ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.

001 SAFETY PROGRAM AUDIT

SAFETY PROGRAM AUDIT

CONTRACTOR NAME: CONSTRUCTION MANAGER: AUDIT DATE: AUDITOR(S):

FINAL SCORE

0.00 IMMINENT DANGER TO LIFE & HEALTH (IDLH) A.

IDLH Instances

AUDIT SCORE SUMMARY

MAX POSSIBLE ASSESSED TOTAL TOTAL COMPLIANCE COMPLIANCE STANDARD SCORE & % ACHIEVED

ADMINISTRATIVE #IELD EXECUTION HOUSE/EEPING IDLH POINTS (SUBTRACT) REPEATED DE#ICIENCIES (SUBTRACT)

!" B. $%& "& C.

IDLH P(0nts (A X B) = '"% () Assesse* S+,t(ta.

D.

TOTAL

12"

REPEAT DE#ICIENC3 DEDUCTIONS

4 REPEATED DE#ICIENCIES . 5'& MAX POSSIBLE 44 IDLH . '"% REDUCTION O# AUDIT SCORE 444 MINIMUM COMPLIANCE STANDARD . %&%

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT

SAFETY AUDIT
DETAILED AUDIT SCORE SUMMARY
ADMINISTRATION SCORE
SECTION SECTION NAME MAXIMUM POSSIBLE ASSESSED TOTAL

SET STANDARD
MINIMUM STANDARD MET / NOT MET

REDUCTION
* REPEAT DEFICIENCY ** IDLH

1 2 $ 4 ) # & / . 11 11 12 1$ 14

Occupational health & safety policy statement Safety and medical eco d !eepin" p actices %me "ency p epa edness 'a(a d communications p o" am *onfined spaces +obile %,uipment Inspection - ocedu es 0espi ato y p otection %nfo cement and discipline %ducation and t ainin" -e fo mance indicato s Accident 2 incident in3esti"ation *ont acto s +ana"ement 2 Supe 3ision

14 1# 1& 1) 21 2& 1. 2. # 12 1& 1# 1& 1.

TOTALS
4 REPEATED DE#ICIENCIES . 5'& MAX POSSIBLE 44 IDLH . '"% REDUCTION O# TOTAL AUDIT SCORE

24)

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE ACTUAL SCORE

PENALTY
* REPEATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

1
A. B. *. 6. %. 7. G.

HEALTH " SAFETY POLICY STATEMENT

-olicy Statement is in 4 itin". -olicy Statement dated. 'ealth & Safety ob5ecti3es clea ly stated. 'ealth & Safety esponsibilities defined. +ana"ement commitment is stated. -osted fo all employees to ead. All employees a e made a4a e of the policy content. 2 2 2 2 2 2 2

TOTAL 2
A. B. *. 6. %. 7. G. '. I.

14

SAFETY " MEDICAL RECORD#EEPING PRACTICES

In5u y statistics tabulated and utili(ed to identify positi3e 2 ne"ati3e t ends. 8he p e3ious yea s9 statistics a e a3ailable. Occupational in5u y 2 illness epo t utili(ed. Supe 3iso s9 in5u y 2 illness in3esti"ation fo m utili(ed. 7i st Aid lo" utili(ed 2 cu ent 2 accu ate. 0e,ui ed 7i st Aid supplies a e a3ailable 2 sto ed 2 dispensed in an app o3ed manne . - esc iption medications a e a3ailable 2 sto ed 2 dispensed 4ith app o3al of medical docto . -e son:s; administe in" 7i st Aid a e t ained and ce tified. %mployee e<posu e and medical eco ds a e maintained. 2 1 2 2 2 2 1 2 2

TOTAL $
A. B. *. 6. %. 7.

1#

EMERGENCY PREPAREDNESS
8he eme "ency plan is in 4 itin". 8he e is a coo dinato appointed. Supe 3iso 7i st Aid t ainin" has been conducted. 0e,ui ed eme "ency li"htin" and po4e a e a3ailable. 0e,ui ed eme "ency escue e,uipment is a3ailable. %me "ency team t ainin" d ills ha3e been conducted. $ 2 2 2 2 2

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE G. '. 0adios and othe communication items a e a3ailable. -e iodic eme "ency e3acuation d ills a e conducted fo all employees. 2 2 ACTUAL SCORE

PENALTY
* REPEATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

TOTAL 4
A. B. *. 6. %. 7. G.

1&

HA%ARD COMMUNICATION PROGRAM

A 4 itten p o" am= specific to the ope ation= is in place and complete :i.e.= t ainin"= labelin"= +S6S e3ie4= desi"nated coo dinato = in3ento y listin"= etc.; 8 ainin" is documented. +S6S9s fo all mate ials on site a e a3ailable. *opies of on site cont acto ha(com p o" am based on esponses to ,uestions. %mployees a e !no4led"eable of the ha(com p o" am based on esponses to ,uestions. >essels and mate ial containe s a e labeled as e,ui ed. 'a(a d info mation poste s 2 si"ns a e displayed to info m employees. $ 2 2 2 2 2 2

TOTAL &
A. B. *. 6. %. 7. G.

1)

CONFINED SPACES
A confined space ent y p ocedu e= 4hich meets e,ui ements= is in place. Li"htin" and elect ical tools used inside confined spaces a e 12 3olt o G7*I p otected. 0e,ui ed eme "ency e,uipment is a3ailable :i.e.= body ha ness= S.*.B.A.= fi e e<tin"uishe = etc.; Stand?by :@'ole Aatch@; pe son.s; a e used and a e !no4led"eable of confined space p ocedu es. Ai samplin" pe fo med. %ne "y isolation 2 loc!?out is implemented elati3e to confined space 4o !. %nt y pe mits= 4hich meet e,ui ements= a e used= and si"n?off fo esponsible pa ties is p o3ided and adhe ed to. $ $ $ $ $ $ $

TOTAL 6
A.

