Emmons_Nov2019_EndoftheMonth_Report

SAFETY REPORT NOVEMBER 2019 

Issued December 2019 

Emmons Roof Service 

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

EMMONS 

November 2019 

SAFETY COMMITTEE MEETINGS

www.thepriceofsafety.com 

info@thepriceofsafety.com 

The Price of Safety Inc - Safety Committee Meeting Minutes 

DECEMBER 17, 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, Remone Redmond, Mayra Martinez 

Old Business 

COMMUNICATION & 

COORDINATION 

REMONE REDMOND 

11.1 Summary of Meetings, Trainings, and Action Items 

o Remone Redmond conducted a Safety Committee Meeting with Miguel Bazan and Mayra Martinez 

• It was confirmed that holding the foreman’s meeting on the day of training was a better fit for 

management and employees. 

• A Yard Inspection will be conducted in November. 

• A total of four (4) new employees have been hired. 

o 

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

DISCUSSION 

• A foreman’s meeting was held on 11/27 at 2:30pm. All five (5) foremen were in attendance. 

• Foremen were reminded to discard and even break, if necessary, damaged ladders and tools in 

order prevent the objects from being returned to the yard. 

• All essential materials are available in the yard. The foremen are to call Willie to deliver all 

necessary items. 

• All will receive new Safety Binders. Once received, the current binders will be placed in the Job 

Box to serve as an additional copy of all Safety Program documentation. 

o 

o 

Hazard Identification and Mitigation Awareness Training 

• Mayra Martinez conducted a Hazard Identification and Mitigation Awareness Training on 

Wednesday, November 27, 2019. 

• A Power Point Presentation and handouts were given to all employees in attendance. (see 11.3) 

Employee Corrective Measure: Martin Bazan 

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

Foreman Martin Bazan 

CONCLUSIONS 

ACTION ITEMS PERSON RESPONSIBLE DEADLINE 

Yard Inspection Mayra Martinez Complete 

1485 Spruce Street, Suite M, Riverside, CA 92507

Confirm Training Dates 

Mayra Martinez/Miguel Bazan 

December 

17,2019 

Orientation/ and Training for new hires Mayra Martinez/ Miguel Bazan January 2020 

Safety Evaluations Review 

SAFETY EVALUATIONS 

REVIEW 

REMONE REDMOND 

11.2 The Price of Safety Performed the following Safety Evaluations for the month of November: 

1. 11/19/2019 Mayra Martinez performed SER @ Fullerton Target 

(Please Review SER) Inspection Score: 86.05% Martin Bazan 

10 Failed items | 1 Abated item 

DISCUSSION 

2. 11/27/2019 Mayra Martinez performed SER @ Emmons Yard 

(Please Review SER) Inspection Score: 88.09% Willie Diaz 

2 Failed items | 0 Abated items 

CONCLUSIONS 

Average score 86.3% 

Note: A Safety Evaluation Report was attempted on Thursday, November 14, 2019. Foreman Bob Crawford and his 

crew were not on site in Best Buy Rancho Cucamonga. Mayra Martinez contacted Bob to find their project was 

complete. 

A total of 2 Safety Evaluations were conducted for a combined average inspection score of 86.3% (Please 

refer to Emmons Analytics Overview). 

The scores reflect the following failed items: Insufficient water station, fire extinguisher, personal protective 

equipment, fall protection, obstacles in walkways, electrical, and Job Hazar Analysis. 

ACTION ITEMS PERSON(S) RESPONSIBLE DEADLINE 

Follow up Yard Inspection 

Mayra Martinez January 2020 

TRAINING REVIEW 

11.3 Hazard Identification and Mitigation Awareness Training 

Mayra Martinez conducted a Hazard Identification and Mitigation Awareness Training on Wednesday, November 27, 

at the Emmons location. 

