Const Safety Exe Plan[1]

8/4/2019 Const Safety Exe Plan[1]

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CONSTRUCTION SAFETY EXECUTION PLAN

Project Name:Location of Work:

Brief Description of Work:

Subcontractor Name:

Planned Start Date: Planned Completion Date:

Plan Submitted By: David A Smith Date:

PLAN CONTENTS CHECKLIST

Included N/A

__ ___ Project Key Personnel and Emergency Contact List

__ ___ Contractor's Basic Safety Information Page

__ ___ Competent Persons List

__ ___ Contractor's Summary Construction Schedule (One Page)

__ ___ Pre-Construction Jobsite Safety Inspection Form

__ ___ Construction Execution Plan Document

__ ___ Safety Procedures and Plans

__ ___ Safety & Reliability Plan for Working around Operating Equipment

__ ___ Request for Items Requiring Special Approval

PLAN REVIEW & APPROVALClient : ______________________________________________________Date: ______________________

Berry Y&V Project Manager: ______________________________ Date: ____________________

Berry Y&V HSE&S Director: ______________________________________ Date: _____________

Project HSE: ________________________________________ Date: _____________________After last person reviews and sign-offs on plan make copies and distribute to all signatories.


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CONSTRUCTION SAFETY EXECUTION PLAPROJECT KEY PERSONNEL AND EMERGENCY CONTACT LIST

Contractor's Key Personnel

Position/Title Name Work Phone Home Phone

Project Manager

Construction Manager

Craft Superintendents

HSE Manager

Admin Assistant

CLIENT Key Personnel

Position/Title Name Work Phone Home Phone

Project Manger

Project Engineer

Project HSE


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CONSTRUCTION SAFETY EXECUTION PLAN

______ ______Project Name

Contractor's Name

EMERGENCY INFORMATION

Resource Needed Name of Resource Telephone Number

Medical ______________________________________________

Site Medical Facility _________________________________________________________

Ambulance ________________________________________________________

Designated Physician _________________________________________________________

Address ______________________________________________________

Hospital _________________________________________________________

Address ______________________________________________________

Fire or Release

Fire Department _________________________________________________________

HSE Incident

Berry Y&V HSE _________________________________________________________

Client Contact _________________________________________________________

Evacuation Plan

When an evacuation is necessary Berry Y&V will verify that all confined spaces are clear, shut down all

equipment in an orderly manner, report to the assembly areas and check in with their supervisor. Eachsupervisor will take a roll call and account for everyone on his or her crew. Each supervisor will report to BYVHSE or Project Management as to the accountability of his or her crew. BYV personnel will remain at the

assembly area in an orderly fashion and wait for further instructions from BYV or Client HSE or EmergencyResponse representative. All telephone contact will be kept to a minimum as to prevent interference with

Emergency Responders. All vehicles will pull over, with keys remaining in the ignition and proceed to theassembly area to check in. Once there they will make an effort to check-in with appropriate supervision, and

report the information needed to be accounted for.


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CONSTRUCTION SAFETY EXECUTION PLANCOMPETENT PERSONS LIST

Project Name

Contractor's Name

After review of formal training received and on-the-job experience, the Contractor has named thefollowing personnel as the Competent Persons for this project.

Expertise Name Job Title

Cranes

Fork Lifts

Equipment

Electrical

X-Ray

Ladders

Fall Protection

Rigging

Steel Erection

Welding, Cutting & Grinding

Hot Taps

Excavations

Scaffolding

Copies of this List will be posted at the worksite so all workers understand who the Competent Persons are.


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CONSTRUCTION SAFETY EXECUTION PLANPRE-CONSTRUCTION JOBSITE SAFETY INSPECTION FORM

This form is used to walk down areas where Construction will be taking place in the near future. The purpose of the walk down is to:

y Identify any existing hazards so that they can be eliminated before the work crews move in.

y Identify work areas hazards so they can be addressed in the Construction Execution Plan Document.

y Develop a Logistics Plan for the Work Area, Material Storage, Fab Area, etc.

