10.09.2019 Views

ATD_EOM_W:Blanks

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Anthony Torres<br />

Demolition<br />

August 2019<br />

SAFETY COMMITTEE MEETINGS


www.thepriceofsafety.com<br />

info@thepriceofsafety.com<br />

The Price of Safety Inc - Safety Committee Meeting Minutes<br />

SEPTEMBER 10, 2019<br />

1485 SPRUCE STREET, SUITE M<br />

RIVERSIDE CA 92507<br />

MEETING CALLED BY<br />

TYPE OF MEETING<br />

FACILITATOR<br />

NOTE TAKER<br />

NEXT MEETING<br />

ATTENDEES<br />

Anthony Torres Demolition & The Price of Safety, Inc.<br />

Safety Committee Meeting<br />

Mayra Martinez<br />

Mayra Martinez<br />

TBD<br />

Mayra Martinez, Remoe Redmond, Sandra Castillo, John Torres, Erica Pompa,<br />

Old Business<br />

COMMUNICATION &<br />

COORDINATION<br />

MAYRA MARTINEZ<br />

8.1 The Safety Committee Meeting was conducted on August 27, 2019<br />

• Mayra Martinez, Remone Redmond & <strong>ATD</strong> staff were in attendance as scheduled<br />

Summary of Topics from last meeting:<br />

DISCUSSION<br />

• Safety Culture: Best Practices<br />

• Means & Methods Update: Safety Culture<br />

• On-site Training<br />

• Hilti-Tools: Joint Training with Emmons<br />

• Fire Protection Inventory<br />

• CPR Training<br />

Dai/ 8/27 SCM Summary:<br />

CONCLUSIONS<br />

Questions: Care First Medical Group Paperwork<br />

• Discussion regarding the “Off Work (Balance of Shift)” option that was marked on Sal Flores Care First<br />

Medical Group paperwork from 8/21/19 took place. Sandra mentioned she needed clarification on why the<br />

option was marked and Remone agreed to verify the meaning of the option with Care First and follow up<br />

with Sandra.<br />

Safety Culture: Best Practices<br />

• Remone led the discussion on best safety practices. He explained that OSHA provides minimum<br />

standards, however incidents/injuries create best practices for the industry to use. POS uses cumulative<br />

data analysis, industry trends and widespread experience to suggest best practice options to increase<br />

<strong>ATD</strong>’s safety culture.<br />

Means & Methods Update: Safety Culture<br />

• Mayra reminded the committee that there have been 3 recent hand injuries. She said that the pattern led<br />

to the implementation of new means and methods to mitigate similar injuries. In addition, she said that<br />

when she spoke with Sal Flores on 8/27, he agreed that he should’ve followed safety protocol and that his<br />

recent injury was preventable.<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


•<br />

• The committee agreed that they have seen less resistance from Sal regarding safety as Mayra has<br />

monitored him strategically in the last 90 days using the 360 degree evaluations. Mayra mentioned that<br />

she noticed that Sal performs better when he’s monitored more frequently.<br />

• The committee also discussed the importance of spotters, JHAs and the Buddy System. Remone<br />

explained that although the above mentioned best practices are not required by OSHA, POS has them in<br />

place to help reduce <strong>ATD</strong>’s liability. For example, <strong>ATD</strong> could have been held liable if a major injury or<br />

fatality occurred because a foreman operated the machine at the time of an incident.<br />

On-site Training<br />

• Mayra will conduct on-site trainings to cover missed safety topics. She will discuss Crystalline-Silica &<br />

Respiratory, PPE and Mechanical Guarding. Mayra also requested contact information for all <strong>ATD</strong> crew<br />

members to communicate/coordinate and to ultimately ensure all crew members are properly trained.<br />

Hilti-Tools: Joint Training with Emmons<br />

• Training schedules were discussed. Remone reported that he spoke with Brian from Hilti and he learned<br />

that Hilti does not offer the specific training <strong>ATD</strong> requested. However, Hilti is willing to train <strong>ATD</strong> staff on<br />

Reciprocating Saw & Drillcom at no cost to <strong>ATD</strong> (1 hour training). Remone also informed <strong>ATD</strong> that Hilti<br />

has Gas Saw (2 hour training) and Silica trainings (1 hour) with 2 trainers for 9/13 or 9/20 for a fee.<br />

Remone will coordinate with Charles from BBSI and Emmons to find out specific costs and schedule as<br />

needed. Remone also stated that these trainings can boost morale and the safety culture for <strong>ATD</strong> &<br />

Emmons.<br />

Fire Protection Inventory<br />

• Out-dated fire extinguisher tags were discussed. Mayra stated she would like to conduct refresher training<br />

on how to read tags correctly. Remone also suggested that <strong>ATD</strong> contact their manufacturer for<br />

maintenance or replacement as we look ahead to ensure all fire extinguishers are up-to-date. <strong>ATD</strong> will<br />

look into it.<br />

CPR Training<br />

• CPR certifications that expired on 8/5/2019 were discussed. Remone will assist with scheduling 4-hour<br />

CPR training for <strong>ATD</strong>.<br />

ACTION ITEMS PERSON RESPONSIBLE DEADLINE<br />

Care First paperwork: “ Off work/ Balance of Shift” Mayra Martinez 9/10/2019<br />

On-site refresher trainings Mayra Martinez September 2019<br />

Schedule Hilti joint trainings Remone Redmond/Sandra Castillo TBD<br />

Fire Protection Inventory Mayra Martinez/ Yard Foremen TBD<br />

CPR Training- Remone will assist with coordination Sandra Castillo TBD<br />

8.2 The Price of Safety Performed the following Safety Evaluations for the month of August 2019:<br />

1. 8/21/2019 Mayra Martinez performed SER @ Moreno Valley/Foreman: Jesus Pineda<br />

(Please Review SER) 2 Failed items | 1 Abated item | Inspection Score: 94.59%<br />

2. 8/23/2019 Mayra Martinez performed SER @ Costa Mesa/Leadman: Jesus Diaz<br />

(Please Review SER) 1 Failed item | 3 Abated items | Inspection Score: 97.30%<br />

3. 8/27/2019 Mayra Martinez performed SER @ JoAnn-Sherman Oaks/Foreman: Sal Flores<br />

(Please Review SER) 0 Failed items | 0 Abated items Inspection Score: 100%<br />

DISCUSSION<br />

4. 8/29/2019 Mayra Martinez performed SER @ El Paseo/Foreman: Teodocio Mendoza<br />

(Please Review SER) 3 Failed items | 1 Abated item Inspection Score: 92.68%<br />

5. 8/30/2019 Mayra Martinez attempted to perform SER @ JoAnn-Torrance/Foreman: Sergio Duarte<br />

(Please Review SER) Inspection Score: N/A<br />

Note: Active Night Job List was provided to M.M. on 8/29 and it listed the Joann location with a job start time of<br />

9pm. Upon M.M.'s arrival, there was no crew on site at 10:51pm. M.M. called Foreman Duarte 3x and M.M. was<br />

unable to reach him, and he was not located on site.<br />

• 3 Missed Safety Evaluations for August<br />

• Average Score: 96.14%<br />

ACTION ITEMS PERSON RESPONSIBLE DEADLINE<br />

Program Administration: Provide blank inspection forms & maintain Buddy<br />

System for crew members who need speaking and writing assistance<br />

Sandra Castillo/John Torres September 2019<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


Fire Prevention & Protection: Perform Fire Protection Inventory Sandra Castillo/John Torres December 2019<br />

Heat Illness Prevention: High Heat Illness Prevention Training for weather<br />

temperatures higher than 95 degrees<br />

Foremen<br />

Monitor Daily<br />

POS will perform 11 evaluations in September to cover the 3 missed<br />

evaluations from August Mayra Martinez September 2019<br />

8.3 Accident Investigation: Sal Flores<br />

DISCUSSION<br />

On 8/19/2019 @ 9:30am Sal Flores was injured in an incident when a heavy gauge piece of metal was falling towards<br />

his face, and he stuck it with the back side of his left hand to block the contact. Site Supervisor and Designated Safety<br />

Personnel were notified shortly after the event occurred.<br />

CONCLUSIONS<br />

Dai<br />

ACTION ITEMS<br />

SF was driven to Carson Urgent Care located at 522 W. Carson St., Carson, CA. The P.A. did not give him treatment, she<br />

highly recommended he be seen at the closest Emergency Room.<br />

SF was taken to UCLA Medical Center Emergency Room and received five (5) stiches below his 4 th and 5 th finger. SF was<br />

discharged at 9:00pm. He returned to work the following day with limited use of left-hand work restrictions.<br />

An incident investigation was conducted to understand the sequence of events leading up to the incident. Surface<br />

conditions which may have contributed to the SF incident include; SF did not have hand protection and the Pre-<br />

Construction Hazard Analysis was not completed for the day. Root causes that contributed to this incident were the<br />

following: Required field documentation was not completed for the tasks being performed and lack of enforcement of <strong>ATD</strong><br />

Injury and Illness Prevention Program (IIPP).<br />

This incident was preventable, and reoccurrence can be reduced by executing and enforcing the IIPP/Code of Safe<br />

Practices. Additional improvements would be to 1.) Conduct safety orientations (company & site) 2.) Pre-Construction<br />

Hazard Analysis should be completed with comprehensive training by Site Supervisors to every employee on site,<br />

including delivery drivers.<br />

PERSON<br />

RESPONSIBLE<br />

DEADLINE<br />

Re-train all Foremen according to the Anthony Torres Demolition IIPP relating to<br />

Procedures for Hazard Correction.<br />

Mayra Martinez October 2019<br />

Re-train employees, including delivery drivers on completion and acknowledgement of<br />

Pre-Construction Hazard Analysis. Mayra Martinez October 2019<br />

Prior to conducting work on site, A Pre-Construction Hazard Analysis is to be completed<br />

with comprehensive training to all employees on site. Foremen Daily<br />

Jobsite Orientations must be documented and conducted by jobsite supervisors or<br />

designated Safety Personnel. <strong>ATD</strong> September 2019<br />

Personal Protective Equipment: Hand Protection<br />

Mayra Martinez September 2019<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


New Business<br />

9.1<br />

DISCUSSION<br />

CONCLUSIONS<br />

ACTION ITEMS PERSON RESPONSIBLE DEADLINE<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


SAFETY SYNOPSIS


ANTHONY TORRES SAFETY SYNOPSIS<br />

August 2019<br />

Based upon reporting last month, our team will continue utilizing the means and methods below:<br />

SUMMARY OF MEANS<br />

The methods of mitigation strategies include:<br />

§ Conduct 360 Degree Evaluations<br />

§ Work Quality Evaluations<br />

§ Employee Corrective Reviews<br />

§ Gauge Time Management<br />

§ Barrier Identification<br />

These measures will help us ascertain the leading<br />

and lagging indicators, which will help us to<br />

implement strategies to eliminate or decrease<br />

incidents and injuries.<br />

SUMMARY RESULTS<br />

Based on data collected and forecasted scope of<br />

work, we recommend Anthony Torres implement<br />

the following mitigation strategies:<br />

§ Safety Orientations (Company & Site)<br />

§ JHA and Site Inspections (Site<br />

Supervisors)<br />

§ PPE Refresher<br />

§ Crystalline-Silica & Respiratory<br />

§ Machine Guarding<br />

§ Hilit Reciprocating Saw Training<br />

§ Corrective Action: Revise IIPP to include a<br />

mandatory “Buddy System”<br />

Analytics Overview<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


SAFETY<br />

PERFORMANCE


Monthly Safety Performance Report<br />

Note: This report summarizes the Safe and Failed. Please make sure to report all man-hours, incidents and loss time<br />

from work by the end-of-the-month. This helps to implement changes and decrease the number of incidents on-site.<br />