21

MOBILE E'UIPMENT OPERATIONS

8he e is a maintenance schedule fo all mobile e,uipment and the schedule is follo4ed. 1

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
B. *. 6. %. 7. G. '. I. C. D. 6aily p e?ope ational inspections a e pe fo med on all e,uipment. Annual c ane 2 e?ce tification inspections a e pe fo med. +obile e,uipment accidents a e in3esti"ated and epo ted. Suspended 4o ! bas!ets a e ce tified as safe and utili(ed fo pe sonnel as e,ui ed. Suspended 4o ! bas!ets a e built acco din" to app o3ed desi"ns. Suspended 4o ! bas!ets a e labeled as e,ui ed to sho4 ma<imum 4ei"ht capacity= ma<imum numbe of pe sons allo4ed and total bas!et 4ei"ht :actual empty 4ei"ht.; -e mits a e utili(ed and etained fo suspended 4o ! bas!et usa"e. * itical lift pe mits a e utili(ed 4he e &1B of the c ane capacity is e<ceeded. Ope ato ce tification p o" am is utili(ed fo ae ial lifts= hea3y e,uipment and 3ehicles. A load test has been pe fo med that established a safety facto of 2 times fo the suspended 4o ! bas!et. MAXIMUM POSSIBLE 1 2 2 $ $ $ $ $ $ $ ACTUAL SCORE

PENALTY
* REPEATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

TOTAL 7
A. B. *. 6. %. 7. G. '.

2&

INSPECTION PROCEDURES
0e"ula safety inspections of the site 2 ope ation a e conducted and documented. 8he e is an inspection p o" am fo po4e tools. 8he e is an inspection p o" am fo pe sonal p otecti3e e,uipment. 8he e is an inspection p o" am fo po table ladde s. 8he e is an inspection p o" am fo elect ical e<tension co ds= tempo a y elect ical dist ibution installations and elect ic :A0*; 4eldin" e,uipment. 8he e is an inspection p o" am fo i""in" e,uipment and hoistin" de3ices. 8he e is a follo4?up p ocedu e established fo the co ection of deficiencies noted du in" inspections. 8he e is an inspection p o" am fo eme "ency escue e,uipment. $ 2 2 2 2 2 $ $

TOTAL (
A. B.

1.

RESPIRATORY PROTECTION
8he e is a 4 itten espi ato y p otection p o" am 4hich add esses the espi ato y p otection e<posu e 2 need as e,ui ed 7it test is p o3ided fo all employees e,ui ed to 4ea espi ato s. $ 2 Revision 0 (04/04/14) Page 5 of 23

Construction HSE

ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
*. 6. %. 7. G. 1 2 $ 4 ) '. I. C. 0espi ato s used a e selected acco din" to the ha(a d p esent. 0espi ato y p otection t ainin" is conducted. 0eco ds of t ainin"= medical e3aluation and fit testin" a3ailable and meets e,ui ements. B eathin" ai fo supplied ai espi ato s meet b eathin" ai e,ui ements. If a b eathin" ai comp esso is used it is e,uipped 4ith the follo4in"E A p ope filt ation system. A ca bon?mono<ide ala m. A ese 3e ai tan!. A comp esso failu e ala m. 'ose couplin"s that a e incompatible 4ith othe couplin"s. 8he ai ,uality f om the b eathin" ai comp esso is pe iodically sampled. B eathin" ai cylinde s a e labeled as e,ui ed. 8he ,uantity of ai a3ailable is b eathin" ai cylinde s is monito ed to assu e the e is sufficient ai to e<it the a ea. MAXIMUM POSSIBLE 2 2 2 2 ACTUAL SCORE

PENALTY
* REPEATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

2 2 2 2 2 2 2 2

TOTAL )
A. B. *.

2.

ENFORCEMENT AND DISCIPLINE

%mployee 'ealth & Safety esponsibilities ha3e been communicated to all employees. Supe 3iso 'ealth & Safety esponsibilities ha3e been communicated to all supe 3iso s. 0eco ds of employee safety elated discipline a e maintained :i.e.= 3e bal 2 4 itten 4a nin"= et ainin"= te mination= etc.; 2 2 2

TOTAL 10
A. B. *. 6. %. 7.

EDUCATION AND TRAINING

Fe4 employee o ientation is p o3ided fo employees. Safety t ainin" p o" ams a e conducted fo mana"ement and supe 3iso s. 8as! specific t ainin" is conducted. Safety meetin"s a e conducted fo all employees= supe 3iso s and mana"ement. %me "ency p epa edness and e3acuation t ainin" is in place. >isito safety induction p o" am is in place. 2 2 2 2 2 2

TOTAL
Construction HSE

12
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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE ACTUAL SCORE

PENALTY
* REPEATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

11
A. B. *.

PERFORMANCE INDICATORS
8he e has not been a lost time in5u y in the 4o !place du in" the past si< months. 8he yea ?to?date eco dable in5u y f e,uency ate :0I70; case is at o belo4 the established "oal. Actual= G86 HHHHHHH *u ent Goal HHHHHHHHH *ont acto 2 sub?cont acto e<pe ience is epo ted and measu ed. 11 4 $

TOTAL 12
A. B. *. 6. %. 7. G.

