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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