Emmons_October_2019_Report

SAFETY REPORT October 2019 

Issued November 2019 

Emmons Roof Service 

www.roofingcontractorontarioca.com | 890 Ontario Blvd., Ontario, CA

EMMONS 

October 2019 

SAFETY COMMITTEE MEETINGS

www.thepriceofsafety.com 

info@thepriceofsafety.com 

The Price of Safety Inc - Safety Committee Meeting Minutes 

NOVEMBER, 2019 

1485 SPRUCE STREET, SUITE M 

RIVERSIDE, CA 92507 

MEETING CALLED BY 

TYPE OF MEETING 

FACILITATOR 

NOTE TAKER 

NEXT MEETING 

ATTENDEES 

Remone Redmond 

Safety Committee Meeting 

Remone Redmond 

Mayra Martinez 

TBD 

Miguel Bazan, Michael Price, Remone Redmond, Mayra Martinez 

Old Business 

COMMUNICATION & 

COORDINATION 

REMONE REDMOND 

10.1 Summary of Meetings, Trainings, and Action Items 

o Remone Redmond conducted a Safety Committee Meeting with Bobby Emmons and Mayra Martinez 

DISCUSSION 

o 

o 

o 

The monthly Foreman’s meeting has been confirmed to be scheduled with the monthly training. 

• A foreman’s meeting was held on 10/18 at 2:30pm with Emmons Management, foremen, Remone 

Redmond and Mayra Martinez. Mayra Martinez reminded all foremen of the Virtual Evaluations 

and explained to management this temporary additional service. 

Ladder Safety Awareness Training 

• Remone Redmond and Mayra Martinez conducted a Ladder Safety Awareness Training on 

Friday, October 18, 2019. 

• A Power Point Presentation and handouts were given to all employees in attendance. (see 10.3) 

Employee Corrective Measure: Edgar Bazan 

• Mayra Martinez send Emmons Management an Employee Corrective Measure Form for 

Foreman Bob Crawford 

CONCLUSIONS 

ACTION ITEMS PERSON RESPONSIBLE DEADLINE 

Continue Virtual Evaluations Mayra Martinez December 2019 

1485 Spruce Street, Suite M, Riverside, CA 92507

SAFETY EVALUATIONS 

REVIEW 

REMONE REDMOND 

10.2 The Price of Safety Performed the following Safety Evaluations for the month of September: 

1. 10/17/2019 Mayra Martinez performed SER @ Fullerton Target 

(Please Review SER) Inspection Score: 97.67% Martin Bazan 

1 Failed item | 2 Abated items 

DISCUSSION 

2. 10/29/2019 Mayra Martinez performed SER @ Rancho Cucamonga Best Buy 

(Please Review SER) Inspection Score: 88.09% Bob Crawford 

5 Failed items | 0 Abated items 

CONCLUSIONS 

3. 10/31/2019 Mayra Martinez performed SER @ Cerritos Storage 

(Please Review SER) Inspection Score: 100% Edgar Bazan 

0 Failed item | 1 Abated item 

Average score 95.2% 

A total of 3 Safety Evaluations were conducted for a combined average inspection score of 95.2% (Please 

refer to Emmons Analytics Overview). 

The scores reflect the following failed items: Electrical, Personal Protective Equipment & Proper clothing, 

Ladder Safety and Program Administration. 

Note: At the June’s Foreman’s Meeting, Safety and Management discussed having an additional copy of all Program 

Administration Documentation at the job site location in the event of the foreman’s absence. (Please see action 

items) 

ACTION ITEMS PERSON(S) RESPONSIBLE DEADLINE 

Safety Documentation System: Ensure all Foremen and Leadmen 

have the Program Administration documentation. 

(Was not completed in October) 

Miguel Bazan 

November 

Safety Turnover System: Additional Copy of Program Administration 

Documentation 

Miguel Bazan 

(Was not completed in October) 

November 


TRAINING REVIEW 

10.3 Ladder Safety Awareness Training 

Remone Redmond and Mayra Martinez conducted a Ladder Safety Awareness Training on Friday, October 18 at the 

Emmons location. 

A Power Point Presentation and Handouts were given to all in attendance. The training material covered: 

DISCUSSION 

• Reasons for falls from ladders 

• Ladder Accidents 

• Ratings and labels 

• Inspection 

• Types 

• Safe use 

• Storage 

The second part of the training consisted guiding employees to the Emmons yard to practice identifying parts of the 

ladder, damage, defects, and conditions. 

CONCLUSIONS A total of 22 employees were in attendance for the Fire Protection and Prevention Training. 


MEANS AND METHODS REVIEW 

10.4 Employee Corrective Measure: Bob Crawford 

Mayra Martinez sent Emmons management an Employee Corrective Measure form for Foreman Bob Crawford. 

DISCUSSION 

On 10/29/19, Foreman Bob Crawford had a total of 5 (five) failed items discovered through a Safety Evaluation 

Report. Deficiencies included: 

• Improper apparel 

• No head protection- Hard Hat 

• Damaged ladder and misuse 

• Incomplete Job Hazard Analysis 

All of Emmons Management was notified of the observed safety concerns. 

CONCLUSIONS 


Conduct Emmons Yard Inspection 

Follow up with Foreman Bob Crawford 

Mayra Martinez / Remone 

Redmond 


November ,2019 

Weekly 


New Business 

DISCUSSION 

• On-site & Awareness Level Trainings for Foremen 

CONCLUSIONS 



SAFETY SYNOPSIS

EMMONS ROOF SERVICES SAFETY SYNOPSIS 


Last quarter we implemented 360-degree evaluations in an effort to gauge the overall safety culture and to identify any barriers to 

carrying out Emmon’s safety guidelines. 

