Emmons Roofing Service June 2020 Report

SAFETY REPORT June 2020 

Issued July 2020 

Emmons Roof Service 

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

EMMONS 

June 2020 

SAFETY COMMITTEE MEETINGS

www.thepriceofsafety.com 

info@thepriceofsafety.com 

The Price of Safety Inc - Safety Committee Meeting Minutes 

JULY 14, 2020 

1485 SPRUCE STREET, SUITE M 

RIVERSIDE, CA 92507 

MEETING CALLED BY 

TYPE OF MEETING 

FACILITATOR 

NOTE TAKER 

NEXT MEETING 

ATTENDEES 

Mayra Redmond 

Safety Committee Meeting 

Mayra Martinez 


TBD 

Miguel Bazan, Bob Emmons, Mayra Martinez 

Old Business 

COMMUNICATION 

& COORDINATION 

MAYRA MARTINEZ 

Due to schedule conflicts with Emmon’s Management team, the Safety Committee Meeting was cancelled. 

Please see below New Business Section below. 

5.1 Summary of Meetings, Trainings, and Action Items 

DISCUSSION 

• Mayra Martinez facilitated a Safety Committee Meeting with Emmon’s Management on May 12, 

2020 

• Bob Emmons, Miguel Bazan, and Mayra Martinez were in attendance as scheduled. 

Summary of Topics from last meeting: 

• CPR recertification 

• Create Mitigation Plan for Damaged Equipment 

• On-site Training 

• Yard Inspection Mitigation Process 

CONCLUSIONS 

Dai/ 5.2 SCM Summary: 

CPR Recertification 

• The CPR Certifications of employees will be expiring August 2020. Bob Sr. stated he would like to certify all 

employees on site. 

Create Mitigation Plan for Damaged Equipment 

• Challenge: Damaged equipment is not being removed from work trucks or jobsites 

Results of Root Cause Analysis: After speaking with Willie Diaz, we discovered that he is no longer 

assigned to retrieve damaged equipment from jobsites, and there is no communication between the 

foreman and himself regarding damaged equipment. 

Solution: I suggest a tagging system be implemented. For example, green and red tags to identify ‘out of 

service’ and ‘cleared for service’. Emmon’s has 3 evaluations per month, during these evaluations’ safety 

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

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

On-site Training 

will red tag to identify damaged equipment and communicate with the Foreman and Willie to remove from 

service and or repair. However, for the other jobsites that safety does not evaluate, Emmons will need to 

determine how to manage damaged equipment. 

Moving forward, when The Price of Safety finds defective equipment, the mitigation place is as follows: 

1.) Damaged equipment will be tagged and the Foreman or Leadman will remove it from site, and it will 

be taken to Willie at the yard. 

2.) The Price of Safety will notify Emmon’s Management of the discovered damaged equipment 

3.) Willie will determine if the equipment needs to be repaired or replaced 

4.) Safety will follow up with Willie to confirm that the damaged equipment was not returned to the active 

job sites and was taken care of accordingly. 

• Training will be conducted on-site due to CDC guidelines regarding COVID 19. 

Yard Inspection Mitigation Process 

• A yard inspection was conducted on March 24, 2020. Willie Diaz is in progress of mitigating the deficiencies 

including inspecting fire extinguishers, removing unlabeled liquids, proper storage, and housekeeping. 

ACTION ITEMS PERSON RESPONSIBLE DEADLINE 

Implement Green/Red Tagging System Miguel Bazan/Foremen June 2020 

Yard Inspection Deficiency Mitigation Follow-up Mayra Martinez/Willie Diaz July 2020 

On-site Training Mayra Martinez/ Safety Team June 8-12 

SAFETY EVALUATIONS REVIEW 

5.3 The Price of Safety Performed the following Safety Evaluations for the month of May 2020: 

1. 5/15/2020 Mayra Martinez performed SER @ Target, Redlands/Foreman: Sergio Paez (Please Review 

SER) 3 Failed items | 2 Abated Items | Inspection Score: 93.02% 

2. 5/19/2020 Mayra Martinez performed SER @ Target, La Mesa / Foreman: Edgar Bazan 

(Please Review SER) 7 Failed Items | 6 Abated Items | Inspection Score: 84.09% 

3. 5/20/2020 Mayra Martinez performed SER @ Long Beach: Sergio Paez 

(Please Review SER)1 Failed Item | 1 Abated Item | Inspection Score: 97.5% 

DISCUSSION 

5.4 The Price of Safety Performed the following Safety Evaluations for the month of June 2020: 

1. 6/3/2020 Sean Carr performed SER @ Target, La Mesa/Foreman: Edgar Bazan (Please Review SER) 5 