August 2019 Anthony Torres Demolition 08.01.2019-07.31.2019<br />

Jobsites Evaluated<br />

Foreman Location Results Company Notified<br />

Jesus Pineda Moreno Valley 2 Failed Responses/ 1 Abated/ 109 Safe Sandra Castillo<br />

Jesus Diaz Costa Mesa 1 Failed Response / 3 Abated/ 110 Safe Sandra Castillo<br />

Sal Flores Sherman Oaks 0 Failed Response / 0 Abated/ 111 Safe Sandra Castillo<br />

Teodocio Mendoza El Paseo 3 Failed Responses / 1 Abated/ 108 Safe Sandra Castillo<br />

Sergio Duarte Torrance Inspection Score: N/A<br />

Crew was not on site.<br />

Sandra Castillo<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


SITE STATISTICS


Site Statistics August 2019<br />

QUARTERLY SUMMARY RESULTS<br />

This report is focused on the quarterly progress for Anthony Torres Demolition and reflects the safety site<br />

statistics per job-site. The criteria will help identify the leading indicators and will assist in creating proactive and<br />

conceptual safety strategies that will decrease incidents and ascertain training recommendations.<br />

Foreman July August September<br />

Teodocio Mendoza 100%,97.44% 92.68%<br />

Abel Castro 100% N/A<br />

Sal Flores 100% 100%<br />

Sixtos Molina 97.44% N/A<br />

Jesus Pineda 97.56% 94.59%<br />

Omero/Jesus Diaz N/A 97.30%<br />

Juan Duarte N/A N/A<br />

Sergio Duarte 97.37%,97.37% N/A


SAFETY EVALUATION<br />

REPORTS


Anthony Torres / 21 Aug 2019 / Mayra Martinez<br />

Safety Evaluation Report (SER)<br />

Complete<br />

Inspection score<br />

94.59%<br />

Failed items<br />

2<br />

Created actions<br />

0<br />

Client / Site<br />

Anthony Torres<br />

Date of Audit<br />

21st Aug, 2019<br />

Prepared by<br />

Mayra Martinez<br />

Location<br />

13691 Phyllis Ave, Moreno Valley, CA 92553, USA<br />

(33.921490999999996, -117.27296199999999)<br />

Private & Confidential Page 1/22


Failed items<br />

2 Failed<br />

Audit / 3. FIRE PREVENTION & PROTECTION<br />

B. Fire extinguishers available and inspected DEFICIENT<br />

— Notes<br />

Fire protection on site is inadequate.<br />

I inspected the fire extinguisher for the following:<br />

1.) Good over all condition<br />

2.) Security pin in place<br />

3.) Inalid inspection date<br />

4.) Pressue gauge reads 'charged.'<br />

— Photos<br />

Photo 16 Photo 17 Photo 18 Photo 19<br />

Audit / CONTRACTORS (List our client first) / Contractor / Contractor 1<br />

JHA Verified<br />

No<br />

— Notes<br />

Safety Hazard: The Pre-Construction Hazard Analysis was incomplete.<br />

Private & Confidential Page 2/22


Audit 2 Failed 94.59%<br />

CONTRACTOR AND PROJECT INFORMATION<br />

Contractor<br />

<strong>ATD</strong><br />

Safety Manager<br />

Manager<br />

Project Name<br />

Moreno Valley<br />

Project Number<br />

13691 Phyllis<br />

Project Manager<br />

Jesus Pineda<br />

Superintendent<br />

John Torres<br />

Inspector of Record (IOR)<br />

N/A<br />

Today's Weather Conditions (include 5 day forecast)<br />

Clear<br />

— Notes<br />

It is currently 79 degress, the crew will experience a high of 95 by 1:00 PM.<br />

— Photos<br />

Photo 1 Photo 2<br />

1. PROGRAM ADMINISTRATION<br />

A. Attach photo of Safety Program YES<br />

— Photos<br />

Photo 3 Photo 4<br />

Private & Confidential Page 3/22


B. Attach photo of Weekly Safety Meeting YES<br />

— Notes<br />

The Weekly Safety Meeting was conducted on Monday, August 19,2019 7:00AM.<br />

— Photos<br />

Photo 5<br />

C. Were any Safety Orientations performed today NO<br />

D. Safety Violation Notifications issued? NO<br />

E. Attach photos of Emergency Procedures including Emergency<br />

Contact list.<br />

YES<br />

— Photos<br />

Photo 6<br />

F. Attach photos of OSHA required posters. YES<br />

— Photos<br />

Photo 7 Photo 8<br />

Private & Confidential Page 4/22


G. Attach photos to identify contractor's on site First Aid and CPR<br />

certified workers.<br />

YES<br />

— Notes<br />

Employee Arturo Avila had a certification for CPR/First Aid. However, the certification is expired as of<br />

8/5/2019.<br />

— Photos<br />

Photo 9 Photo 10<br />

H. Did Owner's Safety Representative perform a job walk today? if so,<br />

list all safety concerns along with photos accompanied by your<br />

abated photos.<br />

I. Did the Inspector (IOR) have any safety concerns today? If so, list<br />

them and along with your abated photos.<br />

NO<br />

NO<br />

2. HEAT ILLNESS PREVENTION<br />

A. Attach photo of Heat Illness Plan (English & Spanish) SAFE<br />

— Photos<br />

Photo 11 Photo 12<br />

B. Is ample shade provided for workers? (80 degrees = 6 workers per<br />

canopy)<br />

SAFE<br />

— Photos<br />

Photo 13<br />

Private & Confidential Page 5/22


C. Are drinking fountains or at least 2 Gallons of fresh cool labeled<br />

drinking water available per worker with disposable cups, and trash<br />

can? (attach photo) Title 8, 1524, 3363 or 3457<br />

SAFE<br />

— Notes<br />

We have a 2-man crew on site today. They have a cooler with approximately 14 16.5 oz water bottles. Per<br />

Osha Standards, one quart must be available per hour per employee, which equates to two gallons.<br />

Currently, there are 7 quarts available for the 2-man crew.<br />

— Photos<br />

Photo 14<br />

D. Attach the documented Pre-Shift 95 degree High Heat Training<br />

provided for workers with sign in sheet?<br />

ABATED<br />

— Notes<br />

High Heat Hazard: According to weather records, it will be 95 degrees by 1:00PM. The crew did not have<br />

High Heat Training prior to beginning their task. According to Section 7 in <strong>ATD</strong> Code of Safe Practices, it<br />

reads " all employees working on job tasks where environmental risk factors for heat illness are present,<br />

shall receive instruction before being assigned to work tasks."<br />

Corrective Action: I conducted a High Heat Illness Prevention Training. The training covered, Heat Illness,<br />

shade accessability, water intake, communication, and encouraged them to take preventative cool-down<br />

rest in shade when they feel the need to do so to protect themselves from overheating. (Please see sign in<br />

sheet.)<br />

— Photos<br />

Photo 15<br />

3. FIRE PREVENTION & PROTECTION 1 Failed<br />

A. OSHA approved metal gas containers N/A<br />

Private & Confidential Page 6/22


B. Fire extinguishers available and inspected DEFICIENT<br />

— Notes<br />

Fire protection on site is inadequate.<br />

I inspected the fire extinguisher for the following:<br />

1.) Good over all condition<br />

2.) Security pin in place<br />

3.) Inalid inspection date<br />

4.) Pressue gauge reads 'charged.'<br />

— Photos<br />

Photo 16 Photo 17 Photo 18 Photo 19<br />

4. PERSONAL PROTECTIVE EQUIPMENT<br />

A. Approved hard hats SAFE<br />

— Photos<br />

Photo 20<br />

B. Safety glasses SAFE<br />

— Photos<br />

Photo 21<br />

D. Are respirators required for any work being performed on site? If so,<br />

were they provided by the employer in conjunction with the required<br />

controls listed on the Table 1 in Cal/OSHA Title 8 5144?<br />

Are respirators voluntarily being used? If so, are worker trained on<br />

hazards associated with the environment?<br />

N/A<br />

N/A<br />

Private & Confidential Page 7/22


E. Proper foot wear SAFE<br />

— Photos<br />

Photo 22<br />

F. Proper clothing/hand protection/reflective vests SAFE<br />

— Photos<br />

Photo 23 Photo 24<br />

• Do you have hoists, cranes, derricks & rigging on your site?<br />

• Do you have heavy equipment in your site?<br />

NO<br />

NO<br />

7. ELECTRICAL TOOLS<br />

A. Terminal boxes covered N/A<br />

B. Ground prong in place N/A<br />

C. 12-gauge cords placed along wall line or elevated 7 feet. Damage<br />

cords removed<br />

N/A<br />

D. Temp / permanent lighting adequate and protected SAFE<br />

— Photos<br />

Photo 25<br />

E. GFCI’s in place N/A<br />

F. Mechanical guards in place N/A<br />

Private & Confidential Page 8/22


G. Proper tools for each job SAFE<br />

— Photos<br />

Photo 26<br />

H. Powder actuated tools operated by qualified persons N/A<br />

I. Tools inspected. Defected tools removed from service SAFE<br />

8. FALL PROTECTION<br />

A. Fall protection policy in effect (6’) N/A<br />

B. PFAS worn correctly N/A<br />

C. Inspection and maintenance of PFAS conducted N/A<br />

D. Employees trained in fall protection and fall hazard recognition N/A<br />

9. BARRICADES / GUARD RAILS / STAIRS<br />

A. Floor / wall openings covered & labeled N/A<br />

B. Roadways, walkways and stairs free of obstacles SAFE<br />

— Photos<br />

Photo 27 Photo 28<br />

C. Adequate lighting SAFE<br />

D. Trenches and excavations N/A<br />

Private & Confidential Page 9/22


• Do you have ladders in your site?<br />

YES<br />

— Photos<br />

Photo 29 Photo 30 Photo 31 Photo 32 Photo 33<br />

10. LADDERS<br />

A. Secured to prevent slipping, sliding or falling SAFE<br />

B. Side rails extend 36” above top of landing, tied off and secured. N/A<br />

C. Step ladders fully open when in use. SAFE<br />

— Photos<br />

Photo 34<br />

• Is their scaffolding on site?<br />

• Is welding or cutting being performed on site?<br />

• Are their any excavations or shoring on site?<br />

• Is their any concrete work being performed on site?<br />

• Is any steel erection work being performed on site?<br />

• Is their any mobile equipment on site?<br />

• Do you have any confined space work being performed on site?<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

CONTRACTORS (List our client first)<br />

Please click "Add Contractor" button.<br />

Contractor<br />

Contractor 1<br />

1 Failed<br />

Name of Contractor/Company<br />

Anthony Torres Demolition<br />

Private & Confidential Page 10/22


JHA Verified<br />

No<br />

— Notes<br />

Safety Hazard: The Pre-Construction Hazard Analysis was incomplete.<br />

Toolbox<br />

Yes<br />

— Photos<br />

Photo 35<br />

Head Count<br />

2<br />

DAILY SAFETY NARRATIVE (DSN)<br />

Private & Confidential Page 11/22


Please put your Daily Safety Narrative here<br />

I arrived on site at 13691 Phyllis Avenue, Moreno Valley and met with the Foreman Jesus Pineda. We have<br />

a two-man crew and their scope of work is to remove the wood frame from a burned canopy at a<br />

residence.<br />

The equipment utilized is a pick and a-frame ladder. I inspected the ladder and ensured the rungs, steps,<br />

and cleats were in good condition without puncture and laceration hazards. It did not have any structural<br />

defects and all manufacture stickers were legible.<br />

The crew had their personal protective equipment : hard hats, safety glasses, boots, and appropriate<br />

clothing and leather gloves.<br />

The safty concerns I noted were the following:<br />

1.)High Heat Hazard: According to weather records, it will be 95 degrees by 1:00PM. The crew did not have<br />

