00 AM Page 15 of 20

16 Bru-Way Cotractor Health ad Safety Stadard EQUIPMENT INSPECTIONS All mobile equipmet brought oto the worksite shall have a mechaical ispectio prior to acceptace to the site. Cotractor must have a copy of the ispectio available to the Operator whe requested. Ispect vehicles at the start of each shift; complete pre-shift checklist ad walk aroud ispectio form. Keep the checklist i the vehicle for that shift. Isolate all potetial eergy (mechaical, hydraulic, etc.) whe servicig vehicles/equipmet. Immediately tag ad lock defective vehicles/equipmet out of service which poses a hazard to safe operatios SITE SAFETY INSPECTIONS Site ispectios are iteded to evaluate the overall coditio of the site; the compliace by the workforce with the prescribed safe work procedures ad practices/ whether there are hazards preset which have ot bee idetified ad/or effectively addressed; the adequacy of first aid resources, ad whether the admiistrative procedures i.e. emergecy preparedess, iformatio bulletis, otices etc are i place. Job site safety ispectios are to be completed based o the severity of the hazards of the job, accordig to legislated requiremet ad i o case less tha weekly. Job site safety ispectios will be completed by the Operator. The results will be commuicated with the Cotractor represetative. Ay o-coformaces will have to be corrected by the date stated. Records of the ispectios will be kept i the Cotactors file. The Operator has the right ad resposibility to ispect job site activities ad report ay issues to the Cotractor for resolutio ad corrective actio. The Operator will esure compliace with the Project H&S pla through regular audits. Audits ca iclude a evaluatio of program documets, records, observatio of compliace with safe work practices ad iterviews with maagemet ad staff. The Cotractor will be advised of the audit results ad will be documeted i the projects file Site Ispectio Report It s expected that the deficiecies will be rectified by the resposible perso withi the stated corrective actio period. However, if corrective actios are ot completed; ad/or the same deficiecies are re-occurrig; ad/or there are ogoig deficiecies which are idicative of isufficiet care ad attetio, the Operator may take the followig actio(s) to eforce corrective actios. A Field Safety Observatio Report [FSOR], will be issued to the departmet or Cotractor to request actio(s) be take to address deficiecies. The recipiet will be required to correct the deficiecies withi the timeframe established i the FSOR. The Operator will use the Field Safety Observatio Report Log, to track issued FSOR. Documet Number Last prited :54:00 AM Page 16 of 20

17 Bru-Way Cotractor Health ad Safety Stadard Field Safety Observatio Report A Corrective ad Prevetative Actio Request [CPAR], will be issued to the departmet or Cotractor to request actio(s) be take to address deficiecies. The recipiet will be required to provide a writte respose detailig the corrective actios to be take alog with the expected timeframe. The Operator will use the Corrective ad Prevetative Actio Request Log, to track issued CPAR Corrective ad Prevetative Actio Request STOP WORK A STOP WORK order ca be issued at aytime if a usafe coditio or act is observed that ca seriously ijure or cause death. A Stop Work order ca also be issued if there is a reoccurrig hazard that is ot beig corrected as per the Operator s request. The supervisor will be cotacted to have the cocer addressed. All cases of work stoppage will be documeted usig the Stop Work Form or other writte meas of commuicatio ad follow up. If a Stop Work order is give, the Cotractor must immediately shut dow the work site util a board room meetig ca be held to discuss the reasos why the stop work order was issued. The Operator will require oe (1) busiess day otice to arrage for the meetig. At miimum the meetig must be atteded by the Operator s Project Maager ad the QSE Maager. The stop work order will remai i effect util this meetig is held ad util corrective actios ca be put i place to esure the usafe act or coditio does ot occur agai Stop Work Form 6.10 SECURITY The Operator reserves the right to refuse access ad / or etry to the premises. Access to the Project shall be restricted to the Cotractor ad the Operator. The Cotractor is resposible for site security throughout the project period NEW WORKER Cotractors shall report the arrival of ay ew workers o the site to the Operator s Project Maager or desigate. The workers would the be required to complete the Cotractor Safety Orietatio traiig prior to startig ay work VISITOR All visitors shall be iformed of the emergecy respose pla ad site regulatios. Visitors must be accompaied by a authorized perso ad wear the required persoal protective equipmet. Documet Number Last prited :54:00 AM Page 17 of 20

18 Bru-Way Cotractor Health ad Safety Stadard 6.11 REPORTING HOURS WORKED The Cotractor will complete a report to idicate hours worked ad health ad safety idicators for ay work completed for the Operator. The report shall also iclude subcotractor hours ad safety idicators. The report will be completed at the ed of the project, ad i cases where the project exteds over a log period of time; the report shall be completed at the ed of each moth. I o case shall the report be received by the Operator later tha the 1 st day of each moth where work took place i the previous moth. The Operator will withhold paymet subject to receivig these reports Cotractor Safety Report INCIDENT REPORTING THE CONTRACTOR'S RESPONSIBILITIES The Cotractor shall report all recordable icidets immediately to the Operator represetative. The Cotractor shall provide accurate ad timely reports of ay occupatioal illesses, ijuries or accidets (icludig explosios, floods, failure of ay equipmet, device, supports, etc.) to the applicable govermet agecy, icludig but ot limited to the provicial workers compesatio board, the provicial Miistry of Labour, the Health ad Safety Represetative or the Trade Uio, as required by ay applicable legislatio. Should a case of occupatioal illess be discovered, the Cotractor s supervisor shall be advised immediately. I the evet of a critical ijury ad/or fatality, or where the occupatioal illess, ijury or accidet results i property damage or a absece from work, the Operator Desigee shall be telephoed immediately ad give a accurate ad detailed verbal report statig job umber, employee's ame, ame of the doctor or hospital referred to, ad a descriptio of the accidet. Thereafter, the Cotractor shall provide a copy of the report(s) to the Operator at the time such is provided to the appropriate govermet agecy (ies), as well as cofirmatio that the report(s) have bee filed with the appropriate govermet agecy (ies). This activity is i additio to the report give to the Cotractor's head office. The Cotractor shall act promptly i advisig the applicable govermetal agecy (ies). They must be iformed of a ijury or accidet, at the latest, as follows: Immediately - i the case of a fatal accidet, hospitalizatio of a employee, loss of a limb, or other serious ijury; i all other cases of accidet, withi twety-four (24) hours of the accidet or of becomig aware of the accidet. Documet Number Last prited :54:00 AM Page 18 of 20

19 Bru-Way Cotractor Health ad Safety Stadard I the evet of a serious accidet or ijury, the Cotractor shall esure that the work area i which the accidet or ijury occurred is secured, ad is ot released util the applicable govermetal agecy (ies) provide approval for same. If there is a serious risk of usafe coditios, a temporary barrier must be established o all accessible sides with a appropriate "dager" tag attached to each side, or other appropriate steps must be take to prevet possible persoal ijury or other accidet, before usafe coditio are reported INCIDENT INVESTIGATION Accidet ivestigatios are coducted solely to determie what caused the accidet ad what steps ca be take to avoid a re-occurrece. The Cotractor is resposible for esurig that all accidets ad icidets occurrig durig the performace of the work or at the work site are ivestigated It is expected that all icidets be reported ad ivestigated utilizig the Icidet Ivestigatio Stadard ad Form(s). For recordable ad/or high potetial icidets, root cause(s) must be established usig the Icidet Cause Aalysis Methodology (ICAM), as detailed i the Icidet Ivestigatio Stadard. The fial icidet ivestigatio report must be submitted to the Operator withi 14 days. Ivestigatios should be coducted promptly ad without bias. It is essetial that all facts cocerig the accidet are leared, ad therefore the followig procedure is recommeded: Secure the site, esurig all hazards have bee elimiated before attemptig to aalyze the accidet. physically check the coditios at the site of the accidet icludig ay equipmet, materials, tools or evirometal coditio that could have cotributed to the cause; establish factually what happeed by iterviewig the ijured perso, witesses ad supervisor resposible ad, where possible have the witesses ad the ijured perso(s) retur to the positios they were i whe the accidet occurred; determie the coditios or actios that led to ad caused the accidet, establishig the root cause; ad prepare a list of recommedatios for each of the causal factors to prevet similar accidets A icidet form with the above metioed iformatio shall be submitted to the Operator withi seve (7) days of the icidet occurrece. Documet Number Last prited :54:00 AM Page 19 of 20

20 Bru-Way Cotractor Health ad Safety Stadard I the case of a fatality or critical ijury, the Cotractor ad employer must coform to all requiremets idetified i the applicable provicial occupatioal health ad safety acts. Such ivestigatios will be coducted by the Cotractor i cojuctio with the Operator. The Cotractor s supervisor, or appoited delegate, must iform their head office of ay workrelated ijury or illess requirig treatmet beyod the first-aid level o the same day as the accidet occurs EMERGENCY PLAN CONTENTS Cotractor is resposible to submit Emergecy Respose Plas that shall iclude the followig: Objective ad Policies Resposibilities of respoders Assistace that ca be obtaied outside the worksite The Emergecy Respose Pla shall provide istructios ad procedures for various situatios: o Ijured Worker o Fire or explosio o Emergecy telephoe umbers durig ad outside work hours Cotact iformatio for the Operator Project Maager ad QSE Maager Cotract the Operator s - Operatios Cotrol Cetre 24/7 o Respose team Commuicatio with the media Ispectio of emergecy respose equipmet Documet Number Last prited :54:00 AM Page 20 of 20

21 Cotractor Pre-Selectio Form HEALTH AND SAFETY (H&S) STAFFING 1. Highest rakig H&S professioal i the Compay: Name: Qualificatios: Caadia Registered Safety Professioal Certified Egieerig Techicia Costructio Safety Officer Trade Certificatio (specify): Title: Reportig to: Certified H&S Cosultat Registered Occupatioal Hygieist Professioal Egieer Other Specify: Phoe: ( ) Fax: ( ) 2. Does the Compay have or provide a full-time H&S represetative? Yes No If, yes iclude resume as part of the Compay s supportig documetatio submittal 3. Does the Compay have or provide a full time site / project H&S represetative? Yes No 4. Idetify the perso withi the Compay directly resposible for admiistratio of the H&S maagemet system Name: Title : HEALTH AND SAFETY AUTHORITY 5. Name of the Health ad Safety Authority or Regulatory Agecy i the Compay s jurisdictio. 6. Address of the Compay Health ad Safety Authority or Regulatory Agecy. 7. address or Website URL of the Compay s Health ad Safety Authority or Regulatory Agecy. 8. The Compay s registratio umber with its Health ad Safety Authority or Regulatory Agecy. 9. Name of the Compay s Workers Compesatio Isurace. 10. Address of the Compay s Workers Compesatio Isurace address or Website URL of the Compay s Workers Compesatio Isurace. 12. The Compay s registratio umber or policy umber with its Workers Compesatio Isurace. 13. List the Provices/States i which the Compay is registered with a Health ad Safety Authority or Regulatory Agecy (For Caada ad USA oly). 14. List the Coutries i which the Compay is registered with a Health ad Safety Authority or Regulatory Agecy. HEALTH AND SAFETY MANUAL 15. Does the Compay have a writte H&S maual? If yes, please provide copy. Yes No If yes, does the maual cotai: Writte H&S Policy Statemet, siged ad dated aually Yes No N/A EN-Rev.0 Last prited :03:00 AM Page 1 of 7

22 Cotractor Pre-Selectio Form Accoutabilities ad resposibilities for maagers? Yes No N/A Do maagers / executives visit worksites? Yes No N/A How ofte, provide details: Accoutabilities ad resposibilities for supervisors? Yes No N/A Accoutabilities ad resposibilities for employees? Yes No N/A Maagemet commitmet ad expectatios? Yes No N/A Stadards for employee participatio? Yes No N/A Periodic employee H&S performace appraisals? Yes No N/A Resources required to meet H&S requiremets? Yes No N/A Hazard recogitio ad cotrol? Yes No N/A How are employees iformed of job hazards? Referece to legislatio? Yes No N/A Right to Refuse legislative requiremet? Yes No N/A Address the Compay Suppliers ad Sub-Suppliers H&S Maagemet Systems 16. Upo Request, ca copies of the Compay Suppliers ad Sub-Suppliers Health ad Safety Maagemet System policy, program, mauals, plas, specificatios, procedures, audit reports ad performace records be provided? Yes No N/A Yes No N/A 17. Is the H&S maual updated aually? Yes No N/A 18. What is the date of the last revisio for the H&S maual? 19. Please list all laguages the H&S Maual is available i? 20. How does the Compay measure H&S success? RISK REGISTER 21. Does the Compay use a Risk Register? Yes No N/A If yes, briefly explai the philosophy behid usig a Risk Register? If yes, Please provide 3 examples of Risk Registers the Compay has used recetly. TRAINING 22. Does the Compay have a Traiig policy ad programs? Yes No N/A 23. Does the Compay have a system to idetify ad provide appropriate traiig for all persoel? 24. Does the Compay have a process to validate the Compaies workers have received appropriate traiig before udertakig work activities? Yes No N/A Yes No N/A 25. Are there regulatory health ad safety traiig requiremets for employees Yes No N/A EN-Rev.0 Last prited :03:00 AM Page 2 of 7