Failed items | 4 Abated Items | Inspection Score: 88.1% 

2. 6/9/2020 Sean Carr performed SER @ San Diego / Foreman: Martin Bazan 

(Please Review SER) 1 Failed Items | 1 Abated Items | Inspection Score: 95.35% 

3. 6/30/2020 Mayra Martinez performed SER @ Target, Eagle Rock/ Foreman: Edgar Bazan 

(Please Review SER)2 Failed Item | 2 Abated Item | Inspection Score: 97.37% 

CONCLUSIONS 

Although an average score of 91.5% for the month of May, and 93.6% for June, is great improvement, the following 

deficiencies were found on site. Means and methods will be put in place and implemented to reduce these 

deficiencies in the future. (See Synopsis) 

• Program Administration 



• Fire Extinguisher 

• Damaged Cords/ Tools 

• Ladder Fall Hazards 

• Improper use of rails on Scissor Lift 

• Personal Protective Equipment 

• Fall hazards 

• Floor Openings 

ACTION ITEMS 

PERSON 

RESPONSIBLE 

DEADLINE 

Employee Corrective Measures for PPE Deficiencies Mayra Martinez Inspect Monthly 

COVID19 Safety Plan 

Copy of Safety Program on all jobsites – Follow up inspection 

Emmons Management Completed 

Emmons Management/ 



TRAINING REVIEW 

5.4 Fall Protection 

Due to CDC COVID19 Social Distancing requirements, Emmon’s Management has postponed training until further 

notice. 

Weekly Safety Meetings were sent to Miguel Bazan on 4/24/2020 for the month of May. 

The topics included the following: 

DISCUSSION 

1. OSHA Focus Four: Struck-By Hazards 

2. Tools and Training 

3. Prevention and Protection 

4. Additional Tips to Remember 

Weekly Safety Meetings were sent to Miguel Bazan on 5/29/2020 for the month of June. 

The Topics included the following: 

1. Personal Protective Equipment: Eye Safety 

2. Impact Hazards 

3. Heat Injuries 

4. Chemical Injuries 

5. Additional Tips to Remember 

CONCLUSIONS Training was held at the Emmons location. 


COVID 19 Training Adjustments Mayra Martinez/Miguel Bazan June 2020 



New Business 

6.1 

• COVID19 Training Adjustments 

• Implement Tagging System for Damaged Equipment 

• CPR Certification Training 

DISCUSSION 

CONCLUSIONS 




SAFETY SYNOPSIS

EMMON’S ROOFING SVC SAFETY SYNOPSIS 


Below are our suggestions for mitigation strategies that ATD can implement during the second quarter of 2020. 

To effectively mitigate and control workplace safety risks, we will continue training on the project- risk mitigation plans before 

employees are exposed to risks. Construction hazards can potentially increase risks and lead to workplace injuries. A clear 

understanding of hazards, risks, and types of potential impacting factors provide the foundation for developing an effective risk 

mitigation plan. 

Summary of Means 

The means that will be used for barrier identification 

include: 

• Virtual Safety Evaluations 

• Foreman Follow up/ Deficiencies and 

challenges 

These measures will help us ascertain the leading 

and lagging indicators to help reduce incidents and 

injuries 

Summary of Recommendations 

Based on data collected and forecasted scope of 

work, we recommend Anthony Torres implement 

the following mitigation strategies: 

• COVID19: Alternative Virtual Meetings 

• Continue Foreman Training 

• Operator Certifications 

Analytic Overview 

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


SITE STATISTICS

Site Statistics June 2020 

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 April May June 

Martin Bazan N/A N/A 97.37% 

Edgar Bazan 95.45% 84.09% 88.1%, 95.35 

Bob Crawford N/A N/A N/A 

Sergio Paez 97.5% 93.02%,97.5% N/A 

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


SAFETY 

PERFORMANCE

Monthly Safety Performance Report 

June 2020 Emmons Roof Service 06.01.2020 - 06.30.2020 

Jobsites Evaluated 

Foreman Location Results Emmons Notified 

Edgar Bazan La Mesa, CA 5 Failed Responses / 4 Abated / 88.1% Miguel Bazan 

Martin Bazan San Diego, CA 1 Failed Responses / 1 Abated / 97.37%% Miguel Bazan 

Edgar Bazan Eagle Rock, CA 2 Failed Response / 2 Abated / 95.35% Miguel Bazan 



SAFETY EVALUATION 

REPORTS

Safety Evaluation Report (SER) 