High Heat Training prior to beginning their task. According to Section 7 in <strong>ATD</strong> Code of Safe Practices, it<br />

reads " all employees working on job tasks where environmental risk factors for heat illness are present,<br />

shall receive instruction before being assigned to work tasks."<br />

Corrective Action: I conducted a High Heat Illness Prevention Training. The training covered, Heat Illness,<br />

shade accessability, water intake, communication, and encouraged them to take preventative cool-down<br />

rest in shade when they feel the need to do so to protect themselves from overheating. (Please see sign in<br />

sheet.)<br />

2.) Incomplete Pre-Con Hazard Analysis. Foreman Jesus Pineda did not have the Pre-construction Hazard<br />

Analysis Completed upon my arrival. I asked him if he could fill out the form and go over all hazards with<br />

his crew to ensure awareness to reduce potential injuries. He stated he could not read, and therefore he<br />

could not fill out the form. I then asked him If I read the form in Spanish, if he would be able to complete<br />

the information . He stated he also could not write, and mentioned the other employee working with him<br />

today was also unable to complete the form. He advised that he did speak with his co-worker of the<br />

hazards on site and ensured they both had appropriate PPE, sufficient water, and shade.<br />

Note: Foreman Jesus Pineda is usually paired with an employee that assists him and sends me digital<br />

copy of his Pre-Con.Hazard Analysis.<br />

No Injuries were reported today. This completes my narrative.<br />

COMPLETION AND SIGN-OFF<br />

Auditor<br />

Name and Signature<br />

Mayra Martinez<br />

21st Aug, 2019 9:35 AM PDT<br />

Private & Confidential Page 12/22


Photo 15<br />

Photo 16<br />

Photo 17<br />

Photo 18<br />

Private & Confidential Page 17/22


Anthony Torres / 23 Aug 2019 / Mayra Martinez<br />

Safety Evaluation Report (SER)<br />

Complete<br />

Inspection score<br />

97.30%<br />

Failed items<br />

1<br />

Created actions<br />

0<br />

Client / Site<br />

Anthony Torres<br />

Date of Audit<br />

23rd Aug, 2019<br />

Prepared by<br />

Mayra Martinez<br />

Location<br />

1170 Baker St, Costa Mesa, CA 92626, USA<br />

(33.6811462, -117.90704970000002)<br />

Private & Confidential Page 1/21


Failed items<br />

1 Failed<br />

Audit / 3. FIRE PREVENTION & PROTECTION<br />

B. Fire extinguishers available and inspected DEFICIENT<br />

— Notes<br />

The fire extinguisher on site is inadequate. The date on the inspection tag shows the extinguisher had its<br />

annual maintenance performed in June 2018.<br />

— Photos<br />

Photo 12 Photo 13 Photo 14 Photo 15<br />

Private & Confidential Page 2/21


Audit 1 Failed 97.30%<br />

CONTRACTOR AND PROJECT INFORMATION<br />

Contractor<br />

<strong>ATD</strong><br />

Safety Manager<br />

Mayra Martinez<br />

Project Name<br />

Costa Mesa<br />

Project Number<br />

Costa Mesa<br />

Project Manager<br />

Jesus Diaz<br />

Superintendent<br />

John Torres<br />

Inspector of Record (IOR)<br />

Today's Weather Conditions (include 5 day forecast)<br />

Clear<br />

— Photos<br />

Photo 1 Photo 2<br />

1. PROGRAM ADMINISTRATION<br />

A. Attach photo of Safety Program YES<br />

— Photos<br />

Photo 3 Photo 4<br />

Private & Confidential Page 3/21


B. Attach photo of Weekly Safety Meeting YES<br />

— Notes<br />

*ABATED*<br />

Upon request, the Weekly Safety Meeting had not been conducted with Leadman Jesus Diaz.<br />

Corrective Action: I provided a copy of the Weeky Safety Meeting and Conducted the tailgate with the crew<br />

on Safety Data Sheets. (Please see sign in sheet.)<br />

— Photos<br />

Photo 5 Photo 6<br />

C. Were any Safety Orientations performed today NO<br />

D. Safety Violation Notifications issued? NO<br />

E. Attach photos of Emergency Procedures including Emergency<br />

Contact list.<br />

YES<br />

F. Attach photos of OSHA required posters. YES<br />

— Photos<br />

Photo 7<br />

G. Attach photos to identify contractor's on site First Aid and CPR<br />

certified workers.<br />

YES<br />

— Notes<br />

Note: Jesus Diaz' CPR/First Aid Certification expired on 8/5/2019.<br />

— Photos<br />

Photo 8 Photo 9<br />

Private & Confidential Page 4/21


H. Did Owner's Safety Representative perform a job walk today? if so,<br />

list all safety concerns along with photos accompanied by your<br />

abated photos.<br />

I. Did the Inspector (IOR) have any safety concerns today? If so, list<br />

them and along with your abated photos.<br />

NO<br />

NO<br />

2. HEAT ILLNESS PREVENTION<br />

A. Attach photo of Heat Illness Plan (English & Spanish) SAFE<br />

— Photos<br />

Photo 10<br />

B. Is ample shade provided for workers? (80 degrees = 6 workers per<br />

canopy)<br />

SAFE<br />

— Notes<br />

Work is being conducted indoors, and overnight.<br />

C. Are drinking fountains or at least 2 Gallons of fresh cool labeled<br />

drinking water available per worker with disposable cups, and trash<br />

can? (attach photo) Title 8, 1524, 3363 or 3457<br />

SAFE<br />

— Notes<br />

Water availability is currently adequate.<br />

There is a full case of 45 bottles, at 16.5 ounces each.<br />

Per OSHA Heat Illness Prevention Standards, there must be one quart (32 ounces) of water available per<br />

employee per hour.<br />

Currently, each employee has 4.6 quarts available. Leadman, Jesus Diaz plans on replenishing the water<br />

by purchasing another case at their lunch hour at 11pm. (It is 10:15pm at the moment.)<br />

— Photos<br />

Photo 11<br />

Private & Confidential Page 5/21


D. Attach the documented Pre-Shift 95 degree High Heat Training<br />

provided for workers with sign in sheet?<br />

N/A<br />

3. FIRE PREVENTION & PROTECTION 1 Failed<br />

A. OSHA approved metal gas containers N/A<br />

B. Fire extinguishers available and inspected DEFICIENT<br />

— Notes<br />

The fire extinguisher on site is inadequate. The date on the inspection tag shows the extinguisher had its<br />

annual maintenance performed in June 2018.<br />

— Photos<br />

Photo 12 Photo 13 Photo 14 Photo 15<br />

4. PERSONAL PROTECTIVE EQUIPMENT<br />

A. Approved hard hats SAFE<br />

— Photos<br />

Photo 16<br />

B. Safety glasses SAFE<br />

— Photos<br />

Photo 17<br />

D. Are respirators required for any work being performed on site? If so,<br />

were they provided by the employer in conjunction with the required<br />

controls listed on the Table 1 in Cal/OSHA Title 8 5144?<br />

Are respirators voluntarily being used? If so, are worker trained on<br />

hazards associated with the environment?<br />

N/A<br />

N/A<br />

Private & Confidential Page 6/21


E. Proper foot wear SAFE<br />

— Photos<br />

Photo 18<br />

F. Proper clothing/hand protection/reflective vests SAFE<br />

— Photos<br />

Photo 19<br />

• Do you have hoists, cranes, derricks & rigging on your site?<br />

• Do you have heavy equipment in your site?<br />

NO<br />

NO<br />

7. ELECTRICAL TOOLS<br />

A. Terminal boxes covered N/A<br />

B. Ground prong in place N/A<br />

C. 12-gauge cords placed along wall line or elevated 7 feet. Damage<br />

cords removed<br />

N/A<br />

D. Temp / permanent lighting adequate and protected SAFE<br />

— Photos<br />

Photo 20<br />

E. GFCI’s in place N/A<br />

F. Mechanical guards in place N/A<br />

Private & Confidential Page 7/21


G. Proper tools for each job SAFE<br />

— Photos<br />

Photo 21 Photo 22 Photo 23 Photo 24 Photo 25<br />

H. Powder actuated tools operated by qualified persons N/A<br />

I. Tools inspected. Defected tools removed from service SAFE<br />

8. FALL PROTECTION<br />

A. Fall protection policy in effect (6’) N/A<br />

B. PFAS worn correctly N/A<br />

C. Inspection and maintenance of PFAS conducted N/A<br />

D. Employees trained in fall protection and fall hazard recognition SAFE<br />

9. BARRICADES / GUARD RAILS / STAIRS<br />

A. Floor / wall openings covered & labeled N/A<br />

B. Roadways, walkways and stairs free of obstacles SAFE<br />

— Photos<br />

Photo 26<br />

C. Adequate lighting SAFE<br />

— Photos<br />

Photo 27<br />

D. Trenches and excavations N/A<br />

Private & Confidential Page 8/21


• Do you have ladders in your site?<br />

YES<br />

— Notes<br />

The ladder pictured was not being utilized.<br />

— Photos<br />

Photo 28<br />

10. LADDERS<br />

A. Secured to prevent slipping, sliding or falling N/A<br />

B. Side rails extend 36” above top of landing, tied off and secured. N/A<br />

C. Step ladders fully open when in use. N/A<br />

• Is their scaffolding on site?<br />

• Is welding or cutting being performed on site?<br />

• Are their any excavations or shoring on site?<br />

• Is their any concrete work being performed on site?<br />

• Is any steel erection work being performed on site?<br />

• Is their any mobile equipment on site?<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

YES<br />

— Photos<br />

Photo 29 Photo 30<br />

16. MOBILE EQUIPMENT<br />

A. Are imposed loads exerted on the life basket. SAFE<br />

B. Are lifts operated within load capacities SAFE<br />

C. Are lift occupants tied off to the designated anchorage points. N/A<br />

• Do you have any confined space work being performed on site?<br />

NO<br />

Private & Confidential Page 9/21


CONTRACTORS (List our client first)<br />

Please click "Add Contractor" button.<br />

Contractor<br />

Contractor 1<br />

Name of Contractor/Company<br />

<strong>ATD</strong><br />

JHA Verified<br />

Yes<br />

— Photos<br />

Photo 31<br />

Toolbox<br />

Yes<br />

— Photos<br />

Photo 32<br />

Head Count<br />

5<br />

DAILY SAFETY NARRATIVE (DSN)<br />

Private & Confidential Page 10/21


Please put your Daily Safety Narrative here<br />

I arrived on site at approximately 8:50pm and met with Leadman Jesus Diaz. He has a 5-man crew and<br />

they are removing drywall and a metal frame from 'Hoag Health Center.'<br />

The entire crew had appropriate clothing and personal protective equipment including hard hats, safety<br />

glasses , bright long sleeve shirts, safety boots, and leather gloves.<br />

They are utilizing one scissor lift to reach heights with a spotter. The scissor lift is on leveled flat surface<br />

and the operator is only standing on the designated area.<br />

Tools used are a pick, hand drill, wire cutters, and shovels and a pushbroom. All equipment appears to be<br />

in good working condition. A piece of tape is on the small hand drill for identification.<br />