Project: Date Inspected:

Area Being Inspected: Jobsite Projected Field Start Date:

Inspected by:

HSE Manager Construction Manager Superintendent(s)

Potential Hazard PASS FAIL Potential Hazard PASS FAIL

Uneven/Slick Walking Surface Potential Falling Objects

Climbing Hazards (not Burns) Unsecured Equipment / Piping

Hoses (water, air, N2, steam,etc) Trash on Platforms / Structures

Temporary piping General AppearanceElectrical Cords Valve Wrenches laying around

Dismantled Equipment / Piping Cut / Puncture Hazard

Tools and Equipment Pinch Points

Old Scaffolding Platform / Structure Damaged

Trash Bins / Barrels Full Lighting Inadequate

Sheet Metal / Steel / Wire Hot Lines / Equipment Uninsulated

Boards and Nails Loose Insulation

Water and Algae Process Leak(steam,product,etc)

Oil Leaks and Spills Broken Concrete

Discarded Nuts, Bolts, Gaskets Fire Fighting Equip Inoperable

Electrical Scrap Access Road in need of repair

Miscellaneous Trash Warning Signs in need of repair

Safety Showers in need of repair Eye Wash Stations need repair

Other (Explain Below)

Any items marked in the FAIL column require an explanation below.

Describe Problem(s) Found Action Req By


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CONSTRUCTION SAFETY EXECUTION PLANCONSTRUCTION EXECUTION PLAN DOCUMENT

This section contains the detailed written plans of how the job will be completed. It encompasses Safety, Schedule, andScope of Work, Hazards involved in the job and Mitigation Strategies for those hazards. This section uses five (5) main keypoints to help you plan your work.

1. WHAT IS THE WORK REQUIRED TO COMPLETE THIS PROJECT?

Location of the Project (Site, Unit, etc):

How long will it take to complete the Job?

List the work scope that will be required to complete the Project(Include a list of tasks required, in sequentialorder, to complete the project from start to finish. Add additional lines/pages as required to fully explain work scope):

Berry Y&V scope of work is as follows:

1. Mobilize equipment and personnel to Facility2. Attend all required trainings

3.

Prepare for material arrivals and secure lay down areas4. Prepare for abatement of possible lead, TSA or asbestos materials according toClient Specifications5. Install new foundations, steel and supports as defined by contract6. Install vessels, pumps, miscellaneous piping and equipment, according to contract requirements7. Conduct all required testing such as hydro, x-ray, in-service, UT, etc.8. Prepare system packages including all documentation for start-up and or turnover

2. HOW WILL THE JOB/TASK BE PERFORMED?How will the tasks detailed in #1 be performed? What procedures will be used? What applicable Client SafetyStandards are applicable to these specific tasks?Add additional lines/pages as needed.

Task How Performed

Mobilize personnel andtrailers

Trailers will be mobilized to proper location with haul trucks and the use of flagman.Personnel will park in area as directed.

Mobilize equipment andmaterials

Equipment will be mobilized to the proper locations with haul trucks and use offlagman. Materials will be unloaded with a forklift and pickers, staged neatly andbarricaded.

Materials to work locations(Steel or Pipe)

Materials to be trailered from laydown area to work site, off loaded and neatly storedat site. Areas will be cleaned daily.

Fireboxes Enclose hot work area with fire blanket to contain sparks as necessary.

Steel or PipeWill be put in place by the use of cranes and pickers. The use of flagman andqualified riggers will fly materials. Steel will be plumbed and level, signed off byQA/QC before grouting. Once grouted, pipe shall start erecting pipe spools.

WeldingFireboxes will be complete, material inside the fireboxes, welding machinesgrounded, firewatch, fire extinguisher, vest, and horn, as appropriate.

Hydro Lines will be signed off with pre-walked papers before hydros. Fill lines, pressure tothe test pressure designed per system, drain line water to safe location at grade.

Equipment SettingLogistics to site to be preplanned by rigging and subcontractor. Plan to be agreedupon by HSE Manager and Construction Manager.

Entering EquipmentWork to be done inside equipment will be done according to applicable Regulations& BYV procedures. Qualified and trained people will be used in this work.

DemobilizationRemove leftover pipe, steel, and trash. Have power and water from trailersdisconnected. Remove trailers.


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Unloading steel and piping

Survey load on trailer to ensure safe material handling. Guide truck and trailer tounloading area. Truck driver is the only one to remove chains, binder straps, etc.Pipe loads will be required to have standards on trailers to prevent pipe roll off.Spotter will be needed to lay out timbers with a fork lift and on the trailer to ensuregood point of contact with load and forks. Designated flagman for fork lifts andcranes. Clear swing path. Personnel on trailer to move out of swing path ordescend trailer in a safe manner. Stairs/handrails on truck ladder.