Emmons Roofing Service / 30 Jun 2020 / Mayra 

Martinez 

Complete 

Score 95.35% Failed items 2 Actions 

0 

Client / Site 

Emmons Roofing Service 

Date of Audit 30th Jun, 2020 

Prepared by 

Location 


2626 Colorado Blvd 

Los Angeles CA 90041 

United States 

(34.14111509655074, - 

118.22382297597734) 

Private & Confidential 1/24

Failed Items 

2 failed 

C. Inspection and maintenance of PFAS conducted DEFICIENT 

Fall Protection Equipment Hazard: The fall protection harnesses were not up to date on their inspections. 

On one harness, the last inspection was conducted in January 2020. The second harness has not yet been signed. 

Per the manufacturers instructions, the harness is to be inspected and signed by a competent person every 6 

months. 

Corrective action: I showed Foreman Edgar Bazan the inspection tags and advised that they one harness would be 

due for a formal inspection and the other had not been signed. He stated the harnesses were not in use today as the 

crew was only unloading today and the roof hatch access had been closed by a Target Representative. However, he 

will sign them tomorrow and send pictures for a follow-up. 

Photo 28 Photo 29 

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

Fall hazard: The side rails did not extend 36” above the top of the landing on an extension ladder. 

Corrective Action: I advised Foreman Edgar of the ladder hazard and explained to him that the ladder needed to 

extend 36” Above the landing to be in compliance. Foreman Edgar lowered and removed the ladder and stated he 

needed a ladder extension and would request one from management. 

Photo 34 


Audit 2 failed, 95.35% 

CONTRACTOR AND PROJECT INFORMATION 

Contractor Emmons Roofing Service 

Safety Manager Mayra Martinez 

Project Name Target Eagle Rock 

Project Number Eagle Rock 

Project Manager Miguel Bazan 

Superintendent Edgar Bazan 

Inspector of Record (IOR) N/A 

Today's Weather Conditions (include 5 day forecast) 

Clear 

Photo 1 

1. PROGRAM ADMINISTRATION 100% 

A. Attach photo of Safety Program YES 

Photo 2 

B. Attach photo of Weekly Safety Meeting YES 


C. Were any Safety Orientations performed today NO 

D. Safety Violation Notifications issued? NO 


E. Are emergency procedures established? Contact list, First Aid Kit in 

waterproof container. §1512. Emergency Medical Services. 

YES 

Photo 5 

F. Attach photos to identify contractor's on site first aid and CPR certified 

workers. 

YES 

Photo 6 

G. Attach photos of OSHA required posters. YES 

Photo 7 

H. Did Owner's Safety Representative perform a job walk today? if so, list 

all safety concerns along with photos accompanied by your abated photos. 

I. Did the Inspector (IOR) have any safety concerns today? If so, list them 

and along with your abated photos. 

NO 

NO 

2. HEAT ILLNESS PREVENTION 100% 

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

Photo 8 

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

canopy) 

N/A 



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 

SAFE 


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

for workers with sign in sheet? 

N/A 

3. FIRE PREVENTION & PROTECTION 100% 

A. Approved gas containers 

SAFE 

Photo 13 

B. Fire extinguishers available and inspected SAFE 

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

1.) good condition without damage 

2.) Valid inspection dates including yearly and monthly inspections 

3.) pressure gauge reads “charged” 

4.) safety pin is secured and in place 

Photo 14 Photo 15 Photo 16 Photo 17 

3a Protection from Wildfire Smoke 


A. Is a written Wildfire smoke plan on site per 5141.1? (attach photo) N/A 

B. What is the current Air Quality Index (AQI) for PM2.5. (above 151 is 

considered unhealthy) 

N/A 

C. Was Wildfire Smoke Training provided for workers? N/A 

4. PERSONAL PROTECTIVE EQUIPMENT 100% 

A. Approved hard hats SAFE 

Photo 18 

B. Safety glasses SAFE 

Photo 19 

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 

Photo 20 

F. Proper clothing/hand protection/reflective vests SAFE 

Photo 21 


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

• Do you have heavy equipment in your site? 