As a result, we were able to identify barriers such as literacy, lack of training or knowledge, as well as time management and 

engagement with upper management. Below are our suggestions for mitigation strategies that Emmons can implement during the final 

quarter of 2019. We have concluded our complimentary 360 -degree evaluations and will now continue our safety evaluations, 

providing additional awareness level trainings and helping to bring the Emmon’s team into compliance. 

SUMMARY OF METHODS 

The new methods of mitigation strategies include: 

§ Safety Evaluation Reporting 

§ 360 Virtual Assessments 

§ Awareness Level Training 

These measures will help us to ascertain the leading and 

lagging indicators, which will help us to implement 

strategies to eliminate or decrease incidents and 

injuries. 

SUMMARY RESULTS 

Based upon the data collected and forecasted scope of 

work, we recommend Emmons Roof Services, Inc. 

implement the following mitigation strategies: 

- Implement Safety Turnover System (Not 

Completed in October) 

- Administer Missed Trainings 

- HAZCOM Training 

- Tool Safety 

- Implement New SDS System 

Analytics Overview 

Prepared by The Price of Safety on behalf of Emmons Roof Services, Inc. 

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

SAFETY 

PERFORMANCE

Monthly Safety Performance Report 

October 2019 Emmons Roof Service 10.01.2019-10.31.2019 

Jobsites Evaluated 

Foreman Location Results Emmons Notified 

Martin Bazan Fullerton, CA 1 Failed Response / 2 Abated / 97.67% Miguel Bazan 

Bob Crawford Rancho Cucamonga 5 Failed Responses / 0 Abated / 88.09% Miguel Bazan 

Edgar Bazan Cerritos, CA 0 Failed Responses / 1 Abated / 100% Miguel Bazan 

Prepared by The Price of Safety on behalf of Emmons Roof Service 


SITE STATISTICS

Site Statistics October 2019 

QUARTERLY SUMMARY RESULTS 

This report is focused on the quarterly progress for Emmons Roof Service and reflects the safety site statistics 

per job-site. The criteria will help identify the leading indicators and will assist in creating proactive and 

conceptual safety strategies that will decrease incidents and ascertain training recommendations. 

Foreman October November December 

Martin Bazan 97.67% 

Edgar Bazan 100% 

Bob Crawford 88.09% 

Sergio Paez 

N/A

SAFETY EVALUATION 

REPORTS

Emmons/ Fullerton / 17 Oct 2019 / Mayra Martinez 

Safety Evaluation Report (SER) 

Complete 

Inspection score 

97.67% 

Failed items 

1 

Created actions 

0 

Client / Site 

Emmons/ Fullerton 

Date of Audit 

17th Oct, 2019 

Prepared by 


Location 

200 W Orangethorpe Ave, Fullerton, CA 92832, USA 

(33.858335, -117.92691400000001) 

Private & Confidential Page 1/26

Failed items 

1 Failed 

Audit / 2. HEAT ILLNESS PREVENTION 

C. Are drinking fountains or at least 2 Gallons of fresh cool labeled 

drinking water available per worker with disposable cups, and trash 

can? (attach photo) Title 8, 1524, 3363 or 3457 

DEFICIENT 

— Notes 

Water station is insufficient. 

On site, the water container was not labeled. 

According to OSHA: 

" 1926.51(a)(3) 

Any container used to distribute drinking water shall be clearly marked as to the nature of its contents and 

not used for any other purpose." 

Also, drinking cups were not available. 

Corrective Action: I advised the Foreman of the deficiency and he started he had another filled 5-gallon 

water container on his truck. (See picture) However, they ran out of disposable cups. He stated that he 

would replenish the cups as soon as possible. 

— Photos 

Photo 11 Photo 12 


Audit 1 Failed 97.67% 

CONTRACTOR AND PROJECT INFORMATION 

Contractor 

Emmons Roofing Service 

Safety Manager 


Project Name 

Fullerton 

Project Number 

200 Orangethorpe 

Project Manager 

Martin Bazan 

Superintendent 

Miguel Bazan 

Inspector of Record (IOR) 

Today's Weather Conditions (include 5 day forecast) 

Cloudy 

— Photos 


1. PROGRAM ADMINISTRATION 

A. Attach photo of Safety Program YES 

— Photos 

Photo 3 


C. 12-gauge cords placed along wall line or elevated 7 feet. Damage 

cords removed 

ABATED 

— Notes 

Electrical Hazard: damaged cord. 

A yellow extension cord had a damaged sleeve, exposing the inner wires. 

Corrective Action: I advised the Foreman to remove the cord from being utilized on site. The cord was 

removed. 

OSHA states : 

1910.334(a)(2)(ii) 

If there is a defect or evidence of damage that might expose an employee to injury, the defective or 

damaged item shall be removed from service, and no employee may use it until repairs and tests 

necessary to render the equipment safe have been made. 

— Photos 


D. Temp / permanent lighting adequate and protected SAFE 

— Photos 

Photo 26 

E. GFCI’s in place SAFE 

— Photos 

Photo 27 


F. Mechanical guards in place ABATED 

— Notes 

Tool Hazard: As I was inspecting the tools on site, I discovered a broken hand-held grinder. Also, it did not 

have a mechanical guard. 

Corrective Action: I gave the grinder to the Foreman and advised it be put out of service. 

