This site specific safety manual as well as Merck Sharp &

Dohme Corp. procedures GES 7.1 and West Point Safety

Procedure 12 as well as any other WP Safety Procedures
shall be used to comply with all contractual safety
requirements.

Revision:
002
Safety and Health
Management Program
Date:
June 2010
Revised by:
Lou Muszynski

SKANSKA USA
UPPER GWYNEDD SOLAR PROJECT
MERCK SHARP & DOHME CORP.
NORTH WALES, PA

1
Please print double sided**
 Table of Contents
Health and Safety Policy ..................................................................................5
Safety Health and Management Program....................................................6
Injury Free Environment.................................................................................................................. 6
Responsibility and Accountability .................................................................................................. 6
Project Safety Leadership Team ..................................................................................................... 8
Safety Regulations........................................................................................................................... 8
Notification of Unsafe or Hazardous Conditions.......................................................................... 8
Disciplinary Program ....................................................................................................................... 8
Incident and Near Miss Reporting and Investigation.................................................................... 9
Post Incident Review Meeting ........................................................................................................ 9
Daily Work Site Safety Inspection .................................................................................................. 9
Substance Abuse Policy................................................................................................................... 9
Safety Planning................................................................................................14
Skanska Project Execution Plan .................................................................................................... 14
Subcontractor Project Specific Safety Plan .................................................................................. 14
Crew Daily Pre-Task Planning....................................................................................................... 15
Orientation, Training and Meetings............................................................................................. 15
Project Specific Safety Work Requirements................................................18
Asbestos Containing Material (ACM) .......................................................................................... 18
Blasting........................................................................................................................................... 18
Caissons.......................................................................................................................................... 19
Concrete Construction.................................................................................................................. 20
Confined Spaces ............................................................................................................................ 20
Table of Contents .......................................................................................................................... 22
Section 100 Scope of Applicable Equipment............................................................................ 23
Section 200 Definitions .............................................................................................................. 24
Section 300 Pre Erection Requirements.................................................................................... 25
Section 400 Post Erection Procedures and Requirements....................................................... 27
Section 500 Management Systems ........................................................................................... 33
Demolition ..................................................................................................................................... 33
Electrical ......................................................................................................................................... 33
Equipment and Vehicles ............................................................................................................... 35
Excavation and Trenching............................................................................................................. 35
Fall Prevention/Protection ............................................................................................................ 36
Fire Protection/Prevention ............................................................................................................ 37
Hot Work........................................................................................................................................ 39
Housekeeping................................................................................................................................ 39
Infection Control ........................................................................................................................... 39
Ladders and Stairways................................................................................................................... 42

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 Lasers .............................................................................................................................................. 43
Lead ................................................................................................................................................ 43
Lockout/Tagout ............................................................................................................................. 45
Masonry Construction .................................................................................................................. 47
Mold Control ................................................................................................................................. 47
Personal Protective Equipment (PPE) ........................................................................................... 48
Pile Driving ..................................................................................................................................... 50
Precast Concrete............................................................................................................................ 50
Rigging ........................................................................................................................................... 51
Scaffolding ..................................................................................................................................... 51
Silica................................................................................................................................................ 53
Steel Erection ................................................................................................................................. 54
Temporary Barricades ................................................................................................................... 54
Tools, Hand and Power................................................................................................................. 55
Traffic Maintenance and Protection ............................................................................................ 56
Welding and Cutting..................................................................................................................... 56
Quality of Life Requirements ........................................................................58
Smoking Policy............................................................................................................................... 58
Warm up and Stretching Exercises............................................................................................... 58
Sanitation ....................................................................................................................................... 58
Emergency Procedures.................................................................................................................. 58
Building Evacuation....................................................................................................................... 59
Medical Emergency ....................................................................................................................... 59
Fire .................................................................................................................................................. 59
Severe Weather ............................................................................................................................. 59
Emergency Action Plan ................................................................................................................. 60
Emergency Action Plan ................................................................................................................. 61
Project Hazard Communication Program....................................................62
Hazard Communication Program .................................................................63
Subcontractor Requirements.........................................................................64
Designated Subcontractor Safety Representative ...................................................................... 64
Subcontractor Safety Orientation ................................................................................................ 64
Monthly Man-hour Report ........................................................................................................... 64
Subcontractor Safety Submittals.................................................................................................. 65
Forms Appendix...............................................................................................67
Appendix A: Subcontractor Monthly Incident Summary Report............................................... 68
Appendix B: General Safety Work Practices Poster .................................................................... 69
Appendix C: Incident Notification Form ...................................................................................... 70
Appendix D: Safety Training Roster ............................................................................................. 71
Appendix E: Guard Rail Removal Permit...................................................................................... 72

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 Appendix F: Daily Pre-Task Safety Plan........................................................................................ 73
Appendix G: Master Chemical & Substance Inventory List ........................................................ 74
Appendix H: Hot Work Permit...................................................................................................... 75
Appendix I: Confined Space Entry Permit.................................................................................... 76
Appendix J: Excavation Permit...................................................................................................... 76
Appendix K: Notice to Commence Steel Erection....................................................................... 77
Appendix L: Daily Scaffold Safety Inspection Report.................................................................. 79
Appendix M: Work Site Safety Inspection Form ......................................................................... 80
Appendix N: Voluntary Use of a Disposable Respirator ............................................................. 81
Appendix O: Lockout/Tagout Checklist ....................................................................................... 82
Appendix P: Annual Inspection Forms Lattice & Telescoping Boom ...................................... 84
Appendix Q: Monthly Inspection Forms Lattice & Telescoping Boom ................................... 93
Appendix R: Daily Inspection Forms Lattice & Telescoping Boom.......................................... 99
Appendix S: Crane Maintenance Checklist ............................................................................... 101
Appendix T: Critical Lift Checklist............................................................................................... 102
Appendix U: Tower Crane Checklist .......................................................................................... 103
Appendix V: Lift Plan Example.................................................................................................... 105
Appendix W: Soil Bearing Chart................................................................................................. 110
Appendix X: Pre-Demolition Survey........................................................................................... 111
Appendix Y: Safety Deviation Ticket.......................................................................................... 113

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Safety and Health Policy
The safety and well being of all persons associated with Skanska projects are paramount. Skanska is committed to
implementing and fostering an Injury Free Environment (IFE) throughout our entire organization. IFE is a mindset
where no injury is acceptable and working safely is not optional. At Skanska, safety is personal to each of us and is a
way of life and we value and respect every worker. We maintain organizational structures, safety and health
management systems, procedures, and training plans that support an injury free environment and ensure
compliance with all relevant laws, regulations and standards.

All injuries are preventable when safety becomes an everyday personal value. Committing to an Injury Free
Environment is not just the right choice; its the only choice. We believe that with this approach we can positively
influence everyone associated with Skanska projects.

Skanska is committed to the following:

We will conduct all of our activities in a manner that accounts for the impact to the safety and health of our
workforce and communities

We are committed to the prevention of injuries and illnesses and to the continual improvement of our safety and
health management and performance

We will evaluate and comply will all applicable federal, state and local laws and regulations as well as other
pertinent requirements at each location where we conduct business.

We will communicate this policy to all employees, make it available to the public and establish procedures to
receive and respond to inquiries from external interested parties.

We will alert potentially affected individuals and authorities of any safety and health incidents in a timely and
effective manner. Thorough investigations will be conducted and corrective and preventative actions shall be
implemented and monitored.

Senior Management shall maintain and periodically review the implementation of the safety and health policy.

Skanska believes that how we care for people today affects both current and future generations. We accept our
responsibility for maintaining awareness and minimizing adverse safety and health impacts from our operations.

Bill Flemming President & CEO

OHSAS Policy Statement

March 2010

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Safety Health and Management Program
The purpose of Skanskas Safety and Health Management Program (SHMP) is to assist project management,
supervision, subcontractors and workers in understanding Skanskas Injury Free Environment philosophy and
the health and safety expectations and requirements for its projects.
The Skanska Project Team is responsible for the implementation and execution of this Safety and Health
Management Program.
Injury Free Environment
Skanska is committed to an Injury Free Environment. IFE is the shared corporate and individual belief that
safety is a value, not compromised by cost or schedule. Everyone has the right to go home safely at the end of
the day.
Injury Free Environment holds three basic premises:
All incidents and injuries are preventable; no level of incident or injury is acceptable or tolerated.
Injury Free operations are possible in construction; a prevailing mindset and conviction exists to do the
right thing and what is necessary to achieve that state.
Elevate safety awareness daily; a journey of continuous improvement to advance safety and achieve a
heightened state of awareness where workers choose to be responsible and accountable for their own
safety and the safety of their co-workers.
Responsibility and Accountability
Everyone associated with this project must understand their responsibilities with regards to health and safety on
this project. With the responsibilities defined, project management, supervision, subcontractors and workers will
be held accountable for their health and safety performance.
Project Management includes Project Executive, Project Director, Project Manager, Project Engineer,
and EHS Director. ** First-line Supervision includes General Superintendents, Superintendents, Field
Engineers, General Foremen and Foremen.

Site Safety
Subject Project Management First-Line Supervision Worker
Representative
Will Ensure That: Will Ensure That: Will: Will:
The SHMP is understood, The SHMP is fully Understand the contents of Understand the contents of
implemented, and strictly understood, implemented the SHMP and follow the the SHMP and follow the
Safety & complied with and that in work planning and established rules and established rules and
Skanska, Subcontractors, communicated to workers. procedures. procedures.
Health
vendors, or third party The project is compliant
Management individuals working or with the SHMP.
Program: having business at this
project are in conformance
to the SHMP.

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 Site Safety
Subject Project Management First-Line Supervision Worker
Representative
Will Ensure That: Will Ensure That: Will: Will:
First-line supervision is All work tasks are Follow all safe work Ensure project is
communicating safe work properly communicated to practices as communicated compliant with safe work
practices to workers. workers and complied to them by their supervisor. practices and federal, state,
Work
with. local, and company
Practices: regulations, rules and
procedures.

The site-specific safety The site-specific safety Understand and follow the Assess project
Site-Specific rules and procedures are rules and procedures are site-specific safety rules conformance to site-
Safety Rules: implemented and enforced. understood and and procedures. specific safety rules and
implemented. procedures.

Resources are available to They participate in Attend orientation prior to Support project
conduct a proper orientation process and beginning work. management and first line
orientation provide trainees with site supervision in the
Orientation: tour before reporting to Understand and follow the development and
They participate in work assignment site-specific safety rules administration of the
orientation process and procedures. orientation

Resources are available to They receive a project-
implement safety and specific supervisor safety
health training. orientation prior to start of
work.
Training programs are
developed and All workers under their
Training:
implemented. direction are properly
trained in hazard
recognition and safe work
practices.
Attend required project
safety and health training.
Understand and follow the
work practices and
guidelines discussed during
the training.
Ensure that project
management, first-line
supervision and workers
have received proper
health and safety training.
Assist project supervision
in training workers on
hazard recognition and
safe work practices.

National pre-qualification All hazards are identified, Understand the hazards of Assist in evaluating
system is being properly evaluated and controlled the work and follow the hazards and determining
utilized for contractor and addressed in Daily safe work practices and methods of eliminating or
selection. Pre-Task Plans. controls developed for reducing the hazard.
Safety those hazards.
All first-line supervision Institute a daily assessment
Planning: identifies, evaluates, and program to identify,
controls the work site evaluate and correct work
hazards, and provides site hazards.
resources to implement
controls.
They conduct a thorough Cooperate and participate Assist first-line
and proper incident in the incident supervision in
All incidents are investigation and develop investigation and investigating incidents.
Incidents: investigated properly and solutions to prevent similar contribute ideas and
thoroughly. occurrences. solutions. Maintain monthly incident
statistics.

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Project Safety Leadership Team
Skanska shall establish a Project Safety Leadership Team (PSLT) at the onset of each project.
The PSLT shall be made up of project management, field supervision, craft labor and safety representatives
from Skanska and all major subcontractors. The PSLT will meet regularly to discuss project safety concerns,
incident trends, compliance issues, and upcoming project work or activities that may require additional safety
planning and/or coordination. At a minimum, these meetings will be held monthly. Skanska project
management will prepare meeting minutes.
***PSLT/Contractor/Safety Meetings are held weekly, Foreman, Safety reps, Skanska USA Safety and Merck
Safety is involved.
Safety Regulations
Skanska and subcontractors shall comply with all applicable government regulations, specific client rules and
regulations, and this Safety and Health Management Program. If any of these standards, requirements, rules or
procedures conflict, the most stringent one will prevail.
Notification of Unsafe or Hazardous Conditions
Each worker on this project has the right and responsibility to notify project management or supervision of any
unsafe or hazardous condition that may be present without fear of retribution.
Project management or supervision will take immediate action to correct or remove any hazard brought to their
attention.
Skanska incorporates a Deviation Ticket System (Appendix Y), which institutes monetary penalties to
subcontractors for those at-risk behaviors that are deemed unsafe. The decision to impose a monetary penalty
fine rests solely on the Skanska person who believes that the particular at-risk behavior observed deserves a fine
attached to it. The amount of the deviation ticket depends on the severity or potential severity of the at-risk
behavior not only to the subcontractors own workers but to all individuals that may be put at risk by the at-risk
behavior due to the offending subcontractors non-compliance. All monetary deviations that are not
satisfactorily rectified as described in the remediation section of the deviation ticket will result in a back charge
to the offending subcontractor and will come out of their next months requisition.
Disciplinary Program
At-risk behavior on this project that could contribute to an incident or injury will not be tolerated. Each worker
has an individual responsibility to work safely, and each first-line supervisor is responsible to correct at-risk
behavior of workers under their direction.
At-risk behaviors considered Immediately Dangerous to Life or Health that may result in immediate termination
from the project, include, but are not limited to:
Failure to follow the Fall Protection Policy Failure to follow lockout/tagout procedures
Failure to follow the Substance Abuse Policy Fighting, horseplay, or practical joking
Possession of firearms, explosives or dangerous Entering or allowing to enter, a confined space
weapons without following procedures
Theft and other criminal activity Unsafe and/or reckless operation of motorized
Entering or allowing to enter an unprotected vehicles or equipment
trench or excavation
For those acts or practices not considered Immediately Dangerous to Life or Health the following may apply:
A Verbal, written warning, and/or re-training, suspension, or termination from the project.