The Power-Point presentation and training material covered: 

DISCUSSION 

• Hazards and Hazard Identification 

• Near Misses 

• Root Causes 

• Hazard Mitigation 

• Job Hazard Analysis 

All employees were thoroughly trained on the Job Hazard Analysis Form. 

CONCLUSIONS 

All employees are able to aid foremen in completing the Job Hazard Analysis (JHA). The training was given to 

provide a better understanding of the importance and relation between hazard identification and hazard mitigation. 


Confirm Training dates for December 2019 

Mayra Martinez/Miguel Bazan 

December 17, 

2019 


MEANS AND METHODS REVIEW 

11.4 Employee Corrective Measure: Martin Bazan 

Mayra Martinez sent Emmons management an Employee Corrective Measure form for Foreman Martin Bazan. 

On 11/19/19, Foreman Martin Bazan had a total of 10 (ten) failed items discovered through a Safety Evaluation 

Report. Deficiencies included: 

DISCUSSION 

• No head protection- Hard Hat 

• Insufficient water station 

• Inadequate fire protection 

• Fall Hazards 

• Incomplete Job Hazard Analysis 

Martin Bazan was coached on maintaining responsibility over his project and crew members. He was also given 

suggestions for fall protection options. 

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

CONCLUSIONS 


Follow up with Foreman Martin Bazan 


Weekly 

New Business 

DISCUSSION 

12.1 

• New Employee Orientations 

CONCLUSIONS 



SAFETY SYNOPSIS

EMMONS ROOF SERVICES SAFETY SYNOPSIS 

November 2019 

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 

§ 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: 

- Administer Missed Trainings 

- Personal Protective Equipment Training 

- Follow up Yard Deficiencies 

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 

November 2019 Emmons Roof Service 11.01.2019-11.30.2019 

Jobsites Evaluated 

Foreman Location Results Emmons Notified 

Willie Diaz Emmons Yard 2 Failed Response / 0 Abated / 97.67% Miguel Bazan 

Martin Bazan Fullerton, CA 10 Failed Responses / 1 Abated / 86.05% Miguel Bazan 

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


SITE STATISTICS

Site Statistics November 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% 86.05% 

Edgar Bazan 100% N/A 

Bob Crawford 88.09% N/A 

Sergio Paez N/A N/A

SAFETY EVALUATION 

REPORTS

Emmons/ Fullerton / 19 Nov 2019 / Mayra Martinez 

Safety Evaluation Report (SER) 

Complete 

Inspection score 

86.05% 

Failed items 

6 

Created actions 

0 

Client / Site 

Emmons/ Fullerton 

Date of Audit 

19th Nov, 2019 

Prepared by 


Location 

1375 S Harbor Blvd, Fullerton, CA 92832, USA 

(33.8576595, -117.9262274) 

Private & Confidential Page 1/32

Failed items 

6 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 

Insufficent water station: The water station was not supplied with disposable cups for employees. 

Corrective Action: I advised Foreman Martin Bazan and reminded him of the water station requirements. 

He stated they ran out of cups and were using their own water bottles. 

— Photos 

Photo 9 Photo 10 

Audit / 3. FIRE PREVENTION & PROTECTION 

B. Fire extinguishers available and inspected DEFICIENT 

— Notes 

The fire protection on site is inadequate. 

Fire Hazard: The gauge reads 'overcharged.' 

Corrective Action: I advised Foreman Martin Bazan of the content deficiency and suggested it be put of of 

service to prevent any mishaps. 

— Photos 

Photo 12 Photo 13 Photo 14 Photo 15 


Audit / 4. PERSONAL PROTECTIVE EQUIPMENT 

A. Approved hard hats DEFICIENT 

— Notes 

Personal Protective Equpiment hazard: Four employees on site were not wearing their hardhats, including 

the Foreman. 

Corrective Action: I reminded Foreman Martin that hard must must be worn at all times, according to the 

Emmons Safety Program. 

