## THERMA FOREMEN'S SAFETY BINDER

Safety Inspections page 2
Incident Reporting and Investigation page 4
Accident Exposure Investigation Report page 10
Mold Action Plan page 12
Toolbox Meeting Policy page 23
Fit for Duty Program page 25
Stop Work Authority (SWA) page 29
Hazard Communication Program page 32
Pretask Hazard Plan page 47
Heat Related Illness Safety Program page 49
Daily Supervisor Heat Illness Prevention Checklistpage 57
Respiratory Protection Program revised page 60
Fall Protection Program page 66
Ladder Safety Program page 80
Therma Forklift Safety page 85
Forklift Gradall Operator Daily Inspection Checklistpage 95
Self-Propelled Aerial Lift Safety page 96
Scissor Boom Lift Daily Inspection Checklist page 113
Non-Electrical Hot Work (NEHW) Program page 114
Trench And Excavation Safety Program page 122
Trench Inspection and Entry Aut Form page 132
Soil Analysis Checklist page 133
Skid Steer Loader Daily Inspection Checklist page 135
Excavator Daily Inspection Checklist page 136
Lockout Tagout Program page 137
Lockout Tagout Checklist page 148
Confined Space Program page 150
Mobile Crane Safety Policy page 184
Rigging Material Handling page 188
Qualified Rigger for Hoisting Activities page 192
Silica Exposure Control Plan page 202

<u>Prepared by:</u>

---

| Safety Manual
Safety Inspections |  |
| --- | --- |
|  | Effective:06-99 |
| Policy Section No.:05 | Revision Date:01-16 |
| Revision No.:2 | Page No.:1 of 2 |

## SAFETY INSPECTIONS

## 1.

## Purpose:

1.1 The purpose of this section is to ensure that comprehensive, 
documented inspections are being completed at Therma work sites 
including office locations.

## 2.

## Scope:

2.1 This procedure applies to all Therma jobsites.

## 3.

## Responsibility:

3.1 Each supervisor will be responsible for making a daily informal tour 
of the area(s) under his/her supervision.

3.2 A Safety Coordinator will make a formal documented safety and 
health inspection weekly

## 4.

## Inspection Procedures:

4.1 The supervisor and/or safety coordinator should pay close attention 
to observing work methods as well as work conditions.  Prior to 
the inspection, the supervisor should review past accidents to 
determine specific causes and high hazard areas or operations. 
Such areas need to be given special attention during each 
inspection.

4.2 The supervisor and/or safety coordinator should watch for the 
following unsafe acts of employees:

• Using equipment without authority.

• Insecure or disorderly piling or arranging of material.

• Operating equipment at an unsafe speed.

• Using defective tools or equipment.

• Unsafe loading or unloading of trucks, skids, racks, etc.

• Lifting improperly, or handling loads that are too heavy.

• Using improper tools, equipment, or vehicles.

• Using tools, equipment, or vehicles improperly.

THIS DOCUMENT CONTAINS PROPRIETARY INFORMATION OF THERMA 
LLC. ALL INFORMATION SHALL (A) BE RETAINED IN CONFIDENCE; (B) 
NOT BE REPRODUCED IN WHOLE OR IN PART; AND (C) NOT BE USED OR 
INCORPORATED IN ANY PRODUCT EXCEPT UNDER EXPRESSED 
WRITTEN AGREEMENT WITH THERMA LLC.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 05 | 2 of 2 |

• Making guards or safety devices inoperative.

• Failure to use personal protective equipment.

• Repairing or adjusting machinery in motion or equipment 
that is under pressure or energized.

• Horseplay.

## 5.

## Documentation:

5.1 Safety Inspection Checklists will be completed by the safety 
coordinator from a mobile tablet.

5.2 Once the checklist is completed it will be forwarded to the Project 
Manager/General Foremen.  An additional copy will be forwarded 
to the Safety Department for record keeping.

## 6.

## Corrective Action and Follow Up:

6.1 Whenever possible, the supervisor will correct unsafe work 
methods and conditions immediately upon recognition.

6.2 Each Safety Inspection Checklist will be updated during the next 
scheduled tour. **Items not yet corrected will be repeated on the* 
*new checklist with a note indicating a "repeat" item and a notation* 
*of the date originally identified.*

6.3 Hazardous conditions or procedures detected during inspections 
for which no corrective action can be determined by the supervisor 
will be brought to the attention of the Safety Coordinator.  The 
Safety Coordinator will consult with the supervisor, 
maintenance/engineering, immediate manager, and outside

consultants, as appropriate to determine suitable corrective action.

6.4 Recommendations submitted by insurance company 
representatives and/or outside consultants will be handled in the 
same manner as the Safety Inspection Checklists.

THIS DOCUMENT CONTAINS PROPRIETARY INFORMATION OF THERMA 
LLC. ALL INFORMATION SHALL (A) BE RETAINED IN CONFIDENCE; (B) 
NOT BE REPRODUCED IN WHOLE OR IN PART; AND (C) NOT BE USED OR 
INCORPORATED IN ANY PRODUCT EXCEPT UNDER EXPRESSED 
<u>WRITTEN AGREEMENT WITH THERMA LLC.</u>

---

| Safety ManualIncident Reporting and Investigation |  |
| --- | --- |
|  | Effective:06-99Revision Date:10-10Revision No.:4Page No.:1of6 |

## INCIDENT REPORTING AND INVESTIGATION

## 1.

## Purpose:

1.1 Provide procedures and guidelines for reporting and investigating 
occupational incidents/accidents. Provide an effective tool for 
identifying and communicating root causes of accidents/incidents, 
and implement corrective actions to prevent re-occurrences.

1.2 Ensure that every incident is investigated, reported appropriately 
and evaluated for potential lessons learned. An incident is defined 
as: “any event that requires investigation, either due to the harm it 
caused to people, the environment, property, or due to the potential 
harm that it could have caused”.

1.3 These procedures cover three types of work-related incidents:

• Life-threatening injuries or illnesses.

• Non-life-threatening injuries or illnesses / first aid.

• Non-injury incidents, including close calls and near misses.

1.4 Injuries shall be recorded and reported as required by 29 CFR Part 
1904

## 2.

## Scope:

2.1 This applies to all Therma employees, employees of all
subcontractors and sub-tier contractors.

## 3.

## Reporting Requirements:

3.1 The local Cal-OSHA District Office shall be notified when a serious 
injury occurs, it is defined as: “Any injury or illness occurring in a 
place of employment which requires hospitalization for a period in 
excess of 24 hours for other than medical observation or in which 
an employee suffers a loss of any member of the body or suffers 
any serious degree of permanent disfigurement”.

3.2 All serious injuries and deaths must be reported immediately to the 
nearest Cal-OHSA office by telephone, in person, or by telegraph, 
as soon as practicably possible or within eight (8) hours of having 
knowledge.

3.3 Each report shall include:

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 06 | 2 of 6 |

• Time and date of accident.

• Employee’s name, address, and phone number.

• Name and title of person reporting the accident.

• Address of site accident.

• Name, phone number and person to contact at site of 
accident.

• Name and address of injured employee

• Nature of injury

• Location where injured employee was moved to.

• List and identity of other law enforcement agencies present 
at the site of accident.

• Description of the accident and whether the accident scene 
or instrumentality has been altered.

## 4.

## Reporting Sequence:

4.1 Life Threatening injuries or illnesses. (*Immediate notification 
required.)

• Call 911

• Call Site Security (if applicable)

• Notify supervision

• Notify owner/client

• Notify Therma Safety Department

• Therma Safety Department will notify Cal-OSHA, insurance 
carrier, company management, if applicable.

4.2 Non-Life threatening injuries / illness / first aid. (*Immediate 
notification required.)

• Notify supervision

• Supervision to determine and ensure appropriate first aid 
provided is conducted

• Notify owner/client

• Notify Therma Safety Department

4.3 Non-injury incidents, including close calls, and near misses**.**

(*****Immediate notification required.)

• Notify Supervision

• Advise owner/client

• Contact Therma Safety Department

## 5.

## Investigation Responsibilities:

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 06 | 3 of 6 |

5.1 Immediate supervisors of injured/ill employee(s) are responsible for 
collecting and preserving information that will be used to complete 
the investigation report.

5.2 All information including written data, diagrams, witness 
statements, and/or pictures shall be forwarded to the safety 
department within 24 hours and will be included in the final report.

5.3 The safety department shall prepare the final investigation report.

5.4 The completed report shall be submitted for management review 
within 72 hours.

5.5 In the event of a near-miss incident, the employee’s immediate 
supervisor shall complete the incident report and forward the report 
to the safety department for review.

## 6.

## Investigation Evidence:

6.1 The employee’s immediate supervisor shall identify any evidence 
that might include; a listing of people, equipment, materials 
involved, and a recording of environmental factors such as 
weather, illumination, temperature, noise, ventilation, etc.

6.2 The employee’s immediate supervisor shall collect and preserve 
evidence such as people, positions of equipment, parts and
papers. Notes, photographs, and witness statements shall be
secured and forwarded to the safety department.

6.3 If applicable, collected evidence shall be reviewed and
incorporated into the final report.

## 7.

## Investigation Witness Statements:

7.1 Witness statements from interviews shall be collected and 
incorporated into the final report.

7.2 Should follow-up interviews be required, they will be conducted by   
members of the safety department.

## 8.

## Investigation Equipment and Supplies:

8.1 The company shall make available all necessary investigation 
equipment and supplies.

8.2 Equipment and supplies may include but not limited to:

• Pens/paper clipboard

• Measuring equipment

• Camera

• Audio recorder for witness interviews

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 06 | 4 of 6 |

• Marking devices such as flags

## 9.

## Investigation Report:

9.1 All possible questions regarding the accident should be answered, 
and the corrective actions to prevent a recurrence should be listed. 
The following questions should be helpful in completing the report:

## Ø Who was involved:

Accidents usually affect more than just the injured person, 
and very often, more than just the injured person contributed 
to the cause. **Who,** therefore, should go beyond <u>who</u> was 
injured and **who** was present. <u>Who</u> supervised the injured 
employee? <u>Who</u> failed to report the unsafe condition? All of 
those people involved are important to the underlying cause 
of the accident. Get the names of <u>everyone involved!</u>

## Ø Where Did the Accident Occur?

Again, we must look beyond the obvious answer to this 
question. The name of the department or general area is not 
enough. A detailed description of the accident site should be 
included. Also, determine if the people involved were where 
they were supposed to be. Was the equipment in its proper 
location?

## Ø What Happened?

The question can be further broken down to uncover the 
following acts:

1. What was being done? (The answer to this question 
describes an action or procedure.)

2. What things are involved? (A description of the tool or 
equipment that was involved answers this question.)

3. What was the result? (This is answered by a description 
of the actual injury, including the nature of the injury and 
the part of the body injured.)

## Ø When:

The answer to this question requires more than just the 
date. The time of day, the day of the week, and did the 
accident occur at the beginning or end of a shift can also be 
very important.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 06 | 5 of 6 |

## Ø

## How Did the Accident Occur?

The answer to this question brings together all the facts of 
the accident. The answer to how is a description of the 
people, things, places, and times, as they all combine into a 
complete event. The exact sequent of events that led to the 
accident should be reported.

## Ø Why Did the Accident Occur? (Root Cause)

In order to determine or recommend what corrective action 
should be initiated, it must be determined exactly why the 
accident occurred. Under no circumstances should 
carelessness be considered the cause of any accident. The 
word carelessness does not describe the reasons for a 
person’s behavior. What contributed to the accident may 
have been inattention, inadequate training, failure to report a 
hazard, etc. To determine root cause, the following types of 
questions need to be answered:

• **Why** was the injured person inattentive?

• **Why** he/she was poorly trained?

• **Why** did someone fail to report an unsafe 
condition/procedure?

• **Why** did what happened produce an accident?

• **Why** did the combination of all the factors that made 
up the event result in an injury?

• **Why** did the event result in anything other than an 
ordinary, everyday occurrence?

These questions and others you can think of will help you
determine **IF** and **WHY** an unsafe act occurred.

## 10. Recommend Corrective Action:

10.1 After evaluating the facts of an accident, you will most likely find 
that the accident was caused by a combination of unsafe acts 
and/or unsafe conditions. Recommendations to prevent a 
recurrence should be directed toward correcting all contributing 
factors leading to an unsafe condition and/or unsafe act.

10.2 <u>NOTE:</u> It is important to remember that an accident investigation is 
not a trial to find fault or blame. The purpose is to find accident 
causes so that similar accidents may be prevented by physical or 
mechanical improvement or employee training and motivation.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 06 | 6 of 6 |

10.3 During the safety department review of the incident report, 
corrective action responsibilities will be assigned. Tracking and 
closure will be the responsibility of the safety department.

## 11. “Lessons Learned”:

11.1 Incident reports shall be reviewed during management safety 
meetings. “Lessons learned” shall be established from each 
incident. The information will be communicated to the appropriate 
department manager and passed on to the department’s 
employees.

11.2 Changes to processes or procedures will be made to prevent reoccurrence or similar events from occurring.

## 12. Training:

12.1 Employees involved in the incident reporting and investigation 
process shall be trained in their responsibilities and incident 
investigation techniques.

12.2 Training shall be performed when those responsibilities are first 
assigned.

## 13. First Response / Loss Control:

13.2 After immediate rescue and treatment of injured workers and if   
building structural damage has occurred, Therma may be required 
to initiate with the owner/client post incident loss control activities.

13.3 Activities may include:

• Notifying building maintenance of the building damage.

• Notifying engineering personnel for structural integrity 
assessment.

• Assisting with coordination of structural bracing.

• Assist with contacting appropriate agencies for nonemergency chemical containment and clean up.

13.4 Personnel responsible for initiating first response / loss control 
activities during the immediate post-incident phase shall be trained 
prior to the assignment of those duties.

---

# THERMA

# ACCIDENT/EXPOSURE

# INVESTIGATION REPORT

| Job Site: | Date: |
| --- | --- |
| Investigation Team: | Job Number: |
| Employee Name: | Employee ID #: |
| Sex: | Job Description: |
| Department: | Time of Work (Start): |
| Project Manager: | Foreman: |
| General Foreman: | Journeymen/Leadsman: |
| Accident Date: | Time of Accident: |
| Date Reported to Supervisor: | Time Reported: |
| Date of Investigation: | Time of Investigation: |
| Nature of Incident: |  |
| Type of Injury: |  |
| Referred to Medical Facility/Doctor: Yes No Medical Facility/Doctor: |  |
| Did Employee Return to Work? Yes No Date/Time: |  |
| Injured Employee Interview/Statement: |  |
|  |  |
|  |  |
| Witnesses Interviews/Statements (Explain): |  |
|  |  |
| Photograph(s) of Site:(attach) Yes No Diagram(s) of Site:(attach) Yes No |  |
| Equipment Records Reviewed: Yes No Attached |  |
| Accident/Exposure Incident Description: |  |
|  |  |
|  |  |
| Root Cause: |  |
| Corrective Action Plan and Responsibility: |  |
|  |  |
|  |  |
| PPE&#x27;s Used/Needed: |  |

***Please use back side for any additional information.***

---

**Additional Information:**

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---

## THERMA

## M OLD A CTION P LAN

## RESPONSE

## CONTENTS – RESPONSE TO MOLD PROBLEMS

**1. Introduction To Response Plans**

**2. Pre-Event Preparation**

**3. Response During Construction**

**4. Response Post-Construction**

**5. Reference Internet Links**

**6. Reference Documents**

**a) Checklist For Mold Remediation, From Epa Guidelines**

**b) Water Damage Response Guidelines (Table 1) From Epa Guidelines**

**c) Record Document**

---

# Mold Action Plan Response

## 1. INTRODUCTION TO RESPONSE PLANS

There are two distinct situations where a response plan is required.  The situations are:

## 1. During Construction

## 2. Post Construction

Given the unique conditions existing in each situation, Therma has produced two distinct 
response plans.  The response plan during construction is much more general beyond the point of 
cleaning up the excess moisture and documentation. In the post construction situation, our 
response plan is more specific and driven by the degree of water/mold intrusion.  We utilized a 
flow chart with references to documents and links that cite specific government guidelines.

## 2. PRE-EVENT PREPARATION

By definition, water intrusion events will be addressed as quickly as possible to minimize 
damage and possible mold growth. Below is a list of equipment that is kept in order to prepare 
for potential water intrusions. Preparation also includes the identification of potential resources, 
i.e. water cleanup/restoration specialists, certified industrial hygienists, mold remediation 
specialists, etc. that may be called upon to assist in all aspects of this response plan. These 
resources may assist in all phases of the plan from the initial water intrusion to the final report.

## Equipment List

• Moisture Meter

• Dehumidifiers

• Floor blowers/dryers

• Wet/Dry Vacuum

---

# Mold Action Plan Response

## Notification Procedures

Notification to one or more of the following parties should be seriously considered:

1. Insurer

2. Legal Department

3. All parties affected by the water intrusion

## 3. DURING CONSTRUCTION

The flow chart below details steps for responding to a water intrusion event that takes place 
during construction.

<u>Figure 1: Water Intrusion Response Plan Flow Chart – During Construction</u>

## Guiding Principles

If large-scale water intrusion occurs, it may be beneficial to hire an outside Restoration 
Contractor to assist in the drying and cleanup if Therma does not have the necessary resources. 
Emphasis should be to dry salvageable materials and remove other materials immediately after 
water intrusion, prior to any potential mold growth. Refer to Table 1 of EPA Guidelines for 
reference (attached)

After drying, cleanup, and repair of leak, affected areas should be periodically checked for 
moisture or mold to ensure problem does not reappear.

---

# Mold Action Plan Response

## 4. POST CONSTRUCTION

The response plan for a finished structure (post construction) has three governing parameters, 
listed below:

1. How long since the water intrusion occurred?

2. Has visible mold growth occurred?

3. Size of the water damage or mold growth.

The attached flow chart addresses these issues.  While the flow chart is a basic blue print for 
managing a response plan, judgment will be required for some decisions, such as whether to 
obtain a Hygienist or Remediation Contractor for relatively minor damage. **Specific instructions** 
**for remediation work are detailed in the EPA guidelines (web link below)**.

The response plan flowchart has also been linked to Checklist for Mold Remediation, from EPA 
402-K-01-001: Mold Remediation in Schools and Commercial Buildings.

## Figure 2: Water Intrusion Response Plan Flow Chart – Post Construction

* Requirement for Remediation Contractor varies by case and by Therma’s capabilities. Outside 
specialists may be necessary for larger events, where Therma may not have resources to 
completely dry the building materials quickly.

** Requirement varies by size and occupancy.

---

# Mold Action Plan

## Response

**0a-Identify Water Source**

**0b-Stop / Limit Water Intrusion 0c-Notify Applicable Parties**

**0e-Remove Excess Water /** **0d-Photograph / Document** **Dehumidify**

**0f-Assess Need for Outside** **0g-Assess Need for Hygienist**** **Remediation ***

**1 - Less than 2 - Greater than 48 Hours** **3 - Visible growth** **24-48 Hours + no visible growth**

**1a-Remove impacted materials, 3a-If required, contact Hygienist** **`2a - Not Occupied, see “1” for protocol** **Use moisture meter**

**1b-If growth discovered, go to 3b-If required, contact** **2b - Occupied** **“3” above Remediation Contractor**

**1c-Potential further damage? 2c Remove impacted materials w/** **3c - Do not use fans** **Reassess need for Hygienist EPA Containment/PPE**

**1d-Photograph / Document / 2d-If growth discovered, go to 3d - If work in-house, use EPA,** **Keep Records “3” above And refer to “2b” above**

**2e-Potential further damage?** **1e-Check for return of Reassess need for Hygienist 3e-Obtain “Clearance” Letter moisture or mold from IH**

**2f-Photograph / Document /** **Keep Records**

**2g-Check for return of moisture or mold**

### 5. REFERENCE LINKS

EPA: Mold Remediation in Schools and Commercial Buildings (EPA 402-K-01-001, March

2001):
PDF Format: [http://www.epa.gov/iaq/molds/graphics/moldremediation.pdf](http://www.epa.gov/iaq/molds/graphics/moldremediation.pdf) HTML: [http://www.epa.gov/iaq/molds/](http://www.epa.gov/iaq/molds/)

C:\Documents and Settings\mfisher\Desktop\Health and Safety\Policies and Procedures\Mold Action Plan.doc Page 5 of 11 Date: 9/11/2015 7:39 AM Last Modified by: mfisher

---

## 6. REFERENCE DOCUMENTS

## CHECKLIST FOR MOLD REMEDIATION, FROM EPA 402-K-01-001: MOLD

## REMEDIATION IN SCHOOLS AND COMMERCIAL BUILDINGS:

## CHECKLIST FOR MOLD REMEDIATION*

## Investigate and Evaluate Moisture and Mold Problems

q Assess size of moldy area (square feet).

q Consider the possibility of hidden mold.

q Clean up small mold problems and fix moisture problems before they become 
large problems.

q Select remediation manager for medium or large size mold problem.

q Investigate areas associated with occupant complaints.

q Identify source(s) or cause of water or moisture problem(s).

q Note type of water-damaged materials (wallboard, carpet, etc.).

q Check inside air ducts and air handling unit.

q Throughout process, consult qualified professional if necessary or desired.

## Communicate with Building Occupants at All Stages of Process, as Appropriate

Designate contact person for questions and comments about medium or large-scale 
remediation as needed.

---

# Mold Action Plan Response

## Plan Remediation

q Adapt or modify remediation guidelines to fit your situation; use professional 
judgment.

q Plan to dry wet, non-moldy materials within 48 hours to prevent mold growth.

q Select cleanup methods for moldy items.

q Select Personal Protection Equipment – protect remediators.

q Select Containment Equipment – protect building occupants

q Select remediation personnel who have the experience and training needed to 
implement the remediation plan and use Personal Protection Equipment and 
containment as appropriate.

## Remediate Moisture and Mold Problems

q Fix moisture problem, implement repair plan and/or maintenance plan.

q Dry wet, non-moldy materials within 48 hours to prevent mold growth.

q If mold is detected, contact a company designated hygienist for remediation 
procedures.

---

## Mold Action Plan Response

## WATER DAMAGE RESPONSE GUIDELINES, FROM EPA 402-K-01-001: MOLD

## REMEDIATION IN SCHOOLS AND COMMERCIAL BUILDINGS:

| Guidelines for Response to Clean Water Damage Within 24-48 Hours to Prevent Mold Growth* |  |
| --- | --- |
| Water-Damaged Material¹ | Actions |
| Books and papers | For non-valuable items, discard books and papers.
Photocopy valuable/important items; discard originals.
Freeze (in frost-free freezer or meat locker) or freeze-dry. |
| Carpet and backing – dry within 24-48 hours² | Remove water with water extraction vacuum.
Reduce ambient humidity levels with dehumidifier.
Accelerate drying process with fans. |
| Ceiling titles | Discard and replace. |
| Cellulose insulation | Discard and replace. |
| Concrete or cinder block surfaces | Remove water with water extraction vacuum.
Accelerate drying process dehumidifiers, fans, and/or heaters. |
| Fiberglass insulation | Discard and replace. |
| Hard surface, porous flooring²(Linoleum, ceramic tile, vinyl) | Vacuum or damp wipe with water and mild detergent and allow to dry; scrub if necessary.
Check to make sure underflooring is dry; dry underflooring if necessary. |
| Non-porous, hard surfaces(Plastics, metals) | Vacuum or damp wipe with water and mild detergent and allow to dry; scrub if necessary. |
| Upholstered furniture | Remove water with water extraction vacuum.
Accelerate drying process dehumidifiers, fans, and/or heaters.
May be difficult to completely dry within 48 hours. If the piece is valuable, you may wish to consult a restoration/water damage professional who specializes in furniture. |

---

# Mold Action Plan Response

| Guidelines for Response to Clean Water Damage Within 24-48 Hours to Prevent Mold Growth* |  |
| --- | --- |
| Water-Damaged Material¹ | Actions |
| Wallboard(Drywall and gypsum board) | May be dried in place if there is no obvious swelling and the seams are intact. If not, remove, discard, and replace.Ventilate the wall cavity, if possible. |
| Window drapes | Follow laundering or cleaning instructions recommended by the manufacturer. |
| Wood surfaces | Remove moisture immediately and use dehumidifiers, gentle heat, and fans for drying.(Use caution when applying heat to hardwood floors.)Treated or finished wood surfaces may be cleaned with mild detergent and clean water and allowed to dry.Wet paneling should be pried away from wall for drying. |
| $\textcircled{*} $Even if materials are dried within 48 hours,mold growth may have occurred.Items may be tested by professionals if there is doubt.Note that mold growth will not always occur after 48 hours;this is only a guideline.
These guidelines are for damage caused by clean water.If you know or suspect that the water source is contaminated with sewage,or chemical or biological pollutants,then Personal Protective Equipment and containment are required by OSHA.An experienced professional should be consulted if you and/or your remediators do not have expertise remediating in contaminated water situations.Do not use fans before determining that the water is clean or sanitary. |  |
| 1 If a particular item(s) has high monetary or sentimental value,you may wish to consult a restoration/water damage specialist. |  |
| 2 The subfloor under the carpet or other flooring material must also be cleaned and dried.See the appropriate section of this table for recommended actions depending on the composition of the subfloor. |  |

---

# Mold Action Plan Response

## RECORD DOCUMENT

## Contractor Abatement/Mitigation Record

## Post Flood Or Water Intrusion Event Contractor(s):

| Date | Location* | Describe How The Area Was Selected Pre-Abatement |  |  |  | Describe the Nature and Extent of Abatement |  |  |  |  |  |  | Describe How The Area Was Cleared Post-Abatement |  |  | Assigned/Responsible Subcontractors |  |  |  |  |  | Date Release To Owner |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Date | Location* | Date | Date | Visual | Instrument | % Moisture | Drywall Removed(SF) | Describe Equipment Used |  |  |  |  | Date | Air Samples | Visual |  |  | #1 |  |  | #2 |  |  | #3 |  |  |  |  |  |  |  |  |  |  |  |
|  |  |  |  |  | Instrument | % Moisture | Drywall Removed(SF) | % Moisture | Date(s) |  |  | Assigned |  |  | Visual |  |  | Cleared |  |  | Cleared |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| Wet/Dry Vacuum(Hs) | Dehumidify | Date | Date | Visual | Instrument | % Moisture | Drywall Removed(SF) | % Moisture | HVAC or HEPA | (Hs) | Mach. ID |  | Date | Air Samples | Visual |  |  |  | Assigned |  |  | Cleared |  |  | Cleared |  |  |  |  |  |  |  |  |  |  |
| Wet/Dry Vacuum(Hs) | Dehumidify | Date | Date | Visual | Instrument | % Moisture | Drywall Removed(SF) | % Moisture | HVAC or HEPA | (Hs) | Mach. ID |  | Date | Air Samples | Visual |  |  |  | Mach. ID |  |  | Assigned |  |  | Cleared |  |  | Cleared |  |  |  |  |  |  |  |
| Wet/Dry Vacuum(Hs) | Dehumidify | Date | Date | Visual | Instrument | % Moisture | Drywall Removed(SF) | % Moisture | HVAC or HEPA | (Hs) | Mach. ID |  | Date | Air Samples | Visual |  |  |  | Mach. ID |  |  |  |  | Assigned |  |  | Cleared |  |  | Cleared |  |  |  |  |  |
| Wet/Dry Vacuum(Hs) | Dehumidify |  |  | Assigned |  |  | Cleared |  |  | (Hs) | Mach. ID |  | Cleared |  |  |  |  |  | Mach. ID |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
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|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

Superintendent/Project Manager:___________________________________________

Date:_____________

Key: 
+ - Record date of first discovery

---

# Mold Action Plan

## Response

* - Any method maybe used, i.e. room number, assigned designations letters, numbers, etc
C:\Documents and Settings\mfisher\Desktop\Health and Safety\Policies and Procedures\Mold Action Plan.doc Page 11 of 11 Date: 9/11/2015 7:39 AM Last Modified by: mfisher

---

| Standard Operating Procedure
Toolbox Meeting Policy |  |
| --- | --- |
|  | Effective:06-99
Revision Date:11-16
Page No.:1of2 |
| Policy Section No.:08
Revision No.:2 |  |

## TOOLBOX MEETING POLICY

## 1.

## Purpose:

1.1 To establish a policy as it pertains to weekly safety meetings.

## 2.

## Responsibility:

2.1 It shall be the responsibility of the Project Managers and Foremen 
to follow this procedure.

## 3.

## Procedure:

3.1 All Project Managers must ensure their project staff attends weekly 
safety meetings.

3.2 All Foremen must conduct the weekly meeting.

3.2.1 The topic and outline will be sent out at the beginning of 
each month.

3.2.2 After discussing the weekly topic, site specific 
issues/concerns will be discussed.

3.3 Each employee attending the meeting must print and sign their 
name on the safety meeting sheet.

3.4.1 If requested, copies shall be made and sent to general 
contractor/owner.

3.4 After the meeting, copies shall be sent to Therma's main office with 
time cards.

## 4.

## Records:

4.1 Training records will be maintained in accordance with Therma’s 
Injury Illness Prevention Program (3 years).

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 08 | 2 of 2 |

## 5.

## Tips for Successful Meetings:

5.1 Limit each talk to between 10 and 15 minutes.  Don't let the 
meetings turn into a gripe session about unrelated topics.  STAY 
FOCUSED!

5.2 Give recognition.  Start each meeting by complimenting the 
workers for some recent good work by saying something in a
positive sense.

5.3 Give the talk in your own words.  Each of the safety topics gives 
general information and should only be a reference for your 
discussions.  You should always customize your talks to fit your 
own operations.

5.4 Get your people to participate. The purpose is to get workers to 
think about safety problems. Make the talk a discussion and have 
the workers identify hazards and explain what to do about them.  
Encourage suggestions for improving jobsite safety.

5.5 Reinforce the positive points brought out during the discussion at 
the end of the meeting.

---

| Safety ManualFit for Duty |  |
| --- | --- |
|  | Effective:02-16Revision Date:Revision No.:Page No.:1 of4 |

## Fit for Duty

## 1.

## Purpose and Scope:

1.1. Therma employees are expected to report for work fit 
for duty, which means able to perform their job duties 
in a safe, appropriate and an effective manner free 
from the adverse effects of physical, mental, 
emotional and personal problems.

1.2. It is the goal of Therma to provide a safe workplace for all
employees. To accomplish this goal we have adopted the 
following fitness for duty policy requirements. Supervisors will 
work with the H.R. Department when they have a concern about 
an employee’s fitness for duty.

## 2.

## Responsibility:

2.1. Management personnel are responsible for monitoring the 
attendance, performance and behavior of their employees. When 
an employee’s performance and/or behavior(including the odor of 
alcohol or possible use of any illegal substance) appears to be 
unsafe, ineffective and/or inappropriate, it is every manager’s 
responsibility to challenge the employee’s behavior and the ability 
to function, remove the employee from the job and contact the H.R. 
Department.

2.2. Supervisors have a special responsibility to implement this policy in 
a consistent and fair manner.

## 3.

## Training and Safe Work Requirements (Skills and Knowledge):

3.1. Employees need to have the required skills to perform their 
assigned tasks. This is evaluated and documented by any or all of 
the following for evaluation of the employee’s required skills:

• Certifications, licenses or other documentation verification

• Task testing

• On the job monitoring

• Performance evaluations

• Training and training retention

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 14 | 2 of 4 |

3.2. Employees are properly trained for their assigned tasks.

Employees must receive training specific to their assigned task.

• Examples might be hot work, scaffold use, equipment 
operator qualifications; respirator fit test, etc. or based on a 
training matrix that reflects the job description and/or tasks 
being performed. All training is to be documented.

3.3. Safe work practices and procedures must be followed. Safe work 
procedures must be in place prior to work beginning. Employees 
shall follow our and our client’s safety requirements.

• Examples may include hot work permitting, confined space, 
lockout tag out, process safety management, electrical 
safety, operator safety and other standard work practices,
safety rules or procedures.

## 4.

## Personal Medical Reporting Requirements:

4.1. Employees need to report all medications to their supervisor they 
are taking that could impair their ability to work safely. Over-thecounter medications such as allergy or cold and flu medications 
could also impair one's ability to perform safely and must also be 
reported to their

## 5.

## Client and Drug and Alcohol Testing Requirements:

5.1. Drug and alcohol testing for pre-employment and post-accident as 
prescribed by the host facility shall be implemented. Procedures 
must include and be implemented for drug and alcohol testing as 
prescribed by DOT or the host client facilities.

## 6.

## Confidentiality:

6.1. Medical Records and other related records are protected by state 
and federal confidentiality laws and Therma’s policy. Medical 
records will be maintained in the employee’s medical file at the 
corporate office. Employee medical records will not be released to 
unauthorized personnel without the employee’s written consent or 
subpoena in accordance with state and federal laws.

## 7.

## Self-Reporting:

7.1. Employees are responsible for notifying their supervisor if they are 
fatigued to the point of not being able to perform their duties safely. 
Employees must be responsible for ensuring they are physically

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 14 | 3 of 4 |

and mentally fit to perform their job functions safely. Employees 
must take responsibility for their own safety as well as not reporting 
to work in a condition as to endanger the safety of their fellow 
workers.

7.2. Disciplinary action may occur for an employee reporting to work in 
a condition which could endanger their safety or the safety of any 
other person(s). See below for Management Referral in case there 
is a question of the employee’s ability to work safely.

## 8.

## Management Referral:

8.1. When any manager or their designee observes an employee who is 
not performing his/her job safely, appropriately, and effectively, or 
an odor of alcohol is present, or whose behavior is inappropriate, 
that manager is to remove the employee from her/his duty 
immediately and call the H.R. Director or local safety team leader. 
The employee may be referred to a medical provider for a fitness for 
duty exam.

8.2. The Fitness for Duty evaluation may include testing for chemical 
(e.g. alcohol and drug) levels, referral for psychiatric evaluation or 
any other evaluation or follow-up deemed necessary.

8.3. The manager or designee must document the reasons for the 
fitness for duty request by recording the employee's behavior and 
noting the names of any witnesses who observed that behavior. 
Documentation must be submitted to the H.R. Director.

8.4. The employee is required to cooperate fully with the manager and 
medical personnel. The employee must sign consent forms for both 
the fitness examination and communication of its results in 
confidence to the H.R. Director. Refusal will be grounds for 
disciplinary action.

8.5. Medical personnel will advise the H.R. Director if the employee is fit 
or not fit for duty.

8.6. If medical personnel determine that the employee is FIT FOR 
DUTY, the employee must contact the H.R. Director and provide a 
return to work authorization. The H.R. Director and the employee’s 
supervisor will determine if discipline is required in situations where 
misconduct may have occurred.

8.7. If medical personnel determine that the employee is NOT FIT FOR 
DUTY:

• The supervisor shall ensure the employee has safe 
transportation home.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 14 | 4 of 4 |

• The employee may not be permitted to return to work until a 
return to work authorization has been provided by medical 
personnel.

• The supervisor and the H.R. Director will determine 
discipline in situations where misconduct has occurred.

---

| Safety Manual
Stop Work Authority(SWA) |  |
| --- | --- |
|  | Effective:02-16 |
| Policy Section No.:15 | Revision Date: |
| Revision No.: | Page No.:1 of3 |

## Stop Work Authority (SWA)

## 1.

## Purpose:

1.1 Stop Work Authority (SWA) is a program designed to
provide employees with the responsibility and 
obligation to stop work when a perceived unsafe 
condition or behavior may result in an unwanted 
event

## 2.

## Scope:

2.1 Stop Work Authority should be initiated for conditions or behaviors 
that threaten danger or imminent danger to person(s), equipment 
or the environment. Situations that warrant a SWA may include, but 
are not limited to the following:

• Alarms

• Change in condition

• Changes to scope of work or work plan

• Emergency situation

• Equipment used improperly

• Lack of knowledge, understanding or information

• Near-miss incident

• Unsafe conditions

## 3.

## Responsibility:

3.1 Senior Management: Creates a culture that promotes SWA, 
establishes clear expectations and responsibilities. Demonstrates 
support for using SWA without the potential for retribution. 
Resolves SWA conflicts when they arise. Holds employees and
contractors accountable for full compliance with the SWA program.

3.2 Supervisors and Managers: Promotes a culture where SWA is 
freely exercised, SWA requests are honored and resolved before 
resuming operations. Ensures necessary stop work follow-up is 
completed.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 15 | 2 of 3 |

3.3 Safety Department: Provides training, support, documentation and 
monitors compliance of the SWA program.

3.4 Company employees and contractors: Initiate stop work (in good 
faith) and support stop work initiated by others.

## 4.

## Procedure:

## 4.1 Stop

• When an employee or contractor perceives condition(s) or 
behavior(s) that pose imminent danger to person(s), 
equipment or environment he or she must immediately 
initiate a stop work intervention with the person(s) potentially 
at risk.

• If the supervisor is readily available and the affected
person(s), equipment or environment is not in imminent
danger, coordinate the stop work action through the 
supervisor. The stop work action should be clearly identify 
as a stop work action and initiated in a non-combative 
manner.

## 4.2 Notify

• Notify affected personnel and supervision of the stop work 
action. If necessary, stop work activities that are associated
with the work area in question. Make the area(s) as safe as 
possible by removing personnel and stabilizing the situation.

## 4.3 Investigate

• Affected personnel will discuss the situation and come to an 
agreement on the stop work action.

• If all parties come to an agreement the condition or behavior 
is safe to proceed without modifications, (e.g. the initiator 
was unaware of certain information or circumstances), the 
affected persons should show appreciation to the SWA 
initiator for their concern and then resume work. The SWA is 
complete at this point and no further steps are needed.