23 Cotractor Pre-Selectio Form i the Compay s jurisdictio? 26. Have the Compay employees received the required regulatory health ad safety traiig ad re-traiig? 27. Are your Compay employees job skills ad competecy certified, where required, by regulatory or idustry cosesus stadards? Yes No N/A Yes No N/A If yes, list crafts which should be certified by regulatory or idustry cosesus stadards. If yes, list crafts which have bee certified by your Compay. 28. Does the Compay have a Traiig Matrix? If yes, please attach. Yes No N/A 29. Does the Compay maitai records for its health ad safety traiig programs for employees? Yes No N/A 30. What type of traiig is used? Provide a sample. 31. Does the Compay have a specific health ad safety traiig program for supervisors? Yes No N/A If yes, what is the legth of the program? 32. Does the Compay have a specific health ad safety orietatio program for ew employees ad workers? Yes No N/A If yes, what is the legth of the program? 33. How is uderstadig of traiig verified? FORMAL AUDITING 34. Does the Compay have a Certificate of Recogitio (COR or SECOR)? (Caada Oly) Yes No If yes, provide the followig specifics: Certificate Number: Last exteral audit score: Date of last iteral audit: Expiry Date: Date of last exteral audit: Date of ext exteral audit: 35. Does the Compay coduct H&S audits i additio to, or i lieu of, the COR process? Yes No If yes, provide the followig specifics: Frequecy of audits: Date of latest audit: Audit protocol used: Audit score achieved: Name of auditor: 36. Are areas for improvemet idetified ad a actio pla established? Yes No If yes, provide details: 37. If requested, ca copies of the audit (first, secod ad third party) reports be provided? Yes No SAFE WORK PRACTICES 38. Does the Compay H&S maagemet system iclude stadards, procedures ad practices such as: EN-Rev.0 Last prited :03:00 AM Page 3 of 7

24 Cotractor Pre-Selectio Form Icidet reportig) Yes No N/A Barricades ad flaggig Yes No N/A Compressed gas cyliders Yes No N/A Commuicatios (meetigs, writte, etc.) Yes No N/A Cofied Space Etry Yes No N/A Dagerous holes ad opeigs Yes No N/A Electrical equipmet groudig assurace Yes No N/A Emergecy preparedess Yes No N/A Equipmet lock out ad tag out Yes No N/A Equipmet safety devices Yes No N/A Excavatio ad trechig Yes No N/A Fall prevetio ad protectio Yes No N/A Field level risk assessmet Yes No N/A Fire prevetio ad protectio Yes No N/A Geeral rules ad regulatios Yes No N/A H2S Awareess Yes No N/A Had Tools Yes No N/A Hearig Coservatio Yes No N/A Housekeepig Yes No N/A Immiet dager Yes No N/A Ladders Yes No N/A Ma-made mieral fibres Yes No N/A Maual materials hadlig Yes No N/A Persoal protective equipmet Yes No N/A Portable electrical power tools Yes No N/A Powered idustrial vehicles (craes, forklifts, etc.) Yes No N/A Prevetive / predictive maiteace Yes No N/A Respiratory protectio Yes No N/A Riggig ad craes Yes No N/A Power lie clearaces Yes No N/A Scaffoldig Yes No N/A EN-Rev.0 Last prited :03:00 AM Page 4 of 7

25 Cotractor Pre-Selectio Form Stackig materials Yes No N/A Trasferrig materials Yes No N/A Vehicle safety Yes No N/A Weather extremes Yes No N/A Workplace Hazardous Materials Iformatio System Yes No N/A STANDARDS AND PROGRAMS 39. Is the Compay capable of idetifyig all hazardous wastes that may be used or ecoutered? 40. Will the Compay provide Material Safety Data Sheets for all cotrolled products? 41. Is the Compay aware of the legislated requiremets for the disposal of hazardous wastes that may be ecoutered? 42. Does the Compay provide (free of charge) applicable persoal protective equipmet for employees? 43. Does the Compay have a program to esure that persoal protective equipmet is regularly ispected ad maitaied? Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A 44. Does the Compay have a fatigue maagemet program? Yes No N/A 45. Does the Compay have a fleet safety or jourey maagemet program? Yes No N/A 46. Does the Compay have a Substace Abuse Program? Yes No N/A 47. Does the Compay have persoel traied to perform First Aid ad CPR? Yes No N/A 48. How will the Compay-provide First Aid ad other medical services for employees while o site? 49. Does the Compay have a formal process for job ad task hazard idetificatio, risk assessmet ad cotrol for each job descriptio or type of operatio performed? 50. Does the Compay have a system or procedure for establishig the applicable health ad safety specificatios for the acquisitio of materials ad equipmet? 51. Does the Compay maitai ad update, scheduled ispectio ad maiteace certificatio records for operatig equipmet (craes, forklifts, JLGs, etc.), i accordace with laws ad regulatios, idustry ad Compay stadards ad protocols? 52. Does the Compay have a procedure for ispectio/certificatio of tools, equipmet ad vehicles prior to arrival/use o site? 53. Does the Compay have a procedure for positive idetificatio ad removal of defective tools, equipmet ad vehicles o site? Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A 54. Does the Compay have a Behaviour Based safety program? Yes No N/A If yes, describe ad state the Compaies positio o Behaviour Based Safety Programs? 55. Are Positive Icetives used for safety Yes No N/A EN-Rev.0 Last prited :03:00 AM Page 5 of 7

26 Cotractor Pre-Selectio Form 56. Describe the Compaies philosophy o icetives. HEALTH AND SAFETY MEETINGS 57. Does the Compay hold H&S meetigs to esure proper commuicatio of safety iformatio to: Yes No Daily Weekly Bi-weekly Mothly Quarterly Employees Field Supervisors New Hires Subcotractors 58. Are H&S meetigs documeted? Yes No N/A INCIDENT MANAGEMENT 59. Does the Compay ivestigate first aid icidets? Yes No N/A 60. Does the Compay have a procedure to ivestigate ad follow-up o all icidets? Yes No N/A 61. Does the Compay have a ijury maagemet program i place? Yes No N/A 62. How are idividual icidets totalled ad how ofte are they reported? Yes No N/A Icidets totalled for etire compay Icidets totalled by project Subtotalled by superitedet Subtotalled by supervisor Yes No Mothly Quarterly Aually 63. Are icidet reports ad report summaries set to the followig withi the Compay ad if so, how ofte are they reported? Project Maagemet Vice Presidet Presidet / CEO SUBCONTRACTORS Yes No Mothly Quarterly Aually 64. Does the Compay use health ad safety performace criteria i the pre-screeig ad selectio of subcotractors? 65. Does the Compay evaluate the ability of subcotractors to comply with applicable health ad safety requiremets as part of the pre-screeig ad selectio process? 66. Does the Compay require its subcotractors to have a writte health ad safety program? Yes No N/A Yes No N/A Yes No N/A EN-Rev.0 Last prited :03:00 AM Page 6 of 7

27 Cotractor Pre-Selectio Form INSPECTIONS, WALKTHROUGHS AND SITE AUDITS 67. Does the Compay coduct health ad safety walkthroughs? Yes No N/A If yes, what is the frequecy of the walkthroughs? 68. Does the Compay coduct health ad safety ispectios? Yes No N/A If yes, what is the frequecy of the ispectios? 69. Does the Compay coduct iteral health ad safety program audits? Yes No N/A If yes, what is the frequecy of the audits? 70. Does the Compay have a stadard form or checklist to coduct the walkthroughs, ispectios ad audits? 71. Are the walkthroughs, ispectios ad audits documeted, icludig corrective actios (if ay) of deficiecies oted? 72. Does the Compay post or commuicate the results of the walkthroughs, ispectios ad audits to employees? 73. Does the Compay commuicate the results of the walkthroughs, ispectios ad audits to seior maagemet? 74. Does the Compay have a corrective actio process for addressig idividual health ad safety performace deficiecies? Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A AWARDS 75. Has the Compay received ay awards for safety performace achievemet? Yes No N/A If yes, please list all awards received EN-Rev.0 Last prited :03:00 AM Page 7 of 7

28 Job Safety Aalysis JOB DESCRIPTION LOCATION CONTRACTOR WRITTEN BY REVIEWED BY APPROVED BY CRITICAL RISK CONTROL PROTOCOLS (Mark each box as applicable) Ladslide Traffic #1 - Vehicles & Mobile Equipmet #2 - Hazardous Materials #3 - Equipmet Safeguardig #4 - Eergy Isolatio #5 - Workig at Heights #6 - Liftig Operatios #7 - Cofied Space #8 - Excavatios Not Applicable REQUIRED SAFE WORK PERMIT (Mark each box as applicable) Cofied Space Etry Hot Work Excavatio Electrical Work Not Applicable COMMON HAZARD CATEGORIES (Mark each box as applicable) Work Area Equipmet & Tools (Powered) Commuicatios Aerial mobile platform Hoes / Bobcats Ladders Light trucks / Vehicles Powered Had Tools Equipmet & Tools (No Powered) Workig aloe Boom lifts / Scissor lifts Ma-basket Remote locatio Simultaeous operatios Superposed works Forklifts Scaffoldig Excavators Craes Trucks / Trailers Elevated Platforms Had tools DATE PREPARED PROJECT ESTIMATED CREW SIZE SIGNATURE SIGNATURE SIGNATURE Weather Coditios Heat / Cold Widy Foggy PERSONAL PROTECTIVE EQUIPMENT, SPECIAL TOOLS AND OTHER EQUIPMENT REQUIRED Tidal Sea storm Hazardous Materials Compressed gas Sowig / freezig Corrosive Flammable / Combustible Oxidizig Toxic Biological / Biomedical Explosives Electrical Mechaical Peumatic Hydraulic Thermal Radiatio Chemical Potetial Residual Eergy ADDITIONAL TRAINING REQUIRED 2/4/2015 Page 1 of EN-Rev.2 Job Safety Aalysis Work Sheet

29 JOB STEPS / ACTIVITIES HAZARDS Iitial Risk P C RL CONTROL MEASURES PERSON 2/4/2015 Page 2 of EN-Rev.2 Job Safety Aalysis Work Sheet

30 I cofirm that I have preseted this Job Safety Aalysis to the workers uder my supervisio who will execute the work described i this JSA ad that all cotrol measures have correctly bee implemeted: Supervisor : Date: Name & Sigature I cofirm that I have read ad uderstood the Job Safety Aalysis which is provided for this work: NAME (Prit) SIGNATURE COMPANY 2/4/2015 Page 3 of EN-Rev.2 Job Safety Aalysis Work Sheet