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Incident and Near Miss Reporting and Investigation
Every incident and near miss will be reported immediately to Skanska and Merck and documented using the
Incident Notification & Investigation Form (Appendix C). The Skanska Project Team will contact their EHS
representative immediately and use the online reporting system to initiate the formal notification process before
the end of the day. The Skanska Project Team will notify the Skanska Environmental Health and Safety
Department of any incident or near miss and will thoroughly investigate to determine the probable root cause(s).
Preventive action will be required to eliminate future occurrences.
An incident is defined as any unplanned or undesired event that results in or has the potential to result in a work-
related injury/illness, property damage, or disruption of business where the cause was from human errors of
omission or commission.
A near miss is any situation that has the potential to result in a work-related injury/illness, property damage,
serious environmental impact, or disruption of business under slightly different circumstances.
Skanska and/or subcontractor first-line supervision will be involved in the investigation of incidents and near
misses. The Incident Notification and Investigation form must be completed and submitted to the Skanska
Environmental Health and Safety Department and a full report must be submitted to Merck within 24 hours of
the occurrence. Injured workers shall be accompanied to the medical facility by a supervisor.
Post Incident Review Meeting
Upon completion of the incident investigation or observation of a major nonconformance Skanska may require a
post incident review meeting. At this meeting, the Skanska project team and Skanska senior project management,
supervision, and involved subcontractor(s) will discuss the nonconformance, root causes, and corrective action
plans.
Daily Work Site Safety Inspection
Skanska and subcontractors will perform daily work site safety inspections of their work and the work of
subcontractors under their direction. Inspections can be documented on the Work Site Safety Inspection Form
(Appendix M) or an acceptable equivalent.
Substance Abuse Policy
Skanska is committed to providing a safe, drug-free work place for all employees. This policy applies to all
Skanska, subcontractor at any tier, vendor and other third party employees, including management working on or
visiting this project.
Drug and alcohol abuse on and off the job can contribute both to incidents and to greater risk for all individuals
employed on this project, as well as the general public. All work tasks on Skanska projects will be considered
safety-sensitive.
The following are prohibited on Skanska projects:
Being under the influence of any amount of alcohol or illegal drugs
The use, sale, offer to sell, purchase, transfer, distribution or possession of illegal drugs, drug
paraphernalia or alcohol products
Each subcontractor will promote a Drug Free Workplace with their employees and will communicate what
constitutes prohibited activities during the safety orientation.

9
Any worker who suffers or contributes to a work-related injury or illness which requires treatment by a physician
or other medical facility or is involved in an incident where damage to property occurs will be tested for drugs
and alcohol within three (3) hours of the incident.
Subcontractors will ensure all workers involved in an incident have a post incident drug/alcohol test and will
report the results to Skanska. At a minimum, the drug test will follow current National Institute on Drug Abuse
(NIDA) five panel guidelines and the alcohol test will follow Department of Transportation (DOT) guidelines.
Workers that refuse to test, stall to be tested, are uncooperative with collectors, or attempt to alter a urine
specimen will be considered positive and immediately removed from the project.

Merck Program Requirements for Contractors Control of Drug & Alcohol Use for
Construction and Maintenance Projects
Contractor Drug & Alcohol Policy
April 10, 2008

POLICY OVERVIEW
Merck & Co., Inc. is committed to providing a safe, healthy, and productive workplace. Merck recognizes that
drug/alcohol use has an adverse effect upon the individual's ability to perform work and as a consequence, will
expose the individual, fellow workers, the public, and Merck to risk.
In order to eliminate this risk, Merck requires those Contractors with which it does business to adopt policies
and/or practices similar to the Sample Employee Drug & Alcohol Use Policy attached hereto or to adopt such
policies and/or practices that comply with and conform to the intent of Merck's own policies and practices on
alcohol and drug abuse.
Contractors must secure their subcontractors compliance with the provisions of said policies and practices.

DRUG & ALCOHOL USE POLICY RECOMMENDED TO CONTRACTORS

APPLICABILITY
This policy applies to all contracted construction and/or Maintenance Company performing work at any Merck
& Co., Inc. site. Such companies include, but are not limited to, engineering, construction management, general
and sub-contractor firms performing work for any Merck construction and maintenance project, as well as long
term suppliers performing operational and maintenance work in support of ongoing site activities.
Contractors shall have in place and enforce a policy that assures a drug and alcohol-free workforce while
performing work for Merck. This policy must either be identical to the Sample Policy attached hereto, or must
meet the minimum standards set forth in these Program Requirements. The Contractor will not assign to a
Merck project any individual who does have failed a drug/alcohol test. If an individual who has tested positive
for drugs/alcohol enters the site, Merck Site Management and the Merck Project Engineer reserve the right to
take whatever action they deem necessary, including without limitation requiring removal of the individual or
the Contractor (pursuant to which the individual entered the site) from the site. For repeat offenses, the
Construction Manager/General Contractor, Merck Procurement, Site Management and the Merck Project
Engineer reserve the right to determine the appropriate corrective action.

10
The phrase "performing work" shall include all times in which theContractor's Personnel (as hereinafter
defined) are employed on Merck projects.

GENERAL REQUIREMENTS OF THE DRUG/ALCOHOL USE POLICY FOR

CONTRACTORS
It is not Merck's intent to establish the drug & alcohol use policies for Contractors. Nonetheless, all Contractors
performing work on Merck projects shall include as part of their drug/alcohol use policy the following elements:
Contractors' employees, agents, and subcontractors (collectively, Personnel) shall not be allowed to
work on Merck projects while under the influence of alcohol or any controlled substance; and
Contractors' Personnel shall not be allowed to use, possess, distribute, or sell alcohol while at any Merck
site; and
Contractors' Personnel shall not be allowed to use, possess, distribute, or sell any controlled substance or
drug paraphernalia while at any Merck site; and
Contractors' Personnel shall not be allowed to misuse legitimate prescription or over-the-counter drugs on
or off any Merck site.
If, while on any Merck site, any of Contractor's Personnel is exhibiting abnormal behavior, or is suspected
of being under the influence, of, or of being in possession of, any controlled substance or alcohol, Merck
reserves the right temporarily to bar said Personnel from any Merck site and to require that the Contractor
conduct "for cause testing" of the subject Personnel. If Merck suspects that any of Contractor's Personnel
have sold or distributed a controlled substance while employed on a Merck project, Merck reserves the right
permanently to bar said Personnel from any Merck site.
Contractors policy shall comply with all applicable federal, state and local laws and regulations.
Contractors policy shall recognize that Merck Security has the right to conduct inspections of all personal
property of Contractor and Contractors Personnel brought onto any Merck site.

CONTRACTOR SUBSTANCE USE TESTING

The following substance & alcohol use testing requirements will apply:

PRE-EMPLOYMENT/PRE-ACCESS TESTING: Before any Personnel will be permitted to work on a

Merck project, the Contractor shall certify that such an employee has passed a pre-employment/pre-access
alcohol and drug test within the 14-month period immediately prior to commencing work on the subject
Merck project, and that each employee will be retested at least once every 10-14 months. Contractor shall
maintain test data on file with the Contractor's administrator. (see exceptions)
SUSPICION OF ALCOHOL OR DRUG USE/FOR CAUSE-TESTING: If Merck has required for
cause testing of any Personnel because such Personnel has exhibited abnormal behavior, or was suspected
of being under the influence of, or of being in possession of, any controlled substance or alcohol, the
Contractor must certify that the Personnel were tested immediately following removal from a Merck project.
Before said Personnel will be allowed to continue on the Merck project, the Contractor must certify that the
Personnel is in compliance with Contractors drug/alcohol-free policy, and be certified drug/alcohol free.
UNANNOUNCED TESTING: All Personnel are subject to unannounced drug and alcohol testing. All
Personnel subject to testing may be selected at random. Those Personnel who refuse to submit to the testing

11
 shall be removed from Merck property and will be barred from any Merck site. Contractor shall protect,
defend, indemnify and save Merck, its Affiliates and their respective officers, directors, employees, and
agents, and their respective successors and permitted assigns harmless from any and all claims, actions,
causes of action, liabilities, losses, damages, costs or expenses, including reasonable attorney fees, which
directly or indirectly arising out of the screening of personnel and any matter related to such screening, the
results thereof, and actions taken or not taken in connection therewith.
CONFIRMED POSITIVE TEST RESULT: Merck reserves the right permanently to bar from any Merck
site those Contractor Personnel receiving a confirmed positive drug/alcohol test result without a legitimate
medical reason.

TEST ADMINISTRATION

Alcohol and drug testing shall be accomplished in accordance with applicable laws and shall be the sole
responsibility of the Contractor. Contractors' testing procedures shall, at a minimum, except for alcohol, meet
the United States Department of Health and Human Services regulations 49 CFR Part 40, for substances to be
tested, testing frequency and threshold levels. All Personnel shall be chemically screened via a 10- panel
certified analysis, as part of any drug/alcohol test in connection with a Merck project. The 10-panel analysis
shall comprise the 5-panel DOT SAMHSA mandated panel (amphetamines/meth, cocaine, marijuana (THC),
opiates (heroin, morphine, codeine), and PCP (phencyclidine)), and, as noted below, an additional 5 chemicals,
as well as alcohol. The additional 5 chemicals included in the 10-panel analysis are: barbiturates,
benzodiazepines, methadone, propoxyphene, oxycontin, and oxycodone; provided, however, that Merck
reserves the right, in its sole discretion, to revise the list of such additional 5 chemicals by notice thereof to
Contractor. Merck will not administer any drug or alcohol tests for Contractors Personnel. The Contractor will
be responsible to select a lab certified by the National Institute on Drug Abuse of the Department of Health and
Human Services.

AUDIT

Merck management, at its discretion, may require an unannounced audit of Contractors' and subcontractors'
drug and alcohol program to verify that: Tests are being conducted as required; and
The laboratory being used is certified by the U.S. Department of Health and Human Services, and is
conducting tests using a scientifically sound method.

DISCLAIMER

Merck's requirement that Contractors institute drug and alcohol policies for their Personnel working on a Merck
project does not establish, nor is it intended to establish, any "joint employer" relationship between the
Contractor and Merck. This requirement does not establish, nor is it intended to establish, any direct or indirect
employer/employee relationship with Contractors' Personnel. Contractors shall implement and monitor their
own policies while they and their Personnel are performing work on a Merck project. Merck does not release,
waive, or give up any of its rights under its contract with any Contractor. Merck reserves all of its rights and
remedies against any Contractor in the event of a breach of the requirements hereof.

12
EXCEPTIONS

Contractors and Contractors' Personnel who are hired on short notice may, at the discretion of Merck's local
management, be permitted to begin work pending the required substance abuse testing certification.
In that event, such certification must be received by Merck within seven (7) consecutive work days from the
first date the Contractor and/or its Personnel commenced performing work for Merck. Contractors' clerical staff,
consultants, management and/or supervisory employees who attend meetings, conferences, or inspections in
connection with work in progress are not exempt from the testing provisions. Contractors and Contractors'
employees who perform work for Merck for less than a seven (7) consecutive work-day duration in any one
calendar year may be exempted from the pre-access/employment testing provision of these policies at the
discretion of Merck's local management. Exempt from the pre-access/pre-employment testing provisions of this
policy are intermittently used on-call services such as movers, or pickup or delivery services. Any exemption or
exception granted from this policy by Merck may be revoked at any time. All exemptions or exceptions must be
in writing.

13
Safety Planning
Skanska Project Execution Plan
The projects Account Manager, Project Manager, Superintendent and Area EHS Director shall meet following
project award to discuss the development of the Skanska Project Execution Plan (PEP) and shall ensure the
following is included:
1. IFE Plan (including IFE Orientation and Supervisors Skills training)
2. Development of Site Specific SHMP
3. Employee and Foreman EHS Orientation Plans
4. Safety Staffing
5. Administration of Safety Deviation Ticket program (Appendix Y)
6. Management of online man hour and incident reporting system
7. Environmental Management System (EMS) Aspect Identification
8. Identification and management of Hazardous Materials
9. Crisis Management (communication plan coordinated with client)
10. Emergency Action Plan (medical treatment provider, confined space rescue needs, etc)
11. EHS Training needs (OSHA 10/30, HAZWOPER, 1st Aid/CPR/AED, task specific or specialty training,
etc)
12. Recognition program
13. Security/site control
14. Sanitation provisions
15. Unique logistics that will impact safety
16. Subcontractor and tiered subcontractor prequalification
17. Employee screening drug and alcohol testing
18. OCIP/CCIP management and injury management
Subcontractor Project Specific Safety Plan
Prior to mobilization, each subcontractors project management and first-line supervision will develop and
submit a written detailed project specific safety plan that will describe how they and their sub-tier subcontractors
intend to implement and conform to the project SHMP. The safety plan will:
Identify each component of the work that the subcontractor is responsible for completing.
Identify hazards associated with the work and the proper equipment and tools to perform the work.
Plan adequate and sufficient controls to protect their work crews.
The Skanska project team will review the subcontractor project specific safety plans.
If the project specific safety plan needs revision due to scope of work changes, unanticipated or new hazards,
other condition changes, etc., then all work pertaining to that work component will stop until a new project
specific safety plan is completed.