During my evaluation, I abated the following safety concerns:<br />

1.) Incomplete Pre-Con Hazard Analysis. Leadman Jesus Diaz did not have a form completed.<br />

Corrective Action: I asked him to obtain the form from inside the company truck, complete the form, and<br />

review with the crew. Crew member Sergio assisted with writing out all information and Jesus reviewed all<br />

hazards with the crew .(Please see picture.)<br />

2.) Incomplete Truck Inspection. Upon request to view the <strong>ATD</strong> Truck inspection, Jesus Diaz stated he did<br />

not have any new forms. He showed me the Form Pad and it was thoroughly complete with previous<br />

dates. He did not have one for today .<br />

3.) Incomplete Weeky Safety Meeting: Upon request, the Weekly Safety Meeting had not been conducted<br />

with Leadman Jesus Diaz.<br />

Corrective Action: I provided a copy of the Weeky Safety Meeting and Conducted the tailgate with the crew<br />

on Safety Data Sheets. (Please see sign in sheet.)<br />

Fire Hazard: The fire extinguisher on site is inadequate. The date on the inspection tag shows the<br />

extinguisher had its annual maintenance performed in June 2018.<br />

Note: Jesus Diaz' CPR/First Aid Certificate expired on 8/5/2019.<br />

There were no injuries reported during my evaluation. This concludes my narrative.<br />

COMPLETION AND SIGN-OFF<br />

Auditor<br />

Name and Signature<br />

Mayra Martinez<br />

23rd Aug, 2019 9:56 PM PDT<br />

Private & Confidential Page 11/21


Photo 15<br />

Photo 12<br />

Photo 14<br />

Photo 17<br />

Private & Confidential Page 16/21


Anthony Torres/ Sherman Oaks / 27 Aug 2019 /<br />

Mayra Martinez<br />

Safety Evaluation Report (SER)<br />

Complete<br />

Inspection score<br />

100.00%<br />

Failed items<br />

0<br />

Created actions<br />

0<br />

Client / Site<br />

Anthony Torres/ Sherman Oaks<br />

Date of Audit<br />

27th Aug, 2019<br />

Prepared by<br />

Mayra Martinez<br />

Location<br />

13720 Riverside Dr, Los Angeles, CA 91423, USA<br />

(34.1568867, -118.43228300000001)<br />

Private & Confidential Page 1/22


Audit 100.00%<br />

CONTRACTOR AND PROJECT INFORMATION<br />

Contractor<br />

<strong>ATD</strong><br />

Safety Manager<br />

Mayra Martinez<br />

Project Name<br />

Joanns<br />

Project Number<br />

Sherman Oaks<br />

Project Manager<br />

Sal Flores<br />

Superintendent<br />

John Torres<br />

Inspector of Record (IOR)<br />

N/A<br />

Today's Weather Conditions (include 5 day forecast)<br />

Clear<br />

— Photos<br />

Photo 1 Photo 2<br />

1. PROGRAM ADMINISTRATION<br />

A. Attach photo of Safety Program YES<br />

— Photos<br />

Photo 3 Photo 4<br />

Private & Confidential Page 2/22


B. Attach photo of Weekly Safety Meeting YES<br />

— Notes<br />

The Weekly Safety Meeting was conducted on 8/26/19.<br />

— Photos<br />

Photo 5 Photo 6<br />

C. Were any Safety Orientations performed today NO<br />

D. Safety Violation Notifications issued? NO<br />

E. Attach photos of Emergency Procedures including Emergency<br />

Contact list.<br />

YES<br />

— Photos<br />

Photo 7<br />

F. Attach photos of OSHA required posters. YES<br />

— Photos<br />

Photo 8 Photo 9<br />

Private & Confidential Page 3/22


G. Attach photos to identify contractor's on site First Aid and CPR<br />

certified workers.<br />

YES<br />

— Notes<br />

Note: Foreman Sal Flores' CPR/First Aid Certification is expired as of 8/5/19.<br />

— Photos<br />

Photo 10 Photo 11<br />

H. Did Owner's Safety Representative perform a job walk today? if so,<br />

list all safety concerns along with photos accompanied by your<br />

abated photos.<br />

I. Did the Inspector (IOR) have any safety concerns today? If so, list<br />

them and along with your abated photos.<br />

NO<br />

NO<br />

2. HEAT ILLNESS PREVENTION<br />

A. Attach photo of Heat Illness Plan (English & Spanish) SAFE<br />

— Notes<br />

Pictured is the Heat llness Prevention Plan in both English and Spanish.<br />

— Photos<br />

Photo 12 Photo 13<br />

B. Is ample shade provided for workers? (80 degrees = 6 workers per<br />

canopy)<br />

SAFE<br />

— Photos<br />

Photo 14<br />

Private & Confidential Page 4/22


C. Are drinking fountains or at least 2 Gallons of fresh cool labeled<br />

drinking water available per worker with disposable cups, and trash<br />

can? (attach photo) Title 8, 1524, 3363 or 3457<br />

SAFE<br />

— Notes<br />

Water supply and replenishment system is currently sufficient on site. We have a 6-man crew today and<br />

there is currently approximately 57 16.5 oz bottles of water available. Per Osha standards, a quart (32oz)<br />

must be availabe per employee per hour.<br />

There are currently 4.8 quarts available per employee. Foreman Sal Flores' replenishment system consists<br />

of purchasing two additional cases of water on their lunch break, at 10am or when water supply is below<br />

one quart per employee.<br />

— Photos<br />

Photo 15 Photo 16<br />

D. Attach the documented Pre-Shift 95 degree High Heat Training<br />

provided for workers with sign in sheet?<br />

N/A<br />

3. FIRE PREVENTION & PROTECTION<br />

A. OSHA approved metal gas containers N/A<br />

B. Fire extinguishers available and inspected SAFE<br />

— Notes<br />

The fire extinguisher on site is adequate. I inspected for the following:<br />

1.) Overall good condition, without damage to the body of the extinguisher.<br />

2.) Pressure gauge reads ' charged.'<br />

3.) Security pin in place.<br />

4.) Sal Flores inspected in April 2019<br />

— Photos<br />

Photo 17 Photo 18 Photo 19 Photo 20<br />

4. PERSONAL PROTECTIVE EQUIPMENT<br />

Private & Confidential Page 5/22


A. Approved hard hats SAFE<br />

— Photos<br />

Photo 21<br />

B. Safety glasses SAFE<br />

D. Are respirators required for any work being performed on site? If so,<br />

were they provided by the employer in conjunction with the required<br />

controls listed on the Table 1 in Cal/OSHA Title 8 5144?<br />

Are respirators voluntarily being used? If so, are worker trained on<br />

hazards associated with the environment?<br />

N/A<br />

N/A<br />

E. Proper foot wear SAFE<br />

— Photos<br />

Photo 22<br />

F. Proper clothing/hand protection/reflective vests SAFE<br />

— Photos<br />

Photo 23 Photo 24<br />

• Do you have hoists, cranes, derricks & rigging on your site?<br />

• Do you have heavy equipment in your site?<br />

NO<br />

NO<br />

7. ELECTRICAL TOOLS<br />

A. Terminal boxes covered N/A<br />

B. Ground prong in place N/A<br />

Private & Confidential Page 6/22


C. 12-gauge cords placed along wall line or elevated 7 feet. Damage<br />

cords removed<br />

N/A<br />

D. Temp / permanent lighting adequate and protected SAFE<br />

— Photos<br />

Photo 25<br />

E. GFCI’s in place N/A<br />

F. Mechanical guards in place N/A<br />

G. Proper tools for each job SAFE<br />

— Notes<br />

The tools and equipment being utilized today are the following: Hammer, pick, waste container, and pallet<br />

jack.<br />

— Photos<br />

Photo 26 Photo 27 Photo 28 Photo 29 Photo 30<br />

H. Powder actuated tools operated by qualified persons N/A<br />

I. Tools inspected. Defected tools removed from service SAFE<br />

— Notes<br />

Note: The Hammer being utlized on site appeared to be damaged. I brought it to the attention of Sal Flores<br />

and he stated the tape was there for identification purposes<br />

— Photos<br />

Photo 31 Photo 32<br />

8. FALL PROTECTION<br />

A. Fall protection policy in effect (6’) N/A<br />

Private & Confidential Page 7/22


B. PFAS worn correctly N/A<br />

C. Inspection and maintenance of PFAS conducted N/A<br />

D. Employees trained in fall protection and fall hazard recognition SAFE<br />

9. BARRICADES / GUARD RAILS / STAIRS<br />

A. Floor / wall openings covered & labeled SAFE<br />

— Photos<br />

Photo 33 Photo 34<br />

B. Roadways, walkways and stairs free of obstacles SAFE<br />

— Photos<br />

Photo 35 Photo 36<br />

C. Adequate lighting SAFE<br />

— Photos<br />

Photo 37<br />

D. Trenches and excavations N/A<br />

• Do you have ladders in your site?<br />

YES<br />

10. LADDERS<br />

A. Secured to prevent slipping, sliding or falling SAFE<br />

B. Side rails extend 36” above top of landing, tied off and secured. N/A<br />

Private & Confidential Page 8/22


C. Step ladders fully open when in use. SAFE<br />

— Photos<br />

Photo 38 Photo 39 Photo 40<br />

• Is their scaffolding on site?<br />

• Is welding or cutting being performed on site?<br />

• Are their any excavations or shoring on site?<br />

• Is their any concrete work being performed on site?<br />

• Is any steel erection work being performed on site?<br />

• Is their any mobile equipment on site?<br />

• Do you have any confined space work being performed on site?<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

CONTRACTORS (List our client first)<br />

Please click "Add Contractor" button.<br />

Contractor<br />

Contractor 1<br />

Name of Contractor/Company<br />

<strong>ATD</strong><br />

JHA Verified<br />

Yes<br />

— Photos<br />

Photo 41<br />

Private & Confidential Page 9/22


Toolbox<br />

Yes<br />

— Photos<br />

Photo 42<br />

Head Count<br />

6<br />

DAILY SAFETY NARRATIVE (DSN)<br />

Please put your Daily Safety Narrative here<br />

I arrived on site at Joanns in Sherman Oaks with Foreman Sal Flores at approximately 9:00am. I met with<br />

Sal, he is currenty recovering and overseeing the work .<br />

I inspected his documentation. The Pre-Con Hazard Analysis, Weekly Safety Meeting, Safety plans,<br />

emergency procedures and Heat Illness Prevention plan were all compete and available.<br />

The Weekly Safety Meeting was conducted by Sal Flores and covered " OSHA quickcard Safety Data<br />

Sheets"<br />

We have a 6-man crew today and their scope of work is removing shelving units and placing them into the<br />

waste receptical from the second floor of the Sports Authority/Joanns store.<br />

All crew members had appropriate personal protective equipment incuding, hard hats, safety glasses,<br />

bright orange shirts/vests, boots, and gloves.<br />

The tools and equipment being utilized today are the following: Hammer, pick, waste container, and pallet<br />

jack.<br />

Note: The Hammer being utlized on site appeared to be damaged. I brought it to the attention of Sal Flores<br />

and he stated the tape was there for identification purposes.<br />

There were no incidents reported during my evaluation. This concludes my narrative.<br />