— Photos 

Photo 28 

G. Proper tools for each job SAFE 

— Photos 

Photo 29 Photo 30 Photo 31 Photo 32 Photo 33 

Photo 34 

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


I. Tools inspected. Defected tools removed from service ABATED 

— Notes 

Tool Hazard: As I was inspecting the tools on site, I discovered a broken hand-held grinder. Also, it did not 

have a mechanical guard. 


— Photos 

Photo 35 

8. FALL PROTECTION 

A. Fall protection policy in effect (6’) SAFE 

— Photos 


B. PFAS worn correctly N/A 

C. Inspection and maintenance of PFAS conducted N/A 

D. Employees trained in fall protection and fall hazard recognition SAFE 

9. BARRICADES / GUARD RAILS / STAIRS 

A. Floor / wall openings covered & labeled N/A 

B. Roadways, walkways and stairs free of obstacles SAFE 

— Photos 

Photo 38 Photo 39 Photo 40 

C. Adequate lighting SAFE 


Please put your Daily Safety Narrative here 

I arrived on site and met with Foreman Martin Bazan. He and his 10- man crew are replacing the roof 

membrane on top of Target at 200 Orangethorpe, Fullerton. 

They are utilizing portable plastic hot air welders, box cutters, drills, hammers, and a broom. I inspected all 

tools for damage to ensure they were being utilized in good working condition. Generators are also onsite 

to provide power for the equipment. 

The fire protection on site is adequate. I inspected the fore extinguisher for the following : 

1.) Overall good condition without damage 

2.) Safety pin secured and in place. 

3.) Pressure gauge reads "charged" 

4.) Inspection tag is up to date. 

The extinguisher was last inspected in February 2019. 

It is a class "ABC" extinguisher. 

During my evaluation, I observed the following deficiencies : 

1.) Water station is insufficient. 

On site, the water container was not labeled. 

According to OSHA: 

" 1926.51(a)(3) 

Any container used to distribute drinking water shall be clearly marked as to the nature of its contents and 

not used for any other purpose." 

Also, drinking cups were not available. 

Corrective Action: I advised the Foreman of the deficiency and he started he had another filled 5-gallon 


water container on his truck. (See picture) However, they ran out of disposable cups. He stated that he 

would replenish the cups as soon as possible. 

2.) Electrical Hazard: damaged cord. 

A yellow extension cord had a damaged sleeve, exposing the inner wires. 

Corrective Action: I advised the Foreman to remove the cord from being utilized on site. The cord was 

removed. 

OSHA states : 

1910.334(a)(2)(ii) 

If there is a defect or evidence of damage that might expose an employee to injury, the defective or 

damaged item shall be removed from service, and no employee may use it until repairs and tests 

necessary to render the equipment safe have been made. 

3.) Tool Hazard: As I was inspecting the tools on site, I discovered a broken hand-held grinder. Also, it did 

not have a mechanical guard. 


The foreman removed the tool. 

Osha standard 1910.334(a)(2)(ii) 

No incidents we're reported during my evaluation. 

This concludes my narrative. 

COMPLETION AND SIGN-OFF 

Auditor 

Name and Signature 

17th Oct, 2019 12:32 PM PDT 


Emmons Roofing Service/ Cerritos / 31 Oct 2019 / 



Complete 


100.00% 

Failed items 

0 


0 

Client / Site 

Emmons Roofing Service/ Cerritos 

Date of Audit 

31st Oct, 2019 

Prepared by 


Location 

17918 Crusader Ave, Cerritos, CA 90703, USA 

(33.8680339, -118.1009562) 


Audit 100.00% 


Contractor 



Project Name 

Great Value Storage 


1700 Crusader 


Edgar Bazan 



N/A 


Clear 

— Photos 




— Photos 

Photo 3 


D. Backup alarms and signal men SAFE 

7. ELECTRICAL TOOLS 

A. Terminal boxes covered N/A 

B. Ground prong in place SAFE 

— Photos 


C. 12-gauge cords placed along wall line or elevated 7 feet. Damage 

cords removed 

ABATED 

— Notes 

Electric Hazard: The cord for the automatic hot air welder was damaged. 

Corrective Action: I advised Foreman Edgar Bazan of the damaged equipment and he immediately placed 

it out of service. 

— Photos 


D. Temp / permanent lighting adequate and protected SAFE 

— Photos 

Photo 33 



I arrived on site and met with Joe Caparco and Edgar Bazan. 

We have a 4-man crew today and their are currently mobilizing and moving their equipment to the 

necessary work areas. 

All employees had proper clothing and personal protective equipment including hard hats, safety glasses, 

high visibility vests, and boots. 

I measured the surrounding walls and their height was 40 inches. The crew will be working well within 

these walls. 

The Fire Protection on site is adequate. I inspected for the following: 

1.) Overall good condition without damage 

2.) Pressure gauge reads 'charged' 

3.) Safety pin secured and in place 

4.) Valid yearly inspection tag 

This fire extinguisher was last inspected in February 2019. 

The water station has a 5-gallon container approximaly half way full, disposable cups and there is a trash 

bag for waste. 

Their replenishent system is to purchase a case of water on their lunch break ( in the next 30 minutes). 

Each crew member must have one quart of water (32 ounces) of water available per hour. 

For breaks, or in the event that an employee needs a cool-down break, there is a large shaded area on the 

roof. 

The Safety Deficiencies observed and abated on site were the following: 

1.) Electric Hazard: The cord for the automatic hot air welder was damaged. Also, an extension cord had 

damage to the sleeve, exosing the inner wires. 

Corrective Action: I advised Foreman Edgar Bazan of the damaged equipment and he immediately placed 

it out of service. 