NO 

NO 

7. ELECTRICAL TOOLS 100% 

A. Terminal boxes covered SAFE 

B. Ground prong in place SAFE 


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

removed 

N/A 

D. Temp / permanent lighting adequate and protected SAFE 

E. GFCI’s in place SAFE 

Photo 24 

F. Mechanical guards in place N/A 

G. Proper tools for each job SAFE 

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

I. Tools inspected. Defected tools removed from service SAFE 

Photo 25 

8. FALL PROTECTION 1 failed, 66.67% 

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



B. PFAS worn correctly N/A 

C. Inspection and maintenance of PFAS conducted DEFICIENT 

Fall Protection Equipment Hazard: The fall protection harnesses were not up to date on their inspections. 



months. 






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

9. BARRICADES / GUARD RAILS / STAIRS 100% 

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

B. Roadways, walkways and stairs free of obstacles SAFE 


C. Adequate lighting SAFE 


Photo 32 

D. Trenches and excavations N/A 

• Do you have ladders in your site? 

YES 

10. LADDERS 1 failed, 50% 

A. Secured to prevent slipping, sliding or falling SAFE 

Photo 33 

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

Fall hazard: The side rails did not extend 36” above the top of the landing on an extension ladder. 




Photo 34 

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) 100% 

Please click "Add Contractor" button. 

Contractor 100% 

Contractor 1 100% 

Name of Contractor/Company 

Corona Virus (COVID-19) Procedures In Place 


Yes 


JHA Verified 

Yes 

Photo 39 

Toolbox 

Yes 


Head Count 12 

DAILY SAFETY NARRATIVE (DSN) 


Please put your Daily Safety Narrative here 

I arrived on site at Target Eagle Rock while the crew was taking their lunch break. I accessed the roof by roof hatch 

and began my evaluation. 

We have a 12-man crew and they are loading onto the site. 

Upon their arrival back from lunch, the crew was preparing to depart the site. They gathered all equipment and 

ensured the job boxes were locked and secured. 

During my evaluation, I observed the following safety concerns: 

1.) Fall Protection Equipment Hazard: The fall protection harnesses were not up to date on their inspections. 



months. 





2.) Fall hazard: The side rails did not extend 36” above the top of the landing on an extension ladder. 




The COVID19 procedures were in place with hand sanitizer available as soon as we got back into the target 

stockroom and also inside the portable restroom. The restroom was clean and stocked. The last maintenance was 

conducted on 6/23. All crew members were wearing masks and gloves. 

I also gave Foreman Edgar 5 red-tags to begin implementing a Tagging System for deficient equipment. 

No injuries were reported during my evaluation. 

This concludes my report. 

COMPLETION AND SIGN-OFF 

Auditor 

Name and Signature 


30th Jun, 2020 2:15 PM PDT 



Emmons Roofing Service/ La Mesa / 3 Jun 2020 / 

Sean Carr 

Complete 


0 

Client / Site 

Emmons Roofing Service/ La Mesa 

Date of Audit 3rd Jun, 2020 

Prepared by 

Location 

Sean Carr 

5500 Grossmont Center Dr 

La Mesa CA 91942 

United States 

(32.779607456208, - 

117.0114798379289) 


Failed Items 

5 failed 

A. Approved hard hats DEFICIENT 

Hazard: Worker without hard hat on while onsite. 

Corrective Action: Worker put hard on when notified. 

Photo 17 Photo 18 Photo 19 Photo 20 Photo 21 

B. Safety glasses DEFICIENT 

Hazard: Worker wearing Oakley sunglasses. 

Corrective Action: Foreman supplied worker with proper Z87 safety glasses. 


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

Parapet above 42 inches around working area preventing fall hazard for workers. 

Hazard: Worker witnessed working above 6ft without any fall protection or guardrail system in place. 

Corrective Action: Forman notified immediately worker was provided with Fall protection Harness to prevent fall 

hazard. 



No 

Workers did not have any Covid-19 sign in sheet onsite. 


Photo 47 Photo 48 Photo 49 

JHA Verified 

No 

Workers did not have JHA documentation on site. 




Contractor 

Safety Manager 

Project Name 

Project Number 

Project Manager 

Superintendent 

Inspector of Record (IOR) 


Emmons Roofing 

Sean Carr 

Target San Diego 

Target 

Miguel Bazan 

Edgar Bazan 

N/A 

Clear 

Photo 1 



Photo 2 








YES 



workers. 

YES 

Photo 7 


Edgar provided a few posters that he had but does not have complete packet of OSHA required posters on site. 