31 StepBack Supervisor Name Employer Sigature Project / Site Look ad see the hazards Assess the risk Take appropriate actio 2 x 2 Step back 2 meters for 2 miutes Date ad Time Task Descriptio Locatio Safe Work Permit Required? Yes No 1 Look ad see the HAZARDS Below is a list of commo hazards to help your group i idetifyig potetial oes you may ecouter. Vehicles & Mobile Equipmet Driver ot traied Iteractio with pedestrias/other equipmet possible Possible distractios exist Restricted visibility Seat belts ot available Vehicle i poor coditio Hazardous Materials Maagemet Dagerously reactive materials Extesive accumulatio of dust, mist ad fumes Improper idetificatio ad labels Improper storage, cotaimet ad/or trasport of chemicals Potetial exposure to ioizig or o ioizig radiatios Presece of sources of igitio earby Equipmet Safeguardig Equipmet ot certified ad/or ispected - Fail-to-Safe switches ot operable - Improper guards - Iterlocks bypassed ad/or poor coditios - Pich poits or crushig - Possibility of etaglemet i rotatig equipmet De-Eergizatio, Isolatio, Lock-Out ad Taggig Overhead ad udergroud power lies ivolved Possible release of potetial or stored electrical, mechaical ad/or chemical eergy Strog magetic fields ad high voltage work Systems uder pressure Ucotrolled eergy source ot isolated Cofied Space Eergy isolatio of the space ot completed - Isufficiet gas testig - Isufficiet rescue equipmet/preparedess - Safe Work Permit ot i place - Usuitably traied persoel - Watch perso ot available Security Exposed documets/equipmet Lack of travel preplaig Uauthorized access Workig aloe Workplace violece ad/or harassmet Workig at Heights Cotact with overhead power lies Improper use of elevated work platforms Lack of guards/barricades Poor placemet of ladders ad scaffolds Possibility of fallig objects ad material Workig ear uprotected edges Excavatios, Treches ad Corig Improper access/egress Isufficiet protectio (slopig ad/or shorig) Spoil piles/equipmet stored too close to the edge Udergroud utilities ad/or objects ot idetified Uprotected edges Ustable soil coditios exist Eviromet Extreme temperatures Extreme weather (i.e. ice, lightig, high wids, etc.) Ladslide or avalache possibility Negative impact to the ecosystem (i.e. spills, leaks, etc.) Wildlife, isect bites ad/or stigs Liftig Operatios Improper selectio of craes ad liftig equipmet Lack of traied crae operators/riggers Lift plas ot available for review Over loadig ad/or over reachig required Overridde safety ad/or warig devices Uispected or tagged liftig equipmet Occupatioal Health ad Hygiee Awkward work positio Exposure to oise ad vibratio Isufficiet lightig Liftig, twistig, ad/or repetitive movemets Poor air quality coditios Potetial for slips, trips ad falls Other Hazards (please list) It is a SNC-Lavali requiremet for all affected teams to discuss ad sig off that each idetified hazard has bee adequately addressed EN-Rev.4

32 2 Assess the RISK YES NO 1. Have we looked ad idetified all hazards? 2. Do we have the ecessary JSA ad/or safe work permit as applicable? 3. Ca we do the job as plaed i the JSA ad/or safe work permit? 4. Are the resources (equipmet, tools, PPE ad persoel) available? 5. Have we idetified all ew hazards sice we last did the task? 6. Are other persos protected from our activities i the area? 7. Do we kow what to do i case of a emergecy? 8. Do we have safe access/egress to/from the work area? 9. Ca we do this job without puttig ourselves or others at risk? 10. Is our work area clea ad tidy? If you aswered NO to ay of these questios, cosult your immediate supervisor for assistace. 3 Take appropriate ACTION Risk Level Hierarchy of Cotrols Determie the most appropriate cotrol to mitigate the hazards. Most Effective Least Effective TASK STEPS HAZARDS RISK LEVEL CONTROLS Probability Low High Almost Impossible Coceivable Possible Has Happeed Medium Extreme Almost Certai First Aid Cosequece Medical %Z"2,/#'%L,2% Aid Modified %Z*2,?,"2%F*1B% Work Fatality %D#$#',$4% LG% LG% LG% LG% MZ % LG% LG% MZ % MZ % HJ% LG% MZ % MZ % HJ% EM% M M MZ % HJ% HJ% EM% HJ% J% Lost Time HJ% EM% EM% Elimiatio Substitutio Separatio Egieerig Admiistrative Persoal Protective Equipmet All team members must uderstad ad agree to the cotrols prior to commecig work. Sigatures are required as ackowledgemet of our shared resposibilities: we are physically prepared ad metally focused to do our job safely. Name Sigature Name Sigature Name Name Name Sigature Sigature Sigature Name Name Name Sigature Sigature Sigature

33 StepBack Look ad see the hazards Assess the risk Take appropriate actio 2 x 2 Step back 2 meters for 2 miutes 3 Take appropriate ACTION Extreme STOP. Take prompt actio to reduce the risk level High ASK a supervisor to help you make your task safer Medium VERIFY all safety cotrols ad remai cautious Low PROCEED with the usual level of alertess ad care EN-Rev.4

34 1 Look ad see the HAZARDS 1. Have I looked ad idetified all the hazards? Decisio Yes 2. Do I have the ecessary JSA ad/or safe work permit as applicable? 3. Ca I do the job as plaed i the JSA ad/or safe work permit? 4. Are the resources (equipmet, tools, PPE ad persoel) available? 5. Have I idetified all ew hazards sice I last did the task? 6. Are other persos protected from my activities i the area? 7. Do I kow what to do i case of a emergecy? 8. Do I have safe access/egress to/from my work area? 9. Ca I do this job without puttig myself or others at risk? 10. Is my work area clea ad tidy? Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No If you aswered NO to ay of these questios, cosult your immediate supervisor for assistace. 2 Assess the RISK Risk Level Low High Medium Extreme First Aid %Z"2,/#'%L,2% Cosequece Medical Aid %Z*2,?,"2%F*1B% Modified Work Lost Time %D#$#',$4% Fatality No Probability Almost Impossible Coceivable Possible Has Happeed Almost Certai L G% G% G% G% Z % L G% G% Z % Z % J% L G% Z % Z % J% M% M M L L M M Z % J% J% M% H J% L M M H J% H L M H H E M H E E E J% M% M%

35 Cotractor Safety Orietatio Course Name: Bru-Way Safety Maagemet System Orietatio Brief Course Descriptio: A descriptio of the Cotractor Safety Maagemet program operated by Bru- Way Highways Operatios Ic., describig the safety policy, the safety procedures ad istructios ad the legislative requiremets. The udersiged employees have viewed ad uderstad the cocepts described i the Bru-Way Cotractor Safety Maagemet System Presetatio Participat Sigature Date Last prited :47:00 AM Page 1 of 1

36 Cotractor Pre-Mobilizatio Form We have discussed ad uderstad the Health & Safety requiremets of SNC-Lavali. Compay Name Date Subcotractor Represetative (Name) Subcotractor Represetative (Sigature) A. MOBILIZATION STRATEGY 1 Meetigs We Care /Safety momet ( 3 attedees) 2 Daily Tool Box Meetigs (all attedees must sig i) 3 Complete Job Safety Aalysis (JSA) as appropriate 4 StepBack (team ad persoal) coducted 5 Weekly safety meetigs to be held YES / NO / N/A COMMENTS 6 Daily work plas to be submitted icludig type of work plaed, mapower, equipmet ad tools used 7 Develop a site specific risk register 8 Develop a site specific H&S maual 9 Dedicated H&S Coordiator(s) appoited Trasportatio i / out of site (air / buses) arraged with traffic cotrol cosideratios Idetificatio of compay employees (i.e. hard hat sticker, badges, etc) 12 Security-access card system 13 First Aid Persoel (umber qualified) a. All supervisors must be qualified b. Workers qualified per legislatio (e.g. Alberta OHS code part 11) 14 First Aid Facility ad Supplies a. Ay ijured employee must be see by the medical cliic ad reported b. Immediately reported verbally c. d. Prelimiary report completed withi 24 hours (form # ) Ivestigatio report (form # ) completed withi 14 days EN-Rev.1 Last prited :05:00 AM Page 1 of 5

37 Cotractor Pre-Mobilizatio Form e. Immiet dagers ad ear misses reported 15 Vehicles Proper Safety Equipmet ad Ispectios a. SNC-Lavali vehicle sticker ( ) o dashboard b. 20 lb. ABC fire extiguisher c. First-aid kit d. Back-up alarm (vehicles 1 to ad over) e. Compay logo visible o both sides of vehicle (miimum 2 height) f. Vehicle umbers o the rear widow 16 Vehicles Registratio ad Isurace a. Pre-site access ispectios completed b. Proof of registratio c. Miimum $3 millio liability isurace for each vehicle d. All drivers to have valid a driver s licese ad traiig e. Seat belts madatory f. Gasolie storage, hadlig ad cotaimet g. Vehicle pass program h. Roll over protectio (if applicable) see CRCP 17 Site Evacuatio a. b. Cotractor has adequate trasportatio for full site evacuatio of employees Emergecy procedures established ad commuicated c. Muster poit (labelled) d. Updated cotact lists e. Alarm type ad procedures f. Emergecy drills coducted 18 Traiig a. Orietatios completed for all employees o first day b. ID badges, retured for termiated employees c. Site traiig requiremets EN-Rev.1 Last prited :05:00 AM Page 2 of 5

38 Cotractor Pre-Mobilizatio Form d. Employee traiig matrix/log submitted e. SNC-Lavali orietatio video show 19 Permit Programs i Place a. LOTO/Isolatio b. Excavatios ad earth works c. Hot work d. Work at height e. Cofied space 20 Positive Icetive Program a. Requiremets b. Ratios ad budget c. Participatio 21 Behavior Itervetio Program (BIP) 22 Audits a. Iteral (self audit) b. Exteral (corporate ad regulatory audits) B. SAFETY EQUIPMENT TO BE MOBILIZED/PROVIDED BY THE CONTRACTOR 1 Safety sigage a. SNC-Lavali CRCP Baer b. Cautio c. Workig above d. Cautio costructio area e. Dager ope excavatio f. No smokig g. Yellow / red flaggig h. Cofied space i. Dager j. Power lies k. X-ray l. Weldig i progress EN-Rev.1 Last prited :05:00 AM Page 3 of 5

39 Cotractor Pre-Mobilizatio Form m. Other 2 Breathig Apparatus ad Fit Testig a. SABA b. SCBA 3 Fire Fightig Equipmet a. Extiguishers quatity of 20 lb ABC b. Extiguishers quatity / size of CO 2 c. Water trucks d. Water maagemet / dewaterig logs 4 Safety Haresses / Shock Absorbig Layards a. Ispectio program b. Traiig c. Storage 5 Persoal Protective Equipmet (as per EN miimum requiremets) a. Hard hats/helmets, high visibility reflective stripig b. Approved safety glasses w/side shields c. Safety footwear d. High visibility attire (Class I, II, or III) e. Had protectio f. Hearig protectio g. Log pats ad 4 shirt sleeve 6 Scaffoldig icludig Tag System a. Ispectio b. Color codig c. Certificatios 7 Lockout System i place icludig Taggig/Sig-out Log Book a. Procedures b. Traiig 8 Ladders 3 poit cotact (see CRCP) EN-Rev.1 Last prited :05:00 AM Page 4 of 5

40 Cotractor Pre-Mobilizatio Form a. Procedures b. Traiig 9 Luchroom Facilities 10 Toilets (i.e. Alberta OHS Code, Part 24 ad Schedule 7) a. Oe toilet for 10 persos as a geeral guide b. Additioal toilets for wome 11 List of Tools ad Equipmet, Ispected o a quarterly basis (color code example) a. Yellow Jauary March b. Gree April Jue c. Red July September d. Blue October December 12 Log for disposal of ay Hazardous ad No- Hazardous Material 13 Duplicate copy of the MSDS maual 14 Radio, cell phoe access 15 Camera passes required o site 16 Other safety equipmet (specify) We have discussed ad uderstad the Health & Safety requiremets of SNC-Lavali. We will be i full compliace to the SNC-Lavali Critical Risk Cotrol Protocols at all times uless a Approval for Alterate Cotrols has bee completed ad approved where ecessary. Subcotractor agrees to idetify miimum traiig requiremets ad retai records for the duratio of the project for all compay workers ad cotractors. Subcotractor agrees to provide ad esure the proper use thereof, of all required safety equipmet icludig that specified o this checklist. Subcotractor Maagemet (Name) SNC-Lavali Maagemet (Name) Project Maagemet (Name) Subcotractor Maagemet (Sigature) SNC-Lavali Maagemet (Sigature) Project Maagemet (Sigature) EN-Rev.1 Last prited :05:00 AM Page 5 of 5

41 Immiet Dager Form A Immiet Dager is ay usafe coditio or usafe behavior (o eergy release) where o icidet occurred, but the possibility existed. Usafe Coditio Usafe Behavior Project / Site / Office / Operatio: Locatio / Area: Name of area supervisor (if kow): Your ame (optioal): Reported to: Date: Time: Descriptio of usafe coditio or behavior: Immediate actio take: Further actios required: Actios completed by: Date: Oce completed, please submit form to local H&S represetative for reportig ad learig opportuities. This form should be uploaded ito HSES Database with report etry EN-Rev.0 Last prited :11:00 AM Page 1 of 1