• If it is determined and agreed the SWA is valid, A Stop Work 
Issuance Form will be completed. The condition(s) or 
behavior(s) that pose threats or imminent danger to 
person(s), equipment or the environment must be resolved 
before restarting work. Work will be suspended until a 
proper resolution is achieved.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 15 | 3 of 3 |

## 4.4 Correct

• Modifications to the affected area(s) will be made and the 
affected area(s) will then be inspected by qualified 
employee(s) to verify completeness of the modifications and 
to verify all safety issues have been properly resolved.

## 4.5 Resume

• The affected area(s) will be reopened for work by personnel 
with restart authority. All affected employees and contractors 
will be notified of what corrective actions were implemented 
and that work will recommence.

• In the event an employee still believes it is unsafe, they will 
be assigned to another job with absolutely no retribution.

## 4.6 Follow up

• The supervisor will provide the root cause analysis to the 
stop work action and identify any potential opportunities for 
improvement. The Safety Department publishes the incident 
details regarding the stop work action to all managers and 
employees outlining the issue, corrective action and lessons 
learned. Management will promptly review all stop work 
reports in order to identify any additional investigation or 
required follow-up.

---

| Safety Manual
Hazard Communication Program |  |
| --- | --- |
| Policy Section No.:23 | Effective:06-99 |
| Revision No.:3 | Revision Date:08-15 |
|  | Page No.:1 of 15 |

## HAZARD COMMUNICATION PROGRAM

## 1

## Purpose and Scope:

1.1 To ensure information about the dangers of all hazardous chemicals used 
by Therma is known by all affected employees, the following hazardous 
information program has been established. Under this program, you will 
be informed of the contents of the OSHA Hazard Communication 
standard, the hazardous properties of chemical with which you work, safe 
handling procedures, and measures to protect yourself from these 
chemicals.

1.2 This program applies to all work operations in our company where you 
may be exposed to hazardous chemical under normal working conditions 
or during an emergency situation. All work units of this company will 
participate in the Hazard Communication Program. Copies of the 
program are contained in the EHS Manual and in each SDS Binder and 
are available upon request from the Safety Department.

1.3 This program is in accordance with Hazard Communication Standard, 29 
CFR 1910.1200.

## 2

## Responsibility:

2.1 The Safety Department Manager is the program coordinator, with overall
responsibility for the program, including reviewing and updating this plan 
as necessary.

2.2 It is the responsibility of the Safety Department Manager to obtain 
updates of Proposition 65 listed chemicals and provide new information 
that may affect any employee.

2.3 It is the responsibility of all Project Managers and/or Superintendents to 
ensure that a list of hazardous substances and all Safety Data Sheets 
(SDS) are obtained prior to any required work.

2.4 In the event of any new introduced and potential health and safety 
exposure, it is the responsibility of the Project Manager and/or
Superintendent to inform their crew and the Safety Department Manager 
of this information.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 2 of 15 |

2.5 It is the responsibility of the Project Manager to inform the Safety 
Department Manager where additional safety and health training may be 
necessary on a job site.

2.6 It is responsibility of the Facilities Manager to ensure all outside 
contractors work safely in our campus and to protect our employees from 
chemicals used by outside contractors' procedures.

2.7 It is the responsibility of the supervisor to ensure all employees on site 
are trained regarding the presence of hazardous chemicals.

## 3

## Policy:

## 3.1 Safety Data Sheet (SDS):

3.1.1 The supervisor shall obtain legible copies of all SDSs from the 
Safety Department for those hazardous substances that 
employees may be exposed to. These copies shall be in a 
location where employees may easily read them, during all work 
shifts.

3.1.2 If SDSs are missing or new hazardous substances(s) in use do 
not have an SDS, or if an SDS is incomplete, contact the Facilities 
Manager of the customer site or the Safety Department Manager 
immediately to request a new SDS.

3.1.3 If a particular location requires an SDS and/or the data sheet can 
not be obtained, no employee shall be permitted in that location.

3.1.4 SDS for new chemicals introduced into the work site shall be 
forwarded to the Safety Department.

3.1.5 The Safety Department shall review new SDSs for carcinogenic or 
extremely hazardous chemicals and shall inform employees how 
they will be protected.

3.1.6 The Safety Department shall manage the listings of chemicals.

3.1.7 The Safety Department shall maintain the SDS Master.

3.1.8 When new chemicals are received, or new information has 
become obtained for an existing SDS, the Safety Department will 
update the SDS Master (including date the chemicals that were 
introduced or updated).

## 3.2 List of Hazardous Substances:

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 3 of 15 |

## 3.2.1 It is the responsibility of the supervisor/project manager to obtain any/all SDSs from these resources:

3.2.1.1 Subcontractor.

3.2.1.2 General Contractor.

3.2.1.3 Customer.

3.2.1.4 Hazardous Substance list used by Therma.

3.2.2 It is the responsibility of the supervisor to ensure all employees 
are informed of all known hazardous substances.

3.2.3 It is the responsibility of the supervisor to complete a hazardous
substance inventory prior to starting any job.

3.2.3.1 The List of Hazardous Substances will be kept in a 
location that is accessible to all employees.

## 3.3 Labels and Other Forms of Warning:

3.3.1 Before hazardous substance containers are released to the work 
area, verify that all primary and secondary containers are labeled.

3.3.2 The Primary Container shall address the following:  Identity of the 
hazardous substance(s), applicable hazard warnings, and 
name/address of the manufacturer.

3.3.3 The Secondary Container shall address the following: Identity of 
the hazardous substance(s), and applicable hazard warnings.

3.3.4 To address exposure to Proposition 65 chemicals, the Safety 
Department Manager will provide clear and reasonable warnings 
to individuals prior to exposure by means of posting signs 
conspicuously, labeling consumer products, and training 
employees.

3.3.5 Labels shall be legible and in English. For non-English speaking, 
provisions shall be made to provide information in the native 
language.

3.3.6 Container labels shall not be defaced or removed.

3.4 Employee Information and Training:

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 4 of 15 |

3.4.1 All new employees shall receive hazard communication training at 
the time of their initial assignment and whenever a new chemical 
is introduced into their work area.

3.4.2 Prior to starting work in a location which contains hazardous 
chemicals, all employees shall attend a health and safety-training 
The training will provide information on the following:

3.4.2.1 The requirements of the hazard communication
regulation, including the employees’ rights under the 
regulation.

3.4.2.2 The location and availability of the written hazard 
communication program.

3.4.2.3 Any operation in the work area, including non-routine 
tasks, where hazardous substances or 
carcinogens/reproductive toxins are present and 
exposures are likely to occur.

3.4.2.4 Method and observation techniques used to determine 
the presence or release of hazardous substances in 
the work area.

3.4.2.5 Protective practices the company will take to minimize 
or prevent exposure to these substances.

3.4.2.6 How to read labels and review SDSs in order to obtain 
hazard information.

3.4.2.7 Information of the physical and health effects of the 
potential hazardous substances exposure.

3.4.2.8 Symptoms of overexposure.

3.4.2.9 Measures employees need to put into practice to 
reduce or prevent exposure to hazardous substances 
by engineering controls, work practices, and use of 
personal protective equipment (PPE).

3.4.2.10   Emergency and first aid procedures to follow if 
employees are exposed to hazardous substances.

3.4.2.11 The location and interpretation, if needed, of warning 
signs or placards to communicate that a chemical 
known to cause cancer or reproductive toxicity is used 
in the workplace.

3.4.3 Employee training documentation shall be maintained by the 
Safety Department Manager. Documentation shall include the 
employee’s name, a brief description of the training and trainer’s 
name. Copies of documentation shall be maintained in the 
employee’s individual training file.

3.5 Hazardous Non-routine Tasks:

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 5 of 15 |

3.5.1 If an employee is required to perform a hazardous non-routine 
task, the affected employee shall be given information by their 
supervisor on hazards to which they may be exposed during such 
an activity.

3.5.2 The non-routine task shall address the following information:

3.5.2.1 Specific hazards.

3.5.2.2 Measures the company has taken to reduce the risk of 
these hazards, such as providing respiratory protection 
program, and establishing emergency procedures.

3.5.3 The supervisor shall complete a Pre-task Hazard Plan for all 
hazardous non-routine tasks.

3.5.3.1 Pre-task Hazard Plan shall be reviewed with all 
affected employees prior to starting the task.

## 3.6 Labeled/Unlabeled Pipes (if applicable):

3.6.1 Above-ground pipes transporting hazardous substances (gages, 
vapors, liquids, semi-liquids, or plastics) shall be identified in 
accordance with T8 CCR, Section 3321, and the Identification of 
Piping.

3.6.2 Other above-ground pipes that do not contain hazardous 
substances but may have associated hazards if disturbed or cut 
(i.e., steam lines, oxygen lines) shall be addressed as follows:

3.6.2.1 The location of the pipe system or other known safety 
hazard.

3.6.2.2 The substance in the pipe.

3.6.2.3 Potential hazards.

3.6.2.4 Safety precautions.

## 3.7 Outside Contractors:

3.7.1 Contractors will be informed of our Hazard Communication Policy 
to ensure they work safely in our campus and to protect our 
employees from chemicals brought onsite by outside contractors.

3.7.2 Outside contractors shall be informed of hazardous substances, 
including Proposition 65 chemicals, to which they may be 
exposed while on the job site.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 6 of 15 |

3.7.3 Outside contractors shall have available SDSs of 
chemical/substances brought onto our campus.

3.7.4 Outside contractors shall be informed of protective measures the 
employees should take to minimize the possibility of exposure.

## 4

## Identification Systems:

4.1 Global Harmonized System of Classification and Labeling of 
Chemicals (GHS)

Specific sections of GHS labels include the following:

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 7 of 15 |

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 8 of 15 |

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 9 of 15 |

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 10 of 15 |

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 11 of 15 |

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 12 of 15 |

# 4.2 NFPA – National Fire Protection Association Labeling System

|  | Health Hazard |  |
| --- | --- | --- |
| 4 | Very short exposure could cause death or serious residual injury even though prompt medical attention was given. |  |
| 3 | Short exposure could cause serious temporary or residual injury even though prompt medical attention was given. |  |
| 2 | Intense or continued exposure could cause temporary incapacitation or possible residual injury unless prompt medical attention is given. |  |
| 1 | Exposure could cause irritation but only minor residual injury even if no treatment is given. |  |
| 0 | Exposure under fire conditions would offer no hazard beyond that of ordinary combustible materials. |  |

---

|Revision No. 3||Policy Section No. Page 13 of 15 23|
|---|---|---|
||4 3 2 1 0 4 3 2 1 0|Flammability Will rapidly or completely vaporize at normal pressure and temperature, or is readily dispersed in air and will burn readily. Liquids and solids that can be ignited under almost all ambient conditions. Must be moderately heated or exposed to relatively high temperature before ignition can occur. Must be preheated before ignition can occur. Materials that will not burn. 1 Instability Readily capable of detonation or of explosive decomposition or reaction at normal temperatures and pressures. Capable of detonation or explosive reaction, but requires a strong initiating source or must be heated under confinement before initiation, or reacts explosively with water. Normally unstable and readily undergo violent decomposition but do not detonate. Also: may react violently with water or may form potentially explosive mixtures with water. Normally stable, but can become unstable at elevated temperatures and pressures or may react with water with some release of energy, but not violently. Normally stable, even under fire exposure conditions, and are not reactive with water.|
|1||Prior to 1996, this section was titled "Reactivity". The name was changed because many people did not understand the distinction between a "reactive hazard" and the "chemical reactivity" of the material. The numeric ratings and their meanings remain unchanged. Special Hazards This section is used to denote special hazards. There are only three NFPA 704 approved symbols: THIS DOCUMENT CONTAINS PROPRIETARY INFORMATION OF THERMA LLC. ALL INFORMATION SHALL (A) BE RETAINED IN CONFIDENCE; (B) NOT BE REPRODUCED IN WHOLE OR IN PART; AND (C) NOT BE USED OR INCORPORATED IN ANY PRODUCT EXCEPT UNDER EXPRESSED WRITTEN AGREEMENT WITH THERMA LLC.|

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 14 of 15 |

| OX | This denotes an oxidizer,a chemical which can greatly increase the rate of combustion/fire. |
| --- | --- |
| SA | This denotes gases which are simple asphyxiants.The only gases for which this symbol is permitted are nitrogen,helium,neon,argon,krypton,and xenon. The use of this hazard symbol is optional. |
| W | Unusual reactivity with water. This indicates a potential hazard using water to fight a fire involving this material. When a compound is both water-reactive and an oxidizer,the W/bar symbol should go in this quadrant and the OX warning is placed immediately below the NFPA diamond. |

Some organizations use other symbols, abbreviations, and words in the white 
Special Hazards section. NFPA 704 permits the use of additional symbols, but 
they must be placed **outside** of the NFPA diamond. The following symbols are 
**not** compliant with NFPA 704, but we present them here in case you see them 
on an MSDS or container label.

| ACID | This indicates that the material is an acid, a corrosive material that has a pH lower than 7.0 |
| --- | --- |
| ALK | This denotes an alkaline material, also called a base. These caustic materials have a pH greater than 7.0 |
| COR | This denotes a material that is corrosive (it could be either an acid or a base). |
|  | This is another symbol used for corrosive. |
|  | The skull and crossbones are used to denote a poison or highly toxic material. See also: CHIP Danger symbols. |

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 23 | 15 of 15 |

| The international symbol for radioactivity is used to denote radioactive hazards; radioactive materials are extremely hazardous when inhaled. |
| --- |
| Indicates an explosive material. This symbol is somewhat redundant because explosives are easily recognized by their Instability Rating. |

---

| Safety Manual
Pre-Task Hazard Plans |  |
| --- | --- |
|  | Effective:01/01/09 |
| Policy Section No.:25 | Revision Date: |
| Revision No.: | Page No.:1 of 2 |

## PRE-TASK HAZARD PLANS

## 1

## Purpose and Scope:

1.1 A Pre-task Hazard plan is a safety planning tool which consists of 
a safety checklist and a job hazard analysis

1.2 Pre-task Hazard Plans are to be used when performing nonroutine work which presents unusual risks or hazards to workers, 
public and/or property. This work may include but not limited to the 
following:

• Confined Space Entry.

• Critical Lifts.

• Trenching / Excavating.

• Line Breaking.

• Equipment / Building Demo.

• Elevated work or work which poses unique fall hazards.

• Chemical Hazards.

1.3 Pre-task Hazard Plans are a supplemental planning tool and are 
not to be used in lieu of job specific permits, (E.g. LOTO Checklist, 
Crane Lift Checklist, Confined Space Permit, etc.)

## 2

## Responsibility:

2.1 It is the responsibility of the supervisor to determine when a Pretask Hazard Plan is to be used.

2.2 It is the supervisor’s responsibility to develop the Pre-task Hazard 
Plan.

2.3 It is the responsibility of all employees to review and follow the 
requirements detailed in the Pre-task Hazard Plan.

2.4 It is the safety department’s responsibility to train supervisors in 
the preparation of Pre-task Hazard Plans.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 1 | 25 | 2 of 2 |

## 3

## Procedure:

3.1 Identify Project/Equipment/System Description.

3.2 Identify and obtain task specific work plans or permit.

3.3 Complete PPE, Fall Protection and Safe Plan of Action Checklist.

3.4 Break down job steps and complete Job Hazard Analysis.

3.4.1 Conduct a walk-through of work area, inspecting for 
hazards.

3.4.2 Write the steps of the task.

3.4.3 Note possible hazards involved in each step as well as 
contingencies.

3.4.4 In the Safe Plan column, provide the corrective actions that 
will be taken to mitigate the hazards.

3.4.5 List tools needed to do the job, additional safety equipment, 
etc.

3.5 Review the Pre-task Hazard Plan with each team member and 
obtain signatures.

3.6 The supervisor is to sign the plan and forward to the Safety 
Department for review, if required.

3.7 **If conditions change, STOP the job, identify control measures,** 
**update the plan and communicate changes with team** 
**members.**

---

| Safety Manual
Heat Related Illness Safety Program |  |
| --- | --- |
|  | Effective:09-05 |
| Policy Section No.:26 | Revision Date:05-15 |
| Revision No.:5 | Page No.:1 of8 |

## HEAT RELATED ILLNESS SAFETY PROGRAM

## 1.

## Purpose:

1.1 To provide a safe and healthful working environment and protect 
Therma employees who are exposed to temperature extremes, 
radiant heat, humidity, or limited air movement while working from 
heat related illnesses.

## 2.

## Policy:

2.1 The workplace will be evaluated to determine if Therma employees 
are at high risk from heat related illnesses during temperature 
extremes and hot weather while working. If it is determined 
employees are at risk they will be Trained to be aware of the heat 
related illnesses, and procedures to take if symptoms are present.

2.2 This program shall be made available to all employees.

2.3 *Therma shall develop and maintain a Heat Illness Prevention Plan.* 
*The plan shall, at a minimum, consist of; procedures for the*
*provision of water and access to shade; high heat procedures;* 
*emergency response procedures; acclimatization methods; training* 
*requirements. The plan shall be available to employees at the* 
*worksite, as well as to representatives of Cal/OSHA upon request.* 
*The plan will be considered available at the worksite if, it can be* 
*displayed for employees on a cell phone or other electronic device* 
*upon request.*

## 3.

## Implementation of Therma Heat Stress Program:

3.1 Therma will implement this Heat Stress Program when employees 
are at risk of heat related illnesses while they are working and are 
exposed to a combination of environmental risk factors such as 
temperature extremes, radiant heat, humidity, limited air 
movement, protective clothing, workload severity and duration.

## 4.

## Training:

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 5 | 26 | 2 of 8 |

## 4.1 Training will be provided prior to job assignment.

4.2 Employee training: Training in the following topics will be provided 
to all supervisory and non-supervisory employees:

4.2.1 Environmental and personal risk factors for heat illness.

4.2.2 Procedures for identifying, evaluating, and controlling 
exposures to the environmental and personal risk factors for 
heat illness.

4.2.3 The importance of frequent consumption of water.

4.2.4 The *concept*, importance, and *method* of acclimatization.

4.2.5 The different types of heat illness and the common signs 
and symptoms or signs of heat illness.

4.2.6 The importance of immediately reporting to the employer or 
designee symptoms or signs of heat illness.

4.2.7 Procedure for responding to symptoms of possible heat 
illness, including how emergency services will be provided
should they become necessary.

4.2.8 Procedure for contacting emergency medical services, and if 
necessary, for transporting employees to a point where they 
can be reached by medical service personnel.

4.2.9 How to provide clear and precise directions to the work site.

4.2.10 *Therma’s responsibility to provide water, shade, cool-down*
*rests, and access to first aid as well as the employees’ right*
*to exercise their rights without retaliation.*

4.3 Supervisor training: Prior to assignment to supervision of 
employees working in the heat, training on the following topics will 
occur:

4.3.1 The information provided for employee training.

4.3.2 Procedures the supervisor will follow to implement controls 
as determined by the employer.

4.3.3 Procedures the supervisor will follow when an employee
exhibits symptoms consistent with possible heat illness, 
including emergency response procedures.

4.4 *Training records shall be maintained for a period of no less than 3* 
*years*

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 5 | 26 | 3 of 8 |

## 5.

## Controls for reducing heat exposure:

5.1 Therma’s supervisors will evaluate the potential for heat stress. If 
environmental conditions are present the supervisor will implement 
controls, such as; work/rest regimen, starting jobs earlier and 
ending earlier to avoid hot times of the day, and/or, provisions for 
gaining access to shade.

5.2 Acclimatization: Acclimatization means temporary adaptation of the 
body to work in the heat that occurs gradually when a person is 
exposed to it. Acclimatization peaks in most people within four to 
fourteen days of regular work for at least two hours per day in the 
heat. In fully acclimatized individuals, sweating starts faster and the 
sweat carries less salt and other minerals out of the body. As a 
result, by sweating more efficiently the body cools down faster. 
Also there is less demand on the heart and cardiovascular system. 
For the reasons given above, *being fully acclimatized can allow* 
*workers to continue working in warm or hot conditions and*
*decreases the risk of heat illness and unsafe acts*.

In general, physically fit individuals become acclimatized about 
50% faster than those individuals who are not physically fit. 
Overweight individuals may retain more body heat and therefore 
may be more prone to developing heat illness.

5.2.1 Methods to acclimatize employees who are working in hot
environments:

• If they are not accustomed to working in warm or hot 
environments, they should start work slowly and pick up 
the pace gradually.

• Assign employees to less physically demanding tasks 
during their first 14 days of working in a warm or hot
environment.

• Schedule and provide frequent breaks. Supply sufficient 
amounts of drinking water

• *All employees shall be closely observed by a supervisor* 
*or designee during a heat wave. “Heat wave” means any* 
*day in which the predicted high temperature for the day* 
*will be at least 80 degrees Fahrenheit and at least ten* 
*degrees Fahrenheit higher than the average high daily* 
*temperature in the preceding five days*

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| --- | --- | --- |
| 5 | 26 | 4 of 8 |

• *An employee who has been newly assigned to a high* 
*heat area shall be closely observed by a supervisor or* 
*designee for the first 14 days of the employee's* 
*employment*

## 6.

## Provisions for water:

6.1 An adequate supply of *fresh, pure, and clean* potable drinking 
water *shall be located as close as practicable to the areas where* 
*employees are working* and will be supplied to employees per 
safety standards. Employees will be notified of the location of 
potable water and encouraged to drink. Where it is not plumbed or 
otherwise continuously supplied, it shall be provided in sufficient 
quantity at the beginning of the work shift to provide one quart per 
employee per hour for drinking for the entire shift.

## 7.

## Access to Shade:

*7.1* The company shall provide access to shade when the temperature 
exceeds *80* degrees. Shade can be in the form of “pop-ups”, 
umbrellas, or tree-covered areas*. Employees shall be allowed and* 
*encouraged to take a preventative cool down rest in the shade* 
*when they feel the need to do so to protect them from overheating.*

*7.2 An individual employee who takes a preventative cool-down rest (A)* 
*shall be monitored and asked if he or she is experiencing symptoms* 
*of heat illness; (B) shall be encouraged to remain in the shade; and* 
*(C) shall not be ordered back to work until any signs or symptoms* 
*of heat illness have abated. If an employee exhibits signs or reports* 
*symptoms of heat illness while taking a preventative cool-down* 
*rest, the employer shall provide appropriate first aid or emergency* 
*response.*

7.3 Access shall be permitted at all times.

7.4 Locate the shade structure as close as practicable to the areas 
where employees are working.

7.5 “Rule of Thumbs”:  The amount of shade present should be at least 
enough to accommodate *the number of employees on recovery or* 
*rest periods. The amount of shade present during meal periods*

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 5 | 26 | 5 of 8 |

*shall be at least enough to accommodate the number of employees* 
*on the meal period who remain onsite.*

## 8.

## High Heat Procedures:

8.1 In the event temperatures *equal or* exceed 95 degrees Fahrenheit, 
the following procedures shall be implemented:

• Ensure communication methods are available so 
employees can contact their supervisors when 
necessary.

• Supervisors shall observe employees for alertness and 
sign / symptoms of heat illness *by implementing one or* 
*more of the following:*

o *Supervisor or designee observation of 20 or* 
*fewer employees, or*

o *Mandatory buddy system, or*

o *Regular communication with sole employee* 
*such as by radio or cellular phone, or*

o *Other effective means of observation.*

• *Pre-shift meetings before the commencement of work to* 
*review the high heat procedures, encourage employees* 
*to drink plenty of water, and remind employees of their*
*right to take a cool-down rest when necessary.*

• *Designating one or more employees on each worksite* 
*as authorized to call for emergency medical services,* 
*and allowing other employees to call for emergency* 
*services when no designated employee is available.*

• Reminding employees throughout the work shift to drink 
plenty of water.

• Closely supervise new employees for their first 14 days 
of employment.

**9. First Aid awareness and actions in the event of a heat related illness:**

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| --- | --- | --- |
| 5 | 26 | 6 of 8 |

9.1 Procedures for contacting emergency responders for heat illness 
emergencies shall be established in the Site Medical Plan. This 
plan shall be posted and clearly communicated to employees prior 
to the start of work.

9.2 Remote Locations: The beginning of each day the supervisor shall 
evaluate his/her work site to determine if transportation from a 
remote location to a location where they could be reached by an 
emergency medical responder if an emergency occurs. These 
procedures shall be included in the Site Medical Plan.

9.3 The following chart helps employees recognize the main type of 
heat related illnesses, symptoms, and the appropriate treatment to 
reduce the effects of the heat related illness.

|  | Symptoms | Treatment |
| --- | --- | --- |
| Heat Cramps | muscle spasms in legs or abdomen | move person to a cooler location stretch muscles for cramps give cool water or electrolyte-containing fluid to drink |
| Heat exhaustion | headaches clumsiness dizziness/fainting weakness/exhaustion heavy sweating/clammy skin confusion rapid breathing rapid/weak pulse seizures | move person to a cooler location(do not leave alone) loosen and remove heavy clothing that restricts evaporative cooling if conscious, provide small amounts of cool water to drink fan person, spray with cool water,or apply a wet cloth to skin to increase evaporative cooling call 911 if not feeling better within a few minutes |

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| Revision No. |  | Policy Section No. | Page |
| --- | --- | --- | --- |
| 5 |  | 26 | 7 of 8 |
| Heat stroke | sweating may or may not be present red/flushed, hot dry skin bizarre behavior mental confusion or loss of consciousness panting/rapid breathing rapid/weak pulse seizures |  | call 911 move person to a cooler location(do not leave alone) loosen and remove heavy clothing that restricts evaporative cooling cool worker rapidly fan person, spray with cool water,or apply a wet cloth to skin to increase evaporative cooling |

## 10. Definitions

10.1 “Heat Related Illness” – means a serious medical condition 
resulting for the body’s inability to cope with a particular heat load, 
and includes heat cramps, heat exhaustion, heat syncope (fainting) 
and heat stroke.

10.2 “Environmental risk factors for heat illness” – means working 
conditions that create the possibility that heat illness could occur, 
including air temperature, relative humidity, radiant heat from the 
sun and other sources, conductive heat sources such as ground, 
air movement, workload severity and duration, protective clothing 
and personal protective equipment worn by employees. These 
conditions will be considered when determining that Therma is 
implementing controls and methods to reduce the potential for heat 
related illness.

10.3 “Personal risk factors for heat illness” – means factors such as 
individual’s age, degree of acclimatization, health, water 
consumption, alcohol consumption, caffeine consumption, and use 
of prescription medications that affect the body’s water retention or 
other physiological responses to heat.

10.4 “Shade” – *means blockage of direct sunlight. One indicator that* 
*blockage is sufficient is when objects do not cast a shadow in the*

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 5 | 26 | 8 of 8 |

*area of blocked sunlight. Shade is not adequate when heat in the* 
*area of shade defeats the purpose of shade, which is to allow the* 
*body to cool. For example, a car sitting in the sun does not provide* 
*acceptable shade to a person inside it, unless the car is running* 
*with air conditioning. Shade may be provided by any natural or* 
*artificial means that does not expose employees to unsafe or* 
*unhealthy conditions and that does not deter or discourage access* 
*or use.*

10.5 *“Heat wave” - Any day in which the predicted high temperature for* 
*the day will be at least 80 degrees Fahrenheit and at least ten* 
*degrees Fahrenheit higher than the average high daily temperature* 
*in the preceding five days*

*Note: Italicized text added to comply with the HIP Regulation Amendments,* 
*March 23, 2015*

---

# Daily Supervisor Heat Illness Prevention Checklist

**Job Site:** ______________________________________________ **Today’s Date:** __________________

|  | YES | NO |
| --- | --- | --- |
| 1. Has the designated person received HIP training? | $\Box$ | $\Box$ |
| 2. Do you have a readily available copy of Therma&#x27;s HIPP (may be written or electronic)? | $\Box$ | $\Box$ |
| 3. Have you reviewed the HIP with your employees? | $\Box$ | $\Box$ |
| 4.*Have you evaluated the weather and determined to the possibility of high heat potential (+95 degrees)? | $\Box$ | $\Box$ |
| 5.Do you have provisions for accessible, adequate(1 qt.per hr.per employee), fresh/cool water for your employees? | $\Box$ | $\Box$ |
| 6.Have you encouraged your employees to drink water frequently, especially,during high heat? | $\Box$ | $\Box$ |
| 7.Have you provided your employees with access to shade? | $\Box$ | $\Box$ |
| 8.Have you encouraged your employees to take&quot;cool down&quot;breaks(min 5 minutes)if they feel they need to protect themselves from overheating? | $\Box$ | $\Box$ |
| 9.Have you determined an effective method to contact emergency services ifthey are needed? | $\Box$ | $\Box$ |
| *High Heat Procedures(+95 degrees) |  |  |
| 10.Is it possible to reschedule outdoor activities during non-high heat hours? | $\Box$ | $\Box$ |
| 11.Do you and your employees have an effective method to communicateduring the work shift? | $\Box$ | $\Box$ |
| 12.Have they been encouraged to contact you if needed? | $\Box$ | $\Box$ |
| 13.Do you have a method to actively monitor temperature(e.g.dry bulbthermometer)throughout the work shift? | $\Box$ | $\Box$ |
| 14.Can you effectively observe your employees during the work shift?If not,have you implementeda&quot;buddy system&quot;? | $\Box$ | $\Box$ |
| 15.Do you have newly assigned employees that will be closely monitored/work modified for the first14 days of work? | $\Box$ | $\Box$ |
| 16.Have you conducted a daily training briefing(prior to work)which coversweather forecast,frequent drinking of water,access to shade,signs/symptoms/treatment of heat illness,cool down breaks,communication,and contacting emergency services? | $\Box$ | $\Box$ |
| 17.Have you designated a trained employee as the person responsible forresponding to and providing treatment until emergency services arrive? | $\Box$ | $\Box$ |

---

# Daily Supervisor Heat Illness Prevention Checklist

**Job Site:** __________________________________________ **Today’s Date:** _______________

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---

New Foremen's Safety Binder May 2017

Daily Supervisor Heat Illness Prevention Checklist.docx

---

| Safety Manual
Respiratory Protection Program |  |
| --- | --- |
|  | Effective:06-99 |
| Policy Section No.:27 | Revision Date:01-09 |
| Revision No.:2 | Page No.:1 of 6 |

## Respiratory Protection Program

## 1.

## Purpose and Scope:

1.1 The Occupational Safety and Health Administration (OSHA) General
Industry standard for respiratory protection 29 CFR 1910.134 requires
that a written respiratory protection program be established by an 
employer. The following procedures are based on the requirements
established by OSHA.

## 2.

## Responsibilities:

## 2.1 Management:

2.1.1 It is management’s responsibility to determine what specific
applications require the use of respiratory protective equipment.
Management must also provide proper respiratory protective
equipment to meet the needs of each specific application.
Employees must be provided with adequate training and
instructions on all equipment.

## 2.2 Management/Supervisory:

2.2.1 Superintendents of each area are responsible for ensuring that
all personnel under their control are completely knowledgeable
of the respiratory protection requirements for the areas in which
they work. They are also responsible for ensuring that their
subordinates comply with all facets of this respiratory protection
program, including respirator inspection and maintenance. They
are responsible for implementing disciplinary procedures for
employees who do not comply with respirator requirements.

## 2.3 Employees:

2.3.1 It is the responsibility of the employee to have an awareness of
the respiratory protection requirements for their work areas (as
explained by management). Employees are also responsible for
wearing the appropriate respiratory protective equipment
according to proper instructions and for maintaining the
equipment in a clean and operable condition.

THIS DOCUMENT CONTAINS PROPRIETARY INFORMATION OF THERMA 
CORPORATION. ALL INFORMATION SHALL (A) BE RETAINED IN 
CONFIDENCE; (B) NOT BE REPRODUCED IN WHOLE OR IN PART; AND (C) 
NOT BE USED OR INCORPORATED IN ANY PRODUCT EXCEPT UNDER 
EXPRESSED WRITTEN AGREEMENT WITH THERMA CORPORATION.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 27 | 2 of 6 |

## 2.4 Program Administration:

2.4.1. The following individual has total and complete responsibility 
for the administration of the respiratory protection program:

## Name: Fred Mulgrew

<u>Title: Construction Safety Manager</u>

2.4.2. This individual has the authority to act on any and all matters 
relating to the operation and administration of the respiratory 
protection program. All employees, operating departments, 
and service departments will cooperate to the fullest extent. 
This person is referred to as the Respiratory Protection 
Program Administrator in this program.

2.4.3. This individual is responsible for monitoring or conducting an 
exposure assessment of the respiratory hazard, developing 
standard operating procedures for this program, maintaining 
records, and conducting program evaluations.

2.4.4. This individual is responsible for contaminant identification and 
measurement, including technical support, air sampling and 
laboratory analysis.

2.4.5. This individual is responsible for evaluating the health of the 
company employees via a comprehensive medical and health 
program.

2.4.6. This individual is responsible for directing and coordinating 
engineering projects that are directly related to respiratory 
protection.

2.4.7. This individual is responsible for selection, issuance, training,
and fit testing of all respirators used in this company, including 
record keeping.

## 3.

## Policy:

3.1 It is the policy of this company to provide its employees with a safe and 
healthful work environment. The guidelines in this program are designed 
to help reduce employee exposure to occupational air contaminants and 
oxygen deficiency. The primary objective is to prevent excessive 
exposure to these contaminants. This is accomplished as far as feasible 
by accepted engineering and work practice control measures. When 
effective engineering controls are not feasible, or while they are being 
implemented or evaluated, respiratory protection may be required to

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 27 | 3 of 6 |

achieve this goal. In these situations, respiratory protection is provided at 
no cost to the employees.

## 3.2 Medical Evaluation:

3.2.1 Every employee who is being considered for inclusion in the 
Respiratory Protection Program must participate in a medical 
evaluation. A determination of the employee’s ability to wear a 
respirator while working is made initially before fit testing.Future 
evaluations are made when there is a change in workplace 
conditions or information indicating a need for reevaluation.

3.2.2 Medical evaluation prior to fit-testing will be confidential, during 
normal working hours, convenient, understandable, and the 
employee will be given a chance to discuss the results with the 
physician or other licensed health care professional (PLHCP).

## 3.3 Work Area Monitoring:

3.3.1.   Exposure assessment will be done to ensure proper respirator 
selection. In order to determine the exposure level, air samples 
of the work-place representative of the work period, exposure 
assessment based on analogous processes, or professional 
judgment will be used. Personal sampling equipment may be 
used in accordance with accepted industrial hygiene standards 
to sample each work area. Results of these samples will 
pinpoint areas where respiratory protection is required.

3.3.2. Working in IDLH atmospheres is not allowed.

3.3.3.  The exposure assessment will be performed prior to the task 
requiring respiratory protection. Periodically thereafter, as 
required by OSHA substance specific standards or at least 
every twelve (12) months, ** a review of the exposure 
assessment will be made to determine if respiratory protection is 
still required. If respiratory protection is still necessary, 
respirator selections will be reviewed to assure their continued 
suitability.

## 3.4 Respirator Selection:

3.4.1 Respirators are selected and approved for use by management.
The selection is based upon the physical and chemical 
properties of the air contaminants and the concentration level 
likely to be encountered by the employee. The Respiratory

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 27 | 4 of 6 |

Protection Program Administrator will make a respirator 
available immediately to each employee who is assigned to a 
job that requires respiratory protection. Replacement 
respirators/cartridges and filters will be made available as 
required.

3.4.2 The selection of the proper respirator type will be made
following the procedures that are attached.

3.4.3 All respirators will be NIOSH approved.

## 3.5 Use of Respirators:

3.5.1 All tight-fitting respirators (both negative and positive pressures)
shall not be used with beards or other facial hair or any other
condition that prevents direct contact between the face and the
edge of the respirator or interferes with valve function.

3.5.2 Employees will be required to leave the contaminated area:

• Upon malfunction of the respirator

• Upon detection of leakage of contaminant into the 
respirator.

• If increased breathing resistance of the respirator is noted.

• If severe discomfort in wearing the respirator is detected.

• Upon illness of the respirator wearer, including: sensation 
of dizziness, nausea, weakness, breathing difficulty, 
coughing, sneezing, vomiting, fever and chills.

• To wash face to prevent skin irritation

• To change filter/cartridge elements or replace respirators 
whenever they detect the warning properties of the 
contaminant or increased breathing resistance.

## 3.6 Respirator Training and Fitting:

## 3.6.1 Training:

• Employees assigned to jobs requiring respirators will be 
instructed by their supervisor relative to their 
responsibilities in the respiratory protection program. They 
will also be instructed in the need, use, limitations, and 
care of their respirator

• Retraining is given at least every 12 months ** after initial 
training.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 27 | 5 of 6 |

## 3.7 Fit Testing:

3.7.1 Employees will be properly fitted and tested for a face seal prior 
to use of the respirator in a contaminated area. Qualitative fit
testing will be the preferred method of fit testing.

3.7.2  Fit testing will be done initially upon employee assignment to an 
area where respirators are required. Fit testing will be repeated 
at least every 12 months ** thereafter. All Tight-fitting respirators 
(negative and positive pressure) will be fit tested. Positive
pressure tight-fitting respirators will be fit tested in the negative 
pressure mode.

3.7.3   Fit testing will not be done on employees with facial hair that
   passes between the respirator seal and the face or interferes
   with valve function. Such facial hair includes stubble, beards 
   and long sideburns.

3.7.4 **Note**: If it is determined that an individual cannot obtain an
   adequate fit with any tight-fitting respirator, a loose fitting 
   powered air purifying or supplied air respirator may be required
   instead.