14
Crew Daily Pre-Task Planning
A Daily Pre-Task Safety Plan will be completed daily by each crew performing work on this project. (Appendix F)
Each first-line supervisor will analyze task(s) to be performed by their crew and identify the work sequences,
hazards, training, controls and emergency action plans necessary to protect workers from the identified hazards.
The work will be broken down into individual steps (i.e. all the steps the work crew will have to take in
order to complete that task); the known hazards associated with the work; and the hazard controls (tools,
safety equipment, safety rules, safe work practices, etc.). This is a time for workers to provide input into
the pre-task plan.
First-line supervisors will review the plan with their respective work crew so that each worker is aware
of what work activities will occur during the shift, what hazards to be aware of and how to properly
control or eliminate those hazards. Each worker will sign the plan stating that they understand the work
activities, hazards and controls. This is also an acknowledgement that each worker agrees to work
according to the plan.
The completed pre-task plan shall be posted in a conspicuous location near the work activity.
Those tasks with similar work can use prior pre-task plans, but the plan must still be dated and reviewed with
crewmembers at the beginning of the shift. If the scope of work changes or a new hazard appears during the
work, the first-line supervisor will stop their crewmembers and revise the pre-task plan.
Orientation, Training and Meetings
To promote and ensure an Injury Free Environment, health and safety training is a requirement for all Skanska
and subcontractor workers assigned to this project.
Foreman Orientation
All foremen are recommended to mobilize to the site prior to their crew so they can receive specific training and
review the permits, forms, and procedures required by the SHMP as well as project specific information
necessary to adequately coordinate their work and prepare their crews.
Employee New Hire Orientation
Every worker shall attend an environmental, health, and safety orientation conducted by Skanska, which will
provide general health and safety information and project specific work rules and procedures.
Daily and Weekly Safety Meetings
All workers assigned to this project will participate in safety meetings conducted by Skanska or their employer.
Skanska reserves the right to remove subcontractor management/supervision personnel who do not regularly
attend and/or conduct weekly safety meetings on the project.
Safety meetings should communicate any incidents that occur on the project, safety concerns, new work
activities, and new and continuing potential hazards.
Health and Safety Training
In addition to the site specific health and safety orientation, OSHA requires that workers receive specific task
training. To help comply with OSHA minimum worker training requirements and assist in achieving an Injury
Free workplace, a training matrix has been included in this Safety & Health Management Program to assist in
the identification of applicable training requirements. This is for reference only and shall not be considered all
inclusive.
Skanska may evaluate orientations and training periodically to verify they are being properly conducted and that
the contents adequately cover the standards, policies, rules, and procedures contained in the Safety & Health
Management Program or OSHA standards.
15
Project management or supervision will communicate the health and safety policies, rules, and procedures to all
vendors and third party individuals having business on this project.
Appendix D or equivalent shall be used to document safety training on this project
Topic Who Needs Training
Project Specific All project management,
supervision, and workers
Safety Orientation
entering the project
Hazard
All workers entering the project
Communication
Hazardous Workers exposed to a
Chemical or
hazardous chemical or
Substance substance
Respiratory Workers required to wear
respiratory protection,
Protection
including common dust masks
Any worker who might be
Fall Protection
exposed to a fall hazard
PPE Workers using PPE
Forklifts Operators of powered industrial
trucks
Any worker attending to,
Confined Spaces supervising, entering or
working within a confined
space
Any worker attending to,
Permit-Required supervising, entering or
Confined Spaces working within a permit-
required confined space
Excavations/ Workers entering or working
Trenches within an excavation/trench
Workers affected by hazardous
Lockout/Tagout
energy sources
Gas Welding & Workers conducting gas
Cutting
welding and/or cutting
Arc Welding & Workers conducting arc
16
What Training is Needed
Safety rules and procedures contained in the Safety & Health Management
Program (SHMP), site-specific emergency action plan, each workers
responsibilities, disciplinary program, and warm up and stretching exercises
Hazard Communication Basic Training (Refer to Hazard Communication
Program in this SHMP)
Specific Hazard Communication Training (Refer to Hazard Communication
Program in this SHMP)
OSHA 29 CFR 1910.134 & 139 or 1926.103
The nature of fall hazards
Procedures for erecting, disassembling, maintaining and inspecting fall
protection systems
Use and operation of: guardrail systems, personal fall arrest systems,
safety net systems, warning line systems, controlled access zones and
other fall protection
Procedures for handling equipment and erection of overhead protection
Fall protection standards
Refer to section on PPE or regulatory standards
Types of trucks operated
Hazards of the workplace
Hands-on performance evaluation
Hazards of the space
Duties of entrants, attendants, supervisors
Air monitoring
Hazards of the space
Duties of entrants, attendants, supervisors
Measures used to eliminate or control hazards
Air monitoring requirements
Emergency procedures/rescue equipment
Communications
Permitting procedure
PPE
Hazards of the space (slides, cave-ins, water accumulation, etc.)
Safe means of access/egress
Proper support system procedures (erection, maintenance, disassembly
and inspection)
Nature of known hazardous energy sources
Project-specific Lockout/Tagout procedures
The safe use of fuel gas
What to do with unattended machines and electrode holders
Cutting welding and/or cutting Operations around water
Shielding arc welding
Hazards of the area
Workers conducting hot work Permits
Hot Work
activities Duties of Fire Watch
How to use a fire extinguisher
The nature of any known hazards
Proper erection, maintenance and disassembly of fall protection systems
Falling object protection
Scaffolding Workers working from
Material/equipment handling from scaffold
scaffolding
Maximum load-carrying capacity
Scaffold tagging system
Access and egress
Safe work rules
Workers working from crane 100% fall protection
Crane Baskets
baskets Lift plans contents
Emergency procedures

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Project Specific Safety Work Requirements
The project specific safe work requirements are the minimum requirements for this project. The purpose of these
requirements is to ensure an Injury Free Environment and compliance with standards and regulations. Skanska
believes by concentrating on four main areaspersonal protective equipment, housekeeping, fall
prevention/protection and laddersincidents and near misses can be reduced.
Asbestos Containing Material (ACM)
Before beginning any renovation or demolition work, an asbestos survey must be completed for the work area.
The survey must be performed by an accredited building inspector and the report must be shared with all
personnel on site, including subcontractors. A copy of the report must remain on site for reference.
All asbestos must be identified prior to the disturbance of any materials. Materials not sampled shall be assumed
to be asbestos-containing until proven otherwise. If additional suspect materials are identified during the project,
all work must stop immediately and the materials must be sampled for asbestos.
Only a licensed contractor will remove, repair, or clean up asbestos-containing materials.
Precautions must be taken to avoid the disturbance of asbestos-containing materials. However, if known or
suspect ACM is disturbed during the performance of work, the following procedure will be followed:
Work in area shall immediately stop
Warn other workers nearby of the disturbed or damaged material
Contact your immediate supervisor
Barricade the immediate area around the disturbed or damaged material
Do not enter the barricaded area until proper bulk and/or air sampling has been completed and the area
is deemed safe by Skanska or subcontractor
Asbestos awareness training is required depending on the level of potential exposure.
Blasting
The transporting, handling, storing, and use of explosives, blasting agents and blasting equipment shall be
directed and supervised by a licensed contractor. The licensed contractor shall designate a person
knowledgeable and with proven experience and ability in blasting operations as their on-site blaster.
All personnel who participate in blasting operations shall receive initial training in basic explosives safety.
Individuals shall receive additional training in explosives safety commensurate with their assigned
responsibilities.
Prior to the use, storage or handling of explosives, a job-specific blasting plan shall be prepared by a
licensed contractor and submitted to Skanska for approval.
The job-specific Blasting Plan shall be site-specific and shall at minimum address the following:
Designation of a qualified individual as the Blaster who has authority over all actions and operations
related to blasting. List the names, qualifications, and detailed responsibilities for all personnel involved
with the blasting or who will otherwise be responsible for transporting, handling or storing the
explosives. List all incidental personnel and other personnel authorized to be within the danger zone
during blasting operations
Dates and location of blasting

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 Type and quantity of explosives and detonating or initiating devices to be used at the site An inventory
of explosives and blasting agents stored at the site shall be maintained
Means of transporting explosives and provisions for storing and securing explosives on site
Obtaining all applicable permits and licenses
Minimum acceptable weather and static conditions and considerations for stray radio frequency energy
and electrical currents where electrical initiation will be used
Standard procedures for handling, setting, wiring, and firing explosive charges
List of required PPE
Minimum standoff distances/means for clearing/controlling access to blast danger areas
Procedures for handling misfires and other unusual occurrences
Means of annunciation and timing for pre-blast notification and all clear after blast
In addition to the Blasting Plan, the licensed contractor will develop an Emergency Action Plan, which shall
include:
Phone numbers of local emergency response organizations (rescue, ambulance, fire department, police)
Location and phone number of nearest medical services facility
Actions to be taken when a person is injured
A copy of a material safety data sheet (MSDS) for each explosive or other hazardous material expected
to be used
Personnel not listed on the blasting plan shall not be allowed on site without approval of the blast officer. All
personnel shall receive a safety briefing prior to entering the blast area. A roster shall be maintained of all
personnel within the blast area
A copy of the blasting plan shall be maintained at the blasting site(s) and office locations
Caissons
When a worker(s) must enter a caisson, a qualified person will develop a detailed work plan. The plan will
include but not be limited to:
Type of shield to be used
Means of access for the worker(s)
Method of atmosphere monitoring to be used
Training to be provided to worker(s)
When workers are required to enter a caisson four (4) feet in depth or greater, the workspace will be considered
a permit-required confined space. All requirements of the confined space section of this SHMP and OSHA 29
CFR 1910.146 will be strictly followed.
All workers required to enter a caisson will receive confined space entry training and understand the contents of
the written work plan.
Guardrails must be erected around the caisson opening(s) when the sleeve does not extend 42-inches above
ground level.

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Concrete Construction
All vertical and horizontal rebar, form stakes, metal and/or plastic conduit, and/or small pipe stub-ups will be
protected with approved caps or other industry accepted alternatives to protect against impalement and injury.
Workers that operate vibrators, pump nozzles and concrete buckets will wear appropriate eye and foot
protection. It is highly recommended that long sleeve shirts be worn to protect against exposure of concrete to
the bare skin and the possibility of concrete burn and contact dermatitis.
Workers engaged in vertical rebar assembly shall comply with the project six-foot fall protection rules.
Positioning devices alone are not approved fall protection but can be used in conjunction with personal fall
protection equipment.
Walkways along form walls will be constructed in accordance with OSHA scaffold and fall protection
standards.
Pre-fabricated forms and form making material will be stacked neatly at all times. When stripping concrete
forms, all material will be immediately removed and stacked in an orderly manner. Forming material or debris
will not block walkways and aisles. Subcontractor will remove rebar, tie-wire and other debris from the work
area daily.
No employee is permitted to ride a concrete bucket.
Ensure that reinforcing steel and forms for walls, piers, columns, stairs and similar vertical structures are
adequately supported to prevent overturning and collapse and are designed and installed under the supervision
of a qualified person.
Ensure that coiled wire mesh is adequately secured to prevent uncoiling.
Equip buckets with a discharge device that an employee can operate without being exposed to the load. Equip
buckets with safety devices to prevent premature or accidental dumping, and ensure that the release is self-
closing.
Follow safe rigging practices when handling concrete buckets.
When using bull floats, inspect the area to ensure there is no energized equipment or power lines nearby that the
handles could touch.
Concrete buggy handles must not extend beyond the wheels on either side of the buggy.
Rotating-type, powered concrete trowels shall be equipped with dead-man controls that automatically shut down
the equipment when the operator's hands are removed from the controls.
Finishers shall wear kneepads and impervious gloves when hand-finishing concrete.
Confined Spaces
Before any work can begin in a confined space a detailed Confined Space Entry Permit (Appendix I or
equivalent) and written entry plan must be prepared and submitted to Skanska. This process will help determine
whether the space is a Non Permit Required confined space or a Permit Required confined space. All
confined spaces shall be considered Permit Required unless the contractor can prove otherwise. Refer to
OSHA 29 CFR 1910.146 for further direction.
A confined space is any space large enough and so configured that a person can bodily enter and perform work;
has limited openings for entry and exit; and was not designed for continuous human occupancy. This may also
be referred to as a Non Permit Required Confined Space.

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A Permit Required space meets the above criteria and has a potentially uncontrollable hazard.
Permit Required confined spaces may include, but are not limited to:
Storage tanks Underground vaults and utility tunnels
Excavations and trenches Pipelines
Ventilation and exhaust ducts Pits and tubs
Sewers Open top spaces more than four feet in
Manholes depth

If possible, all confined spaces should be identified and evaluated at the beginning of the project.
Before working in any confined space, a competent person will determine what hazards exist. Any operating
system or equipment will be locked out and tagged to prevent accidental operation. Contact the operating
facility representative prior to any confined space entry work.
Prior to workers entering a Permit Required confined space, the atmosphere must be tested and a permit
completed and authorized. The atmosphere will be tested for oxygen deficiency, toxic gases or vapors, and
combustible or flammable gases or vapors according to the hazard analysis and/or information provided by the
client.
Prior to any worker entering a confined space, he/she will be trained in the following and records submitted to
Skanska prior to commencement of the work:
Contents of the Confined Space Entry Plan Hot Work Permit, if required
Known hazards in the confined space Atmosphere testing requirements
Emergency procedures in case of an Lockout/ Tagout procedures
emergency Fall protection if required
Correct use of personal protective
equipment when required

21
Cranes and Cribbing
Table of Contents
Section 100 Scope of Applicable Equipment
Section 200 Definitions
Section 300 Pre Erection Requirements
1. Geotechnical Requirements
2. Foundation Considerations
3. FAA and other agency notifications
4. Overhead and Underground Utility Considerations
5. Inspection and oversight requirements
6. Required checklists
Section 400 Post Erection Procedures and Requirements
1. Inspection requirements (annual, monthly, daily)
2. Operator, rigger, and signalman qualifications
3. Critical and major lift planning
4. Jumping Cranes
5. Lift and pre-task planning
6. Safety Plan and Job Hazard Analysis (JHA)
7. Barge mounted cranes
8. Emergency planning (sever weather or manmade emergency)
Section 500 Management Systems
1. Documentation Control
Appendix P Annual Inspection Form
Appendix Q Monthly Inspection Form
Appendix R Daily Inspection Form
Appendix S Crain Maintenance Checklist
Appendix T Critical Lift Checklist
Appendix U Tower Crane Checklist
Appendix V Lift Plan Example
Appendix W Soil Bearing Chart

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Section 100 Scope of Applicable Equipment
This standard applies to power-operated equipment used on Skanska USA projects that can hoist, lower, and
horizontally move a suspended load. The list below is intended to offer a framework of the variety of cranes
seen on projects across the United States and to provide guidance of the applied scope of this standard.
Telescopic Crane This crane has a boom that consists of number of different fitted tubes that reside inside
each other. A hydraulic mechanism is what extends or retracts the tubes to increase or decrease the length of the
main boom.
Tower Crane This crane is fixed to the ground and gives a great combination of height and lifting capacity.
Its commonly used in construction to build sky scrapers and other tall buildings. To save space and to provide
stability the vertical part of the crane is typically braced directly onto the completed building which is normally
the concrete lift shaft located in the center.
Truck Mounted Crane A crane that is mounted on a rubber tire truck that drives around for maximum
portability. When in operation Outriggers extend horizontally then vertically to both level and stabilize the crane
for hoisting operations.
Rough Terrain Crane A crane that is mounted on an undercarriage contains four rubber tires and is designed
for pick-up and carry operations. Outriggers extend first horizontally and then vertically to both level and
stabilize the crane for hoisting operations.
Lattice Boom Crane A crane that can be mounted on an undercarriage with tires or tracks. The lattice boom
section consists of the boom butt and boom tip. The length of which is increased by adding boom extensions.
Boom sections are made of lightweight, thin wall, high strength alloy tubular or angle steel and are designed to
take compression loads. Lattice boom manufacturers have set a zero tolerance on rust, bent lacing or cords,
cracked welds, and other problems.
Pile Driver Crane A crane used in combination with a machine for delivering repeated blows to the top of a
pile for driving it into the ground; consists of a frame called leads, which supports and guides a hammer
weight, together with a mechanism for raising and dropping the hammer or for driving the hammer by air for
steam.
Barge Crane/ Floating Crane A specialized crane which can be permanently attached to a ship, or driven up
and secured on a floating barge. Its used to lift heavy loads in marine type environments.
Crawler Crane An undercarriage mounted crane that also has a set of tracks that provide extra stability and
mobility.
Aerial Crane A specially designed and fitted lifting helicopter which can lift large loads.
Loader Crane A loader crane is fitted to a trailer or flat body truck chassis and used to unload/load goods
onto the trailer/truck or onto a jobsite. It contains many different jointed sections that can be folded into a
smaller space when the crane is not being used.

