June 22, Steve Johnson Operation Manager Best Roofing, Inc N. 288th St. Sioux City, IA Booker Elementary Safety Survey Omaha, NE

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1 June 22, 2013 Steve Johnson Operation Manager Best Roofing, Inc N. 288th St. Sioux City, IA Re: Booker Elementary Safety Survey Omaha, NE Steve Johnson, This report is in follow-up to the safety survey completed on May 08, The purpose of the survey was to identify potential safety hazards and/or OSHA violations. Tom Peterson is the contact person at this location. Attached, is a list of safety observations and recommendations based on conditions present at the time of my visit. If you have any questions or require additional information after reading this report, please call me at (402) or me at steve.polich@jobsitereports.com. Sincerely, John Doe Safety Coordinator Safety-Reports, Inc. Observations and recommendations are purely advisory and based on practices and conditions observed and information provided at the time of this survey. Observations and recommendations are not intended to include every loss or accident potential. It s the customer s responsibility to make further observations and take whatever action that may be necessary to prevent losses, enforce safety procedures and eliminate hazardous conditions so as to comply with any federal, state, or local law, rule or regulation concerning safety and health.

2 Booker Elementary Report Company: Best Roofing, Inc. Inspection: Booker Elementary Location: Omaha, NE Site Contact: Tom Peterson Position: Superintendent # EE's/site: 22 Inspection Date: May 08, 2013 Scope of Work: New Construction, structural steel and precast panels. Score: 95% Observations Aerial Lifts Observation Workers in aerial lift tied off to boom or basket ( ) Observation Workers keep both feet on floor of basket, not allowed to climb/sit on edge ( ) Observation Aerial lift controls are plainly marked as to their function ( ) Cranes/Rigging Observation Crane(s) inspected and found to be in safe operating condition and properly maintained ( ) Observation Power lines are de-energized and grounded, and/or 20 foot clearance maintained and/or crane, line and load maintain clearance requirements in Table A Section ( ). Observation Accessible areas within swing radius of crane are not barricaded to prevent workers from being struck or crushed ( ) Recommendation Make sure all accessible areas within swing radius of crane are barricaded to prevent workers from being struck or crushed (reference ). Additional safety training and/or stricter enforcement may be needed to encourage more consistent compliance with this requirement. Photo(s) The radius guard is not installed on this crane. 1

3 Corrective Action Taken/Planned: Completed by: Date: Observation Illustration of the hand signals available/posted at the job site ( ) Observation Slings/hooks/rigging appear to be in good condition with no obvious defects ( ) Observation Crane operator meets all Federal, State and/or Local certification requirements ( ) Observation Rigger(s) properly trained and qualified and authorized to perform rigging duties ( ) Observation Signal person(s) trained, qualified and authorized to perform duties ( ) The crane was recently relocated on site and the radius guard was not put back in place. Electrical Observation Electrical equipment installed/used as listed or labeled ( ) Observation Extension cord(s) have ground pin attached ( ) Observation GFCI used on 120V single-phase, 15 and 20 amp receptacle outlets ( ) Observation Extension cords in good condition/not worn or frayed ( ) Observation Breakers, switches and/or other disconnecting means are legibly marked to indicate purpose ( ) Fall Protection Observation Employees are protected from falls when working 6 feet or more above lower level ( ) Observation The PFA System is rigged such that the employee does not contact lower level ( ) Observation Top rail is installed 42 inches (+/-3in.) above working level and mid-rail is located half way between working surface and top rail ( ) Observation Top rail is capable of withstanding 200 lb. force applied downward and outward ( ) Observation Toeboards are erected where required to prevent objects from falling from higher levels ( ) Observation Harnesses maintained in good condition, no obvious damage, deterioration or defective components ( ) Observation Harnesses fitted/worn properly ( ) Observation Lanyards maintained in good condition/no obvious defects ( ) Observation Suitable anchorage provided for personal fall arrest system ( ) Excellent compliance! 2

4 Fire Safety Observation Fire extinguishers are maintained in operating condition ( ) Observation Portable fire extinguishers are inspected annually ( ) Observation Fire extinguishers are readily accessible/within 100 feet of work area ( ) Observation Only approved/ul listed fire extinguishers are provided ( ) Observation Flammable/combustible liquids are stored in approved/closed containers ( ) Housekeeping Observation Housekeeping is acceptable/reasonably maintained in work areas considering nature of work performed ( ) Observation Combustible scrap/construction debris removed at regular intervals ( ) Observation Material staging area kept reasonably organized ( ) Ladders/Stairs Observation Ladders are inspected/no visible defects ( ) Observation Side rails extend at least 3 feet above landing surface ( ) Observation Ladder(s) set up at proper angle ( ) Observation Ladder(s) set up on firm/level base ( ) Observation Side rails are secured to prevent side shift ( ) Observation Ladders are used for intended purpose ( ) Observation Handrail(s) not provided as required on stairs with 4 or more risers ( ) Recommendation Stairways having four or more risers or rising more than 30 inches, whichever is less, shall be equipped with at least one handrail or two if both sides are open (reference ). Provide handrails as required. Photo(s) The stairs to job trailer are in bad condition / missing handrail. Corrective Action Taken/Planned: Completed by: Date: 3

5 Observation Area at top and bottom of ladder is kept clear ( ) Steps to job trailer for sub-contractor need to be fixed. They're in poor condition and missing hand rail. PPE Observation PPE maintained in a sanitary/reliable condition ( ) Observation ANSI approved eye protection used as required ( ) Observation Hard hats are worn as required ( ) Observation Appropriate safety footwear worn as required ( ) Observation High-visibility clothing is worn as required ( ) Steel Erection Observation Material laydown area properly graded, drained, and adequate space for safe storage ( ) Observation Site-specific erection plan available for review ( ) Observation Qualified rigger did not inspect rigging equipment at start of shift ( ) Recommendation Make sure that a qualified rigger inspects the rigging equipment prior to each shift (reference ). Photo(s) ID tag is missing on this sling. Corrective Action Taken/Planned: Completed by: Date: Observation Workers not allowed under suspended load ( ) 4

6 Observation Guardrails installed around structural openings such as stairs and elevator openings ( ) Observation Floor opening covers properly marked and secured to prevent accidental displacement ( ) Observation Perimeter safety cables installed at all exterior/interior perimeters as soon as decking is finished ( ) Observation Perimeter safety cables flagged at 6 feet intervals with high-visibility material ( ) Choker sling found missing ID tag. It was immediately removed from service. Other/Misc. Observation Construction areas properly illuminated ( ) Observation Frequent and regular jobsite inspections completed ( ) Closing Comments: All safety issues were discussed with Tom before leaving the worksite. Hazards were corrected immediately or scheduled for corrective action. Submitted by: John Doe Safety Coordinator Safety-Reports, Inc. (402) steve.polich@jobsitereports.com 5