NO 

NO 



Photo 10 


canopy) 

SAFE 


Photo 11 




SAFE 

Photo 12 



N/A 



SAFE 

Photo 13 


The fire extinguisher was inspected for the following: 

1.) Valid monthly and yearly dates 

2.) The safety pin is in place 

3.) Pressure gauge reads 'charged' 

4.) Good condition without damage 







N/A 


4. PERSONAL PROTECTIVE EQUIPMENT 2 failed, 60% 

A. Approved hard hats DEFICIENT 

Hazard: Worker without hard hat on while onsite. 



B. Safety glasses DEFICIENT 

Hazard: Worker wearing Oakley sunglasses. 








N/A 

SAFE 

Photo 24 



Photo 25 


Photo 26 



NO 

NO 


A. Terminal boxes covered N/A 

B. Ground prong in place SAFE 



removed 

N/A 

D. Temp / permanent lighting adequate and protected N/A 


Photo 30 

F. Mechanical guards in place N/A 





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

8. FALL PROTECTION 1 failed, 0% 


Parapet above 42 inches around working area preventing fall hazard for workers. 

Hazard: Worker witnessed working above 6ft without any fall protection or guardrail system in place. 


hazard. 


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 N/A 


A. Floor / wall openings covered & labeled SAFE 

Photo 39 

B. Roadways, walkways and stairs free of obstacles SAFE 


Photo 40 


Photo 41 



YES 

10. LADDERS 100% 

A. Secured to prevent slipping, sliding or falling SAFE 

Photo 42 

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


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


YES 

11. SCAFFOLDING 100% 

A. Erected and dismantled properly. Scaffold tag procedure followed. N/A 

B. Competent person N/A 

C. Foot pads and mud sills provided N/A 


D. Workers protected from falling objects from above N/A 

E. Scaffolds plumb and square with full bracing SAFE 

Scaffold wheels locked while in use. 

Photo 46 

F. Top and mid-rails in place, toe boards and complete deck N/A 

G. Ladder access available for use N/A 







NO 

NO 

NO 

NO 

NO 

NO 

CONTRACTORS (List our client first) 2 failed, 33.33% 


Contractor 2 failed, 33.33% 

Contractor 1 2 failed, 33.33% 


Emmons 


No 

Workers did not have any Covid-19 sign in sheet onsite. 


JHA Verified 

No 

Workers did not have JHA documentation on site. 

Toolbox 

Yes 



Head Count 5 



Safety Evaluation Report at Target San Diego at the Grossmont Shipping Center. 

Met with Foreman Edgar Bazan. The crew is finishing final touch ups of membrane installation and removing trash 

and debris. 

During the evaluation, I noted the following safety concerns: 

1.)Foreman Edgar Bazan did not have The completed mobile OSHA posters inside the Foreman's binder. Edgar did 

not have copies of Covid-19 awareness or JHA forms. 

Note: All proper documentation should be located on the job site at all times. 

2.) Hazard: Worker wearing Oakley sunglasses. 


3.) Hazard: Worker without hard hat on while onsite. 


4.) Hazard: Worker witnessed working above 6ft without any fall protection or guardrail system in place. 


hazard. 

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



Auditor 


Sean Carr 

3rd Jun, 2020 10:29 AM PDT 



Emmons Roofing /San Diego Costco / 9 Jun 2020 / 

Sean Carr 

Complete 


0 

Client / Site 

Emmons Roofing /San Diego Costco 

Date of Audit 9th Jun, 2020 

Prepared by 

Location 

Sean Carr 

4601–4617 Morena Blvd 

San Diego CA 92117 

United States 

(32.82115001234489, - 

117.22460498112926) 


Failed Items 

1 failed 


Hazard: Worker was not wearing any Fall protection while on roof. Parapet around roof is about 20 inches high. 

Corrective Action: Informed Martin that Workers should have a 6ft warning line around the roof and or workers need 

to be tied off %100 while on the roof. 

Foreman has all the equipment on roof but was not using it. Lanyards, Roof anchors and safety harness. Martin 

ensures me that workers will be tied off %100 while on roof throughout the day. 

Per Title 8 1730 (1) Employees shall be protected from falls from roofs of a height of more than 20 feet by use of 

one or a combination of the methods in this section. 

Hazard: Access and Egress fall hazard, workers climbing on side of scissor lift to access work area. 

Corrective Action: Informed Foreman to turn the lift adjacent to ensure workers can access roof without climbing on 

side of lift. At no time should a worker stand or climb on side of a scissor lift creating a fall hazard. 

Recommended that workers need to use a extension ladder with extended guard rail handles to ensure proper and 

safe access and egress moving forward. 