Loading steel and piping

Survey load on trailer to ensure safe material handling. Guide truck and trailer tounloading area. Truck driver is the only one to remove chains, binder straps, etc.Pipe loads will be required to have standards on trailers to prevent pipe roll off.Spotter will be needed to lay out timbers with a fork lift and on the trailer to ensuregood point of contact with load and forks. Designated flagman for fork lifts andcranes. Clear swing path. Personnel on trailer to move out of swing path ordescend trailer in a safe manner. Stairs/handrails on truck ladder.

Setting mechanicalequipment

Size crane to each mechanical item to be set. Prep ground (surface mat if needed).Barricade working area. Set crane up level and stable. Attach predetermined sizedslings and shackles at specified locations on equipment. Attach tag lines. Pick loadup in a safe manner. Swing load to the intended location. Lower load slowly ontothe anchor bolts. Line equipment up and lower load completely down. Unhookrigging. Remove crane. Clean up work area.

3. WHAT WILL BE USED TO PERFORM THE JOB/TASK?List Tools, Equipment, Materials and Personnel that will be required/used to complete the project

How many personnel are needed to complete this project?_________________________

What skills / craft level must they have? Construction Manager, HSE Manager, Planner/Cost Tracker, QA/QC,

Welders (certified), Pipe fitters (skill tested), Ironworkers (skill tested), Equipment Operators(certified), Concrete

Workers, Firewatch/Attendants (skill tested), Carpenters(skill tested), Scaffold Builders(skill tested)

What Materials will be needed at the jobsite?

Pipe E&I Materials Pipe Cradles Carpentry Materials

Valves Scaffold Materials Blinds Grout

Gaskets Paint Welding Gases Insulation Materials

Studs & Nuts Hilti Bolts Welding Rods

Structural Steel Hilti Epoxy Concrete Materials

Are any of the materials special orders or require a long lead time?What Tools will be needed at the jobsite?

Fully Stocked ToolTrailer

Chain Falls Come-A-Longs

Misc. Hand Tools Assorted Consumables


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What Equipment will be needed at the jobsite?

Trucks Welding Machines Scaffolding

Rigging Equipment Hydro Test Pumps

Tool Trailers Man-lifts

Cranes Air Compressors

Forklifts Small Hand Tools

Does any of the Equipment require special ordering or reserving to ensure availability?

4. WHAT COULD HAPPEN WHEN PERFORMING THE TASK AND WHY?

Task What could happen to cause an incident or injury?

Working from scaffoldsFall, scaffold collapse, falling objects

Bolt upsEye injury, pinch points, excessive noise, ruptured air hose

GrindingExcessive noise, airborne particulates, electrical shock kick-backs, damaged

Grinding wheels

Securing material to craneDamaged rigging, exceeding rigging capacity, improper rigging

Swinging material fromstaging area to work area Operator blind spot, suspended loads, control of load, pinch points

Working from Manlifts

Improper Operation , pinch points, fall hazard, congested area

Exiting and entering Manliftbasket onto structure Fall hazard

WeldingFire potential, damaged leads, electrical shock, arc flashes, excessive heat

Cutting with torchFire potential, ruptured hoses, eye injury, excessive heat

Hydrostatic testingLines not isolated, exceed pressure test level, line rupture, gasket failure

High/Low VoltageUnanticipated contact, electrical shock, equipment damage


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5. WHAT WILL BE DONE TO PREVENT THE POTENTIAL INCIDENTS IDENTIFIEDIN #4 ABOVE?

Incident That Could Occur What will be done to prevent it from happening

Fall, scaffold collapse, fallingobjects

Wear harnesses W/lifeline, scaffold willbe erected andinspected by acompetent person to applicable standards and inspection tag will be

updated by a worker trained in scaffold user inspections on a per shifbasis, barricade under work areas, secure tools or place in bolt bag

when not in use

Eye injury, pinch points, excessivenoise, ruptured air hose

Sealed eyewear and faceshield while using impact, leather gloves,keep hands from between socket, flanges & structure, double hearingprotection, if using drive impact or larger, use proper size retaining

rings, inspect tools before each use, keep hoses away from pinchpoints and sharp edges

Excessive noise, airborneparticulates, electrical shock

Proper hearing protection, sealed eye wear with a faceshield, useGFCI at the source of power

Damaged rigging, exceedingrigging capacity, improper rigging

Inspect chokers & shackles prior to use, assure rigging is rated for theweight of the load, use competent riggers

Operator blind spot, suspendedloads, control of load, pinch points

Stay in radio or visual communication with operator at all times,barricade around lift & swing area, operator to sound audible warning

during lift and swing, lift and swing path to be kept clear of allpersonnel, use tag line of sufficient length to control load, keep body

parts from between structure and material

Operating Manlifts, pinch points,fall hazard, congested area

Use qualified & competent operators, keep body parts inside Manlifts100% tie off to inside of basket, communicate with all personnel in

area when moving Manlifts, use spotter if necessary, barricade underwork area

Fall hazardTwo people will go up in Manlift, operator will stay in basket,employee

will tie off to a proper anchorage point outside of the basketbefore

leaving basket then untie from basket. Employee will reverse action toget back to basket.

