Site Specific Safety Policy [Project Name] [Project Location] Prepared for: [Client] [Address] [City, State/Province, Zip./Postal Code] [Month XX, 20XX] Industrial Site / Project No.: [00000.00] Plan Expiration Date: [insert date 1 year from approval date] THIS SH&E PLAN IS TO BE USED FOR THE SPECIFIC PROJECT DESCRIBED HEREIN. IT IS NOT TO BE USED FOR ANY OTHER PROJECT. THIS PLAN MUST BE REVISED AS APPROPRIATE TO ADDRESS CHANGING SITE CONDITIONS OR MODIFIED SCOPE OF WORK. Disclaimer: This SH&E Plan, and each of its provisions, is applicable only to, and for use only by, AECOM, its affiliates, and its subcontractors. Any use of this Plan by other parties, including, without limitation, third party contractors on industrial sites or projects where AECOM is providing engineering, construction management or similar services, without the express written permission of AECOM, will be at that party's sole risk, and AECOM Corporation shall have no responsibility therefore. The existence and use of this Plan by AECOM shall not be deemed an admission or evidence of any acceptance of any safety responsibility by AECOM for other parties unless such responsibility is expressly assumed in writing by AECOM in a specific project contract. AECOM CS-BC Site Specific Safety Plan Project 1 of 38 SH&E Plan Approval Page By signing below, I acknowledge that I have reviewed and hereby approve the SH&E Plan for the [insert industrial site or project name ]. This SH&E Plan has been written for the exclusive use of AECOM, its employees, and its subcontractors. Prepared by: [Preparer’s Name] Date [Preparer’s Title] [Preparer’s Phone Number] Reviewed by: [Safety Prof Name] Date [Safety Prof Title] [Safety Prof Phone Number] Approved by: [Proj Mgr Name] Date Program/Project Manager [Proj Mgr Phone Number] These Project Safety Requirements are intended to present a comprehensive approach to compliance with all applicable safety standards, regulations & codes and to lessen the potential for accidents, injuries and illnesses on this project. However, it does not purport to address all potential safety concerns that might occur during construction. Therefore, the Construction Manager reserves the right to amend, add and/or delete any provision contained herein to enhance safety compliance. Any and all such changes shall be recognized and complied with by site contractors. AECOM CS-BC Site Specific Safety Plan Project 2 of 38 EXECUTIVE SUMMARY The purpose of this Safety, Health, and Environmental (SH&E) Plan is to address health and safety concerns related to AECOM managed activities at the [ site name ] site, located at [ site address ] in [ city, state ]. The specific roles, responsibilities, authority, and requirements as they pertain to the safety of employees and the scope of services are discussed herein. The document is intended to present a comprehensive approach to compliance with all applicable safety standards, regulations & codes and to lessen the potential for accidents, injuries and illnesses on this project. However, it does not to address all potential safety concerns that might occur during construction. Therefore, AECOM reserves the right to amend, add and/or delete any provision contained herein to enhance safety compliance. Any and all such changes shall be recognized and complied with by site contractors and their workers. Concurrence with the provisions of this SH&E Plan is mandatory for all personnel working at the site and must be evidenced by each individual signing the acknowledgement page of the Project Orientation. [Insert brief scope of services and responsible party ] AECOM HUNT will be9 Subcontractor : will be9 Subcontractor Y will be9 The primary physical ha5ards that may be encountered include2 [list P1I-A1Y physical ha5ards & The chemical ha5ards that may be encountered include2 [list anticipated chemical ha5ards & All subcontractors are bound by the provisions of this S &E Plan and are should understand the anticipated ha5ards and respective onsite controls. The discussion will cover the entire S &E Plan subject matter, putting emphasis on critical elements of the plan; such as the emergency response procedures, personal protective e4uipment, site control strategies, and monitoring re4uirements. In addition, subcontractor will conduct daily tailgate safety meetings to discuss their anticipated scope of work, re4uired controls, incident reporting, and any lessons learned or concerns from the previous day; to identify new ha5ards and controls; and to review the results of inspections. AECOM CS-BC Site Specific Safety Plan Project 3 of 38 TABLE OF CONTENTS 1.0 E-E1GENCY C,NTACTS & FACIAITIES INF,1-ATI,N 6 2.0 AEC,-.S SAFETY F,1 AIFE & AIFE P1ESE1CING P1INCIPAES 7 3.0 INT1,08CTI,N 8 3.1 0efinitions E 3.2 1egulatory 1e4uirements 10 3.3 AECOM Safety Plan -anagement 1esponsibilities 11 3.4 AECOM Employees. Safety 1esponsibilitie 15 3.5 Subcontractor Safety Plan -anagement 1esponsibilities 15 4.0 S8BC,NT1ACT,1 SAFETY 1ESP,NSIBIAITIES 17 4.1 Pre Construction Phase Activities. 