Photo 25 Photo 26 Photo 27 Photo 28 Photo 29 Photo 30 




Contractor 

Safety Manager 

Project Name 

Project Number 

Project Manager 

Superintendent 

Inspector of Record (IOR) 



Sean Carr 

Costco San Diego 

Costco 

Miguel Bazan 

Martin Bazan 

N/A 

Clear 

Photo 1 



Photo 2 


Photo 3 






YES 



workers. 

YES 

Photo 7 







NO 

NO 



Photo 10 


canopy) 

SAFE 


Photo 11 




SAFE 

Photo 12 



N/A 



SAFE 

Photo 13 







N/A 



4. PERSONAL PROTECTIVE EQUIPMENT 100% 

A. Approved hard hats SAFE 

Photo 16 

B. Safety glasses SAFE 

Photo 17 






N/A 

SAFE 

Photo 18 




Photo 21 




NO 

NO 


A. Terminal boxes covered N/A 

B. Ground prong in place N/A 


removed 

N/A 

D. Temp / permanent lighting adequate and protected N/A 


Photo 22 

F. Mechanical guards in place SAFE 

Photo 23 


Photo 24 


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

8. FALL PROTECTION 1 failed, 50% 



Hazard: Worker was not wearing any Fall protection while on roof. Parapet around roof is about 20 inches high. 







Hazard: Access and Egress fall hazard, workers climbing on side of scissor lift to access work area. 


side of lift. At no time should a worker stand or climb on side of a scissor lift creating a fall hazard. 



Photo 25 Photo 26 Photo 27 Photo 28 Photo 29 Photo 30 

B. PFAS worn correctly SAFE 


C. Inspection and maintenance of PFAS conducted N/A 

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


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

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



Photo 34 









NO 

NO 

NO 

NO 

NO 

NO 

YES 

16. MOBILE EQUIPMENT 

A. Are imposed loads exerted on the life basket. N/A 

B. Are lifts operated within load capacities N/A 

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


NO 

CONTRACTORS (List our client first) 100% 


Contractor 100% 

Contractor 1 100% 



Yes 




JHA Verified 

Yes 

Photo 39 

Toolbox 

Yes 

Photo 40 

Head Count 3 




Sean Carr conducted a Safety Evaluation Report at Costco San Diego. 

I met with Foreman Martin Bazan. The crew is installing roof membrane. 

Weather will reach 80° today workers were reminded to get plenty of rest water and shade if need be throughout the 

day. Also conduct a buddy system to help prevent any heat stroke or heat exhaustion. 

During the evaluation, I noted the following safety concerns: 

1)Foreman Martin Bazan did not have a Pre-Task planner nor was it completed prior to the start of work. 

Note: I supplied a Pre-Task for Martin and documents completed immediately once notified. 

2)Hazard: Worker was not wearing any Fall protection while on roof. Parapet around roof is about 20 inches high. 







3)Hazard: Access and Egress tip over and fall hazard, workers climbing on side of scissor lift to access work area. 


side of lift. At no time should a worker stand or climb on side of a scissor lift creating a fall and tip over hazard. 

Workers will wear harness and tie off prior to exiting lift to ensure %100 secure Fall protection. 



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


Auditor 


Sean Carr 

9th Jun, 2020 11:10 AM PDT 


EMPLOYEE 

CORRECTIVE 

MEASURES


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

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 

6/3/2020 

La Mesa 


San Diego 

Edgar Bazan 

Martin Bazan 

Foreman Edgar Bazan had multiple hazards 

on site, including an IDLH deficiency: 

• Personal Protective Equipment 

• Fall Hazards without Harness 

• Job Hazard Analysis 

Foreman Martin Bazan was witnessed not 

having a harness by a parapet wall of 20”, 

also a scissor lift was utilized as a means of 

access by climbing over its rails.

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 

Edgar Bazan 

Trade: Commercial Roofer 

Job Title: 

Foreman 

Employer/Contractor: 

Emmon’s Roofing Service 

Date and Time of Incident: 

11:00 AM 6/3/2020 

Location of Incident (Address): 

Grossmont Center, La Mesa 

Name of Supervisor: 

Miguel Bazan 

Supervisor's Number: 

Date Supervisor 

Notified: 6/3/2020 

Form Completed By: 


Number 

(951)441-9230 

Date THE PRICE OF SAFETY notified: 


Project Name and #: 

Was this incident in violation of a ❑ YES ❑ NO 

Target La Mesa 

company policy? 