1&

ACCIDENT / INCIDENT IN*ESTIGATION

8he e is a 4 itten accident 2 incident policy. Accident 2 incident policy complies 4ith ABB epo tin" e,ui ements. A standa d in3esti"ation fo mat is used. In5u y and nea miss info mation a e communicated to mana"ement pe sonnel. Site mana"ement e3ie4s all incident2accident epo ts. 8he e is a emedial follo4?up and action plan to p e3ent ecu ence of accidents 2 incidents. Accident 2 incidents info mation is sha ed 4ith othe ope ations 2 p o5ects. 2 2 2 2 $ $ 2

TOTAL 1$
A. B. *. 6. %. 7. G. '.

1#

CONTRACTORS
A itten ,ualifications a e established fo the selection of cont acto s. -ast 'ealth & Safety pe fo mance is facto ed into cont acto selection. *ont acto s a e e,ui ed to p o3ide a copy of thei safety p o" am. - io to sta tin" 4o ! on?site= cont acto s a e p o3ided site o ientation. - io to sta tin" 4o ! on?site= cont acto s a e - o3ided the ope ations health and safety ules= and eme "ency p ocedu es. - io to sta tin" 4o ! on?site= cont acto s a e made a4a e of any chemicals they may encounte on?site. - io to b in"in" any chemicals on?site= cont acto s a e e,ui ed to info m the ope ation of the chemicals and p o3ide a mate ials safety data sheet :+S6S.; *ont acto s a e e,ui ed to follo4 the same health and safety ules. 2 $ 2 2 2 2 2 2

TOTAL

1&

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE ACTUAL SCORE

PENALTY
* REPEATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

14
A. B. *. 6. %. 7.

MANAGEMENT / SUPER*ISION
Supe 3ision has attended Safety Supe 3iso y 8 ainin" session. Supe 3iso s p o3ide co ecti3e action th ou"h Safety >iolation Fotification System. Supe 3ision is p esent du in" 4o ! acti3ities. +ana"ement and supe 3ision attend 4ee!ly Safety Aal!?th ou"hs. Supe 3iso y e3ie4 C-SA9s. Safety disc epancies a e co ected p omptly. $ $ $ 4 $ $

TOTAL

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT

SAFETY AUDIT
DETAILED ASSESSMENT SCORE SUMMARY
FIELD EXECUTION SCORE
SECTION SECTION NAME MAXIMUM POSSIBLE ASSESSED TOTAL

SET STANDARD
MINIMUM STANDARD MET / NOT MET

REDUCTION
* REPEAT DEFICIENCY ** IDLH

1 2 $ 4 ) # & / . 11 11 12 1$ 14 1) 1# 1& 1/ 1.

'ealth & 'y"iene Ao ! A ea Li"htin" -e sonal - otecti3e %,uipment :-.-.%; 'and 8ools -o4de Actuated 8ools -o4e 8ools and -o4e %,uipment 'ot Ao ! :Aeldin"= 'eatin"= Bu nin"; %lect ical %,uipment Ope ations %<ca3ation and 8 enchin" Steel % ection and 7loo and Aall Openin" +ate ial 'andlin" Sto a"e Si"ns= Si"nals= Ba icades 7i e - e3ention and - otection Ladde s= Scaffolds and %le3ated Ao ! -latfo ms *onc ete= *onc ete 7o ms= Sho in"= +ason y 6emolition 'i"h?- essu e Aate *leanin" *ommunity %<posu e

1$ 11 #/ . 1/ 1. )4 41 114 $1 4& 1/ 11 42 111 22 1) 41 .

TOTALS
4 REPEATED DE#ICIENCIES . 5'& MAX POSSIBLE 44 IDLH . '"% REDUCTION O# TOTAL AUDIT SCORE

#/1

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

1
A. B. *. 6. %. 7. G.

HEALTH " HYGIENE

8he e,ui ed numbe of toilets a e p o3ided :1 toilet fo e3e y 2. 4o !e s; - o3isions fo se 3icin" 2 cleanin" toilets ha3e been made. 8oilets a e !ept clean and sanita y. 8oilet pape is in place. Aashin" facilities a e a3ailable fo 4o !e use p io to lunch 2 b ea!s 4hen e,ui ed. >e min : odents= insects= etc.; cont ol is p o3ided. >entilation in 4o ! a eas is p o3ided fo the type of 4o ! bein" pe fo med. Local e<haust 3entilation is used 4he e necessa y. 2 2 2 2 1 2 2

TOTAL 2
A. B. *. 6. %. 7. G.

1$

+OR# AREA LIGHTING

0e,ui ed li"htin" is p o3ided fo the 4o ! bein" pe fo med. -o table li"ht plants a e maintained and !ept ope ational. -o table li"ht plants a e positioned to p o3ide ma<imum li"htin" 4he e e,ui ed. -o table li"ht plants a e easily mo3ed and positioned. -o table li"ht plant masts a e easily aised and lo4e ed. -o table li"ht plants a e " ounded p io to use. G.7.*.I.s a e p o3ided fo all temp. li"htin" ci cuits. 2 2 1 1 1 2 2

TOTAL $
A.

11

PERSONAL PROTECTI*E E'UIPMENT P.P.E.!

'ead - otection 1 Ao n 4he e e,ui ed. 2 Bills 4o n to the f ont. $ 'a d 'at suspension systems maintained in a safe manne . %ye - otection 1 Ao n 4he e e,ui ed. 2 Side shields e,ui ed and used. $ Lens cleanin" stations and mate ials a e p o3ided. 4 7ace shields a e 4o n 4hen e,ui ed. 2 1 1 2 2 1 2 2

B.