— Photos 

Photo 16 Photo 17 Photo 18 Photo 19 Photo 20 

Audit / 8. FALL PROTECTION 

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

— Notes 

Fall Hazard: The parapet walls around a work area were below the standard height. The walls reached 37 

inches. 

To serve as adequate fall protection, the parapet wall must be at least 39 inches tall. 

Corrective Action: I advised the worker of the height deficiency of the wall, and he stated he was not 

working in that area anymore. I also showed the Foreman, he stated he would ensure to have workers wear 

harnesses in the event they need to return to that work area. 

— Photos 



Audit / 9. BARRICADES / GUARD RAILS / STAIRS 

A. Floor / wall openings covered & labeled DEFICIENT 

— Notes 

Ladder / Fall Hazard: The ladder being utilized for access did not have surrounding protection, therefore, 

leaving workers and employees vunerable to the edges of the roof. 

Corrective Action: I advised Foreman of the fall hazard and provided suggestions. 

— Photos 

Photo 37 Photo 38 Photo 39 

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

JHA Verified 

No 

— Notes 

JHA incomplete. 

Upon request, the JHA was incomplete. 

— Photos 

Photo 43 


A. Attach photo of Heat Illness Plan (English & Spanish) SAFE 

— Notes 

Note: Safety Plan onsite is in English only 

— Photos 

Photo 8 

B. Is ample shade provided for workers? (80 degrees = 6 workers per 

canopy) 

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 

N/A 

DEFICIENT 

— Notes 

Insufficent water station: The water station was not supplied with disposable cups for employees. 



— Photos 


D. Attach the documented Pre-Shift 95 degree High Heat Training 

provided for workers with sign in sheet? 

N/A 

3. FIRE PREVENTION & PROTECTION 1 Failed 

A. Approved gas containers SAFE 

— Photos 

Photo 11 


B. Fire extinguishers available and inspected DEFICIENT 

— Notes 

The fire protection on site is inadequate. 




— Photos 

Photo 12 Photo 13 Photo 14 Photo 15 

4. PERSONAL PROTECTIVE EQUIPMENT 1 Failed 

A. Approved hard hats DEFICIENT 

— Notes 

Personal Protective Equpiment hazard: Four employees on site were not wearing their hardhats, including 

the Foreman. 



— Photos 


B. Safety glasses SAFE 

— 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? 

N/A 


D. Temp / permanent lighting adequate and protected SAFE 

— Photos 

Photo 31 

E. GFCI’s in place N/A 

F. Mechanical guards in place N/A 

G. Proper tools for each job SAFE 

— Photos 


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

I. Tools inspected. Defected tools removed from service SAFE 

8. FALL PROTECTION 1 Failed 

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

— Notes 

Fall Hazard: The parapet walls around a work area were below the standard height. The walls reached 37 

inches. 




harnesses in the event they need to return to that work area. 

— 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 1 Failed 

A. Floor / wall openings covered & labeled DEFICIENT 

— Notes 

Ladder / Fall Hazard: The ladder being utilized for access did not have surrounding protection, therefore, 

leaving workers and employees vunerable to the edges of the roof. 


— Photos 


B. Roadways, walkways and stairs free of obstacles SAFE 

— Photos 

Photo 40 

C. Adequate lighting SAFE 

D. Trenches and excavations N/A 

• Do you have ladders in your site? 

YES 

10. LADDERS 


JHA Verified 

No 

— Notes 

JHA incomplete. 

Upon request, the JHA was incomplete. 

— Photos 

Photo 43 

Toolbox 

Yes 

— Photos 

Photo 44 

Head Count 

8 

DAILY SAFETY NARRATIVE (DSN) 


Please put your Daily Safety Narrative here 

I arrived on site at Target in Fullerton and met with Foreman Martin Bazan. 

We have an 8-man crew and their are tasked with detailing and ensuring there are no leaks in the roof 

membrane. 