There is a Forklift on site, although it is not currently being utilized, I verified the operators certification. 

Ken Corona is the operator and his certification was issued on 2/15/19. 

There were no injuries reported during my evaluation. 

This concludes my narrative. 


Auditor 



31st Oct, 2019 11:55 AM PDT 


Emmons Roofing Service / 29 Oct 2019 / Mayra 

Martinez 


Complete 


88.09% 

Failed items 

5 


0 

Client / Site 


Date of Audit 

29th Oct, 2019 

Prepared by 


Location 

12260 Foothill Blvd, Rancho Cucamonga, CA 91739, USA 

(34.1079317, -117.5378766) 


Failed items 

5 Failed 

Audit / 4. PERSONAL PROTECTIVE EQUIPMENT 

A. Approved hard hats DEFICIENT 

— Notes 

Personal Protective Equipment Hazard: Foreman Bob Crawford and his crew were not wearing protective 

hard hats. 

Note: Miguel Bazan was notified 

— Photos 


F. Proper clothing/hand protection/reflective vests DEFICIENT 

— Notes 

Personal Protective Equipment: Foreman Bob Crawford did not have a high visibility shirt or vest. 

— Photos 

Photo 24 


Audit / 9. BARRICADES / GUARD RAILS / STAIRS 

A. Floor / wall openings covered & labeled DEFICIENT 

— Notes 

Fall Hazard: The skylights on the rooftop did not have sufficient fall protection. 

Osha states the following : 

"29 CFR 1910.23(a)(4), therefore, requires that skylights in the roof of buildings through which persons 

may fall while walking or working shall be guarded by a standard skylight screen or a fixed standard 

railing on all exposed sides." 

— Photos 

Photo 31 

Audit / 10. LADDERS 

C. Step ladders fully open when in use. DEFICIENT 

— Photos 

Photo 39 

Audit / CONTRACTORS (List our client first) / Contractor / Contractor 1 

JHA Verified 

No 


Audit 5 Failed 88.09% 


Contractor 




Project Name 

BestBuy Rancho 


12260 


Bob Crawford 


Miguel Bazan 


N/A 


Clear 

— Notes 

Clear weather, high of 72 degrees. 

— Photos 




— Photos 

Photo 3 


A. Approved hard hats DEFICIENT 

— Notes 

Personal Protective Equipment Hazard: Foreman Bob Crawford and his crew were not wearing protective 

hard hats. 

Note: Miguel Bazan was notified 

— Photos 


B. Safety glasses SAFE 

— Notes 

All employees were wearing safety glasses. 

— Photos 

Photo 21 

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

were they provided by the employer in conjunction with the required 

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

Are respirators voluntarily being used? If so, are worker trained on 

hazards associated with the environment? 

N/A 

N/A 

E. Proper foot wear SAFE 

— Photos 



A. Floor / wall openings covered & labeled DEFICIENT 

— Notes 

Fall Hazard: The skylights on the rooftop did not have sufficient fall protection. 

Osha states the following : 

"29 CFR 1910.23(a)(4), therefore, requires that skylights in the roof of buildings through which persons 

may fall while walking or working shall be guarded by a standard skylight screen or a fixed standard 

railing on all exposed sides." 

— Photos 

Photo 31 

B. Roadways, walkways and stairs free of obstacles SAFE 

— Photos 

Photo 32 

C. Adequate lighting SAFE 

— Photos 

Photo 33 

D. Trenches and excavations N/A 


• Do you have ladders in your site? 

YES 

— Notes 

Damaged Equipment: The ladder pictured has a damaged rung. 

— Photos 

Photo 34 

10. LADDERS 1 Failed 

A. Secured to prevent slipping, sliding or falling SAFE 

— Photos 


B. Side rails extend 36” above top of landing, tied off and secured. SAFE 

— Photos 

Photo 38 

C. Step ladders fully open when in use. DEFICIENT 

— Photos 

Photo 39 

• Is their scaffolding on site? 

NO 



I arrived at BestBuy in Rancho Cucamonga and was unable to reach Foreman Bob Crawford. I spoke with 

Best Buy Manager Eddy and he was able to lead to me to the roof hatch that led me to the roof and I was 

able to locate the crew. 

I met with Bob and I began my evaluation. We have a 4-man crew powerwashing and coating the 

membrane. 

Emergency procedures including adequate fire protection were in compliance with standards. 

Documentation including the Emmon's Safety Program, High Heat Procedures, OSHA Posters, and incident 

packets and his CPR certification were all readily available. 

During my evaluation, I observed the following safety concerns: 

1.) Personal Protective Equipment: Foreman Bob Crawford did not have a high visibility shirt or vest. The 

entire crew did not have hard hats. 

Corrective Action: Miguel Bazan was notified. 

2.) Fall hazard: There are multiple skylights placed on the roof without adequate fall protection. 

Per OSHA standards "29 CFR 1910.23(a)(4), therefore, requires that skylights in the roof of buildings 

through which persons may fall while walking or working shall be guarded by a standard skylight screen or 

a fixed standard railing on all exposed sides." 

3.) Damaged and misuse of Ladder: An A-Frame ladder is being utilized in a folded, leaning position. The 

A-frame is designed to be fully extended, open and locked into place. Also, one of the rungs is damaged. 

(See picture) 

There were no "remove from service" tags available to place on the ladder, and it did not need to be 

immediately removed. The crew was not utilizing the ladder at the end of the day. 

Corrective Action: I advised Foreman Bob Crawford of the misuse of the ladder and identified the damaged 

rung. 

Bob Crawford stated that he just grabbed it and did not check for damage. 