17 4.2 Construction Phase Activities 17 4.3 Environmental Controls 1E 5.0 SITE 0ESC1IPTI,N AN0 PAANNE0 G,1H ,PE1ATI,NS 20 5.1 General 0escription 20 5.2 Planned Gork ,perations 20 6.0 P1,IECT SAFETY & EAAT 1EJ8I1E-ENTS 21 6.1 Site-Specific Safety Training 21 6.2 Tailgate -eetings 21 6.3 a5ard Communication 21 6.4 a5ardous, Solid, or -unicipal Gaste 21 6.5 General Safety 1ules 21 6.6 ousekeeping 22 6.7 Smoking, Eating, or 0rinking 22 6.8 Personal Protective E4uipment 22 6.E Personal ygiene 23 6.10 Air -onitoring 24 6.11 Stop Gork Authority 25 6.12 Client Specific Safety 1e4uirements 25 6.13 ,S A Partnership 25 6.15 Safety 1ecognition Program 25 6.16 Project Safety Committie 26 6.17 Contractor Specific ,rienation 26 6.18 Project Specifc ,rientation 26 6.1E Cisitors & Cendors 26 6.20 Safety 1esponsibilites & Incidnet Prevention 27 6.21 Task a5ard Assessment ,verview 28 6.22 Fall Protection Policy 28 7.0 S8BSTANCE AB8SE 2E 7.1 0ISCIPAINA1Y ACTI,N 30 7.2 E-PA,YEE C,N08CT 31 8.0 C,NT1ACT,1 -,NT AY 1EP,1TING 32 8.1 AEC,- AifeGuard 32 8.2 1e4uired -onthly Submittals 32 8.3 Contractor monthly report 32 AECOM CS-BC Site Specific Safety Plan Project 4 of 38 Personnel Acknowledgement 33 Attachments Attachment A AECOM S &E Policy Attachment B AECOM CS-BC Corporate Safety -anual Attachment C Aocation Specific Emergency 1esponse Plan Attachment 0 Contractor Safety Performance 1e4uirements Attachment E :::::::::::::: AECOM CS-BC Site Specific Safety Plan Project 5 of 38 1.0 Emergency Contacts & Facilities Information This S &E Plan addresses the re4uirements for AEC,- and subcontractor personnel to conduct field activities to support the [Industrial Site or Project Name, Scope of Gork, and Aocation &. Emergency Coordinators / Key Personnel Name Title/Workstation Telephone Number Mobile Phone [insert& CP Field ,perations [insert& [insert& [insert& Project 0Irector [insert& [insert& [insert& General Supintendent [insert& [insert& [insert& S &E Sr. P- [insert& [insert& [insert& Site Safety -anager [insert& [insert& Medical Treatment Facilities Telephone Days/Hours of Name Address Number Operation EMERGENCY - [insert& [insert& [insert& [ ,SPITAA insert& NON-EMERGENCY [,CC8PATI,NAA [insert& [insert& [insert& CAINIC insert& A complete Aocation Specific Emergency 1eponse Plan is provided in Appendi) A. [Complete S3NA-010- F-2 and attach in Appendi) A.& AECOM CS-BC Site Specific Safety Plan Project 6 of 38 2.0 AECOM’s Safety for Life & Life Preserving Principles Safety for AifeL is a comprehensive internal program that drives our nearly 100,000 employees toward the company.s commitment to achieving 5ero work-related injuries and3or illnesses; preventing damage to property and the environment; and maintaining an environmentally friendly and sustainable workplace. ,ur Safety for Aife program is supported by E Aife Preserving Principles that apply to all AEC,- activities. AECOM CS-BC Site Specific Safety Plan Project 7 of 38 3.0 Introduction This S &E Plan addresses the re4uirements for AECOM subcontractor personnel to conduct field activities to support the [Industrial Site or Project Name, Scope of Gork, and Aocation &. • The re4uirements of this S &E Plan apply to AECOM subcontractor-managed operations only. No change to this S &E Plan that could affect the health or safety of personnel, the community, or the environment may be made without prior approval of the AECOM -anager and the S &E -anager. Concurrence with the provisions of this S &E Plan is mandatory for all personnel at the site covered by this plan and must be evidenced by each individual signing the acknowledgement page of this plan. • These 1e4uirements are not an attempt to reiterate the numerous applicable regulations, standards, and laws that contractors are bound to comply with in achieving a safe and healthful workplace. ,S A standards and those higher standards specifically identified herein are minimum re4uirements. This program is intended to be a supplement to enumerate re4uirements that raise the level of safety and clarify and highlight certain re4uirements with the intent of achieving the safest possible workplace. Contractors and their employees must understand what is re4uired of them because they are accountable for maintaining a safe Project. Nothing contained in this Contractor Safety Performance 1e4uirement documents is intended to relieve any contractor of the obligations assumed by them under their contract with the ,wner3 unt Construction Group, Inc. or as re4uired jurisdictions having authority. • Each contractor and its employees have the e)plicit responsibility to provide a safe workplace and follow safe work practices at all times. The Construction -anager Safety 1epresentative and the Construction -anager.s staff have the responsibility to foster an Environment and Culture to assist contractors to achieve these 1e4uirements of these Construction Safety Performance 1e4uirements. • The document is meant to achieve the goal for being the performance of a safe work environment and safe work practices by the contractor for their employees, visitors, vendors, etc.