COMPLETION AND SIGN-OFF<br />

Auditor<br />

Name and Signature<br />

27th Aug, 2019 10:16 AM PDT<br />

Private & Confidential Page 10/22


Anthony Torres Demolition / 29 Aug 2019 / Mayra<br />

Martinez<br />

Safety Evaluation Report (SER)<br />

Complete<br />

Inspection score<br />

92.68%<br />

Failed items<br />

3<br />

Created actions<br />

0<br />

Client / Site<br />

Anthony Torres Demolition<br />

Date of Audit<br />

29th Aug, 2019<br />

Prepared by<br />

Mayra Martinez<br />

Location<br />

73-040 El Paseo, Palm Desert, CA 92260, USA<br />

(33.719994299999996, -116.39038620000001)<br />

Private & Confidential Page 1/22


Failed items<br />

3 Failed<br />

Audit / 3. FIRE PREVENTION & PROTECTION<br />

B. Fire extinguishers available and inspected DEFICIENT<br />

— Notes<br />

The fire extinguisher on site has an invalid inspection date.<br />

The annual inspection was last performed in June 2018.<br />

— Photos<br />

Photo 16 Photo 17 Photo 18 Photo 19<br />

Audit / 6. HEAVY EQUIPMENT<br />

C. Daily pre-use inspections done and documented.1926.601(b)(14),<br />

Cal/Osha Article 10. Haulage and Earth Moving §1593.<br />

DEFICIENT<br />

Audit / CONTRACTORS (List our client first) / Contractor / Contractor 1<br />

Toolbox<br />

No<br />

Private & Confidential Page 2/22


Audit 3 Failed 92.68%<br />

CONTRACTOR AND PROJECT INFORMATION<br />

Contractor<br />

<strong>ATD</strong><br />

Safety Manager<br />

Mayra Martinez<br />

Project Name<br />

Palm Desert<br />

Project Number<br />

Eddie Vs<br />

Project Manager<br />

Teodocio Mendoza<br />

Superintendent<br />

John Torres<br />

Inspector of Record (IOR)<br />

Today's Weather Conditions (include 5 day forecast)<br />

Clear<br />

— Photos<br />

Photo 1 Photo 2<br />

1. PROGRAM ADMINISTRATION<br />

A. Attach photo of Safety Program YES<br />

— Photos<br />

Photo 3<br />

B. Attach photo of Weekly Safety Meeting NO<br />

— Notes<br />

Upon request of the Weekly Safety Meeting, Christian Mendoza stated he submitted the sign in sheet into<br />

the <strong>ATD</strong> office.<br />

Private & Confidential Page 3/22


C. Were any Safety Orientations performed today NO<br />

D. Safety Violation Notifications issued? NO<br />

E. Are emergency procedures established? Contact list, First Aid Kit in<br />

waterproof container. §1512. Emergency Medical Services.<br />

YES<br />

— Photos<br />

Photo 4 Photo 5 Photo 6<br />

F. Attach photos to identify contractor's on site first aid and CPR<br />

certified workers.<br />

NO<br />

— Notes<br />

The CPR/First Aid certification of Foreman Teodocio Mendoza is expired as of 8.5.2019<br />

G. Attach photos of OSHA required posters. YES<br />

— Photos<br />

Photo 7<br />

H. Did Owner's Safety Representative perform a job walk today? if so,<br />

list all safety concerns along with photos accompanied by your<br />

abated photos.<br />

I. Did the Inspector (IOR) have any safety concerns today? If so, list<br />

them and along with your abated photos.<br />

NO<br />

NO<br />

2. HEAT ILLNESS PREVENTION<br />

A. Attach photo of Heat Illness Plan (English & Spanish) SAFE<br />

— Photos<br />

Photo 8<br />

Private & Confidential Page 4/22


B. Is ample shade provided for workers? (80 degrees = 6 workers per<br />

canopy)<br />

SAFE<br />

— Photos<br />

Photo 9 Photo 10 Photo 11<br />

C. Are drinking fountains or at least 2 Gallons of fresh cool labeled<br />

drinking water available per worker with disposable cups, and trash<br />

can? (attach photo) Title 8, 1524, 3363 or 3457<br />

SAFE<br />

— Notes<br />

Water supply is currently sufficient.<br />

We have a 4-man crew on site, and there are approximately 30 16.5 oz water bottles available.<br />

Per osha, one quart (32 oz) per employee per hour must be available.<br />

Currently, at 2:00pm there are 123 oz. Of water available per employee.<br />

— Photos<br />

Photo 12 Photo 13 Photo 14<br />

D. Attach the documented Pre-Shift 95 degree High Heat Training<br />

provided for workers with sign in sheet?<br />

ABATED<br />

— Notes<br />

High Heat Hazard: The crew did not have a High Heat training prior to conducting work.<br />

Corrective Action: It is currently 102 degrees.<br />

The crew took a 10 minute break and received high heat training.<br />

(See sign in sheet)<br />

— Photos<br />

Photo 15<br />

3. FIRE PREVENTION & PROTECTION 1 Failed<br />

A. OSHA approved metal gas containers N/A<br />

Private & Confidential Page 5/22


A. OSHA approved metal gas containers N/A<br />

B. Fire extinguishers available and inspected DEFICIENT<br />

— Notes<br />

The fire extinguisher on site has an invalid inspection date.<br />

The annual inspection was last performed in June 2018.<br />

— Photos<br />

Photo 16 Photo 17 Photo 18 Photo 19<br />

4. PERSONAL PROTECTIVE EQUIPMENT<br />

A. Approved hard hats SAFE<br />

— Photos<br />

Photo 20<br />

B. Safety glasses SAFE<br />

— Photos<br />

Photo 21<br />

D. Are respirators required for any work being performed on site? If so,<br />

were they provided by the employer in conjunction with the required<br />

controls listed on the Table 1 in Cal/OSHA Title 8 5144?<br />

Are respirators voluntarily being used? If so, are worker trained on<br />

hazards associated with the environment?<br />

N/A<br />

N/A<br />

Private & Confidential Page 6/22


E. Proper foot wear SAFE<br />

— Photos<br />

Photo 22<br />

F. Proper clothing/hand protection/reflective vests SAFE<br />

— Photos<br />

Photo 23<br />

• Do you have hoists, cranes, derricks & rigging on your site?<br />

• Do you have heavy equipment in your site?<br />

NO<br />

YES<br />

— Photos<br />

Photo 24 Photo 25<br />

6. HEAVY EQUIPMENT 1 Failed<br />

A. Seat belts used correctly SAFE<br />

B. Operators properly trained and authorized SAFE<br />

— Photos<br />

Photo 26 Photo 27<br />

Private & Confidential Page 7/22


C. Daily pre-use inspections done and documented.1926.601(b)(14),<br />

Cal/Osha Article 10. Haulage and Earth Moving §1593.<br />

DEFICIENT<br />

D. Backup alarms and signal men SAFE<br />

— Notes<br />

Crew members Christian and Teodocio Mendoza were spotting the forklift. .<br />

7. ELECTRICAL TOOLS<br />

A. Terminal boxes covered N/A<br />

B. Ground prong in place N/A<br />

C. 12-gauge cords placed along wall line or elevated 7 feet. Damage<br />

cords removed<br />

N/A<br />

D. Temp / permanent lighting adequate and protected SAFE<br />

— Photos<br />

Photo 28<br />

E. GFCI’s in place N/A<br />

F. Mechanical guards in place N/A<br />

G. Proper tools for each job SAFE<br />

— Photos<br />

Photo 29 Photo 30<br />

H. Powder actuated tools operated by qualified persons N/A<br />

I. Tools inspected. Defected tools removed from service SAFE<br />

8. FALL PROTECTION<br />

Private & Confidential Page 8/22


A. Fall protection policy in effect (6’) SAFE<br />

— Notes<br />

A trench is blocked by caution tape. Our crew is not currently working near that area. There are other<br />

contractors working on this site. According to the Foreman, carpenters conducted a concrete pour earlier<br />

today and have departed the site.<br />

— Photos<br />

Photo 31 Photo 32<br />

B. PFAS worn correctly N/A<br />

C. Inspection and maintenance of PFAS conducted N/A<br />

D. Employees trained in fall protection and fall hazard recognition SAFE<br />

— Notes<br />

<strong>ATD</strong> Employees were trained on fall protection in March 2019<br />

9. BARRICADES / GUARD RAILS / STAIRS<br />

A. Floor / wall openings covered & labeled N/A<br />

B. Roadways, walkways and stairs free of obstacles SAFE<br />

— Photos<br />

Photo 33<br />

C. Adequate lighting SAFE<br />

D. Trenches and excavations N/A<br />

• Do you have ladders in your site?<br />

• Is their scaffolding on site?<br />

• Is welding or cutting being performed on site?<br />

• Are their any excavations or shoring on site?<br />

• Is their any concrete work being performed on site?<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

Private & Confidential Page 9/22


• Is any steel erection work being performed on site?<br />

• Is their any mobile equipment on site?<br />

• Do you have any confined space work being performed on site?<br />

NO<br />

NO<br />

NO<br />

CONTRACTORS (List our client first)<br />

Please click "Add Contractor" button.<br />

Contractor<br />

Contractor 1<br />

1 Failed<br />

Name of Contractor/Company<br />

<strong>ATD</strong><br />

JHA Verified<br />

Yes<br />

— Photos<br />

Photo 34<br />

Toolbox<br />

No<br />

Head Count<br />

4<br />

DAILY SAFETY NARRATIVE (DSN)<br />

Private & Confidential Page 10/22


Please put your Daily Safety Narrative here<br />

I arrived on site at approximate 1:15pm and met with the Foreman Teodocio Mendoza.<br />

Upon arrival the crew was on a cool-down/water break. We are currently experiencing 104 degree weather<br />

in Palm Desert.<br />

The Safety Concerns found and abated on site are the following:<br />

1.)The crew did not have High Heat Training prior to conducting work.<br />

Corrective Action: I conducted a stand down High Heat Training for the crew. I emphasised to drink plenty<br />

of water, communication, breaks in shade, and high heat symptoms.<br />

2.)The fire extinguisher on site has an invalid inspection date.<br />

The annual inspection was last performed in June 2018.<br />

I advised the foreman to turn it into the yard and replace with a valid extinguisher.<br />

We have two heavy machines on site : a bobcat and a fork lift.<br />

Note: Crew members Christian and Teodocio Mendoza were spotting the forklift.<br />

There is a trench on site, however, the trench is blocked by caution tape. Our crew is not currently working<br />

near that area. There are other contractors working on this site. According to the Foreman, carpenters<br />

conducted a concrete pour earlier today and have departed the site.<br />

All employees has appropriate personal protective equipment. Gloves were used when handling thee pick<br />

and chains.<br />

No incidents were reported during my evaluation. Thu concludes my narrative.<br />

COMPLETION AND SIGN-OFF<br />

Auditor<br />

Name and Signature<br />

Mayra Martinez<br />

29th Aug, 2019 2:37 PM PDT<br />

Private & Confidential Page 11/22


Anthony Torres Demolition / 30 Aug 2019 / Mayra<br />

Martinez<br />

Safety Evaluation Report (SER)<br />

Complete<br />

Inspection score<br />

100.00%<br />

Failed items<br />

0<br />

Created actions<br />

0<br />

Client / Site<br />

Anthony Torres Demolition<br />

Date of Audit<br />

30th Aug, 2019<br />

Prepared by<br />

Mayra Martinez<br />

Location<br />

21841 Hawthorne Blvd, Torrance, CA 90503, USA<br />

(33.8290851, -118.35295289999999)<br />

Private & Confidential Page 1/8


Audit 100.00%<br />

CONTRACTOR AND PROJECT INFORMATION<br />

Contractor<br />

Anthony Torres Demolition<br />

Safety Manager<br />

Mayra Martinez<br />

Project Name<br />

Joanns<br />

Project Number<br />

TORRANCE<br />

Project Manager<br />

Sergio Duarte<br />

Superintendent<br />

John Torres<br />

Inspector of Record (IOR)<br />

Today's Weather Conditions (include 5 day forecast)<br />

Clear<br />

— Photos<br />

Photo 1 Photo 2<br />

1. PROGRAM ADMINISTRATION<br />

Private & Confidential Page 2/8


A. Attach photo of Safety Program NO<br />

— Notes<br />

The Anthony Torres Demolition Crew was not on site upon arrival at 10:51pm.<br />