I discussed the deficiencies with Foreman Bob Crawford and reminded him of the standards that have 

been put in place to prevent inadequacies. The crew was wrapping up and preparing to depart the site for 

the day. Miguel Bazan was notified of all deficiencies. 

No Incidents were reported during my evaluation. 

This concludes my narrative 


Auditor 



29th Oct, 2019 3:43 PM PDT 


EMPLOYEE 

CORRECTIVE 

MEASURES

Corrective Measures Summary 


EMPLOYEE CORRECTIVE MEASURES 

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

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

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

DATE & JOBSITE EMPLOYEE/WORKER VIOLATION 

10/29/19 

Best Buy, Rancho 

Cucamonga 

Bob Crawford 

Foreman Bob Crawford was utilizing a 

damaged ladder in an unsafe act, did have 

required personal protective equipment, and 

required paper documentation was 

incomplete. 



Employee Corrective Measures (ECM) Report 

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

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

WITHIN 24 HOURS. 

For assistance call (424) 744-1002 

Name of Worker/Employee: 

Bob Crawford 

Trade: Commercial Roofer 

Job Title: Foreman 

Employer/Contractor: 


Date and Time of Incident: 

October 29, 2019 

Location of Incident (Address): 

11260 E. Foothill Bvd, Rancho Cucamonga, CA 

Name of Supervisor: 

Miguel Bazan 

Form Completed By: 


Project Name and #: Best Buy, 

Rancho 

Were there any 

witnesses? Yes 

Supervisor's Number: 909.721.2438 

Number 

951.441.9230 

Was this incident in violation of a 

company policy? 

Name of Witness: Daniel Lomeli 

Date Supervisor Notified: 

October 29,2019 

Date THE PRICE OF SAFETY notified: 

October 29,2019 

x YES q NO 

Name of Witness: Jorge Tellez 

Type of Violation: 

No PPE 

Improper use of fall arrest (PFAS) 

Improper use of equipment 

Lack of Documentation 

Missing Required Certification 

Improper use of a vehicle/heavy equipment 

Improper guards 

Improper PPE 

Unsafe Act/Condition 

Failure to Secure/Warn 

Other: 

Potential for 

Reoccurrence: 

Never Rare 

Occasional Frequent 

Has Employee been trained 

in the area violated? 

xYES 

q NO 

q WARNED q SUSPEND q REMOVED FROM JOB SITE q DISCHARGED 

Date of Previous Warning: 

Days Suspended: 

Dates of Suspension 

Date Removed: 

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

Foreman Bob Crawford did not complete a Job Hazard Analysis prior to the commencement of tasks. His crew did not 

have hard hats, he himself did not have a hard hat or high visibility shirt/vest, water supply was insufficient, and an a 

damaged A-frame ladder was being misused for means of access. 

Worker's Statement: 

Mr.Crawford stated "just write me up" regarding the deficiencies. Also, when asked about the damaged ladder, he 

stated Willy(the yard steward) should have removed the damaged ladder from the yard, because "he had to get to his 

site and just grabbed it." 

What Corrective Measures were taken/or suggested: 

It is suggested for Mayra Martinez to have further one-on-one coaching and training with Mr. Bob Crawford and 

management. 

What the situation defused or mitigated? No, hard hats and additional vests were not available to abate PPE issue. 

The damaged ladder was not removed from service, as it was not being used and 'out of service tags' were not available. 

Signature: Date: October 29, 2019

INCIDENT LOGS

Incident Log October 2019 

SUMMARY: 

There were no injuries or incidents observed or reported during the month of October 

Note: 

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

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

that all foreman have incident response packets available on hand at all times. 

Minor Incident example: scraped knee, puncture finger with staple gun. 

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

OPEN INCIDENTS 

NAME OF EMPLOYEE DATE/TIME DESCRIPTION SEVERITY OF 

INJURIES/ILLNESS 

CLOSED INCIDENT 

NAME OF EMPLOYEE BRIEF DESCRIPTION SEVERITY OF INJURY/ILLNESS CLOSING 

DATE 

Prepared by The Price of Safety on behalf of Emmons Roofing Service 


TRAINING SUMMARY

January February March 

OUR SAFETY IS OUR RESPONSIBILITY FALL PROTECTION AWARENESS WORKPLACE VIOLENCE PREVENTION 

INCIDENT RESPONSE PROCEDURE 

1.Safety “Your Responsibility” pt.1 

2.Safety “Your Responsibility” pt.2 

3. Incident Reporting 

4. Bloodborne Pathogens 

5.Unsafe Workplace Conditions 

6. Unsafe Workplace Behaviors 

Strategic Training Calendar 

2019 

7. Incident Reporting (Review) 

8. Workplace Violence 

9. Safety Your Responsibility pt. 1 

(Review) 

10. Safety Is your Responsibility 

pt.2 (Review) 

April May June 

ELECTRICAL SAFETY AWARENESS HEAT ILLNESS PREVENTION ERGONOMICS IN CONSTRUCTION 

11. Electrical Safety Awareness 

12.Electrical Safety Awareness pt.2 

13. Understanding Electrical 

Injuries 

14. OSHA Quick Card: Electrical 

Safety 

15. Preventing Electrical Hazards 

16. Types of Heat illness and 

common signs and symptoms 

17. Types of Heat Illness and 

commons signs and symptoms 

pt.2 

18. Protecting workers from 

Heat Illness 

19. Heat Illness Poster & Review 

20. Musculoskeletal Disorder and 

Ergonomics. 