42 Icidet Notificatio Form (to be completed electroically) Icidet Type (choose oe): Health Safety Eviromet Icidet Category (choose oe): Fatality Lost Time Modified Work Medical Aid First Aid Near Miss Icidet Potetial (choose oe): Low Must be reported i the HSES Database by the 10th day of the followig moth. High Must be reported withi 24 hours (Form Icidet Notificatio Form), BU coferece call withi 72 hours, icidet ivestigatio (Form Icidet Ivestigatio Reportig Form) completed ad uploaded i HSES Database withi 14 days. Icidet Number: Icidet Date: (i.e. yy-mm-dd) Site/Project Number & Name: Cotractor Name (if applicable): Click to eter icidet umber Click to eter date Icidet Title: Click to eter project umber ad ame Click to eter icidet title Icidet Time: (i.e. 09:15 or 21:15) Coutry: Click to eter time Click to eter coutry Click to eter cotractor ame City: Click to eter city Persos Ivolved i Icidet, check all that apply: Employee Cotractor Third Party Work Category of Perso Ijured or Ivolved: Click to choose a work category Icidet Details Icidet Type (select 1): Body Movemet (select 1): Eergies (select 1): Maual Material Hadlig (select up to 2): Activity (select up to 3): Click to select icidet type Click to select body movemet factor Click to select eergy factor Ijuries (select 1): Repetitive Activity (select 1): Cause (select 1): Click to select material hadlig activity * * Hardware (select up to 5): * * * * People (select up to 5): * * * * Physical Eviromet (select up to 5): * * * * Procedures (select up to 5): * * * * Click to select body part Click to select repetitive activity Click to select cause factor Click to select material hadlig activity Click to select icidet activity details Click to select hardware factors Click to select people factors Click to select eviromet factors Click to select procedural factors EN-Rev.3 Last prited :12:00 AM Page 1 of 2

43 Icidet Notificatio Form (to be completed electroically) Icidet Descriptio (who, what, how, whe) Click to eter icidet descriptio Icidet Photo The image is to help visualize the icidet coditios ad aftermath oly. Be sure the image does ot capture compay logos, persoal iformatio or ay other sesitive material. Details of Ijury/Damage/Impact (ature ad extet): Click to eter details of ijury/damage/impact Immediate Corrective Actios (what should or has bee doe to prevet recurrece of this icidet): Click to eter corrective actios Was a Team StepBack card completed? Associated Critical Risk Cotrol Protocol: Was this a Repeat Icidet? Approved by: Supervisor Health & Safety Site Maager Click for yes or o Click to choose CRCP Click for yes or o Click to eter date Click to eter date Click to eter date EN-Rev.3 Last prited :12:00 AM Page 2 of 2

44 Icidet Type (choose oe): Icidet Ivestigatio Reportig Form (to be completed electroically ad uploaded to HSES Database withi 14 days of the icidet) Health Safety Eviromet Icidet Category (choose oe): Fatality Lost Time Modified Work Medical Aid First Aid Near Miss Icidet Potetial (choose oe): Low Must be reported i the HSES Database by the 10th day of the followig moth High Must be reported withi 24 hours (Form Icidet Notificatio Form), BU coferece call withi 72 hours, icidet ivestigatio (Form Icidet Ivestigatio Reportig Form) completed ad uploaded i HSES Database withi 14 days. Icidet Title Icidet Number Icidet Date (yy-mm-dd) Click to eter icidet title Click to eter icidet umber Click to eter icidet date Was a Busiess Uit coferece call held? Was this activity / task idetified i the Risk Register? Does a stadard / procedure exist to cotrol the risk? If yes, was the stadard / procedure adhered to? Was this icidet a system failure? Click for yes / o Click for yes / o Click for yes / o Click for yes / o Click for yes / o Was there ay property damage? Click for yes / o If yes, what amout? Click to eter amout Modified Work Ijury Click for yes / o If yes, how may days modified work? Lost Time Ijury Click for yes / o If yes, how may days lost time? Click to eter umber of days Click to eter umber of days Root Cause Aalysis Sessio: Sessio start date(s) (yy-mm-dd) Click to eter sessio start date Sessio ed date (yy-mm-dd) List sessio participats Click to eter participat ames Click to eter sessio ed date Sequece of Evets: Click to eter details of sequece of evets EN-Rev.3 Last prited :13:00 AM Page 1 of 6

45 Icidet Ivestigatio Reportig Form (to be completed electroically ad uploaded to HSES Database withi 14 days of the icidet) Root Cause Aalysis (RCA) Ivestigatio Results: Abset or Failed Defeses Descriptio: Click to choose abset or failed Defese Click to eter descriptio Idividuals / Team Actios Click to choose idividual / team actios Descriptio: Click to eter descriptio Task / Evirometal Coditios (Workplace) Click to choose task/ evirometal coditios (workplace) Descriptio: Click to eter descriptio Task / Evirometal Coditios (Huma) Click to choose task / evirometal coditios (huma) Descriptio: Click to eter descriptio Orgaizatioal Factors Click to choose orgaizatioal factors Descriptio: Click to eter descriptio Uderlyig (Root) Causes ad Key Cotributig Factors: Click to eter details of uderlyig causes ad key cotributig factors EN-Rev.3 Last prited :13:00 AM Page 2 of 6

46 Icidet Ivestigatio Reportig Form (to be completed electroically ad uploaded to HSES Database withi 14 days of the icidet) Descriptio of Icidet FOLLOWING the Root Cause Aalysis Ivestigatio: (Complete if chaged from Icidet Notificatio Form) Click to eter descriptio of icidet followig RCA ivestigatio Root Cause Aalysis (RCA) Diagram (if applicable): Permaet Corrective Actios to be Take (Actios should relate back to RCA Ivestigatio fidigs): Where the corrective ad prevetive actio idetifies ew or chaged hazards or the eed for ew or chaged cotrols, the proposed corrective actio(s) shall be take through a documeted risk assessmet prior to implemetatio. Effectiveess of corrective actio(s) shall be reviewed i a timely maer. Actio Resposible Perso Due Date Click to eter actio Click to eter actio Click to eter actio Click to eter actio Click to eter actio Click to eter ame Click to eter ame Click to eter ame Click to eter ame Click to eter ame Click to eter due date Click to eter due date Click to eter due date Click to eter due date Click to eter due date EN-Rev.3 Last prited :13:00 AM Page 3 of 6

47 Icidet Ivestigatio Reportig Form (to be completed electroically ad uploaded to HSES Database withi 14 days of the icidet) Key Lessos Leared (Summary of lessos from icidet): Click to eter lessos leared Project / Office Risk Register updated followig ivestigatio: Does this icidet require Govermet Authority otificatio? Click for yes / o Click for yes / o Resposible Lie Maager: Click to eter ame Telephoe: Click to eter phoe umber Title: Click to eter title Click to eter Resposible HSE Cotact: Click to eter ame Telephoe: Click to eter phoe umber Title: Click to eter title Click to eter EN-Rev.3 Last prited :13:00 AM Page 4 of 6

48 Icidet Ivestigatio Reportig Form (to be completed electroically ad uploaded to HSES Database withi 14 days of the icidet) Isert Pictures / Sketches / Diagrams of Icidet: Click here to eter descriptio of graphic Click here to eter descriptio of graphic Click here to eter descriptio of graphic EN-Rev.3 Last prited :13:00 AM Page 5 of 6

49 Icidet Ivestigatio Reportig Form (to be completed electroically ad uploaded to HSES Database withi 14 days of the icidet) Click here to eter descriptio of graphic Click here to eter descriptio of graphic Click here to eter descriptio of graphic EN-Rev.3 Last prited :13:00 AM Page 6 of 6

50 ICAM Chart Icidet classificatio Project Name Date of icidet ORGANIZATIONAL FACTORS TASK/ENVIRONMENTAL FACTORS INDIVIDUAL/TEAM FACTORS ABSENT/FAILED DEFENCES INCIDENT EN-Rev.1 Last prited :14:00 AM Page 1 of 1

51 SITE INSPECTION REPORT Project: Ispectio Report #: Locatio: Date: Y Y M M D D Cotractor: ITEMS INSPECTED: CHECK ALL ITEMS INSPECTED Ispectio Type: Iformal Formal Persoal Protective Equipmet 1 Step Back / JSA 2 Safety Vest 3 Hard Hat 4 Safety Boots 5 Eye Protectio 6 Hearig Protectio 7 Had Protectio 8 Fall Protectio 9 Respiratory Protectio 10 Safe Work Permits Materials Material Storage WHMIS Spill Kits Material Hadlig Compressed Gases Equipmet ad Tools 1 Power ad Had Tools 2 Mobile Equipmet 3 Elevated Work Platforms 4 Lockout / Tagout 5 Trucks ad Vehicles 6 Ladders 7 Emergecy Equipmet DEFICIENCIES: HAZARD PRIORITY # 8 Safe Guards 9 Scaffoldig A IMMINENT Deficiecy ad correctivee actio required T HAZARD Eviromet WATCM Area/Buildigs Walkways / Work areas Housekeepig Excavatios / Shorig Procedural / Admi Security First Aid Facilities Fire Extiguishers B SERIOUS HAZARD C MINOR HAZARD Priority Actio by: [date] Y Y M M D D Y Y M M D D Y Y M M D D Y Y M M D D Y Y M M D D ACTION AND REVIEW Perso Assiged Corrective Actios: Employer: Is a Field Safety Observatio Report [FSOR] beig issued? No Yes If yes list FSOR #: Ispectio Performed by: Reviewed by: Date Corrective Actios completed: Cofirmed by: Report Closed by: Date: Last prited :41:00 PM Page 1 of 1

52 FIELD SAFETY OBSERVATION REPORT This Field Safety Observatio Report [FSOR] is beig issued due to ispectio fidigs whichh are i cotravetio of the established health, safety, security or evirometal stadards for this project. Ispector Name: Title/ Positio: Ispected Area: Date: Time: Y Y M M D D FSOR #: Issued to Compay: Cotact Name: OBSERVATION FINDINGS: DETAIL THE REASONSS FOR ISSUING THIS REPORT.. ATTACH SUPPORTING INSPECTION REPORTS Category of Ifractio OH&S Regulatios CRCP Requiremets Cotractor Requiremets IDENTIFY CONTRAVENTIONS: INDICATE WHAT RULES WERE BROKEN Type of Ifractio Usafe Act Usafe Coditio Improper behaviour Isufficiet safeguards Isufficiet traiig Public safety issue Project security issue Evirometal issue IDENTIFY REMEDIES : Idetify actio(s) to be take to resolve the cotravetios Status of Ifractio CPAR to be issued Photo s Take Stop Work Order Issued Corrected by Cotractor Work Activity ceased DISTRIBUTION AND FOLLOW UP: Report Give to: Positio: Remedies to be Completed by: Y Y M M D D Report Copied to: Date: Y Y M M D D Employer: Follow up date: Y Y M M D D Last prited :43:00 PM Page 1 of 1

53 CORRECTIVE & PREVENTATIVE ACTION REQUEST This Corrective & Prevetative Actio Request [CPAR] has bee issued due to cotravetios foud i the workplace. The Recipiet is requested to complete the Corrective Actios sectio ad retur this documet to the Issuer by the Retur Date show below. Cotractor: Recipiet: CPAR #: Issued Date: Locatio of Cotravetio: Retur Date: Y Y M M D D Y Y M M D D Issuer: Phoe #: ( ) - REASON FOR ISSUANCE: DESCRIBE WHY THIS CPAR IS BEING ISSUED. ATTACH SUPPORTING DOCUMENTATION Ispectio Report #: FSOR #: Cotravetio Level: Low Med High CORRECTIVE ACTIONS: TO BE COMPLETED BY THE RECIPIENT. DESCRIBE CORRECTION ACTIONS TO BE TAKEN Date Corrective Actios to be implemeted: Y Y M M D D Date Corrective Actios scheduled to be completed: Y Y M M D D Perso(s) assiged to implemet Corrective Actios: Sigature: Date: Y Y M M D D VERIFICATION: TO BE COMPLETED BY THE ISSUING COMPANY Date received back: Y Y M M D D Have proposed corrective measures bee implemets? Received by: Yes No Pedig Have proposed corrective measures bee completed? Yes No Pedig COMMENTS AND FURTHER ACTIONS: DESCRIBEE ANY FURTHER ACTIONS TO BE TAKEN Report Reviewed by: Date: Y Y M M D D Report Approved by: Date: Y Y M M D D Last prited :45:00 PM Page 1 of 1