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE *. ) Si"ns a e posted at bench " inde s @7ace shields e,ui ed.@ 7all - otection 1 Safety ha ness is e,ui ed and used 4he e fall e<posu e I # ft. is p esent. 2 Lanya ds a e e,uipped 4ith shoc! abso be s. $ Lanya d hoo!s a e p o3ided 4ith loc!in" safety latch to p e3ent @0oll Out@. 4 Lanya ds a e secu ed to a substantial ob5ect ? fall distance is maintained to a minimum. ) 7all p otection e,uipment is only used fo fall p otection. # Static 2 cautiona y lines a e installed to facilitate tie?off and 4ill suppo t a fo ce of )=411 lbs. & 7all p otection e,uipment is inspected on a e"ula basis and ta""ed acco din"ly. 'ea in" - otection 1 Foise a eas a e posted as a eas 4he e hea in" p otection is e,ui ed. 2 Foise su 3eys a e pe fo med pe iodically and documented. $ 'ea in" p otection is p ope ly 4o n 4he e and 4hen e,ui ed. 7oot and 8oe - otection 1 All employees 4ea p otecti3e foot 4ea . 2 If steel toe p otection is e,ui ed= they a e used 4he e e,ui ed. 'and p otection is p o3ided by "lo3es that a e selected acco din" to specific ha(a ds= anticipated o p esent. %mployees 4o !in" nea hea3y e,uipment ope ations 4ea hi"h 3isibility and eflecti3e safety 3ests. %mployees 4o !in" non?dayli"ht hou s a e p o3ided 4ith eflecti3e st iped clothin"= 3ests o othe hi"h 3isibility mate ial. %mployees 4o !in" non?dayli"ht hou s ha3e eflecti3e tape on thei ha d hats. 0eflecti3e 3ests a e p o3ided to stand?by men= i""e s and fla"men. All employees ecei3e info mation and2o t ainin" on the p ope use and ca e of --%. ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

11 4 4 4 4 4 4

6.

2 1 2 2 2 2 2 2 2 2 2

%.

7. G. '. I. C. D.

TOTAL 4
A. B. *. 6.

#/

HAND TOOLS
*o ect tools a e used fo the 4o ! bein" pe fo med. 8ools a e used in an app o3ed manne . 8ools a e ca ied and sto ed p ope ly. *hisels= hamme 4 enches and othe @st i!in" tools@ a e d essed at 2 2 1 2 Revision 0 (04/04/14) Page 11 of 23

Construction HSE

ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE %. the st i!in" end to p e3ent @mush oomin"@. Cob made 2 home made tools a e p ohibited and none 4e e obse 3ed. 2 ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

TOTAL &
A. B. *. 6. %. 7. G.

PO+DER ACTUATED TOOLS

%mployees usin" po4de ?actuated tools ha3e been t ained and ce tified. *o ect load st en"ths a e !no4n and used. Loads a e emo3ed 4hile the tool is sto ed o left unattended. - ope -.-.%. is 4o n by the tool ope ato 4hile usin" the tool. - ope -.-.%. includes ha d hat= face shield= safety "lasses and hea in" p otection. 8he tool and all loads a e sto ed in a loc!ed cabinet. 8he tool and all loads a e issued only to t ained and ce tified employees. 8he tool is inspected on a e"ula basis and ta""ed to sho4 that it has been inspected. 2 $ $ $ $ 2 2

TOTAL 6
A. B. *. 6. %. 7. G.

1/

PO+ER TOOLS AND PO+ER E'UIPMENT

All po4e tools a e inspected on a e"ula basis and ta""ed to sho4 that they ha3e been inspected. 0e,ui ed safety "ua ds a e in place and functional. Ao ! ests on bench " inde s a e ad5usted 4ithin J@ of the 4heel. Aheels on bench and stand " inde s a e d essed as e,ui ed. 6iscs on po table " inde s a e compatible 4ith the e,uipment9s ma<imum 0-+9s. %lect ical co ds a e ele3ated= p otected= o othe 4ise a an"ed so as to p e3ent dama"e to the co d o c eate a t ippin" ha(a d. %mployees a e t ained and ce tified :4hen e,ui ed; in safe ope ation of po4e tools. $ $ 2 2 $ $ $

TOTAL 7
A. B.

1.

HOT +OR# +,-./012 H,34/012 B560/01!

'ot 4o ! in o nea a eas o p ocesses that in3ol3e flammable= combustible o e<plosi3e mate ials o chemicals is pe fo med unde a safe 4o ! o hot 4o ! pe mit. A fi e e<tin"uishe is immediately a3ailable and ope able at all 'ot Ao ! locations. 4 $ Revision 0 (04/04/14) Page 12 of 23