3.8 Respirator Inspection, Maintenance and Storage:

3.8.1   Respirators must be properly maintained to retain their original
   effectiveness. The maintenance program will consist of periodic
   inspection, repair, cleaning and proper storage.

3.8.2 Inspection: The wearer of a respirator will inspect it daily 
whenever it is in use. The safety department will periodically 
spot respirators for fit, usage and condition. The use of 
defective respirators is not permitted. If a defective respirator is 
found during inspection, it must be returned to the safety 
department.

3.8.3 Repair: During cleaning and maintenance, respirators that do 
not pass inspection will be removed from service and will be 
discarded or repaired. Repair of the respirator must be done 
with parts designed for the respirator in accordance with the 
manufacturer’s instructions before reuse. No attempt will be 
made to replace components or make adjustments, 
modifications or repairs beyond the manufacturer’s 
recommendations.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 2 | 27 | 6 of 6 |

3.8.4 Cleaning: Respirators not discarded after one shift use, except
filtering face-piece type, will be cleaned on a daily basis (or after 
each use if not used daily), according to the manufacturer’s 
instructions, by the assigned employee or other person 
designated by the Respiratory Protection Program 
Administrator. Facilities and supplies for cleaning these 
respirators will be made available.

3.8.5 Storage: Respirators not discarded after one shift use will be 
stored in a location where they are protected from sunlight, dust,
heat, cold, moisture and damaging chemicals. They shall be 
stored in a manner to prevent deformation of the face piece and 
exhalation valve. Whenever feasible, respirators not discarded 
after one shift use will be marked and stored in such a manner 
to assure that they will be worn only by the assigned employee. 
If use by more than one employee is required, the respirator will 
be cleaned between uses.

3.8.6 Compressed Air System: Special precautions will be taken to 
assure breathing quality air when an air line respirator of SCBA 
is to be used. This air will meet the specifications for Grade D 
Air established by the Compressed Gas Association as stated
in Commodity Specification for Air (ASNSI/CGAG-7.1), 1989.
Cylinders of purchased breathing air must have a certificate of 
analysis from the supplier that the air meets Grade D 
requirements. The moisture content in the cylinder must not 
o
exceed a dew point <sup>o</sup>f -50 F at 1 atmosphere pressure. For air 
from compressors, the moisture content must be minimized so 
o
that the dew point at l atmosphere pressure is at least 10 F 
bel<sup>o</sup>w the ambient temperature.

## 3.9 Program Evaluation:

3.9.1 The workplace will be reviewed and evaluated at least every 12 
months (the program administrator can establish more frequent 
evaluations/assessments) to ensure that the written respiratory 
protection program is being properly implemented and to consult 
employees to ensure that they are using the respirators 
properly.

3.9.2 A written report will be made of each evaluation, summarizing 
the findings. For each deficiency identified, corrective action 
taken will be noted.

---

| Safety Manual
Therma Fall Protection Program |  |
| --- | --- |
|  | Effective:06-99 |
| Policy Section No.:35 | Revision Date:08-15 |
| Revision No.:3 | Page No.:1 of 14 |

## Fall Protection Program

## 1.

## OBJECTIVE:

1.2 The objective of the     <u>Therma’s</u>    Fall Protection Program is to identify 
and evaluate fall hazards to which employees will be exposed, and to 
provide specific training as required by the Occupational Safety and 
Health Administration (OSHA) Fall Protection Standard, 29 CFR 1926, 
Subpart M**.**

## 2.

## POLICY:

2.1 It is the policy of  **Therma’s to** protect its employees from occupational
 injuries by implementing and enforcing safe work practices and appointing 
a competent person(s) to manage the Fall Protection Program. The
***Therma***    Fall Protection Program shall comply with the OSHA
 requirements. A copy of the OSHA Fall Protection Standard shall be made 
available to all employees, and may be obtained from the   <u>Safety</u> 
<u>Department.</u>

*2.2* Fall Protection is required when ever employees are exposed to any fall 
from heights of (6) six feet or greater to lower levels. This includes work 
near and around excavations.

**3. ASSIGNMENT OF RESPONSIBILITY:**

## 3.1 Employer:

3.1.1 It is the responsibility of      <u>Therma</u>    to provide fall protection to
affected employees, and to ensure that all employees understand
 and adhere to the procedures of this plan.

## 3.2 Program Manager:

3.2.1 The Safety Department Manager is responsible for implementation 
of the Fall Protection Program.

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3.2.2 The Safety Department Manager or his/her designated 
representative is responsible for the following:

a. Performing routine safety checks of work operations.

b. Enforcing  <u>Therma</u>  safety policy and procedures.

c. Correcting any unsafe practices or conditions immediately.

d. Training employees and supervisors in recognizing fall 
hazards and the use of fall protection systems.

e. Maintaining records of employee training, equipment issue, 
and fall protection systems used at  <u>Therma</u>  jobsites.

f. Investigating and documenting all incidents that result in 
employee injury.

3.2.3 The <u>EH & S Manager</u> and/or his/her representative shall be 
adequately trained in Fall Protection Systems use, care and 
inspection.

## 3.3 Supervisors:

3.3.1 It is the responsibility of all supervisors to:

a. Inspect jobsites daily for fall hazards.

b. Ensure field compliance with the written program.

c. Enforcement of program requirements.

d. Ensuring employees are working in a safe manner when 
exposed to any and all fall hazards.

## 3.4 Employees:

3.4.1 It is the responsibility of all employees to:

a.   Understand and adhere to the procedures outlined in this 
Fall Protection Program.

b. Bring to management’s attention any unsafe or hazardous 
conditions or practices that may cause injury to either 
themselves or any other employees.

c. Report any incident that causes injury to an employee, 
regardless of the nature of the injury.

## 4.

## TRAINING:

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4.1 All employees who may be exposed to fall hazards are required to receive 
training on how to recognize such hazards, and how to minimize their 
exposure to them. Employees shall receive training as soon after 
employment as possible, and before they are required to work in areas 
where fall hazards exist.

4.2 A record of employees who have received training and training dates shall 
be maintained by the  <u>Safety Department</u>. Training of employees by the 
<u>Safety Department</u> shall include:

4.2.1 Nature of the fall hazards employees may be exposed to.

4.2.2 Correct procedures for erecting, maintaining, disassembling, and 
inspecting fall protection systems.

4.2.3 Use and operation of controlled access zones, guardrails, personal 
fall arrest systems, safety nets, warning lines, and safety 
monitoring systems.

4.2.4 Role of each employee in the Safety Monitoring System (if one is 
used).

4.2.5 Correct procedures for equipment, materials handling, storage, and 
erection of overhead protection.

4.2.6 Role of each employee in alternative Fall Protection Plans (if 
used).

4.2.7 Requirements of the OSHA Fall Protection Standard, 29 CFR 
1926, Subpart M.

4.2.8 ***Therma’s***  requirements for reporting incidents that cause injury to 
an employee.

4.3 Additional training shall be provided on an annual basis, or as needed 
when changes are made to this Fall Protection Program, an alternative Fall 
Protection Plan, or the OSHA Fall Protection Standard.

4.4 Retraining of the employee shall be conducted when:

4.4.1 Deficiencies in the original training has been noted, changes in the 
work places occur, and/or, fall protection systems or equipment 
change that render previous training obsolete.

4.5 Fall protection training documentation shall include:

4.5.1 Who was trained, training dates and instructor signature.

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4.6 Training certification(s) expire after (3) years from the original training 
date.

## 5

## CONTROLLED ACCESS ZONES:

5.1 <u>Therma employees</u> are prohibited from entering controlled access zones.

5.2 Controlled access zones shall be defined by control lines consisting of 
ropes, wires, tapes, or equivalent material with supporting stanchions, and 
shall be:

5.3.1 Flagged with a high-visibility material at six (6) foot intervals.

5.3.2 Rigged and supported so that the line is between 30 and 50 inches 
(including sag) from the walking / working surface.

5.3.3 Strong enough to sustain stress of at least 200 pounds.

5.3.4 Extended along the entire length of an unprotected or leading edge.

5.3.5 Parallel to the unprotected or leading edge.

5.3.6 Connected on each side to a guardrail system or wall.

5.3.7 Erected between six (6) feet and 25 feet from an unprotected edge, 
except in the following cases:

a. When working with precast concrete members, between 
six (6) feet and 60 feet from the leading edge, or half the 
length of the member being erected, whichever is less.

b. When performing overhand bricking or related work,  
between ten (10) feet and 15 feet from the working edge.

## 6.

## EXCAVATIONS:

6.1 Fall protection will be provided to employees working at the edge of an
excavation that is six (6) feet or deeper.  Employees in these areas are
 required to use the fall protection systems as designated in this program.

6.1.1 Excavations that are six (6) feet or deeper shall be protected by 
guardrail systems, fences, barricades, or covers.

6.1.2 Walkways that allow employees to cross over an excavation that is 
six (6) feet or deeper shall be equipped with guardrails.

## 7.

## FALL PROTECTION SYSTEMS:

## 7.1 Covers:

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7.1.1 All covers shall be secured to prevent accidental displacement.

7.1.2 Covers shall be color-coded or bear the markings “HOLE” or 
“COVER”.

7.1.3 Covers located in roadways shall be able to support twice the axle 
load of the largest vehicle that might cross them.

7.1.4 Covers shall be able to support twice the weight of employees, 
equipment, and materials that might cross them.

## 7.2

## Guardrail Systems:

7.2.1 Guardrail systems shall be erected at unprotected edges, ramps, 
runways, or holes where it is determined that erecting such systems 
will not cause an increased hazard to employees. The following 
specifications will be followed in the erection of guardrail systems. 
Toprails shall be:

a. At least ¼ inch in diameter (steel or plastic banding is 
unacceptable).

b. Flagged every six (6) feet or less with a high visibility 
material if wire rope is used.

c. Forty-two (42) inches (plus or minus three (3) inches) 
above the walking/working level.

d. Adjusted to accommodate the height of stilts, if they are in 
use.

7.2.2 Midrails, screens, mesh, intermediate vertical members, and solid 
panels shall be erected in accordance with the OSHA Fall 
Protection Standard.

7.2.3 Gates or removable guardrail sections shall be placed across 
openings of hoisting areas or holes when they are not in use to 
prevent access.

## 7.3 Personal Fall Arrest Systems:

7.3.1 Personal fall arrest systems shall be issued to and used by 
employees and may consist of an ANSI certified full-body

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harness, anchorage, connectors, deceleration device, lifeline, or 
suitable combinations.  Personal fall arrest systems shall:

a.   Limit the maximum arresting force to 1800 pounds.

b.   Be rigged so an employee cannot free fall more than six (6) 
feet or contact any lower level and, where practicable, the 
anchor end of the lanyard shall be secured at a level not 
lower than the employee's waist.

c. Bring an employee to a complete stop and limit the 
maximum deceleration distance traveled to three and a half 
(3 ½) feet.

d. Be strong enough to withstand twice the potential impact 
energy of an employee free falling six (6) feet (or the free 
fall distance permitted by the system, whichever is less).

e. Be inspected prior to each use for damage and 
deterioration.

f. Be removed from service if any damaged components are 
detected.

7.3.2 All components of a fall arrest system including descent control, 
and rescue equipment shall meet the specifications of the OSHA 
Fall Protection Standard, and shall be used in accordance with the 
manufacturer’s recommendations.

a.   The use of non-locking snaphooks is prohibited.

b. Dee-rings and locking snaphooks shall:

1. Have a minimum tensile strength of 5000 pounds.

2. Be proof-tested to a minimum tensile load of 3600 
pounds without cracking, breaking, or suffering 
permanent deformation.

c. Lifelines shall be:

1. Designed, installed, and used under the supervision 
of the <u>Safety Department:</u>

## of the Safety Department:

2.   Protected against cuts and abrasions.

3.   Equipped with horizontal lifeline connection 
devices capable of locking in both directions on the 
lifeline when used on suspended scaffolds or similar

---

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work platforms that have horizontal lifelines that 
may become vertical lifelines.

d. Self-retracting lifelines and lanyards must have ropes and 
straps (webbing) made of synthetic fibers, and shall:

1. Sustain a minimum tensile load of 3600 pounds if 
they automatically limit free fall distance to two (2) 
feet.

2. Sustain a minimum tensile load of 5000 pounds 
(includes ripstitch, tearing, and deforming lanyards).

e.   Anchorages must support at least 5000 pounds per person 
attached and shall be:

1. Capable of supporting twice the weight expected to 
be imposed on it.

2. Independent of any anchorage used to support or 
suspend platforms.

## 7.4 Positioning Device Systems:

7.4.1 Body belt or body harness systems shall be set up so that an 
employee can free fall no farther than two (2) feet, and shall be 
secured to an anchorage capable of supporting twice the potential 
impact load or 3000 pounds, whichever is greater.  Requirements 
for snaphooks, dee-rings, and other connectors are the same as 
detailed in this Program under ***Personal Fall Arrest Systems****.*

## 7.5 Safety Monitoring Systems:

7.5.1 In situations when no other fall protection can be implemented, the 
safety monitor shall be appointed to monitor the activities of 
employees in the hazard area. The safety monitor shall be:

a. Competent in the recognition of fall hazards.

b. Capable of warning workers of fall hazard dangers.

c. Operating on the same walking / working surfaces as the 
employees and able to see them.

d. Close enough to work operations to communicate orally 
with employees.

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e. Free of other job duties that might distract them from the 
monitoring function.

7.5.2 No employees other than those engaged in the work being 
performed under the Safety Monitoring System shall be allowed in 
the area. All employees under a Safety Monitoring System are 
required to promptly comply with the fall hazard warnings of the 
<u>EH & S Manager.</u>

## 7.6 Safety Net Systems:

7.6.1 Safety net systems must be installed no more than 30 feet below 
the walking / working surface with sufficient clearance to prevent 
contact with the surface below, and shall be installed with 
sufficient vertical and horizontal distances as described in the 
OSHA Fall Protection Standard.

7.6.2 All nets shall be inspected at least once a week for wear, damage, 
or deterioration by a competent person. Defective nets shall be 
removed from use and replaced with acceptable nets.

7.6.3 All nets shall be in compliance with mesh, mesh crossing, border 
rope, and connection specifications as described in the OSHA Fall 
Protection Standard.

7.6.4 When nets are used on bridges, the potential fall area from the 
walking / working surface shall remain unobstructed.

7.6.5 Objects that have fallen into safety nets shall be removed as soon 
as possible and at least before the next working shift.

## 7.7 Warning Line Systems:

7.7.1 Warning line systems consisting of supporting stanchions and 
ropes, wires, or chains shall be erected around all sides of roof 
work areas.

7.7.2 Lines shall be flagged at no more than six (6) foot intervals with 
high-visibility materials.

7.7.3 The lowest point of the line (including sag) shall be between 34 
and 39 inches from the walking / working surface.

7.7.4 Stanchions of warning line systems shall be capable of resisting at 
least 16 pounds of force.

7.7.5 Ropes, wires, or chains must have a minimum tensile strength of 
500 pounds.

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7.7.6 Warning line systems shall be erected at least six (6) feet from the 
edge, except in areas where mechanical equipment is in use.  When 
mechanical equipment is in use, warning line systems shall be 
erected at least six (6) feet from the parallel edge, and at least ten 
(10) feet from the perpendicular edge.

## 8 TASKS AND WORK AREAS REQUIRING FALL PROTECTION:

8.1 Unless otherwise specified, <u>Safety Department</u>  shall evaluate the 
worksite(s) and determine the specific type(s) of fall protection to be used 
in the following situations.

## 8.1.1 Framework and Reinforcing Steel:

a. Fall protection will be provided when an employee is 
climbing or moving at a height of over 24 feet when 
working with rebar assemblies.

## 8.1.2 Hoist Areas:

a. Guardrail systems or personal fall arrest systems will be
used in hoist areas when an employee may fall six (6) feet
or more. If guardrail systems must be removed for hoisting, 
employees are required to use personal fall arrest systems.

## 8.1.3 Holes:

a. Covers or guardrail systems shall be erected around holes. 
**8.1.4 Leading Edges:**

a. Guardrail systems, safety net systems, or personal
fall arrest systems shall be used when employees are
constructing a leading edge that is six (6) feet or more
above lower levels.  An alternative Fall Protection
Plan shall be used if the <u>Safety Department</u>
determines that the implementation of conventional
fall protection systems is infeasible or creates a
greater hazard to employees. All alternative Fall
Protection Plans for work on leading edges shall:

1. Be written specific to the particular jobsite needs.

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| 3 | 35 | 10 of 14 |

2. Include explanation of how conventional fall 
protection is infeasible or creates a greater hazard to 
employees.

3. Explain what alternative fall protection will be used 
for each task.

4. Be maintained in writing at the jobsite.

5. Meet the requirements of 29 CFR 1926.502(k).

## 8.1.5 Steep Roofs:

a. Guardrail systems with toeboards, safety net systems, or
 personal fall arrest systems will be provided to employees
 working on a steep roof with unprotected sides and edges
 six (6) feet or more above lower levels.

## 8.1.6 Wall Openings:

a Guardrail systems, safety net systems, or a personal fall
 arrest system will be provided to employees working on, at, 
above or near wall openings when the outside bottom edge
 of the wall opening is six (6) feet or more than 39 inches
 above the walking / working surface.

## 8.1.7 Runways, and Other Walkways:

a. Employees using ramps, runways, and other walkways six
 (6) feet or more above the lower level shall be protected by
 guardrail systems.

## 9.

## PROTECTION FROM FALLING OBJECTS:

9.1 When guardrail systems are in use, the openings shall be small enough to
 prevent potential passage of falling objects. The following procedures
 must be followed by all employees to prevent hazards associated with
 falling objects.

9.1.1 No materials (except masonry and mortar) shall be stored within 
four (4) feet of working edges.

9.1.2 Excess debris shall be removed regularly to keep work areas clear.

9.1.3 Stacked materials must be stable and self-supporting.

9.1.4 Canopies shall be strong enough to prevent penetration by falling 
objects.

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9.1.5 Toeboards erected along the edges of overhead walking / working 
surfaces shall be:

a. Capable of withstanding a force of at least 50 pounds; and
solid with a minimum of three and a half (3 ½) inches tall
 and no more than one quarter (1/4) inch clearance above
 the walking /working surface.

9.2 Equipment shall not be piled higher than the toeboard unless sufficient
 paneling or screening has been erected above the toeboard.

## 10. RESCUE:

10.1 A rescue plan shall be developed when employees are exposed to fall 
hazards and the possibility exists for the deployment personal fall arrest 
systems. Prompt rescue is critical in order to minimize the risk of serious 
injury to fallen personnel.

10.1.1 Employees shall be instructed in the methods self rescue. These
methods may include:

a. Rescues from ladder.

b. Rescues from scissor lift.

c. Rescues from boom lift.

10.1.2 The rescue plan shall also include the method to summons external
 emergency medical services for assistance in the event self rescue
 is not effective or appropriate should the employee become injured
 during the fall.

## 11. ACCIDENT INVESTIGATIONS:

11.1 All incidents that result in injury to workers, as well as near misses,
 regardless of their nature, shall be reported and investigated. Investigations 
shall be conducted by the <u>EH & S Manager</u> as soon after an incident as
 possible to identify the cause and means of prevention to eliminate the risk 
of reoccurrence.

11.2 In the event of such an incident, the Fall Protection Program (and alternative Fall
 Protection Plans, if in place) shall be re-evaluated by the <u>EH & S</u>
<u>Manager</u> *to* determine if additional practices, procedures, or training are
 necessary to prevent similar future incidents.

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## 12. CHANGES TO THE PLAN:

12.1 Any changes to the Fall Protection Program (and alternative Fall 
Protection Plans, if in place) shall be approved by the <u>EH & S</u> <u>Manager</u>, 
and shall be reviewed by a qualified person as the job progresses to 
determine additional practices, procedures or training needs necessary to 
prevent fall injuries.  Affected employees shall be notified of all procedure 
changes, and trained if necessary.  A copy of this plan, and any additional 
alternative Fall Protection Plans, shall be maintained at the jobsite.

## 13. GLOSSARY:

**13.1** <u>Anchorage</u>: a secure point of attachment for lifelines, lanyards, or 
deceleration devices.

**13.2** <u>Body belt</u>: a strap with means both for securing it about the waist and for
 attaching it to a lanyard, lifeline, or deceleration device.

**13.3** <u>Body harness</u>: straps that may be secured about the person in a manner
 that distributes the fall-arrest forces over at least the thighs, pelvis, waist,
 chest, and shoulders with a means for attaching the harness to other
 components of a personal fall arrest system.

**13.4** <u>Connector:</u> A device that is used to couple (connect) parts of a personal
 fall arrest system or positioning device system together.

**13.5** <u>Controlled access zone</u>: a work area designated and clearly marked in 
which certain types of work (such as overhand bricklaying) may take place 
without the use of conventional fall protection systems (guardrail, personal 
arrest, or safety net) to protect the employees working in the zone.

**13.6** <u>Deceleration device</u>: any mechanism, such as a rope, grab, ripstitch
 lanyard, specially-woven lanyard, tearing lanyard, deforming lanyard, or
 automatic self-retracting lifeline/lanyard, which serves to dissipate a
 substantial amount of energy during a fall arrest, or otherwise limits the
 energy imposed on an employee during fall arrest.

**13.7** <u>Deceleration distance</u>: the additional vertical distance a falling person
 travels, excluding lifeline elongation and free fall distance, before 
stopping, from the point at which a deceleration device begins to operate.

**13.8** <u>Guardrail system</u>: a barrier erected to prevent employees from falling to
 lower levels.

**13.9** <u>Hole</u>: a void or gap two (2) inches (5.1 centimeters) or more in the least
 dimension in a floor, roof, or other walking/working surface.

**13.10** <u>Lanyard</u>: a flexible line of rope, wire rope, or strap that generally has a
 connector at each end for connecting the body belt or body harness to a

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deceleration device, lifeline, or anchorage**.**

**13.11** <u>Leading edge</u>: the edge of a floor, roof, or formwork for a floor or other
 walking/ working surface (such as a deck) which changes location as
 additional floor, roof, decking, or formwork sections are placed, formed,
 or constructed.

**13.12** <u>Lifeline:</u> a component consisting of a flexible line for connection to an
 anchorage at one end to hang vertically (vertical lifeline), or for connection 
to anchorages at both ends to stretch horizontally (horizontal lifeline), that 
serves as a means for connecting other components of a personal fall arrest 
system to an anchorage.

**13.13** <u>Low slope roof</u>: a roof having a slope less than or equal to 4 in 12
(vertical to horizontal).

**13.14** <u>Opening</u>: a gap or void 30 inches (76 centimeters) or more high and 18
 inches (46 centimeters) or more wide, in a wall or partition through which
 employees can fall to a lower level.

**13.15** <u>Personal fall arrest system</u>: a system including but not limited to an
 anchorage, connectors, and a body harness used to arrest an employee in a 
fall from a working level.

**13.16** <u>Positioning device system</u>: a body belt or body harness system rigged to 
allow an employee to be supported on an elevated vertical surface, such as 
a wall, and work with both hands free while leaning backwards.

**13.17** <u>Rope grab</u>: a deceleration device that travels on a lifeline and 
automatically, by friction, engages the lifeline and locks to arrest a fall.

**13.18** <u>Safety monitoring system</u>: a safety system in which a competent person
 is responsible for recognizing and warning employees of fall hazards.

**13.19** <u>Self-retracting lifeline/lanyard</u>: a deceleration device containing a drumwound line which can be slowly extracted from, or retracted onto, the
 drum under minimal tension during normal employee movement and
 which, after onset of fall, automatically locks the drum and arrests the fall.

**13.20** <u>Snaphook</u>: a connector consisting of a hook-shaped member with a
 normally closed keeper, or a similar arrangement, which may be opened to 
permit the hook to receive an object and, when released automatically,
 closes to retain the object.

**13.21 Steep roof**: a roof having a slope greater than 4 in 12 (vertical to 
horizontal).

**13.22** <u>Toeboard</u>: a low protective barrier that prevents material and equipment
 from falling to lower levels and which protects personnel from falling.

**13.23** <u>Unprotected sides and edges</u>: any side or edge (except at entrances to 
points of access) of a walking / working surface (e.g., floor, roof, ramp, or 
runway) where there is no wall or guardrail system at least 39 inches (1 meter) 
high.

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**13.24** <u>Walking/working surface</u>: any surface, whether horizontal or vertical, on 
which an employee walks or works, including but not limited to floors,
roofs, ramps, bridges, runways, formwork, and concrete reinforcing steel.
  Does not include ladders, vehicles, or trailers on which employees must be 
located to perform their work duties.

**13.25** <u>Warning line system</u>: a barrier erected on a roof to warn employees that 
they are approaching an unprotected roof side or edge and which 
designates an area in which roofing work may take place without the use 
of guardrail, body belt, or safety net systems to protect employees in the 
area.

---

| Safety Manual
Ladder Safety Program |  |
| --- | --- |
|  | Effective:06-99 |
| Policy Section No.:42 | Revision Date:01-16 |
| Revision No.:3 | Page No.:1 of5 |

## Ladder Safety Program

## 1

## Purpose and Scope:

1.1 The purpose and scope of this document is to put forth the regulations 
regarding Ladder Safety procedures and training at Therma. CFR 
1926. 1950-1960 Subpart X contains specific information on these 
rules. All employees who might be expected to use a ladder during the 
course of work should be familiar with this document. This policy 
covers all types of ladders, including step, extension, and fixed 
ladders. Ladder users must be able to recognize and avoid ladder 
hazards and be aware of safe practices in setting up, storing, moving 
and working from this equipment.

## 2

## Responsibility:

2.1 It is the responsibility of all Supervisors to assure that all employees 
that may use a ladder read and understand this document. This 
document is included in new hire orientation training material.

2.2 It is the responsibility of all Supervisors to provide basic ladder training 
safety information to those employees who have not been previously 
trained.

2.3 It is the responsibility of all Supervisors to assure that all ladders being 
used at Therma are free from defects and all moving parts are working 
properly.

2.4 It is the responsibility of all Safety Department to maintain records on 
ladder training.

## 3

## Policy:

3.1 Only Class 1A (rated 300 pounds) fiberglass step and extension 
ladders shall be used.

3.2 All Therma employees who use ladders shall have Ladder Safety 
Training during New Employee Orientation.

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3.3 Ladder Safety Training will consist of recognition of possible hazards
associated with ladder use, inspection, proper maintenance and safety 
precautions to be taken when using ladders.

3.4 Ladders shall only be used for the purpose in which they were 
designed.

3.5 Ladders shall be inspected by the Tool Room before dispatched to the 
field.

3.6 All employees who use ladders at Therma must inspect them for 
defects or possible hazards before the ladders are used. Ladders must 
be maintained free of grease, oil, and other slipping hazards. Ladders 
with loose parts or faulty rungs should be taken out of service 
immediately.

3.7 Ladders shall be inspected on an annual basis by the company’s 
designated “competent” person.

3.8 Ladders that are taken out of service should be tagged "Defective" and 
removed from the work area and sent to the Tool Room for repair or 
disposal.

3.9 In the event a ladder is involved in an incident that may affect safe 
operation, it shall be immediately removed from service and sent to the 
tool room for inspection. Only after it has been inspected by the 
company’s competent person shall it be placed back into service.

3.10 Therma employees shall only work from step ladders, extension 
ladders and fixed ladders that are vendor supplied. Job-made ladders 
are not approved for use. Ladders rungs, cleats, and steps shall be 
uniformly spaced when the ladder is in position for use.

3.11 Safety Ladder Setup:

3.11.1 Inspect ladders for defects. Ensure the ladder is rated for 
the intended use.

3.11.2 Ensure the ladder shall not be loaded beyond its rated 
weight capacity.

3.11.3 All ladders must be placed on a stable level surface.

3.11.4 Do not set ladders on boxes, blocks or other objects that 
might move.

3.11.5 Do not lean or reach out while standing on ladders.

3.11.6 Secure ladders whenever a danger of slippage might 
occur.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 42 | 3 of 5 |

3.11.7 Do not use ladders in high wind or during inclement 
weather conditions.

3.11.8 Never set up ladders in front of or around doors, unless 
the door is posted or locked.

3.11.9 Do not sit on ladders.

3.11.10 Use safety boots when climbing a ladder.

3.12 Climbing and Standing on Ladders Safely:

3.12.1 Always face a ladder when climbing up or down.

3.12.2 Do not carrying materials or tools when climbing a ladder. 
Climb the ladder first then pull up the materials with a rope. 
Maintain “3-point contact” rule.

3.12.4 Do not climb onto a ladder from the side.

3.12.3 Rungs and steps should be clear of grease, oil, wet paint, 
snow, and ice before climbing.

3.12.5 Do not slide down a ladder.

3.12.6 Climb or stand on a ladder with your feet in the center of 
the rung.

3.12.7 Do not stand on the top two rungs or top of a stepladder.

## 3.13

## Proper Use and Care of Ladders:

3.13.1 Never use metal ladders near exposed electrical wires.

3.13.2 Place warning signs or setup barriers around a ladder 
before use.

3.13.3 Do not move a ladder while someone is on it.

3.13.4 Never use a ladder when under the influence of alcohol or 
prescription medications.

3.13.5 Do not leave tools or materials on top of ladders.

3.13.6 Only one person should be on a ladder at a time.

3.13.7 Do not use a ladder on a scaffold.
3.13.8 Do not try to rock a ladder to move it.

3.13.9 Store wood ladders where they will not be exposed to the 
elements.

3.13.10 Make sure ladders are properly secured when transported.

3.13.11 Do not paint ladders. Painting could hide potentially 
dangerous defects.

3.13.12 Remove defective ladders from service.

## 3.14

## Step Ladder Safety:

3.14.1 Never use a stepladder over 20 feet in length.

3.14.2 Always open a stepladder completely and make sure the 
spreader is locked before use.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 42 | 4 of 5 |

3.14.3 Do not stand higher than the second step from the top of a 
step ladder.

3.14.4 Do not straddle a stepladder.

## 3.15

## Extension Ladder Safety:

3.15.1 The sections of an extension ladder should overlap 
enough to retain the strength of the ladder.

3.15.2 Never splice or tie two short ladders together.

3.15.3 When using a ladder for access to a landing, it must 
extend 3 rungs or 3 feet above the landing. If the ladder 
can not be extended above the landing surface, it shall be 
secured at its top to a rigid support that will not deflect.

3.15.4 To establish the proper climbing angle, use the 4:1 ratio. 
For every 4’ of vertical height, the ladder based shall be 1’ 
from the face of the building (climbing surface).

3.15.5 The top of an extension ladder should rest against a flat, 
firm surface.

3.15.6 Elevate and extend these extension ladders only from the 
ground.

3.15.7 When practical, secure extension ladders at both the base 
and the top.

## 3.16

## Extension Ladder Setup:

3.16.1 Inspect the area for overhead obstruction. Be sure there 
are no electrical wires present.

3.16.2 Lay the ladder on the ground when it is collapsed.

3.16.3 Have someone foot the ladder or make sure it is braced 
against something.

3.16.4 Pick up the ladder and walk it to an upright position, 
making sure it will not be obstructed by trees or wires.

3.16.5 Slide the bottom of the ladder outwards to the proper 
angle and set the feet correctly.

3.16.6 Then extend the ladder by pulling the extension line.

3.16.7 Make sure the rungs on the upper half of the ladder are 
properly secured by the locking mechanism.

3.16.8 Secure the rungs from the fly section to the rungs of the 
bed section with the lanyard or separate rope prior to 
climbing.

3.16.9 Tie the ladder off or have someone steady the ladder as 
you climb it.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 42 | 5 of 5 |

## 3.17

## Fixed Ladder Safety:

3.17.1 Fixed ladders must be secured to the object they are 
attached to.

3.17.2 Fixed ladders over 20 feet must have a safety cage 
surrounding the ladder.

3.17.3 The safety cage should have 15" clearance to all points 
from the center.

$$
15^{n}
$$

3.17.4 Defects in fixed ladders should be repaired as soon as 
possible.

3.17.5 When a defect is not repairable the ladder must be taken 
out of service.

---

Policy Section No.:43 
Revision No.:

**Effective**: 06-99
Revision Date:
Page No.: **1 of 10**

## THERMA

## FORKLIFT

## SAFETY TRAINING

**OUR PRIORITIES:**

**1. SAFETY**
**2. QUALITY**
**3. SCHEDULE**

“No job is so important that it may be performed without 
regard for safety, health and the environment.”

GOLIATH/L:/SAFETY/WINWORD/FORKLIFT.DOC*,REVISION2,9/99*

**SAFETY, A THERMA WAY OF LIFE:**

As with all job functions at THERMA, equipment operation is an important part of 
the service we provide to our customers. Because the operation of powered

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 34 | 2 of 10 |

industrial fork lift equipment is inherently dangerous, it’s important to be sure that 
safety is first and foremost in our minds any time we climb onto a piece of 
machinery.

## DANGEROUS AT ANY SPEED:

Operating equipment in an unsafe manner is one of the major causes of injury 
and death in the construction industry. Fork lift machines account for a large 
number of these accidents.

## 1. SAFETY, 2. QUALITY, 3. SCHEDULE:

In our business our customers expect, and should receive, only the *best, most* 
*professional* work available. The safest possible methods and professionalism go 
hand in hand. A professional that knows how to operate  a fork lift safely also 
knows that the **safe** operation of any piece of equipment is also the **fastest**, 
most professional way to work. Unsafe operations and short cuts are a sure way 
to increase accidents, injuries, and costs on a job. A remarkable thing occurs 
when safety is thought of **first**. The job is always of the best quality and is 
completed in the fastest, most economical way!

## SAFETY IS JOB #1:

The long-standing commitment of THERMA to safety extends to certification of 
operators of fork lift equipment. THERMA personnel must realize that as leaders 
in our industry, it’s imperative that we continue to lead in the field of safety.

## PERSONNAL COMMITMENT:

The commitment of THERMA to safety is meaningless unless each individual is 
at least equal in his or her commitment. As an equipment operator you are one 
of the most highly visible people on any job site. Others on the job will look to 
you as an example of how safe or unsafe a company is. When others see you 
operating safely they will know that you are a professional, working for a 
professional company.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 34 | 3 of 10 |

## CONTENTS

SUBJECT .....SECTION

Responsibilities ..... 1

Types of Machines ..... 2

Lifting Capacities ..... 3

Inspections ..... 4

Operation ..... 5

Fueling/Charging ..... 6

**1.** <u>RESPONSIBILITIES:</u> **Responsibilities** for the safe operation of these 
machines lie in three categories:

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 34 | 4 of 10 |

• **Manufacturer.**

• **Employer.**

• **Operator.**

**1.1 Manufacturer:** The manufacturer is required to produce a machine that 
meets all safety rules and regulations. The **dealer** provides 
a machine that is safe to operate and meets all laws, rules 
and regulations.

**1.2 Employer:** The employer provides the safest possible work site, 
enforces the rules and regulations covering the site and 
the type of work done, and makes sure that all personnel 
are trained for the type of work they are performing, 
including the operation of equipment.

**1.3 Operator:** The operator is responsible for the operating condition of 
the equipment, and insures that the  operation of the 
equipment will not endanger personnel on and around the 
equipment. Before the operator uses an unfamiliar 
machine for the first time, he/she will read and understand 
the operator’s manual. The operator is responsible for a 
pre-operation inspection of his/her equipment and the 
work site. When confronted with an unsafe condition or the 
unsafe actions of personnel on or around the equipment, 
the operator is to cease operations at once, and only 
resume when the unsafe conditions or actions are 
corrected.

***It is a violation of company policy for any employee to operate equipment*** 
***they are not certified for!***

**2.** <u>TYPES OF MACHINES:</u> There are several different types of **powered** 
**industrial fork lifts** designed to lift materials to different work heights. These 
are:

• **STANDARD FORK LIFT.**

• **“GRADALL” LIFT.**

• **SPECIALIZED LIFT.**

**2.1 STANDARD FORK LIFT.** This machine is the one we visualize when 
we think of a fork lift. It has several distinctive characteristics:

**2.1.1** Tilt-able mast assembly with lifting forks.

**2.1.2** Four wheel design.

**2.1.3** Rear wheel steering.

**2.1.4** Driver Overhead Protection Service (OPS).

**2.1.5** Automobile-like controls.

**2.1.6** Conventional operator seating position.

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| Revision No. | Policy Section No. | Page |
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**2.1.7** Smooth, hard wheels, designed for hard surface operation.

## 2.2 “GRADALL”-TYPE FORK LIFT. This machine differs from the standard fork lift machines in that:

**2.2.1** The Boom that supports the lifting forks allows the material 
handling portion of the lift to extend beyond the support chassis.

**2.2.2** The forks will reach over obstructions on the working surface.

**2.2.3** It has a sophisticated suspension system that allows operation on 
uneven ground.

**2.3 SPECIALIZED FORK LIFT.** These machines are very similar to the 
standard lift truck with these additional features:

**2.3.1** They have specialized attachments for handling specific types of 
materials (rolled steel, pipe, barrels, etc).

**2.3.2** They have characteristics that allow them to operate in unique 
environments (cold storage, explosive atmospheres, etc).

**2.3.3** The driver position is different from the conventional seated 
position on standard trucks (the operator may stand or even raise 
up with the work platform).