21. Protecting Your Back 

22. Minimize Stress from Material 

Handling 

23. Stretch & Flex 

July August September 

FIRE SAFETY HAZARD COMMUNICATION (HAZCOM) FORKLIFT SAFETY 

24. Flammable vs. Combustible 

25. Fire Classifications Pt. 1 

26. Fire Classifications Pt.2 

27. Fire Tetrahedron 

28. Responding to Fire Emergency 

29. How to read Labels 

30. How to read Pictograms 

31. Flame Pictogram 

32. Label Requirements 

33. Skull & Crossbone Pictogram 

34. Pre-Operational Inspection. 

35. Additional Considerations 

36. Spotter 

37. PPE: Equipment Refresher 

October November December 

FORKLIFT SAFETY/DEFENSIVE DRIVING SEASONAL FLU YEAR END REVIEW 

38. Safe Forklift Operation 

39. Pedestrian Traffic 

40. Forklift: Additional 

Considerations 

41. Defensive Driving: Surviving the 

Holidays 

42. What is the Flu? 

43. What Do I Do If I Get the Flu? 

44. Prevention is Better Than Cure! 

45. Tips to Remember During the 

Flu Season

Strategic Training Schedule: October 

SUMMARY: 

Based upon the required yearly training calendar, as well as the failed items for the previous month, this is 

the suggested training schedule for the month of September. 

Note: please continue to encourage all of our employees to report incidents and near misses as soon as 

possible; ensure that all foreman have incident response packets available on hand at all times. 

REQUIRED TRAINING CONDUCTED 

TITLE COURSE DATE/TIME DESCRIPTION NOTES 

Weekly Safety Topics: 

Forklift Safety 

Ladder Safety 

Awareness 

Foremen to conduct 

Weekly Safety 

Meetings to be 

conducted every 

Monday, by 7:30am 

Friday, October 18, 


1:30 Pm-2:30 PM 

• Safe Operation 

• Pedestrian Traffic 

• Additional 

Considerations 

• Defensive Driving 

The training material 

covered the safe use of 

A-frame and extension 

ladders, how to proper 

choose, when to use, 

damage, defects, ladder 

labeling, security and 

worker’s rights. 

Weekly Safety Topics sent 

to 

miguel@emmonsroof.com 

Received 9/6/2019 

Training was held at the 

Emmons location. A total 

of 18 employees were in 

attendance. (See Roster) 

AWARENESS LEVEL NEEDED 

TRAINING COURSE BRIEF DESCRIPTION DATE/TIME CLOSING 

DATE 

Hazard Mitigation 

Effective controls protect 

workers from workplace 

hazards; help avoid injuries, 

illnesses, and incidents; 

minimize or eliminate safety 

and health risks 

Tool safety Electrical Tools | 

Hand Tools | Cutting 

November on-site training 

TBD 

November 


November 




Scanned by CamScanner



WEEKLY SAFETY TOPIC 

RECORDS/ROSTERS

Forklift Safety: OSHA Quick Card Safe Forklift Operation 

Please take a moment and review the OSHA Quick Card: Safe Forklift Operation 

with your crew today. At the end of today’s weekly safety meeting, take a 

moment to inspect your Forklift. Please make sure the following are present and 

functioning properly: 

1. Manufactures Manual 

2. Seatbelt 

3. Horns & Back-up Alarm 

4. Load Charts 

5. Safety Placards & Labels 

Please inform your Foreman of any damages or deficiencies. 

Have a Safe Day! 

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

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

Safety concerns that we can address in our next safety meeting. 

Thank You

Forklift Safety: OSHA Quick Card Safe Forklift Operation 

Por favor, tome un momento y revise la tarjeta rápida osha: Safe Forklift 

Operation con su equipo hoy. Al final de la reunión semanal de seguridad de hoy, 

tómense un momento para inspeccionar su Forklift. Por favor asegúrese de que 

los siguientes están presentes y funcionando correctamente: 

1. manual de fabricación 

2. cinturón 

3. cuernos y alarma de refuerzo 

4. listas de carga 

5. seguridad y etiquetas de seguridad 

Por favor informe a su capataz de cualquier daño o deficiencia. 

¡que tengas un día seguro! 

Gracias por asistir a la reunión de seguridad, por favor, háganos saber cómo podemos mejorar nuestra cultura de 

seguridad aquí en nuestro sitio de trabajo. Sus pensamientos y sugerencias son muy importantes y nos gustaría saber 

de usted. Por favor, añada algunas inquietudes adicionales de seguridad 

Gracias

Forklift Safety: Pedestrian Traffic 

Many pedestrians or bystanders are injured in forklift-related accidents. These injuries can 

occur when forklifts strike pedestrians or when pedestrians are struck by falling loads 

Forklift operators should always be aware of conditions in their workplace, including 

pedestrian traffic. Forklift traffic should be separated from other workers and pedestrians 

where possible. 

Potential Hazards: 

Danger of striking pedestrians and objects 

Requirements and Recommended Practices: 

Yield right of way to pedestrians. 

When a person or group of people walks across your planned route: 

1. Stop. 

2. Wait until the pedestrians pass by. 

3. Proceed cautiously through any congested area. 

4. If an area is cluttered, walk the route first to spot problems. 

5. Check for situations that require a spotter and use one when traveling. 

6. Warn pedestrians, by asking them to move, if there is not sufficient safe clearance. 

7. Sound the horn at blind corners, doorways and aisles. 

8. Sound the horn or other alarm when you back up. 




Thank You

ADDITIONAL SERVICES

Seguridad de la carretilla elevadora: Tráfico peatonal 

Muchos peatones o transeúntes se lesionan en accidentes relacionados con carretillas 

elevadoras. Estas lesiones pueden ocurrir cuando las carretillas elevadoras golpean a los 

peatones o cuando los peatones son golpeados por la caída de cargas 

Los operadores de carretillas elevadoras deben estar siempre al tanto de las condiciones en 

su lugar de trabajo, incluido el tráfico peatonal. El tráfico de carretillas elevadoras debe 

separarse de otros trabajadores y peatones siempre que sea posible. 