Construction HSE

ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
*. 6. %. 7. G. '. I. C. D. L. +. F. O. -. K. 0. S. 8. L. Aeldin" sc eens a e used a ound all " ound o floo le3el a c 4eldin" ope ations. A c 4eldin" is pe fo med 4ith a e,ui ed elect ical " oundin". Aeldin" cables and " ound cables a e f ee of dama"e and non? insulated connections. Aeldin" cables and " ound cables a e inspected on a e"ula basis and a e ta""ed o colo coded to sho4 that they ha3e been inspected. Ahe e cables a e suspended o secu ed= they a e done so by usin" non?conducti3e mate ials. *ables= co ds and hoses a e ele3ated o p otected to p e3ent t ippin" ha(a ds. *omp essed "as cylinde s a e labeled as e,ui ed. *omp essed "as cylinde s a e sto ed and capped as e,ui ed. 0e3e se flo4 o flash bac! a esto s a e used on all o<y"en 2 acetylene i"s. 0e"ulato "au"es a e attached as e,ui ed and in "ood condition. *omp essed "as cylinde 3al3es a e tu ned off 4hen not in use. St i!e s a e used to li"ht to ches. Aeld ods a e sto ed as e,ui ed and od stubs a e placed in a containe to p e3ent a t ippin" ha(a d. Aeldin" ods a e not left in the elect ode 2 odholde 4hile not in use. *omp essed "as cylinde s a e located outside of closed a eas and a e not e<posed to sla" o spa !s. Gas cylinde s a e mo3ed and t anspo ted in the e,ui ed manne . 'ot sla" and spa !s a e maintained and cont olled as e,ui ed to p e3ent fi es and contact 4ith employees. 0e,ui ed -.-.%. is 4o n fo the hot 4o ! acti3ity bein" pe fo med o immediately e<posed to= includin" eye p otection= clothin"= "lo3es and espi ato if needed. O<y"en 2 acetylene hoses a e maintained f ee of oil and " ease. MAXIMUM POSSIBLE $ $ $ $ 2 2 2 $ $ $ 2 2 2 2 $ $ 2 2 2 ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

TOTAL (
A. B. *. 6.

)4

ELECTRICAL
%lect ical e,uipment is ma !ed as to the amount of 3olta"e and the cont ol sou ce. 8he e,ui ed @loc! out ? ta" out@ p ocedu e is implemented 4he e ci cuits a e de?ene "i(ed due to maintenance= epai o othe acti3ity. %mployees pe fo min" lo4= medium= o hi"h 3olta"e 4o ! a e t ained and ce tified. - otecti3e "ea : ubbe "lo3es= blan!ets= hot stic!s= etc.; is inspected by an independent testin" fi m. $ 4 4 4 Revision 0 (04/04/14) Page 13 of 23

Construction HSE

ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
%. 7. G. '. I. C. D. L. +. 8ests a e pe fo med to dete mine if cu ent ca yin" pa ts a e @'ot@ o de?ene "i(ed. All line pa ts a e "ua ded o p otected a"ainst contact. G7*I cont olled outlets and panels a e labeled and tested. %lect ical co ds a e inspected and app o3ed fo the type of usa"e and a e f ee of b ea!s in the insulation. Outlets= eceptacles= 5unction bo<es= etc.= a e app o3ed and maintained as e,ui ed. Ahe e elect ical co ds a e suspended o secu ed= they a e done so by usin" non?conductin" mate ials. %lect ical co ds a e ele3ated o3e passa"e 4ays= o a e p otected f om dama"e 4hen c ossin" oads o passa"e 4ays. 8empo a y li"htin" is installed as e,ui ed usin" app o3ed mate ials. Li"ht bulbs and fluo escent tubes a e "ua ded as e,ui ed. MAXIMUM POSSIBLE 4 4 $ $ $ 2 $ 2 2 ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

TOTAL )
A. 1 2 $ 4 ) # & / . B. 1 2 $ 4 ) #

41

E'UIPMENT OPERATIONS
* ane Ope ations Load cha ts a e posted and utili(ed. 8he s4in" adius of the counte 4ei"ht is ba icaded. 8he c ane is ope ated le3el 4ith all out i""e s fully e<tended. +o3in" and t a3el p actices a e utili(ed to include the use of a fla"man. 8he ope ato is t ained and ce tified fo the specific c ane bein" ope ated. Specific attention to po4e line clea ance is "i3en. 7la"men a e used to si"nal c ane ope ato s 4hen aisin"= lo4e in" and s4in"in" the hoo!= loaded o unloaded. Load monito in" indicato s :L+I; a e a3ailable and utili(ed 4ith each c ane. An anti?t4o?bloc! limit s4itch is in place and functional on all c anes. Gene al %,uipment Seat belts a e p o3ided and used 4ith 0O- st uctu es. All li"hts a e ope ational 'o ns a e ope ational Bac!?up ala ms a e ope ational. %,uipment is ope ated at a safe t a3el speed. 7la"men a e used to si"nal e,uipment ope ato s 4o !in" in confined o con"ested a eas. $ $ $ $ 4 $ $ $ $ $ 2 2 2 2 $

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
& All e,uipment ope ato s ha3e a 3alid %,uipment Ope ato s license. / Seat belts a e 4o n by d i3e and all passen"e s in e,uipment p o3ided 4ith seat belts. 'aula"e Ope ations 1 %le3ated oads a e p otected by be ms and2o "ua d ails. 2 Aa nin" si"ns a e posed at inte sections= steep " ades= and blind co ne s= as e,ui ed. $ 8 affic flo4 is e"ulated and enfo ced. 4 Speed limits a e posted and obse 3ed. ) Only autho i(ed 3ehicles and e,uipment a e allo4ed on the haula"e oads. # 0efuelin" maintenance acti3ities a e pe fo med a4ay f om haula"e oad t affic a eas. & 'aula"e oads a e maintained in "ood condition. / Sto m 4ate is channeled 2 cont olled to minimi(e haula"e oad ha(a ds. . 6ust cont ol is implemented effecti3ely 4hen and 4he e e,ui ed. 0i""in" %,uipment 1 App o3ed i""in" p actices a e used. 2 0i""in" e,uipment is maintained and f ee of dama"e= e<cess 4ea o defect. $ All c ane and slin" hoo!s a e e,uipped 4ith a functional safety latch. 4 +onthly inspections of i""in" e,uipment a e pe fo med and the e,uipment is colo coded acco din"ly. ) 8he load capacity of each i""in" de3ice is !no4n by label= ta"= placa d o othe substantial ma !in" attached to the de3ice. # *e tifications a e p o3ided fo all i""in" e,uipment and Safe Ao !in" Load :SAL; is 3isible on all liftin" e,uipment. & 8he th oat of load hoo!s a e measu ed pe iodically to detect chan"e in hoo! "ap. Aa nin" +ethods 1 0eflecti3e t ian"les a e p o3ided fo all e,uipment and 3ehicles. 2 0eflecti3e t ian"les a e employed to 4a n of e,uipment b ea!do4n 2 accident o oad ha(a ds as e,ui ed. $ 7lashin" li"hts and2o st obes a e used on all slo4 mo3in" 3ehicles that ope ate in the 3icinity of la "e e<ca3ation and haula"e e,uipment. %,uipment Inspections 1 All e,uipment on site has been inspected= and documentation on file. 2 +onthly colo code has been placed on the 4indshield of each piece of e,uipment. MAXIMUM POSSIBLE 2 2 ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