**2.4 SIMILARITIES.** Because the basic safe operating characteristics of these 
machines are the same, they will be combined for the purposes of this 
training:

**2.4.1 STANDARD FORK LIFTS** and **SPECIALIZED FORK LIFTS** will 
be referred to as fork lifts.

**2.4.2 “GRADALL”-TYPE LIFTS** will be called gradalls.

**3.** <u>INSPECTIONS.</u> Prior to operating one of these machines **2 inspections** must 
first be conducted:  **JOB SITE AND EQUIPMENT.**

**3.1 JOB SITE.** This inspection should take place at the **beginning of each** 
**shift**, or more often if conditions change during a shift. Operators should 
look for any object or condition, which will inhibit the **safe operation** of 
his/her machine. These include:

**3.1.1 Housekeeping.** The job site shall be reasonably clear of **trash** 
and **debris**.

**3.1.2 Holes/Trenches.** Any **openings** in the floor should be covered 
with bridge material capable of supporting 4 times the anticipated 
weight that may pass over it. When openings are not covered, the 
operator may not approach closer than 18” to the edge of the 
opening.

**3.1.3 Floors.** Inspect for  bumps, obstructions, and uneven conditions 
that **could effect** the machine.

**3.1.4 Lighting.** The operator should be able to see well enough to 
**safely operate** his machine. OSHA Regulations State that the

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| Revision No. | Policy Section No. | Page |
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|  | 34 | 6 of 10 |

minimum general lighting acceptable on construction sites is 5 
foot candles. This is not much light to operate by, therefore 
extreme caution is needed under these conditions. “Task”, or work 
lighting is provided by THERMA and will be sufficient for the type 
of work performed.

**3.1.5 Weather.** Wet floors, high wind and other weather related 
conditions can be very **hazardous.** Always check for these 
conditions before operating a lift.

**3.1.6 Overhead obstructions.** Never move a lift when there is danger 
of striking an **overhead obstruction**. This can cause the machine 
to turn over, and/or can cause damage to the object being struck.

**3.1.7 High voltage lines.** The minimum clearance for high voltage 
lines of 50 kilovolts  is 10’. Make sure you have **clearance** around 
all electrical lines while operating.

**3.1.8 Foot traffic.** Watch for people **at all times**. On some machines 
the driver can’t see people if they are directly behind them or are 
obscured with a large load. Shouted warnings such as, “Coming 
down!” will help make the job safer.

***Note: Remember that the operator is ultimately responsible for the*** 
***safe operation of their machines.***

**3.1.9 Any other condition** of the work site that might **adversely** 
**impact** the safe operation of  a fork lift will also cause the 
immediate halt of operations until the unsafe conditions can be 
eliminated or controlled.

**3.2 Machine inspection.** This inspection shall be conducted prior to the 
**start** of the shift. *Any problems or malfunctions that could affect the safe* 
*operation of the lift will be corrected prior to the operation of the lift.* The 
pre-shift inspection shall include:

**3.2.1 Parking Brake:** The parking brake must be able to **hold** the 
machine still on any surface the machine is capable of climbing.

**3.2.2 Service Brake:** Any condition of the service brake system that 
effects the smooth operation of the lift will be cause to 
immediately halt operations.

**3.2.3 Hydraulics/Batteries/Fuel:**

a. Leaks. Fluid levels. ***Note: Control and clean up any*** 
***leaks.***

b. Corrosion. ***Note: Acid is corrosive and precautions*** 
***must be taken.***

c. Cracked/split/frayed hoses.

**3.2.4 Operating controls:**

a. Operator controls – up, down, extend, retract, side shift, 
forward, backward, turns, emergency stop.

**3.2.5 Chassis assembly:**

a. Cracks.

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| Revision No. | Policy Section No. | Page |
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|  | 34 | 7 of 10 |

b. Loose parts.

c. Suspension.

*d.* Tires/wheels/lug nuts.

***NOTE: Tires on an axle must be of the same size and tread design, and are*** 
***foam filled.***

## 3.2.6 Lift mechanism/forks:

a. Leaks. ***Note: Control and clean up any leaks.***

b. Loose/worn parts.

c. Smooth operation.

d. Uneven forks.

**3.2.7 Labels/Operating Manuals:**

e. Loose/uneven hoist chains.

a. Placards.

b. Pinch points.

c. Warnings.

d. Manuals.

e. Identification plate.

f. Control markings.

3.3 Once it has been determined by job site and machine inspection that it is 
safe to operate the machine, proceed.

**4.** <u>LIFTING CAPACITIES.</u> These vehicles are designed to do one thing:

## 4.1 TRANSPORT MATERIALS.

**4.1.1** Whether it’s loading or unloading trucks, moving a stack from one 
spot to the next, or setting equipment in place, these machines 
will do it. There are some things they are <u>not</u> designed for:

a. Lifting/Transporting people.

b. Towing/Pulling other vehicles.

c. Opening/Closing sliding doors, particularly railroad car 
doors.

**4.2** In order to properly lift a load the operator will first determine:

**4.2.1** The weight of materials being lifted does not exceed the rated 
capacity of the machine.

**4.2.2** The load is evenly distributed and properly secured.

**4.2.3** The ground the machine will be operated on meet the 
requirements for that machine.

**4.2.4** The machine has been inspected prior to operation on that shift.

**4.3** At least one of the workers is an operator certified for the machine he/she 
is on.

**4.4** The rated capacity may be found in the **operator’s manual** and the **load** 
**capacity plate**. If either of these are missing, the machine may not be 
operated.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 34 | 8 of 10 |

## 4.5 MATERIALS.

**4.5.1 Materials** that do not overload the machine when combined with 
**personnel** and **tools** may be lifted.

**4.5.2 Materials** that interfere with the safe operation of the machine 
may not be lifted.

**4.5.3 Materials** must be secured from tipping, spilling, or falling.

**4.5.4** Avoid lifting **materials** on the railings.

**4.5.5** Never exceed the **rated capacity** of the railings.

**4.5.6** Remember that load capacities may be found in the **operator’s** 
**manual** and on the **load capacity plate**.

**4.5.7** “**High-Jacks**” or other equipment designed to lift material should 
be used for lifting **materials**.

**4.5.8** Only manufacturer approved **attachments** may be used on a 
machine.

## 4.6 TOOLS.

**4.6.1 Tools** that do not overload the machine when combined with 
**materials** and **personnel** may be lifted.

**4.6.2 Tools** that interfere with the safe operation of the lift may not be 
lifted.

**4.6.3** Never **throw** tools or materials up to or down from a lift.

**4.6.4** Potentially **hazardous equipment** (such as gas bottles on 
welding rigs) must be secured prior to the operation of the 
machine.

**4.6.5** When using **extension cords** and/or **gas hoses**, such as those 
used on cutting and wielding rigs, exercise extreme caution to 
prevent them from becoming entangled in the moving and 
pinching parts of the machine.

**4.6.6** When using tools that throw or drop **sparks** or **hot material**, 
protect the lower portions of the machine that could be damaged 
such as batteries, hydraulic hoses, etc. ***Note: Batteries produce*** 
***hydrogen gas.*** (fire blankets can be used for shielding)

**4.6.7** When using tools that throw or drop sparks or hot material that 
could possibly cause a fire, always use a “**fire watch**” person 
down below.

***Note: The fire watch must extend ½ hour past the last “spark” or hot***  
***work  point.***

**4.6.8** Always check with your Foreman about “**Hot Work Permits**” on 
your job site.

**5.**  <u>FUELING.</u> The rules for fueling are as follows:

**5.1** Fuel machines in **designated** areas.

**5.3** Never fuel a machine with the engine running.

**5.2** Make sure your using the **proper** fuel for your machine.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 34 | 9 of 10 |

**5.4** Never smoke or allow open **flame** around a machine that’s being 
refueled.

**5.5** If acid or fuel gets into eyes, **rinse** thoroughly and obtain medical 
attention.

**5.6** Gas and Diesel:

**5.6.1** Be sure the machine is properly grounded, and no static 
 electricity exists between the fuel filler and the tank.

**5.6.2 Ground** the nozzle to the fuel tank filler neck.

**5.6.3** Avoid **sparks.**

**5.6.4** Don’t **overfill** the tank. Clean up any spills immediately.

**5.7** Be sure the tank you’re filling is the **fuel tank!** Many times the hydraulic 
tank is mistaken for the fuel tank. ***If this occurs, do not operate the*** 
***machine.***

## 5.8 Propane:

**5.8.1** If a machine will not be used an hour or more, **shut off** the 
propane tank valve.

**5.8.2** Propane is **explosive**! Use extreme caution.

**5.8.3** Propane can cause **frostbite.** Use proper protective equipment.

**5.8.4** Propane gas is heavier than air and can **accumulate** in low areas.

**5.8.5** Only trained and **authorized** personnel are allowed to refill 
propane tanks.

**5.8.6** Tanks are under extreme **pressure.** A ruptured tank becomes a 
lethal rocket! Secure tanks when transporting them.

**5.9 Battery power**:

**5.9.1** If your machine is battery powered, charge the batteries in a well
**ventilated** area.

**5.9.2** Remember that charging batteries produces **explosive** gases.

**5.9.3** If battery acid or fuel gets on your skin or clothes, **rinse** off 
thoroughly at once.

**6.** Congratulation! By completing this training session you are well on your way to 
becoming a safe equipment operator. By applying what you have learned you will 
be doing your part to control one of the main causes of accident and death on 
construction sites.

**7.** These rules and regulations are a compilation of federal, state, and local, rules 
and regulations. They are considered THERMA Company policy. They  are 
intended to insure the safest possible operation of aerial lift machines.

**8. Failure to follow these policies will be cause for disciplinary action up to** 
**and including termination.**

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 34 | 10 of 10 |

---

# FORKLIFT/GRADALL DAILY

# INSPECTION CHECKLIST

## To be completed DAILY by the operator or authorized person BEFORE each use.

| Make: |  | Model: |  |  | Unit#: |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- |
|  | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |
| Date: |  |  |  |  |  |  |  |
| Hour Meter Reading: |  |  |  |  |  |  |  |
| Operator/Inspector: |  |  |  |  |  |  |  |

## For each “Inspection Item,” indicate one of the following: P=Pass F=Fail N/A=Not Applicable M

| INSPECTION ITEM | M | T | W | Th | F | S | Su | Comments Explain F&#x27; |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Labels/Operator Manual |  |  |  |  |  |  |  |  |
| Chassis/Mast: Cracks, Welds, Deformation |  |  |  |  |  |  |  |  |
| Seatbelt Function |  |  |  |  |  |  |  |  |
| Wheels/Tires: Pressure, Cracks, Splits, Missing Lugs |  |  |  |  |  |  |  |  |
| Fluid Levels/Leaks: Oil, Fuel, Water, Battery(s), Hoses |  |  |  |  |  |  |  |  |
| Lights, Alarms, Horn, Backup Bell, Warning Lights |  |  |  |  |  |  |  |  |
| Mirrors, Gauges |  |  |  |  |  |  |  |  |
| Brakes: Operational, Parking |  |  |  |  |  |  |  |  |
| Steering, Lift Controls |  |  |  |  |  |  |  |  |
| Site: Holes/Drop-offs, Slopes, Grades, Uneven Surfaces |  |  |  |  |  |  |  |  |
| Site: Electrical, Water, Sprinkler, Chemical Lines |  |  |  |  |  |  |  |  |
| Site: Overhead Obstructions |  |  |  |  |  |  |  |  |
| Equipment and site are safe for operation |  |  |  |  |  |  |  |  |

Note: Any item not checked requires the unit be taken out of service until the problem is corrected. 
**REPORT ALL DEFECTS TO YOUR SUPERVISOR/FOREMAN IMMEDIATLEY**

**General Comments:**

---

Standard Operating Procedure
Therma Self-Propelled Aerial Lift

Policy Section No.: 44
Revision No.:

**Effective**: 06-99
Revision Date:
Page No.: **1 of 17**

**THERMA**
**SELF-PROPELLED**
**AERIAL LIFT**

# INJURIES

## OUR PRIORITIES:

**1. SAFETY**

**2. QUALITY**

**3. SCHEDULE**

“No job is so important that it may be performed without 
regard for safety, health and the environment.”
As with all job functions at THERMA, equipment operation is an important part of 
the service we provide to our customers. Because the operation of self propelled

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 44 | 2 of 17 |

aerial lift equipment is inherently dangerous, it’s important to be sure that safety 
is first and foremost in our minds any time we climb onto a piece of machinery.

## DANGEROUS AT ANY SPEED:

Operating equipment in an unsafe manner is one of the major causes of injury 
and death in the construction industry. Aerial lift machines account for a large 
number of these accidents.

## 1. SAFETY, 2. QUALITY, 3. SCHEDULE:

In our business our customers expect, and should receive, only the *best, most* 
*professional* work available. The safest possible methods and professionalism go 
hand in hand. A professional that knows how to operate an aerial lift safely also 
knows that the **safe** operation of any piece of equipment is also the **fastest**, 
most professional way to work. Unsafe operations and short cuts are a sure way 
to increase accidents, injuries, and costs on a job. A remarkable thing occurs 
when safety is thought of **first**. The job is always of the best quality and is 
completed in the fastest, most economical way!

## SAFETY IS JOB #1:

The long-standing commitment of THERMA to safety extends to certification of 
operators of aerial lift equipment. THERMA personnel  must realize that as 
leaders in our industry, it’s imperative that we continue to lead in the field of 
safety.

## PERSONAL COMMITMENT:

---

Revision No. Policy Section No. Page 44 **3 of 17** **CONTENTS**

## SUBJECT …………………………………………………………………SECTION

Responsibilities …………………………………………………………………. 1 Types of Machines ……………………………………………………………… 2 Lifting Capacities ……………………………………………………………….. 3 Inspections ………………………………………………………………………. 4 Operation ………………………………………………………………………… 5 Fueling/Charging ………………………………………………………………… 6

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 44 | 4 of 17 |

## 1. RESPONSIBILITIES:

**Responsibilities** for the safe operation of these machines lie in three 
categories:

• **Manufacturer.**

• **Employer.**

• **Operator.**

*It is a violation of company policy for any employee to operate equipment they* 
*are not certified for!*

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 44 | 5 of 17 |

<u>2. TYPES OF MACHINES:</u> There are several different types of **self propelled** 
**platform lifts** designed to lift personnel and materials to different work heights. 
These are:

• **SCISSORLIFT.**

• **BOOM SUPPORTED VERTICLE LIFT.**

• **BOOM TRUCK.**

• **ARTICULATED BOOM TRUCK.**

## 2.1 SCISSORLIFT/BOOM SUPPORTED VERTICLE LIFT. While they use

different lifting mechanisms, these lifts have several similar characteristics:

• Platform with guardrails.

• The platform raises vertically to operating height.

• The platform remains stationed over the lower chassis at all heights.

• Designed to operate on smooth, level surface.

**2.2 BOOM TRUCK.** This machine differs from the previous machines in that:

• The Boom that supports the lift allows the working platform to extend beyond 
the support chassis.

• The work platform will reach over obstructions on the working surface.

• This type of truck will reach overhead areas a regular platform lift will not.

**2.3ARTICULATED BOOM TRUCK.** This machine is very similar to a Boom 
Truck with these additional features:

• Because the support boom is hinged in several sections, it is able to reach 
over obstacles that even the **BOOM TRUCK** won’t reach.

• It is also referred to as a **KNUCKLE BOOM TRUCK.**

**2.4SIMILARITIES.** Because the basic safe operating characteristics of these   
machine are the same, they will be combined for the purposes of this training:

• **SCISSORLIFT** and **BOOM SUPPORTED VERTICLE LIFT** type machines will 
be referred to, as **PLATFORM LIFTS**.

• **BOOM TRUCKS** and **ARTICULATED BOOM TRUCKS** will be referred to as 
**BOOM TRUCKS**.

• Unless the selection specifies, the safe operation rules will apply to both 
groups of machines.

## 3. LIFTING CAPACITIES. These vehicles are designed to lift three things:

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| --- | --- | --- |
|  | 44 | 6 of 17 |

• **WORKERS (primarily).**

• **TOOLS.**

• **MATERIALS**.

**3.1 WORKERS.** Any combination of workers may be lifted as long as:

**3.1 (a)** Their combined weight is evenly distributed over the platform.

**3.1 (b)** Their combined weight added to the weight of materials and tools also 
being lifted does not exceed the rated capacity of the machine.

**3.1 (c)** At least one of the workers is an operator certified for the machine he/she 
is on.

**3.1 (d)** The rated capacity may be found in the **operator’s manual** and the **load** 
**capacity plate**. If either of these are missing, the machine may not be 
operated.

**3.2 MATERIALS.**

**3.2 (a) Materials** that do not overload the machine when combined with 
**personnel** and **tools** may be lifted.

**3.2 (b) Materials** that interfere with the safe operation of the machine may not 
be lifted.

**3.2 (c) Materials** must be secured from tipping, spilling, or falling.

**3.2 (d)** Avoid lifting **materials** on the railings.

**3.2 (e)** Never exceed the **rated capacity** of the railings.

**3.2 (f)** Remember that load capacities may be found in the **operator’s manual**
and on the **load capacity plate**.

**3.2 (g)** “**High-Jacks**” or other equipment designed to lift material should be used 
for lifting **materials**.

**3.2 (h)** Only manufacturer approved **attachments** may be used on a machine.

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| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
|  | 44 | 7 of 17 |

## 3.3 TOOLS.

**3.3 (a) Tools** that do not overload the machine when combined with **materials**
and **personnel** may be lifted.

**3.3 (b) Tools** that interfere with the safe operation of the lift may not be lifted.

**3.3 (c)** Never **throw** tools or materials up to or down from a lift.

**3.3 (d)** Potentially **hazardous equipment** (such as gas bottles on welding rigs) 
must be secured prior to the operation of the machine.

**3.3 (e)** When using **extension cords** and/or **gas hoses**, such as those used on 
cutting and wielding rigs, exercise extreme caution to prevent them from 
becoming entangled in the moving and pinching parts of the machine.

**3.3 (f)** When using tools that throw or drop **sparks** or **hot material**, protect the 
lower portions of the machine that could be damaged such as batteries, 
hydraulic hoses, etc. ***Note: Batteries produce hydrogen gas.*** (fire blankets 
can be used for shielding)

**3.3 (g)** When using tools that throw or drop sparks or hot material that could 
possibly cause a fire, always use a “**fire watch**” person down below. 
***Note: The fire watch must extend ½ hour past the last “spark” or hot***  
***work  point.***

**3.3 (h)** Always check with your Foreman about “**Hot Work Permits**” on your job 
site.

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|  | 44 | 8 of 17 |

<u>4. INSPECTIONS.</u> Prior to operating one of these machines **2 inspections** must 
first be conducted:

• **JOB SITE.**

• **EQUIPMENT.**

**4.1 JOB SITE.** This inspection should take place at the **beginning of each shift**, 
or more often if conditions change during a shift. Operators should look for any 
object or condition, which will inhibit the **safe operation** of his/her machine. 
These include:

**4.1 (a) Housekeeping.** The job site shall be reasonably clear of **trash** and 
**debris**.

**4.1 (b) Holes/Trenches.** Any **openings** in the floor should be covered with 
bridge material capable of supporting 4 times the anticipated weight that may 
pass over it. When openings are not covered, the operator may not approach 
closer than 18” to the edge of the opening.

**4.1 (c) Floors.** Inspect for  bumps, obstructions, and uneven conditions that 
**could effect** the machine.

**4.1 (d) Lighting.** The operator should be able to see well enough to **safely** 
**operate** his machine. OSHA Regulations State that the minimum  general 
lighting acceptable on construction sites is 5 foot candles.  This is not much 
light to operate by, therefore extreme caution is needed under these 
conditions. “Task”, or work lighting is provided by THERMA and will be 
sufficient for the type of work performed.

**4.1 (e) Weather.** Wet floors, high wind and other weather related conditions can 
be very **hazardous.** Always check for these conditions before operating a lift.

**4.1 (f) Overhead obstructions.** Never move a lift when there is danger of 
striking an **overhead obstruction**. This will cause the machine to turn over. 
Overhead obstructions can also crush workers. One of the most common 
injuries is smashed fingers from holding onto the side rails while rising.

**4.1 (g) High voltage lines.** The minimum clearance for high voltage lines of 50 
kilovolts  is 10’. Make sure you have **clearance** around all electrical lines 
while operating.

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**4.1 (h) Foot traffic.** Watch for people **at all times**. On some machines the driver 
can’t see people if they are very close. Shouted warnings such as, “Coming 
down!” will help make the job safer.

***Note: Remember that the operator is ultimately responsible for the safe*** 
***operation of their machines.***

**4.1 (i) Any other condition** of the work site that might **adversely impact** the 
safe operation of a lift will also cause the immediate halt of operations until 
the unsafe conditions can be eliminated or controlled.

**4.2 Machine inspection.** This inspection shall be conducted prior to the **start** of 
the shift. *Any problems or malfunctions that could affect the safe operation of* 
*the lift will be corrected prior to the operation of  the lift.* The pre-shift 
inspection shall include:

**4.2 (a) Automatic brake:** The brake must be able to **hold** the machine still on 
any surface the machine is capable of climbing.

**4.2 (b) Hydraulics/Batteries/Fuel:**

• Leaks. Fluid levels. ***Note: Control and clean up any leaks.***

• Corrosion. ***Note: Acid is corrosive and precautions must be taken.***

• Cracked/split/frayed hoses.

**4.2 (c) Operating and Emergency controls:**

• Upper  controls  –  up,  down,  extend,  rotate,  forward,  backward,  turns, 
emergency stop.

• Upper controls must be designed or guarded so that they  may not be 
inadvertently operated. CAL-OSHA says toggle type switches must have side 
guards on each toggle switch.

• Lower emergency controls may only be used with **consent of the operator**, 
in an **emergency,** or for routine maintenance and **inspections**.

**4.2 (d) Chassis/lower frame:**

• Cracks.

• Loose parts.

• Suspension.

• Tires and wheels.

***NOTE: Tires on an axle must be of the same size and tread design, and are*** 
***foam filled.***

• Outriggers/Stabilizers/Extendible axles.

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| Revision No. | Policy Section No. | Page |
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|  | 44 | 10 of 17 |

## 4.2 (e) Lift mechanism/Boom:

• Leaks. ***Note: Control and clean up any leaks.***

• Loose/worn parts.

• Smooth operation.

## 4.2 (f) Work platform/Bucket.

• Guardrail/ Toeboard.

• Gate/Chain.

• Fall Protection.

• Platform extension.

## 4.2 (g) Cables/Wiring harness.

• Loose cables.

• Frayed cables.

• Cracked harness.

• Exposed wiring.

## 4.2 (h) Labels/Operating Manuals:

• Placards.

• Pinch points.

• Warnings.

• Manuals.

• Load capacity plate.

• Control markings.

<u>5. OPERATION.</u> The **operation** of the machine will be addressed in five 
sections:

• **GENERAL SAFETY RULES.**

• **MOVING.**

• **RAISING/LOWERING.**

• **BOOM TRUCKS.**

• **FUELING.**

**5.1 General Safety Rules.** These rules will apply during **all** operations of 
powered Aerial Platform Vehicles:

**5.1 (a)** No alteration, disabling, or otherwise rendering **inoperable** of safety 
devices or interlocks is permitted. Operating a machine with disabled safety 
interlocks will be cause for immediate termination.

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**5.1 (b)** Never **alter** or **modify** an aerial lift without permission from the 
manufacturer.

**5.1 (c)** Never operate a lift from a truck, trailer, railway car, floating vessel, 
scaffold, or other similar construction without **written permission** of the 
manufacturer.

**5.1 (d)** No devices of any kind may be used to add to the **height** of the platform. 
The maximum operating height of a lift is the fully  raised height of the 
platform plus 6 feet.

**5.1 (e)** All gates, chains, or other safety enclosure devices must be properly 
**fastened** prior to the operation of any equipment, regardless of planned 
operational height.

**5.1 (f)** Never **exceed** the weight capacity of the equipment.

**5.1 (g)** When operating around **high voltage** lines maintain the following 
clearances:

• 0 to 300V ------------------avoid contact.

• 300V to 50KV -------------10’

• 50KV to 200KV -----------15’

• 200KV to 350KV ----------20’

• 350KV to 500KV ----------25’

• 500KV to 750KV ----------35’

• 750KV to 1000KV --------45’

**5.1 (h)** The **lower controls** on a machine may only be used:

• In **emergencies.**

• For **inspections** and/or **servicing**.

• With the operator’s **permission.**

**5.1 (i)** When doing **hot-work** on a lift, be sure the batteries, hydraulic systems, 
and wiring cables are protected from sparks, heat, and flame. Always use a 
**fire watch** when performing hot-work on a lift.

**5.1 (j)** The operator shall always be aware of **changing conditions** of the job 
site. These can be weather related, or may be specific to the site. When 
changes occur operation may need to be altered as needed to maintain safe 
operation. If an unsafe condition exists that can’t be corrected, the operator

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will cease operation of the machine until the unsafe condition can be 
rendered safe.

***Remember, The operator is responsible for the safe operation of his/her*** 
***machine.***

**5.1 (k)** If personnel working around a machine endanger themselves by unsafe 
actions, the operator shall **warn** them of the potential results of their actions. 
If the unsafe practices persist the operator will immediately cease operation 
of the machine and inform his/her supervisor of the circumstances.

**5.1 (l)** Watch for other equipment. Never allow the operation of your machine to 
**endanger** the safe operation of another machine.

**5.1 (m)** Once a machine is positioned and raised to it’s working height, engage 
the **emergency stop** switch. This will prevent the inadvertent operation of the 
machine should the controls get bumped.

**5.2 Moving.** Whenever a machine is **moved** the operator will follow these safety 
rules:

**5.2 (a)** Make sure the machine can be moved without striking or endangering 
any objects or people around the machine. This  means if vision is limited, 
the operator needs to walk to the back of the platform  to check **clearance**
prior to movement.

**5.2 (b)** If the machine is operating around a dock, trench, or other **opening** in the 
floor that could cause it to turn over, the machine may not come closer than 
18”:

**5.2 (c)** Ground speed will be **limited** to conditions of the travel surface.

**5.2 (d)** The floor will be **free** of debris, objects, bumps, or openings in the floor 
that will cause the machine to tip over.

**5.2 (e)** Check for overhead **clearance** prior to movement.

**5.2 (f)** Bridge plates, dock plates, floor opening covers, ramps, or any other 
device the machine will pass over must be able to safely **support** the full 
weight of the machine and it’s contents. **Dismount** all personnel except the 
driver when crossing these areas.

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**5.2 (g)** All personnel on the lift must maintain firm **footing** on the work platform 
at all times.

**5.2 (h)** The machine must be at its **lowest** height while moving. These machines 
may only be moved while raised for the purpose of final positioning.

**5.2 (i)** Never **pass** another machine traveling in the same direction until given the 
go-ahead signal from the other driver.

**5.2 (j)** Never turn a machine around on a **grade** or **slope.** Drive the machine to 
level ground and turn around there.

**5.2 (k)** Avoid wrapping **fingers** or **hands** around railings while traveling.

**5.2 (l)** When **visibility** is a problem, a ground guide shall be used to insure safe
movement.

**5.3 RAISING/LOWERING.** When **raising** or **lowering** the platform of a machine, 
the operator must follow these safety rules:

**5.3 (a)** Be sure all safety chains and gates are **closed** and locked prior to     
operation.

**5.3 (b)** Never wrap fingers or hands around **railings** while the machine is in 
operation.

**5.3 (c)** Keep all parts of the body **inside** the railings while the machine is in 
operation.

**5.3 (d)** All materials and tools must be placed so they will **not impede** the safe 
operation of the machine or obstruct the controls in any way.

**5.3 (e)** Never move the machine with the platform raised except for **final** 
positioning

**5.3 (f)** When at raised levels, the work you do may endanger those on the 
ground or around you. Always set up **exclusion zones** when this condition 
exists.

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|  | 44 | 14 of 17 |

**5.3 (g)** These machines are designed to operate on flat, level ground. Never 
operate a machine on a grade or slope that **exceeds** the manufacturer’s 
specifications. Grade and slope are defined as the following:

• **Grade -** A fore and aft surface condition causing one **end** of a machine to be 
lower or higher than the other .

• **Slope -** A side to side surface condition causing one **side** of a machine to be 
lower or higher than the other.
      Consult the manufacturer’s **manual** on the machine for slope and grade 
limitations.

**5.3 (h)** Make sure all devices designed to **stabilize** the machine are engaged 
and operable prior to raising the platform. These devices include:

• **Automatic stabilizers.**

• **Outriggers.**

• **Extendible axles.**

**5.3 (i)** Some machines may have **reduced** lifting capacities when stabilizing 
devices can’t be used. Consult the manufacturer’s manual prior to operation.

**5.3 (j)** Prior to lifting or lowering, the operator is to check  for overhead, 
underneath and side to side clearance. The machine must be able to rise or 
lower **unobstructed.**

**5.3 (k)** If any part of the machine becomes snagged, entangled,  jammed, or 
otherwise is unable to move due to obstruction of any kind, the operator will 
**stop** the machine, instruct the occupants to **cease** movement, and call for 
help. The platform must be **evacuated** of all personnel prior to attempts to 
free the machine using the lower controls. ***NOTE: This is an extremely*** 
***dangerous situation and must never be underestimated!***

**5.3 (l)** Some machines have platform **extensions** to extend the reach of the 
working surface. Never exceed the weight capacities of these extensions. 
Consult the manufacturer’s manual prior to operation.

**5.3 (m)** Occupants of the platform must maintain firm **footing** on the platform at 
all times.

**5.3 (n)** No **height** adding devices or materials are to be used on lifts at any time.

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|  | 44 | 15 of 17 |

**5.3 (o)** In the event personnel must climb out of the platform for any reason, and 
if the platform is higher than 6’ off the ground, they must first be properly **tied** 
**off** with a full body harness and appropriate lanyard(s). ***Always tie-off 100%!***

**5.3 (p)** Once the platform is at working height, engage the **emergency** stop. This 
will insure the controls will not be inadvertently engaged while work is taking 
place.

**5.4 BOOM TRUCK.** Boom trucks have their own unique operating 
**characteristics.**  In  addition  to  the  rules  already  mentioned,  Boom  truck 
operators must also follow these rules:

**5.4 (a) Speed Control.** Most machines have a dial on them to adjust the speed 
of the machine’s reaction to control input. By adjusting this control to a lower 
number, the machine will move slowly and safely. Consult the manufacturer’s 
manual for information prior to operating a Boom truck.

**5.4 (b) Capacities.** Weight capacities are extremely important in these 
machines. Never exceed the rated weight capacity for the vehicle.

**5.4 (c) Obstructions:** it’s very easy to “jack” the wheels off the ground with one 
of these machines. When swinging a boom in close to obstructions, reduce 
the approach speed and use extreme caution.

**5.4 (d)** Never place any part of a Boom truck **against** another object to “steady    
it”.

**5.4 (e)** Never use a Boom truck as a **crane.**

**5.4 (f)** Boom trucks, even when fully lowered, can “oscillate” while traveling over 
uneven ground, causing the operator to be thrown from the machine. Drive 
slow and use caution when driving Boom trucks over **uneven ground**.

**5.4 (g)** When operating a Boom or Knuckle Boom truck the operator and anyone 
in the bucket must be wearing a **harness and lanyard**, and must be properly 
**tied off** while in the bucket.

**5.4 (h)** Boom truck directional controls will operate in **reverse** when the boom is 
positioned at the other end the machine.

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|  | 44 | 16 of 17 |

**5.4 (i)** When fully retracted, the bucket portion of a Boom truck extends well to 
the rear of the axle. This will cause the bucket to **swing** in the opposite 
direction when the truck is turned sharply. Maintain adequate clearance for 
this effect.

<u>6.  FUELING.</u> The rules for fueling are as follows:

**6.1** Fuel machines in **designated** areas.

**6.2** Make sure your using the **proper** fuel for your machine.

**6.3** Never fuel a machine with the engine running.

**6.4** Never smoke or allow open **flame** around a machine that’s being refueled.

**6.5** If acid or fuel gets into eyes, **rinse** thoroughly and obtain medical attention.

**6.6** Gas and Diesel:

**6.6 (a)** Be sure the machine is properly grounded, and no static electricity exists 
between the fuel filler and the tank.

**6.6 (a) Ground** the nozzle to the fuel tank filler neck.

**6.6 (b)** Avoid **sparks.**

**6.6 (c)** Don’t **overfill** the tank. Clean up any spills immediately.

**6.7** Be sure the tank you’re filling is the **fuel tank!** Many times the hydraulic tank 
is mistaken for the fuel tank. ***If this occurs, do not operate the machine.***

**6.8** Propane:

**6.8 (a)** If a machine will not be used an hour or more, **shut off** the propane tank 
valve.

**6.8 (b)** Propane is **explosive**! Use extreme caution.

**6.8 (c)** Propane can cause **frostbite.** Use proper protective equipment.

**6.8 (d)** Propane gas is heavier than air and can **accumulate** in low areas.

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**6.8 (e)** Only trained and **authorized** personnel are allowed to refill propane 
tanks.

**6.8 (f)** Tanks are under extreme **pressure.** A ruptured tank becomes a lethal 
rocket! Secure tanks when transporting them.

**6.9** Battery power:

**6.9 (a)** If your machine is battery powered, charge the batteries in a well
**ventilated** area.

**6.9 (b)** Remember that charging batteries produces **explosive** gases.

**6.9 (c)** If battery acid or fuel gets on your skin or clothes, **rinse** off thoroughly at 
once.

Congratulation! By completing this training session you are well on your way to 
becoming a safe equipment operator. By applying what you have learned you will 
be doing your part to control one of the main causes of accident and death on 
construction sites.

These rules and regulations are a compilation of federal, state, and local, rules 
and regulations. They are considered THERMA Company policy. They are 
intended to insure the safest possible operation of aerial lift machines.

Failure to follow these policies will be cause for disciplinary action up to and 
including termination.

---

# SCISSOR/BOOM LIFT DAILY

# INSPECTION CHECKLIST

**To be completed DAILY by the operator or authorized person BEFORE each use.**

## For each “Inspection Item,” indicate one of the following: P=Pass F=Fail N/A=Not Applicable M

| INSPECTION ITEM | M | T | W | Th | F | S | Su | Comments Explain &#x27;F&#x27; |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Labels/Operator Manual |  |  |  |  |  |  |  |  |
| Chassis/Mast: Cracks, Welds, Deformation |  |  |  |  |  |  |  |  |
| Seatbelt Function |  |  |  |  |  |  |  |  |
| Wheels/Tires: Pressure, Cracks, Splits, Missing Lugs |  |  |  |  |  |  |  |  |
| Fluid Levels/Leaks: Oil, Fuel, Water, Battery(s), Hoses |  |  |  |  |  |  |  |  |
| Lights, Alarms, Horn, Backup Bell, Warning Lights |  |  |  |  |  |  |  |  |
| Mirrors, Gauges |  |  |  |  |  |  |  |  |
| Brakes: Operational, Parking |  |  |  |  |  |  |  |  |
| Steering, Lift Controls |  |  |  |  |  |  |  |  |
| Site: Holes/Drop-offs, Slopes, Grades, Uneven Surfaces |  |  |  |  |  |  |  |  |
| Site: Electrical, Water, Sprinkler, Chemical Lines |  |  |  |  |  |  |  |  |
| Site: Overhead Obstructions |  |  |  |  |  |  |  |  |
| Equipment and site are safe for operation |  |  |  |  |  |  |  |  |
| Railings/Safety Chains/Extensions |  |  |  |  |  |  |  |  |
| Stabilizers/Outriggers |  |  |  |  |  |  |  |  |
| Operating/Emergency Controls: Upper, Lower, Guards |  |  |  |  |  |  |  |  |

| General Comments: |
| --- |

---

| Safety Manual
Non-Electrical Hot Work(NEHW)Program |  |
| --- | --- |
|  | Effective:06-99 |
| Policy Section No.:47 | Revision Date:08-15 |
| Revision No.:3 | Page No.:1 of8 |

## Non-Electrical Hot Work (NEHW) Program

## 1 Purpose and Scope:

1.1 This program provides guidance for developing an effective process to 
manage hot work operations. All property losses caused by hot work as 
an ignition source are preventable. Under the right conditions, hot work 
heat sources with the lowest temperature ratings can easily ignite 
products that seem most difficult to burn.

## 2 Responsibility:

2.1 It is the responsibility of all supervisors to ensure employees involved in 
hot operations are trained in the requirements of the NEHW program.
This includes the safe operation of their equipment and safe operation of 
the process.

2.2 It is the responsibility of the supervisor (foreman) to inspect the work area 
and authorize the NEHW.

2.3 It is the responsibility of the supervisor (foreman) to notify the safety 
department if NEHW is to be conducted in a confined space.

2.4 It is the responsibility of all employees involved in NEHW to follow the 
requirements of the NEHW program.

2.5 The Safety Department Manager is responsible for reviewing and 
updating the NEHW program annually.

2.6 The safety department is responsible for authorizing NEHW in a confined 
space.

## 3 Policy:

## 3.1 Definitions:

3.1.1 NEHW is any operation involving open flames or producing heat 
and/or sparks. This includes but is not limited to: brazing, 
cutting, soldering, welding, heat guns and grinding.

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3.1.2 NEHW Permit is the document required when any temporary or 
non-routine operation involving open flame or spark-producing 
work consistent with Article 49 of the California Fire Code.

3.1.3 Fire Watch is a person who is trained in the use of fire 
extinguishing equipment and maintains constant watch during 
NEHW operations and initiates incipient level fire suppression 
when fire occurs.

## 3.2 Planning:

3.2.1 Avoid hot work whenever possible. Consider alternative 
methods to hot work. Some alternatives include:

a. Manual hydraulic shears vs. saw/torch cutting.

b. Mechanical bolting vs. welding.

c. Screw or flanged pipe vs. sweat soldering.

d. Reciprocating saw vs. radial saw.