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Section 200 Definitions
Term Definition
NCCCO National Commission for the Certification of Crane Operations

An operator certified as qualified by a nationally recognized certification authority, or having verified

Qualified Operator and demonstrated knowledge gained through practical experience.
CCO A crane operation having been certified by the NCCCO

A rigger certified as qualified by a nationally recognized certification authority, or having verified

Qualified Rigger and demonstrated knowledge gained though practical experience.
Qualified Signalman A signalman certified as qualified by training and having verified and demonstrated knowledge.

A fully time Skanska employee having completed a recognized inspector certification, and
Skanska Crane Inspector demonstrated all the requisite knowledge to certify a crane is ready to operate.
A crane inspector as certified by a nationally recognized certification authority and having a resume
Third Party Inspector of demonstrated skills. This inspector cannot have any affiliation with the owner of the crane, sub-
contractors, Skanska, or other parties or organization working on the project.
Pre Installation A documented inventory and visual integrity inspection of all crane parts prior to a site built crane
Inspection being assembled.

Post Installation A documented annual and/or monthly inspection of all installed crane parts after crane is assembled
Inspection or delivered to the job site. (refer to Appendices P, Q, or daily)

A documented plan detailing types of rigging to be used (slings, chains, links, hooks, spreader bars
Rigging Plan etc.) and their methods of use to wit; vertical, basket, or choker
PIC Person in charge

Helper or Assist Crane A crane used to erect another crane

A competent person as defined by OSHA [29CFR 1926.32 (f)] means one who is capable of
identifying existing and predictable hazards in the surroundings or working conditions which are
Competent Person unsanitary, hazardous, or dangerous to employees, and who has authorization to take prompt
corrective measures to eliminated them.
A documented prescribed sequence of crane movements and lifts specific to the erection sequence of
Sequence of Lifts the project.
An adequate access road providing ingress and egress to the project site for the safe delivery and
movements of derricks, cranes, trucks, and other necessary equipment to be erected. The
Crane Prepped Roadway ingress/egress must provide a means and method to provide safe vehicular and pedestrian access. The
roadway must be stable, properly graded, and provide adequate drainage.
A lift that (1) exceeds 85 percent of the rated capacity of the crane or derrick, or (2) requires the use
Critical Lift of more than one crane or derrick.
Any lift that is unique and would significantly affect job schedule or budge is a major lift. ( A lift
Major Lift may be both critical and major)
A prepared level area for a crane, which can be concrete, stable soil, crushed rock or a combination
Crane Pad there of which will support the crane and its intended load with a safety factor of 5 to 1 built in.

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Section 300 Pre Erection Requirements
1. Geotechnical Requirements
Soil conditions must be fully assessed prior to any crane arriving at the site. Items to consider include
travel, slope, and soil loading ability. Prior to the erection of any tower crane a geo-technical evaluation
shall be accomplished and incorporated into the foundation design of the engineered system.
2. Foundation Considerations
For mobile cranes, outrigger size and location and soil condition must be considered when planning. Soil
bearing capacity is to be determined by a professional engineer and outrigger sizing established prior to
the crane arriving on site. Refer to Appendix H for guidelines in determining outrigger configuration.
Tower crane foundations must be a designed system, certified by a professional engineer, taking all
loads and soil conditions into consideration.
3. FAA and Other Agency Notifications
The Federal Aviation Administration (FAA) requires a permit on construction cranes any time they will
exceed 200 feet in height, OR when they are placed within 20,000 feet (3.79 miles) of an airport
regardless of height. The FAA requires FAA Form 7460-1 to be submitted at least 30 days before the
following:
The date the proposed construction is proposed to begin
The date the application for a construction permit is to be filed
The FAA requires that 4 copies of the FAA Form 7460-1 be sent to the local/regional FAA Director. In
addition to the FAA, other local statutes may require additional notification.
***Merck Crane requirements: As per Merck Procedure No. 61, any crane boom that will operate at a
vertical height to ground greater than 150 requires compliance with FAA Advisory Circular AC/7460-
1K.
4. Overhead and Underground Utility Considerations
Prior to the assembly/erection of any crane it must be determined if any part of the crane, load line, or
load (including rigging and lifting accessories) could get in the direction or area of assembly within
proximity of a power line. Minimum clearance distances are on the table on the next page. In the event
this clearance must be encroached the line will be de-energized prior to the planned encroachment.
Minimum Clearance Distances
Voltage (nominal kV, alternating current) Minimum clearance distance (feet)
Up to 50 10
Over 50 to 200 15
Over 200 to 350 20
Over 350 to 500 25
Over 500 to 750 35
Over 750 to 1000 45
Over 1000 (as established by the power line owner/operator or registered
professional engineer who is a qualified person with respect to
electrical power transmission and distribution)

25
5. Inspection and Oversight Requirements
Prior to any crane arriving on a Skanska project the previous monthly and annual inspection shall be reviewed
by Skanska site management. Verification that all noted defects have been corrected shall be included with the
inspection form if applicable. Inspection forms must be compatible with the applicable forms in Appendices P,
Q, and R of this standard.
In addition, erection of tower cranes shall be directed by a third party inspector. Upon completion of erection a
new annual inspection shall be accomplished by the third party inspector and all defects corrected and
documented prior to any lift. The Tower Crane Protocol Checklist is included in Appendix U of this standard to
serve as a guidance checklist.
6. Required Checklists
Since inspection checklists vary it is required that monthly and annual inspections utilize the forms referenced as
such in Appendices P and Q of this document. It is highly recommended that the daily inspection checklist be
utilized as well; however this can very by region. At a minimum a daily inspection will be accomplished and a
list of defects documented in Appendix R (exception list).

26
Section 400 Post Erection Procedures and Requirements
1. Inspection Requirements (annual, monthly, daily)
On-going comprehensive inspections are a critical component that ensures the on-going safe operation of all
cranes.
Daily Inspections will be accomplished for all cranes on Skanska projects. It is highly recommended
that the checklists in Appendix R of this standard are used to document that this requirement has been
met. However, the only documentation required by this standard are any deficiencies identified during
the daily inspection. Daily inspections may be accomplished by a Qualified Operator as defied in
Section 200 of this standard.
Monthly Inspections will be accomplished for all cranes on Skanska projects that reside on the project
for greater than 30 calendar days, regardless of operating days during that period. The monthly
inspection forms in Appendix Q of this standard are required to be completed and maintained in the cab
of the equipment. Monthly forms will be retained for a minimum of 3 months, as some local agencies
may require them to be retained longer. Monthly inspections may be accomplished by a 1) Qualified
Operator, 2) Skanska Crane Inspector, or 3) Third Party Inspector as defined in Section 200 of this
standard.
Annual Inspections will be accomplished for all cranes on Skanska projects that reside on that project
for greater than 365 calendar days, regardless of operating days during that period. The annual
inspection forms in Appendix P of this standard are required to be completed and maintained in the cab
of the equipment. Annual inspections must be accomplished by either a Skanska Crane Inspector or a
Third Party Inspector as defined in Section 200 or this standard.
2. Operator, Rigger, and Signalman Qualifications
The intent of this standard is to require all crane operators on Skanska projects to be a certified crane operator
(CCO), and posses all of the requisite skills to safely operate the applicable equipment. However, until CCOs
are available at all US locations Skanska will make every effort to use operators who are certified by the
National Commission for the Certification of Crane Operators (NCCCO) for the cranes they are operating. Prior
to any lifts the operators competency shall be verified by Skanska site management.
This certification however does not ensure that an operator is capable of safely operating a particular piece of
equipment. The following guidelines will be followed to ensure operators are fully qualified to safely operate
the applicable equipment for the project:
NCCCO Certified
1. Review and inspect NCCCO Certification Card for types of cranes the operator is certified to operate.
2. Verify on the Application for Employment or by sub-contractor certification that the applicant has
operated cranes in the classification for which they are being hired.
3. Skanska site staff will verify that the operator is competent to operate the applicable crane.
4. Upon determining that the potential operator is qualified, personal training will be given to the operator
that may include the following:
a. Site specific requirements
b. Review of specific sections of the Company Safety Manual such as safe material handling
practices
c. Equipment maintenance and periodic equipment check requirements

27
 Non NCCCO Certified (Items 2 4 above will apply)
Every effort will be made to afford non NCCCO certified operators this training. Skanska will offer periodic
NCCCO training opportunities and arrangements will be coordinated by Operating Unit.
Riggers and signalman shall be certified and/or qualified as outlined in Section 200 of this standard.
These guidelines do not overrule any local, state or federal requirements. In the event of conflict the more
stringent standard shall prevail.
3. Critical and Major Lift Planning
Critical Lift Determination
The decision to designate a lift as a critical lift is a management decision, incorporating both critical and major
lifts (see definition of critical and major lifts in Section 200). Guidelines provided here are intended to aid in
making that decision. The manager who has the responsibility for the item being lifted has the authority to
require that it be handled as a critical lift. In addition, the manager at the facility where the lift will be performed
also has the authority to require that it be handled as a critical lift. The manager who designated the lift as a
critical lift shall ensure that a person-in-charge (PIC) is assigned. (The PIC need not be in the Skanska
organization).
***Merck Critical Lift Criteria:
Lifts at or greater than 75% of the cranes rated capacity
Crane boom exceeds 150 in height
Lifts over an occupied building
Lifts over major utility or chemical lines
Lifts over tank farms or chemical storage areas
Lifts involving more than one crane
Lifts involving non-routine or difficult rigging
Critical Lift Procedures
The PIC shall ensure that a step-by-step procedure is prepared for critical lifts. Although individual procedures
are prepared for the one-time critical lifts, general procedures may be employed to accomplish routine recurrent
crucial lifts. For example, a general procedure may be used to lift an item or series of similar items that are
frequently lifted or repeatedly handled in the same manner.
Any non-routine or critical equipment lift (as determined by the Project Manager, Superintendent or
Safety Supervisor). Critical equipment may include equipment that meets one of the following criteria:
o The load item, if damaged or upset, would result in a release into the environment of radioactive
or hazardous material exceeding the established permissible environmental limits.
o The load item is unique and, if damaged, would be irreplaceable or not repairable and is vital to
a system, facility or project operation.
o The cost to replace or repair the load item, or the delay in operations of having the load
damaged, would have a negative impact on the facility, organization, or budget to the extent that
it would affect program commitments.

28
 o A lift not meeting the above criteria shall also be designated critical if mishandling or dropping
of the load would cause any of the above noted consequences to nearby installations or
facilities.
o Further site-specific criteria may be developed to supplement those cited above and may include
loads which require exceptional care in handling because of size, weight, close-tolerance
installation or high susceptibility to damage as well as lifts using multiple pieces of lifting
equipment.
An example of a critical lift procedure and checklist is included in Appendix T of this standard.

29
Approval of Critical Lifts
The critical lift procedures should be reviewed at a pre-lift meeting by the responsible contractor, the crane
operator(s), the PIC, Skanska Site Management, author of the Lift Plan, Manager of the lift operation, and
Skanska EH&S Department.
Revisions of Critical Lift Procedures
Any revisions to the procedure shall be reviewed and approved though the same cycle as the original procedure.
Pre-Lift Meeting
Before the critical lift is performed, a pre-lift meeting with all participating personnel shall be held. During the
meeting, the critical lift procedures shall be reviewed and questions shall be resolved. The pre-lift meeting shall
be documented.
Note: Practice lifts are recommended. (If used, requirements for the practice lift should be documented in the
procedure.)
4. Jumping Cranes
Jumping of cranes must follow similar protocols as a critical or a major lift and requires a comprehensive
written plan to address the following:
1. Number of sections to be added/removed
2. Work sequence
3. Rigging to be used
4. Inspection of all rigging equipment including shackles, hooks, etc.
5. Review of all equipment such as collars, ties, and bolts, including capacities and a record of visual
inspection by a competent person.
6. Relevant weather warnings and emergency procedures
7. Full compliance with manufacturers recommendations
5. Lift and Pre-Task Planning
Prior to any lifts a lift plan (see Definitions Section 200) should be in place. The final lift plan should fully
incorporate the current site conditions, including utility locations and any possible intersections with public
access areas.
A daily pre-task plan must be accomplished prior to any lift for that particular day to ensure that no deviations
from the lift plan exist.
An example of a lift plan is included in Appendix V for reference.
6. Safety Plan and Job Hazard Analysis
All incidents involving crane operations (i.e., unsafe observation, near miss, etc.) must be reported immediately
to Skanska site staff, including the site health and safety manager. Skanska will collaborate with other
contractors if appropriate and develop a corrective action in response to the cause of the incident prior to
resuming crane operations.
Accessible areas within the swing radius or the rotating superstructure must be barricaded to prevent serious
injury or death to workers. Crane baskets are not permitted without the prior approval of site management and
Skanska EHS personnel.