54 STOP WORK ORDER Ispector Name: Date: Y Y M M D D Title/ Positio: Time: Project: Stop work #: Issued to Compay: Cotact Name: STOP WORK ORDERR TAKE NOTICE THAT BRUN-WAY HAS DEEMED THIS WORK- SITE UNSAFE AND ALLL WORK IS TO CEASE IMMEDIATELY. WORK IS NOT TO RESUME UNTIL THE ISSUES NOTED BELOW HAVE BEEN RECTIFIED AND THE STOP WORK ORDER HAS BEEN REMOVED BY A BRUN-WAY REPRESENTATIVE. DESCRIPTION OF AFFECTED WORK: 1 Copy - Cotractor 1 Copy - Bru-Way QSE Maager 1 Copy Project Maager Last prited :46:00 PM Page 1 of 1

55 CONTRACTOR SAFETY REPORT This Cotractor Mothly Safety Report must be completed by the Cotractor ad submitted to Bru-Way o later tha the 1 st day of each moth throughout the duratio of the Project. For Projects with duratios less tha 1 moth, this report must be submitted at the ed of the project. Project Name: Cotractor: Moth of: Prepared by: Hours Worked by Geeral Cotractor Subcotractor Name Subcotractor Name Subcotractor Name Subcotractor Name Subcotractor Name Total Hours Worked Hours Worked Hours Worked Hours Worked Hours Worked Project Total INJURY CLASSIFICATION, FREQUENCY & SEVERITY Item Cotractor Subcotractor Total Laggig Idicators: Hours Worked: (The total umber of hours worked) Number of Workers (calculate average) # Lost time ijuries [LTI] (ijuries where time is lost subsequet to date of ijury) # Lost Day [LD] (for curret moth) # Lost Days (iclude all lost days still beig recorded from previous accidets) # Medical aids [MA] (as defied by prevailig OH&S Regulatios) # First Aids(Work related ijuries that result i treatmet or observatio from # Modified Work Cases (calculate the # of people o modified duties) Reportable Icidets Property / Equipmet / Eviromet Damage Security / Public (iclude all icidets, ijuries ad / or ear misses) Near Misses (iclude all ear miss evets other tha those affectig public) Leadig Idicators # Orietatios (log ad short duratio orietatios, must be documeted) # Toolbox Talks (must be documeted to be recorded i this report) # Ispectios # TSA s / JHA s / StepBacks (total umber completed) # Safety Meetigs Regulatory Ispectios (# of ispectios doe by a regulatory agecy ex. WorkSafe NB) Orders (# of orders issued from the regulatory agecy) Submit to Bru-Way at: Fax # (506) occr@bruwayops.com Last prited :47:00 PM Page 1 of 1

56 Cotractor Maagemet Stadard Revisio History Revisio Date Descriptio Prepared by Approved by 0 Jauary 1 st, 2013 Origial Issue Global Health & Safety T. Va Wiere 1 Jauary 1 st, 2014 Mior chages flowchart added Global Health & Safety T. Va Wiere 2 Jauary 1 st, 2015 Full documet review 3 Global Health & Safety T. Va Wiere 4 5 Cautio: U-Cotrolled Copy Valid oly at time of retrieval from etwork source directory. User should verify that the revisio umber is the most curret EN-Rev.1 Last prited :31:00 AM Page 1 of 11

57 Cotractor Maagemet Stadard Table of Cotets 1.0 PURPOSE SCOPE DEFINITIONS RESPONSIBILITIES REFERENCES PROCEDURE Cotractor Selectio Phase EN-Rev.1 Last prited :31:00 AM Page 2 of 11

58 Cotractor Maagemet Stadard 1.0 PURPOSE Cotractors ca have a sigificat role o SNC-Lavali projects ad historical records show cotractor ijury rates are sigificatly higher tha compay ijury rates. As well, cotractors have bee resposible for may serious icidets, which cause project delays ad damage to SNC-Lavali s reputatio. As such, effective cotractor maagemet is deemed a key compoet for reducig cotractor geerated risks. We must actively esure our cotractors effectively maage their Health ad Safety (H&S) resposibilities while o SNC-Lavali projects, operatios ad i offices. The objective of this Cotractor Maagemet stadard is to establish performace based criteria for the maagemet of cotractor H&S. I additio, some of the SNC-Lavali H&S requiremets may exceed the regulatios ad cotractors eed to be iformed ad held accoutable to follow these stadards. 2.0 SCOPE This stadard applies to all work eviromets ad activities where SNC-Lavali has a primary legislative or cotractual resposibility for the H&S of its employees or others. This is referred to iterally as a cotrolled site. 3.0 DEFINITIONS Cotractor Pricipal OHS KPI A idividual / compay who is ot a cliet, direct hire SNC-Lavali employee ad who is o a SNC-Lavali cotrolled project or i a SNC-Lavali office for busiess reasos should be icluded uder the cotractor category. This icludes Cosultats, Ispectors, Subcotractors, Suppliers ad Third party visitors. The desigatio give to the Cotractor who has the overall resposibility for maagig H&S o a Project. Occupatioal Health ad Safety Key Performace Idicators Refer to SNC-Lavali Health ad Safety Idicators for additioal defiitios. 4.0 RESPONSIBILITIES The SVP GHS is resposible for the cotet, admiistratio ad maiteace of this stadard. It shall be subject to the aual review process. It is the resposibility of the BU H&S VP / Director to esure that this stadard is implemeted fully withi their respective Busiess Uits / Divisios. Each Project Maager is resposible to make sure that this stadard is implemeted ad complied with o their project(s) EN-Rev.1 Last prited :31:00 AM Page 3 of 11

59 Cotractor Maagemet Stadard 5.0 REFERENCES 6801 Global Health ad Safety Maagemet System Health ad Safety Idicators Cotractor Pre-Selectio Form Cotractor Pre-Mobilizatio Form 6.0 PROCEDURE 6.1 CONTRACTOR SELECTION PHASE IMPLEMENTATION This stadard requires that cotractors be evaluated as part of the selectio process. The followig criterio is expected to be applied: 1. Cotractors will be iformed of the SNC-Lavali H&S requiremets prior to issuace of a cotract. 2. A assessmet will be performed to determie the extet of the cotractor ivolvemet i implemetig ad maitaiig project H&S. 3. Cotractor H&S programs ad idustry safety records will be examied to evaluate the ability of the cotractor to meet the H&S stadards. 4. Cotractors must sig the Cotractor Pre-Mobilizatio Form ( ) idicatig that they have bee iformed of the SNC-Lavali H&S requiremets ad agree to abide with the requiremets throughout the duratio of the cotract. Implemetatio Flow Chart Cotractor Pre-Selectio Global Procuremet, (GPS) Tools software suite or Pre-Selectio Form Request for bid Commuicatio of all requiremets to cotrator prior to submissio of bid ad award of cotract Cotractor Classificatio Level 1 Level 2 Level 3 Level 4 Cotractor Assessmet ad Selectio H&S factors icluded alog with commercial ad performace critertia i selectio of cotractor Cotract Awarded Cotractor Pre-Mobilizatio Cotractor Kick-Off meetigs Field Maagemet of Cotrctors Complete Cotractor Pre Mobilizatio Form Siged by cotractor to committ to comply with all requiremets Meetigs with all Cotractors ad Sub-Cotractors prior to mobilizatio Meetig esures all H&S requiremets are well uderstood SNC-Lavali maagemet atteds atteds all cotractor ad subcotractor kick-off meetigs Moitorig ad reiforcemet of expectatios, stadards ad objectives Documetatio of o-compliace Implemetatio of appropriate corrective actios EN-Rev.1 Last prited :31:00 AM Page 4 of 11

60 Cotractor Maagemet Stadard CONTRACTOR CLASSIFICATION LEVELS Due to the broad scope of cotractor activities, umerous variables exist which may affect the maer i which cotractors are evaluated ad maaged. These variables iclude but are ot limited to: The size, ature ad complexity of the cotracted works. The levels of risk for the work to be doe by the cotractor. The size of the cotractor workforce. Whether the cotractor is maagig sub-cotractors. Whether the cotractor will have primary resposibility for a assiged project area. The choice ad maturity of cotractors available. There are four levels for the classificatio of cotractors. Each level requires a greater degree of H&S evaluatio ad performace criteria. The levels are risk based ad cotractors should always be classified ito the level, which represets the highest level of risk based o the activities that the cotractor will be performig / ivolved i. Classificatio Level Level 1 Level 2 Level 3 Evaluatio ad Performace Criteria This level does ot perform risk-geeratig activities o the site. This group is largely composed of professioals who ispect, moitor ad support site activities, icludig: Cosultats, Ispectors Surveyors, Techicias ad Quality Assurace persoel Service techicias ad repair persoel This group has limited risk-geeratig activities ad will be uder the supervisio of aother project cotractor. Truck drivers, pump operators, cocrete truck drivers, delivery persoel, suppliers ad other groups that deliver ad off-load materials. Trades ivolved i limited risk activities such as rebar istallers, cocrete pourig ad fiishig, formwork ad fiishig carpeters. Fiishig trades who work iside buildig which are structurally complete. This may iclude carpet layers, tilers, washroom fixture istallers, paiters Suppliers / vedors who are deliverig ad offloadig materials but are ot istallig the materials. This group is ivolved i medium to high-risk work activities although the scope of the work is limited. Crae operators, heavy equipmet operatios, pavig, site preparatio, udergroud utility istallatio. Specialty cotractors who istall equipmet ad machiery where most of their workers are skilled trades people, icludig plumbers, electricias, Iroworkers, glazers, roofers, masos, paiters. Small cotractors ivolved i geeral costructio who will be uder the supervisio of a larger project cotractor. Suppliers / vedors istallig materials EN-Rev.1 Last prited :31:00 AM Page 5 of 11

61 Cotractor Maagemet Stadard Level 4 This group has the highest risk levels ad / or complexity of work. Joit veture parterships ad major subcotractors with primary resposibility of a area / group. Employig a large umber of skilled ad uskilled workers. Maage subcotractors. Ivolved i high ad extreme risk work activities. Havig resposibility for a high / extreme risk area or activity where systems testig ad commissioig is performed REQUIREMENTS The followig requiremets shall apply based o each of the classificatio levels LEVEL 1 Cotractor will be iformed of SNC-Lavali project H&S requiremets. Cofirmatio that cotractor has curret ad appropriate workplace isurace for all employees visitig SNC-Lavali sites. Cofirmatio that cotractor has a occupatioal H&S program which addresses the risks ad safeguards associated with the work activities to be performed by the cotractor. Cofirmatio that cotractor employees have received appropriate traiig from their employer for the activities to be performed o site, or ackowledgmet that traiig must be completed before egagig i activities which require traiig (fall protectio, respiratory protectio, etc). Cotractor shall desigate site H&S represetatives relevat to project scope & size to maage project H&S requiremets o behalf of the cotractor. All cotractors will participate i the Team StepBack process ad sig off daily o the Team StepBack card LEVEL 2 I additio to all the requiremets for level 1, the level 2 cotractor OHS program to iclude: Records ad certificatios as required demostratig that cotractor s employees have bee traied i the operatio ad maiteace of their equipmet. Records, which cofirm employees, are traied i cotractor safe work procedures ad the health & safety system. Copies of equipmet certificatio demostratig that cotractor equipmet meets all legislated performace ad safety requiremets. Records, which demostrate cotractor has regular effective ispectio programs i place for tools, equipmet, areas ad activities LEVEL 3 I additio to all the requiremets for levels 1 ad 2, the level 3 cotractor OHS program to iclude: Idetificatio of cotractor H&S maager ad site H&S represetatives alog with descriptio of their project H&S duties ad experiece. Project H&S pla, which idetifies how cotractor activities will alig ad meet project ad regulatory H&S requiremets EN-Rev.1 Last prited :31:00 AM Page 6 of 11