The tools being utilized are scissors, hand drills, hand-held hot air welders, and caulking guns. I inspected 

all tools for damage and defects. All tools were physically good condition and functioning well. 

A forklift was parked near the project, however was not in operation today. When needed, Martin is the 

operator and had his valid forklift certification on hand. 

During my evaluation, I observed the following safety deficiencies: 

1.) Insufficent water station: The water station was not supplied with disposable cups for employees. 



2.) The fire protection on site is inadequate. 




3.) Personal Protective Equpiment hazard: Four employees on site were not wearing their hardhats, 

including the Foreman. 



4.) Fall Hazard: The parapet walls around a work area were below the standard height. The walls reached 

37 inches. 




harnesses in the event they need to return to that 

5.)Ladder / Fall Hazard: The ladder being utilized for access did not have surrounding protection, therefore, 

leaving workers and visitors vunerable to the edges of the roof. 


6.) Job Hazard Analysis was incomplete upon request. 

COMPLETION AND SIGN-OFF 


Emmons Roofing Service / Yard / 27 Nov 2019 / 


Safety Evaluation Report (SER) 

Complete 

Inspection score 

86.67% 

Failed items 

4 

Created actions 

0 

Client / Site 

Emmons Roofing Service / Yard 

Date of Audit 

27th Nov, 2019 

Prepared by 


Location 

890 E Ontario Blvd, Ontario, CA 91761, USA 

(34.0581984, -117.63707959999999) 


Failed items 

4 Failed 

Audit / 7. ELECTRICAL TOOLS 

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

cords removed 

DEFICIENT 

— Notes 

Electrical Hazard: Cords with damaged jackets and exposed wiring were stored with all other electrical 

cords. There was no system in place to remove damaged cords to keep employees from utilizing them. 

Corrective Action: I advised Joe to encourage workers to organize cords as they are brought back into the 

yard. Damaged cords should be removed from service and placed into a designated area. 

— Photos 


Audit / 9. BARRICADES / GUARD RAILS / STAIRS 

B. Roadways, walkways and stairs free of obstacles DEFICIENT 

— Notes 

Two exit routes were blocked with materials. 

Corrective Action: I advised Joe of the emergency hazard. He stated he would meet with Willy to clear the 

exits. 

— Photos 


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

JHA Verified 

No 

Toolbox 

No 


Audit 4 Failed 86.67% 

CONTRACTOR AND PROJECT INFORMATION 

Contractor 

Emmons Roofing Service 

Safety Manager 


Project Name 

Emmons Yard 

Project Number 

Emmons Yard 

Project Manager 

Joe Caparco 

Superintendent 

Miguel Bazan 

Inspector of Record (IOR) 

N/A 

Today's Weather Conditions (include 5 day forecast) 

Rainy 

— Photos 


1. PROGRAM ADMINISTRATION 

A. Attach photo of Safety Program NO 

B. Attach photo of Weekly Safety Meeting NO 

— Notes 

According to Joe, the Yard Foreman typically does not participate in the Weekly Safety Meetings. 

Corrective Action: He will now receive Weekly Safety Meetings monthly to complete every Monday by 

7:00AM 

C. Were any Safety Orientations performed today NO 

D. Safety Violation Notifications issued? NO 


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

hazards associated with the environment? 

N/A 

E. Proper foot wear N/A 

F. Proper clothing/hand protection/reflective vests N/A 

• Do you have hoists, cranes, derricks & rigging on your site? 

• Do you have heavy equipment in your site? 

NO 

NO 

7. ELECTRICAL TOOLS 1 Failed 

A. Terminal boxes covered N/A 

B. Ground prong in place N/A 

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

cords removed 

DEFICIENT 

— Notes 

Electrical Hazard: Cords with damaged jackets and exposed wiring were stored with all other electrical 

cords. There was no system in place to remove damaged cords to keep employees from utilizing them. 