3.2.2 Prohibit hot work in areas where hot work cannot be conducted 
safely under any conditions or where extensive preparation and 
planning are required to make the area/equipment fire safe. 
These areas may include:

a. Areas/equipment that contain/handle flammable liquids, 
flammable gases, combustible dusts or combustible 
metals.

b. Partitions, walls, ceilings or roofs with combustible plastic 
coverings or cores (e.g. expandable plastic insulation, 
sandwich cores).

c. Oxygen enriched atmosphere.

d. Areas which handle/store oxidizer materials.

e. Areas which handle/store explosive materials.

3.2.3 Fire extinguishing equipment shall be readily available during all 
hot work operations.

3.2.4 The jobsite Foreman is responsible for site inspection and 
authorization of hot work.

3.2.5 Before hot work is authorized, the area will be inspected. 
Inspections shall be documented on the hot work permit.

3.2.6 First Aid equipment shall be made available at all times.

3.2.7 Employees responsible for the maintenance, use, or repair of 
oxygen, or fuel gas supply equipment, must be trained and  
evaluated by a competent person prior to the assignment of 
duties

3.2.8 Prior to the assignment of duties, supervisors must ensure that
all employees have been properly trained and certified to 
operate arc welding and cutting equipment.

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3.2.9 Employees who operate welding and cutting equipment shall 
operate the equipment according to the manufacturer’s 
instructions and / or recommendations.

3.2.10 Employees that maintain and / or repair welding and cutting 
equipment shall be trained by the manufacturer and / or their 
authorized representative.

3.3 When hot work must be conducted in areas or equipment containing 
hazardous processes described above, follow the precautions outlined 
below.

3.3.1 When possible, relocate hot work to a suitably arranged and 
isolated fixed hot work station. Locate fixed hot work in areas 
with secured and sealed one-hour fire-rated non-combustible 
barriers over combustible floors, walls and ceilings. Maintain the 
hot work station free of combustible material or an open space 
not less than 35 feet. Provide manual fire extinguishers 
throughout the hot work station area.

3.3.2 If materials cannot be relocated to a fixed hot work station and 
hot work is unavoidable, implement the Non-Electrical Hot Work 
Permit System. Ensure the following fire prevention precautions 
are in place prior to starting the hot work.

a. Ensure sprinklers and other fixed fire protection equipment 
is in service and operable.

b. Provide manual firefighting equipment appropriate for the 
construction/occupancy hazards in the hot work area.

c. Inspect and maintain hot work equipment prior to use.

d. Separate hot work operations from combustibles by a 
minimum of 35 feet. An alternative is to use proper fireresistive welding blankets and screens to isolate hot work 
from adjacent combustibles and/or occupancies.

e. Sweep floor clean. Remove grease or oil. Cover with fireresistive tarps/covers.

f. Remove flammable liquids, dust and/or lint from hot work  
area.

g. Cover all floor and wall openings with fire-resistive
tarps/covers.

h. Close all doors and fire doors to prevent sparks from
escaping.

i. Eliminate any present or potential explosive atmospheres 
(dust or vapor). Continuously monitor the area for 
accumulation of combustible gases before, during and 
after hot work.

j. Secure, isolate and vent pressurized vessels, piping and 
equipment as needed prior to initiating hot work. Clean

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combustible and/or flammable materials whenever 
present.

3.3.3 Avoid hot work of any kind in areas handling, processing or 
storing flammable liquids or gases. Ideally, relocate any hot work 
operation within a flammable liquid or gas occupancy to a nonhazardous location. When relocation is not possible, the following 
additional precautions shall be implemented:

a. Drain all equipment or piping in the area of flammable and 
combustible liquids.

b. Steam clean all equipment/piping to be worked on or 
purge with an inert atmosphere to prevent creation of 
flammable vapors.

c. Shut off pipe supplying the area with flammable 
liquids/gases at the source. LOTO all valves to prevent 
unexpected opening. If the pipe is to be worked on, blank 
it off.

d. Use a portable 02 monitor to ensure the pipe/equipment 
does not contain sufficient oxygen to support combustion.

e. Protect all permanent tanks or piping that cannot be 
drained from physical contact and heat from hot work 
equipment.

f. Keep mechanical exhaust ventilation in the room/building 
in operation.

g. Use portable combustible gas monitor before and during 
work. If any detectable readings are obtained work cannot 
begin until the source is located and eliminated.

3.3.4 NEHW in confined space (for complete entry guidelines, 
reference Confined Space Entry Program).

a. Ventilation is a pre-requisite for work in a confined space.

b. Local exhaust ventilation must be provided when welding, 
cutting, or heating in a confined space.

c. When sufficient ventilation cannot be obtained without 
blocking the means of access, workers in the confined 
space must be provided with supplied air respirators.

d. Workers must be attached to a lifeline at all times while in 
the confined space. Means must be provided to quickly 
remove the worker in case of an emergency and another 
employee capable of initiating rescue operations must be 
outside at all time.

e. Continuous air monitoring shall be conducted while the 
work is being performed on NEHW in a confined space.

f. An attendant shall be stationed outside the confined space 
and shall maintain communication with the worker at all 
times.

g. Cylinders containing fuel gas or oxygen must not be taken 
into a confined space.

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## 3.3.5 Protecting workers from the hazards associated with NEHW.

a. Local ventilation or air supplied respirators must be 
provided in enclosed space when welding, cutting, or 
heating metals containing zinc, lead, cadmium, chromium, 
mercury and beryllium (beryllium requires both local 
ventilation and air supplied respirators).

b. Torch gas supply must be shut off outside an enclosed 
space when not in use and left unattended for a 
substantial period of time such as a lunch break.

c. Torches and hoses must be removed from enclosed 
spaces overnight and at shift changes.

d. Open-end fuel gas and oxygen hoses must be immediately 
removed from enclosed spaces when they are 
disconnected from the torch or other gas-consuming 
device.

## 3.4 Equipment:

## 3.4.1 Gas Welding and Cutting:

a. Valve protection caps must be in place and secured when 
transporting gas cylinders.

b. Hoisted cylinders must be secured on a cradle, slingboard 
or pallet.

c. Cylinders must be in vertical position when transported by 
powered vehicles.

d. Valve protection caps must not be used for lifting 
cylinders.

e. Cylinders not firmly secured on a specially designed 
carrier must have regulators removed and caps put in 
place before moving.

f. A cylinder truck, chain or other steadying device must be 
used to keep cylinders from being knocked over while in 
use.

g. Cylinder valves must be closed when empty or being 
moved.

h. Compressed gas cylinders must be secured in an upright 
position at all times.

i. Oxygen and fuel-gas cylinders in storage must be 
separated from each other or combustible materials at 
least 20 feet or a 5-foot high noncombustible wall with a 
minimum fire resistance rating of one-half hour.

j. Cylinders should be stored in assigned places away from 
elevators, stairs or gangways.

k. Cylinders in use must not be within reach of sparks, hot 
slag or flame unless fire resistant shields are provided.

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l. Cylinders must be placed where they cannot become part 
of an electrical circuit.

m. Electrodes must not be stuck against a cylinder.

n. Cylinders containing oxygen or fuel gas must not be taken 
into confined spaces.

o. Cylinders, whether full or empty, must not be used as 
rollers or supports.

p. Damaged or defective cylinders must not be used and 
must be removed from service.

q. Before connecting the regulator, the cylinder valve must be 
opened slightly, and then closed.

r. Cylinder valves must always be opened slowly to prevent 
damage to the regulator.

s. The cylinder valve must always be closed and gas 
released before removing the regulator.

t. Hoses must be inspected before each shift and removed 
from service if defective.

u. Hoses, cables and other equipment must be kept clear of 
passageways, ladders and stairs.

v. Torches must be lighted by friction lighters and not by 
matches or hot work.

## 3.4.2 Arc Welding and Cutting:

a. Employers must instruct employees in the safe means of 
arc welding and cutting.

b. Only manual electrode holders designed for arc welding 
and cutting are allowed to be used.

c. Any current-carrying parts passing through the portion of 
the holder and outer surfaces of the jaws must be fully 
insulated.

d. All arc welding and cutting cables must be of the 
completely insulated, flexible type.

e. Only Undamaged cable, free of repair, can be used within 
10 feet from the electrode holder.

f. Connected or spliced lengths of cable must have 
substantial insulation connectors of a capacity at least 
equivalent to that of the cable in use.

g. Cables connected by metal lugs must be securely 
fastened together for good electrical contact and exposed 
metal parts must be completely insulated.

h. Damaged cables in need of repair must not be used.

i. A ground return cable must have safe current-carrying 
capacity equal to or exceeding the maximum output 
capacity of the arc welding and cutting unit.

j. A ground return cable serving more than one unit must 
have safe current-carrying capacity of the total maximum 
output capacity of all connected units.

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k. Pipelines containing gases or flammable liquids, or 
conduits containing electrical circuits, must not be used as 
a ground return.

l. Structures or pipelines used as ground return circuits must 
have electrical contact at all joints.

m. The generation of an arc, sparks, or heat at any point must 
cause rejection of the structure or pipeline as a ground 
return circuit.

n. Structures or pipelines used as a ground return must have 
all joints bonded and periodically inspected to ensure no 
unsafe conditions such as a fire hazard or condition of 
electrolysis.

o. The frames of arc welding and cutting machines must be 
grounded through a third wire in the cable or a separate 
wire grounded at the source of current.

p. Ground connections must be inspected to ensure they are 
mechanically strong and electrically adequate for required 
current.

q. Electrode holders left unattended must have electrodes 
removed and holders must be placed to prevent contact 
with employees or conduction objects.

r. Hot electrode holders must not be dipped in water.

s. The equipment power switch must be turned off whenever 
leaving the machine, stopping work for any appreciable 
length of time, or moving the machine.

t. Whenever practicable, arc welding and cutting operations 
must be shielded by non-combustible or flameproof 
screens, which protect other employees from direct rays.

## 3.5 Fire Watch:

3.5.1 Fire Watch is required whenever welding or cutting is performed 
in locations where other than a minor fire might develop, or any 
of the following conditions exist:

a. Appreciable combustible material, in building construction 
or contents, closer than 35 feet to the point of operation.

b. Appreciable combustible materials are more than 35 feet 
away but are easily ignited by sparks.

c. Wall or floor openings within a 35-foot radius which 
expose combustible material in adjacent areas including 
concealed spaces in walls or floors.

d. Combustible materials are adjacent to the opposite side of 
metal partitions, walls, ceilings, or roofs and are likely to be
ignited by conduction or radiation.

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3.5.2 The assigned Fire Watch shall be trained in the use of fire 
extinguishing equipment and be familiar with the facility for 
sounding an alarm in the event of a fire.

3.5.3 Fire Watch shall be in place and monitor the area during, and 
for 45 minutes after the hot work is completed, including coffee 
or lunch breaks.

3.5.4 Fire Watch shall be equipped with suitable fire extinguishing 
equipment.

3.5.5 Fire Watch is responsible for inspecting his/her fire 
extinguishing equipment prior to any hot work.

3.5.6 Fire Watch shall watch for fires in all exposed areas and try to 
extinguish them when obviously within the capacity of the 
equipment or otherwise sound the alarm.

---

| Safety Manual
Trenching And Excavation Safety |  |
| --- | --- |
|  | Effective:06-99 |
| Policy Section No.:49 | Revision Date:02-11 |
| Revision No.:2 | Page No.:1 of 10 |

## Trenching and Excavation Safety Program

## 1.

## Scope and Application:

1.1 This program sets forth the practices required for trenches or excavations 
with a depth of five feet or greater along any portion of its length that will 
be entered by Therma employees and subcontractors. All excavations or
trenches 5 feet or greater in depth shall be appropriately benched, 
shored, or sloped according to the procedures and requirements set forth 
in this policy. Excavations or trenches 20 feet deep or greater must have 
a protective system designed by a registered professional engineer.

## 2.

## Responsibilities:

2.1 Supervisors have the primary responsibility for the implementation of the 
Trenching and Excavation Safety Policy in their work area. The 
supervisor has ultimate responsibility for the safety of the employees and 
general public affected by the excavation. This includes evaluation of the 
work to be performed, determination of the means of protection that will 
be used and adherence to the provisions of this policy as appropriate.

2.2 Foremen must ensure daily, or more often as required, that site 
conditions are safe for employees to work in excavations.

2.3 The supervisor or a member of the work group must be a "competent 
person" as defined by OSHA.

2.4 Employees have the primary responsibility for working in accordance with 
the provisions of this policy.

2.5 No employees should enter an excavation meeting the scope of this 
policy until authorized by the competent person.

2.6 Foremen have the primary responsibility for providing training, trench 
protection systems, effective barricades and supporting the use of other 
protective measures deemed prudent and necessary by the competent 
person.

2.7 Safety Department has the primary responsibility for assisting Foremen in 
implementation of this policy through coordinating training and 
consultation. **This includes:**

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2.7.1 On site evaluation to monitor use of safe work practices and 
procedures.

2.7.2 Assisting with atmospheric testing and equipment selection as 
needed.

2.7.3 Providing or identifying appropriate training for Competent 
Persons and staff.

2.7.4 Providing technical assistance as needed.

2.7.5 Reviewing and updating the program at least annually.

## 3.

## Definitions:

**3.1 Benching -**  means a method of protecting employees from cave-ins by 
excavating the sides of an excavation to form one or a series of 
horizontal levels or steps, usually with vertical or near vertical surfaces 
between levels.

**3.2 Cave-in -**  means the separation of a mass of soil or rock material from 
the side of an excavation, or the loss of soil from under a trench shield or 
support system, and its sudden movement into the excavation, either by 
falling or sliding, in sufficient quantity so that it could entrap, bury, or 
otherwise injure and immobilize a person.

**3.3 Competent person -**  means one who is capable to identify existing and 
predictable hazards in the surroundings or working conditions that may 
affect employees and the general public, and who has authority to take 
prompt corrective measures to eliminate them. **The Competent** 
**Person(s):**

3.3.1 Must be trained in and knowledgeable of excavation and trenching 
standard, and other programs that may apply (Hazard 
Communication, Confined Space, Respiratory Protection).

3.3.2 Must be capable of recognizing hazardous conditions and must 
have authority to stop work and ensure that hazards are 
corrected.

3.3.3 Performs and documents the 'Daily Excavation Inspection', and 
knows when inspections should be performed.

3.3.4 Must assure that the location of underground installations or 
utilities have been properly located.

3.3.5 Must identify and ensure the use of adequate protective systems, 
work methods and personal protective equipment (PPE) on the 
excavation site.

**3.4 Excavation -**  means any man-made cut, cavity, trench, or depression in 
an earth surface, formed by earth removal.

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**3.5   Registered professional engineer (RPE**) -  means a person who is 
registered as a professional engineer.

**3.6 Shield (shield system) -**  means a structure that is able to withstand the 
forces imposed on it by a cave-in and thereby protect employees with the 
structure. Shields can be permanent structures or can be designed to 
be portable and moved along as work progresses. Also known as trench 
boxes or trench shields.

**3.7 Shoring (shoring system)** means a structure such as a metal hydraulic, 
mechanical or timber shoring system that supports the sides of an 
excavation and which is designed to prevent cave-ins.

**3.8 Sloping (sloping system) -**  means a method of protecting employees 
from cave-ins by excavating to form sides of an excavation that are 
inclined away from the excavation so as to prevent cave-ins. The angle of 
incline varies with differences in such factors as the soil type, 
environmental exposure conditions, and application of surcharge loads.

**3.9 Soil Type A** - Most stable: clay, silty clay, and hardpan (resists 
penetration). No soil is Type A if it is fissured, is subject to vibration of 
any type, has previously been disturbed, or has seeping water. As most 
soils in areas where work will be conducted at UF have been disturbed, 
no UF soils will be considered Type A.

**3.10 Soil Type B** - Medium stability: silt, sandy loam, medium clay and 
unstable dry rock; previously disturbed soils unless otherwise classified 
as Type C.

**3.11 Soil Type C** - Least stable: gravel, loamy sand, soft clay, submerged soil 
or dense, heavy unstable rock, and soil from which any water is seeping.

**3.12 Soil - Mixed Types** (Layered Geological Strata) - The soil must be 
classified on the basis of the soil classification of the weakest soil layer. 
Each layer may be classified individually if a more stable layer lies below 
a less stable layer, i.e. where a Type C soil rests on top of stable rock.

**3.13 Trench (trench excavation) -**  means a narrow excavation (in relation to 
its length) made below the surface of the ground. In general, the depth is 
greater than the width, but the width of a trench is not greater than 15 
feet. If forms or other structures are installed or constructed in an 
excavation as to reduce the dimension measured from the forms or 
structure to the side of the excavation to 15 feet or less, the excavation is 
also considered to be a trench.

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## 4.

## Procedures:

**4.1 Under Ground Utilities:** Underground utilities must be located and 
marked before excavation begins. A competent person shall be identified 
for all excavations with a depth of five feet or greater at any portion that 
personnel may enter. The location of sewers, telephone, fuel, electric, 
water lines, or any other underground installations that may be 
encountered during excavation work must be determined and marked 
prior to opening an excavation. The Project Manager shall make 
arrangements as necessary with the appropriate utility agency for the 
protection, removal, shutdown, or relocation of underground installations. 
If it is not possible to establish the exact location of these installations, 
the work may proceed with caution if detection equipment or other safe 
and acceptable means are used to locate the utility. Excavations must not 
endanger the underground installations or the employees engaged in the 
work. Utilities left in place should be protected by barricades, shoring, 
suspension or other means as necessary to protect employees.

**4.2 Protection of the Public:** Excavations must be isolated from public 
access by a substantial physical barrier. Barricades, lighting and posting 
shall be installed as appropriate prior to the start of excavation 
operations. All temporary excavations of this type shall be backfilled as 
soon as possible. Guardrails, fences, or barricades should be installed 
around excavations adjacent to walkways, roads, paths or other traffic 
areas. Use of barricade tape alone is not considered a sufficient method 
of isolation when the excavation is unattended. Warning lights or other 
illumination shall be used as necessary for the safety of the public at 
night. Wells, holes, pits, and similar excavations must be effectively 
barricaded or covered and posted. Walkways or bridges used by the 
general public to cross excavations must be equipped with standard 
guardrails.

**4.3 Surface encumbrances**. All equipment, materials, supplies, buildings, 
roadways, trees, utility vaults, boulders, etc. that could present a hazard 
to employees working in the excavation must be removed or supported 
as necessary to protect employees.

**4.4 Soil Classification:** The competent person in charge of the excavation 
shall be responsible for determining the soil type. All previously disturbed 
soil is automatically considered Type B or C soil. Soil may be considered 
Type C by default and no additional tests required. To classify soil as 
type B the competent person shall use a visual test coupled with one or 
more manual tests.

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**4.5 Visual test:** Evaluate the conditions around the site including the soil 
adjacent to the site and the soil being excavated. Identify any signs of 
vibration. Check for crack-line openings along the failure zone, look for 
existing utilities that indicate that the soil has been previously disturbed, 
and observe the open side of the excavation for indications of layered 
geologic structuring. Look for signs of bulging, boiling, or sloughing, as 
well as signs of water seepage from the sides or bottom of the 
excavation.

The area adjacent to the excavation should be evaluated for foundations 
or other intrusions into the failure zone, and the evaluator should check 
the spoil distance from the edge of the excavation.

Any one of the following will cause soil to be classified as Type C.

4.5.1 Water seepage into excavation.

4.5.2 Vibration from road traffic or equipment.

4.5.3 Signs of bulging, boiling, or sloughing.

4.5.4 Crack lines along failure zone.

## 4.6 Manual tests:

**4.6.1 Thumb penetration test**: Attempt to press the thumb firmly into 
the soil in question. If the thumb penetrates no further than the 
length of the nail, it is probably Type B soil. If the thumb 
penetrates the full length of the thumb, it is Type C. It should be 
noted that the thumb penetration test is the least accurate testing 
method.

**4.6.2 Dry strength test**: Take a sample of dry soil. If it crumbles freely 
or with moderate pressure into individual grains it is considered 
granular (Type C). Dry soil that falls into clumps that subsequently 
break into smaller clumps (and the smaller clumps can only be 
broken with difficulty) it is probably clay in combination with gravel, 
sand, or silt (Type B).

**4.6.3 Plasticity or Wet Thread Test:** Take a moist sample of the soil. 
Mold it into a ball and then attempt to roll it into a thin thread 
approximately 1/8 inch in diameter by two inches in length. If the 
soil sample does not break when held by one end, it may be 
considered Type B. A pocket penetrometer, shearvane, or torvane 
may also be used to determine the unconfined compression 
strength of soils.

## 5.

## Protective Systems

5.1 In excavations greater than 5 feet in depth a method to protect 
people entering the excavation from cave in must be employed.

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Acceptable protective methods include sloping, benching, 
shielding and shoring.

## 5.2 Benching, Sloping, Shoring, and Shielding Requirements:

## 6.

## General:

6.1 Excavations under the base of the footing of a foundation or wall 
require a support system designed by a registered professional 
engineer. Sidewalks, pavement, utility vaults or other similar 
structures shall not be undermined unless a support system or 
another method of protection is provided to protect employees 
from their possible collapse. Sloping or benching is often the 
preferred methods of protection; however, shoring or shielding is 
used when the location or depth makes sloping to the allowable 
angle impractical.

## 7.

## Sloping:

**7.1** Maximum allowable slopes for excavations less than 20' 
based on soil type and angle to the horizontal are as follows:

**7.1.1** Type B soil must have walls sloped to a maximum angle of 
45-degrees (1:1 slope) from horizontal in all directions.

**7.1.2** Type C soil, must have walls sloped at a maximum angle 
of 34-degrees (1:1.5 slope) from horizontal in all 
directions.

## 8.

## Benching:

**8.1** In Type B soil, the vertical height of the benches must 
not exceed 4 feet. Benches in increments of 2 feet or less is 
preferred. The angle developed by the edge of the benches must 
not exceed the maximum allowable slope for that soil type (Type 
B soil 45-degrees).

***Benching is not permitted in Type C soil.***

## 9.

## Shielding:

**9.1** Trench boxes or trench shields are intended to protect 
workers from cave-ins and similar incidents. The trench shield is
lowered into the excavation and workers may then enter the 
protected area within the shield. Only trench shields designed or 
certified by a registered professional engineer may be used. The 
use is limited to those trenches for which the shield is certified

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(e.g. maximum depth and material). The manufacturer must 
approve any modifications to the shields. The excavated area 
between the outside of the trench box and the face of the trench 
should be as small as possible. The space between the trench 
box and the excavation side should be backfilled to prevent lateral
movement of the box**.** Trench boxes may be used in combination 
with sloping and benching. The box must extend at least 18 
inches above the surrounding area if there is sloping toward the 
excavation. This can be accomplished by providing a benched 
area adjacent to the box. Type B soil 1:1 Type C Soil 1:1.5

9.2 Shields may be placed two feet above the bottom of an 
excavation, provided they are calculated to support the full depth 
of the excavation and there is no caving under or behind the 
shield. Workers must enter and leave the shielded area in a 
protected manner, such as by a ladder or ramp. Workers may not 
remain in the shielded area while it is being moved.

## 10. Shoring:

10.1 Hydraulic shoring is permitted as workers do not have to enter the 
trench to install it. It is gauge-regulated and ensures even 
distribution of pressure along the trench line and can be adapted 
to various trench depths and widths. All shoring shall be installed 
from the top down and removed from the bottom up. Hydraulic 
shoring shall be checked at least once per shift for leaking hoses 
and/or cylinders, broken connections, cracked nipples, bent 
bases, and any other damaged or defective parts. The top 
cylinder of hydraulic shoring shall be no more than 18 inches 
below the top of the excavation. The bottom of the cylinder shall 
be no higher than four feet from the bottom of the excavation. 
(Two feet of trench wall may be exposed beneath the bottom of 
the rail or plywood sheeting, if used.)

10.2 Three vertical shores, evenly spaced, must be used to form a 
system. Wales are installed no more than two feet from the top, 
no more than four feet from the bottom, and no more than four 
feet apart, vertically.

## 11. Inspections:

**11.1** Frequent inspection of the excavation and surrounding area by 
the Competent Person is critical to ensure the safety of the 
workers involved in work within the trench. The Competent Person 
must conduct inspections of the entire excavation site:

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11.1.1 Daily and before the start of each shift.

11.1.2 As dictated by the work being done in the trench.

11.1.3 After every rain storm.

11.1.4 When fissures, tension cracks, sloughing, undercutting, 
water seepage, bulging at the bottom, or other similar 
conditions occur.

11.1.5 When there is a change in the size, location, or placement 
of the spoil pile.

11.1.6 When there is any indication of change or movement in 
adjacent structures.

## 12. Temporary spoil:

**12.1** Shall be placed no closer than 2 feet from the surface edge of the 
excavation. The distance is measured from the nearest base of 
the spoil to the cut. This distance should not be measured from 
the crown of the spoil deposit. This distance requirement ensures 
that loose rock or soil from the temporary spoil will not fall on
employees in the trench. The spoil should be placed so that it 
channels rainwater and other run-off water away from the 
excavation. Spoil should be placed so that it cannot accidentally 
run, slide, or fall back into the excavation.

## 13. Surface Crossing of Trenches:

**13.1** Surface crossing of trenches should not be made unless 
absolutely necessary. However, if necessary, they are only 
permitted under the following conditions:

i. **Vehicle crossings** must be designed by and installed under 
the supervision of a registered professional engineer.

ii. **Walkways or bridges** must have a minimum clear width of 20 
inches, be fitted with standard rails, and extend a minimum of 
24 inches past the surface edge of the trench.

## 14. Ingress and Egress:

**14.1** Trenches 4 feet or more in depth shall be provided with ladders or 
other fixed means of egress. Spacing must be such that a worker 
will not have to travel more than 25 feet to the nearest means of 
egress. Ladders must be secured and extend a minimum of 36 
inches above the landing. Metal ladders are not permitted.

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## 15. Exposure to Vehicles:

**15.1** Employees exposed to vehicular traffic shall be provided with and
required to wear reflective vests or other suitable garments 
marked with or made of reflectorized or high-visibility materials.
Trained flag persons, signs, signals, and barricades shall be used 
when necessary.

## 16. Exposure to Falling Loads:

**16.1** Employees are not allowed in the excavation while heavy
equipment is digging. Employees must not work under loads 
being lifted or moved by heavy equipment used for digging or 
lifting. Employees are required to stand away from equipment that 
is being loaded or unloaded to avoid being struck by falling 
materials or spillage.

## 17. Hazardous Atmospheres and Confined Spaces - Testing for Atmospheric Contaminants

**17.1** If there is any possibility that the trench or excavation could 
contain a hazardous atmosphere, atmospheric testing must be 
conducted prior to entry. Conditions that might warrant 
atmospheric testing would be if the excavation was made in a 
landfill area or if the excavation is adjacent to sources of 
contamination (e.g. sewage or fuel leaks). Testing shall be 
conducted before employees enter the trench and should be done 
continuous to ensure that the trench remains safe. Employees 
required to wear respiratory protection must be trained, fit-tested, 
and medically qualified.

**18. Trenches and excavations with hazardous concentrations of**
                       **airborne contaminants or oxygen deficient atmospheres qualify as**
                       **confined spaces. When this occurs, compliance with Therma’s**
                       **Confined Space Program is also required*****.***

**18.1** Employees shall not be permitted to work in hazardous and/or 
toxic atmospheres. These include atmospheres with:

18.1.1 Less than 19.5% oxygen.

18.1.2 A combustible gas concentration greater than 20% of the 
lower flammable limit.

18.1.3 Concentrations of hazardous substance that exceed those 
specified in the threshold.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 1 | 49 | 10 of 10 |

**18.2** Limit Values for airborne contaminants established by the ACGIH.

## 19. Standing Water and Water Accumulation:

**19.1** Workers must not enter or work in excavations with standing 
water or in which water is accumulating unless adequate 
protection is provided. Protective methods for these 
circumstances must include:

19.1.1 Use of special support or shield systems approved by a 
registered professional engineer.

19.1.2 Water removal equipment used and monitored by a 
competent person.

19.1.3 Safety harnesses and lifelines used in conformance with 
29 CFR 1926.104.

**19.2** During rainstorms employees must exit the trench. The excavation 
must be carefully inspected by a competent person after each rain 
and before employees are permitted to re-enter the trench. 
Protective measures such as diversion ditches and dikes should 
   be used to limit surface runoff water from entering the excavation.

---

**THERMA TRENCH INSPECTION AND ENTRY AUTHORIZATION FORM**

| THERMAL PENETRATION AND ENTRY AUTORIZATION GUIDELINE |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- |
| LOCATION: |  |  |  |  | JOB #: | DATE: |
| TIME OF INSPECTION: |  |  |  |  | USAN#: |  |
| WEATHER CONDITIONS: |  |  |  | OSHA NOTIFICATION: □Yes □No |  | TEMP.: |
| SUPERVISOR: |  |  |  |  | COMPETENT PERSON: |  |
| DIMENSIONS: | DEPTH = |  |  |  | Yes No HAZARDOUS CONDITIONS |  |
|  | TOP = |  | W | L | □ □ Saturated soil / standing or seeping water |  |
|  | BOTTOM = |  | W | L | □ □ Cracked or fissured wall(s) |  |
| SOIL TYPE: |  |  | TESTED: |  | □ □ Bulging wall(s) |  |
| Type A Solid rock (most stable) |  |  | □ Yes □ No |  | □ □ Floor heaving |  |
| Type B |  |  | □ Thumb |  | □ □ Utilities Supported |  |
| Type C (loose sand or fill) |  |  | □ Penetrometer |  | □ □ Super-imposed loads |  |
| Previously Disturbed |  |  |  |  | □ □ Vibration Near Excavation |  |
| Cohesive □ Non-cohesive |  |  |  |  | □ □ Ventilation Required |  |
| PROTECTION METHODS:(Walls MUST be vertical—NO voids) |  |  |  |  | PLACEMENT OF SPOILS &amp; EQUIPMENT |  |
| SHORING |  |  |  |  | □ □ Spoils at least 2 feet from edge of trench |  |
| Timber |  |  |  |  | □ □ Subject to surcharge from equipment |  |
| Pneumatic |  |  |  |  | □ □ Backhoe at end of trench |  |
| Hydraulic |  |  |  |  | □ □ Compressor, etc. at remote location |  |
| Screw Jacks |  |  |  |  | LADDER LOCATION |  |
|  |  |  |  |  | □ □ Located in protected area |  |
|  |  |  |  |  | □ □ Within 25 feet of safe travel |  |
| SHIELDING / SLOPING or BENCHING |  |  |  |  | □ □ Secured |  |
| Trench Box |  |  |  |  | □ □ Extends 36 inches above the landing |  |
| Sloping/Bench: B 1:1 (45°) C 1½:1 (34°) |  |  |  |  | □ □ Leads to safe landing |  |
| Yes No ENVIRONMENTAL CONDITIONS: |  |  |  |  | OTHER: |  |
| □ Air Monitor used? |  |  |  |  | □ Shoring equipment inspected prior to use? |  |
| □ Confined space permit issued? |  |  |  |  | □ Is trench SAFE to enter? |  |
| DATE | INSPECTED BY: |  | INITIALS | DATE | INSPECTED BY: | INITIALS |
|  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |
| NOTE: All unsafe conditions must be corrected prior to trench entry. If any hazardous conditions are observed, the trench must be immediately evacuated and no one allowed to re-enter until corrective action has been taken. |  |  |  |  | ENTRY AUTHORIZED BY:(COMPETENT PERSON) |  |

---

## SOILS ANALYSIS CHECKLIST

This checklist must be completed when soil analysis is made to determine the soil type(s) present in the excavation.  A 
separate analysis must be performed if the excavation (trench) is stretched over a distance where soil type changes.

| Site Location: |  |  |
| --- | --- | --- |
| Date: | Time: | Competent Person: |
| Location where sample was taken: |  |  |
| Type of protective system used: |  |  |

| VISUAL TEST |  |  |
| --- | --- | --- |
| Particle Type: | Fine grained(cohesive) | Granular(sand/sift or gravel) |
| Water Conditions: | Wet | Dry |
|  | Seeping Water | Surface water present |
|  | Submerged |  |
| Previously disturbed soils: | Yes | No |
| Underground utilities: | Yes | No |
| If Yes, what type: |  |  |
| Layered soils?(Note:The less stable layer controls soil type.) | Yes | No |
| Layered soils dipping into excavation: | Yes | No |
| Excavation exposed to vibration: | Yes | No |
| If Yes, from what? |  |  |
| Crack-like openings or spalling observed: | Yes | No |
| Conditions that may create a hazardous atmosphere: | Yes | No |
| If Yes, identify condition and source: |  |  |
| Surface encumbrances: | Yes | No |
|  | If Yes, what type? |  |
| Work to be performed near public vehicular traffic: | Yes | No |
| Possible confined space exposure: | Yes | No |

---

| MANUAL TEST |  |  |  |
| --- | --- | --- | --- |
| Plasticity: | Cohesive | Noncohesive |  |
| Dry Strength: | Granular (crumbles easily) | Cohesive (broken with difficulty) |  |
| Wet Shake: | Water comes to surface (granular material) | Surface remains dry (clay material) |  |
| Note: The following unconfined compressive strength tests should be performed on undisturbed soils. Thumb Test used to estimate unconfined compressive strength of cohesive soil. |  |  |  |
| Test performed: | Yes | No |  |
| Type A-soil indented by thumb with very great effort. |  |  |  |
| Type B-soil indented by thumb with some effort. |  |  |  |
| Type C-soil easily penetrated several inches by thumb with little or no effort.(If soil is submerged, seeping water, subjected to surface water, runoff, exposed to wetting.) |  |  |  |
| Penetrometer or Shearvane used to estimate unconfined compressive strength of cohesive soils. |  |  |  |
| Test performed: | Yes | No |  |
| Type A-soil unconfined compressive strength of 1.5 tsf or greater. |  |  |  |
| Type B-soil with unconfined compressive strength greater than 0.5 tsf and less than 1.5 tsf. |  |  |  |
| Type C-soil with unconfined compressive strength of 0.5 tsf or less.(If soil is submerged, seeping water, subjected to surface water, runoff, exposed to wetting.) |  |  |  |
| Note:Type A-no soil is type A if soil is fissured,subject to vibration,previously disturbed,layered,dipping into excavation on a slope of4H:1V. |  |  |  |
| SOIL CLASSIFICATION |  |  |  |
| Stable Rock | TypeA | TypeB | TypeC |
| SELECTION OF PROTECTIVE SYSTEM(AppendixF) |  |  |  |
| Protective System: | Sloping(AppendixB)Specify angle: |  |  |
|  | Timber shoring(AppendixC) |  |  |
|  | Aluminum hydraulic shoring(AppendixD) |  |  |
|  | Trench shield-maximum depth in this soil |  |  |
| Note:Although OSHA will accept the above tests in most cases,some states will not.Check your state safety requirements for trenching regulations |  |  |  |

**Note:  Although OSHA will accept the above tests in most cases, some states will not.  Check your state safety** 
**requirements for trenching regulations.**

---

# SKID STEER LOADER DAILY

# INSPECTION CHECKLIST

## To be completed DAILY by the operator or authorized person BEFORE each use.

## For each “Inspection Item,” indicate one of the following: P=Pass F=Fail N/A=Not Applicable

| Before starting engine, check the following: |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| VISUAL INSPECTION | M | T | W | Th | F | S | Su | Comments Explain &#x27;F&#x27; |
| Engine(check oil level&amp;for leaks) |  |  |  |  |  |  |  |  |
| Fuel tank(drain off moisture&amp;sediment) |  |  |  |  |  |  |  |  |
| Hydraulic tank(check oil level&amp;for leaks) |  |  |  |  |  |  |  |  |
| Radiator(check coolant level&amp;for leaks) |  |  |  |  |  |  |  |  |
| Air cleaner(check indicator,clean or change A/R) |  |  |  |  |  |  |  |  |
| Engine belts(check for adjustment/wear) |  |  |  |  |  |  |  |  |
| Fuel filter(service when gauge indicates low pressure) |  |  |  |  |  |  |  |  |
| Wheels&amp;tire assemblies(condition/pressure) |  |  |  |  |  |  |  |  |
| Lubricate chassis(refer to lube chart,as required) |  |  |  |  |  |  |  |  |
| After starting engine,check the following: |  |  |  |  |  |  |  |  |
| START-UP ITEMS | M | T | W | Th | F | S | Su | Comments Explain &#x27;F&#x27; |
| Engine(does it sound normal?) |  |  |  |  |  |  |  |  |
| Instruments(check for normal readings) |  |  |  |  |  |  |  |  |
| Controls(check for normal operation) |  |  |  |  |  |  |  |  |
| Exhaust system(check for leaks&amp;excessive smoke) |  |  |  |  |  |  |  |  |
| Lights&amp;horn |  |  |  |  |  |  |  |  |
| Back-up alarm |  |  |  |  |  |  |  |  |

**General Comments:**

---

# EXCAVATOR DAILY

# INSPECTION CHECKLIST

**To be completed DAILY by the operator or authorized person BEFORE each use.**

| Make: |  | Model: |  |  |  | Unit#: |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
|  | Monday | Tuesday | Wednesday | Thursday | Friday | Saturday | Sunday |  |
| Date: |  |  |  |  |  |  |  |  |
| Hour Meter Reading: |  |  |  |  |  |  |  |  |
| Operator/Inspector: |  |  |  |  |  |  |  |  |

**For each “Inspection Item,” indicate one of the following:  P=Pass    F=Fail    N/A=Not Applicable**

| 1. Pre Start-up Walk-around | M | T | W | Th | F | S | Su | 2. Start-up | M | T | W | Th | F | S | Su |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Safe area/equipment secured |  |  |  |  |  |  |  | Seatbelt inspected and |  |  |  |  |  |  |  |
| Undercarriage |  |  |  |  |  |  |  | Engine sounds normal |  |  |  |  |  |  |  |
| Track shoes/Wheels &amp; Tires |  |  |  |  |  |  |  | Instrument panel |  |  |  |  |  |  |  |
| Rollers |  |  |  |  |  |  |  | Oil pressure |  |  |  |  |  |  |  |
| Sprockets |  |  |  |  |  |  |  | Coolant Temperature |  |  |  |  |  |  |  |
| Idler wheels |  |  |  |  |  |  |  | Hour meter |  |  |  |  |  |  |  |
| Track links |  |  |  |  |  |  |  | 3. Powered Systems | M | T | W | Th | F | S | Su |
| Turntable/Slewing assembly |  |  |  |  |  |  |  | Lights |  |  |  |  |  |  |  |
| Turret |  |  |  |  |  |  |  | Horn |  |  |  |  |  |  |  |
| Cab |  |  |  |  |  |  |  | Wipers |  |  |  |  |  |  |  |
| Glass |  |  |  |  |  |  |  | Fan/Heater/Air conditioner |  |  |  |  |  |  |  |
| Doors |  |  |  |  |  |  |  | Radio/Accessories |  |  |  |  |  |  |  |
| Emergency exit |  |  |  |  |  |  |  | Hydraulic Controls |  |  |  |  |  |  |  |
| Entry/exit steps |  |  |  |  |  |  |  | Drive |  |  |  |  |  |  |  |
| ROPS/FOPS/TOPS |  |  |  |  |  |  |  | Steer |  |  |  |  |  |  |  |
| Counterweight bolts |  |  |  |  |  |  |  | Turret rotate |  |  |  |  |  |  |  |
| Lights |  |  |  |  |  |  |  | Boom |  |  |  |  |  |  |  |
| Mirrors |  |  |  |  |  |  |  | Dipper/Stick |  |  |  |  |  |  |  |
| Engine/Engine compartment |  |  |  |  |  |  |  | Work attachment |  |  |  |  |  |  |  |
| Fluid levels |  |  |  |  |  |  |  | Accessories |  |  |  |  |  |  |  |
| Leaks |  |  |  |  |  |  |  | 4. General | M | T | W | Th | F | S | Su |
| Belts/Hoses |  |  |  |  |  |  |  | Housekeeping |  |  |  |  |  |  |  |
| Radiators/Coolers |  |  |  |  |  |  |  | Fire extinguisher |  |  |  |  |  |  |  |
| Fire suppression system |  |  |  |  |  |  |  | Manufacturer&#x27;s manuals |  |  |  |  |  |  |  |
| Digging Assembly |  |  |  |  |  |  |  | Log Book |  |  |  |  |  |  |  |
| Boom |  |  |  |  |  |  |  | Decals/Warnings/Placards |  |  |  |  |  |  |  |
| Dipper/Stick |  |  |  |  |  |  |  | Certification/Capacity labels |  |  |  |  |  |  |  |
| Work attachment |  |  |  |  |  |  |  | Level indicator |  |  |  |  |  |  |  |
| Articulated joints |  |  |  |  |  |  |  | Report any problems to your supervisor. ALWAYS tag out unsafe equipment. |  |  |  |  |  |  |  |
| Hydraulics |  |  |  |  |  |  |  | Comments: Explain &#x27;F&#x27; |  |  |  |  |  |  |  |
| Fluid level |  |  |  |  |  |  |  | Comments: Explain &#x27;F&#x27; |  |  |  |  |  |  |  |
| Leaks |  |  |  |  |  |  |  | Comments: Explain &#x27;F&#x27; |  |  |  |  |  |  |  |
| Cylinders |  |  |  |  |  |  |  | Comments: Explain &#x27;F&#x27; |  |  |  |  |  |  |  |
| Pins/Locks |  |  |  |  |  |  |  | Comments: Explain &#x27;F&#x27; |  |  |  |  |  |  |  |
| Fittings |  |  |  |  |  |  |  | Comments: Explain &#x27;F&#x27; |  |  |  |  |  |  |  |
| Hoses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

---

| Safety Manual
Lockout / Tagout Program |  |
| --- | --- |
|  | Effective:06-99 |
| Policy Section No.:53 | Revision Date:11-16 |
| Revision No.:3 | Page No.:1 of 11 |

## Lockout / Tagout Program

## 1.

## Purpose and Scope

1.1 This is a statement of official THERMA policy to establish the process for 
compliance with the Occupational Safety and Health Administration (OSHA) 
regulation, "Control of Hazardous Energy", 29 CFR 1910.147. It is intended 
to protect employees from the hazards caused by the inadvertent activation
of equipment or systems while work is performed on it/them. This policy 
establishes the minimum requirements to protect employees from such 
hazards.