62 Cotractor Maagemet Stadard Risk based safe work plas, which demostrate the cotractor has properly evaluated the work activity, ad has / will implemet the appropriate cotrols LEVEL 4 I additio to all the requiremets for levels 1, 2, 3, the level 4 cotractor OHS program to iclude: Cofirmatio that cotractor has effective H&S processes for maagig subcotractors ad other cotractors workig i cotractor areas. Demostratio that cotractor has orietatio ad traiig programs to istruct employees, subcotractors ad visitors for project specific aspects prior to physical work commecig. Demostratio that cotractor has risk based hazard idetificatio ad cotrol programs which will be implemeted durig project plaig ad executio ASSESSMENT OF PERFORMANCE OCCUPATIONAL HEALTH AND SAFETY (OHS) PROGRAM EVALUATION Each cotractor must complete Sectios 9 ad 20 (For level 3 ad 4) i the SNC-Lavali Global Procuremet System (GPS) or Pre-Selectio Form ad meet the miimum stadard as outlied below LEVEL 1 AND 2: The followig criterio is expected to be addressed i the cotractor OHS Program: 1. Policy statemet of the cotractor H&S goals ad objectives, siged ad dated o a aual basis. 2. Descriptio of safety roles ad resposibilities for project maagemet, supervisors, H&S persoel, foreme, ad workers. 3. Process for evaluatig project risks, icludig actios to elimiate, miimize or cotrol these risks at project start-up ad throughout course of project. 4. Idetificatio of the requiremet to hold / atted project H&S committee meetigs. 5. Process for esurig that all icidets (fatality, lost time, modified work, medical aid, first aid, ear miss) are reported. 6. Process for esurig ivestigatio of all icidets (fatality, lost time, modified work, medical aid, first aid, ear miss) occurrig at the workplace. 7. Process for providig appropriate first aid supplies, dedicated facilities ad persoel as required. 8. Appropriate safe work procedures developed for the tasks performed by the cotractor s workforce. 9. Process to validate that Cotractors workers have received appropriate H&S ad task traiig ad are prove competet before udertakig work activities. 10. Process for holdig safety toolbox ad tailgate meetigs as ecessary to esure proper commuicatio of safety iformatio to workers. 11. Descriptio of cotractor policy for iappropriate behavior at the workplace, icludig drug ad alcohol misuse. 12. Process for discipliary actio to be take agaist workers for o-compliace with SNC-Lavali, cotractor or Govermet / Regulator requiremets. 13. Provisio for supply ad use of persoal protective equipmet EN-Rev.1 Last prited :31:00 AM Page 7 of 11

63 Cotractor Maagemet Stadard 14. Descriptio of the ispectio ad maiteace procedures for site equipmet ad tools, icludig removal from service procedures for defective equipmet or tools. 15. Provisio for ispectig / certifyig equipmet prior to use o site. 16. Process for coductig site safety ispectios as required to elimiate usafe acts or coditios. 17. Emergecy respose program procedures, icludig traiig for workers ad visitors. 18. Provisio for esurig that appropriate documetatio, maufacturers operatig istructios, ad/or other such documetatio is received ad maitaied at the workplace prior to process, structure, or equipmet use. 19. Process for maagig workplace ijuries with the itet of early retur to work ad modified duty programs for workers durig their recovery. 20. Provisio for Right to Refuse / Obligatio to ot participate i usafe work requiremet. 21. Security program to esure access ad cotrol of workers ad visitors. 22. Behavior Itervetio programs which provide icetives for workers to work i a safe maer. 23. Process for esurig compliace with local hazardous materials ad chemical regulatory requiremets, icludig Material Safety Data Sheets (MSDS) for all products brought oto site or used by the cotractor. 24. Process for esurig compliace with Trasportatio of Dagerous Goods requiremets. 25. Process for collectio of project safety statistics ad data. 26. Process for periodic auditig of Cotractor OHS Program LEVEL 3 AND 4 I additio to all the requiremets for level 1 ad 2, the level 3 ad 4 cotractor OHS program is to iclude: 1. Process for idetifyig subcotractor H&S requiremets as applicable. 2. Process for esurig subcotractors are meetig project ad legislated H&S requiremets, icludig discipliary actios for o-compliace. 3. Process for providig safety orietatios to workers ad visitors prior to goig o site, if such safety orietatio is ot provided by the prime cotractor. 4. Process for obtaiig, reviewig ad approvig safe work plas ad procedures from subcotractors. 5. Process for dissemiatig H&S iformatio to employees, subcotractors, visitors ad others i the cotractor assiged area, as appropriate. 6. Process for coordiatig the emergecy respose programs for all subcotractors workig i the cotractor area, as appropriate. 7. Process for safety coordiatio meetigs as eeded to esure all cotractor ad subcotractor work activities are aliged. 8. Process for evaluatig subcotractors H&S performace as part of the selectio process i accordace with this documet EN-Rev.1 Last prited :31:00 AM Page 8 of 11

64 Cotractor Maagemet Stadard COMMUNICATION OF REQUIREMENTS Cotractor safety evaluatio packages should be issued to potetial bidders ad cotractors prior to award of cotract. The packages shall be provided to the cotractors with sufficiet time for the bidder / cotractor to review the requiremets before submittig their bid. The package eeds to iclude: 1. A copy of the Project Specific H&S Pla. 2. A list of all the specific sectios of the Project H&S Pla that apply to the cotractor s scope of work. 3. Adequate access to SNC-Lavali Global Procuremet System (GPS) to complete sectios 9 ad 20 (for Level 3 ad 4) or Pre-Selectio Form Completio ad submissio of data through SNC-Lavali GPS represets cotractor s ackowledgmet cofirmig uderstadig of the project H&S requiremets. The cotractor shall address, i the bid submissio, as a miimum: 1. Details of key project persoel ad their safety resposibilities ad traiig. 2. H&S record ad idustry performace materials: Experiece Ratig Assessmet or equivalet from the appropriate workers compesatio agecy for the past 3 years. Aual health & safety data as described below for the past 3 years. If cotractors use subcotractors, show separated data for both cotractor ad subcotractors: Total aual hours worked Number of fatalities Number of lost time icidets Number of days lost Number of modified work icidets Number of medical aids Number of high potetial icidets where the potetial of fatality or recordable ijury could have resulted 3. Summary record of ay pealties levied by the Govermet / Regulator agaist the cotractor withi the past 3 years. 4. Cotractor summary ivestigatio reports for ay workplace fatality ad / or icidets, which resulted i sigificat property ad / or evirometal damage. 5. Notificatio of ay pedig admiistrative actios agaist the cotractor by the Regulator ad which OHS Regulatio is beig cited pursuat to the pealty. 6. Worker s Compesatio Board Experiece Ratig Assessmet (ERA) or equivalet ad the average ratig for the idustry or sector of activity EN-Rev.1 Last prited :31:00 AM Page 9 of 11

65 Cotractor Maagemet Stadard POST AWARD PHASE Prior to mobilizig to the project site, operatio, office or as requested by SNC-Lavali, each Cotractor s site leadership team shall atted meetigs with members of the project maagemet team. This meetig will review the H&S matters associated with the cotractor scope of work prior to mobilizatio ad esure the Cotractor clearly uderstads the H&S expectatios, stadards ad objectives. A Cotractor Pre-Mobilizatio Form ( EN) must be completed, siged ad dated. Oce mobilized to site, it is expected that each Cotractor with its Subcotractors shall coduct its ow kick off meetigs o a scheduled basis, or as the eed arises, ad as each ew RSubcotractor arrives for each separate phase of the project. Cotractor kick-off meetigs shall be atteded by SNC-Lavali maagemet team represetatives FIELD MANAGEMENT OF CONTRACTORS The busiess uit (BU) or project site must have effective processes i place to moitor ad maage the H&S performace of cotractors ad subcotractors who are egaged i work for SNC-Lavali. Required compoets of a effective system iclude: 1. Cotract coditios that give project maagemet the ability to eforce site H&S stadards with cotractors ad subcotractors. This should iclude clauses such as: To hold paymets to cotractor. Charge back the cotractor for ay work completed to restore safe site coditios. 2. A system to moitor ad track ay usafe coditios or o-coformities to the site H&S plas, icludig the developmet of actios to improve the maagemet system or restore safe site coditios icludig temporary or permaet removal of supervisors or workers from site. 3. Each cotractor s compliace with the Project H&S Pla shall be audited o a ogoig basis by the BU or project maagemet. Audits should iclude a evaluatio of program documets ad records, observatio of compliace with safe work processes ad iterviews with lie maagemet ad workers. The Cotract Admiistrator shall be advised of ay o-compliace(s) ad will request the desigated cotractor to review ad iitiate corrective actio. No-compliace will be documeted i each cotractor s project file. 4. Depedig o the type of cotractor, ad as a miimum, bi-aual H&S performace reviews should be completed o the cotractor s H&S performace, ad the results should be shared with the cotractor beig assessed ad with the SNC-Lavali Global Procuremet Group. A cotiuous improvemet model shall apply to the H&S performace of cotractors. 5. A system shall be implemeted to record all istructios ad iteractios with the cotractor ad sub-cotractor to esure actio items have bee uderstood ad completed, ad to have a writte record i case of ay possible future cotractual or legal actio PEOPLE REQUIREMENTS A appropriately traied perso shall be appoited o behalf of the Pricipal to supervise the cotract from a H&S perspective. The appoited SNC-Lavali cotract maager shall esure participatio occurs with the cotractor i risk assessmets, particularly durig high-risk activities. Relevat iductios shall be completed EN-Rev.1 Last prited :31:00 AM Page 10 of 11

66 Cotractor Maagemet Stadard Systems shall be i place to esure cotractor persoel are suitably traied ad qualified i accordace with the relevat laws ad regulatios to carry out all tasks required of the cotract. The Pricipal should assist the cotractor i developig H&S maagemet plas specific to that site. Such plas shall have the relevat SNC-Lavali site stadards as a miimum precedet. The cotractor shall supply duty statemets for all positios of resposibility. The Pricipal shall atted ad coordiate frequet cotractor status meetigs EN-Rev.1 Last prited :31:00 AM Page 11 of 11

67 Job Safety Aalysis Stadard Revisio History Revisio Date Descriptio Prepared by Approved by 0 March 1 st, 2012 Origial Issue 1 Jauary 1 st, 2013 Full Documet Review Global Health & Safety Global Health & Safety T. Va Wiere T. Va Wiere 2 Jauary 1 st, 2014 Full Documet Review - Removed Post Cotrol Risk Ratig. Exposure Removed Global Health & Safety T. Va Wiere Cautio: U-Cotrolled Copy Valid oly at time of retrieval from etwork source directory. User should verify that the revisio umber is the most curret EN-Rev.2 Last prited :27:00 PM Page 1 of 7

68 Job Safety Aalysis Stadard Table of Cotets 1.0 PURPOSE SCOPE RESPONSIBILITIES REFERENCES PROCEDURE JSA Team Geeral requiremets of the JSA Maiteace of Cotrols Review of JSA Chage Cotrol Use ad Dissemiatio of the JSA Emergecy Preparedess ad Respose Trackig of JSA EN-Rev.2 Last prited :27:00 PM Page 2 of 7

69 Job Safety Aalysis Stadard 1.0 PURPOSE Whe work activities are recogized as beig high risk, idetified by the project risk register as requirig further detailed evaluatio, utilizig ew techologies or methodologies, requested by SNC-Lavali project maagemet, or there is icidet history to warrat it; a Job Safety Aalysis (JSA) shall be completed. A JSA is used for evaluatig ad documetig a specific job or group of similar activities to idetify the job steps, associated hazards, risk levels, resposibility, ad appropriate cotrols required to complete the work safely. 2.0 SCOPE This procedure applies to projects where SNC-Lavali has a primary legislative or cotractual resposibility for the H&S of its employees or others. 3.0 RESPONSIBILITIES The SVP GHS is resposible for the cotet, admiistratio ad maiteace of this program. It shall be subject to the aual review process. It is the resposibility of the BU H&S VP / Director to esure that this program is implemeted fully withi their respective Busiess Uits / Divisios. Each Project Maager is resposible to make sure that this program is implemeted ad complied with o their project(s). 4.0 REFERENCES 6801-EN Global Health ad Safety Maagemet System EN Job Safety Aalysis Work Sheet EN Team StepBack Card 5.0 PROCEDURE 5.1 JSA TEAM The JSA should be prepared by a team of persoel with specific kowledge of the work activities beig assessed. As there are a umber of differet activities ad disciplies udertake over the course of the project, the JSA team is expected to chage as eeded to ivolve the expertise of the perso(s) most familiar with the specific activities. The followig persoel should participate i the JSA process: Area Maager ad / or Superitedet The perso(s) resposible for the specific work areas ad / or activities will provide details o the costructio activities, methodology, equipmet, workforce, schedule ad plaed safeguards. Project Egieer ad / or techical expert Will provide the techical details associated with systems ad / or activities such as electrical systems, mechaical systems, trai operatios, testig ad commissioig, etc EN-Rev.2 Last prited :27:00 PM Page 3 of 7