According to the active job list sent on 8/29/19, the crew was to begin work at 9:00pm.<br />

Foreman Sergio Duarte was unable to be reached and located on site.<br />

— Photos<br />

Photo 3 Photo 4 Photo 5 Photo 6<br />

B. Attach photo of Weekly Safety Meeting NO<br />

C. Were any Safety Orientations performed today NO<br />

D. Safety Violation Notifications issued? NO<br />

E. Are emergency procedures established? Contact list, First Aid Kit in<br />

waterproof container. §1512. Emergency Medical Services.<br />

F. Attach photos to identify contractor's on site first aid and CPR<br />

certified workers.<br />

NO<br />

NO<br />

G. Attach photos of OSHA required posters. NO<br />

H. Did Owner's Safety Representative perform a job walk today? if so,<br />

list all safety concerns along with photos accompanied by your<br />

abated photos.<br />

I. Did the Inspector (IOR) have any safety concerns today? If so, list<br />

them and along with your abated photos.<br />

NO<br />

NO<br />

2. HEAT ILLNESS PREVENTION<br />

A. Attach photo of Heat Illness Plan (English & Spanish) N/A<br />

B. Is ample shade provided for workers? (80 degrees = 6 workers per<br />

canopy)<br />

C. Are drinking fountains or at least 2 Gallons of fresh cool labeled<br />

drinking water available per worker with disposable cups, and trash<br />

can? (attach photo) Title 8, 1524, 3363 or 3457<br />

D. Attach the documented Pre-Shift 95 degree High Heat Training<br />

provided for workers with sign in sheet?<br />

N/A<br />

N/A<br />

N/A<br />

3. FIRE PREVENTION & PROTECTION<br />

Private & Confidential Page 3/8


3. FIRE PREVENTION & PROTECTION<br />

A. OSHA approved metal gas containers N/A<br />

B. Fire extinguishers available and inspected N/A<br />

4. PERSONAL PROTECTIVE EQUIPMENT<br />

A. Approved hard hats N/A<br />

B. Safety glasses N/A<br />

D. Are respirators required for any work being performed on site? If so,<br />

were they provided by the employer in conjunction with the required<br />

controls listed on the Table 1 in Cal/OSHA Title 8 5144?<br />

Are respirators voluntarily being used? If so, are worker trained on<br />

hazards associated with the environment?<br />

N/A<br />

N/A<br />

E. Proper foot wear N/A<br />

F. Proper clothing/hand protection/reflective vests N/A<br />

• Do you have hoists, cranes, derricks & rigging on your site?<br />

• Do you have heavy equipment in your site?<br />

NO<br />

NO<br />

7. ELECTRICAL TOOLS<br />

A. Terminal boxes covered N/A<br />

B. Ground prong in place N/A<br />

C. 12-gauge cords placed along wall line or elevated 7 feet. Damage<br />

cords removed<br />

N/A<br />

D. Temp / permanent lighting adequate and protected N/A<br />

E. GFCI’s in place N/A<br />

F. Mechanical guards in place N/A<br />

G. Proper tools for each job N/A<br />

H. Powder actuated tools operated by qualified persons N/A<br />

I. Tools inspected. Defected tools removed from service N/A<br />

8. FALL PROTECTION<br />

A. Fall protection policy in effect (6’) N/A<br />

B. PFAS worn correctly N/A<br />

Private & Confidential Page 4/8


C. Inspection and maintenance of PFAS conducted N/A<br />

D. Employees trained in fall protection and fall hazard recognition N/A<br />

9. BARRICADES / GUARD RAILS / STAIRS<br />

A. Floor / wall openings covered & labeled N/A<br />

B. Roadways, walkways and stairs free of obstacles N/A<br />

C. Adequate lighting N/A<br />

D. Trenches and excavations N/A<br />

• Do you have ladders in your site?<br />

• Is their scaffolding on site?<br />

• Is welding or cutting being performed on site?<br />

• Are their any excavations or shoring on site?<br />

• Is their any concrete work being performed on site?<br />

• Is any steel erection work being performed on site?<br />

• Is their any mobile equipment on site?<br />

• Do you have any confined space work being performed on site?<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

NO<br />

CONTRACTORS (List our client first)<br />

Please click "Add Contractor" button.<br />

Contractor<br />

Contractor 1<br />

Name of Contractor/Company<br />

Anthony Torres Demo.<br />

JHA Verified<br />

Toolbox<br />

N/A<br />

N/A<br />

Head Count<br />

0<br />

DAILY SAFETY NARRATIVE (DSN)<br />

Private & Confidential Page 5/8


Please put your Daily Safety Narrative here<br />

I arrived at Joann's Stire located at<br />

21800 Hawthorne Blvd<br />

Torrance<br />

at 10:51pm.<br />

I called Foreman Sergio Duarte upon arrival and was unable to reach him and called a total of 3 times.<br />

There is no sign of the Anthony Torres Demolition crew on site. (See pictures)<br />

On Thursday, August 29, I received the active job locations for today, Friday August 30.<br />

The list communicates :<br />

NIGHT JOB ( Start Time 9:00pm)<br />

Joann Fabric<br />

21800 Hawthorne Blvd<br />

Torrance<br />

Foreman: Sergio<br />

COMPLETION AND SIGN-OFF<br />

Auditor<br />

Name and Signature<br />

<strong>ATD</strong><br />

30th Aug, 2019 11:01 PM PDT<br />

Private & Confidential Page 6/8


Photo 3<br />

Photo 4<br />

Photo 5<br />

Photo 6<br />

Private & Confidential Page 8/8


EMPLOYEE<br />

CORRECTIVE<br />

MEASURES


Corrective Measures Summary<br />

August 2019<br />

EMPLOYEE CORRECTIVE MEASURES<br />

Infractions will receive an Employee Corrective Measures form. When an infraction is committed, a verbal<br />

warning will be issued, and the form will serve as a record. The 5 Keys implemented to assist and help<br />

with understanding are the following: 1.) Establish 2.) Enforce 3.) Monitor 4.) Train 5.) Assist.<br />

DATE & JOBSITE EMPLOYEE/WORKER VIOLATION<br />

1 8/21/2019 Jesus Pineda<br />

2 8/23/2019 Jesus Diaz<br />

3 8/29/2019 Teodocio Mendoza<br />

The inspection tag on the site fire<br />

extinguisher was out dated. Last yearly<br />

inspection was June 2018.<br />

The inspection tag on the site fire<br />

extinguisher was out dated. Last yearly<br />

inspection was June 2018.<br />

Incomplete documentation: Pre-<br />

Construction Hazard Analysis, Truck<br />

Inspection, and Weekly Safety Meeting.<br />

The Inspection tag on the site fire<br />

extinguisher was out dated. Last yearly<br />

inspection.<br />

High Heat Illness Training not given to crew<br />

prior to commencing work in temperatures<br />

expected to reach 104 degrees.<br />

4<br />

5<br />

6<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


Employee Corrective Measures (ECM) Report<br />

The ECM Report must be filled out by Management upon the notification of the infraction. Once it is completed please Email a copy<br />

to The Price of Safety to the following individuals: Safety Dept: info@thepriceofsafety.co; as well as a copy to the client contact<br />

WITHIN 24 HOURS.<br />

For assistance call (424) 744-1002<br />

Name of Worker/Employee<br />

Jesus Pineda<br />

Trade: Demolition<br />

Date and Time of Incident:<br />

August 21, 2019<br />

Name of Supervisor:<br />

John Torres<br />

Form Completed By:<br />

Mayra Martinez<br />

Project Name and #: Moreno<br />

Valley Residence<br />

Were there any witnesses?<br />

No<br />

Job Title:<br />

Demolition Foreman<br />

Location of Incident (Address):<br />

Residence : Moreno Valley<br />

Supervisor's Number:<br />

909.620.4884<br />

Number<br />

951.441.9230<br />

Was this incident in violation of a<br />

company policy?<br />

Name of Witness:<br />

Employer/Contractor:<br />

Anthony Torres Demolition<br />

Date Supervisor Notified:<br />

August 21,2019<br />

Date THE PRICE OF SAFETY notified:<br />

August 21,2019<br />

x YES q NO<br />

Name of Witness:<br />

Type of Violation:<br />

No PPE<br />

Improper use of fall arrest (PFAS)<br />

Improper use of equipment<br />

Lack of Documentation<br />

Missing Required Certification<br />

Improper use of a vehicle/heavy equipment<br />

Improper guards<br />

Improper PPE<br />

Unsafe Act/Condition<br />

Failure to Secure/Warn<br />

Other: Inadequate Fire Extinguisher<br />

Potential for<br />

Reoccurrence:<br />

Never<br />

Rare X<br />

Occasional Frequent<br />

Has Employee been trained<br />

in the area violated?<br />

xYES<br />

q NO<br />

q WARNED q SUSPEND q REMOVED FROM JOB SITE q DISCHARGED<br />

Date of Previous Warning: Days Suspended: Date Removed:<br />

X Verbal Notification<br />

Dates of Suspension<br />

Full description of incident: (Please describe the occurrence- remember, this section is for facts, not opinions)<br />

Foreman Jesus Pineda had an inadequate fire extinguisher on site. The extinguisher's last yearly inspection was<br />

conducted in June 2018.<br />

Worker's Statement:<br />

Mr. Pineda stated he was unaware of the expired inspection tag and would replace it upon<br />

arriving to the Anthony Torres Demolition yard.<br />

What Corrective Measures were taken/or suggested:<br />

Mayra Martinez contacted Mr. Pineda to ensure the fire extinguisher was replaced.<br />

What the situation defused or mitigated? Why or Why Not?<br />

Yes<br />

Signature:<br />

Date:<br />

Mayra Martinez August 21, 2019


Employee Corrective Measures (ECM) Report<br />

The ECM Report must be filled out by Management upon the notification of the infraction. Once it is completed please Email a copy<br />

to The Price of Safety to the following individuals: Safety Dept: info@thepriceofsafety.co; as well as a copy to the client contact<br />

WITHIN 24 HOURS.<br />

For assistance call (424) 744-1002<br />

Name of Worker/<br />

Employee Jesus Diaz<br />

Trade: Demolition<br />

Date and Time of<br />

Incident: August 23, 2019<br />

Name of Supervisor:<br />

John Torres<br />

Form Completed By:<br />

Mayra Martinez<br />

Project Name and #: Moreno<br />

Valley Residence<br />

Were there any witnesses?<br />

No<br />

Job Title: Demolition<br />

Leadman<br />

Location of Incident (Address):<br />

1170 Baker st, Costa Mesa<br />

Supervisor's Number:<br />

909.620.4884<br />

Number<br />

951.441.9230<br />

Was this incident in violation of a<br />

company policy?<br />

Name of Witness:<br />

Employer/Contractor:<br />

Anthony Torres Demolition<br />

Date Supervisor Notified:<br />

August 23,2019<br />

Date THE PRICE OF SAFETY notified:<br />

August 23,2019<br />

x YES q NO<br />

Name of Witness:<br />

Type of Violation:<br />

No PPE<br />

Improper use of fall arrest (PFAS)<br />

Improper use of equipment<br />

Lack of Documentation<br />

Missing Required Certification<br />

Improper use of a vehicle/heavy equipment<br />

Improper guards<br />

Improper PPE<br />

Unsafe Act/Condition<br />

Failure to Secure/Warn<br />

Other: Inadequate Fire Extinguisher<br />

Potential for<br />

Reoccurrence:<br />

Never<br />

Rare X<br />

Occasional Frequent<br />

Has Employee been trained<br />

in the area violated?<br />

xYES<br />

q NO<br />

q WARNED q SUSPEND q REMOVED FROM JOB SITE q DISCHARGED<br />

Date of Previous Warning: Days Suspended: Date Removed:<br />

X Verbal Notification<br />

Dates of Suspension<br />

Full description of incident: (Please describe the occurrence- remember, this section is for facts, not opinions)<br />