## 2.

## Responsibility

2.1 It is the duty of all Foremen, Project Managers, and Supervisors to enforce 
this policy.

2.2 It is the duty of all employees to follow these procedures.

2.3 Enforcement of this policy shall be part of the daily safety audit.

2.4 It is the responsibility of the safety department manager to perform an annual 
review of the LOTO policy to ensure the procedures and requirement of the 
program are being followed. This inspection shall be documented.

## 3.

## Policy

3.1 Servicing, maintenance or construction which takes place during normal 
production operations is covered by this plan if:

a. An employee is required to remove or bypass a guard or safety device; or

b. An employee is required to place any part of his or her body into an area 
of the machine, piece of equipment or system where work is actually 
performed upon the material being processed (point of operation); or

c. Where an associated danger exists during a machine or system cycle

3.2 Minor tool changes and adjustments (e.g., clearing jammed paper from a 
copier, printer or typewriter) and other minor servicing activities, which are 
routine, repetitive, and take place during normal production operations, are 
not covered by this

3.3 This plan also does not apply to work on cord and plug connected electrical 
equipment for which exposure to the hazards of unexpected start-up is

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 2 of 11 |

controlled by unplugging it from the energy source if the plug is under the 
exclusive control of the employee performing the service.

## 4.

## Application

4.1 The Lockout/Tagout Plan shall be implemented for all facilities where
THERMA personnel work, and there is need to perform maintenance, 
construction or provide routine service to machinery or equipment.

4.2 Servicing of all electrically, chemically, pneumatically, thermally and/or 
hydraulically powered machinery and systems is included in this plan.

4.3 Contractors who perform work for THERMA shall also comply with the 
procedures outlined in this plan.

## 5.

## Special Circumstances

5.1 Job sites that present unique circumstances will require Supervisors and 
Foremen to develop safety plans specifically designed for that site.

5.2 THERMA’s safety department is available to assist in the development of 
these plans.

## 6.

## Definitions

6.1 Affected personnel: Persons that may use the machine or system being
serviced or worked on during the course of their work day and may attempt
to activate machinery while service is being done. Affected persons also 
include those persons whose job requires working in an area while such 
servicing, maintenance or construction is being performed.

6.2 Authorized personnel: Persons that have received training in the use of 
Lockout/Tagout equipment and are authorized to perform maintenance, 
service or construction. Authorized personnel also include those persons 
responsible for properly locking and tagging machinery that is to be serviced. 
(Affected personnel may also be authorized personnel when that employee’s 
duties include servicing, maintenance or construction on the machinery or 
system.)

6.3 Blank: A disk inserted into the space between two pipe flanges to prevent the 
passage of liquid or gases through a pipe.

6.4 Bleed: The release of stored hydraulic, electrical, pneumatic, or other form of 
energy.

6.5 Energy Sources: Any source of electrical, pneumatic, hydraulic, thermal, 
chemical, magnetic, gravitational or other type of energy.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 3 of 11 |

6.6 Lock: Keyed device used to secure equipment. For a lock to qualify as a 
Lockout device, only one key shall be available to the lock, and that lock shall 
stay in the possession of the affected person. Locks issued for use with this 
plan shall not be used for other purposes. Additionally, locks shall be able to 
withstand the environment in which they are being used, and a reasonable 
amount of force shall be required to remove the lock without thekey, for 
example, bolt cutters, etc.

6.7 Lockout: A system in which a lock, when properly attached to a power or 
energy source, prevents the unintentional activation of equipment or 
systems. The lock will physically hold the switch or handle in the "off" position 
until it is removed by the authorized personnel. A Lockout may include a 
device which allows specific types of switches and valves to have a lock 
applied to the control system. The device may also allow multiple locks to be 
applied, so that more than one affected person is able to place their one-key 
lock to the device.

6.8 Lockout/ Tagout Procedures: A list of procedures, abbreviated as LOTO, 
designed and implemented to protect employees from an accidental 
discharge of energy. LOTO is used interchangeably with, "Control of 
Hazardous Energy".

6.9 Tagout: A tagging procedure, intended to act only as a warning device, used 
to prevent the unintentional activation of equipment. The tag will read "DO 
NOT OPERATE". All tags and attachment means shall also be made to 
withstand the environment in which they are being used, including any written 
instructions or information on them. Tags shall contain, at a minimum, the 
name of the person placing the tag, the name of the company they work for, 
and a contact method, such as a phone or radio number

6.10 Supervisor/Multiple Lockout: In most Lockout/Tagout procedures, each 
individual shall place their own personal lock on the energy isolating device. 
The supervisor (Foreman) of the crew may lock out the machine, equipment, 
or system using a Lock Box. Under this procedure the Supervisor takes 
responsibility for locking all valves, switches and controls with a one-key onelock system, reviews the lockout with his/her crew, and places the key in a 
box. The other members of the crew then place their one-key, one lock 
system on the box, insuring that the locked out system can’t be started or 
opened without all members of the crew removing their locks. The Supervisor 
shall be the only person authorized to place or remove the lockouts after the 
crew has removed their locks from the lock box, and the Supervisor shall 
ensure that all personnel are safe prior to energizing of the machine, 
equipment, or system. The Supervisor in charge of the lockout procedure 
may not leave the immediate area where the crew is working during the 
lockout.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 4 of 11 |

a. **NOTE:** When a Supervisor lockout procedure is used, a member of the 
THERMA safety department must be notified prior to the start of the 
procedure.

## 7.

## Training

7.1 All new employees are given an orientation that includes Lockout/Tagout
procedures. All employees required to service, maintain, or perform 
construction on machinery or systems that have the potential for release of 
hazardous energy shall be provided with additional training that includes 
review of this policy and shall take the LOTO quiz. Personnel shall be retrained every three years in LOTO. In this additional training, employees shall 
be informed of:

a. The location and availability of the LOTO Plan.

b. The procedures covered by the LOTO Plan.

c. Explanations of provisions.

d. Description of physical hazards common to inappropriate locking and 
tagging of machinery.

e. Review of measures to protect employees, customers, and visitors from
the inadvertent release of hazardous energy.

f. Discussion of procedures to de-energize equipment and release or 
secure all residual energies.

g. Evaluation technique to determine if energy hazards are present.

7.2 Retraining shall be provided for all authorized and affected employees every 
three years or whenever:

a. There is a change in their job assignment.

b. There is a change in machines, equipment or processes that present new 
hazards.

c. There is a change in the energy control procedure.

7.3 When Lockout/Tagout training takes place the records shall be sent to the 
Director of Safety and Health at the corporate office. A copy of the training, 
along with any applicable documents, such as a Pre-Task Plan, shall be kept 
in the Supervisor’s records at the job site, or with the job file. The Safety 
Department member conducting the training shall enter the date of training 
the employees THERMA Training Record hand book in the appropriate 
section.

## 8.

## Conditions

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 5 of 11 |

8.1 Locking devices and tags shall be used when employees are performing 
maintenance, service or construction on or to any machine or system where 
unexpected or unintentional motion/release of energy could cause harm.

8.2 Locking devices shall also be used when guards or other safety devices must 
be removed during service or when moving or energized parts put any part of 
the employee's body at risk of injury.

8.3 Examples of conditions where locking and tagging should be used may 
include, but are not limited to:

a. Clearing blocked or jammed mechanical equipment.

b. Maintenance or repair work on equipment with moving parts.

c. Confined Space entries.

d. Repairs or installation of electrical equipment.

e. Construction on pipe systems containing hazardous substances.

8.4 **Note:** If the equipment being serviced must be temporarily re-activated (for 
example, to test the equipment as part of the installation) the following 
sequence of actions shall be followed:

a. Clear the machine or equipment of tools and materials

c. Remove the LOTO device

b. Remove employees from the machine or equipment area

d. Energize and proceed with testing or positioning

e. De-energize all systems and reapply energy control measures

8.5 Specific instructions shall be developed using THERMA’S Pre Task Plan 
(PTP) for the locking and tagging of machinery, equipment or systems under 
the following conditions:

a. When the machine, equipment, or system being serviced has the 
potential for stored or residual energy, or the re accumulation of stored 
energy after shut down.

b. When the machine, equipment, or system has multiple energy sources.

c. When the isolation and locking of the machine, equipment, or system will 
not completely deactivate it.

d. When the machine, equipment, or system cannot be locked out.

e. When a single lockout device will not achieve a lockout condition.

f. When the lockout device will not be under the exclusive control of the 
authorized employee performing the service.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 6 of 11 |

8.6 If a lock cannot be applied to the equipment, and the supervisor can 
demonstrate that the tagging procedure will provide a level of safety 
equivalent to that obtained by the use of a lock, a tag may be used instead. A 
tag used without a lock shall be supplemented by one additional safety 
measure, such as:

a. The removal of an isolating circuit element.

b. Blocking of a control switch.

c. Opening of an extra disconnecting device.

d. The removal of a valve handle.

e. The use of a block-off plate or “blank” inserted between flanges on a pipe 
system.

8.7 The tagout device shall be attached to the same location that the lockout 
device would have been attached, and shall have the name of the person 
that attached the tag, the estimated length of time the tagout will be in effect, 
and a suitable communication procedure for contacting the person that 
placed the tagout, such as a cell phone number.

8.8 In addition the THERMA Safety Department shall be contacted and informed 
of the procedure, including an explanation of why a lock cannot be used to 
render the machine, equipment or system safe.

## 9.

## General LO/TO Procedures

9.1 Lockout or tagout shall be performed only by authorized employee(s) who are 
performing the servicing or maintenance.

9.2 The customer representative shall be notified prior to shut down and LOTO. 
Notification shall contain the name and job titles of authorized employees, location of 
equipment being serviced, and duration/date of service.

9.3 Basic energy control procedures:

a. "Preparation for shutdown." Before an authorized or affected employee turns off a 
machine or equipment, the authorized employee shall determine where and 
how equipment is being energized. Since some equipment is powered by 
several sources e.g., electrical, mechanical, pneumatic, chemical, 
thermal and hydraulic), all energizing sources shall be identified. For
complex equipment, refer to the manufacturer's control diagram detailing 
the locations of all isolating points. These points may include breaker 
panels, switches and valves. Furthermore, possible residual energy and 
methods used to dissipate or restrain that energy shall be identified. In 
addition to identifying energy sources, the employee must determine the 
magnitude of the energy, the hazards of the energy to be controlled and 
the methods or means to control the energy. If authorized employees are

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 7 of 11 |

unable to determine each form of energy, they must consult their 
supervisor and/or the Safety Department before work is started.

• For complex Lockout/Tagout procedures use the attached LOTO 
checklist. Complete each section, entering “N/A”for those areas 
and sections that are not applicable.

b. "Machine or equipment shutdown." The machine or equipment shall be 
turned off or shut down using the procedures established for the machine 
or equipment (depress the stop button, open the switch, close valve, 
etc.). An orderly shutdown must be utilized to avoid any additional or 
increased hazard(s) to employees as a result of the equipment stoppage.

c. "Machine or equipment isolation." All energy isolating devices that are 
needed to control the energy to the machine or equipment shall be 
physically located and operated in such a manner as to isolate the 
machine or equipment from the energy source(s).

d. "Lockout or tagout device application." Attach a lock and tag, of 
designated color, type and descriptive warning, on each disconnecting
means used to de-energize circuits and equipment on which work is to be 
performed. The lock shall be attached to prevent persons from operating 
the equipment. Tags must be securely attached to energy isolating 
devices so that they cannot be inadvertently or accidentally detached 
during use. Additionally, tags shall be attached to all points where 
equipment or circuits can be energized. If multiple employees are 
servicing the same equipment, each shall attach their own lock to a 
multiple lock plate.

• If a Supervisor lockout/tagout procedure is used, the Supervisor 
shall ensure that all machines, equipment, and systems are 
locked/tagged out, that the Supervisor’s key is placed in a Lock 
Box, and all personnel are out of danger before testing for stored 
energy. **Note:** No attempt shall be made to remove another 
employee's lock.

e. "Stored energy." Following the application of logout or tagout devices to 
energy isolating devices, all potentially hazardous stored or residual
energy shall be relieved, disconnected, restrained, and otherwise 
rendered safe. If there is a possibility of reaccumulation of stored energy 
to a hazardous level, verification of isolation shall be continued until the 
servicing or maintenance is completed, or until the possibility of such 
accumulation no longer exists.

• If energy is incapable of being released, the authorized employee 
shall reposition, block, utilize a blank or utilize some other

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 8 of 11 |

protective measure to prevent the release of residual energy while 
service is in progress.

f. "Verification of isolation." Prior to starting work on machines or equipment 
that have been locked out or tagged out, the authorized employee shall 
verify that isolation and deenergization of the machine or equipment have 
been accomplished. This should be done by:

• Checking that no personnel are exposed.

• Verifying the isolation of equipment by operating the push button 
or other normal operating controls.

• Secure all switches to prevent movement to the "on" or "start" 
position.

• Checking pressure gauges to ensure de-pressurization of lines.

• Inspect electrical circuits to confirm zero voltage.

• Open bleeder valves to verify pressure is released, while 
protecting against the release of hazardous materials.

## 10. Re-Energization Procedures

10.1 Authorized employees will follow these essential steps before lockout or 
tagout devices are removed and energy is restored to the machine or 
equipment:

a. Ensure that nonessential items have been removed and to ensure that 
machine or equipment components are operationally intact.

b. Work area checked to ensure that all employees are safely positioned.

c. Remove each lockout or tagout device from the energy isolating 
device(s). This shall be completed by the employee who applied the 
device.

d. Notify personnel that the LO/TO devices have been removed.

10.2

If the authorized employee who applied the device is not available to remove 
it, that device may be removed by another authorized employee, with 
Manager approval, and the following:

a. Verification that the authorized employee who applied the device is not at 
the facility:

b. Reasonable efforts were made to contact the authorized employee to 
inform him/her that his/her lockout or tagout device has been removed;
and

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 9 of 11 |

c. The authorized employee has this knowledge before he/she resumes 
work at that facility.

## 11. Testing or Positioning of Machines, Equipment or Components

11.1 In situations where lockout or tagout devices must be temporarily removed to 
test or position the machine, equipment or component, the following
sequence of actions shall be followed:

a. Clear the machine or equipment of tools and materials;

b. Remove employees from the machine or equipment;

c. Remove the lockout or tagout devices;

d. Energize and proceed with testing or positioning;

e. Deenergize all systems and reapply energy control measures to continue 
the servicing and/or maintenance.

## 12. Group Lockout or Tagout

12.1 When servicing and/or maintenance is performed by a crew, craft, 
department or other group, this is considered a group lockout or tagout and 
shall include the following specific requirements:

a. Primary responsibility is vested in an authorized employee for a set 
number of employees working under the protection of a group lockout or 
tagout device;

b. The authorized employee shall review the exposure status of individual 
group members; Assignment of overall responsibility to an authorized 
employee designated to coordinate affected work forces and ensure 
continuity of protection;

c. Each authorized employee shall affix a personal lockout or tagout device 
to the group lockout device, group lockbox, or comparable mechanism 
when he or she begins work, and shall remove those devices when he or 
she stops working on the machine or equipment being serviced or 
maintained.

## 13. Shift or Personnel Changes

13.1 Specific procedures shall be utilized during shift or personnel changes. This 
ensures the continuity of protection, including provisions for the orderly 
transfer of lockout or tagout device protection between off-going and 
oncoming employees

## 14. Outside Personnel

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 10 of 11 |

14.1 Whenever outside servicing personnel are to be engaged in activities 
requiring LOTO, Therma and the outside employer shall inform each other of 
their respective lockout or tagout procedures. Therma shall ensure that 
his/her employees understand and comply with the restrictions and 
prohibitions of the outside employer's energy control program.

## 15. Addendum For the Use of a Lock Box in Lockout Situations

15.1 The following procedure shall be followed when establishing a lock box 
situation. This procedure will only be implemented by a Foreman, General 
Foreman, Project Manager, or the designated Safety Coordinator for the job 
site. Whenever a lock box is used the Therma Safety Department will be 
notified prior to use.

a. The General Foreman and Foreman are responsible to have all check off 
lists, hot work permits, pre-task plans or any other required paper work at 
the same location as the lock box while the work is performed.

b. The General Foreman and Foreman for the work area shall identify the 
energy sources that are to be locked out to isolate the system, and shall 
place a lock on each energy source that has only one key, retained by 
the person applying the lock. At no time shall any lock be used that has
more than one key.

c. All energy sources shall be entered on the check off list as each is locked 
out, giving the number, location, etc.

d. The General Foreman, Foreman and crew shall verify that all sources of 
hazardous energy have been locked out and tagged properly. The tag(s) 
will indicate the company, person(s) who locked the system out, and
shall have a contact phone or radio number on the tag.

e. All systems that are locked and tagged shall be verified for absence of 
hazardous energy. The General Foreman, Foreman, and crew shall be 
present while verification takes place.

f. Any member of the team working on the system shall have the duty to 
raise questions about the presence of hazardous energy, and shall not 
work on the system until all are satisfied that it is safe.

g. The General Foreman and/or Foreman shall place the key(s) used to lock
the system(s) into a lock box that has multiple lock locations on it, or uses 
a multiple lock hasp to secure it.

h. All Personnel that will work on the system(s) shall place their key(s) on 
the lock box. The lock box must be locked by all members of the team in 
such a way that any one lock left on the box will prevent it from opening.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 3 | 53 | 11 of 11 |

i. When the worker has finished work on the system, or at the end of the 
work shift, they will remove their lock from the lock box. Any person that 
leaves a job site while their lock is on the lock box is in violation of 
THERMA’S policy. If the system is to remain locked until the next work 
shift, the General Foreman or Foreman shall have the facility personnel 
put their lockout system(s) on and take possession of the procedures. 
When work resumes, the process of lockout, tagout, verification, and 
lockbox procedure shall be repeated for that shift.

j. If a person participating in the lock box procedure leaves the site and the 
system must be re-activated, only the General Foreman, Foreman, or 
Safety Coordinator shall notify the person that their lock has been
removed. Only then shall the General Foreman, Foreman or Safety 
Coordinator remove that person’s lock. The person leaving the site will be 
subject to disciplinary action, unless it is determined that circumstances 
that required them to leave were justified.

k. The General Foreman, Foreman, or Safety Coordinator controlling the 
lockbox shall verify that it is safe to remove the locks, and then shall allow 
the crew to remove their locks. Only then will the system be re-activated.

15.2 These procedures or their equivalent shall be used in all Supervisor 
controlled lock box situations.

---

# LOCKOUT/TAGOUT CHECKLIST

Prior to beginning work on machinery, equipment, or systems requiring Lockout/Tagout, check 
each item.  If there are items that are not applicable to the entry, mark them "N/A".

| Job Site: |  | Date: | Time: |
| --- | --- | --- | --- |
| Foreman: | Exp. Date: |  | Exp. Time: |

**PERSONAL PROTECTIVE EQUIPMENT**

| $\Box$ | Hard Hat |
| --- | --- |
| $\Box$ | Eye/Face Protection (type) |
| $\Box$ | Protective clothing (type) |
| $\Box$ | Gloves (type) |
| $\Box$ | Respirator (type) |
| $\Box$ | Fall protection / Other |

## SHUTDOWN & LOCKOUT

| $\Box$ | Electrical lockout/tagout completed |
| --- | --- |
| $\Box$ | Valves closed,lockout/tagout completed |
| $\Box$ | Lines blinded/blocked off |
| $\Box$ | Lines disconnected |
| $\Box$ | Line bleeders open |
| $\Box$ | All hydraulic/pneumatic pressure released |
| $\Box$ | All other energy released and/or guarded(magnetic,spring,gravity,reactivity) |
| $\Box$ | Hot work permit completed |
| $\Box$ | System/area check for flammables/vapors |
| $\Box$ | Fire extinguisher on site/in area |
| $\Box$ | Barricade/Exclusion Zone markers in place |
| $\Box$ | Machine/Equipment/System users /other personnel notified |

## REACTIVATION

| $\Box$ | Electrical/System reconnected |
| --- | --- |
| $\Box$ | Line blinds/block-offs removed |
| $\Box$ | Line breeders closed |
| $\Box$ | Guards reinstalled |
| $\Box$ | Tools/materials removed |
| $\Box$ | Machine/Equipment/System users / other personnel clear and safe |
| $\Box$ | Electrical lockout/tagout removed |
| $\Box$ | Valve(s) lockout/tagout removed |

---

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## JOB COMPLETED

| Date: | Time: |
| --- | --- |

---

| Safety ManualConfined Space Program |  |
| --- | --- |
|  | Effective:06-99Revision Date:01-09Revision No.:1Page No.:1of34 |

# Confined Space Program

## 1.

## Purpose & Scope:

1.1 The Occupational Safety and Health Administration (OSHA) General
Industry Standards for Confined Spaces 29 CFR 1910.146 requires a 
written program for employers to follow when conducting work in confined 
spaces. The following procedures are based on the requirements 
established by OSHA

## 2.

## Responsibility:

## 2.1 Director of Health and Safety

2.1.1 The Direct of Health and Safety shall ensure adequate training 
(with written records documenting the latest training) and 
equipment are provided.

2.1.2 The Director of Health and Safety shall update this procedure and 
the various attachments to ensure compliance with OSHA 
standards and ensure that all copies of the attachments are 
updated.

2.1.3 The Director of Health and Safety shall conduct and/or coordinate 
all training as related to this procedure and maintain all 
documented training records.

## 2.2 Site Safety Coordinators (those trained as Entry Supervisors) shall:

2.2.1 Maintain the written entry permit system to ensure that affected 
employees comply with the relevant safety and health 
requirements during the performance of their duties and that they 
are provided with the proper equipment.

2.2.2 When confined space entry is anticipated, information regarding 
the hazards in those spaces is to be gathered and shall be 
forwarded to the Site Safety Coordinator.

2.2.3 The Site Safety Coordinator shall evaluate the space along with 
the responsible foreman and project manager to determine how 
the entry will be handled.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 1 | 56 | 2 of 34 |

## 2.3 The Entry Supervisor is responsible for the following:

2.3.1 Know the hazard(s) and potential hazards that may be 
encountered during entry. Information shall include:

a. The mode.

b. Signs or symptom.

c. Consequences of the exposure.

2.3.2 Determine the availability of a rescue team. Ensure that the 
means to summon the rescue team is operable.

2.3.3 List the names of all the entrants and attendants for each entry on 
the Entry Permit. If the Entry Supervisor will enter the confined 
space he/she must be listed as an entrant.

2.3.4 Ensure that all entrants have been trained in Confined Space 
Entry procedures including self rescue techniques to exit from the 
confined space.

2.3.5 Ensure that all tests specified by the permit have been conducted
and recorded.

2.3.6 Ensure that the appropriate entries have been made on the 
permit.

2.3.7 Ensure that the permit space is isolated to the extent possible. If 
isolation of the permit space is not feasible because the space is 
large or part of a continuous system, entry conditions shall be 
continuously monitored in areas where authorized entrants are 
working.

2.3.8 Ensure that all procedures and equipment specified by the permit 
are in place before endorsing the permit and allowing entry to 
begin.

2.3.9 Sign the Entry Permit. Permits are not valid unless signed by the 
Entry Supervisor.

2.3.10 Terminate the entry and cancel the permit as required.

2.3.11 Remove unauthorized individuals who enter or attempt to enter 
the permit space during entry operations.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 1 | 56 | 3 of 34 |

2.3.12 Determine that entry operations remain consistent with the terms
of the entry permit and that acceptable entry conditions are 
maintained.

2.3.13 Document on the Entry Permit or on a separate sheet, any 
incidents or circumstances requiring review of the confined space 
entry program. Sign the written documentation and if a separate 
sheet is used be sure that the permit number is written on the 
sheet and the sheet is attached to the Entry Permit. Such 
incidents include but are not limited to the following:

a. Unauthorized entry or entry attempt.

b. The detection of a condition/hazard not authorized by the 
permit.

c. The occurrence of an injury or near-miss during entry.

d. A change in use, configuration of the space reclassification 
from a permit required confined space to a non-permit 
required confined space.

e. Entrant concerns about the entry (procedure, tools, etc.)

f. Determines procedures for coordination of entry when 
personnel from multiple employers will work 
simultaneously.

2.3.14 When work is completed sign, remove, and file the canceled entry 
permit and all attachments.

2.3.15 If the permit space must be evacuated for any unacceptable 
condition, the entry supervisor shall:

a. Order the entrants to exit the confined space.

b. Note the unacceptable condition on the entry permit.

c. Cancel the entry permit.

d. Retain the canceled Entry Permit with all attachments for 
annual review.

e. Correct the unacceptable condition if re-entry is planned. 
Document the corrective action.

f. Verify the conditions in the confined space are acceptable 
if re-entry is planned.

g. Issue a new Entry Permit before allowing re-entry.

2.4 The Attendant is responsible for the following:

2.4.1 Prior to worker entry into the confined space, the attendant shall
have determined the location of the nearest functional telephone, 
and verified the working condition of the two-way radio or other 
means of communications in case of an emergency.

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 1 | 56 | 4 of 34 |

## 2.4.2 Know the hazard(s) that may be encountered during entry. Information shall include:

a. The mode.

b. Signs or symptoms.

c. Consequences of the exposure.

2.4.3 Is aware of possible behavioral effects of hazard exposure in 
authorized entrants.

2.4.4 Continuously maintains an accurate count of authorized 
entrants in the permit space and accurately identifies who is 
in the permit space. Records the names of any additional 
entrants. Records all times of entry and exit of each entrant.

2.4.5 **Remains outside of the permit space during operations until** 
**relieved by another attendant**.

2.4.6 Communicates with entrants continuously to monitor status and to 
alert entrants of the need to evacuate the space.

2.4.7 Monitors activities inside and outside the space and orders 
entrants to  evacuate the space immediately under any of the 
following conditions:

a. If the attendant detects a prohibited condition.

b. If the attendant detects the behavioral effects of hazard 
exposure in an authorized entrant.

c. If the attendant detects a situation outside the space that 
could endanger the authorized entrants.

d. If the attendant cannot effectively and safely perform his 
duties.

e. An evacuation alarm is sounded.

2.4.8 Notify the Entry Supervisor immediately after taking the 
emergency action required, of the emergency, unusual situations 
or conditions.

2.4.9 Summon rescue and other emergency services as soon as the 
attendant determines that authorized entrants may need 
assistance to escape from permit space hazards.

2.4.10 Takes the following actions when unauthorized persons approach 
or enter a permit space while authorized entry is under way:

---

| Revision No. | Policy Section No. | Page |
| --- | --- | --- |
| 1 | 56 | 5 of 34 |

a. Warn the unauthorized persons that they must stay away 
from the permit space.

b. Advise the unauthorized persons that they must exit 
immediately if they have entered the permit space.

c. Inform the authorized entrants and the Entry Supervisor if 
unauthorized persons have entered the permit space.

2.4.11 Performs **non-entry** rescues.

2.4.12 Does Not Perform and May Not be assigned any duties that will 
interfere with the attendant's primary duty to monitor and protect 
the entrants.

2.4.13 Attendants may only monitor one confined space. Monitoring of 
multiple confined spaces is not allowed.

## 2.5 Entrants are responsible for the following:

2.5.1 Know the hazard(s) that may be encountered during entry. 
Information shall include:

a. The mode.

b. Signs and symptoms.

c. Consequences of the exposure.

2.5.2 Communicating with the attendant continuously to enable the 
attendant to monitor entrant status and to enable the attendant to 
alert entrants of the need to evacuate the space.

## 2.5.3 Alert the attendant whenever:

a. The entrant recognizes any warning sign or symptom of 
exposure to a dangerous situation.

b. The entrant detects a prohibited condition.

2.5.4 Exit from the permit space as soon as possible when:

a. An order to evacuate is given by the attendant or the entry 
supervisor.

b. The entrant recognizes any warning sign or symptom of 
exposure to a dangerous situation.

c. The entrant detects a prohibited condition.

d. An evacuation alarm is activated.

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2.5.5 After the entry is completed, ensure that the confined space is 
clear and free of hazards. This includes but is not limited to the 
following:

a. Removal of tools, equipment and debris from the confined 
space at the completion of the job.

b. Confirm that all blinds are removed, all valves properly 
opened or closed, lines are properly reconnected, all locks 
and/or tags are removed and the space is completely 
ready to be returned to service.

c. Clean the surrounding area.

## 3. DEFINITIONS

3.1 **ATTENDANT** - means an individual assigned to remain immediately 
outside the entrance to the confined space, to monitor authorized 
entrants, to perform all the attendant's duties assigned by this procedure 
and who may render assistance as needed to entrants inside the space 
without entering the space.

3.2 **BLIND, BLINDING or BLANKING** - means the absolute closure of a 
pipe, line or duct, to prevent passage of any material by fastening a solid 
plate or "cap" across the bore and which is capable of withstanding the 
maximum potential upstream pressure and temperature.

3.3 **CALIBRATION or RECALIBRATION** - means a laboratory or bench-top 
resetting of alarm points, spans and zeros, if applicable, according to 
manufacturer specifications. Calibration or re-calibration shall be 
conducted by a factory authorized service center, a factory trained 
technician, or a trained university technician.

## 3.4

## CONFINED SPACE - means any space:

3.4.1 That is large enough and so configured that an associate can 
bodily enter and perform assigned work.

3.4.2 Not intended for continuous employee occupancy.

3.4.3 Having a limited means for worker entry or exit due to the number, 
size or location of openings.

3.4.4 That has doors and other portals through which a person could 
walk are not considered limited means for entry and exit. 
However, a space containing such a door or portal may still be 
deemed a confined space if an entrant's ability to escape in an 
emergency would be hindered.

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**3.4.5 Note l: Confined spaces generally include, but are not limited** 
**to: storage tanks, bins, boilers, ventilation or exhaust ducts,** 
**sewers, manholes, underground utility vaults, tunnels and** 
**pipelines. Open top spaces more than four feet in depth such** 
**as: pits, tubs, and vaults may also be confined spaces.**

3.5 **CPR** - Cardio-Pulmonary Resuscitation.

3.6 **DOUBLE BLOCK AND BLEED** - means the closure of a line, duct or 
pipe by locking and tagging a drain or vent to open to the atmosphere in 
the line between two locked-closed valves.

3.7 **ENGULFMENT** - means the surrounding and effective capture of a 
person by finely divided particulate matter or a liquid. There is potential 
for engulfment when such particulate matter or liquid exists in a sufficient 
quantity or at a sufficient pressure to surround a person before a normal 
exit can be effected.

3.8 **ENTRANT** - any associate who enters a confined space. **A QUALIFIED**
**ENTRANT** is a person who:

3.8.1 Has a valid need to enter a confined space.

3.8.2 Has been trained as required by this procedure.

3.8.3 Has been briefed on the hazards of the confined space and is 
properly protected from all such hazards by use of appropriate 
engineering controls or personal protective equipment.

## 3.9

## ENTRY - means:

3.9.1 Any action resulting in any part of the associate's body breaking      
the plane of an opening of the confined space.

3.9.2 Includes any ensuing work activities inside the confined space.

3.9.3 All periods of time that the confined space is occupied.

3.10 **ENTRY PERMIT** - means the written or printed document to allow and 
control entry into a permit space for a stated purpose during a specified 
time. The confined space entry permit must be properly completed prior
to any confined space entry and must be posted at the portal of the 
confined space in use.

## 3.11

## ENTRY SUPERVISOR (QUALIFIED PERSON) - means:

3.11.1 A person who is trained in all aspects of this procedure and how
to recognize the hazards of the confined space, how to evaluate

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those anticipated hazards, and shall be capable of specifying 
necessary control measures to ensure worker safety.

3.11.2 The person responsible for determining if acceptable entry 
conditions are present at a permit space where entry is planned, 
for authorizing entry, overseeing entry operations and for 
terminating entry.

3.11.3 The entry supervisor may or may not actually participate 
throughout the entry, but shall be on the scene during the 
issuance of any confined space entry permit and be readily 
available for consultation.

3.12 **EMERGENCY** - means any occurrence, internal or external to the permit 
space, of an event including the failure of hazard control or monitoring 
equipment that could endanger entrants.

3.13 **FIELD CHECKED** - means the checking of the accuracy of an 
instrument's response to a known concentration of a gas: a method of 
checking an instrument for a proper response in the field. It is a check of 
the instrument's functionality and is a pass/fail or go/no-go check. When 
an adequate response is not obtained, the equipment shall be removed 
from service and adjusted or repaired by a factory authorized service 
center or a factory trained technician.

**3.14 GROUND FAULT CIRCUIT INTERRUPTER (GFCI)** - means a device 
whose function is to interrupt the electric circuit to the load when a fault 
current to ground exceeds a predetermined value that is less than that 
required to operate the over-current protective device of the supply 
circuit.