70 Job Safety Aalysis Stadard Health ad Safety Maager / Coordiator Will provide the details o the pertiet OH&S regulatios, safe work practices, persoal protective equipmet ad admiistrative measures for cotrollig the hazards. Cotractors For work activities performed by cotractors, the appropriate cotractor disciplie leads, cosistet with the persoel idetified above, shall complete the job safety aalyses ad submit them for review by the Project Health ad Safety Maager / Coordiator for all jobs that have medium or higher risk levels before cotrols have bee applied as idetified i the Risk Register. Alterately, the SNC-Lavali Project Maager or desigate may request the cotractor to participate i the JSA process by SNC-Lavali. Exteral Parties If the project work is i a area which is subject to impacts / restrictios from exteral parties, for example workig o / over railways systems, workig o / over water, etc. the team should iclude a perso or persos from the exteral party with expertise i the area where the work is occurrig. This perso should provide also details of ay restrictios beig imposed o the project by the exteral party ad / or area. Durig each step of the JSA procedure, it is vital to have employee participatio. The employees ad supervisors who have spet the most time with the equipmet or job uder study should be the oes cooperatig to prepare the JSA. JSA s will the cotai the combied wisdom of all persos havig kowledge or experiece i regard to the job beig examied. Completed JSA s set the stadard for safe job performace ad are used to trai ew employees as well as provide a resource to be used for maiteace of traiig for more experieced employees. A proper Job Safety Aalysis is ot a mere gatherig of workers at the begiig of a shift or job to discuss ad list geeral safety hazards ad the geeral precautios that should be followed. Preplaig (typically a sigificat time before the actual job is to be performed) is required as may discovered precautios require the developmet of specific safe work methods, the possible istallatio of safety devices, ad the acquisitio of required safety equipmet. The aalysis process may idetify previously udetected hazards ad icrease the job kowledge of those participatig. Safety ad health awareess is raised, commuicatio betwee workers ad supervisors is improved, ad acceptace of safe work procedures is promoted. 5.2 GENERAL REQUIREMENTS OF THE JSA A Job Safety Aalysis is a simple, yet importat, writte procedure that ca be used to idetify potetial workplace hazards for the purpose of assessmet of those hazards ad the determiatio ad commuicatio of appropriate mitigatig cotrols. The JSA process should utilize a stadard form havig at least four colums. These are commoly labelled: 1. Descriptio of Job Steps 2. Potetial Hazards 3. Pre Cotrols Risk Ratig 4. Cotrols DESCRIPTION OF JOB STEPS Oce a job or group of jobs has bee determied to require a JSA to be completed, the JSA team will discuss ad fill out a Job Safety Aalysis Work Sheet. The ext stage is to break the job ito maageable steps. A job step is defied as a segmet of the operatio ecessary to advace the work EN-Rev.2 Last prited :27:00 PM Page 4 of 7

71 Job Safety Aalysis Stadard Care must be take ot to make the steps too geeral. Missig specific steps ad their associated hazards will ot give a accurate assessmet of the job. O the other had, if they are too detailed, there will be too may steps ad the tool will lose its effectiveess i the field. A rule of thumb is that most jobs ca be described i te steps or less. If more steps are required, you might wat to divide the job ito two segmets, each with its separate JSA, or combie steps where appropriate. It is importat to keep the steps i their correct sequece. Ay step which is out of order may miss serious potetial hazards or itroduce hazards which did ot previously exist. Record the job steps accordig to what is beig doe rather tha how it is doe POTENTIAL HAZARDS A hazard is the potetial for harm. If left ucotrolled, a hazard could result i ijury or harm. A hazard ca be a physical object, chemical, oise, radiatio, extreme heat or cold, electrical eergy or aythig else that has the potetial to cause harm. Oce the job has bee broke dow ito sequetial job steps, the team will discuss ad record ay possible hazards that could affect safe completio of the scope of work. This assessmet should iclude a umber of the jobs aspects. This would iclude but ot be limited to: 1. Evirometal coditios 2. Ucotrolled eergy releases 3. Traiig requiremets 4. Tools ad equipmet RISK RATING Oce the hazard has bee idetified, the ext step is to determie the level of risk the hazard represets. This risk level will the be recorded i the appropriate colum. This sectio describes how risk is calculated There are two factors to evaluate whe calculatig risk: 1. Probability The likelihood that a egative evet will occur 2. Cosequece / Outcome The harm caused by the egative evet To determie the risk score oe must cosider the 5 variables for each elemet as described i SNC-Lavali s risk matrix. To assist with this calculatio there are drop dow meus for each factor i the Job Safety Aalysis Work Sheet. Alterately, the SNC-Lavali StepBack card should be utilized. The card employs a 5 X 5 matrix structure whe assessig the risk level EN-Rev.2 Last prited :27:00 PM Page 5 of 7

72 Job Safety Aalysis Stadard HAZARD CONTROLS A cotrol is aythig that will help to maage the hazard by either prevetig it from occurrig or miimizig its impact if it does occur. If a hazard caot be elimiated, steps should be take so that the cosequeces of the hazard are as low as reasoably practical (ALARP). If a workplace hazard caot be elimiated or replaced with a o-hazardous substitutio, it is ecessary to implemet hazard cotrols i order to protect the worker. The hierarchy of cotrols is the preferred order to mitigate hazards ad cotrol risk levels: 1. Elimiatio: Complete removal of a hazard. 2. Substitutio: Replacig the material or process with a less hazardous oe. 3. Separatio: Isolate the hazard (i.e. guardig or eclosig it). 4. Egieerig: Desigs or modificatios to reduce the exposure to the hazard. 5. Admiistrative: Limit exposure to hazardous coditios or eergies by procedural meas (i.e. timig of work, policies, sigage, ad work practices). 6. Persoal Protective Equipmet (PPE): Last lie of defece, hazards are still preset ad PPE is used to reduce the potetial for harm. A umber of these optios may be cosidered ad applied idividually or i combiatio to esure that exposure to hazards is ALARP. If a hazard caot be elimiated or mitigated effectively, all persoel ivolved shall be iformed of the hazard ad are give the ecessary precautios to avoid ay uwated outcome or associated icidet. 5.3 MAINTENANCE OF CONTROLS All cotrols require maiteace ad moitorig. The moitorig ad measurig of cotrol effectiveess shall be istituted as part of the risk maagemet process for all SNC-Lavali projects. 5.4 REVIEW OF JSA Prior to JSA required work commecig, project maagemet will review ad sig the documet. This review is ot a approval by SNC-Lavali of the JSA i its etirety, but esurig that project maagemet is aware of the plaed work ad that project requiremets have bee met. Project maagemet or desigate will review the job safety aalyses o a regular basis to esure they remai appropriate to the work activities, coditios ad / or areas. If ay discrepacies are foud betwee the job safety aalyses ad the actual work methods, project maagemet will ask the persos ivolved i the origial JSA to review ad alter the documet to meet the chaged coditios, or, to eforce compliace with the safety measures described i the JSA EN-Rev.2 Last prited :27:00 PM Page 6 of 7

73 Job Safety Aalysis Stadard 5.5 CHANGE CONTROL Oe of the greatest risks to project work has historically bee the lack of effective commuicatio ad chage cotrol. Our processes stipulate the eed to assess all work to determie risk levels ad effective cotrols, but ufortuately there are ofte chages that occur i the field that do ot receive the same level of scrutiy. To esure that all hazards are cotiually assessed as coditios chage a Red Pe process should be utilized o all JSA s. This requires ay chages that occur i the field to be recorded o the JSA form i red pe. This will draw the attetio of ayoe who has already reviewed the documet so that they are aware of the up-dated requiremets. If there are ay chages to a job step that has bee assessed as high risk, prior to applicatio of the mitigatig cotrols, the chages to the JSA will have to be commuicated to project maagemet. 5.6 USE AND DISSEMINATION OF THE JSA The JSA provides ot oly a tool to evaluate risks, safeguards ad procedures, but also provides a resource for educatig the work forces egaged i the job. Oce completed ad siged, the JSA is to be made readily available to the workers as part of their istructio ad traiig. The JSA should be: Provided to all supervisors, safety ad first aid persoel ivolved i the job. Provided to all cotractors participatig i the job. Kept at each work locatio ad reviewed with the workforce ad visitors as part of the daily job hazard assessmet / pre-job istructio. Provided to Joit OH&S Committee members. Icorporated ito the project emergecy respose program ad emergecy respose procedures. Be readily available for review by regulatory agecies. 5.7 EMERGENCY PREPAREDNESS AND RESPONSE Evirometal ad safety emergecy respose must be icorporated ito the plaig ad icluded i the JSA or attached to it (specific to the job beig aalyzed ad plaed for). 5.8 TRACKING OF JSA The project safety maager or desigate will maitai a record of all job safety aalyses ad review them agaist the risk register to esure the activities beig performed uder the JSA are recorded i the risk register ad tracked appropriately. Completed JSA s should be kept i a cetralized locatio ad be available for review by project staff ad auditors o site. These JSA s should be retaied for the life of the project EN-Rev.2 Last prited :27:00 PM Page 7 of 7

74 StepBack Risk Evaluatio Stadard Revisio History Revisio Date Descriptio Prepared by Approved by 0 December 1 st, 2011 Origial Issue Global Health & Safety T. Va Wiere 1 Jauary 1 st, 2013 Persoal ad Team Global Health & Safety T. Va Wiere 2 Jauary 1 st, 2014 Updated Persoal ad Team StepBack cards ad removed Smartphoe app. Global Health & Safety T. Va Wiere Cautio: U-Cotrolled Copy Valid oly at time of retrieval from etwork source directory. User should verify that the revisio umber is the most curret EN-Rev.2 Last prited :00:00 PM Page 1 of 11

75 StepBack Risk Evaluatio Stadard Table of Cotets 1.0 PURPOSE Team StepBack Persoal StepBack SCOPE RESPONSIBILITIES REFERENCES PROCEDURE Look ad See the HAZARDS Assess The RISK Take Appropriate ACTION EXAMPLE EN-Rev.2 Last prited :00:00 PM Page 2 of 11

76 StepBack Risk Evaluatio Stadard 1.0 PURPOSE SNC-Lavali utilizes the StepBack risk evaluatio tool to idetify hazards ad their appropriate cotrols i a cosistet ad systematic maer. It empowers SNC-Lavali persoel ad cotractors to take resposibility for their ow safety ad of those aroud them. It ecourages them to step back 2 meters ad take 2 miutes at the commecemet of a ew day, ew work assigmet ad / or whe coditios have chaged to thik critically about their workig eviromet. There are two types of StepBack processes curretly i use Team ad Persoal. 1.1 TEAM STEPBACK The Team StepBack card is desiged to be used prior to the commecemet of a task or activity to measure the risks ad esure that appropriate cotrols are i place. It ca be completed idividually or as a group. All hazards are formally documeted, correspodig risk levels are established ad associated cotrols idetified. The completed, siged ad dated card is the retaied as a permaet record of assessmet. Records are available for review by ay persoel joiig the work assigmet. 1.2 PERSONAL STEPBACK The Persoal StepBack card is iteded to be used by workers as a visual cue ad utilized as the tasks or activities are i progress. The card is a tool to help determie if the predicted risks have chaged ad if the curret cotrol measures eed to be altered. StepBack ca be used durig tailgate meetigs, risk register developmet, as well as ispectios ad audits to evaluate risks ad egage i dialogue with workers o site. The systematic use of StepBack esures risk evaluatio is at the forefrot of all work commeced by SNC-Lavali staff or uder the supervisio of SNC-Lavali staff. 2.0 SCOPE This procedure applies to all offices ad projects where SNC-Lavali has a primary legislative or cotractual resposibility for the Health ad Safety of its employees, cotractors, or others. 3.0 RESPONSIBILITIES The SVP GHS is resposible for the cotet, admiistratio ad maiteace of this program. It shall be subject to the aual review process. It is the resposibility of the BU H&S VP / Director to esure that this program is implemeted fully withi their respective Busiess Uits / Divisios. Each Project Maager is resposible to make sure that this program is implemeted ad complied with o their project(s). 4.0 REFERENCES 6801 Global Health ad Safety Maagemet System Team StepBack Card Persoal StepBack Card StepBack Traiig ( EN-Rev.2 Last prited :00:00 PM Page 3 of 11