Fire potential, damaged leads,electrical shock

Contain sparks, keep area free of combustible materials, positionwelding machines & leads out of harms way, inspect tools prior to

use, ground as close to work as possible, ensure equipment isgrounded, make sure power lines are shielded, use spotters when in

close proximity, use O2/LEL Meters and Firewatch as required bypermits.

Fire potential, ruptured hoses, eyeinjury

Contain sparks, keep area free of combustible materials, positionhoses, O2 and acetylene bottles away from falling sparks, inspect

hoses prior to use, wear burning goggles or shaded faceshield while

cutting with torch.

Lines not isolated, exceedpressure test level, line rupture

Verify valves are seated completely closed, remove all non-essentialpersonnel from area, verify pressure rating prior to test, inspect all

connections prior to pressuring, install barricade, lines will bedepressurized before any bolts, or plugs will be tightened.

Moving equipmentUse certifiedoperators, spotter


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CONSTRUCTION SAFETY EXECUTION PLANSAFETY PROCEDURES AND PLANS

y Injury and Incident Reporting and Documentation - Procedures that will be used to report injuries andnon-injury incidents:

y Severe Weather Plan - Ensure workers are not in danger due to weather conditions. Include procedures forwhen work will be stopped/resumed:

y Heat and Cold Stress Plans - Provide a job specific heat/cold stress plans. Include plans for mitigating both:

y JSA Process - How Berry Y&V will train workers and implement the JSA Process :

y Safety Meeting Schedule - List the daily and scheduled safety meetings and times:

y Housekeeping Plan - Describe our standard of housekeeping and how it will be managed on a continuousbasis:


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Injury/Incident Reporting and Documentation:

Non-Injury Incidents (Near Miss)

Personnel will follow the procedures outlined in the reporting of any non-injury incidents that could occur while

working is this facility. This also includes any of our sub-contractors.The Berry Y&V HSE Manager, Craft Supervisor, & Contract Safety will investigate Near Misses, and generate

site incident reports before end of shift.

Minor Injury/Illness (On Site Treatment)

The First Aid Facility will be used for all non-emergency treatments. All personnel will notify Project SafetySpecialists immediately. Berry Y&V or Contractor Safety Representative will always escort the injured/ill

employee to the First Aid Facility for treatment. The first aid attendant will fill out the Medical portion of theSafety Incident report. Berry Y&V Management, Craft Supervisor & Contract Safety will investigate the

Injury/Illness, and generate site incident report within 24 hours. Berry Y&V will review and update the reportand ensure employee affected has all after-hours contact numbers in his/her hand, and is refreshed on proper

protocol before leaving for the day, should problems arise after hours.

Injury/Illness (Requiring Offsite Medical Treatment)

Before leaving the site, the First Aid Facility should be visited for an initial assessment, to initiate the SafetyIncident report and to pick up a Contractor Personal Injury/Illness Report Form. Berry Y&V and appropriate

Project Management personnel will be immediately notified. An HSE representative will accompany theinjured/ill employee offsite. A Medical Status Report report will be completed by a physician. Berry Y&V

Management will investigate the Injury/Illness, and generate site incident report by the end of the shift on theday of the injury/illness. A copy of the Job Safety Analysis (JSA) in use during the time of the incident will be

attached to the incident investigation. Within 24 hours Berry Y&V will provide copies of the Employers FirstReport ofInjury/Illness and other reports as required. Berry Y&V will ensure affected employee has all contact

numbers in his/her hand, and is refreshed on proper protocol before leaving for the day, should problems ariseafter hours.


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SEVERE WEATHER PLAN (See Corporate Procedure 300.27 Severe Weather)

DEFINITIONS (SEVERE WEATHER)

Lightning: All large-scale, high tension, natural, electrical discharge in the atmosphere; the visible

flash of light accompanying such discharge.High Winds and Rain: When the winds or rain become a hazard to the work force or the work

being performed. Wind approximately 30 mph and rain limiting visibility or footing.