Leadman Jesus Diaz did not have the following documentation complete on site : Pre-Construction Hazard Analysis,<br />

Truck Inspection, Weekly Safety Meeting.<br />

The Fire extinguisher on site had an out dated inspection tag. Last yearly inspection was conducted on 6/2018.<br />

Worker's Statement:<br />

Mr. Diaz stated the truck inspection pad was filled to capacity and did not have any more<br />

forms.<br />

What Corrective Measures were taken/or suggested:<br />

Mayra Martinez conducted a Weekly Safety Meeting on site, assisted with the completion of the Pre-Con<br />

Hazard Analysis, and notified management of the incomplete truck inspection.<br />

What the situation defused or mitigated? Why or Why Not?<br />

Yes<br />

Signature:<br />

Date:<br />

Mayra Martinez August 23, 2019


Employee Corrective Measures (ECM) Report<br />

The ECM Report must be filled out by Management upon the notification of the infraction. Once it is completed please Email a copy<br />

to The Price of Safety to the following individuals: Safety Dept: info@thepriceofsafety.co; as well as a copy to the client contact<br />

WITHIN 24 HOURS.<br />

For assistance call (424) 744-1002<br />

Name of Worker/Employee<br />

Teodocio Mendoza<br />

Trade: Demolition<br />

Date and Time of<br />

Incident: August 29, 2019<br />

Name of Supervisor:<br />

John Torres<br />

Form Completed By:<br />

Mayra Martinez<br />

Project Name and #: Palm Desert<br />

Were there any witnesses?<br />

No<br />

Job Title: Demolition<br />

Foreman<br />

Location of Incident (Address):<br />

74-040 El Paseo, Palm Desert<br />

Supervisor's Number:<br />

909.620.4884<br />

Number<br />

951.441.9230<br />

Was this incident in violation of a<br />

company policy?<br />

Name of Witness:<br />

Employer/Contractor:<br />

Anthony Torres Demolition<br />

Date Supervisor Notified:<br />

August 29,2019<br />

Date THE PRICE OF SAFETY notified:<br />

August 29,2019<br />

x YES q NO<br />

Name of Witness:<br />

Type of Violation:<br />

No PPE<br />

Improper use of fall arrest (PFAS)<br />

Improper use of equipment<br />

Lack of Documentation<br />

Missing Required Certification<br />

Improper use of a vehicle/heavy equipment<br />

Improper guards<br />

Improper PPE<br />

Unsafe Act/Condition<br />

Failure to Secure/Warn<br />

Other: Inadequate Fire Extinguisher<br />

Potential for<br />

Reoccurrence:<br />

Never<br />

Rare X<br />

Occasional Frequent<br />

Has Employee been trained<br />

in the area violated?<br />

xYES<br />

q NO<br />

q WARNED q SUSPEND q REMOVED FROM JOB SITE q DISCHARGED<br />

Date of Previous Warning: Days Suspended: Date Removed:<br />

X Verbal Notification<br />

Dates of Suspension<br />

Full description of incident: (Please describe the occurrence- remember, this section is for facts, not opinions)<br />

Foreman Teodocio Mendoza did not have the following documentation complete on site : Truck Inspection, Weekly<br />

Safety Meeting, and High Heat Training prior to crew working in an expected 104 degrees on site.<br />

The Fire extinguisher on site had an out dated inspection tag. Last yearly inspection was conducted on 6/2018.<br />

Worker's Statement:<br />

Mr. Mendoza stated he was unaware of the mandatory High Heat Training and the truck<br />

inspection pad was filled to capacity.<br />

What Corrective Measures were taken/or suggested:<br />

Mayra Martinez conducted a Weekly Safety Meeting and High Heat Training on site. Also, notified<br />

management of the incomplete truck inspection.<br />

What the situation defused or mitigated? Why or Why Not?<br />

Yes<br />

Signature:<br />

Date:<br />

Mayra Martinez August 29, 2019


INCIDENT LOGS


Incident Log August 2019<br />

SUMMARY:<br />

Employee Sal Flores was involved in an incident on August 19, 2019.<br />

Note:<br />

Please continue to encourage all of our employees to report minor incidents including cuts, scratches, and<br />

bruises. As well as major incidents such as slips, falls, sprains, and broken bones as soon as possible; ensure<br />

that all foreman have incident response packets available on hand at all times.<br />

Minor Incident example: scraped knee, puncture finger with staple gun.<br />

Major Incidents include: Fall from ladder, eye puncture, circular saw cut, property damage.<br />

OPEN INCIDENTS<br />

NAME OF EMPLOYEE DATE/TIME DESCRIPTION SEVERITY OF<br />

INJURIES/ILLNESS<br />

Sal Flores August 19,2019<br />

9:30 AM.<br />

The back of Sal’s left<br />

hand suffered a<br />

laceration when he hit a<br />

heavy gauge piece of<br />

metal.<br />

The back of Sal’s hand<br />

received 5 stitches in the<br />

emergency room. He was<br />

released to return to work<br />

the following day with<br />

light duty.<br />

CLOSED INCIDENT<br />

NAME OF EMPLOYEE BRIEF DESCRIPTION SEVERITY OF INJURY/ILLNESS CLOSING<br />

DATE<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


TRAINING SUMMARY


Strategic Training Calendar<br />

2019<br />

January February March<br />

OUR SAFETY IS OUR RESPONSIBILITY FALL PROTECTION AWARENESS WORKPLACE VIOLENCE PREVENTION<br />

INCIDENT RESPONSE PROCEDURE<br />

1. Incident Reporting (Review)<br />

2. Workplace Violence<br />

3. Safety Your Responsibility pt. 1<br />

(Review)<br />

4. Safety Is your Responsibility pt.2<br />

(Review)<br />

April May June<br />

ELECTRICAL SAFETY AWARENESS HEAT ILLNESS PREVENTION ERGONOMICS IN CONSTRUCTION<br />

5. Electrical Safety Awareness<br />

6. Electrical Safety Awareness pt.2<br />

7. Understanding Electrical<br />

Injuries<br />

8. OSHA Quick Card: Electrical<br />

Safety<br />

9. Preventing Electrical Hazards<br />

10. Types of Heat illness and<br />

common signs and symptoms<br />

11. Types of Heat Illness and<br />

commons signs and symptoms<br />

pt.2<br />

12. Protecting workers from<br />

Heat Illness<br />

13. Heat Illness Poster & Review<br />

14. Musculoskeletal Disorder and<br />

Ergonomics.<br />

15. Protecting Your Back<br />

16. Minimize Stress from Material<br />

Handling<br />

17. Stretch & Flex<br />

July<br />

18. Flammable vs. Combustible<br />

19. Fire Classifications Pt. 1<br />

20. Fire Classifications Pt.2<br />

21. Fire Tetrahedron<br />

22. Responding to Fire Emergency<br />

August<br />

23. Hazcom: How to read Labels<br />

24. Hazcom: Pictogram<br />

25. Hazcom: Pictogram – Flames<br />

26. Hazcom Label Requirements<br />

27. Hazcom: Skull/Crossbone<br />

Pictoram<br />

FIRE SAFETY HAZARD COMMUNICATION (HAZCOM) FORKLIFT SAFETY<br />

September<br />

October November December<br />

DEFENSIVE DRIVING BLOODBORNE PATHOGENS YEAR END REVIEW<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demilition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


Strategic Training Log: August 2019<br />

SUMMARY:<br />

This log chronicles all training provided for the required yearly training calendar according to OSHA. It also<br />

details training that will take place this month, based upon the failed items from the previous month.<br />

Please encourage all foreman to attend to scheduled trainings.<br />

Thank you for your support!<br />

TRAINING PROVIDED THIS PERIOD<br />

TITLE COURSE DATE/TIME DESCRIPTION NOTES<br />

Hazcom 8/1/19-8/31/19 Topics covered: Label<br />

Requirements, flame<br />

pictogram, skull and<br />

cross bone pictogram,<br />

how to read labels.<br />

Weekly Toolbox meetings were sent<br />

out via email to<br />

admin@anthonytorresdemolition.com<br />

Received 8/1/19<br />

AWARENESS LEVEL NEEDED FOR AUGUST<br />

TRAINING COURSE BRIEF DESCRIPTION DATE/TIME CLOSING<br />

DATE<br />

Fire Safety Awareness<br />

Crystalline Silica<br />

Raise awareness of fire hazards<br />

and how to act safely in the<br />

event of an emergency fire<br />

situation.<br />

Awareness Level for the<br />

Foremen<br />

Weekly Toolbox Topic<br />

Foreman’s Monthly Meeting<br />

September<br />

2019<br />

September<br />

2019<br />

PPE Refresher PPE for foremen/Workers Foremen's Monthly Meeting/<br />

On location<br />

On Site<br />

Machine Guarding TBD On Site<br />

Prepared by The Price of Safety on behalf of Anthony Torres Demolition<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com


WEEKLY SAFETY TOPIC<br />

RECORDS/ROSTERS


HAZCOM<br />

OSHA’s Revised Haz-Com Standard – New GHS Label Requirements<br />

LABEL REQUIREMENTS<br />

OSHA recently revised their Hazard Communication Standard to align with the international “Globally<br />

Harmonized System of Classification and Labeling of Chemicals”, commonly referred to as “GHS”. As a result,<br />

manufacturers and distributors of hazards chemicals and products must begin standardizing their container<br />

labels to display all of the following information.<br />

• Product Identifier: The product name or an identifying number that can be cross referenced to the<br />

corresponding Safety Data Sheet (SDS), as well as to the list of hazardous chemicals that we maintain as part<br />

of our written Haz-Com program;<br />

• Signal Words: Indicate the relative level of severity of hazard. The only two signal words used will be<br />

"Danger" and "Warning"; other words like “caution” or “beware” will no longer be allowed after the effective<br />

date. "Danger" is the signal word used for more severe hazards, while "Warning" is used for the less severe<br />

ones;<br />

• Hazard Statements: Short statement assigned to a specific hazard class and category that describes the<br />

nature of the hazard(s) of a chemical, including, where appropriate, the degree of hazard. Examples of hazard<br />

statements include “Highly flammable liquid and vapor”, or “May cause liver damage.”<br />

• Precautionary Statements: Phrases that list recommended measures that should be taken to minimize or<br />

prevent adverse effects resulting from exposure to a hazardous chemical or improper storage or handling. One<br />

example of a precautionary statement would be “Keep away from heat, flames, sparks. No Smoking.”<br />

• Pictograms: Icons that appear in a small red boxThere are eight different pictograms, and one or more<br />

might appear on a label; each one helps you quickly identify the specific type of hazard associated with the<br />

product. We will be covering the meanings of the eight pictograms in greater detail during upcoming toolbox<br />

talks.<br />

• Name, Address, and Telephone Number of the chemical manufacturer, importer, or other responsible party.<br />

