Practice 000 653 8101

Date20FEB2004
Attachment 9 - Page 1 of

TRAINING & ORIENTATION

Supervisor Safety Responsibilities

Go To Form 000 653 F0145

PROJECT NAME

PROJECT LOCATION

PROJECT NO./CONTRACT NO.

SUPERVISOR (PLEASE PRINT)

EMPLOYER

DATE

324246298.doc

Health, Safety & Environmental

Practice 000 653 8101

Date20FEB2004
Attachment 9 - Page 2 of

TRAINING & ORIENTATION

Supervisor Safety Responsibilities

PROJECT NAME

PROJECT LOCATION

PROJECT NO./CONTRACT NO.

SUPERVISOR (PLEASE PRINT)

EMPLOYER

DATE

AS A SUPERVISOR YOU ARE REQUIRED TO:

Possess a comprehensive knowledge of all accident prevention standards and project safety rules.

Accept responsibility for the implementation of all accident prevention standards and safe work practices at
the project/site.

Ensure that each employee has received an initial safety orientation and a copy of the Fluor Craft Employee
Handbook and Safety Guidelines and has signed an acknowledgment of the receipt of such handbook.

Explain all applicable safe practice rules and regulations to all employees under your direct supervision and
ensure each employee understands the rules and regulations.

Consistently enforce safety regulations and rules.

Maintain a zero tolerance for unsafe acts.

Supervise the instruction and training of all new employees.

Monitor employees performance to ensure the use of safe work practices.

Be responsible for the use and maintenance of all personal protective devices, equipment and safeguards.

Notify your direct supervisor and/or the safety representative concerning work areas where unique hazards
exist and/or special assistance is required.

324246298.doc

Health, Safety & Environmental

Practice 000 653 8101

Date20FEB2004
Attachment 9 - Page 3 of

TRAINING & ORIENTATION

Supervisor Safety Responsibilities

Conduct toolbox accident prevention meetings for all employees under your supervision as required by project
procedures.

Perform routine and organized safety inspections in your work areas.

Attend and participate in all supervisor safety meetings.

Immediately report all incidents that have resulted in personal injury or property damage.

Assist in accident investigations and submit a report promptly on required forms.

Analyze work practices in detail for the purpose of issuing safety task assignments and for the establishment of
safe work practices.

Participate in the preparation of departmental or project safe practice rules.

Correct hazards on the spot.

Maintain a consistent use of the Pre Start Hazard Checklist.

Field supervisors, foremen, and general foremen are to read and sign this form acknowledging receipt and
understanding of their safety responsibilities as defined above.

NAME:
PERSONNEL/SOCIAL SECURITY/ID NO:
SUPERVISORY POSITION/CRAFT:
BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND MY SAFETY RESPONSIBILITIES.

SIGNATURE:

324246298.doc

Health, Safety & Environmental