**3.15 HAZARDOUS ATMOSPHERE** - means an atmosphere presenting a 
potential for death, disablement, injury, acute illness, or the inability to 
escape unaided from a permit space, from one or more of the following
causes:

3.15.1 A flammable gas, vapor, or mist in excess of 10% of its Lower 
Flammable Limit (LFL).

3.15.2 An oxygen- deficient atmosphere containing less than 19.5% 
oxygen by volume or an oxygen enriched atmosphere containing 
more than 23.0% oxygen by volume.

3.15.3 An atmospheric concentration of any substance listed in Subpart 
Z of Part 1910 Standards above the listed numerical value of the 
Permissible Exposure Limit (PEL). In the case of substances for 
which no PEL has been established, the Director of Health and

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Safety must be contacted to establish a safe atmospheric 
concentration prior to entry.

3.15.4 An airborne combustible dust at a concentration that obscures 
vision at a distance of 5 feet or less.

3.15.5 A concentration of an air contaminant that is considered 
Immediately Dangerous to Life or Health (IDLH) by any published 
source, including the manufacturer's Material Safety Data Sheet 
(MSDS).

3.15.6 A condition Immediately Dangerous to Life or Health (IDLH) as 
defined in this procedure.

**3.16 HOT WORK** - Work that produces arcs, sparks, flames, heat, or other 
sources of ignition. This includes but is not limited to burning, welding, 
grinding, riveting and space heating.

**3.17 INTRINSICALLY SAFE** - Equipment that is explosion proof and will not 
produce sparks or other ignition sources.

**3.18 (IMMEDIATELY DANGEROUS TO LIFE AND HEALTH IDLH)** - means 
any condition that poses an immediate or delayed threat to life, or which is 
likely to result in acute or immediately severe health effects or that would 
interfere with an individuals ability to escape unaided from a confined 
space.

**NOTE: Only qualified personnel with proper protective equipment** 
**may be permitted to enter IDHL confined space.**

**3.19 IMMEDIATE SEVERE HEALTH EFFECTS** - means that an acute clinical 
sign of serious, exposure-related reaction is manifested within 72 hours of 
exposure.

**3.20 INERTING** - displacement of the atmosphere by a nonreactive gas (such 
as nitrogen) to such an extent that the resulting atmosphere is 
noncombustible.

**NOTE: This procedure (INERTING) produces an IDHL oxygen** 
**deficient atmosphere.**

**3.21 LFL -** Lower Flammable Limit - the minimum concentration of a flammable 
gas or vapor in air (usually expressed in percent by volume at sea level), 
that will ignite if an ignition source is present.

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**3.22 LINE BREAKING** - the intentional opening of a pipe, line or duct that is/or 
has been carrying flammable, corrosive or toxic material, an inert gas 
and/or fluid at a volume, pressure, or temperature capable of causing 
injury.

**3.23 LOCKOUT OR TAGOUT** - means placing locks or tags on the energy 
isolating device(s). The key for any lock used for Lockout shall remain with 
the person working within the confined space.

**3.24 OXYGEN DEFICIENT ATMOSPHERE** - an atmosphere containing less 
than 19.5 percent oxygen by volume.

**3.25 OXYGEN ENRICHED ATMOSPHERE** - an atmosphere containing more 
than 23.0 percent oxygen by volume. (VOSH Standard.)

**3.26 PEL** - Permissible Exposure Limit.

**3.27 Permit Required Confined Space or Permit Space** - those spaces 
which meet the requirement of Confined space and which also pose 
health or safety hazards such as:

3.27.1 A current or potentially hazardous atmosphere.

3.27.2 Potential worker entrapment (from inwardly converging walls or 
downward sloping floor).

3.27.3 A potential for engulfment.

3.27.4 Contains any other serious safety or health hazard.

3.28 **PPE** - Personal Protective Equipment.

3.29 **PURGING** - the method by which gases, vapors or other airborne 
contaminants are displaced.

3.30 **RESCUE TEAM** - means those employees whom the Director of Health 
and Safety has designated and provided training to perform rescues from 
confined spaces PRIOR to any confined space entries. A rescue team 
from the local fire department will normally be the rescuers of choice 
PROVIDING THAT THE TRAINING REQUIREMENTS OF THIS 
PROCEDURE HAVE BEEN MET.

3.31 **RETRIEVAL LINE** - means a line or rope secured at one end to a 
worker's safety belt, chest or body harness, or wristlets with the other end 
secured to an anchor point or lifting device located outside the entry

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portal. The anchor point shall not be a motor vehicle. Retrieval lines shall 
be of sufficient strength to remove an entrant when necessary.

## 3.32 SCBA - Self Contained Breathing Apparatus

3.33 **ZERO MECHANICAL STATE** - means that the mechanical potential 
energy of all portions of the machine or equipment is at its lowest 
practical value, set so that the opening of the pipe(s), tube(s), hose(s), or 
actuation of any valve, lever or button will not produce a movement which 
could cause injury.

## 3.34

## CONFINED SPACE IDENTIFICATION AND CLASSIFICATION:

## 3.34.1 Entry Supervisors are responsible for:

a. Identifying and classifying all confined spaces into which 
employees will enter. Entry is considered to have taken 
place as soon as any part of the entrant’s body breaks 
the plane of an opening into the space.

b. Identifying and providing written information as to the 
contents of the space, atmospheric conditions and rescue 
procedures. This information is to be forwarded to the Site 
Safety Coordinator for inclusion into Attachment A.

3.34.2 A permit required confined space is:

a. A confined space that meets the stated definition.

b. Contains or could contain a hazardous atmosphere.

c. Has an internal configuration such that an entrant could be 
trapped or asphyxiated by inwardly converging walls or 
by a floor that slopes downward and tapers to a smaller 
cross-section.

d. Contains any other recognized serious safety or health 
hazard.

1. If a space is not considered "permit required" but 
meets the criteria in this procedure, it must be 
considered permit required for entry.

## 4.

## Reclassification:

4.1 Although ALL confined spaces are initially considered "permit required 
confined spaces", certain spaces can be reclassified as "a non-permit 
confined space" provided the following apply:

4.1.1 Site specific approval of a qualified professional. (i.e.: Site Safety 
Coordinator, Entry Supervisor, etc.)

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4.1.2 All contaminants, vessels containing contaminants, and 
contaminated material have been removed.

4.1.3 All actual or potential atmospheric hazards have been eliminated 
and verified by testing.

4.1.4 Ventilation is not required to maintain control of atmospheric 
hazards.

4.1.5 All recognized hazards have been eliminated.

4.2 The Entry Supervisor shall document in writing on a separate sheet, the 
basis for reclassifying a permit required confined space to a non-permit 
required confined space, sign and date the statement, ref. the Entry 
Permit Number, and attach the sheet to the Entry Permit.

4.3 The space shall be reevaluated whenever the use or configuration of the 
space changes in any way that might increase the hazard to entrants. If 
necessary the space shall be reclassified to permit required confined 
space.

4.4 All entrants shall exit the space immediately when hazards are noted.

4.5 The Entry Permit and all attachments shall be posted at the portal to the 
confined space.

## 5

## Entry Procedure:

5.1 Entering permit spaces is potentially one of the most dangerous jobs in 
the industry. Entry into a confined space shall be conducted only if 
necessary to do assigned work. Whenever possible assigned work shall 
be done from outside the space.

5.2 This Confined Space Entry Procedure shall be followed for entry into any 
defined confined space.

5.3 This procedure is to be used only by trained entry supervisors, entrants 
and attendants.

5.4 Hazards of entering confined spaces can be managed safely if the 
following principles and procedures are followed:

5.4.1 Identify the confined space and develop a written work plan for 
isolating, clearing and entering the space.

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| 5.4.2 Isolate the space from all hazardous energy sources, production streams and/or energized equipment and stored pressure. |  |  |
| 5.4.3 Empty, flush, purge, ventilate and clear the confined space (from the outside if possible). |  |  |
| 5.4.4 Identify known and potential hazards or contaminants that may be found in the space. |  |  |
| 5.4.5 Prohibit entry into the space until atmospheric testing is conducted and the applicable entry permit is completed, signed and posted at the portal to the space. |  |  |
| 5.4.6 After the space has been removed from service and prior to entry, initial testing of the atmosphere shall be conducted. |  |  |
| 5.4.7 When removing the space from service, the space shall be opened up as much as possible to allow for good ventilation. |  |  |
| 5.4.8 After the applicable entry procedures have been conducted, an entrant, attendant or other trained person shall inspect the space to verify that all actions and conditions necessary for safe entry have been performed. |  |  |
| 5.4.9 Any deficient areas shall be corrected before entry proceeds. |  |  |
| 5.4.10 Once the inspection is completed, the entry supervisor who performed the inspection shall sign the entry permit. |  |  |
| 5.4.11 Entry is prohibited until the permit has been completed satisfactorily and signed. |  |  |
| 5.4.12 Ventilate the space to remove hazardous gases, vapors, dusts and fumes and then test the atmosphere with the ventilation system turned off. |  |  |
| 5.4.13 Prepare the space, specifying the hazards that may be found, acceptable entry conditions, and required level of PPE to be used. |  |  |
| 5.4.14 Prepare the Hot Work Permit as applicable if hot work is to be conducted in a confined space. |  |  |
| 5.4.15 Review the work plans, hazards, safety requirements and PPE requirements with all entry personnel during the pre-entry meeting and with others working near the space before entering the space. |  |  |
| 1 | 56 | 14 of 34 |

## 6

## General Requirements:

6.1 Each confined space being entered shall have a minimum of one 
dedicated attendant and one other support person (who may have other 
duties) within sight or call.

6.2 All Entry Supervisors must be thoroughly familiar with the confined space 
entry procedures and shall be responsible for ensuring that all entries are 
conducted according to this procedure.

6.3 The use of the space, internal configuration, size of the openings, 
contents, constructions materials, internal mechanical devices, unique 
characteristics and hazards are all factors that should be known by all 
entrants before entering.

6.4 No confined space entry is permitted without a properly executed 
Confined Space Entry Permit.

6.5 No confined space will be entered until it has been thoroughly tested for 
hazardous conditions and all of those conditions have been properly 
eliminated or overcome.

6.6 Unauthorized entry shall be prevented through measures such as 
training, posting of signs and barriers.

6.7 All required PPE must be sanitary and in proper working condition prior to 
use.

6.8 All members of the entry team must be properly trained, including the 
entry supervisor, entrants, attendants and rescue personnel.

6.9 Contingencies/Emergencies specific to each entry must be anticipated
and planned for such as:

6.9.1 Worker asphyxiation, engulfment or injury.

6.9.2 Fire and explosion.

6.9.3 Fluid or gas leaks.

6.10 All support equipment such as breathing apparatus, fire extinguishers, 
rescue ropes and harnesses, atmospheric monitors and required 
electrical devices (Ground Fault Circuit Interrupters [GFCI], explosion 
proof or intrinsically safe equipment, etc.) shall be utilized during entry 
and readily available as needed.

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6.11 Rescue procedures and related equipment must be anticipated 
beforehand and be readily available during entry.

6.12 Any deviation from this procedure must be approved in writing and 
attached to the Entry Permit by the Supervisor responsible for Confined
Space Entry.

## 7

## Confined Space Isolation Procedure:

7.1 Before persons are permitted to enter a confined space the following
isolation procedures shall be conducted where applicable:

7.1.1 Depressurize the confined space if necessary.

7.1.2 The confined space must be isolated by Lockout/Tagout to 
preclude the entry of hazardous materials. Prevent the 
introduction into the confined space of hazardous materials from 
interconnecting equipment such as piping, ducts, vents, drains or 
other means. This will include not only inlet and outlet piping but 
all potential sources (electrical, thermal, hydraulic, mechanical, 
pneumatic, etc.).

7.2 Lockout/Tagout any hazardous energy sources within or attached to the 
confined space to prevent accidental movement or energizing of such 
sources. Where applicable, one or more of the following methods shall be 
used:

7.2.1 Remove a valve, spool piece, or expansion joint in piping to, and 
as close as possible to the confined space, and blank or blind a 
pipe or duct at the nearest accessible point to the confined space.

7.2.2 Employ the "double block and bleed" technique (a method used to 
isolate a confined space from line, duct or pipe by locking closed 
and tagging in-line valves on a piping system, and opening a 
valve between them that is vented to the atmosphere) at the 
nearest accessible point to the space.

7.2.3 In cases where lines have contained hazardous liquids or gases, 
inert gases, or gases or liquids at high temperature or pressure, 
all lines entering the space (process, steam, pneumatic or 
hydraulic lines, vents, drains, etc.) shall be physically 
disconnected as close to the tank or vessel as possible and 
practical.

7.2.4 Lines shall also be physically disconnected if they could introduce 
non-hazardous substances into the space in quantities that could 
engulf the entrants. If possible the open ends of disconnected

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lines must be blanked or capped to prevent any liquids or gases 
from entering the space. All blind flanges must be of sufficient 
thickness and tensile strength to withstand maximum pressures 
and corrosion by chemicals to which they may be exposed.

7.2.5 Pressure in the lines must be bled down to atmospheric levels. 
Where lines cannot be physically disconnected due to space 
limitations, they may be blinded and tagged or a double block and 
bleed arrangement may be used.

7.3 To avoid the buildup of static electricity, all lines and other equipment 
used during the entry shall be electrically bonded and grounded to the 
space.

7.4 All sources of ignition within the space, and those nearby which are close 
enough to pose a hazardous, shall be turned off and locked out.

## 8

## Ventilation:

8.1 Continuous ventilation of the space shall be performed under the 
following cases:

8.1.1 Initial air monitoring was not acceptable.

8.1.2 Natural ventilation is not adequate (example, space has only one 
entrance).

8.1.3 Chemicals are to be introduced into the space for cleaning or 
other purposes.

8.1.4 Welding or other “hot work” is to be conducted inside the space.

8.2 Only intrinsically safe air movers shall be used to ventilate confined 
spaces. Such air movers must be electrically bonded and grounded to 
prevent any buildup of static charge during operation.

8.3 Oxygen or power air-driven ventilators shall not be used to ventilate 
space.

8.4 Air movers used for ventilation shall be operated in the supply mode. The 
ventilation rate shall be high enough to achieve 20 air changes per hour.

8.5 Blowers shall be placed within 5 feet of the entry to the space to prevent 
re-entry of contaminated air.

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8.6 Whenever possible, air movers shall be used with ducting to increase the 
efficiency of ventilation in the space and to prevent re-entry of 
contaminated air. For maximum efficiency, the end of the ducting must be 
placed within 2 feet from the bottom of the space.

8.7 If the ventilation stops, all entrants shall evacuate the space immediately.

8.8 The space must be thoroughly ventilated using atmospheric air only 
(never compressed air or oxygen). The equipment providing the 
ventilation outside the confined space must be situated to ensure that it 
does not introduce exhaust fumes or other toxic gases into the space.

8.9 Continuous ventilation shall be used while welding in a confined space or 
working in tank/vessel(s) that contain sludge, scale or other flammable 
materials

## 9

## Potential Hazards Of Confined Space Entry:

9.1 Asphyxiation may occur because:

9.1.1 Certain chemicals can absorb or replace oxygen in the space 
(inert gases).

9.1.3 Metal oxidation (rusting) inside a closed vessel may deplete 
oxygen from the atmosphere.

9.1.2 Welding processes can deplete oxygen in the confined space and 
elevate the carbon monoxide levels.

9.1.4 Improper or inadequate ventilation can allow toxic or asphyxiation 
gases to accumulate within the space.

9.2 Gases or dusts present a fire and/or explosion hazard and:

9.2.1 May come from residues in the confined space.

9.2.2 May enter from upstream or downstream components.

9.2.3 May be introduced by compressed welding gases (acetylene, 
oxygen, etc.).

9.2.4 May be introduced by liquid or gaseous releases from outside the 
confined space.

9.3 Toxic substances or atmospheres:

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9.3.1 May be introduced from inside or outside the space.

9.3.2 May cause damage through inhalation, ingestion or direct skin 
contact.

9.3.3 Exposure effects may vary from mild to fatal.

9.3.4 May be generated from procedures or materials used during the 
entry.

9.4 Electric shock can occur if electrical energy to the space is not properly 
disconnected and locked out or tagged out, or if equipment used in the
space is improperly grounded or insulated.

9.5 Physical injuries can occur because of:

9.5.1 Slippery conditions within the space.

9.5.2 Falling objects.

9.5.3 Contact with hot metal or corrosive chemicals.

9.5.4 Failure to disconnect and lock out all energy supplies to moving 
equipment inside the confined space.

9.5.5 Poor lighting.

9.5.6 Cave-in when working in a trench or excavation.

9.6 **Note** existing or potential hazards such as:

9.6.1 Oxygen deficiency or enrichment.

9.6.2 Flammability.

9.6.3 Toxicity.

9.6.4 Mechanical hazards.

9.6.5 Heat hazards.

9.6.6 Engulfment.

## 10 Confined Space Atmospheric Monitoring Procedures:

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10.1 A written record of the pre-entry atmospheric monitoring results shall be 
documented and kept at the work site for the duration of the entry. This
record is part of the entry permit and is to be kept on file for 1 year.

10.2 The entry supervisor shall certify in writing, based upon the results of the 
pre-entry atmospheric monitoring, that all hazards have been eliminated.

10.3 All affected persons must be able to review the test results.

10.4 The most hazardous conditions will govern when work is being performed 
in two adjoining, connecting spaces.

10.5 After the space has been removed from service and prior to entry, a
trained entrant or attendant shall conduct initial testing of the atmosphere 
inside the space. The testing shall be performed in the following 
sequence:

10.5.1 Oxygen.

10.5.2 Flammable atmosphere (%LFL), and

10.5.3 Toxic gases or vapors. Record the readings on the entry permit.

10.6 Atmospheric testing shall be conducted using only properly calibrated air 
monitoring equipment. Properly calibrated equipment is equipment that 
has been calibrated using the manufacturer's recommended 
specifications within the past 90 days. The most recent calibration date 
shall be marked on the equipment and in the log book for testing and 
maintenance of such equipment.

10.7 After appropriate ventilation, a check of the atmosphere inside the 
confined space shall be conducted prior to entry, as determined by the 
potential hazard and immediately prior to any hot work. If IDLH conditions 
are suspected, an air supplied respirator must be used while conducting 
initial testing. Record the readings.

10.8 Ventilating equipment shall be turned off at least fifteen minutes prior to 
performing any atmospheric monitoring to ensure that the values shown 
are representative of the raw atmosphere within the space.

10.9 Tests shall be conducted with a properly calibrated detector(s) in the 
following order:

10.9.1 Oxygen.

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10.9.2 Flammable vapors (%LEL).

10.9.3 Suspected airborne contaminants.

10.10 The person conducting the atmospheric monitoring shall initial and list on 
the permit the date/time the testing was conducted and the results of the 
test.

10.11 Atmospheric monitoring shall be conducted at a minimum of 3 locations 
within the space (i.e., bottom, middle, and top of space) for a minimum of 
1 minute in each location. Record the readings on the entry permit.

10.12 If entry is to be through a manhole, initial air monitoring shall be 
conducted through the manhole cover without removing the cover 
whenever possible. This is to prevent sparking in case of a flammable 
atmosphere in the space.

10.13 If entry is to be through the side of a space, testing immediately inside 
the space shall be conducted prior to entry. After entry, atmospheric 
monitoring of the space 5 feet in front of the entrant shall be conducted 
using a 3 foot probe.

10.14 All atmospheric monitoring results shall be legibly recorded on the entry 
permit documenting the range of results obtained from the different 
sampling locations within the space.

10.15 Entry into a confined space is prohibited when one or more of the 
following conditions are present:

10.15.1Atmospheric oxygen concentration below 19.5 or 
above 23.0 percent.

10.15.2Flammable atmosphere in excess of 10 percent of its LEL.

10.15.3Airborne combustible dust at a concentration that obscures 
vision at a distance of 5 feet or less, or combustible dust 
concentration is more than LEL.

10.15.4Any air contaminant at a concentration in excess of its 
allowable concentration.

10.15.5If the oxygen concentration is not within the range of 19.5 to 23.0 
percent, the reason for the abnormal reading shall be 
investigated. Such a reading may indicate the presence of

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another toxin, such as carbon monoxide, that displaces 
oxygen. This toxin shall also be monitored for.

10.15.6If any or more of the above conditions exist, the space 
be ventilated for a minimum of 10 minutes prior to re-

shall 
testing.

a. With the ventilation still on, retest the space.

b. If conditions are still not acceptable, contact a 
qualified professional.

10.16 All atmospheric monitoring shall be performed by a trained qualified 
person, such as an entry supervisor, Health & Safety professional, etc., 
and all readings are to be recorded on the Confined Space Entry Permit.

10.17 Continuous atmospheric monitoring may be needed based upon the 
potential for changing atmospheric conditions. Readings are to be 
recorded every fifteen minutes.

## 11 Confined Space Entry Permit:

11.1     The entry permit serves several essential functions:

11.1.1 It restricts entry so that only authorized personnel may enter a 
confined space.

11.1.2 It ensures that communication takes place and hazards are 
controlled.

11.1.3 It minimizes safety precautions to be taken.

11.1.4 Serves as an official written record of existing conditions, 
requirements and safeguards.

11.1.5 Serves as a tool for reviewing this procedure.

## 11.2

Entry into a confined space shall be documented in writing using an 
ENTRY PERMIT.

11.2.1 The permit is a written authorization and approval that specify the 
job to be done and certify that all hazards have been evaluated 
and protected against.

11.2.2 It also serves as a record of all entrants.

11.2.3 All required signatures must be present and the permit must be 
filled out completely.

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11.3 Entry permits are only valid for a specified time period (e.g., one task or 
one shift).

11.4 Prior to entry, a copy of the entry permit shall be made available to all 
entrants by posting it at the portal. All entrants shall examine it to 
determine if entry conditions have been met.

11.5 The original permit and any subsequent permits shall be retained for a 
minimum of one year.

11.6 All permit required confined space entries shall have the following 
minimum equipment at the entry site prior to initiating the entry:

11.6.1 Communication equipment.

11.6.3 Appropriate PPE.

11.6.2 Full body harness.

11.6.4 For top entry: rescue line & tripod retrieval winch.

11.6.5 For bottom entry: rescue line, wristlets.

11.7 A separate Hot Work Permit shall be obtained for any welding, burning, 
drilling or other hot work that will take place within the space and attached 
to the entry permit.

11.8 The Entry Permit shall outline the elements of a rescue plan for the 
rescue of entrants in case of an emergency. It will outline at least the 
following elements:

11.8.1 Designated rescuers.

11.8.2 Equipment.

11.8.3 Methods of summoning the rescue team.

11.9 Prior to any confined space entry, a pre-entry safety meeting shall be     
held that involves all participants and covers at least the following points:

11.9.1 Review all existing or potential hazards that may exist in the 
space.

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11.9.2 Review the required levels of PPE. The entry supervisor shall 
ensure that each participant has the proper PPE and knows how 
to use it.

11.9.3 Discuss the work to be performed, who will do it and how it will be 
done safely.

11.9.4 Review the rescue plan that will be activated in case of 
emergency.

11.9.5 Anyone not attending the pre-entry safety meeting will not be 
allowed to enter the permit space until they have been briefed on 
all the information presented at that meeting.

## 11.10 Preparation of the Entry Permit:

11.10.1 Entry into a permit-required confined space shall not be 
made unless an entry supervisor has assured that the 
following procedures have first been completed:

11.10.2Obtain a blank Entry Permit and fill it out. The permit will 
indicate:

a. The specific confined space to be entered.

b. What work is to be performed.

c. The length of time estimated to complete the work. 
Permits are only valid for 12 hours. A permit may 
be extended for another 12 hours provided that 
acceptable conditions are re-certified and the test 
results entered on the permit.

d. What date and time the work will be started.

e. What personnel, names and titles, will perform the 
work.

f. Name and title of authorizing authority.

g. Name and title of Entry Supervisor.

h. Name and title of person acting as the “Attendant”.

i. All pumps or lines which may convey flammable, 
injurious, or incapacitating substances into the 
confined space shall be disconnected, blinded, 
(double blocked or bled), or effectively isolated by 
other means to prevent the development of 
dangerous levels of air contamination or oxygen 
deficiency within the space. The closing of valves 
alone, or the closing of valves and locking or 
tagging of them, is not considered effective 
protection. The disconnection or blind shall be so 
located or done in such a manner that inadvertent 
reconnection of the line or removal of the blind are

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effectively prevented.

**j. NOTE: This does not require the blocking of all** 
**laterals to sewers or storm drains unless** 
**experience or knowledge of industrial use** 
**indicates materials resulting in dangerous air** 
**contamination may be dumped into an** 
**occupied sewer.**

k**.** The atmospheric testing equipment must be “field 
checked” prior to testing the atmosphere in the 
confined space.

l. Atmospheric testing must be conducted for oxygen 
levels between 19.5% and 23.0% by volume and 
the percentage found is to be entered on the 
permit. The last calibration date of the oxygen 
detector must be entered on the permit.

m**.** Atmospheric testing must be conducted for 
flammable gas, vapors or mists in excess of 10% 
of its LEL and results noted on the permit. The last 
calibration date of the combustible gas indicator 
must be entered on the permit.

n. The confined space must be flushed or emptied of 
all dangerous substances and then tested for 
known toxic substances for the Permissible 
Exposure Limit (PEL) per Attachment A.

1. Enter the value of the PEL on the permit.

2. If a hazardous atmosphere is present 
ventilation and respirators must be 
provided.

O. Electrical and mechanical hazards must be 
removed or prevented from causing a hazardous 
situation.

1. Employees entering a permit-required 
confined space with a hazardous 
atmosphere must be provided with an 
appropriate retrieval device, retrieval line 
and an appropriate respirator. The 
associate must have received and have 
documented training on the use of a 
respirator. If a hazardous atmosphere is 
present atmosphere testing shall be 
conducted every hour that the confined 
space is occupied and results noted on the 
permit.

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p. If there is a problem, necessary action shall be 
taken to ensure the safety of those involved. The 
attendant is to contact the applicable rescue team 
and inform them of the conditions when they arrive 
on the scene.

**q. NOTE: Under NO circumstances is the** 
**attendant to enter the confined space.**

r. When the work has been completed the Entry 
Supervisor shall sign the permit as being 
completed and all conditions in the confined space 
have been returned to normal, the space is closed 
and properly marked.

## 12 Confined Space Illumination:

12.1 All confined spaces shall be properly illuminated.

12.2 When temporary lighting is used in confined spaces containing 
combustible or flammable dusts, residues or contaminates, the following 
requirements shall be met:

12.2.1 All temporary lighting and powered equipment shall be protected 
by the use of a Ground Fault Circuit Interrupter (GFCI) or be the 
low voltage type (12 volts).

12.2.2 All lighting shall be Factory Mutual (FM) or Underwriters 
Laboratories (UL) approved. Equipment used in hazardous areas 
shall match the classification of the area (i.e., Class 1 or 2, 
Division 1 or 2, etc.).

12.2.3 Extension cords used for temporary lighting shall be equipped 
with connectors or switches approved for hazardous locations.

## 13 Protective Equipment:

13.1 Appropriate protective equipment (selection based on exposure) shall be 
worn during entry. This may include but is not limited to the following:

13.1.1 Protective clothing.

13.1.2 Hard hat.

13.1.3 Gloves.

13.1.4 Suitable work boots.

13.1.5 Safety glasses with side shields, or face shields.

13.1.6 Respiratory protection.

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13.2 No one will use respiratory protection unless they have been properly 
trained and qualified in its use according to 1910.134.

13.3 A rescue line shall be worn by all entrants unless it would increase the 
overall risk of entry.

**13.3.1** The rescue line shall be attached to a mechanical device or fixed 
point outside the space. **Under NO circumstances is the line to** 
**be fastened to a vehicle.**

13.3.2 A mechanical device must be available to retrieve personnel from 
vertical type spaces more than 5’ deep.

13.3.3 A full body harness shall be worn for all top entry confined 
spaces.

13.4 Personal Protective Equipment (PPE) is necessary for entry into a 
confined space if the space contains a corrosive hazard or if chemicals 
brought into the space requires such clothing.

13.4.1 The proper type of PPE must be assigned for use in confined 
spaces based on the types and amounts of hazardous 
substances present in the confined space.

13.4.2 The Entry Supervisor is to contact the Site Safety Coordinator if 
there is any question about what is the proper PPE for a particular 
entry.

13.4.3 Additional information may be obtained from the applicable 
MSDS.

13.5 Where required, PPE shall be used in accordance with 1910.134, and 
shall be NIOSH approved.

13.5.1 Respiratory protection is required in situations where hazardous 
dusts are present and when atmospheric monitoring results 
dictate.

13.5.2 The Site Safety Coordinator shall determine the proper type of 
respiratory equipment required.

13.5.3 Employees must be trained in the proper selection and use of 
PPE.

13.6 Retrieval equipment is required for all permit required confined spaces 
such as entries that:

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13.6.1 Present an engulfment hazard from the presence of a material 
inside the space during entry.

13.6.2 Involve hot work or the presence of chemicals inside the space.

13.6.3 Require the use of air supplying respirators.

13.7 Retrieval equipment shall include:

13.7.1 A retrieval line that shall be attached to a mechanical device or
fixed point outside the permit space in such a manner that rescue 
can begin as soon as the rescuer becomes aware that rescue is 
necessary. A mechanical device shall be available to retrieve 
associates from vertical type permit spaces more than 5’ feet 
deep.

13.7.2 A chest or full body harness, with a retrieval line attached at the 
center of the entrants back near shoulder level, or above the 
entrants head. Wristlets may be used in place of the chest or full 
body harness if the Entry Supervisor can demonstrate that the 
use of a chest or full body harness is infeasible or creates a 
greater hazard and that the use of wristlets is the safest and most 
effective alternative.

13.7.3 Fall protection for spaces greater than 6’ feet in depth and 
requiring entry through the top.

13.8 As a minimum, safety glasses and safety shoes or boots shall be worn 
while in a confined space.

## 14 Miscellaneous Tools and Equipment:

14.1 Many types of tools and equipment may be utilized to conduct a confined 
space entry. The tools and equipment shall meet the following minimum 
criteria:

14.1.1 Electrical tools using nominal 120 volt alternating current 
shall be grounded and connected only to a GFCI circuit. 
(Low voltage systems (12 volts) are preferred.)

14.1.1 Within spaces where a flammable atmosphere may exist, all 
electrical equipment shall be explosion proof or intrinsically safe.

14.1.2 All electrical lighting systems shall be connected to a GFCI circuit 
or provided by a 12 volt electrical system.

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14.1.3 Where ladder or scaffolding use is required, all equipment shall 
be non-slip/skid and shall be secured (tied off) as necessary to 
ensure against falling.

14.1.4 Arc welding equipment shall be properly grounded, taken into 
space only when needed and removed as soon as possible. A 
Hot Work Permit is required.

14.1.5 Compressed gas cylinders (except breathing air and portable fire 
extinguishers) **ARE NOT** to be taken into any confined space. 
Oxyacetylene hoses and arc welding equipment may be taken 
into the space but must be checked for leaks and/or cracks prior 
to use. If leaks or cracks are found the hose or cable shall be 
replaced immediately.

## 15 Medical Considerations:

15.1 Individuals who are claustrophobic should be made aware of the conditions
involved in a confined space and should notify their supervisor if they feel
unable to function in such an environment. The Supervisor should excuse 
such individuals.

## 16 Other Precautions:

16.1 The number of confined space entrants should always be kept to a 
minimum, especially during “hot work” (welding or burning).

16.2 Entry will not be permitted until  entrants  have  a  minimum visual
distance of 5 feet within the confined space.

## 17 Additional Procedures:

17.1 Rescue Service Personnel:

17.1.1 Rescue teams shall be from the local fire department.

17.1.2 All rescuers entering the space shall be trained and 
equipped to perform rescues. They shall also be trained as 
entrants.

17.1.3 A rescue entry is to be considered as IDHL until proven 
otherwise.

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## 17.1.4 Rescuers shall use a separate air supply from those being rescued.

## 17.1.5 Rescue teams shall:

a. Be provided with (at no cost) and trained to use properly, 
all necessary equipment to make rescue from a confined 
space.

b. Practice making confined space rescues at least once 
every twelve months, extracting dummies, mannequins or 
personnel from confined space that closely approximate 
those for whom rescue may be required.

c. Have each member of the rescue service trained in 
basic first-aid and CPR. At least one of the 
rescuers holding current certification in CPR and 
basic first-aid shall be available.

d. Reserve teams shall be on site during any IDLH entry.

e. Rescue teams shall be given an opportunity to examine 
the entry site, practice rescue, and decline as appropriate.

## 17.2 Emergency Preparation and Procedures:

17.2.1 Appropriate fire protection and/or water supply should be 
readily available and operable if needed.

17.1.2 For emergencies:

a. At least one reserve air line cart and two air lines 
must be readily available.

b. A rescue harness and line(s) must be available.

c. If necessary, a SCBA may be used in lieu of an 
airline respirator when used in conjunction with a 
five-minute escape bottle.

17.1.3 Attendants will not enter a confined space to make a rescue 
unless ALL the following conditions are met:

a. They are relieved by another attendant.

b. They are also trained as entrants.

c. They are equipped with the proper PPE clothing 
and equipment.

## 18 Training:

18.1 Managers and Supervisors shall inform their employees of the hazards of 
working in confined spaces and permit-required confined spaces by 
providing specific training to employees before they may be authorized to 
enter a confined space.

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18.2 For those working in confined spaces, training shall be conducted in the 
following manner. At the time of hire and annually for all current 
employees. Training shall be documented. All training records shall be 
maintained for a period of not less than 3 years.

18.3 New employees shall receive an introduction to confined space entry 
procedures from the Site Safety Coordinator. It will include a briefing on 
and a copy of, the confined space entry procedure Supervisors must 
ensure that untrained employees **DO NOT** participate in confined space 
entries.

18.4 All entry supervisors, entrants and attendants shall attend an annual 
training course to keep aware of changing requirements and to maintain 
skills. Supervisors shall document through the Site Safety Coordinator 
that the required training has been received and that the employee is 
proficient in the duties required of him/her. Documentation shall contain 
each trained associate's name, the signature of the trainer and the date  
of training.

18.5 Training shall include but is not limited to the following:

18.5.1 All entry supervisors, entrants and attendants of a confined space 
shall have completed training on the related Facilities 
Management Policies and Procedures that meet applicable VOSH 
regulations, including 1910.146 (Permit Required Confined 
Space), 1910.134 Respiratory Protection), 1910.1200 (Hazard 
Communication) and 1910.147 (Hazardous Energy Control 
[Lockout/Tagout]).

18.5.2 Use of atmospheric testing devices, for those employees required 
to perform atmospheric tests, including field checks as specified 
by the manufacturer, normal use and specific limitations of the 
equipment.

18.5.3 Use of special equipment and tools, including rescue equipment.

18.5.4 Emergency and rescue methods and procedures.

18.5.5 Duties of the "entry supervisor" during permit-required confined 
space operations.

18.5.6 Duties of the "attendant" during permit required confined spaces.

18.5.7 Duties of the "entrant" during permit required confined spaces.

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18.5.8 The entry permit system.

18.5.9  A "hands on" practice session.

18.6 Training shall be given to affected employees at the following times:

18.6.1 Before the employee is first assigned duties relating to confined 
space.

18.6.2 Before there is a change in his/her assigned duties related to 
confined space.

18.6.3 Whenever there is a change in permit space operations that 
presents a hazard about which the associate has not been 
trained.

18.6.4 Whenever the supervisor has reason to believe that the 
employee’s knowledge or use of procedures are inadequate or 
there have been deviations from those procedures.

18.6.5 A written test will be required to be completed by all trainees. The 
test shall be written by the trainer and is to be sufficient in nature 
to determine that the trainee has learned the necessary safety 
requirements of a confined space entry.

18.6.6 Failure to pass the written test with a score of at least 70% correct 
shall result in re-training.

18.7 Rescue Teams shall be trained to use the equipment they may need to 
perform rescue functions.

18.7.1 Rescue teams, including those from emergency community 
service organizations, shall practice annually removing victims 
from representative confined spaces of the same configurations 
and accessibility from which an actual rescue could be required.

18.7.2 The attendant and/or at least one member of each rescue team 
shall hold a current certification in basic first aid and CPR (Cardio-
Pulmonary Resuscitation).

18.8 Training records shall be kept on file by the Safety Manager and shall 
include the following information:

18.8.1 Date of the training program.

18.8.2 The instructor(s) name and title.

L:\2009 NEW EH & S JAN. 2009\SECTION 3\17 CONFINED SPACE PROGRAM.DOC
DATE:  5/19/2017  10:41 AM
LAST MODIFIED BY:  MHOLLAR

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18.8.3 Names of employees and titles.

18.8.4 Outline of topics covered.

18.8.5 Copies of tests and test scores.

## 19 Contractors and Sub-Contractors:

19.1 Sub Contractors shall be informed by the Project Manager of the hazards 
of the confined space prior to the beginning of work. The Project 
Manager shall provide the sub contractor with an evaluation of the 
confined space(s) involved, Confined Space Entry procedure, MSDS’s for 
any chemicals in the area of the job and the Lockout/Tagout Procedure. 
The Project Manager shall also audit the sub contractor to verify proper 
work practices.