*.

2 2 2 . 2

2 2 2 $ $ $ $ $ $ 2

6.

%.

2 2 2

7.

2 2

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
$ *ont acto s a e ma!in" outine e,uipment inspections and eco din" esults on a monthly basis. 4 6efecti3e e,uipment has been emo3ed f om site fo epai s. +achine and %,uipment Gua din" 1 Gua ds a ound pinch points= otatin" e,uipment= shafts= pulleys= belt d i3es and chain d i3es a e "ua ded to p e3ent accidental contact. 2 %,uipment "ua ds a e fi mly attached and a e of a mate ial o desi"n that 4ill p e3ent contact by hands= clothin"= tools o mate ial= o any othe accidental 4o !e contact. $ Ahe e otatin" e,uipment maintenance 4o ! is pe fo med= the maintenance is pe fo med 4ith all "ua ds in place. If the "ua d:s; must be emo3ed= the e,uipment is loc!ed out and ta""ed. 4 %me "ency stop co ds a e installed on all con3eyo belt lines. 8he eme "ency stop co ds a e functional and tested on a pe iodic basis. ) %mployees se 3icin" o 4o !in" nea pinch points o otatin" e,uipment a e not 4ea in" loose clothin" o any othe loose a ticles. MAXIMUM POSSIBLE 2 2 $ $ $ 2 $ ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

G.

TOTAL 10
A. B. *. 6. %. 7. G. '. I.

114

EXCA*ATION AND TRENCHING

A Supe 3iso is in cha "e of e<ca3ation and t enchin". 0e,ui ed %<ca3ation pe mits a e utili(ed. 6ocumented daily inspections pe fo med includin" ad3e se 4eathe chan"es. Spoil di t is at least 1 mete f om the ed"e. *o ect slope an"le is maintained. Sho in" used 4he e e,ui ed and app o3ed installation and emo3al p ocedu es a e follo4ed. - ope access and e" ess e,ui ed. -hysical ba icades a e p o3ided App o3ed ba icades a e e ected at the ed"e of all open t enches and e<ca3ations as e,ui ed. 1 - io to be"innin" any e<ca3ation o t enchin"= all unde " ound utilities in the 4o ! a ea a e located. $ $ $ $ $ $ $ $ $ $

TOTAL 11 STEEL ERECTION AND FLOOR AND +ALL OPENING

Construction HSE

$1

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE $ 4 4 $ 4 $ $ 4 $ $ $ $ 4 $ ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

A. B. *. 6. %. 7. G. '. I. C. D. L. +. F.

0e,ui ed access and e" ess p o3ided. 0e,ui ed pe imete cables a e used and app o3ed installation p ocedu es a e follo4ed. Aall and floo openin"s a e "ua ded o co3e ed as e,ui ed. %le3ated a eas a e f ee of loose e<cess mate ials and deb is that could fall to le3els belo4. Static lines= catena y lines= etc.= installed to facilitate employee tie?off. Bolt?up e,ui ements a e met. Bolt buc!ets a e used to contain bolts. 6ec!in" e,ui ements a e met. App o3ed i""in" techni,ues a e used. Ba icades and si"ns a e posed in the a ea to 4a n employees as e,ui ed. %mployees p o3idin" hand si"nals ha3e ecei3ed hand si"nal t ainin". Si"nals o 4a nin"s a e p o3ided 4hen loads a e aised. All employees a e 4ea in" and usin" e,ui ed --% :safety ha nesses and lanya ds.; 8a"lines a e used to cont ol mo3ement of all suspended loads.

TOTAL 12
A. B.

4&

MATERIAL HANDLING STORAGE

All mate ials a e stac!ed and sto ed in an app o3ed manne . Aisles= passa"e4ays a e maintained clean and unobst ucted. 1 %mployees ha3e been t ained in safe mate ial handlin" techni,ues and use safe handlin" techni,ues. +ate ials a e stac!ed to p e3ent displacement and fallin". %mployees ha3e been t ained in p ope liftin" methods and use p ope liftin" methods. +ate ial handlin" e,uipment is used to handle 2 mo3e mate ial 4hen possible. +ate ials handlin" e,uipment :mono? ails= A?f ames= etc.; is labeled to identify load capacity. Softene s a e used to p otect 4i e and nylon cho!e s 4he e needed. %mployees use "lo3es to p otect hands 4hen handlin" mate ials. 2 2 2 2 2 2 2 2 2

*. 6. %. 7. G. '.

TOTAL 1$
A.