Thank You for attending the Safety Huddle, please let Us know how we can improve our Safety Culture here on our job<br />

site. Your thoughts and suggestions are very important, and we’d like to hear from you. Please add a few additional<br />

Safety concerns that we can address in our next safety meeting.<br />

Thank You


www.thepriceofsafety.com | 424.744.1002 | info@thepriceofsafety.com<br />

HAZCOM<br />

OSHA’s Revised Haz-Com Standard – Flame Pictogram Labels<br />

LABEL REQUIREMENTS<br />

OSHA recently revised their Hazard Communication Standard to align with the international “Globally<br />

Harmonized System of Classification and Labeling of Chemicals”, commonly referred to as “GHS”. As a result,<br />

manufacturers and distributors of hazards chemicals and products must begin standardizing their container<br />

labels to display new features called “Pictograms”. These are eight different icons used to depict distinct<br />

hazards associated with their products. Some products may have only one or two of the eight pictograms<br />

displayed on their labels, whereas more complex products may have multiple pictograms appearing on their<br />

label when the product presents multiple safety or health hazards.<br />

Today we will discuss the specific pictogram that depicts a “Flame” (see this pictogram provided on the<br />

handout provided with this toolbox talk). As the picture implies, this “Flame” Pictogram is associated with<br />

products and chemicals that are flammable or combustible. But it also appears on the label of pyrophoric<br />

materials, which in a gaseous state will ignite spontaneously in air at a temperature of 130 degrees Fahrenheit<br />

or below, as well as all self-heating materials, materials that emit flammable gas, self-reactive materials, and<br />

organic peroxides.<br />

When you see a label with the Pictogram depicting the “Flame” on a label, refer to the hazard statement(s)<br />

that appear on the label too, as it can provide more information about the level of hazard you are dealing<br />

with. And also pay particular attention to the Precautionary Statements appearing on the label too, as they list<br />

recommended measures that should be taken to minimize or prevent fires and explosions resulting from<br />

improper storage, use, or handling of the product or chemical. Examples of precautionary statements that<br />

may accompany the “Flame” Pictogram are “Keep away from heat, flames, sparks”, “Do not store near open<br />

flames or sources of high heat”, and/or “No Smoking.” Additional information about safe use and storage is<br />

also available on the Safety Data Sheet (SDS) for the product.<br />

This particular pictogram should help you quickly identify potential fire and explosion hazards associated with<br />

some of the products we use here at work (if possible, give specific examples of such products present at your<br />

job site.


www.thepriceofsafety.com | 424.744.1002 | info@thepriceofsafety.com<br />

FLAME<br />

• • Flammables<br />

• • Pyrophorics<br />

• • Self-Heating<br />

• • Emits Flammable Gas<br />

• • Self-Reactives<br />

• • Organic Peroxides<br />

Thank You for attending the Safety Huddle, please let Us know how we can improve our Safety Culture here on our job<br />

site. Your thoughts and suggestions are very important, and we’d like to hear from you. Please add a few additional<br />

Safety concerns that we can address in our next safety meeting.<br />

Thank You


www.thepriceofsafety.com | 424.744.1002 | info@thepriceofsafety.com<br />

HAZCOM<br />

OSHA’s Revised Haz-Com Standard – Flame Over Circle Pictogram<br />

LABEL REQUIREMENTS<br />

Today we will discuss the specific pictogram that depicts a “Flame Over Circle” (see this pictogram provided on the<br />

handout provided with this toolbox talk,). This Pictogram is specific to solids, liquids, and gasses that are classified as<br />

“Oxidizers”. DO NOT confuse this pictogram with the similar-looking “Flame” Pictogram discussed in an earlier toolbox<br />

talk, as that one identifies products and chemicals that are flammable. So what is an Oxidizer? Oxidizers are gasses, such<br />

as oxygen, fluorine, and chlorine, which cause any combustible material (like wood or gasoline) to burn much more<br />

rapidly or intensely than normal. There are also oxidizing liquids such as perchloric acid and bromine, as well as oxidizing<br />

solids like strontium peroxide and aluminum nitrate, that have the same effect.<br />

So, when you see a label with the Pictogram depicting the “Flame Over Circle” on a label, refer to the hazard<br />

statement(s) that appear on the label, as it can provide more information about the level of hazard you are dealing with.<br />

And also pay particular attention to the Precautionary Statements appearing on the label too, as they list recommended<br />

measures that should be taken to minimize or prevent fires and explosions resulting from improper storage, use, or<br />

handling of the product or chemical. Examples of precautionary statements that may accompany the “Flame Over<br />

Circle” Pictogram are “Store only in well-ventilated areas”, “Do not store near flammable gasses or liquids”, and/or<br />

“Keep away from oil and grease.” Additional information about safe use and storage of an Oxidizer is also available on<br />

the Safety Data Sheet (SDS) for the product.<br />

This particular pictogram should help you quickly recognize potentially hazardous associated with products that are<br />

Oxidizers (if possible, give specific examples of such products present at your job site). OSHA has given manufacturers<br />

and importers of hazardous products until June 1, 2015 to make the full transition to the new labeling requirements, so<br />

you may not see Pictograms on labels of all containers until the transition to the revised labeling requirements are fully<br />

implemented. In the meantime, start to watch for the “Flame Over Circle” Pictogram that identifies Oxidizers to appear<br />

on some container labels here at work, and heed the warnings and specific precautions provided for use of that product.<br />

Thank You for attending the Safety Huddle, please let Us know how we can improve our Safety Culture here on our job<br />

site. Your thoughts and suggestions are very important, and we’d like to hear from you. Please add a few additional<br />

Safety concerns that we can address in our next safety meeting.<br />

Thank You


www.thepriceofsafety.com | 424.744.1002 | info@thepriceofsafety.com<br />

FLAME OVER CIRCLE<br />

• Oxidizer


www.thepriceofsafety.com | 424.744.1002 | info@thepriceofsafety.com<br />

HAZCOM<br />

OSHA’s Revised Haz-Com Standard – New GHS Label Requirements<br />

LABEL REQUIREMENTS<br />

OSHA recently revised their Hazard Communication Standard to align with the international “Globally Harmonized<br />

System of Classification and Labeling of Chemicals”, commonly referred to as “GHS”. As a result, manufacturers and<br />

distributors of hazards chemicals and products must begin standardizing their container labels to display all of the<br />

following information.<br />

• Product Identifier: The product name or an identifying number that can be cross referenced to the corresponding<br />

Safety Data Sheet (SDS), as well as to the list of hazardous chemicals that we maintain as part of our written Haz-Com<br />

program;<br />

• Signal Words: Indicate the relative level of severity of hazard. The only two signal words used will be "Danger" and<br />

"Warning"; other words like “caution” or “beware” will no longer be allowed after the effective date. "Danger" is the<br />

signal word used for more severe hazards, while "Warning" is used for the less severe ones;<br />

• Hazard Statements: Short statement assigned to a specific hazard class and category that describes the nature of the<br />

hazard(s) of a chemical, including, where appropriate, the degree of hazard. Examples of hazard statements include<br />

“Highly flammable liquid and vapor”, or “May cause liver damage.”<br />

• Precautionary Statements: Phrases that list recommended measures that should be taken to minimize or prevent<br />

adverse effects resulting from exposure to a hazardous chemical or improper storage or handling. One example of a<br />

precautionary statement would be “Keep away from heat, flames, sparks. No Smoking.”<br />

• Pictograms: Icons that appear in a small red box. There are eight different pictograms, and one or more might appear<br />

on a label; each one helps you quickly identify the specific type of hazard associated with the product. We will be<br />

covering the meanings of the eight pictograms in greater detail during upcoming toolbox talks.<br />

• Name, Address, and Telephone Number of the chemical manufacturer, importer, or other responsible party.<br />

Thank You for attending the Safety Huddle, please let Us know how we can improve our Safety Culture here on our job<br />

site. Your thoughts and suggestions are very important, and we’d like to hear from you. Please add a few additional<br />

Safety concerns that we can address in our next safety meeting.<br />

Thank You


www.thepriceofsafety.com | 424.744.1002 | info@thepriceofsafety.com<br />

HAZCOM<br />

OSHA’s Revised Haz-Com Standard – Skull and Crossbones Pictogram<br />

LABEL REQUIREMENTS<br />

Today we will discuss the “Skull and Crossbones” pictogram that identifies acute and potentially fatal toxicity<br />

hazards (see this pictogram provided on the handout provided with this toolbox talk, we recommend making<br />

copies for each trainee). This Pictogram is specific to certain chemicals that, depending on the toxicity of the<br />

chemical, indicate that the chemical may be highly toxic (poisonous) or fatal if swallowed, if contact is made<br />

with skin, and/or if it is inhaled.<br />

So, when you see a Pictogram depicting a “Skull and Crossbones” on a product label, refer to the hazard<br />

statement(s) that appear on that label too. The toxic effects of the material you are working with may vary,<br />

from acutely toxic to potentially fatal. The hazard statements can provide more information about the level of<br />

hazard you are dealing with, as well as the chemical’s route(s) of entry into your body and the particular<br />

organ(s) targeted by the chemical.<br />

And pay particular attention to the Precautionary Statements appearing on the label too, as they list<br />

recommended measures that should be taken to minimize the potential for developing an acute (relatively<br />

quick) reaction resulting from use or handling of the toxic product. Examples of precautionary statements that<br />

may accompany products bearing the “Skull and Crossbones” Pictogram on the label are “Do not eat, drink or<br />

smoke when using this product”, “Do not get in eyes, on skin, or on clothing”, “Do not breathe<br />

dust/fume/gas/mist/vapors/spray”, and/or “Wear protective gloves/protective clothing”. Additional<br />

information about precautions to follow and safe use of these products is also available on their Safety Data<br />

Sheet (SDS).<br />

This particular pictogram should help you quickly recognize potentially hazardous associated with products<br />

that are highly toxic (if possible, give specific examples of such products present at your job site). OSHA has<br />

given manufacturers and importers of hazardous products until June 1, 2015 to make the full transition to the<br />

new labeling requirements. So in the meantime, start to watch for the “Skull and Crossbones” Pictogram to<br />

appear on some of the container labels here at work, and heed the warnings and specific precautions provided<br />

for use of that product.<br />

Thank You for attending the Safety Huddle, please let Us know how we can improve our Safety Culture here on our job<br />

site. Your thoughts and suggestions are very important, and we’d like to hear from you. Please add a few additional<br />

Safety concerns that we can address in our next safety meeting.<br />

Thank You


www.thepriceofsafety.com | 424.744.1002 | info@thepriceofsafety.com<br />

ACUTE TOXICITY<br />

§ Fatal or toxic


Scanned by CamScanner


Scanned by CamScanner


Scanned by CamScanner


Scanned by CamScanner


ADDITIONAL SERVICES


Additional Services: August 2019<br />

BELOW IS A RECORD OF THE ADDITIONAL SUPPORT PROVIDED FOR YOUR SAFETY SERVICES.<br />

TITLE DATE DESCRIPTION NOTES<br />

8/19/19 Remone Redmond<br />

accompanied Sal<br />

Flores on the day of<br />

his incident, at the<br />

UCLA Emergency<br />

Room.<br />

Incident Investigation<br />

and Support<br />

Sal Flores’ emergency<br />

visit resulted in 5<br />

stitches to the back of<br />

his left hand.<br />

He was released to<br />

return to work the<br />

following day with light<br />

duty.<br />

Prepared by The Price of Safety on behalf of Emmons Roof Service<br />

1485 Spruce St., Suite M, Riverside, CA 92507 | www.thepriceofsafety.com

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!