77 StepBack Risk Evaluatio Stadard 5.0 PROCEDURE Risk is recogized as havig the potetial for both positive ad egative outcomes. The key to success, however, is to discover the fie balace betwee risk, reward ad potetial cosequeces. Idetifyig ad uderstadig the risk associated with tasks, is the first step i effective risk maagemet. Decisio-makig that icludes a assessmet of risk geerally reduces those losses by the implemetatio of appropriate cotrols ad strategies. The itet of risk assessmet is to maage harm, loss or damage through a uderstadig of hazards ad their associated risk levels. The SNC-Lavali StepBack risk evaluatio process is a field-level risk assessmet tool ad just oe part of the overall risk maagemet process. 5.1 LOOK AND SEE THE HAZARDS Recogizig a hazard is the first step towards kowig how to keep the hazard from causig harm. This sectio outlies guidelies to hazard recogitio i the workplace. Physical hazards are aythig that ca cause a uwated release of eergy. The greater the eergy release, the greater the potetial for harm. Physical hazards iclude: Movig Objects The faster a object moves the greater eergy it releases upo cotact (i.e. mobile equipmet) Fallig Objects The further somethig falls the greater the potetial for harm it has Flyig Objects The faster a object moves the greater eergy it releases upo cotact Pressure A uexpected release of pressurized eergy ca cause sigificat harm (i.e. pressurized systems) Suspeded / Stored Eergy If a release occurs Electricity If somethig is eergized it has the potetial to cause harm Hazards ad their associated risks may iclude but are ot limited to: Mobile / Liftig Equipmet (i.e. beig ru over or beig struck by a swigig load) Workig at Heights (i.e. icurrig serious ijury from fallig off a ladder) Cofied Space (i.e. overcome by fumes) Ergoomic hazards result from equipmet ad coditios that do ot match with the capabilities of the huma. Examples of ergoomic hazards iclude repetitive motios or heavy liftig. Geeral hazards are the most commo type of hazard foud i the workplace. Examples of geeral hazards are: Sharp edges Pich ad ip poits Heights (potetial for fall) Obstructios Cotamiat hazards are materials which are dagerous to huma life ad health. Potetial cotamiat hazards iclude: EN-Rev.2 Last prited :00:00 PM Page 4 of 11

78 StepBack Risk Evaluatio Stadard Chemical (may chemicals i the workplace ca cause serious harm if ihaled or igested. Paits, solvets, fuels ad glues are just a few chemicals for which hazards must be cotrolled) Biological (mold, fugi, huma waste by-products, blood ad diseases are some of the biological materials for which hazards must be cotrolled) Hazardous Materials (silica from gridig cocrete ad asbestos are 2 types of hazardous materials with deadly cosequeces) Air Quality (ot eough air, or cotamiated air, is as deadly as chemicals or biological materials) Cuts, Puctures ad Bites (cuts, spliters, tie-wire ad ail pikes ca lead to ifectios. Bites from aimals ad isects ca lead to disease) Caustic Materials (caustic materials ca bur ski similar to heat) Radiatio (radiatio poses a threat ad eed to be treated properly whe preset) Psychosocial hazards are hazards that affect the psychological well beig of humas. While these hazards are ofte hard to detect ad ca ofte ot be icorporated as part of a StepBack assessmet, idividuals should be ecouraged to take otice of chages i themselves, or factors outside of work that may be havig a impact o their ow attetiveess. Examples of psychosocial hazards may iclude stress ad workplace violece. Whe usig the Team StepBack card, a list of commo hazards is preseted to help your group i idetifyig the hazards that you may ecouter. Hazards are listed per the 8 Critical Risk Cotrol Protocols, plus additioal hazards for Occupatioal Health ad Hygiee, Security ad Eviromet. The card also gives you the opportuity to idetify other hazards EN-Rev.2 Last prited :00:00 PM Page 5 of 11

79 StepBack Risk Evaluatio Stadard The StepBack process prompts user to idetify sources of dager, workers should ask themselves: Have I looked ad idetified all the hazards? Will the job be doe as discussed? Are the resources (PPE, tools ad persoel) available? Ca the job be doe without causig a icidet? Has aythig chaged sice I last did the task? Are other persos protected from my activities i the area? Have I idetified emergecy devices ad locatios ad do I kow what to do? Do I have safe access / egress to / from my work area? Is my work area clea ad tidy? 5.2 ASSESS THE RISK Oce the hazard has bee idetified, the ext step is to determie the level of risk the hazard represets. This sectio describes how risk is calculated There are two factors to evaluate whe calculatig field risk level: 1. Probability The likelihood that a egative evet will occur 2. Cosequece / Outcome The harm caused by the egative evet To determie the risk score oe must cosider the 5 variables for each elemet which are used to determie the appropriate risk level. The card employs a 5 x 5 matrix structure whe assessig probability ad likely cosequece / outcome EN-Rev.2 Last prited :00:00 PM Page 6 of 11

80 StepBack Risk Evaluatio Stadard 5.3 TAKE APPROPRIATE ACTION Oce the risk associated with hazards has bee determied, the ext step is to determie what actios should be take to elimiate, or if ot possible reduce or mitigate the risk HIERARCHY OF CONTROLS If a hazard caot be elimiated, the hierarchy of cotrols (listed i the preferred order to mitigate hazards ad cotrol risk levels) is: 1. Elimiatio Complete removal of a hazard. Chage where the work is to be performed i.e. workig at height, i a trech, or i cofied space geerates sigificat risk. Evaluate whether there is a way to do some or all of the work i a less dagerous eviromet 2. Substitutio 3. Separatio Replacig the material or process with a less hazardous oe. Use less harmful products i.e. istead of sadblastig with sad, use alumium oxide, black magic or products which do t cotai silica or use water based paits whe possible istead of oil based pait Substitute the type of equipmet used i.e. use electric equipmet whe possible istead of iteral combustio equipmet, or use a ma-lift istead of a ladder Isolatig the hazard by guardig or eclosig it 4. Egieerig EN-Rev.2 Last prited :00:00 PM Page 7 of 11

81 StepBack Risk Evaluatio Stadard Desigs or modificatios to reduce the exposure to the hazard. Is the most effective durig the plaig stages of work whe the project plaers ca make chages to remove the hazard Desigs that esure harmful cotact or exposure is elimiated or reduced. Egieerig cotrols are used o costructio sites whe higher cotrols are ot possible. These cotrols are based o the physical istallatio of somethig to protect workers from the hazard with the itet of allowig work to occur safely without the use of persoal protective equipmet Guardrails ad hadrails Guardrails ad hadrails are the best form of protectio whe workig at heights. This allows for the worker to work without the use of fall protectio equipmet. Shorig cages ad temporary barriers Istall the protectio before you eter the trech or put up a barrier to protect others Mechaical vetilatio To esure that the air quality i cofied spaces is maitaied. 5. Admiistrative Limitig exposure to hazardous coditios or eergies by procedural meas. Should ot be the primary cotrol measures uless the other methods are t effective or ca t be implemeted. Refer to the Job Safety Aalysis for the job if applicable. StepBack Card (team ad persoal) The StepBack Program / Card itself is a admiistrative cotrol used to formally evaluate risk i the workig eviromet by esurig that a risk calculatio is doe for every task. Before begiig a task the StepBack card is used to determie the risk level, ad whether or ot the hazard(s) has bee adequately cotrolled (see above). This ecourages workers to thik about their tasks from a ew perspective ad i tur will reduce complacecy. Workers are the better able to idetify potetial risk ad adjust their behaviors accordigly. Safe Work Stadards (SWS) Safe Work Stadards are specific or systematic descriptios of how to complete a job or task safely ad efficietly from start to fiish. To reduce risks, SNC-Lavali has developed a writte set of safe work procedures outliig what is to be doe i specific terms for each job or task a employee is expected to perform. Safe work procedures are a vital compoet of due diligece Orietatio, Traiig ad Istructio Is required before ayoe begis work. Additioal traiig is also ofte required o how to perform job specific tasks safely. Orietatio, traiig ad istructio are all desiged to esure workers kow the right steps ivolved i the job Iformatio Boards ad Bulletis Safety iformatio boards ad bulletis are iteded to provide workers with iformatio about the hazards, risks ad safeguards for the work area. 6. Persoal Protective Equipmet (PPE) Is the last lie of defece meaig that the hazards ad risk are still preset ad that persoal protectio is required to reduce the potetial for harm from the hazard. PPE falls ito two categories: Geeral PPE (to be wor by everyoe o site) icludes a hard hat, steel toed boots, a high visibility vest, eye protectio, hearig protectio, ad log pats ad shirt with sleeves EN-Rev.2 Last prited :00:00 PM Page 8 of 11

82 StepBack Risk Evaluatio Stadard Specialized PPE (to be wor whe required to protect agaist specific hazards) may iclude fall protectio, respiratory protectio, a face shield, fire retardat clothig, protective coveralls REDUCING THE RISK The objective of risk cotrol is to reduce the level of risk preseted by the hazards. There are a variety of meas of reducig risk. Questios that should be asked whe cosiderig risk are: Am I usig the right equipmet ad tools to reduce the risk level? The wrog equipmet or tools may icrease the risk rather tha reduce it Have the equipmet ad tools bee ispected to cofirm proper fuctioig? Are the prescribed safeguards i place? Is there a better method to cotrol the risk? The best thig a worker ca do if they are usure of how to perform a task safely is to ask for advice or assistace from a(): Forema, Supervisors, Maager Safety Advisor Egieer, Equipmet Operator or Co-workers MANAGING RESIDUAL RISK Despite the best efforts to cotrol the hazard, some residual risk may remai. Low risk hazard ca geerally be cotrolled through admiistrative meas ad persoal protective equipmet. If a medium hazard is still preset after all risk cotrols have bee applied the followig actios must be take: Specific safe work pla must be developed by the work supervisor The workers must receive istructios ad traiig o the safe work procedure Worker moitorig for compliace Extreme risk hazards pose a sigificat risk of serious ijury or death ad eed to be effectively cotrolled. If a extreme risk hazard remais after all the cotrols are used the followig actios must be take: A specific safe work pla must be developed ad approved by the Superitedet or Project Maager Workers must receive specific traiig o the risks ad safeguards before commecig work A safety moitor should be preset to esure compliace with the safe work pla 6.0 EXAMPLE If paiters were to StepBack before iitiatig a task, they would wat to: 1. Look ad see the HAZARDS I the case of the Persoal StepBack card, workers would go through the list of questios geeratig discussio o potetial hazards while doig the task. I the case of the Team StepBack card, workers EN-Rev.2 Last prited :00:00 PM Page 9 of 11

83 StepBack Risk Evaluatio Stadard will cosider ay applicable hazards from the list o the card. For the purpose of this example, the potetial physical hazards that pose the highest risk iclude: movig objects (i.e. other people), trippig hazard (i.e. pait tray, extra brushes, drop cloth), fallig from heights (i.e. from a scaffold deck or ladder) ad chemical hazards (i.e. pait, pait thiers or cleaers that may be required). 2. Assess the RISK To determie the risk level, workers first predict the probability of the icidet occurrig based o the workers past experiece ad kowledge of the task ad the cosider the likely cosequeces. I the case of this example based o experiece, the probability is predicted to be Possible. I the case of this example, due to the associated hazards, it has bee predicted that the outcome could be a disability or fatality, ad therefore a extreme risk level EN-Rev.2 Last prited :00:00 PM Page 10 of 11

84 StepBack Risk Evaluatio Stadard 3. Take Appropriate ACTION To esure risks are cotrolled, i the case of the Team StepBack card hazards, risk levels ad cotrols should be listed with the iitials of the resposible idividual. Cotrols should later be reviewed to esure that they are effective. I the case of this example the risk level is cosidered extreme, with possible cotrols beig fall protectio equipmet used, vetilatio i the area or low VOC (volatile orgaic compoud) pait. Whe usig the Persoal StepBack card the actio required will deped o the colour determied o the risk level cotiuum. The actio may be that cosultatio from a supervisor is required or i the case of a low risk task the workers may proceed with the usual level of cautio. I the case of this example as the risk level is extreme, the correspodig colour is red ad idicates to stop ad take prompt actio to reduce the risk level EN-Rev.2 Last prited :00:00 PM Page 11 of 11