Corrective Action: I advised Joe to encourage workers to organize cords as they are brought back into the 

yard. Damaged cords should be removed from service and placed into a designated area. 

— Photos 


D. Temp / permanent lighting adequate and protected SAFE 

E. GFCI’s in place N/A 

F. Mechanical guards in place N/A 

G. Proper tools for each job N/A 

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


I. Tools inspected. Defected tools removed from service SAFE 

— Photos 


8. FALL PROTECTION 

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

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 

— Notes 

Emmons employees were trained in Fall Protection 

9. BARRICADES / GUARD RAILS / STAIRS 1 Failed 

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

B. Roadways, walkways and stairs free of obstacles DEFICIENT 

— Notes 

Two exit routes were blocked with materials. 

Corrective Action: I advised Joe of the emergency hazard. He stated he would meet with Willy to clear the 

exits. 

— Photos 


C. Adequate lighting SAFE 

D. Trenches and excavations N/A 

• Do you have ladders in your site? 

YES 

10. LADDERS 


A. Secured to prevent slipping, sliding or falling SAFE 

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

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

• Is their scaffolding on site? 

• Is welding or cutting being performed on site? 

• Are their any excavations or shoring on site? 

• Is their any concrete work being performed on site? 

• Is any steel erection work being performed on site? 

• Is their any mobile equipment on site? 

• Do you have any confined space work being performed on site? 

NO 

NO 

NO 

NO 

NO 

NO 

NO 

CONTRACTORS (List our client first) 

Please click "Add Contractor" button. 

Contractor 

Contractor 1 

2 Failed 

Name of Contractor/Company 

Emmons Roofing Service 

JHA Verified 

Toolbox 

No 

No 

Head Count 

0 

DAILY SAFETY NARRATIVE (DSN) 


Please put your Daily Safety Narrative here 

Employees were not in the yard at the time of my Safety Inspection. Willie Diaz is the assigned Foreman 

for Emmon's Yard. 

During my evaluation, I observed the following deficiencies: 

1.)Damaged Electrical cords and tools: Multiple electrical cords were found with damaged jackets and 

exposed wiring. 

I advise for damaged cords and tools to be placed into a designated area with proper labeling, such as 

"damaged" or "out of service." 

2.) Obstructed Exit access. Two of the emergency exits were obstructed by materials and equipment 

including laders, electrical cords, cleaning supplies, and boxes. 

According to OSHA, Exit route doors must be unblocked from the inside. They must also be kept free of 

explosive or highly flammable furnishings and other decorations, ensure that they are unobstructed such 

as by materials and equipment. 

3.) First Aid kit unattended with non functional material.. Towards the back of the yard, a first aid kit has 

outdated and missing components. 

Corrective Action: I brought the first aid kit to Joe's attention, he stated that the first aid kit is not intended 

for use and came with the building. The materials will be discarded. A first aid kit is located insite the 

woman's restroom and is fully stocked and functional. 

4.) Blocked walkways- near the palletts of equipment, storage buckets have been randomly misplaced, 

blocking the path of travel. 

All deficiencies were thoroughly discussed with Joe Caparco. He stated he would cover the hazards with 

the Yard Foreman Willie Diaz to mitigate all. 

No injuries were reported during my evaluation. This concludes my report. 

COMPLETION AND SIGN-OFF 

Auditor 

Name and Signature 


3rd Dec, 2019 11:38 PM PST 


EMPLOYEE 

CORRECTIVE 

MEASURES

Corrective Measures Summary 

November 2019 

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 

11/19/2019 

Target Fullerton 

Martin Bazan 

Multiple hazards were identified: the water station did 

not have disposable cups, the fire 

extinguisher was overcharged, Job Hazard Analysis 

was incomplete upon request, four crew members were 

not wearing their personal protective hard hats, and a 

fall protection system was not in place in areas needed. 