Were there any witnesses? Name of Witness: Name of Witness: 

Yes 

Martin Bazan 

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: 

Fall Hazard 

Potential for 

Reoccurrence: 

Never 

Rare 

Occasional Frequent 

Has Employee been trained 

in the area violated? 

❑ YES ❑ NO 

❑ WARNED ❑ SUSPEND ❑ REMOVED FROM JOB SITE ❑ 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) 

Mr. Bazan had multiple deficiencies on his site. The hazards included an IDLH deficiency: 

• Fall Hazard without harness 

• No PPE (Safety Glasses) 

• No Job Hazard Analysis 

Worker's Statement: 

Mr. Bazan stated "I'll make sure going forward we are doing things correctly,just let me know what I need to fix." 

guar 

What Corrective Measures were taken/or suggested: 

• A harness was worn on the scaffold 

• Safety Glasses were given to employee 

• A job Hazard Analysis was completed 

What the situation defused or mitigated? 

Yes, all deficiencies were mitigated. 

Why or Why Not? 

Signature: 

Date: 

6//2020

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 

Job Title: 

Roofer 

Employer/Contractor: 


Trade: 

Commercial Roofing 

Date and Time of Incident: 

Location of Incident (Address): 


Grossmont Center, La Mesa 4617 Morena BLVD, San Diego 

Name of Supervisor: 

Miguel Bazan 

Supervisor's Number: 

(909)721-2438 

Date Supervisor Notified: 


Form Completed By: 


Number 

(951)441-9230 

Date THE PRICE OF SAFETY notified: 


Project Name and #: 

Was this incident in violation of a ❑ YES ❑ NO 

La Mesa 

company policy? 

Were there any witnesses? Name of Witness: Name of Witness: 

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? 

❑ YES ❑ NO 

❑ WARNED ❑ SUSPEND ❑ REMOVED FROM JOB SITE ❑ 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) 

Edgar Bazan was climbing on the rails of a scissor lift to access a roof. 

Worker's Statement: 

Mr. Bazan stated that he would wear a harness and relocate the scissor lift so it would be adjacent to the roof 

What Corrective Measures were taken/or suggested: 

Sean Carr advised that the scissor lift rails are not designed to be climbed on and hold additional weight. Mr. Bazan 

wore a harness and relocated the scissor lift to be adjacent to the roof to prevent climbing on the rails. 

What the situation defused or mitigated? Why or Why Not? 

Yes, the fall hazards were mitigated with proper fall protection 

Signature: Date: 6/9/2020

INCIDENT LOGS

Incident Log June 2020 

SUMMARY: 

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

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 

NO INCIDENTS REPORTED FOR JUNE 2020 

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

Strategic Training Calendar 

2020 

January February March 

OSHA FOCUS FOUR: CAUGHT 

IN/BETWEEN 

1.) OSHA Focus Four Caught 

in/Caught in-between 

2.) Hazards 

3.) Prevention 

4.) Additional Tips 

OSHA FOCUS FOUR: 

ELECTROCUTION 

5.) OSHA Focus Four Electrocution 

6.) Hazards 



OSHA FOCUS FOUR: FALLS 

9.) OSHA Focus Four Fall 

Prevention 

10.) Hazards 



April May June 

OSHA FOCUS FOUR: STRUCK BY HEAT ILLNESS PREVENTION PERSONAL PROTECTIVE 

EQUIPMENT 

13.) OSHA Focus Four Struck-By 

Hazards 

14.) Training and tools 

15.) Fire Extinguishers and Labels 


16.) Heat Stress 

17.) Preventative Actions 

18.) Signs and Symptoms 


20.) Eye Safety 

21.) Impact Hazards 

22.) Heat Injuries 

23.) Chemical Injuries 

24.) Important Tips 

July August September 

FIRE SAFETY HEAVY EQUIPMENT FALL PROTECTION 

25.) Fire Prevention 

26.) Alertness and Signs 


28.) Chemical Injuries 

October November December 

HOUSEKEEPING/SIGNS AND 

BARRICADES 

SEASONAL FLU/COLD STRESS 

OSHA VISITS

Strategic Training Schedule: JUNE 2020 

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 May. 

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: 

Heat Illness Prevention 

Foremen to conduct 

Weekly Safety 

Meetings to be 

conducted every 

Monday, by 7:30am 

1.) PPE: Eye Safety 

2.) Impact Hazards 


4.) Chemical Injures 


Weekly Safety Topics sent 

to 

miguel@emmonsroof.com 

Received 5/29/2020 

Awareness Level 

Training: 


5/19 8:00 AM 

La Mesa with 

Foreman Edgar 

Bazan 

5/20 11:00 AM 

Long Beach with 

Foreman Sergio 

Paez 


conducted on-site training 

and covered the following: 


measures, signs, 

symptoms, accumulation, 

and what to do in the 

event of heat stress and 

heat stroke. 