1/

SIGNS2 SIGNALS2 BARRICADES

Accident p e3ention si"ns= symbols and ta"s a e used as e,ui ed to 2 Revision 0 (04/04/14) Page 17 of 23

Construction HSE

ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE B. *. 6. %. 4a n employees 4he e potential ha(a ds e<ist. 7la"men used 4he e e,ui ed. Ba icade methods used to p e3ent all unautho i(ed ent y. Ba icades a e used to 4a n of potential ha(a ds. A ba icade p ocedu e has been established. 2 2 2 2 ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

TOTAL 14
A.

11

FIRE PRE*ENTION AND PROTECTION

7i e e<tin"uishe s a e p o3ided as e,ui ed. 1 Located ad5acent to each stai 4ay on each floo le3el. 2 Ahe e mo e than 1/ lite s of flammable o combustible li,uids a e used. $ At least one . !" e<tin"uishe at fuel dispensin" a eas. 0e,ui ed access to fi e e<tin"uishe s is maintained. %<tin"uishe s a e identified as e,ui ed. Inside sto a"e of flammable li,uids does not e<ceed .1 lite s outside of an app o3ed cabinet. Inside sto a"e cabinets a e labeled as e,ui ed= and ma<imum limits :22) lite s 2 cabinet and $ cabinets 2 a ea a e not e<ceeded. +ate ials that eact to 4ate a e not sto ed 4ith flammables. *ontaine s a e elect ically inte connected :bonded; 4hen flammable li,uids a e t ansfe ed f om one containe to anothe . -o table sto a"e tan!s containin" li,uid flammables a e located at least # mete s a4ay f om buildin"s. @FO S+ODIFG ? FO O-%F 7LA+%S@ si"ns a e posted 4he e flammable li,uids a e used o dispensed o sto ed. L-G containe s a e not sto ed inside buildin"s. Smo!e detecto s a e p o3ided in sleepin" ,ua te s and a e tested on a e"ula basis. 7i e supp ession systems a e inspected on a e"ula basis to assu e functional a3ailability. %mployees ha3e been t ained on ho4 to ope ate a fi e e<tin"uishe . 2 $ $ $ 2 $ $ $ $ $ $ $ $ $ 2

B. *. 6. %. 7. G. '. I. C. D. L. +.

TOTAL 1&
A.

42

LADDERS2 SCAFFOLDS AND ELE*ATED +OR# PLATFORMS

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
1 2 $ 4 ) # & B. 1 2 $ 4 ) # & / . 11 11 A e in "ood condition. Built and used in an app o3ed manne . Secu ed in an app o3ed manne and placed at the co ect an"le. %<ceed the landin" a ea by 1 mete o ha3e a " ab ail. A e not used 4he e they can be displaced by doo s= e,uipment= etc.= unless p otected by "ua ds o ba icades. +etal ladde s a e not used 4he e contact 4ith elect ical ene "y is possible. 7i<ed ladde landin" a eas a e !ept clea . Scaffolds - o3ided 4ith e,ui ed access and e" ess. 'as a standa d "ua d ail :11# cm top ail= )$ cm mid ail= and 11 cm toe boa d; 4hene3e possible. Scaffold ta"s a e used to identify incomplete scaffolds and e,ui ements fo safe use. *omplete dec!in" is p o3ided 4hene3e possible. %mployees 4ho e ect and dismantle scaffolds a e ,ualified and competent. Scaffolds a e f ee of defects and built pe specifications. O3e head p otection is p o3ided 4he e the e is e<posu e. *aste s a e loc!ed and pinned on mobile scaffolds 4hen in use and no idin" allo4ed. Out i""e s a e p o3ided and used o the scaffold is secu ed to the st uctu e 4hen the hei"ht e<ceeds 4 times the minimum base dimension. An app o3ed base is p o3ided. Scaffold boa ds a e secu ed. MAXIMUM POSSIBLE 2 $ $ $ $ 4 $ $ $ 2 $ $ $ $ $ $ $ $ $ $ 4 4 4 $ 4 $ Revision 0 (04/04/14) Page 1! of 23 ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

12 84o?point suspension scaffolds a e e ected in an app o3ed manne . a. App o3ed desi"n. b. App o3ed life lines a e p o3ided. c. App o3ed ope " ab lanya ds p o3ided. d. 8ie?off fall p otection used. *. %le3ated 4o ! platfo ms :hi"h?5ac!e s= scisso s lifts= CLG9s= etc.; 1 %le3ated scaffold platfo ms a e of substantial const uction and secu ed p ope ly. 2 A means of tie?off is p o3ided and used. $ 0e,ui ed access and e" ess is p o3ided. Construction HSE

ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
4 %le3ated 4o ! platfo ms a e used in acco dance 4ith manufactu e ecommendations. a. Out i""e s p o3ided and used as e,ui ed. b. G ound cont ols ope ational. c. Ope ato s t ained and ce tified. d. 7all p otection p o3ided and used. e. %mployees maintain both feet on the platfo m= and do not use e,uipment as a means of access 2 e" ess= and do not 4o ! f om "ua d ails. MAXIMUM POSSIBLE $ $ $ $ 4 $ ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

TOTAL 16
A. B. *. 6. %. 7. G.

