4. CONTRACTOR SHE MANAGEMENT PROGRAM R1400.00 TABLE OF CONTENTS --MANAGEMENT STATEMENT ADMINISTRATIVE 1. SHE AND ACCIDENT PREVENTION 1-A Discipline 2. NEW HIRE ORIENTATION (Outline) 2-A New Hire Orientation 2-B New Hire Orientation Test 3. ACCIDENT INVESTIGATIONS 3-A Near Miss Procedure 3-B Accident / Incident Information 3-C Daily First Aid Record, Form S14 3-D Employee s Report of Occupational Injury / Illness, Form S70-2-11 3-E Equipment Incident / Accident Report, Form S32 3-F Return To Work Notice, Form S70-2-3 3-G Medical Authorization, Form S70-2-1 3-H Written Reprimand Record, Form H617 3-I Verbal Reprimand, Form H617-0-1 3-J Monthly Accident Experience Report (MAER), Form S43 3-K Monthly Subcontractor Accident Summary Report, Form S71-2 4. SHE ACTION PLANS / SHE TASK ASSIGNMENT 4-A SHE Task Assignment Roster 4-B SHE Task Assignment: Tri-Fold, Form S20 4-R Action Plans (SHE) 5. SHE MONITORING ACTIVITIES 5-A Weekly Self Assessment Program 5A-1 Weekly Safety Assessment Report 5A-2 Safety Inspection Summary 6. EMERGENCY SERVICES 7. EMERGENCY EVACUATION PLAN 8. SEVERE WEATHER PLAN 9. SECURITY 10. SUBCONTRACTORS 10-A Contractor Qualification Form
10-B Contractor Qualification Evaluation Process 10-R Subcontractors 11. HOUSEKEEPING 12. HAZARDOUS WASTE MANAGEMENT PLAN 13. COMPETENT PERSON DESIGNATION 13-A Competent Person Designation Form 13-R Competent Person Designation PERSONAL PROTECTIVE EQUIPMENT 14. FALL PROTECTION DEVICES 14- A Static Lines 14-B Fall Hazard Management (APS 6-3) 14-B1 Fall-Arresting Equipment Inspection Report, Form S31-2) 14-B2 Fall Hazard Management Requirements Guidelines 14-BR Fall Hazard Management 14-R Fall Protection Devices 15. RESPIRATORY PROTECTION PROGRAM 15-A Respirator Medical Evaluation Questionnaire, Form S15 15-B Respirator Supplemental Information Guide, Form S15-1 15-C Physician s Recommendation Concerning Respirator Use, Form S70-2- 18 15-D Respirator Fit Testing Record, Form S22 Copy of SEC-15DR1.doc 15-E Emergency Respiratory Protection Monthly Inspection Report, Form S42 OPERATIONS 16. COMPRESSED GAS AND OXYGEN CYLINDERS 17. BARRICADE TAPE PROGRAM 18. PERMITS (SPECIFIC TO PROJECT) 18-A Hot Work 18-AA Hot Work Permit 18-B Cold Work 18-BB Cold Work Permit 19. CONFINED SPACES 19-A Terms and Definitions 19-B Confined Space Entry Permit, Form S40-2 20. HAZARDOUS ENERGY CONTROL PROCEDURE 20-A Hazardous Energy Control Survey, Form S70-2-19 20-B Lock Cutting / Removal Authorization Form, Form S70-2-15
20-C Lock-Out / Tag-Out Log 21. GROUNDING CONDUCTOR 22. WORKING ON OR NEAR EXPOSED ENERGIZED ELECTRICAL CIRCUITS/EQUIPMENT 22-A Request for Shutdown (Electrically Hazardous Task) 22-B Electrically Hazardous Task Plan (Written Job Plan) 23. POWDER ACTUATED TOOLS 24. EXCAVATIONS AND TRENCHING 25. PORTABLE LADDERS - CONTROL & INSPECTION 25-A Ladder Inspection Guide, Form S23-2 26. SCAFFOLDING 27. STEEL ERECTION 27-A Reinforcing Steel (Rebar) 28. CONCRETE OPERATIONS 29. RIGGING 29-A Rigging Practice/Inspections (APS 9-23) 29A-1 Rigging Equipment Inspection Report, Form S70-2-29 29-B Site Specific Rigging Specification Standard Copy (APS 8-13B) 29B Attachments 29-C Engineered Lift Procedure Administrative Practice For Rigging (APS 8-13A) 29C-1 Rigging Personnel & Qualifications 29C-2 Lift Classifications 29C-3 Green Lift Checklist 30. SYSTEM AND EQUIPMENT TEST AREA CONTROL PROCEDURE 30-A Piping Pressure Testing 30A-1 Piping Pressure Testing (APS 9-16) 30A-1 Attachments 31. FIRE PREVENTION/PROTECTION 31-A Flammable and Combustible Liquids (APS 7-1) MAINTENANCE/CONSTRUCTION EQUIPMENT 32. MOBILE EQUIPMENT 32-A Inspection Report Crane, Form S25-0-1 32-B Inspection Report Tractors, Loaders, Excavators, Forklifts, Form S25-0-2 32-C Inspection Report Trucks, Form S25-0-3
32-D Inspection Report General Line Equipment, Welding Machines, Air Compressors, Manlifts, Etc., Form S25 32-E Monthly Safety Inspection Checklist for Construction Equipment, Form S70-2-9 32-F Annual Crane Inspection Report, Form S70-2-14 33. CRANE LIFT PROCEDURE 33-A Crane Work Near Overhead Electric & Hazardous Pipelines 34. SUSPENDED MAN CAGE / PLATFORM 34-A Suspended Man Cage / Platform (APS 8-16) 34A-1 Suspended Man Cage / Platform Checklist, Form S70-0-54 34A-2 Employee Properly Positioned In Suspended Man Cage 34A-3 Suspended Personnel Man Cage Authorization OCCUPATIONAL HEALTH 35. CONTROL OF RADIATION HAZARDS 36. HAZARD COMMUNICATION PROGRAM 36-A Hazard Communication Program Letter To All Employees 36-B Orientation To Hazard Communication 36-C Hazard Communication Training Record 36-D Sample Form List For Hazardous Chemicals 36-E Hazard Communication Compliance Checklist 36-F Glossary of MSDS Terms and Definitions 36-G Hazard Diamond 36-H Appendices 37. BLOODBORNE PATHOGENS 38. LEAD EXPOSURE CONTROL PROGRAM 38-A Guidelines for Managing Lead-Based Paint on Construction Management Projects 38-B Notice to Contractors 38-C Employee Exposure Assessment for Lead, Form S46 38-D Air Monitoring Record, Form S45 39. ASBESTOS HANDLING PROCEDURES 39-A Non-Friable Asbestos Handling Procedures 40. INORGANIC ARSENIC EXPOSURE CONTROL PROGRAM 41. TECHNOLOGICALLY ENHANCED NATURALLY OCCURING RADIOACTIVE MATERIAL (TENORM) 42. BENZENE
43. HYDROGEN SULFIDE H 2 S 44. HEARING CONSERVATION 45. HEAT STRESS MANAGEMENT 46. 16-2 APPOINTMENTS 47. EMPLOYEE COMMITTEE CHARTER 46-A Matrix