30
In addition, the following guidelines for mobile cranes should be adhered to:
1. Ensure the crane is level 360o and maintained during operation.
2. Extend outriggers fully or set per the manufacturers recommendation for a particular lift configuration.
Weight must be off the tires.
3. Cribbing or mats under outrigger pads should be of sufficient size and properly placed to ensure
adequate soil bearing as required by the manufacturer.
4. Before a lift, determine the load weight, radius, and load capacity. Crane capacity charts are the ideal
gross capacity of the crane at certain boom lengths, boom angles, and load radius from the crane center
pin.
a. Deductions to the net capacity should be made per manufacturers load chart or operating
manual for attachments such as jibs (stowed or attached), headache balls, wind, less than ideal
setups, etc. to determine the load that can be safely lifted.
b. Additional deductions to the net capacity are the weight of the cranes load block, rigging and
amount of load line required to make the lift. Some manufacturers include the load line in their
load charts but others, like Manitowoc, do not.
5. A designated, qualified person will determine the load weight. Note: OEM drawings listing the
equipment or machinery assemblies are not always accurate. Refer to the shipping weight or have the
equipment or machinery assembly weighed. Calculate all structural loads and determine the center of
gravity.
6. Determine the radius from the center pin of the crane to the load using a steel ruler.
7. Determine the boom length, counterweight, and crane configuration to determine the correct load chart
required.
8. Position the hook over the Center of Gravity of the load before starting the lift.
The following guidelines for tower cranes should be adhered to:
1. No employee will work or travel on any part of the crane boom without proper fall arrest equipment. No
worker will be allowed to climb the tower or get on the boom when the crane is in operation
2. Hoisting ropes must be shortened by the removal of ten feet at the dead end after every three months of
use unless otherwise specified by the manufacturer.
3. No load will be swung over any public street that is occupied by the general public unless authorized by
local authorities.
4. Prior to a load being swung over other workers, the first-line supervisor using the crane will provide a
lookout that shall sound an alarm as the load is moved across the work area. The lookout shall wear a
fluorescent orange vest or other similar high-visibility garment.
5. A written crane dismantling plan is required for dismantling of any crane.
In addition to the above safety requirements, the requirements of OSHA standards 29 CFR 1926.550 shall be
complied with too.

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7. Barge Mounted Cranes
When a mobile crane is to be placed on a barge to work, a Crane on Barge Stability Chart must be prepared
which will:
1. Require a survey of the barge for structural capacity for the operating crane.
2. Determine the stability parameters of the particular barge and crane combination.
3. Specify the manufacturers machine list chart to be placed on the crane and used in operation.
4. Specify the location of the crane on the barge and the initial conditions of the list and trim.
Cranes on barges shall be secured to the barge in the operating position. Never walk with a load on a barge.
8. Emergency Planning (Weather or manmade event)
Every site shall incorporate crane specific emergency response procedures specific to the equipment on that site
in accordance with the manufacturers notes and instructions. These procedures shall include provisions for:
Cold and Freezing Temperatures
Wind
Water, drainage, and wet conditions
Power lines and whether
Electrical storms
Flooding
Rescue and evacuation procedures

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Section 500 Management Systems
1. Documentation Control
Every crane operating on a Skanska USA project must have the following documentation in the cab of the crane
available for review.
The last annual inspection
The last monthly inspection
Exception reports, if any
Manufacturers operating manual
Manufacturers lift charts
Demolition
Prior to the start of any demolition work, the subcontractor must ensure a competent person has performed an
engineering survey of the building or area to be demolished to determine the condition and location of utilities,
whether hazardous materials (such as asbestos, lead, and mercury) exist, means and methods of performing the
work, sequencing, etc. No work will commence until a written engineering survey has been completed and has
been submitted to and reviewed by Skanska.
Debris and material shall not be dropped through walls, floor holes, windows or other elevated work areas
without the area below being barricaded and properly signed. Under no circumstances shall materials be
dropped more than 20 feet without using a chute.
Debris chutes shall have a substantial gate at all elevated openings.
If demolition of a building will involve implosions, the demolition contractor shall submit to Skanska a detailed
safety plan to specifically address site preparation, installation of explosives, debris/dust control, and blaster
qualifications.
See Non Mandatory Appendix X or its equivalent for Pre-demolition guidelines.
Electrical
No work will be performed on any energized electrical circuit, bussbars, equipment, or panels unless an
approved written work plan is developed in accordance with Chapter 1 of NFPA 70E and submitted to Skanska
for review prior to performance of work.
Electrical equipment and tools used on this project shall be inspected by a competent person to prevent any
worker from receiving an accidental electrical shock. This rule will apply to all cord sets, portable electrical
equipment, tools and appliances not part of any permanent building or structural electrical systems.
All temporary cords will be three wire, 16 gauge or heavier, with a hard or extra hard duty rating.
Ground Fault Circuit Interrupters (GFCI)
All cord sets and cord-plug electrical equipment, tools or appliances that are 120 volts will be connected to a
ground fault circuit interrupter (GFCI). No cord set or cord-plug electrical equipment, tool or appliance will be
plugged directly into any permanent building or structural electrical system not equipped with a GFCI. Office
equipment and appliances in site offices do not require GFCI devices.
When the source of electricity is from a two-wire, single-phase portable or vehicle mounted generator rated not
more than 5KW, a GFCI is not required, as long as the generator is insulated from the frame and all other
grounded surfaces.

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Each worker, after plugging in his/her tool and /or extension cord, shall test and reset the GFCI device being
used to ensure it is working properly with each use. If the GFCI device is not functioning properly he/she will
repeat the process until a properly working GFCI device is found. He/She will report the defective GFCI device
to his/her supervisor.
Double-Insulated Tools
Double-insulated tools are allowable if the case bears the Underwriter Laboratories double-insulated label.
Tools where this label has been removed, painted over or is otherwise not readable must be removed from
service.
Inspection Form
An inspection program must be established to inspect all cord sets, portable electrical equipment, tools and
appliances as described below and before first use, before returned to service following any repair, and after an
incident that could have caused damage.
Daily Inspection:
Each cord set, attachment cap, plug, and receptacle of cord sets, portable electrical equipment, tools or
appliances connected by a cord and plug, will be visually inspected daily by workers for external damage, such
as deformed or missing ground pins, insulation damage, frayed wires or indications of possible internal damage.
Cord sets and receptacles that are fixed to the permanent electrical system and are not exposed or damaged are
exempt from daily inspections.
Any electrical equipment, tool, appliance or cord set that is damaged or defective will be immediately removed
from service and tagged out as defective equipment for repair. A qualified electrician will repair tagged
electrical items.
Quarterly Inspection:
All cord sets, receptacles and cord-plug connected electrical equipment, tools or appliances not part of the
building or structure's permanent wiring, will have the following performed each quarter:
Visually inspect for damage or missing ground pin
Inspect insulation for damage
Inspect for frayed or exposed wires
Inspect for signs of internal damage
General Electrical Rules
All cord sets will be elevated above the work surface when practical.
Wire, nails, or other conductive material will not be used to hang or attach cord sets or welding leads.
Cord sets that cross roadways will be protected from damage by vehicle and equipment traffic by devices such
as hose bridges.
Light stringers and halogen lamps will have the lamps protected from accidental contact or breakage and will be
hung per manufacturer specifications.
UL approved covers are required on all panels, load centers, pull boxes, etc. prior to energizing. Necessary steps
will be taken to prevent unauthorized or unqualified workers access to energized electrical parts or equipment.

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Equipment and Vehicles
Motor vehicles that may access any airport area will be equipped with a two-way radio on the FAA
Ground Traffic Control frequency.
Heavy equipment (cranes, forklifts, dump trucks, excavators/back hoes, man-lifts, etc.) used on this project will
be inspected prior to use and comply with applicable OSHA and ANSI standards, which will be documented.
Forklifts will be equipped with rollover devices.
Equipment that is equipped with a windshield will be free of cracks or other visible damage.
All equipment will be equipped with rollover protective structures (ROPS).
Seatbelts are required to be worn at all times when provided in moving equipment.
Only company and/or delivery vehicles used for the sole purpose of conducting work tasks on-site are permitted
in construction areas. Vehicles one ton or greater and equipment used on-site must have an audible backup
alarm. The driver and all passengers in any vehicle will wear seat belts.
No equipment or vehicle will be used to transport personnel unless it is specifically designed to do so, including
beds of pick up trucks.
Equipment operators are responsible to check their equipment daily to verify it is working properly.
As a minimum, each operator will check:
Brakes Operating controls
Lights Mirrors
Backup alarm and horn Fire extinguisher
Hydraulic systems Limit switches
Steering mechanism Leaks
Equipment operators will possess the required training, certification, and licenses as required by law for the
equipment that they are operating.
Excavation and Trenching
Prior to any disruption of ground, excavation, or trenching on this project, the following will be performed:
Skanska shall request locations for existing underground private utilities from the owner.
Subcontractors shall notify public utility locating authorities.
The subcontractor will identify the competent person and submit qualifications for review and approval
by Skanska.
The competent person will analyze the soil of the work area to determine the condition and type of soil
to ascertain proper sloping or shoring requirements.
An excavation permit (Appendix J or equivalent) must be completed and approved by a Skanska
representative prior to breaking ground. ***Merck excavation permit required
During excavation or trenching operations on this project, the following requirements will be followed:
All trenches and excavations will be barricaded and signage posted at the work area.
Fall protection shall be provided for excavations six feet or more in depth.

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 Trenches or excavations will be sloped or benched in accordance with local rules and regulations, and as
determined by the competent person.
Supporting systems (i.e. shoring, piling, trench boxes, etc.) will be utilized for all trenches and
excavations where sloping or benching could not be performed.
Spoil piles and all other material will be placed a minimum of two feet from the edges of all trenches or
excavations.
When underground utilities are suspected, they will be located first by hand digging.
Adequate access must be maintained at all times during trenching or excavating activities. Access points
will be placed such that no worker travels more than 25 feet in any direction.
The competent person will inspect excavations and trenches at the beginning of each day before work
begins and when conditions change.
Excavations in Type C soil will not be benched.
Excavations and trenches four feet or greater in depth will be evaluated for atmospheric hazards to
determine whether permit required confined space requirements apply.
A registered professional engineer must design all excavation over 20-feet in depth.

Fall Prevention/Protection
This project is committed to the philosophy of 100% continuous fall protection whenever workers are
exposed to fall hazards of six feet (6') or greater. A monitor system is not an acceptable form of fall
protection on any Skanska project. In the event any deviation from this fall protection procedure is
required, the activity must be approved by the Environmental, Health and Safety Director and Account
Executive.
Skanska, subcontractors, vendors, or other third party individuals will take all practical measures to eliminate,
prevent, and control fall hazards. All work will be planned with the intent to eliminate identified fall hazards.
When a fall hazard has been identified and cannot be eliminated, then effective means of fall protection will be
implemented.
Acceptable fall protection systems include the following:
Guardrail systems Positioning device systems
Safety netting Protection from falling objects
Covers for floor, roof and wall openings Personal fall arrest systems
Workers exposed to fall hazards that cannot be eliminated will be equipped, trained and given periodic refresher
training in fall protection to minimize the adverse effects of accidental falls. Fall protection training records
shall be maintained on the project and available for review by Skanska.
On this project, 100% Fall Protection means Protected from falls at all times when working at or above
six feet. This is mandatory for all trades.
Workers may work from ladders without personal fall protection when the following criteria are met with no
exception:
Working height does not exceed 12 feet
Work can be performed without reaching (worker remains inside the area between the vertical side rails)

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 Work does not involve working within 15 feet or above an open side, leading edge, or shaft, even if the
edge has a proper guardrail.
Personal Fall Arrest Systems will consist of a full-body harness, double lanyard with shock absorbing device or
retractable lifeline, locking snap hook and anchorage points meeting OSHA regulations and ANSI requirements.
Workers will not tie off to a perimeter cable or wire rope handrail unless engineered for such use.
When wire rope is used to construct guardrail systems, at least 1/4 diameter cable shall be used with cable
clamps as required by wire rope manufacturers.
Subcontractors will submit all engineered documentation on horizontal lifelines to Skanska for review and
approval. All horizontal lifelines will be installed under the direct supervision of a qualified person.
The use of personal fall arrest systems requires the submission of a Rescue Plan for each condition.
Lanyards will not be tied back to themselves unless the lanyard is specifically manufactured to tie back to itself.
If any component of a guardrail system must be removed, a Skanska Guardrail Removal Permit must be issued
(Appendix E). Any contractor that must remove a fall protection system in the course of their work will be
responsible for immediately replacing and restoring the protective system.
Floor openings two inches or greater in the least dimension and all wall openings will be guarded or covered
with an appropriate cover or guardrail. Floor covers will be secured to the floor to prevent easy removal. The
floor or wall cover will be properly marked with a Danger sign stating, Cover-Do Not Remove. Elevated
work must have protection from falling objects if work is permitted below.
Fire Protection/Prevention
Fire Protection
Temporary fire protection measures such as fire extinguishers, temporary hose lines, and temporary standpipes
are required during construction.
The Project Team shall develop a Fire Protection Plan in accordance with OSHA 29 CFR 1926 Subpart F.
Fire extinguishers will be:
Conspicuously located
Certified annually and inspected monthly
Protected from freezing
Placed within the immediate area of any welding/cutting operation or flammable liquid storage area
Placed within five feet whenever gasoline operated equipment is used
If a fire extinguisher is discharged for any purpose, it should be reported to Skanska.
Each temporary building and trailer (shops, field offices, storage boxes, etc.) will have its own appropriately
sized and located class ABC fire extinguisher.
Access to fire hydrants and extinguishers will be maintained at all times. Clear access to buildings and other
structures will be maintained at all times.
Fire Prevention
Temporary buildings located within another building or structure shall be constructed of non-combustible
material or have a fire resistance rating of one (1) hour. Plastic tarps or covers (polyethylene) used for any