19.2 (Reference CFR 1910.146 (C)(8): When an employer (host employer)    
arranges to have employees of another employer (contractor) perform 
work that involves permit space entry, the host employer shall:(i) Inform 
the contractor that the workplace contains permit spaces and that permit 
space entry is allowed only through compliance with an permit space 
program meeting the requirements of this section; (ii) Appraise the 
contractor of the elements, including the hazards identified and the host 
employer's experience with the space, that make the space in question a 
permit space; (iii) Apprise the contractor of any precautions or procedures 
that the host employer has implemented for the protection of employees
in or near permit spaces where contractor personnel will be working.(iv) 
Coordinate entry operations with the contractor, when both host employer 
personnel and contractor personnel will be working in or near permit 
spaces, as required by paragraph (d)(11) of this section; and(v) Debrief 
the contractor at the conclusion of the entry operations regarding the 
permit space program followed and regarding any hazards confronted or 
created in permit spaces during entry operations.

19.3 Sub Contractors who will enter confined spaces must be pre-qualified to 
perform such work by providing the following documentation to the 
Project Manager:

19.3.1 Their general safety policies and procedures.

19.3.2 Their Confined Space Entry Procedure (It must meet the 
requirements of CAL/OSHA 1910.146.)

19.3.3 Their Entry Permit Program and Permit.

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19.3.4 Training certification for all involved personnel. At least one 
contractor employee on the job site must be certified as an Entry 
Supervisor.

19.3.5 Their Hot Work procedures and permit if the job involves hot 
work.

19.3.6 Names of past customers where they have done work involving 
confined spaces.

19.3.7 List of confined space safety equipment they will provide for use 
on the job.

19.3.8 Emergency procedures they will use on the job.

19.3.9 A statement indicating that they have never been cited by state 
or federal safety compliance agencies for any confined space 
safety infraction. If they have been cited previously, a copy of the 
citation and a statement from them describing the corrective 
action they have instituted shall be provided.

19.3.10 Reference 1910.146 (C) (9): In addition to complying with the 
permit space requirements that apply to all employers, each 
contractor who is retained to perform permit space entry 
operations shall: Obtain any available information regarding 
permit space hazards and entry operations from the host 
employer; Coordinate entry operations with the host employer, 
when both host employer personnel and contractor personnel will 
be working in or near permit spaces, as required by paragraph 
(d)(11) of this section; and Inform the host employer of the permit 
space program that the contractor will follow and of any hazards 
confronted or created in permit spaces, either through a 
debriefing or during the entry operation.

19.4 Contractor personnel shall conduct atmospheric monitoring using their 
own calibrated equipment and must issue an entry permit using their own 
form. Documentation of proper calibration shall be available at the work 
site.

19.5 Contractors shall be responsible for the assignment of appropriate PPE 
for their personnel.

19.6 Contractors shall have their own appropriate rescue equipment, rescue 
team and procedures available at the work site.

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**20**

**21**

19.7 Upon completion of the contractor's confined space work, a copy of the 
contractor's Entry Permit shall be forwarded to the Project Manager to be 
filed and retained for annual review.

19.9 The Contractor shall provide a signed statement to the Project Manager 
that they have received and understand the items mentioned above that 
must be provided to the contractor.

19.8 The Contractor shall provide a signed statement indicating that they 
assume primary responsibility for compliance with local, state, and 
federal regulations concerning employee safety and health and 
environmental issues.

19.10 The Project Manager will meet with the Contractor to review safety issues 
that were involved on the job after completion of work by the Contractor

## Discipline:

20.1 Failure to follow the requirements of this procedure by any employee may
result in disciplinary action according to Therma’s discipline policy up to 
and including termination.

## Review:

21.1 This procedure will be reviewed:

21.1.1 Whenever any deficiencies are found, this procedure shall 
be revised to correct those deficiencies before any 
subsequent entries are authorized.

21.1.2 This procedure shall be reviewed and revised as necessary at 
least every 12 months using the canceled/completed permits from 
entries performed during that period.

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| Safety ManualMobile Crane Safety Policy |  |
| --- | --- |
|  | Effective:06-99Revision Date:01-11Revision No.:3Page No.:1of4 |

## Mobile Crane Safety Policy

## 1. Purpose and Scope:

1.1 The purpose of this policy is to ensure the protection of Therma 
employees, the general public and public/private property during mobile 
crane operations.

1.2 Therma shall insure that all crane operations are conducted in 
accordance with 29 CFR 1926.550.

1.3 This policy applies to all mobile crane operation under the direction of 
Therma.

1.4 For rigging policy and procedures, reference Therma’s Rigging and 
Material Handling Procedure.

## 2. Responsibility:

2.1 It is the responsibility of all supervisors to ensure crane operations are 
conducted in accordance with this policy.

2.2 It is the responsibility of the supervisors to ensure subcontractors follow 
the provisions of this policy.

2.3 It is the responsibility of the supervisor to notify the safety department 
prior to commencing crane operations.

2.4 It is the responsibility of all employees involved in mobile crane 
operations to follow the requirements of this policy.

2.5 It is the responsibility of the safety department to provide guidance and 
assistance to the supervisors during mobile crane operations.

## 3. Policy:

3.1 Certified crane operators who meet the qualifications described in ANSI 
B30.5 5-3.1.2 and/or certified under the National Commission for 
Certified Crane Operators (NCCCO) guidelines shall only operate cranes.

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|  | 2 | 57 | 2 of 4 |
| --- | --- | --- | --- |
| 3.2 | Crane operator must provide evidence of qualification prior to commencing crane operations. |  |  |
| 3.3 | Crane shall have a current annual inspection and certified as safe by an independent 3rd party. |  |  |
| 3.4 | Evidence of annual inspection shall be provided prior to commencing crane operations. |  |  |
| 3.5 | Evidence of crane company insurance shall be provided prior to commencing crane operations. |  |  |
| 3.6 | Crane operations manuals and load charts specific to each crane shall be onsite and accessible. |  |  |
| 3.7 | A competent person shall inspect cranes prior to each use to ensure they are in safe operating condition. Evidence of inspection shall be onsite and accessible. |  |  |
| 3.8 | The crane and swing radius of the boom shall be barricaded with red danger barricade tape. |  |  |
| 3.9 | Entry into the crane operating zone shall be restricted to the crane operator and riggers. |  |  |
| 3.10 | Accessible areas within the swing radius of the rear of the rotating crane superstructure shall be barricaded in such a manner as to prevent an employee from being struck or crushed by the crane. |  |  |
| 3.11 | All personnel involved in that day&#x27;s crane operation shall conduct a pre-lift safety meeting. |  |  |
| 3.12 | Crane Safety Checklist shall be completed and maintained on site by the supervisor prior to commencing crane operations. |  |  |
| 3.13 | Cranes shall only perform vertical lifts. Attempting to pull objects in any direction other than vertical may result in crane failure. |  |  |
| 3.14 | The crane operator shall maintain minimum clearances from overhead power lines. |  |  |
| 2 | 57 | 3 of 4 |

| Voltage(KV) | Required Clearance |
| --- | --- |
| 0-50KV | 10feet |
| 50-100KV | 15feet |
| 200-350KV | 20feet |
| 350-500KV | 25feet |
| 500-750KV | 35feet |
| 750-1,000KV | 45feet |

3.15 All personnel in the vicinity of the crane shall make eye contact 
with the operator prior to passing through or near the crane 
operations so as to make the operator aware of their presence.

3.16 Only one person shall signal the crane operator. The designated / 
qualified person shall be familiar with the crane’s operation and shall be 
able to communicate with the crane operator with appropriate hand 
signals.

3.17 Any member of the crane lift team has the authority to stop the crane 
operator when there is a hazardous condition.

3.18 No personnel shall be permitted on or under suspended loads at any 
time.

3.19 Crane operator shall sound an alarm or horn blast when the load is 
about to be lifted.

3.20 Always evaluate weather conditions prior to and during crane operations. 
Lifting operations shall be re-evaluated whenever wind speeds exceed 25 
mph, or if other environmental conditions could hinder those operations.

3.21 Any rigging equipment not in use shall be properly stowed as not to 
create a hazard for personnel working in the crane operating area.

3.22 Rigging of equipment must be performed by a designated / qualified 
person.

## 4.

## Crane Lift Plans:

4.1 Crane Lift Plans shall be prepared prior to any crane lift operations. The 
plan will be maintained on the job site during crane operations. At a   
minimum, the plan shall consist of the following documents:

• Crane Safety Check List.

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• Copy of the crane operator certification card

• Evidence of Qualified Rigger and Signal Person

rd
• Copy of the 3 party annual inspection.

$$
3^{\mathrm{r d}}
$$

• Copy of evidence of insurance.

• Diagram detailing crane position and swing radius.

## 5.

## Pre-lift Safety Meeting:

5.1 The supervisor shall conduct a pre-lift safety meeting prior to 
commencing crane operations.

5.2 All employees, including crane company personnel, involved in the crane  
operation shall attend the pre-lift safety meeting.

5.3 The time, date and all personnel attending the meeting shall be   
documented on the Crane Safety Checklist.

5.4 At a minimum, the following items shall be determined and discussed
with all employees involved in crane operations:

• General work scope of the lift operation.

• Method to control unauthorized personnel from entering the 
work zone.

• Communication and signaling.

• Rigging responsibilities and inspection.

• Evacuation plan.

• Roles, responsibility and location of each team member.

• Tag line usage.

• Hazards: pinch points, crush zones, etc.

• Personal Protective Equipment.

• Weather conditions. Overhead obstructions (power lines, 
trees, etc).

---

**3**

## Rigging – Material Handling

## 1

## Purpose and Scope:

1.1 Therma shall insure that all rigging and material handling equipment are 
properly safe and used in accordance with the manufacturer’s guidelines 
and compliant with OSHA standard 1926.251 and 1910.184.

1.2 The use of any rigging / material handling equipment not in compliant 
with any portion of this policy is prohibited.

1.3 Rigging materials and equipment for overhead crane lift operations shall 
be performed by a designated / qualified rigger.

## 2

## Responsibility:

2.1 It is the responsibility of all supervisors to ensure employees involved in 
rigging / material handling are trained and are in compliant with the 
requirements of this policy.

2.2 It is the responsibility of all employees involved in rigging / material 
handling to follow the requirements of this policy.

## Policy:

## 3.1 Inspections:

3.1.1 Initial inspections, before any new equipment is placed into 
service shall be inspected by a designated / qualified person

3.1.2 Rigging equipment shall be inspected by a qualified person 
prior to each use on each shift and as necessary during its 
use to ensure it is safe.

3.1.3 Defective or damaged rigging equipment, including slings and   
hooks, shall be removed from service immediately.

3.1.4    Rigging equipment shall be marked with the rated load. 
Without such marking, the equipment shall be removed from 
service.

## 3.2 Use-General:

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3.2.1 Slings shall not be shortened with knots, bolts, or other 
makeshift devices.

3.2.2 Slings, chains or similar devices shall not be shock loaded or 
loaded in excess of their rated capacities.

3.2.3 Slings shall be set to avoid slippage.

3.2.4 Slings used in a basket hitch shall have the loads balanced to 
prevent slippage.

3.2.5     Slings shall be padded or protected from the sharp edges of 
their loads.

3.2.6 Rigging equipment not in use shall be removed from the 
immediate work area so as not to present a hazard to 
employees.

3.2.7 Tag lines shall be used when lifting loads unless such use 
creates an unsafe condition.

3.2.8    Suspended loads shall be kept clear of all obstructions.

3.2.9 Under no conditions shall an employee be allowed under a 
suspended load.

3.2.10 Hooks on ball assemblies, lower load blocks, or other 
attachments shall be of a type that can be closed and locked, 
eliminating the “hook throat opening”.

3.2.11     Hands or fingers shall not be placed between the sling and its
load while the sling is being tightened around the load.

3.2.12     A sling shall not be pulled from under a load when the load is 
resting on the sling and damage to the sling may result.

## 4.

## Synthetic Slings:

4.1  Synthetic Slings must be taken out of service if any of the            
     following effects are noted.

4.1.1     Missing or illegible sling identification.

4.1.2     Acid / caustic burns.

4.1.3     Evidence of melting / charring.

4.1.4     Cuts / tears that expose core yarns.

4.1.5      Stretch or elongation exceeding the amount recommended by  
manufacturers.

4.1.6 Knots in any part.

## 5.

## Chain Sling:

5.1 Chain slings must be removed from service if any of the following    
defects are noted.

5.1.1 Links / Rings / Hooks – nicks, cracks, gouges, excessive wear, 
bent links, stretched links, heat damage, rust or corrosion.

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5.1.2 Uneven lengths when sling legs are hanging free.

5.1.3 Individual link must hinge freely with adjoining link.

5.14 Deformed master links or coupling links.

5.2 Chain slings must be made from grade 80 and 100 alloy chain and 
tested in accordance with NACM specs 1990.

5.3 Annealing or normalizing shall be done only in accordance with the chain 
manufacturer's specifications

5.4 Only chains recommended for slinging or hoisting by the manufacturer,
shall be used for hoisting purposes. Proof coil steel chains shall not be 
used.

5.5 Wrought iron chains in constant use shall be annealed or normalized at 
intervals not exceeding 6 months when recommended by the 
manufacturer.

## 6. Hooks and Shackles:

6.1 Hooks and shackles shall only be used in accordance with the 
manufacturer's recommendation

6.2 Hooks that do not have an identified manufacturer recommendation 
shall be tested at twice the intended safe working load to determine their 
quality before being put to use.

6.3 Remove from service if there is any evidence of stretching or cracks.

6.4 Do not attempt to straighten deformed hooks, shackles, or other 
attachments.

6.5 Deformed hooks or rings shall be replaced or repaired and reshaped 
under proper metallurgical control and proof tested.

6.6 The use of “homemade” hooks, shackles or other makeshift fasteners is 
prohibited.

6.7 Shackle pins must fit freely, without binding, and seat properly.

## 7. Eyebolts:

7.1 Eyebolts used for hoisting must be fabricated from forged carbon or 
alloy steel.

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7.5

7.2 Carbon steel eyebolts must have the manufacturer’s name or 
identification trademark forged in raised characters on the surface of the 
eyebolt.

7.3 Alloy steel eyebolts must have the symbol “A” (denoting alloy steel) and 
the manufacturer’s name or identification mark forged in raised 
characters on the surface of the eyebolt.

7.4 Carefully inspect each eyebolt before use.

7.4.1 Visually inspect the hole to ensure that there has been no 
deformation.

7.4.2 Check the condition of the threads in the hole to ensure that 
the eyebolt will secure and the shoulder can be brought down 
snug.

7.4.3 Ensure that the shank of the eyebolt is not undercut and is 
smoothly radiused into the plane of the shoulder or the contour 
of the ring for non-shouldered eyebolts.

Destroy and discard eyebolts that are cracked, bent, or have damaged
threads.

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| Safety ManualQualified Rigger for Hoisting Activities |  |
| --- | --- |
|  | Effective:02-11Revision Date:Revision No.:Page No.:1 of 10 |

## Qualified Rigger for Hoisting Activities

## 1.0 Rigging

## 1.1. General

A qualified rigger is needed during assembly/disassembly of cranes (29 CFR 1926.1404), 
when employees are engaged in hooking, unhooking, or guiding the load, or in the initial 
connection of a load to a component or structure and are within the fall zone (29CFR 
1926.1425). A qualified rigger is defined as a qualified person who, by possession of a 
recognized degree, certificate or professional standing, or who by extensive knowledge, 
training and experience, successfully demonstrates the ability to solve/resolve problems 
relating to rigging.

## 1.2. Rigging Person Qualification

All qualified riggers shall be evaluated by a designated person and must demonstrate their 
qualifications in the following areas:

• The ability to identify the load’s travel path

• The ability to identify load characteristics (i.e.; determine load weight; center of gravity)

• The ability to identify correct load attachment points

• The ability to recognize special load handling requirements (i.e.; unbalanced loads

• The ability to recognize and avoid unsafe rigging practices (i.e.; pinch points; need for 
softeners; shock loading; side loading; unsafe body positioning; electrical hazards)

• The ability to communicate hazards to others

• The ability to perform rigging equipment inspections and identify non-conforming 
equipment

• The ability to identify and select appropriate slings (i.e.; chain; wire rope; synthetic 
rope, synthetic web; and; synthetic round)

• The ability to identify and select appropriate rigging hardware (i.e.; shackles; 
adjustable hardware, such as spreader bars; links, rings and swivels; rigging blocks; 
hooks; hoists; dollies, skates, and rollers; trolleys; beam clamps; eyebolts; swivel hoist 
rings; jacks)

• The ability to protect rigging equipment and load from damage by the proper use of 
softeners

• Demonstrate the ability to select and tie knots/hitches required for various rigging tasks

• The ability to reference Rigger’s Capacity Card

## 3.0 Basic Crane Terminology

**Auxiliary Hoist**: The supplemental hoisting unit, which is usually of lower load rating and 
higher speed than the main hoist.

**Axis of Rotation**: The vertical axis around which the crane's superstructure rotates.
**Boom**: In cranes and derricks usage, an inclined spar, strut, or other long member
             supporting the hoisting tackle. Also, defined as a structural member attached to the

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revolving superstructure used for guiding and acting as a support for the load.

**Boom Angle Indicator**: An accessory device that measures the angle of the boom base
             section centerline to horizontal.

**Boom Stops**:  A devise used to limit the angle of the boom at its highest position.

**Brake**: A device used for retarding or stopping motion by friction or power means.

**Block**: Sheaves or grooved pulleys in a frame provided with hook, eye, and strap.

**Crane**: A machine consisting of a rotating superstructure for lifting and lowering a load
             and moving it horizontally on either rubber tires or crawler treads.

**Counterweight**: Weights used for balancing loads and the weight of the crane in
             providing stability for lifting.

**Deck**: The revolving superstructure or turntable bed.

**Drum**:  The spool or cylindrical member around which cables are wound for raising and 
lowering loads.

**Gantry**: A structural frame work (also known as an A Frame) mounted on the revolving 
superstructure of the crane to which the boom supporting cables are reeved.

**Headache Ball**: A heavy weight attached above the hook on a single line or whip line to
             provide sufficient weight to lower the hook when unloaded.

**Holding Brake**: A brake that automatically sets to prevent motion when power is off   
**Jib**: An extension attached to the boom point to provide added boom length for lifting 
specified loads.

**Load**: The weight of the object being lifted or lowered, including load block, ropes, slings, 
shackles, and any other ancillary attachment.

**Load Block**: The assembly of the hook or shackles, swivel, sheaves, pins, and frame 
suspended from the boom point.

**Main Hoist**: Hoist system or boom used for raising and lowering loads up to maximum
             rated capacity.

**Mechanical Load Brake**:  An automatic type of friction brake used for controlling loads in
             the lowering direction. This device requires torque from the motor to lower a load but does
             not impose additional loads on the motor when lifting a load.

**Outriggers**: Support members attached to the crane's carrier frame which are used to
             the crane and may be blocked up to increase stability.

**Pawl**: Also known as "dog". It is a gear locking device for positively holding the gears
             against movement.

**Pendants**: Stationary cables used to support the boom.

**Radius**: The horizontal distance from the axis of rotation of the crane's superstructure to
             the center of the suspended load.

**Reeving**: The path that a rope takes in adapting itself to all sheaves and drums of a piece
             of equipment.

**Running Sheave**: Sheaves that rotate as the hook is raised or lowered.

**Superstructure**: The rotating frame, gantry and boom or other operating equipment.

**Test Load**: Any load or force, expressed in pounds, used for testing or certifying the 
limitations within acceptable tolerances of the anticipated load.

**Two-Block**: The condition in which the lower load lock or hook assembly comes in
             contact with the upper load block or boom point sheave assembly.

**Quadrant of Operation**: The area of operation that the lift is being made in. Usually,
             divided into four quadrants, i.e. front, rear and side(s) - left side and right side.

**Basic Crane Types**

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Telescoping Carrier Crane

Telescoping Crawler Crane

Telescoping Rough Terrain Crane

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Lattice Boom Crawler Mounted

Industrial Boom Crane

Tower Crane

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Overhead Crane

Jib Crane

## 4.0 Crane Safe Operating Practices & Procedures

Hoisting Procedures: Before and during hoisting operations, the person directing the 
lift must ensure:

• The crane is level and where necessary, blocked

• The load is secured and balanced in the sling or lifting device

• Both the lift and swing path are clear of obstructions and people

• All persons are clear of the swing radius

Avoiding Distractions:

• The operator should never be distracted while he is operating the crane. His 
safety and the safety of other workers depend on his constant attention on 
the job at hand.

• The operator must obey on signal given by the appointed signalperson with 
the exception of the STOP signal, which must be obeyed regardless who 
gives it. Hand signals must be in accordance with those specified in ASME 
B30.5

Leverage and Stability

• As the upper structure rotates, the crane’s center of gravity moves closer to 
its tipping axis. The movement of the crane’s center of gravity increases the 
load’s leverage on the crane and results in the crane’s capacity being 
lowered. This is why a rough terrain crane can become unstable, even to the 
point of overturning, when a load is lifted over the front and swung over the 
side. Be sure to consult the capacity chart before swinging to a less stable 
area.

• A mobile crane is stable when its leverage is greater than the load’s leverage.

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• Most carrier mounted cranes have their greatest capacity over the rear. 
When the upper structure is rotated over the side, the capacity will be lower 
because the distance from the crane’s center of gravity to the tipping axis is 
shortened. Most crane manufacturers do not allow loads to be lifted over the 
front unless the front stabilizer is extended and set.

## Two-Blocking

• Two-blocking occurs when the hook block or headache ball makes contact 
with the sheaves at the main boom head, extension or jib tip. This can break 
the hoist rope and cause the headache ball to fall.

• Two-blocking occurs most commonly on telescoping boom cranes as a result 
of over hoisting or telescoping the boom without letting out the hoist line

• An anti-two-block device can stop an impending two-block condition and, if 
necessary, prevent further hoisting, boom extension and lowering of the 
boom.

## Dangers of Tipping

• As a crane starts to tip, the load radius increases. As the center of gravity of 
the load moves away from the tipping axis, the center of gravity of the crane 
moves towards the tipping axis. This accelerates the rate of tipping and may 
leave the operator powerless to remedy the situation other than by dropping 
the load.

• Tipping on telescoping boom cranes may be even more rapid because of the 
greater weight of the boom.

• In the structural area of the load chart, crane capacities are based on the 
strength of its components. This means a crane may fail structurally before it 
tips…..so **never** use signs of tipping as an indication of a crane’s ability to lift. 
When a crane starts to tip it is already overloaded and may incur structural 
damage.

## Increase in Load Radius

• Reaching beyond the vertical extends the load radius and can pull the boom 
forward.

• A rapid swing with a load can cause the load radius to increase. The degree 
of swing-out may increase as the crane swings. This can also cause shock 
loading and twist the boom.

• Swinging a load from over the rear to over the side, or from over the front to 
over the side, can increase carrier deflection and extend load radius. This is 
especially noticeable when working on rubber.

## Shock Loading

• Rapid hoist acceleration produces hook loads higher than the actual load 
weight.

• Sudden release of the load can cause the crane to tip backwards or even 
collapse.

• Pick and carry operations can subject the carrier and boom to shock loads.

• Extracting loads by jerking can overload the crane and cause shock loading.

• Shock loading can also be caused by the sudden snatching of a load or the 
sudden release of a frozen, caught or stuck load. Either condition can cause 
overloading or structural failure.

## Side Loading

• Since booms are only designed to take minimal side loading, the load line 
should remain reasonably vertical when moving loads. Side loading can occur

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when the crane is out of level, or, during a rapid swing, or of the swing brake 
is applied suddenly.

• Dragging or pulling a load sideways is never permitted.

## High Winds

• The force created by wind can have a devastating effect on the crane. Most 
crane manufactures require the load chart be reduced when operating in 
windy conditions. In most case crane operations should be stopped when the 
wind exceeds 30 mph.

• High winds can cause the operating radius to increase by swing the load 
forward.

• The effect of wind on the crane increased four times if the wind speed 
doubles.

• High winds can cause side loading.

## Working near power lines

• Use extreme caution when working near power lines during windy conditions. 
Even slight winds can move power lines a significant distance, especially if 
there is a long span between power line supports.

• Whether hoisting, booming, swinging, or traveling, the crane must be 
operated slowly and with extreme caution.

• Maintain your distance from power lines. No part of the crane or load must 
ever enter the “prohibited zone”. This zone must be expanded as the kV 
increases (see table below). Certain environmental conditions, such as fog, 
smoke or precipitation, may also require this distance to be increased.

• Consider erecting guard structures or barricades around power lines as a 
constant reminder to all personnel. Set the crane up as far as practically

possible from     
prohibited zone.

| Required Clearance For Operations Near High Voltage Power Lines: |  |
| --- | --- |
| to 50kV | 10ft. |
| over50 to200kV | 15ft. |
| over200 to350kV | 20ft. |
| over350 to500kV | 25ft. |
| over500 to700kV | 35ft. |
| over700 to1000kV | 45ft. |

the

## 6.0 Dedicated Spotter

• From the cab, it is difficult for the operator to judge distances accurately. 
Therefore, any time the crane is working within a boom’s length of the 
prohibited zone, a dedicated spotter shall be appointed.

• To be considered a dedicated spotter, the requirements of 29 CFR 
1926.1428 Signal Person qualifications must be met and this person’s sole 
responsibility is to watch the separation between power line and the 
equipment, load line and load (including rigging and lifting accessories), and 
ensure through communication with the operator that the applicable 
minimum approach distance is not breached.

## 7.0 Situational Awareness

The qualified rigger must be familiar with the following site specific considerations.

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• Being involved with reviewing lift requirements with site supervisor, crane 
operator and crew. This will include the pre-lift safety meeting.

• The pre-lift safety meeting should include ensuring the area for the crane is 
adequately prepared. The preparation includes but not limited to the following:

1) Access roads for the crane and associated equipment

2) Sufficient room to assemble and disassemble crane

3) An operating area that is suitable for the crane with respect to 
levelness, surface conditions, support capability, proximity to power 
lines, excavations, slopes, underground utilities, subsurface 
construction and obstructions to crane operation

4) Traffic control necessary to restrict unauthorized access to the crane 
working area

• Ensuring that conditions which may adversely affect crane operations are 
addressed.      Such conditions include but are not limited to the following:

1) Poor soil conditions

2) Wind velocity or gusting winds

3) Heavy rain

4) Fog

5) Extreme cold

6) Artificial lighting

• Know how to identify and avoid hazards and obstacles

• Understand the established emergency procedure

## 8.0 Main Cause of Crane Accidents

More than half of all mobile crane accidents (54.1%) were directly related to machine 
set-up.

Support Failure: 31.5%

• Ground giving way and subsiding beneath outrigger blocking

• Soft Footing with crawler crane

• Outrigger blocks fall off

• Crane slips off blocks

Failure To Use Outriggers: 22.6%

• Operator neglects when setting up

• Lifting boom without outriggers

• Changing boom and counterweights without outriggers

Operator Error: 33.1%

• Inexperience, i.e., violent control movements

• Boom out beyond safe working radius

• Overload

• Overturn while traveling

• Out of level

• Boom collapse backward

Machinery and Structural Failure: 11.2%

• Boom hoist failure

• Brake failure

• Booms

• Outriggers

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High Wind: 1.6%

• Wind force sufficient to topple boom or crane

## 9.0 Cause of Mobile Crane Fatalities

• Electrocution: 44%

• Rigging Mishap or Failure: 15%

• Load Handling (struck by or crushed): 14%

• Operator Error: 7%

• Overload: 7%

• Dismantling Boom: 5%

• Wire Rope Failure: 3%

• Struck by Crane: 3%

• Miscellaneous: 3%

## 10.0 Rigging Safety Rules

• Know the weight of the load

• Know the center of gravity of the load

• Make the load attachment directly above the center of gravity of the load

• Select the hitch that will hold and control the load

• Know the rated capacity of slings and hardware

• Select the best sling suited for the load

• Inspect all rigging before the lift

• Protect the sling from sharp surfaces

• Conduct sling loading calculation and understand the decreased sling capacity 
cause by sling angle

• Allow for D/d ratio on all wire rope slings

• Calculate reductions when using choker hitch

• Keep personnel clear from lift area

• Lift load a few inches then check rigging before lift

• Know the limitations of all components used for the lift

• Lift slowly and stop slowly

• Never replace a shackle pin with a bolt

## 11.0 Rigging Equipment

• Rigging equipment must be inspected by a Competent Person before each use 
and as necessary during its use to ensure it is safe

• Tag and remove defective equipment from service

• Custom design grabs, hooks, clamps, or other lifting accessories, for such units 
as modular panels, prefabricated structures and similar materials must be 
marked to indicate safe working load capacities and be proof tested to 125% of 
their rated load

## Alloy Steel Chain & Welded Alloy Steel Chain Slings

• Must have permanently affixed durable identification tags stating; size, grade, 
rated capacity; and; sling manufacturer

• Job or shop hooks and links, or, makeshift fasteners, formed from bolts, rods, 
ect., or other such attachments shall not be used

• There are four grades of chain (Grade 28, 43,70 & 80). <u>ONLY Grade 80 alloy</u> 
<u>steel chain shall be used for overhead lifting</u>

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• Alloy steel chains must be inspected frequently by the user

• Inspection must be link by link including all attachments

• Competent Person inspections must be performed at least once a year or more 
frequent based on; frequency of use; severity of service conditions; nature of lifts 
being made; and; experience gained on the service life used in similar 
circumstances

• Competent Person inspections must be documented and available
Wire Rope Slings

• Protruding ends of strands in splices on slings and bridals shall be covered or 
blunted

• Wire rope shall not be secured by knots

• Except for eye splices in the ends of wires and for endless rope slings, each 
wire rope used in hoisting  or lowering, or in pulling loads, shall consist of one 
continuous piece without knot or splice

• Wire rope slings shall not be shortened with knots, bolts or other makeshift 
devices

• Legs shall not be kinked

• Basket hitch shall have the loads balanced to prevent slippage

• Wire rope slings shall be padded or protected from sharp edges

• Hands and fingers shall never be placed between the sling and its load while 
the sling is being tightened around the load

• A sling shall never be pulled from under a load when the load is resting on the 
sling

• When U-bolt wire rope clips are used to form eyes, the U-bolt shall be applied 
so that the “U” section is in contact with the dead end of the rope – “<u>Never</u> 
<u>saddle a dead horse”!</u>

Synthetic Webbing (nylon, polyester, and polypropylene)

• The employer shall have each synthetic web sling marked or coded to show; 
name or trademark of manufacture; rated capacity for the type of hitch; and; type 
of material

• Webbing shall be removed from service immediately if there is evidence of; acid 
or caustic burns; melting or charring of any part of the sling surface; snags, 
punctures, tears or cuts; broken or worn stitches; distortion of fittings.

## Shackles, Hooks and Eyebolts

• Inspect prior to use and immediately remove from service if there is any evidence 
of stretching or cracks

• Never attempt to straighten deformed shackles, hooks, or, eyebolts

• The use of “homemade’ hooks, shackles, or, other makeshift fasteners is 
prohibited

• Shackle pins must fit freely, without binding, and seat properly

• Eyebolts used for hoisting must be fabricated from forged carbon steel or alloy 
steel

• Carbon steel eyebolts must have the manufacturers name or identification 
trademark forged in raised characters on the surface of the eyebolt

• Alloy steel eyebolts must have the symbol “A” (denoting alloy steel) and the 
manufacturers name or identification trademark forged in raised characters on 
the surface of the eyebolt

---

| Safety Manual
SILICA EXPOSURE CONTROL PLAN |  |
| --- | --- |
|  | Effective:06-16 |
| Policy Section No.:64 | Revision Date:11/16 |
| Revision No.:1 | Page No.:1 of5 |

## SILICA EXPOSURE CONTROL PLAN

## 1.

## Purpose:

1.1 To protect our workers and ensure they do not come into contact 
with silica in excess of the Permissible Exposure Limit (PEL) of 50 
<sup>3</sup> 
ug/m and that whenever they are feasible, engineering and work 
practice controls will be established and implemented to reduce 
and maintain exposures at or below the PEL.

## 2.

## Scope:

2.1 This applies to all work activities within Therma including but not 
limited to the service department, pipe fitting, plumbing, and sheet 
metal.

## 3.

## Definitions:

3.1 Silica – Silica is a natural mineral that comes in several forms, 
some more hazardous than others. Typically it’s the crystalline 
forms that are of greatest concern. Silica can be present in large 
quantities in certain types of rocks and sand. Exposure to 
respirable (airborne) crystalline silica dust during construction 
activities can cause serious respiratory disease.

3.2 Employee Exposure – The exposure to respirable crystalline silica 
that would occur if the employee were not using respiratory 
protective equipment

3.3 Permissible Exposure Limit (PEL) – The maximum permitted 8-
hour time-weighted average concentration of an airborne 
contaminant. The PEL of silica is 50 mg/m3.

3.4 Dust Containment Device – A device attached to a power tool 
such as a pouch, bag, plastic container, or similar attachment 
which is intended to capture dust generated by the power tool. This 
device is not intended to be a dust reduction system as defined 
under this section.

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3.5 Dust Reduction System – Technology that utilizes the application 
of water or local exhaust ventilation to reduce airborne dust 
generated by the use of powered tools or equipment. Local exhaust 
ventilation may include vacuum systems, dust collection systems, 
and dust exhaust systems.

## 4.

## Training

4.1 In the event a Therma employee could come into contact with 
silica; they shall receive silica awareness training.

4.2 If respirators or other personal protective equipment are required, 
the employees shall receive the appropriate respirator training in 
accordance of the company policies.

4.3 Equipment and training will be provided at no cost to employees.

4.4 When operations include using powered tools or equipment to cut, 
grind, core, or drill concrete or masonry materials, Therma shall 
provide training on the following topics to all employees prior to 
their assignment to jobs or work areas where Therma will be 
conducting these operations:

• The potential health hazards of overexposure to airborne dust 
generated from concrete and masonry materials, including
silicosis, lung cancer, chronic obstructive lung disease (COPD)
and decreased lung function.

• Methods used to control employee exposures to airborne dust 
from concrete and masonry materials, including wet cutting, 
local exhaust ventilation systems, and isolation of the process 
from the operator or other employees by means of distance, 
enclosure, or other method, as applicable.

• Proper use and maintenance of dust reduction systems, 
including the safe handling and disposal of waste materials 
collected in connection with their use.

• The importance of good personal hygiene and housekeeping 
practices when working in proximity to dust from concrete and 
masonry materials including:

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o Not smoking tobacco products; appropriate methods of 
cleaning up before eating, and appropriate methods of
cleaning clothes.

o Avoiding, to the extent practical, activities that would 
contribute significantly to an employee's exposure to 
airborne dusts.

• When training is needed contact the safety department directly.

• Training shall be conducted by a safety representative, 
superintendent, or their designee.

• Once training is completed originals are to remain in the job site 
safety training files until job completion and an electronic/ 
scanned copy shall be sent to the Therma Safety Dept. to be 
kept on file within one week.

## 5.

## Engineering Controls

5.1 Alternative Exposure Control Methods are necessary when
effective engineering controls required by “Table 1” of OSHA’s 
Respirable Crystalline Silica Standard are not achievable. When 
acceptable, engineering controls are feasible Therma will always 
defer to, and comply with “Table 1” of OSHA’s Respirable 
Crystalline Silica Standard.

## 6.

## Safe Work Practices

6.1 Procedures shall be implemented to ensure that dust reduction 
systems maintain their effectiveness for dust reduction throughout 
the work shift.

6.2 Dust reduction systems shall be installed, operated, and 
maintained in accordance with manufacturer recommendations to 
the extent they exist.

6.3 When engineering controls, such as the wet method, HEPA filtered 
dust collection systems, and local exhaust ventilation are by 
themselves inadequate for worker protection from overexposure, 
but feasible to use, they will be implemented in conjunction with

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respirator use to help control respirable crystalline silica 
concentrations.

6.4 Only sharp masonry drill bits and saw blades will be used when 
drilling or cutting into concrete.

6.5 Affected workers are not permitted to eat, drink, smoke, or apply 
cosmetics in affected work areas.

6.6 Affected workers are required to wash their hands and faces before 
eating, drinking, smoking, or applying cosmetics.

6.7 Contact Therma's Safety Department in advance of working in an 
area with potential silica exposure to arrange air monitoring to 
ensure the silica exposure is below OSHA’s Permissible Exposure 
Limit (PEL) 50 mg/m³

## 7.

## Affected Area Access Restrictions

7.1 Therma restricts access by all others to areas where Therma
workers are drilling, cutting, or boring through concrete and restricts 
access to its own affected workers who must perform work in areas 
where other trades are pulverizing silica containing building 
materials.

7.2 When necessary, to minimize exposure Therma will ensure:

• The affected work area will be barricaded, and marked yellow 
and black caution tape.

• The barricaded area will be large enough to prevent other 
trades in the area from overexposure to respirable crystalline 
silica, provided that they do not breach the barricade.

• Signs stating, “Caution – Silica” will be posted around the 
perimeter of the barricaded areas so that other trades will know 
why they should not to breach the barricade.

## 8.

## Clean Up

8.1 Minimize dust generation when working with or around silicacontaining materials.

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8.2 Never use compressed air to clean off equipment, surfaces or your 
clothes. Where feasible, use water or a HEPA vacuum. Consider 
using disposable (such as Tyvek coveralls) or reusable clothing 
that stays at the work site.

8.3 Handle and dispose of waste materials without generating airborne 
dust

• Use a HEPA vacuum, squeegee instead of broom, or sweeping 
compound, in that order.

## 9.

## Respiratory Protection:

9.1 Reference Therma's policy section No. 27 Respiratory Protection