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 

Martin Bazan 

Trade: Commercial Roofer 

Job Title: 

Foreman 

Employer/Contractor: 


Date and Time of Incident: 

11:00AM 

Name of Supervisor: 

Miguel Bazan 

Form Completed By: 


Project Name and #: 

Target, Fullerton 

Were there any witnesses? 

Yes 

Location of Incident (Address): 

200 West Orangethorpe Avenue, Fullerton CA 

Supervisor's Number: 

Date Supervisor Notified: 

909.721.2438 

November 19, 2019 

Number 

Date THE PRICE OF SAFETY notified: 

951.441.9230 


Was this incident in violation of a q YES q NO 

company policy? 

Name of Witness: 

Name of Witness: 

Alejandro Sanchez 

Daniel Pasillas 

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? 

q YES q NO 

q WARNED q SUSPEND q REMOVED FROM JOB SITE q DISCHARGED 

Date of Previous Warning: Days Suspended: Date Removed: 

Dates of Suspension 

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

opinions) 

Multiple hazards were identified on site at Target in Fullerton. The water station did not have disposable cups, the fire 

extinguisher was overcharged, Job Hazard Analysis was incomplete upon request, four crew members were not 

wearing their personal protective hard hats, and a fall protection system was not in place in areas needed where 

employees and visitors would be vulnerable to the roof’s edges. 

Worker's Statement: Martin Bazan stated he ran out of the disposable cups, he was unaware of the overcharged 

fire extinguisher, he did not want to complete the Job Hazard Analysis until the end of the day, and he did not know 

that he needed fall protection to access the ladder placed on the edge of the roof. 

What Corrective Measures were taken/or suggested: Mayra Martinez advised Martin on all hazards and coached him 

on maintaining responsibility over his crew. She gave him suggestions and showed him pictures on fall protection 

that can be used without damaging property, as that was one of his concerns. 

What the situation defused or mitigated? No 

Once advised, the crew put on their hard hats. 

Why or Why Not? The equipment was not available onsite. 

Signature: Date: November 19, 2019

INCIDENT LOGS

Incident Log November 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 COLD STRESS 

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 

46.. What is Cold Stress 

47. Common Types 

48. Risk Factors 

49. Dressing Properly 

50. Important Tips to Remember

Strategic Training Schedule: November 

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: 

Cold stress 

Hazard Identification 

and Mitigation 

Foremen to conduct 

Weekly Safety 

Meetings to be 

conducted every 

Monday, by 7:30am 

Wednesday, 


1:30 Pm-2:30 PM 

1.)What is Cold Stress 

2.)Common Types 

3.)Risk Factors 

4.)Dressing Properly 

5.)Important Tips to 

Remember 

The training material 

covered and gave 

examples of identifying 

hazards on job sites and 

mitigation strategies. 

Weekly Safety Topics sent 

to 

miguel@emmonsroof.com 

Received 11/21/2019 

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 

Personal Protective 

Equipment Refresher 

Personal protective 

equipment, commonly 

referred to as "PPE", 

is equipment worn to 

minimize exposure to 

hazards that cause serious 

workplace injuries and 

illnesses. 

TBD Emmons Office 

December 

2019. 

Tool safety Electrical Tools | Hand Tools On site Training January 

2020 



WEEKLY SAFETY TOPIC 

RECORDS/ROSTERS

Week 1 

HEALTH HAZARDS |Seasonal Flu 

What is the Flu? 

The flu is a contagious respiratory illness caused by influenza viruses 

that infect the nose, throat, and lungs. According to the CDC, most 

experts believe that the flu is spread when people who already have 

the virus cough, sneeze or talk near others. The flu can also 

sometimes be spread by touching a surface that has the flu virus on 

it, and then touching one’s face. Someone can be contagious 1 day 

before they develop flu symptoms and up to 5 to 7 days after 

becoming sick. 