Peligros potenciales: 

Peligro de golpes de peatones y objetos 

Requisitos y Prácticas Recomendadas: 

Derecho de paso a los peatones. 

Cuando una persona o grupo de personas camina a través de la ruta planificada: 

1. Deténgase. 

2. Espere hasta que pasen los peatones. 

3. Proceda con cautela a través de cualquier área congestionada. 

4. Si un área está desordenada, camine primero por la ruta para detectar problemas. 

5. Compruebe si hay situaciones que requieran un observador y utilícelo cuando viaje. 

6. Advertir a los peatones, pidiéndoles que se muevan, si no hay suficiente espacio libre seguro. 

7. Haga sonar el cuerno en las esquinas ciegas, puertas y pasillos. 

8. Si vuelve a sonar la bocina u otra alarma, realice una copia de seguridad. 




Gracias

Forklift Safety: Pedestrian Traffic pt.2 

Additional Considerations 

Reminders for the Operator: 

• Slow down, stop and sound horn at intersections, corners, and wherever your vision is obstructed. 

• When provided, use flashing warning light or backup alarms when traveling in reverse. 

• Do not move the truck if you do not have a clear view of travel. 

• Use a spotter for blind spots. 

• Always look in the direction of travel. 

• Keep a clear view. 

• Start, stop, travel, steer and brake smoothly. 

• Signal to pedestrians to stand clear. 

• Do not allow anyone to stand or pass under the load or lifting mechanism. 

• When possible, make eye contact with pedestrians or other forklift operators. 

Reminders for the Pedestrians: 

• Be aware that lift trucks cannot stop suddenly. They are designed to stop slowly to minimize load 

damage and maintain stability. 

• Stand clear of lift trucks in operation. 

• Avoid a run-in. The driver's visibility may be limited due to blind spots. 

• Be aware of the wide rear swing radius. 

• Use pedestrian walkways, or stay to one side of the equipment aisle. 

• Never ride on a forklift, unless authorized and the forklift is designed for riders. 

• Never pass under an elevated load. 




Thank You

Seguridad de la carretilla elevadora: Tráfico peatonal pt.2 

Consideraciones adicionales 

Recordatorios para el Operador: 

• Reduzca la velocidad, detenga y suene la bocina en las intersecciones, esquinas y dondequiera que 

su visión esté obstruida. 

• Cuando se proporcione, utilice una luz de advertencia intermitente o alarmas de respaldo cuando 

viaje en sentido inverso. 

• No mueva el camión si no tiene una vista clara del viaje. 

• Utilice un observador para los puntos ciegos. 

• Siempre mire en la dirección del viaje. 

• Mantenga una vista clara. 

• Arranque, detenga, viaje, dirija y frene sin problemas. 

• Señal a los peatones para que se manejen despejados. 

• No permita que nadie se ponga de pie o pase por debajo del mecanismo de carga o elevación. 

• Cuando sea posible, haga contacto visual con peatones u otros operadores de carretillas elevadoras. 

Recordatorios para los peatones: 

• Tenga en cuenta que los montacargas no pueden detenerse repentinamente. Están diseñados para 

detenerse lentamente para minimizar el daño de carga y mantener la estabilidad. 

• Alétese de los montacargas en funcionamiento. 

• Evite un encontronado. La visibilidad del conductor puede estar limitada debido a puntos ciegos. 

• Tenga en cuenta el amplio radio de oscilación trasera. 

• Utilice pasarelas peatonales o quédese a un lado del pasillo del equipo. 

• Nunca monte en una carretilla elevadora, a menos que esté autorizada y la carretilla elevadora esté 

diseñada para ciclistas. 

• Nunca pase por debajo de una carga elevada. 




Gracias

Defensive Driving: Surviving the Holiday Traffic 

Every year, more than 32,700 people die in traffic crashes, according to the most recent 

statistics from the National Highway Traffic Safety Administration. Based on estimates from 

the National Safety Council, the average person has a 1 in 113 chance of dying in a motor 

vehicle crash. 

The best way to stay safe from harm on the roads is by being a defensive driver. Here are 

five key defensive driving rules: 

1. Look up ahead 

It sounds obvious to make sure you're looking ahead rather than what's directly in front of you. But you 

may be surprised by how many accidents could have been avoided had motorists seen what they were 

approaching. When driving, make sure you look well ahead of you to better anticipate what your next move 

should be. 

2. Be aware of blind spots 

The rearview, passenger and driver's side mirrors are all key tools to see what's to your side and behind 

you. But when you're traveling on the highway and a car passes you in the other lane, there's a point at 

which when they pass, you can't see them at all. This blind spot is something that every car has. Make sure 

you use your peripheral vision so you can see other motorists and determine when it's appropriate for you 

to change lanes. 

3. Slow down at all intersections 

Intersections are arguably the most dangerous area on the road because they're at a point at which several 

vehicles in multiple directions converge. Traffic lights dictate whose turn it is to go, but red-light runners are 

responsible for thousands of car accidents each year, many of them resulting in auto insurance claims. 

When approaching an intersection, slow your rate of speed so you can more easily come to a stop when the 

light turns red.