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purpose inside an occupied building or where welding, cutting, or open flame is present will be made of fire
retardant material.
Combustible refuse from construction operations will not be burned or dumped anywhere on the construction
site. Such refuse will be removed at frequent intervals, as needed. Storage of large quantities of construction
debris will be placed in metal dumpsters.
Storage of compressed gases will include:
Valves, regulators and hoses removed with valve caps securely on.
Secured upright at all times, including when transported in vehicles.
Fuel and oxygen cylinders separated by a minimum of 20 feet.
Empty cylinders stored separate from full cylinders.
Only approved high flash point solvents are to be used for cleaning purposes.
Oily rags and waste are to be stored separately in metal containers fitted with self-closing lids. Trash and refuse
must be placed in trash containers provided for this purpose.
Fire and Flammable Liquid Storage and Dispensing
Methylene chloride is a known carcinogen and solvents containing it are prohibited.
Flammable and combustible liquids will be stored, dispensed, and used in accordance with OSHA and NFPA
requirements, and the following:
When stored outside they cannot be within 20 feet of any structure or must be in a properly constructed
storage locker whenever possible (no more than a total of 25 gallons flammable and combustible liquids
can be stored outside of an approved locker).
Stored in approved portable containers marked as to contents and ownership.
Posted with NO SMOKING signs.
Outside storage areas kept free of weeds and other combustible material.
Storage of flammables will be in an enclosure away from open flame, heat, direct sun or other sources
of ignition.
All storage tanks/drums will be placed in a berm or other secondary containment. Berms will be lined with
minimum 6-mil plastic sheeting that is fuel resistant. PVC linings are not allowed.
Skanska will designate vehicle refueling locations and procedures.
Fuel and flammable liquid tanks, drums, or barrels will have the proper DOT placard and contents label.
All fuel storage tanks and compressed gas cylinders will be protected from vehicle traffic.
All fuel dispensing points shall be located away from storm drains and wetlands. The following is required:
Portable 20 lb ABC fire extinguisher no closer than 25 feet or further than 75 feet from the fueling point
No Smoking signs posted.
Self-locking fuel nozzle prohibited
Spill kit stored nearby
Tanks will be grounded and when dispensing flammable liquids, the containers will be bonded

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Hot Work
Hot work is defined as the use of open flames, other heat sources, and/or spark producing devices in areas where
combustible or flammable materials are present and/or where there is potential for explosion or fire. Hot work
activities include burning, welding, cutting, grinding or other operations that produce a flame, heat, or sparks.
Prior to performing Hot Work operations, workers will obtain a Hot Work Permit (Appendix H or equivalent)
from Skanska.
A Hot Work Permit is valid only for the date and shift that is stated on the permit.
*A Firewatch shall be required for 60 minutes, including lunch and breaks at the Merck site.
All precautionary measures listed on the Hot Work Permit must be followed.
Prior to performing any hot work, workers will be trained in the following:
A review of the work to be performed Emergency procedure in case of fire
Precautions to be taken How to use the fire extinguisher correctly
Housekeeping
The Skanska policy on housekeeping is that all equipment, tools, and materials will be stored, stacked, or set up
to prevent an incident or injury. The area will be a clean and orderly work place.
Project management, supervision, workers, vendors and third party persons will maintain all work locations in
an orderly and clean manner at all times.
Debris and loose material capable of causing damage to aircraft will not be placed or blown into any area
where there are aircraft operations.
Mud and dirt tracked onto public streets or alleyways will be removed continuously during the workday.
The following are the minimum housekeeping requirements for this project:
Access walkways, roadways, and fire lanes will not be blocked with material, tools, ladders, scaffolds,
welding leads, air hoses or electrical cords.
Electrical extension cords, light stringers, air hoses, and welding leads will be elevated above walkways
a minimum of seven feet or the area marked with signage stating: Trip Hazard
Welding rods, nuts, bolts, and washers will be kept in proper containers.
Shackles, slings, chokers, ladders, and safety equipment will be removed from the work area when not
needed and properly stored.
Trash containers will be placed at appropriate locations.
All nails will be removed from scrap and form lumber and swept up daily.
Rubbish, trash, and debris will be removed from the work area daily.
Infection Control
It is important to control the risk of infection and disease when performing construction, demolition and/or
renovation in a health care environment.
The client Infection Control procedure will be followed. The client is responsible for assigning the Risk Group
for the designated work area and developing the work procedure and restrictions.

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Work procedures and restrictions may include structure height, temporary partitions, debris and material routing,
use of negative or positive air pressure, tack and walk-out mats, covered trash bins, etc.
Skanska is responsible to monitor all work in the designated work area to ensure work procedures are followed
and maintain inspection and negative pressure logs.
The following matrix can be used as an example of how hospitals determine risk level of work:
Type of Construction Activity
Inspection and Non-Invasive Work
Includes but not limited to:
Type A Temporary removal of no more than six ceiling tiles for inspection or minor repair
Painting (but not sanding)
Wall covering, electrical, trim work, minor plumbing, and activities which do not generate dust
or require cutting of walls or access to ceilings other than for visual inspection
Small-scale short duration activities (minimum dust)
Includes but not limited to:
Type B Installation of telephone and computer cabling
Access to chase spaces
Cutting of walls or ceiling where dust migration can be controlled
Work that generates a moderate to high level of dust or requires demolition or removal of any fixed
building component or assemblies
Includes but not limited to:
Sanding walls for painting or wall covering
Type C Removal of floor coverings, ceiling tiles and casework
New wall construction
Minor duct work or electrical work above ceilings
Major cabling activities
Any activity that can not be completed within a single work shift
Major demolition and construction projects
Includes but not limited to:
Type D Activities which require consecutive work shifts
Requires heavy demolition or removal of a complete cabling system
New construction/renovation

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 Patient Risk Group
Non-Patient Care
Patient Care Areas
Areas
Offices Cardiopulmonary Labor & Delivery ICU
Public hallways Echocardiography Laboratories CVICU
Outpatient Services Newborn Nursery Surgery
Nuclear Medicine Pediatrics Cardiac Cath Lab
Rehabilitation Pharmacy Oncology
Radiology/MRI Orthopedics Dialysis
IMC Neurosurgery Negative Pressure
Emergency Department CCU Rooms
Burn unit PACU
Any area caring for immuno-compromised CVOR

Class of Precaution
Patient Risk Group Type Of Construction Activity
Type A Type B Type C Type D
Non-Patient Area
Class I Class II Class III Class III
Patient Care Area
Class II Class III Class IV

Once the Class of Precaution has been determined, the following precautions shall be taken to ensure adequate
infection control:
Precautions for Infection Control
Type
During Work Upon Completion of Work
Class
Minimize dust Clean work area
Class I

Immediately replace all ceiling tiles displaced for visual

inspection

All Class I requirements All Class I requirements

Prevent airborne dust from dispersing into atmosphere Wipe work surface with disinfectant
Water mist working surface to control dust Contain construction waste and transport
Class II

Seal unused doors with tape in tightly covered container

Block off and seal air vents Wet mop/vacuum with HEPA filter
Dust mat at entrance and exit of work area Remove isolation of HVAC
Remove or isolate HVAC system in area where work is being
performed
All Class I and II requirements All Class I and II requirements
Complete critical barriers (sheetrock, plywood, plastic) to seal Remove barriers only upon completion of
Class III

area from non-work area work

Maintain negative air pressure with work area using HEPA Remove barrier carefully to minimize
filtration dust
Contain construction waste in tightly covered container Wet mop area with disinfectant

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 All Class I, II, and III requirements All Class I, II, and III requirements
Seal holes, pipes, conduits, and punctures appropriately
Class IV

Construct decontamination room and require all workers to be

decontaminated with HEPA vacuum prior to departing the
work area

Ladders and Stairways

Fall protection while working from a ladder is addressed in the Fall Prevention/Protection section.
Stairways having four or more risers or rising 30 inches or more shall have a stair rail system 36 inches high on
each unprotected side.
Metal pan stairs shall not be used until the pans are filled to prevent a tripping hazard.
Ladders, stairs, or ramps will be provided where there is a change in elevation of 19 inches or greater.
Workers will be trained on the safe use of ladders.
Ladders are required to ascend or descend truck beds and/or trailers.
Ladders will extend past the bearing point no less than 36 inches.
Ladder landings shall remain clear of all obstacles and obstructions to allow safe access and egress. Each
contractor is required to inspect ladders daily prior to use. Ladders with broken or bent rungs, steps or side rails
will be immediately destroyed and removed from the project.
When ladders are used to access upper levels, they must be secured to prevent displacement and extend a
minimum of 36 inches above the upper landing surface to which the ladder is used to gain access.
Aluminum ladders are not allowed.
All ladders will be heavy-duty type with a minimum capacity rating of 250 lbs.
Stepladders
Stepladders will not be used as straight ladders.
Stepladders will only be used with the spreader bars fully extended and locked in place.
Workers will not stand on the top or top step of a stepladder.
Workers will not straddle the top of a stepladder
Workers will not stand on the back of a stepladder unless designed for this use.
Straight/Extension Ladders
Ladders will be set up so the horizontal distance at the bottom is not less than of the vertical distance to the
bearing point.
Workers will not stand on the top three rungs of a straight ladder. No worker will work when his/her knees are
above the top of the ladder.
All straight ladders will have non-skid feet at the base.

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Job Made Ladders
Job-made ladders shall be constructed for intended use. If a ladder is to provide the only means of access and
egress from an elevated working area for 25 or more employees, or simultaneous two-way traffic is expected, a
double cleated ladder shall be installed.
Job-made ladders will be constructed in accordance with OSHA and ANSI standards.
Lasers
Precautions will be taken to ensure all workers that use lasers are trained in proper use and the hazards
associated with lasers.
No worker will install, adjust, or operate any laser equipment without a valid qualification card, which the
worker must have on their person.
Standard laser warning signs will be placed around the perimeter of the area where the laser is being used.
No laser equipment will be used that does not contain a label indicating make, maximum output, and beam
spread.
Whenever a laser is not in use, shutters or caps will be used and the laser turned off.
When performing internal alignment, lasers will only be guided by mechanical or electronic means.
No laser beam will be directed at any worker.
When environmental conditions exist such as rain, fog, snow, or extremely dusty conditions, use of lasers will
not be permitted.
Workers using lasers will use appropriate eye protection.
Lead
When welding, cutting, burning, grinding, chipping, abrasive blasting, rivet busting, or otherwise disturbing
painted or coated surfaces, a pre-assessment will be required to determine if the surfaces contain lead-based
paint. If bulk sampling results for paint are positive for lead, OSHA Standard 29 CFR 1926.62 will be followed.
An initial hazard assessment is required and will be performed to determine worker exposure levels. The
assessment will involve personal air sampling of a representative group of workers performing different tasks
unless historical data is available. During the initial exposure assessment, workers will wear protective clothing
and the proper respiratory protection until the results of the assessment are known.
Copies of sampling results will be made available to Skanska and all affected employees. Each worker is to be
notified in writing of their blood and/or personal monitoring results within five working days after the results are
known.
Area sampling results from a work area will not be used for determining worker exposure levels.
If sampling results indicate the exposure limits are above 30 g/m3 but below 50 g/m3, the following are
required:
Written compliance plan
Medical surveillance (blood lead)
Personal air monitoring
Hazard communication training for lead

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If sampling results are above 50 g/m3, the following are required:
Written compliance plan Clean change rooms and showers
Engineering controls Clean lunchrooms
Respiratory protection Warning signs
Protective clothing Training
Medical surveillance
Barricades, enclosures, wet methods, HEPA vacuums, track mats, ventilation, and good housekeeping protocols
shall be provided to ensure the protection of all workers, members of the public, and building occupants,
regardless of lead levels.

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Lockout/Tagout
The Project Team will establish a lockout/tagout procedure to ensure that workers are not exposed to the hazards
from moving machinery or equipment and those hazards posed by an energized source (pneumatic, steam,
hydraulic, electrical, chemical, etc.).
Safety locks and tags will be applied to all circuits, switches, valves, isolating devices, and any other energy
sources to ensure equipment, machinery, or processes that have been considered functioning, charged, or could
otherwise be operable have been rendered non-operational or de-energized.
No person will remove another workers safety lock or attempt to energize any piece of equipment, machinery
or process that has been locked out and tagged.
Appendix O or its equivalent shall be completed prior to beginning any work activity involving lockout/tagout
procedures.
De-Energizing Equipment and Processes
A Skanska representative will coordinate with the operating facility representative and/or construction start-up
group when any energized equipment or process must be de-energized.
The Skanska representative and operating facility representative and/or construction start-up group will identify
all circuits and sources of energy that require locking and tagging to make the equipment or process inoperable.
The operating facility representative/construction start-up group will notify their personnel that may be affected
by the de-energizing. The first-line supervisor overseeing the work will sign out sufficient safety locks to
lockout the piece of equipment or process.
The following procedures shall be followed:
1. The operating facility representative and/or construction start-up group and first-line supervisor(s) will
make certain the operating controls to the equipment, machinery or process are in the off or neutral
position.
2. Once the operating controls are in the "off" or "neutral" position, the operating facility representative
will place a safety lock and tag on the energy isolating device(s) first.
3. The first-line supervisor(s) will apply their safety lock to each of the isolating devices that provides
power or other energy to the machinery, equipment or process. The first-line supervisor(s) will also
apply a visible warning tag, which will contain the name of the first-line supervisor(s), company, date
and phone number.
4. Once the first-line supervisor(s) have placed their safety lock(s) and tag(s) on the energy-isolating
device, all affected workers will then apply a safety lock and tag to the energy-isolating device.
Alternatively, the first-line supervisor may place the key(s) to their equipment safety lock(s) in a safety
lock box, place their individual safety lock and tag on the safety lock box, and then have each affected
worker place their safety lock and tag on the lock box.
5. Prior to any work being performed on the piece of equipment, machinery, or process, the operating
facility representative/construction start-up group and first-line supervisor will verify that it is
inoperable. The operating facility representative/construction start-up group will attempt to operate the
piece of equipment machinery, or process. After verifying it is inoperable, the switch will be returned to
the off or neutral position.
Stored or residual energy will be dissipated by whatever means are necessary. Capacitors will be discharged and
high capacitance elements short-circuited and grounded by a qualified electrician.