OSHA General Duty Clause 5(a)(1) 

Each employer shall furnish to each of 

his employees employment and a place of 

employment which are free from 

recognized hazards that are causing or 

are likely to cause death or serious 

physical am to his employees. 

Thepriceofsafety.com 

1


Week 1 (cont) 

The Flu happens suddenly, with these symptoms: 

‣ Fever (but not everyone with the flu will have a 

fever) 

‣ Cough 

‣ Chills 

‣ Runny or stuffy nose 

‣ Sore throat 

‣ Headache 

‣ Fatigue 

‣ Nausea 

‣ Muscle aches 

If symptoms do not subside, seek 

immediate medical attention if any of 

these symptoms occur: 

‣ Difficulty breathing 

‣ Severe vomiting 

‣ Confusion 

‣ Chest pain 

Most people who get the flu will recover in a few days and almost always 

within two weeks , but some people may develop complications , like 

pneumonia. which is why it is important to take the flu seriously and not 

continue to 'work through it.' 


2

Semana 1 

RIESGOS DE SALUD || Gripe Estacional 

La gripe es una enfermedad respiratoria contagiosa causada por los virus de la 

influenza que infectan la nariz, garganta y pulmones. De acuerdo a la CDC, la 

mayoría de los expertos creen que la gripe se esparce cuando las personas que 

ya tienen el virus tosen, estornudan o hablan cerca de otros. La gripe también 

puede ser esparcida a veces al tocar una superficie que tiene el virus y luego 

tocar la cara. Alguien puede ser contagioso 1 día antes de que desarrollen los 

síntomas de la gripe y hasta 5 a 7 días después de enfermar. 

La Cláusula de Deber General OSHA 5(a)(1) Cada empleador 

debe proveer a cada uno de sus empleados un empleo y 

lugar de trabajo libre de riesgos reconocibles que estén 

causando o puedan causar la muerte o daños físicos serios a 

sus empleados. 


1


La gripe usualmente comienza de repente, con estos síntomas: 

‣ Fiebre (pero no todos lo que tienes gripe tendrán 

fiebre) 

‣ Escalofríos 

‣ Dolor de cabeza 

‣ Escurrimiento o congestión nasal 

‣ Dolor de garganta 

‣ Tos 

La mayoría de las personas que tienen la 

gripe se recuperarán en unos días y casi 

siempre dentro de dos semanas, pero 

algunas personas pueden desarrollar 

complicaciones como neumonía, que 

puede terminar siendo peligroso, por lo 

tanto es importante tomar en serio la gripe 

y no seguir ‘trabajando durante el 

padecimiento’. 

Si los síntomas de la gripe no paran, busca 

atención médica inmediatamente si estos 

síntomas ocurren: 

‣ Dificultad para terminar 

‣ Vómito severo 

‣ Confusión 

‣ Fatiga 

‣ Dolor de pecho 

‣ Náusea 

‣ Dolor muscular 

¿Sabías que…hay un promedio estimado de 200,000 personas al año que 

son hospitalizados por complicaciones de la gripe? 


2

Week 2 


What do I do if I get the flu?What do I do if I get the 

flu? 

Most people with the flu do not need medical care or antiviral drugs. If you 

get sick with flu symptoms, in ost cases, you should stay home and avoid 

contact with other people except to get medical care. 

If you have the flu, stay home and recover. Do not go to work and risk 

infecting your coworkers. STOP THE SPREAD OF GERMS AT WORK AND AT 

HOME 

‣ Avoid close contact with sick people. 

‣ Stay home and away from others when you’re sick. 

‣ Avoid touching your eyes, nose, or mouth. 

‣ Cover your mouth and nose with a tissue when 

coughing or sneezing. 

LEAD BY EXAMPLE 

‣ Get vaccinated annually. 

‣ Encourage co-workers and family to get vaccinated. 

‣ Practice good health habits. 