4. Maintain a safe following distance 

You never know when you may need to bring your car to a screeching halt, and if you're following a vehicle 

too closely, the brakes won't be able to prevent your car from rear-ending said vehicle. On the highway or 

on back roads, make sure that you leave yourself plenty of space so you can come to a stop gently rather 

than all at once, which increases the risk of a whiplash-related injury, among other potential sources of 

physical trauma. 

5. Minimize all distractions 

From food and drink to music and multimedia, there's no shortage of distractions that can divert you from 

your top task: focusing on driving safely. No distraction is more responsible for accidents than using mobile 

devices. According to a study done by the Virginia Tech Transportation Institute, your odds of a crash 

increase 23 times while texting from behind the wheel. Minimize these and other distractions to help avoid 

getting into one. 




Thank You

Conducción defensiva: Sobrevivir al tráfico navideño 

Cada año, más de 32.700 personas mueren en accidentes de tráfico, según las estadísticas 

más recientes de la Administración Nacional de Seguridad del Tráfico en Carreteras. Según 

las estimaciones del Consejo Nacional de Seguridad, la persona promedio tiene una 

probabilidad de 1 de cada 113 de morir en un accidente automovilístico. 

La mejor manera de mantenerse a salvo de daños en las carreteras es por ser un conductor 

defensivo. Aquí hay cinco reglas clave de conducción defensiva: 

1. Mira hacia adelante 

Suena obvio asegurarse de que está mirando hacia adelante en lugar de lo que está directamente delante 

de usted. Pero puede que se sorprenda por cuántos accidentes podrían haberse evitado si los 

automovilistas hubieran visto a lo que se acercaban. Al conducir, asegúrese de mirar muy por delante de 

usted para anticipar mejor cuál debe ser su próximo movimiento. 

2. Tenga en cuenta los puntos ciegos 

La retrovisión, los espejos laterales del pasajero y del conductor son todas herramientas clave para ver lo 

que está a tu lado y detrás de ti. Pero cuando viajas por la autopista y un auto te pasa por el otro carril, hay 

un punto en el que cuando pasan, no puedes verlos en absoluto. Este punto ciego es algo que tiene cada 

auto. Asegúrate de usar tu visión periférica para que puedas ver a otros automovilistas y determinar cuándo 

es apropiado que cambies de carril. 

3. Reduzca la velocidad en todas las intersecciones 

Las intersecciones son posiblemente la zona más peligrosa de la carretera porque se encuentran en un 

punto en el que confluyen varios vehículos en múltiples direcciones. Los semáforos dictan a quién le toca el 

turno, pero los corredores de luz roja son responsables de miles de accidentes automovilísticos cada año, 

muchos de ellos resultando en reclamos de seguros de automóviles. Al acercarse a una intersección, reduzca 

la velocidad para que pueda detenerse más fácilmente cuando la luz se vuelva roja.

4. Mantenga una distancia de seguimiento segura 

Nunca se sabe cuándo es posible que tenga que detener su coche, y si está siguiendo un vehículo demasiado 

de cerca, los frenos no podrán evitar que su coche termine con la retaguardia de dicho vehículo. En la 

carretera o en las carreteras secundarias, asegúrese de dejar un montón de espacio para que pueda llegar a 

una parada suavemente en lugar de todo a la vez, lo que aumenta el riesgo de una lesión relacionada con el 

latigazo cervical, entre otras fuentes potenciales de trauma físico. 

5. Minimizar todas las distracciones 

Desde comida y bebida hasta música y multimedia, no faltan distracciones que pueden desviarte de tu tarea 

principal: centrarte en conducir con seguridad. Ninguna distracción es más responsable de los accidentes 

que del uso de dispositivos móviles. Según un estudio realizado por el Virginia Tech Transportation Institute, 

sus probabilidades de un accidente aumentan 23 veces mientras envía mensajes de texto desde detrás del 

volante. Minimice estas y otras distracciones para evitar entrar en una. 




Gracias

Additional Services: October 2019 

BELOW IS A RECORD OF THE ADDITIONAL SUPPORT PROVIDED FOR YOUR SAFETY SERVICES. 

360 Degree 

Evaluations 

Proper 

Documentation 

Training 

TITLE DATE DESCRIPTION NOTES 

Digital Eval 

Monitoring 

Employee Corrective 

Reviews and Barrier 

Identification 

10/7/2019 




10/17/19 During Site 

Evaluation, Martin 

Bazan was reminded 

of, assisted with, and 

had training for all 

required 

documentation 

10/30/19 During site evaluation, 

conducted a one-onone 

employee 

corrective measure 

with Bob Crawford 

Conducted digital evals 

on foremen Sergio 

Paez and Edgar Bazan. 

Was unable to receive 

pictures from Martin 

Bazan. 

Re-Trained Martin 

Bazan on Proper 

Documentation. 

Please see notes in 

Meeting Minutes. 




Virtual Assessment 

October OK Date/Foreman Picture/ Remarks 

1. Program Administration X Week : 10/11 

Sergio Paez 

Week: 10/18 

Sergio Paez 

Week: 10/11 

Edgar Bazan 

2. Water Supply X Sergio Paez 

Edgar Bazan 

Page 1 of 3 

Revised June 2017

3. Fall Protection X Sergio Paez 


Edgar Bazan 

4. Ladder Access X Edgar Bazan 

Flagging System in place to prevent and caution 

workers and visitors from coming into close proximity to 

the edge of the roof. 

5.Walkways/Roadways X Edgar Bazan 

Page 2 of 3

Emmons_October_2019_Report

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