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Re-Energizing Equipment and Processes
When the required work is completed and the machinery, equipment or process can be returned to service, the
first-line supervisor will contact the operating facility representative/construction start-up group to notify of
completed work operations.
The first-line supervisor will make a visual inspection of the equipment, machinery, or process to insure all
workers have completed their work and equipment, tools and other material is removed from the area.
After confirming all workers, materials, tools and other equipment are out of the area, the operating controls are
still in the off or neutral position, and each worker has removed their safety lock and tag, the first-line
supervisor will remove their safety lock and tag from each of the isolating devices.
If a worker fails to remove his or her safety lock at the completion of the job or assigned duties, their immediate
supervisor will immediately notify management and the Skanska Environmental Health and Safety Department.
Every attempt should be made to contact the worker and require them to return to the project to remove
their lock. If the worker is unwilling or cannot return to the project, it must be verified that he/she is not
physically at the project site before the safety lock can be removed. All safety lock removal incidents will be
investigated following the incident investigation process and disciplinary action will occur.
The management representative will notify the operating facility representative/construction start-up group that
the equipment, machinery or process is clear to be energized.
De-Energizing Fluid Processes
Any vessel, pipe, hose or process that contains a hazardous liquid or gas will be purged with nitrogen or flushed
before work begins as described in the pre-task plan for the activity.
A management representative will coordinate with operating facility representative/construction start-up group
when any fluid process requires de-energizing.
The management representative and operating facility representative/construction start-up group will identify all
valves or gates and where blanks are required to be installed to isolate the work area. The operating facility
representative/construction start-up group will notify their personnel that may be affected by the de-energizing.
The first-line supervisor overseeing the work will sign out sufficient safety locks and tags to completely isolate
the system.
The operating facility representative/construction start-up group and first-line supervisor will verify that each
valve or gate is in the off, neutral, or closed position.
Once the valve or gate is in the off, neutral, or closed position, the operating facility representative will
place a safety lock on the valve or gate first. Then the first-line supervisor will apply a safety lock to each valve
or gate. The first-line supervisor will also apply a visible warning tag with the name of the first-line supervisor,
company, date and phone number.
Once the first-line supervisor has placed their safety lock(s) and tag(s) on the energy-isolating device, all
affected workers will then apply a safety lock and tag to the energy-isolating device. Alternatively, the first-line
supervisor may place the key(s) to their equipment safety lock(s) in a safety lock box, place their individual
safety lock and tag on the safety lock box and then have each affected worker place their safety lock and tag on
the lock box. The required blanks will be placed at this time.
Prior to commencing work, the operating facility representative and first-line supervisor will verify the system
and all piping, hoses, valves and processes are de-energized and that any stored energy is dissipated or
restrained.

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Welded valve connections should have the valve handles removed and the stem tagged Do Not Operate. All
other valves and isolating devices must be physically prohibited from being operated.
Hydraulic and pneumatic equipment or machinery will be blocked to prevent movement.
Re-Energizing Fluid Processes
When the required work is completed and the system can be returned to service, the first-line supervisor will
contact the operating facility representative/construction start-up group to notify them of completed work
operations.
The first-line supervisor will make a visual inspection of the area to ensure all workers; equipment, tools, and
materials are removed from the area.
After confirming all workers, equipment, tools and materials are removed from the area, the valves and gates are
in the off, neutral, or closed position, and each worker has removed their safety lock and tag, the first-line
supervisor will remove their safety lock and tag from each of the isolating devices.
The management representative will notify the operating facility representative/construction start-up group that
the system is ready to be energized.
Masonry Construction
A limited access zone is required to be in place prior to the construction of any masonry wall.
Masonry walls over eight feet in height shall be adequately braced to prevent collapse and bracing shall remain
in place until permanent support is in place.
Mold Control
All work areas must be maintained to prevent the formation of mold, which grows when there is water and a
nutrient source (i.e. wallboard, wood, and/or other building material).
Work will be planned to:
Prevent moisture accumulation
Double check points where moisture may enter:
Doors
Windows
Flashings and caulking
Waterproof membranes (proper lapping at joints and corners)
Roofing systems and penetrations
Properly store material
Dry location
Off the ground
Loose tarps or sheets to allow air flow
Have drying equipment readily available
Fans
Dehumidifiers
Wet-dry vacuum
If mold is observed, notify Skanska so that an evaluation of the exposure can be done and an abatement plan
developed.

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Personal Protective Equipment (PPE)
All Skanska, subcontractors, vendors, and third party individuals will at a minimum wear the following personal
protective equipment while on this project (except in office and lunch areas).
Head Protection
Hard hats will be worn at all times on this project, in accordance with the following:
Hard hats will be worn according to manufacturer requirements.
Company name displayed on hardhat
Hardhats that have a manufacturer date of five years or greater will not be worn
Meets ANSI Z89.1 requirements
Eye and Face Protection
Eye and face protection safety glasses with side-shields that meet ANSI Z87 criteria are to be worn at all times.
Prescription glasses must meet ANSI Z87 requirements or employees will be required to wear over the glasses
(OTG) safety eyewear.
In addition, the following eye/face protective equipment must be used when performing the following work
activities:

Activity Safety Equipment

Welding
Burning
Abrasive grinding or cutting
Drilling
Reaming
Chemical Handling
Molten Materials
Corrosive Liquids
Concrete Pouring
Welding Hood and safety glasses
Burning Goggles with Shield
Face Shield and safety glasses
Goggles or Face Shield and safety glasses
Face Shield and safety glasses
Goggles and Face Shield
Goggles and Face Shield
Goggles and Face Shield
Safety glasses with side shields

Foot Protection
Sturdy work boots that are in good condition must be worn (heel and sole will not show excessive wear). Tennis
shoes, sandals, or other street-type shoes are not allowed, even if they have steel toes.
High Visibility Attire
Every worker, visitor, and vendor will wear high-visibility attire at all times. ANSI reflectivity requirements
must be met when working in traffic and/or at night.
Work Attire
Shirts will have a minimum sleeve length of three (3) inches. Tank tops and cut-off shirts are not permitted.
Long trousers that fit properly around the waist and ankles are required. Trousers that are worn low on the hips
or thigh are not allowed. The length of the trouser will be such as to not present a tripping hazard. Shorts are not
permitted.

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Respiratory Protection
A competent person will determine if a hazard exists that requires respiratory protection prior to start of work.
Written documentation supporting this hazard assessment will be made available to Skanska upon request.
Whenever respiratory protection is deemed required or requested by a worker on this project, the requirements
outlined in OSHA 29 CFR 1926.103 will be followed, which include:
1. Have workers complete a Medical Questionnaire for Respirator Use.
2. Submit questionnaires to a physician or Licensed Health Care Professional (PLHCP) for review and
further testing.
3. Once medical approval to wear a respirator is received from the PLHCP, select the appropriate type of
respirator to protect workers from the hazard(s).
4. For air purifying respirators, choose the appropriate filter/cartridge.
5. For supplied air respirators, ensure breathing air source provides Grade D breathing air.
6. Train workers about the specific type of respirator being used.
7. Fit-test the workers with the specific type of respirator being used.
If a worker decides to voluntarily wear a filtering face piece (dust mask) and a respirator is not required, the
first-line supervisor must inform the worker about the limitations of the selected respirator. The worker must
complete, sign, date, and submit the Voluntary Use of a Disposable Respirator form (Appendix N) or its
equivalent. Note: Disposable dust masks are prohibited for protection from silica exposure.
Hearing Protection
Approved hearing protection will be worn as specified in posted areas and while working with or around high-
noise level producing machines, tools, or equipment. A good rule to follow is: When you must raise your voice
to be heard, you need hearing protection. Exposure to impulsive or impact noise will not exceed 140dB noise
level.
The following permissible noise levels, per OSHA 29 CFR 1926.52, should not be exceeded:

Sound Level DBA Impulsive Or Impact Noise

Hours per day
Slow Response Sound Level
Equipment or tools
8 90 Created*
6 92 Pneumatic chip hammer 103-113
4 95 Jack hammer 102-111
3 97 Concrete joint cutter 99-102
2 100 Chop saw 88-102
1 102 Stud welder 101
1 105 Bulldozer 93-95
110 Crane 90-96
or less 115 Hammer 87-95
Backhoe 84-93

* based on an 8 hour exposure

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Hand Protection
Hand and finger protection shall be specifically addressed in the development of project specific safety plans
and daily task plans. The appropriate protection shall be identified. Each employers competent person shall
assist in recommending the correct glove for the task. Workers are encouraged to wear gloves at all times to
prevent hand and finger injuries.
Additional Protections
Skanska may require workers to wear additional personal protective equipment to reduce the likelihood of a
work related injury or illness.
Pile Driving
No pile driving work will occur until it is verified that no underground utilities exist where piles will be driven
or existing underground utility locations have been verified by hand or vacuum excavation.
Fall protection will be required when personnel climb leads over six feet.
Hose connections will be secured by at least inch diameter chain or equivalent wire rope to prevent whipping.
Stirrups will be provided on sheet piling to aid in guiding the pile in place.
For pile other than sheet piles, a driving head or bonnet is required to bell the head.
Stop blocks are required for the leads to prevent the hammer from striking the head block.
A designated signalman will be assigned to give direction to the winch-men.
Equipment will meet the OSHA Construction standards on cranes and derricks.
Pits or excavations that piles are being driven into shall be properly braced, sheet-piled, or sloped and barricades
shall be provided.
When pile tops are cut, operations will stop for a distance not less than the longest pile that is to be cut.
When driving jacked piles, the pits will be provided with ladders and curbs to prevent material from falling into
the pit.
Precast Concrete
A competent person will be responsible for the inspection of all rigging and hardware and the supervision of the
rigging of precast concrete members.
Unloading of Precast Concrete Members
Prior to precast concrete members being unloaded, the following will occur:
Inspect all rigging and hardware
Ensure load is stable before releasing binders
Ensure precast member is properly rigged
Placement of Precast Concrete Members
Precast members are not to be moved over other workers
Workers involved in the setting or connecting of precast members will strictly adhere to the 100% fall protection
policy with no exception.
No worker will use their hands to reach under a precast member to adjust a shim or bearing pad.

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Post-tensioning Operations
No worker, except those essential to the post-tensioning operation, will be permitted behind the jack. Warning
signs and barriers will be erected to limit access to the post-tensioning area during post-tensioning operations.
Rigging
Riggers must be properly trained and qualified to rig material or equipment lifted by a crane.
Hooks will be equipped with safety latches. Safety latches on hooks that are disabled and/or shakeout
(pelican) hooks will not be used unless in compliance with 29 CFR 1926 Subpart R.
All rigging equipment and spreader bars shall have a manufacturers tag or otherwise professionally engineered
mark noting its safe working load. Rigging equipment and spreader bars not tagged or marked will be
immediately removed from the project.
All rigging will be inspected daily before each shift by the qualified rigger and documented in writing.
Inspection reports will be made available to Skanska upon request.
Scaffolding
All scaffolding used on this project will meet the requirements established in Subpart L of OSHA 29 CFR 1926.
Each contractor using scaffolds must designate a competent person to direct and supervise the erection and
dismantling of all scaffolding on this project. The competent person will sign and attach one of the following
color-coded scaffold tags to each scaffold:
Green Tag: Scaffolding complete and ready for use.
Red Tag: Scaffolding incomplete and not for use.
Yellow Tag: Scaffolding usable but personal fall protection required.
The competent person will inspect the scaffolding daily prior to use and sign the tag at the time of inspection.
The Daily Scaffold Safety Inspection Report (Appendix L) will be used to document these inspections.
Workers required to work from scaffolding will receive training on the following:
Nature of any known hazards, such as electrical, fall, or falling objects.
Correct method of erecting, maintaining, and disassembling fall protection systems.
Falling object protection system.
Proper handling of equipment or material on the scaffold.
Maximum load-carrying capacity of the scaffold.
Any other pertinent requirements about the scaffold.
During erection and dismantling of scaffolding, if deviation from the fall protection procedure is required, the
Environmental Health and Safety Director and Account Manager will be required to approve.
Records must be maintained of scaffolding training and be available for review by Skanska.
Prior to erection, all scaffolding components shall be inspected for defects and any damaged components will
not be used.
Scaffolding will be erected on a firm foundation/footing. Scaffold poles, legs, posts, frames, and uprights will
bear on metal base plates, and mud sills
Scaffold legs, poles, posts, frames and uprights will be pinned or locked to prevent uplift.

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No scaffold will be enclosed unless a qualified engineer designs and approves the attachment to the adjacent
structure
Scaffold platforms will be constructed with no space between the platform components. The space between the
platform components and the scaffold uprights will not exceed one inch.
Because of special circumstances such as building a scaffold around a pipe, the space opening between the
scaffold and the object/structure cannot exceed 9 inches.
Scaffold planks shall extend past the horizontal support a minimum of six inches and not more than 12 inches
unless cleated or restrained by hooks.
Scaffold plank will not be overlapped unless:
Overlap occurs at a horizontal support
The minimum planking overlap is 12 inches
Only scaffolding-grade planking shall be used.
Ladders or stairs must be used to access any scaffold platform that is more than two feet above or below the
point of access. End frames of tubular welded scaffold can be used as a ladder if the following criteria are used:
Specifically designed and constructed as ladder rungs
Rung length of at least eight inches
Spacing between rungs not to exceed 16 inches
A walk through frame or gate is provided for access at each landing
No worker will climb up or down a scaffold using the cross bracing.
Workers working below scaffolding will also be protected from falling objects. Scaffold will be equipped with
toe plates, screening, debris netting, catch platforms, or a canopy structure.
Aerial Lifts
The gates of aerial lifts will be properly engaged whenever the lift is in use.
Travel in aerial lifts is prohibited while platform is elevated
Aerial lifts shall not be used as material hoists unless the load is contained within the basket and meets the lifts
rated capacity. The lift shall not be modified for hoisting material unless the manufacturer approves it in writing.
Use proper fall prevention/protection in accordance with manufacturers requirements in all boom supported
elevating work platforms.
Suspended Scaffolds
A competent person will evaluate suspended scaffolding, anchorages, and suspension lines before each use.
Workers working from suspended scaffolding will wear a full body harness attached to an independent vertical
lifeline.
When welding is required from swing stage scaffolding, the scaffold will be grounded and suspension ropes
protected.
Mobile Scaffolds
Interior or dry wall scaffolding (Perry or Baker type scaffolding) greater than one section high will be equipped
with outriggers. All other built-up scaffolding will follow the four to one rule.