Please see rosters. 

AWARENESS LEVEL NEEDED 

TRAINING COURSE BRIEF DESCRIPTION DATE/TIME CLOSING 

DATE 

Fall Protection 

Heat Illness ( continued) 

Fall protection requirements, 

hazard identification, systems, 

and donning of fall protection. 

Educate employers and 

workers on the dangers of 

working in the heat. 

Note: Foreman Martin 

Bazan’s Crew has not had 

Heat Illness Training. 

TBD Emmons Office 

August 2020 

*Postponed due to recent 

COVID19 outbreak and 

challenges 

TBD On-Site Training July 2020 



WEEKLY SAFETY TOPIC 

RECORDS/ROSTERS

PERSONAL PROTECTION || Eye Safety 

Week 1 

According to the Centers for Disease Control and Prevention (CDC), 

each day about 2000 U.S. workers have a job-related eye injury that 

requires medical treatment. About one third of the injuries are treated in 

hospital emergency departments and more than 100 of these injuries result 

in one or more days of lost work. 

Workers can get particles of 

• dust 

• metal 

• wood 

• glass 

• concrete 

• plastic or other hard substances in their eyes. In addition, chemicals, 

acids, sparks, hot oil, fire and steam are also eye hazards. 

OSHA Standard 1926.28(a) The employer is 

responsible for requiring the wearing of 

appropriate personal protective equipment in 

all operations where there is an exposure to 

hazardous conditions or where this part 

indicates the need for using such equipment to 

reduce the hazards to the employees. 

thepriceofsafety.com 

1


Week 2 

‣ Impact hazards are those that result from flying or falling objects, 

or sparks striking the eye. Eye protection for these hazards are safety 

spectacles with side shields or goggles. 

OSHA Standard 1926.102(a)(1) Employees shall be provided with eye and face 

protection equipment when machines or operations present potential eye or face 

injury from physical, chemical, or radiation agents. 

Impact hazards can be created by grinding or cutting tools such as the bench grinder above. 


2


Week 3 

‣ Heat injuries may occur to the eye and face when workers 

are exposed to high temperatures, splashes of molten 

metal, or hot sparks. Eye protection for these hazards are 

safety spectacles with special-purpose lenses and side shields 

or goggles. 

Worker properly welding with 

protective eye/face equipment. 

Prevent injuries: wear safety glasses, goggles, or other approved 

eye/face protection. 

Workers need to protect their eyes from a variety of dangers such as: 

• flying dust, dirt, or sand particles 

• slivers of metal, wood, or glass 

• fragments of concrete or rock 

• chemicals, sparks, UV light and lasers 


3


Week 4 

‣ Chemical injuries often result from an inappropriate choice of 

PPE, that allows a chemical substance to enter from around or 

under protective eye equipment. Eye protection for these 

hazards are goggles, face shields and eyewash stations. 

Worker using proper eye and face protection. 

Chemical exposure could occur in everyday tasks such as 

pouring concrete. 


4


Week 5 

‣ Remember these important tips to avoid eye injuries: 

• Always use safety glasses or goggles designed for the task. 

• Protect your eyes from debris and particles getting into your eyes 

by using goggles. 

• Use eye protection designed specifically for welding or cutting 

activities. 

• In addition to safety glasses or goggles wear a face shield if there 

is any potential for chemicals or particles causing injury to your 

face. 

• Safety glasses must be rated ANSI Z87.1. 

• Prescription lenses must also be rated ANSI Z87.1 or safety 

glasses will be required over your prescription glasses. 

Safety glasses must be rated American National Standards Institute, (ANSI) Z87.1. 


5

ADDITIONAL SERVICES

Additional Services: June 2020 

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

Virtual Evaluation: 

Edgar Bazan 

TITLE DATE DESCRIPTION NOTES 

6/30/2020 A Safety Evaluation 

Report was conducted 

on Foreman Edgar 

Bazan’s Site in Eagle 

Rock. Two IDHL 

deficiencies were 

discovered. 


followed-up the 

following day to ensure 

the deficiencies were 

mitigated on site prior 

to work resuming on 

that project. 

Edgar sent a picture of 

a ladder extension and 

signed fall harness 

inspection tags.

Emmons Roofing Service June 2020 Report

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