1

Semana 2 


La mayoría de las personas con gripe no necesitan 

cuidado médico o medicinas antivirales. Si te enfermas 

con síntomas de gripe en muchos casos, deberías 

quedarte en casa y evitar el contacto con otras personas 

excepto tu cuidado médico. Si tienes gripe, quédate en 

casa y recupérate. No vayas al trabajo y arriesgues 

infectar a tus compañeros. 

DETÉN EL ESPARCIMIENTO DE GÉRMENES EN EL 

TRABAJO Y EN CASA 

‣ Evita contacto cercano con personas enfermas. 

‣ Quédate en casa y lejos de otros cuando estés enfermo. 

‣ Evita tocar tus ojos, nariz y boca. 

‣ Cubre tu boca y nariz con un pañuelo al toser o estornudar. 

GUÍA CON EL EJEMPLO 

‣ Vacúnate anualmente. 

‣ Anima a tus compañeros y familia a vacunarse. 

‣ Practica buenos hábitos de salud. 


1

Week 3 

HEALTH HAZARDS | Seasonal Flu 

Prevention is better than cure! 

Every year, on average, 5%-20% of he population gets the flu and this costs 

billions of dollars annually. 

The flu can make anyone sick, even those people that usually seem strong and 

healthy. Employees should get their flu shot annually to protect themselves 

against this illness and also to prevent unexpected loss time from work. 


1

Semana 3 

RIESGOS DE SALUD | Gripe 

De acuerdo a la CDC, la prevención es mejor que la 

cura cuando se trata de cualquier enfermedad, 

incluyendo la gripe. 

Cada año, en promedio, 5% - 20% de la población 

obtiene la gripe y esto cuesta billones de dólares 

anualmente. 

La gripe puede enfermar a cualquiera, incluso a 

aquellos que usualmente parecen fuertes y 

saludables. Los empleados deben tener su 

inyección de influenza anual para protegerse en 

contra de esta enfermedad y para prevenir la 

pérdida de tiempo inesperado en el trabajo. 


1

Week 4 


TIPS TO REMEMBER DURING THE FLU SEASON: 

‣ Get the flu vaccine annually. 

‣ Encourage those around you to get the flu 

vaccine. 

‣ Practice good health habits, wash hands often. 

‣ Stay home and away from others if you are sick. 

‣ Seek medical attention if symptoms are severe. 

‣ Avoid close contact with others that are sick. 

‣ Take antiviral medication if prescribed. 

‣ Take time to recover, don’t ‘work through it’. 


1

Semana 4 


CONSEJOS PARA RECORDAR DURANTE LA TEMPORADA DE GRIPE: 

‣ Ponte la vacuna de la gripe anualmente. 

‣ Anima a los que están a tu alrededor a ponerte la vacuna 

de la gripe. 

‣ Practica buenos hábitos de salud, lávate las manos seguido. 

‣ Quédate en casa y alejado de otros si estás enfermo. 

‣ Busca atención médica si los síntomas son severos. 

‣ Evita el contacto cercano con otros que están enfermos. 

‣ Toma medicamentos antivirales si te los prescriben. 

‣ Toma tiempo para recuperarte, no trabajes ‘durante la 

enfermedad’. 


1

ADDITIONAL SERVICES

Additional Services: November 2019 

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

TITLE DATE DESCRIPTION NOTES 

11/19/19 During site evaluation, Please see notes in 

conducted a one-onone 

Meeting Minutes 

employee 

corrective measure 

with Martin Bazan 

Employee Corrective 

Measure and Review 

Job Hazard Analysis 

Review 

11/27/19 During this Month’s 

training, an additional 

review was focused 

on the Job Hazard 

Analysis for all 

employees to 

thoroughly 

understand the form. 

All roofing employees 

are able to assist in 

completing the Job 

Hazard Analysis Form. 



SAFETY REPORT NOVEMBER 2019 

Issued December 2019 


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

Emmons_Nov2019_EndoftheMonth_Report

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