111

CONCRETE2 CONCRETE FORMS2 SHORING2 MASONRY

0e,ui ed access and e" ess p o3ided. All e<posed eba ends p otected f om e<posu e= both 3e tical and ho i(ontal. +ason y sa4s a e "ua ded 4ith a semici cula enclosu e co3e . All sho in" e ected to contain and 2 o suppo t conc ete is the e,ui ed type and app o3ed installation p ocedu es a e follo4ed. - ecast and lift slab ope ations a e pe fo med in acco dance 4ith especti3e standa ds. --% e,ui ed fo these ope ations is p o3ided and used 4hich 4ould include safety "lasses= "lo3es= p ope clothin" and foot 4ea . All connections on ai hoses and pipes a e secu ed to p e3ent displacement. $ 4 $ $ $ $ $

TOTAL 17
A. B. *. 6. %.

22

DEMOLITION
All ope ations a e planned ahead. 0e,ui ed access and e" ess p o3ided. +ate ial emo3al :floo holes= s!ip?pan= chutes= etc.; is conducted in an app o3ed manne . Any and all asbestos containin" mate ial 4as emo3ed p io to demolition. St uctu al membe emo3al is conducted in an app o3ed manne .

$ $ $ $ $ 1)

TOTAL

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ABB Lummus Global Inc. FORM LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
SCORE
MAXIMUM POSSIBLE ACTUAL SCORE

PENALTY
* REPREATED DEFICIENCY X! ** IDLH X! ASSESSORS COMMENTS

1(
A. B. *. 6. %. 7. G. '. I. C. D. L. +.

HIGH-PRESSURE +ATER CLEANING

Ope ato s a e 4ea in" ain suits= "lo3es= face shields= ha d hats= safety "lasses 4ith side shields= ubbe steel toe boots o metata sal "ua ds. Standby Ope ato :s; is 4ea in" ha d hat and safety "lasses 4ith side shields. Ope ato s a e not allo4in" any pa t of thei body to be placed in f ont of the 4ate 5et. Ope ato s a e not handlin" hose 4ithin one foot of hone?to?hose connections. Ope ato s a e t ained annually at a minimum. 'ose data such as manufactu e 9s symbol= se ial numbe = 4o !in" and test p essu e= and ce tified atin" 4hich 4ill p o3ide a safety facto of $ to 1 a"ainst bu st is eco ded and etained at the p o5ect. Ao ! a ea is ba icaded at a minimum of 4.) mete s and si"ns statin"= @6AFG%0 ? 'IG' -0%SSL0% AA8%0 *L%AFIFG.@ %,uipment to be cleaned is dismantled 2 isolated= loc!ed and ta""ed as e,ui ed. All 7ittin"s and components meet manufactu e 9s "uidelines. 0eco ds of hi"h p essu e 4ate cleanin" e,uipment inspection a e on file. Lance o mole ma !e #1 cm f om no((le end. Shot"uns ha3e a 2 mete sh oud and a e a minimum of 1#) cm in len"th. Safety e,uipment has not been alte ed o by?passed. $ $ 4 4 $ $ $ 4 $ 1 $ $ $

TOTAL 1)
A. B. *.

41

COMMUNITY EXPOSURE
Si"ns a e posted to 4a n of e,uipment and 3ehicle t affic. -edest ian 2 3ehicle c ossin" a eas a e ma !ed and p o3ided 4he e e,ui ed. -e mits ha3e been obtained f om the p ope autho ities to be"in 4o ! outside const uction a eas. $ $ $

TOTAL

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SAFETY AUDIT
DETAILED ASSESSMENT SCORE SUMMARY
HOUSE#EEPING SCORE
SECTION SECTION NAME MAXIMUM POSSIBLE ASSESSED TOTAL

SET STANDARD
MINIMUM STANDARD MET / NOT MET

REDUCTION
* REPEAT DEFICIENCY ** IDLH

'ouse!eepin"

)1

TOTALS
4 REPEATED DE#ICIENCIES . 5'& MAX POSSIBLE 44 IDLH . '"% REDUCTION O# TOTAL AUDIT SCORE

)1

SCORE
Construction HSE Revision 0 (04/04/14)

PENALTY
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ABB Lummus Global Inc. FORM - LGH SFOR - 6407-02.001 SAFETY PROGRAM AUDIT
MAXIMUM POSSIBLE 1
A. B. *. 6. %. 7. G. '. I. C. D. L. +. F. O. -. K.

ACTUAL SCORE

* REPREATED ** IDLH X! DEFICIENCY X!

ASSESSORS COMMENTS

HOUSE#EEPING
+ate ial= tools and e,uipment and tied= stac!ed= o cho!ed to p e3ent ollin" o fallin". - o3isions ha3e been made fo outin" t ash collection and disposal. 8 ash eceptacles a e p o3ided in all 4o ! a eas. Sc ap lumbe is f ee of p ot udin" nails o othe punctu e ha(a ds. Glass containe s a e p ohibited= none 4e e obse 3ed. %lect ical co ds= hoses= 4eldin" leads= etc.= a e ele3ated to p e3ent t ippin" ha(a ds. Butt cans= 4he e used= a e maintained f ee of combustible mate ial and emptied outinely. 7loo s a e clea of tools= od ends= and metal sha3in"s. Spilled li,uids a e cleaned immediately. +ate ial on 4a ehouse shel3in" is sto ed safely and neatly. B id"es and 4al!4ays a e !ept clean 2 f ee of deb is. 0oads a e clea of mate ial 2 deb is. 0od stub buc!ets a e p o3ided to 4elde s to sto e od ends. 8oilet facilities a e cleaned on a e"ula basis. Si"ns a e p o3ided to encou a"e house!eepin". Office2clinics a e clean and t ash emo3ed daily. %le3ated a eas a e maintained clea of deb is= mate ial= tools= etc.= 4he e such items could fall to a eas belo4. $ 2 2 2 2 4 $ 4 $ $ $ $ $ $ $ $ 4

TOTAL )1

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