RESPONSIBILITIES

y Berry Y&V HSE Manager will keep Construction Manager updated as to location & intensity of storms.

y Berry Y&V will determine when lightning is threatening imminent danger.

y Berry Y&V Site Manager will make the call as to when all rain-outs are determined.

Severe Weather ResponsibilitiesLighting

y Avoid exposing personnel at high elevations, such as on structural steel members,pipe-racks, roof tops, process columns, antennas, etc.

y Make sure that personnel do not group together and/or huddle under or near talstructures.

y Avoid a depression with standing or running water or a ditch.

y Have all crane booms lowered to the ground or retracted to the shortest boomlength.

y All cranes, derricks, gin poles, and erection rigs unable to be boomed down mustbe grounded.

High Winds and/or Rain

When high wind creates a hazard to craftsmen or work being performed (e.g.,instability in elevated areas, limited visibility due to dust or particles in the air,

unmanageable materials, etc.) supervision will stop work activities, re-assignwork and area, properly store and secure material which might blow away, injure

or damage, lower/tie down crane booms and obtain further instruction from SiteManagement.

When rain creates a hazard to craftsman on work being performed (e.g., un-stable

footing conditions due to slippery structural steel, muddy and flooded workenvironments, unstable trenches or excavations, poor visibility due to hazard, re-assign work duties and/or areas, and obtain further instructions from ProjectManagement

Appropriate material should be available and stored on the project to facilitate the securing of project

property, materials, and equipment, e.g., rope, wire, and boards/plywood.


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Heat Stress and Cold Stress Plans

OVER VIEW

Berry Y&V is concerned about the health and well being of all employees. Berry Y&V Management is

committed to making sure employees are trained to recognize the symptoms of Heat Stress and have knowledgeon how to protect themselves from the hazards associated with the causes of High Heat Conditions that cause

Heat Stress Disorders. See Corporate Procedure 300.22 Heat Stress. See Corporate Procedure 300.23 ColdStress.

PURPOSE

The purpose of this plan is to assure that our employees are well informed about the hazard of High Heat/Cold

conditions and to provide information and training on engineering, administrative and PPE controls. Weunderstand that employees will sometimes be exposed to working in a hot/cold environment, and they may be

required to work for extended periods of time in the hot/cold environment, therefore we feel this policy isnecessary to avoid hazards to their safety and health.

RESPONSIBILITIES

Management of Berry Y&V will be responsible for providing information to all employees concerning theirexpectations on how to prevent Heat/Cold Stress Disorders and how our Project Management and our HSE

Department will work together to provide means of eliminating as many heat/cold related hazards as possiblethrough the use of appropriate Health Hazard control.


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HAZARD CONTROLS

A. Engineering Controls

y Will ensure that all areas have proper and adequate ventilation and or insulation

y Will provide other sources of cooling/heating methods in extreme environments

y Will make arrangements for frequent breaks

B. Administrative Controls

y Will provide heat/cold stress training to all employees

y Will provide an adequate and sanitary drinking facility and drinking apparatus

y Will provide a method to rotate employees frequently during extreme conditions

y Will base decisions on Heat/Cold Index NOT Ambient temperature

y Will utilize the Brothers Keeper mentality and watch for any signs or symptoms

C. Protective Equipment

y Will provide appropriate PPEy Will Provide frequent breaks

y Will provide Cool Down/Warm UP areas

Safety Problems in Extreme Environments

These are the things that could be the cause of an accident if proper preventive methods are not applied. Timeand consideration must be taken to recognize a safe and effective method to work under these conditions.

EMPLOYEE AWARENESS

Berry Y&V feels that educating our employees about extreme environmental conditions is the key method ofpreventing Heat/Cold Stress Disorders. The benefit of this will help to eliminate safety hazards associated with

working in hot/cold areas. Our Management and our Safety Representatives will continuously communicate theimportance of using good safe techniques to prevent Heat/Cold Stress. We will also monitor and make special

provisions for employees taking medications. We will continue to recommend to all employees that theyabsorb enough daily fluids (water or thirst quencher) to prevent dehydration. We will also expect each

employee to look out for others around them and communicate as soon as possible whenever signs of Heat orCold Stress occur. This philosophy is known as the Brothers Keeper mentality.


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JSA Process

Explanation of the JSA Process will be communicated to all employees during site specific training. Acompetent member of a team working on a task will complete a JSA. All crew members will then sign on the

JSA only after becoming familiar of every aspect of the document. The JSA will be maintained at the job site.Upon completion of task or end of shift the JSA will be returned to foreman for review and signed off. The

foreman will submit the JSA to the Berry Y&V HSE Manager for final review and storage.

Safety Meeting Schedule

The need for regular safety meetings on the job cannot be stressed too highly. An all hands Safety Meeting willbe conducted by Berry Y&V on specified days at the start of the shift. This will be conducted by Berry Y&V

Management and/or Supervisors. The meeting is opened to all employees for comments or concerns. Each

foreman will be required to hold a daily safety meeting (toolbox). He will review the hazards that theemployees might encounter during that shift and review the JSA for the tasks they are assigned to. The BerryY&V HSE Manager shall prepare discussion outlines that are relevant to the work site, work areas, exposures

and occurrences for use by the presenters. Documentation of the meeting agenda, information reviewed,comments and attendees shall be maintained and provided to the Berry Y&V HSE Manager upon request.

Housekeeping Plan

Combustible materials, such as, oil, Paints, paint thinners, lacquers, other flammable materials such as oilsoaked rags, waste and shavings, must be kept in metal containers with self closing lids in an area far removedfrom any other flammable materials. All containers should be emptied as soon as possible. Paper and other

combustible materials will not be allowed to accumulate. Weeds and other vegetation should not be permitted togrow near and around Company property, buildings or other structures. All solvents and flammable liquids mustbe kept in approved and properly labeled containers. Rubbish should be placed in a suitable container for waste

disposal. Be sure that you are aware of the character of any waste material or rubbish and ensure that it isplaced in the correct container for that particular type. No rubbish or waste material may be burned in the

facility. All work areas and walkways will be kept clear of tripping hazards at all times. Hoses, cords, and leadsmust be maintained as to prevent tripping hazards. Berry Y&V HSE Personnel with members of the work force

will conduct Daily Walks and they will be looking for deficiencies in this particular area as well as other

hazards. Housekeeping is everyones responsibility.


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CONSTRUCTION SAFETY EXECUTION PLANREQUEST FOR ITEMS REQUIRING SPECIAL APPROVAL

Safety and security regulations at Client Sites require review and approval for certain items or actions. To minimize delaysto your construction crews this section highlights some of those items requiring approval and provides you with an

opportunity to plan for them before construction starts. Completion of the questions and information below will enable youBerry Y&V construction contacts to provide you with specific forms, requirements and time needed to get approval for theseitems:

y Vehicle Entry into Plants

All sites require review and approval of cars and trucks that will be brought on site. Your company logo must bedisplayed on both sides of the vehicle. The number of vehicles allowed in is limited and is based on business needsand use of the vehicle while in plant.

Do you plan on bringing vehicles into the plant?_________How many?_____

What will they be used for? ___________________________________________

y Office Trailers, Buildings, Conexes

All office trailers and temporary buildings must meet certain design, location and housing criteria. Approval from theClient is required.

Do you plan on setting up office trailers or conexes in the plant? _________How many? ____

What are you planning on setting up?

What utilities do they need?

What will they be used for?

y Road Blockages or Closures

Any road closures or blockages require review and approval from Berry Y&V and Client Supervision.

Do you plan on having to block any roads to complete the construction?Why does the road need to be blocked?

Which roads? Starting approximately when? Lasting for how long?


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CONSTRUCTION SAFETY EXECUTION PLANREQUEST FOR ITEMS REQUIRING SPECIAL APPROVAL (CONTINUED)

Cranes, Manlifts, Scissors Lifts

All cranes, manlifts, scissors lifts must be inspected by a competent person before they can be used on the Client Site.

Do you plan on bringing in any cranes or lifts?

List the type/make/description and when you plan to bring them onto the Site

y MSDS for Chemicals and Hazardous Materials

MSDS sheets for all chemicals and hazardous materials must be reviewed and approved by Berry Y&V/ClientDepartment before being brought into the Site. List them below and provide a copy of the MSDS sheets for review:

Chemical What will it be used for?

All chemicals are listed inbinders kept in HSE

Managers OfficeAll pertinent chemicals as are necessary for a basic construction job.

y Deviations to Client Rules and Policies

Any waivers or deviations to Berry Y&V and Client standards, rules and policies must be reviewed and approved beforeconstruction start.

Do you plan on asking for any waivers or deviations? __________ if yes, provide details under separate cover.

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Const Safety Exe Plan[1]

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