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Wheels on mobile scaffolding will be locked in place when workers are working from it (self propelling is
prohibited).
Scissor lifts shall be used in accordance with 29 CFR 1926.452 (w).
Mast-Climbing Work Platforms (ANSI A92.9-1993)
An erection and dismantling plan shall be provided by the manufacturer and submitted to Skanska prior to
mobilization.
Fall protection shall be provided when wall openings exist on the faade of the building in front of the work
platform, the distance to the faade exceeds that permitted, the platform passes an in-set in the faade or it
extends past the faade.
In accordance with ANSI requirements, unless the scaffold is equipped with an emergency decent device an
evacuation plan from the platform must be developed.
Building access is prohibited underneath scaffold platforms.
System specific training must be provided to all workers who will be on the work platform.
Silica
Workers that perform any of the following work tasks must be protected from exposure to silica dust unless
historical data or real time air monitoring indicates it isnt necessary:
Chipping, hammering, or mixing of refractory
Abrasive blasting using silica sand as a blasting medium
Abrasive blasting of concrete regardless of the type of medium
Sawing, hammering, drilling, grinding, or chipping of concrete or masonry products
Chipping, hammering, or mixing of concrete grout
Demolition of concrete or masonry structures
Dry sweeping or compressed air blowing of concrete, masonry, rock, or sand dust
Workers performing any of the above tasks who could be exposed to silica dust shall receive training regarding
health hazards associated with silica.
Acceptable engineering controls, such as those listed below, will be used when exposure to silica is likely.
Substitute blasting medium for less hazardous material with less than 1% silica
Maintain an effective dust control program
Use internal blast-cleaning machines
Wet Saw
Use water through the drill stem
When acceptable engineering controls cannot be used, workers will wear respiratory protection, protective
coveralls, and gloves. Respirators must have at least a N95, R95, or P95 filter, per NIOSH recommendations.
Note: Disposable respirators or dust masks are not permitted for silica protection.
Workers will also comply with these hygiene requirements when exposed to silica:
No eating, drinking, or using tobacco products in areas where silica dust is present.

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 Always wash hands and face before eating, drinking, or using tobacco products after working around
silica dust.
Steel Erection
No steel erection will begin without a written Notice to Commence Steel Erection (Appendix K) from Skanska.
Workers engaged in steel erection activities including but not limited to connecting, decking, and bolt up are not
exempt from Skanskas 100% fall protection requirements when working from six feet or greater.
Perimeter safety cable installed by steel erector will remain in place unless otherwise instructed by Skanska.
Training records indicating workers have received required steel erection and fall protection training will be
maintained at the project and available for review by Skanska.
All steel deliveries will be coordinated with the Skanska Project Team to ensure traffic around the project is
controlled. No deliveries shall be unbound until inspected and deemed secure by a qualified person.
Design criteria for any multi-lift device must be available for review by the Skanska.
Work will be planned that no load will be swung over the public, other workers, or occupied structures.
Exceptions must be reviewed and approved by Skanska.
During bolt-up activities all steps will be taken to protect workers below from falling objects.
Temporary Barricades
Temporary barricades will be erected to warn or protect workers whenever hazards or processes, such as those
listed below, are encountered on this project.
Floor or wall openings Exposure to vehicular traffic
Working above other workers Low light work areas
Open excavations/trenches Startup operations and testing of equipment/systems
Unguarded equipment Process hazards such as discharges, open systems, etc.
Overhead loads
Closed stairwells
When barricading is required, the following guidelines should be followed:
Yellow Caution tape is used to limit the passage of workers through the barricaded area. This
barricading should only be used to protect workers from hazards that are not severe or the potential for
severe injury or death is unlikely.
Red Danger tape is used to prohibit the passage of unauthorized workers through the barricaded
area. This barricading should be used to protect workers from hazards that have the potential to cause
serious injury or death. Danger tape is not to be used if the hazards cannot be eliminated or removed
during a single work shift.
Rigid barricades are used when protection is required beyond a single work shift. They will be used to
protect workers from unguarded moving machinery/equipment, vehicular or heavy equipment traffic,
and low light conditions. Rigid barricading will consist of standard guardrail, temporary chain link
fencing, tube and coupler scaffold members with blue construction fencing attached and concrete
barriers.
Radiation Danger Tape is used to identify x-raying operations and warn of a radiation hazard in the
area.

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When using Caution or Danger tape barricading:
Install at least six feet from excavations, trenches.
Reinforced Danger tape or in high visibility rope at least six feet back from edge shall be used for
holes, leading edges, and floor or wall openings. A hard barricade is preferred.
Install a standard Caution or Danger sign that identifies the hazard at regular intervals around the
barricaded area and the name and contact information for the individual who erected the barricade
Do not impede stairs, walkways, driveways, or aisles without notifying Skanska and identifying
alternative passageways
When using rigid barricading:
Support construction fencing to prevent tipping or sagging.
Install pins in concrete barriers whenever there is a danger of vehicles or heavy equipment striking them
Provide adequate access to the work area
When work is complete and the hazard is eliminated, remove the barricading immediately.
Workers who enter a Danger or Radiation barricaded work area without authorization will be subject to
disciplinary action up to and including termination.
Tools, Hand and Power
All hand and power tools will be kept in good condition with regular maintenance. Hand and power tools are to
be operated according to manufacturers instructions and guidelines and the personal protective equipment
appropriate for the hand or power tool will be worn.
Hand Tools
Impact tools such as chisels, wedges, etc. are not to have mushroomed heads
Wooden handles will not be splintered or cracked
Pocketknives will not be used for stripping wire
Electric Tools
Never lift or carry a power tool by its cord
Guards and safety switches will not be removed or made inoperative
Electric tools must have a three-wire cord unless they are double insulated
Portable Abrasive Wheel Tools
Guards will not be removed
Grinding disks and wheels will be checked to verify they are the correct one for the grinder and speed.
Pneumatic Tools
Air hoses inch in diameter or greater will have a safety excess valve installed at the source of air.
Clips, whips or retainers are required at each air hose coupling and to prevent attachments from being
ejected from the tool.
Only pneumatic nail guns requiring the muzzle to be pressed against the work surface to fire are
allowed.
Hose couplings will be secured to prevent displacement.
Pneumatic nail guns shall be disconnected from the air supply when unattended.
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Powder Actuated Tools
Workers will be trained to operate a powder actuated tool and required to carry their training card at all
times.
Fired cartridges shall be placed in a container or bucket and properly disposed.
The powder-actuated tool must not be able to fire until it is placed against the surface with a force of
five pounds or greater.
Misfire cartridges shall be disposed of properly.
Traffic Maintenance and Protection
There will be no temporary blocking or occupying of any street or alleyway without prior approval of Skanska
and local authorities.
When it becomes necessary to temporarily close a public street or alley, a written traffic control plan is required
showing how the closure will occur. The plan must be submitted to Skanska for review. Refer to the Manual of
Uniform Traffic Control Devices (MUTCD) Part VI when developing a traffic control plan.
At a minimum, the written Traffic Control Plan will contain:
Time the street(s) will be required to be closed.
Detail drawing showing temporary signage, tapers, etc.
Detail plan illustrating detour routes for traffic impacted by the closed streets.
All workers and supervision will wear high visibility attire in accordance with the ANSI requirements.
Workers assigned as flaggers will be trained as recommended in the Manual of Uniform Traffic Control Devices
and state DOT. Trained flaggers are required to direct all construction traffic entering and leaving the project
site.
Work that fails to follow the traffic control plan or occupies a city street or sidewalk without authorization will
not be allowed.
Welding and Cutting
When burning or welding using compressed gases, flame arrestors will be installed on both the torch side and
regulator side of the oxygen and gas hoses. All compressed gas cylinders shall be tagged or labeled with the
name of the subcontractor responsible for them.
Arc Welding and Cutting
Welding current return circuits or grounds must carry their current without hot or sparking contacts and without
passage of current through equipment or structures. Specifically, welding current must not be allowed to pass
through any of the following materials:
Acetylene, fuel gas, oxygen, or other compressed gas cylinders.
Tanks or containers used for gasoline, oil, or other flammable or combustible material.
Pipes carrying compressed air, steam, gases, or flammable or combustible liquids.
Conduits carrying electrical conductors.
Chains, wire ropes, metal hand railings or ladders, machines, shafts, bearings, or weighing scales.
Whenever practical, all arc welding and cutting operations shall be shielded by non-combustible or flame-proof
screens.

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The ground for the welding circuit shall be mechanically strong and electrically adequate for the service
required and should be attached directly to the work piece.
When possible, electrode and ground cables shall be supported to prevent obstructions interfering with the safe
passage of workers.
Cables with worn insulation may not be used.
Gas Welding, Cutting, and Soldering
A suitable cylinder cart, chain or other secure non-flammable fastening shall be used to keep cylinders from
being knocked over while in use.
Cylinders of oxygen shall not be stored next to cylinders of acetylene or other fuel gas. They shall be separated
by 20 feet or by a non-combustible barrier with a half-hour fire rating.
Oxygen cylinders, cylinder valves, couplings, regulators, hose, and apparatus shall be kept free of and away
from oil and grease. Oil or grease in the presence of oxygen under pressure may ignite violently.
Empty cylinders shall have their valves closed. Valve protection caps shall always be in place except when
cylinders are in use or connected for use.
When moving cylinders by a crane or derrick, a cradle, boat or suitable platform shall be used. Slings, hooks or
electric magnets shall not be used. Valve protection caps shall always be in place.
Compressed gas cylinders, empty or full, shall be secured in an upright position at all times except, if necessary,
for short periods of time while cylinders are actually being moved. Empty cylinders should be marked Empty
or MT for identification.
Regulators and hoses shall be frequently inspected for leaks, worn places, and loose connections. Regulators
shall also be checked for operable gauges.
Approved flash arresters shall be provided in both oxygen and acetylene hoses at the regulator connection.

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Quality of Life Requirements
Smoking Policy
Skanska encourages a Smoke-Free Workplace. No worker will smoke any tobacco product within any building
or structure on this project designated as Smoke-Free. In Smoke-Free workplaces, smoking is only authorized in
designated areas or inside your personal vehicle, if permitted while on the owners property. Workers that
violate this rule will be subject to immediate termination.
Warm up and Stretching Exercises
Skanska believes the most recurring and disabling injuries that plague the construction worker are soft tissue
injuries. Warm up and stretching exercises before work have proven to reduce these soft tissue injuries. These
exercises can reduce the chance of heart attack and increase the life expectancy of our workers. Skanska
believes the benefits of reducing injuries and improving the life of every worker on this project is significant.
Workers associated with this project will participate in warm up and stretching exercises at the beginning of
each workday within their crew or subcontractor company.
Sanitation
Toilet Facilities
Adequate chemical toilets are available on the jobsite for the use of workers.
Chemical toilets shall be serviced often enough to prevent overflowing and the creation of an unsanitary
condition or nuisance. Toilets shall be maintained in good repair so as to prevent leakage of the contents to the
surrounding ground, floor, or other portions of the structure.
Drinking Water
Every day contractors will provide fresh clean drinking water to their employees. Drinking water will be
dispensed in containers with a tight sealing lid and labeled as Drinking Water. Drinking water containers are
to be cleaned daily.
Adequate cups will be made available at each drinking water container. Cups will be stored in a durable, clean
dispenser. A trash can or other type receptacle will be provided to collect used cups. Contractors are responsible
for cleaning up around the water container area.
The dipping of cups into the container, storing soda cans and bottles, drinking directly from the spout, or placing
of hands or material into drinking water are prohibited.
Emergency Procedures
Each project team shall develop an Emergency Action Plan; each project team shall develop the following:
Owner requirements and procedures
Skanska Crisis Management and site logistics protocols
Coordination with local emergency response personnel
The Emergency Action Plan will be posted throughout the jobsite and communicated to workers during the
safety orientation and weekly safety meetings.

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Building Evacuation
Exit signs shall be conspicuously posted along evacuation routes.
A signal or alarm shall be designated to initiate evacuation. Temporary pull stations should be considered.
Personnel should de-energize tools and equipment and observe their work area for fellow workers in need of
assistance.
Workers should observe stairs for safe passage before accessing.
Report any hazardous conditions that are known to exist within the building to your supervisor
A plan view drawing will be developed for each projects evacuation plan. This drawing will clearly identify
the following:
Building footprint Stairs
Primary and secondary assembly areas Fire extinguishers
Exits Skanskas project office
Fire alarm pull stations or air horn locations First aid kit locations
Site telephones Emergency numbers
Medical Emergency
During the safety orientation, workers will be given information on how to summon medical assistance in case
of a medical emergency. Workers should know the following information:
Emergency Phone Number: 267-305-5555 or (in-house) x5555
Project Address: 351 North Sumneytown Pike
City: North Wales
When reporting a medical emergency, the worker will state their name, the nature of the emergency, the severity
of the emergency and where assistance is needed. A worker may be required to meet medical personnel and
guide them to where the emergency is located.
Do not move an injured worker before medical assistance arrives unless further injury is possible.
Fire
In case of a fire, workers will evacuate their work area immediately and report to the pre-determined assembly
area.
After reporting the fire, workers will evacuate the work area and report to the pre-determined assembly area that
was stated during the safety orientation.
Severe Weather
Should weather conditions, such as severe thunderstorms or tornadoes, develop around or near this project;
workers will follow the direction of their immediate supervisor. Work in areas where severe weather events are
possible will have a contingency plan in place.

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Emergency Action Plan
Project Management will ensure the Emergency Action Plan is communicated to all workers during orientation.
Specific emergency procedures and emergency phone numbers will be posted in lunch areas, near all telephones
and on project bulletin boards.
The plan shall be reviewed periodically by Skanska to ensure continued accuracy and applicability. Daily Pre -
Task Plans shall also address emergency egress from each work area.
The emergency action plan shall be reviewed by all workers and posted with a site plan in prominent locations
accessible to all workers.
Template on next page.

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Emergency Action Plan
Project Name: Merck Upper Gwynedd Solar Project
Work Location: 351 North Sumneytown Pike, North Wales, PA 19454
1. This is a project specific Emergency Action Plan communicating evacuation procedures, specific alarms, and assembly points,
should an emergency evacuation become necessary because of severe weather, fire, hazardous chemical release, explosion or other
emergencies that could cause worker harm.
2. It is each workers responsibility to familiarize themselves with evacuation routes, alarms and assembly points in case an emergency
evacuation of the work area is required.
3. Caution: Evacuation routes, alarms or assembly points for one emergency may differ from another emergency.
4. In case of fire or medical emergency:
Emergency Phone Number: X5555 (in-house) or 267-305-5555 (outside phone)

Alarm or Notification: Local pull box

Proceed to nearest approved posted assembly area.
Evacuation Route:
Assembly area #9
Primary Assembly Point:
Depending on work area. (TBA)
Secondary Assembly Point:
5. In case of severe weather:
Alarm or Notification: Local pull box
Evacuation Route: Stay or proceed to the inside of a building or other approved area until severe weather passes. (TBA)
Assembly Point: Depending on work area. (TBA)
6. In case of chemical release or explosion:
Alarm or Notification: Local pull box
Evacuation Route: Proceed to nearest approved posted assembly area.
Primary Assembly Point: Assembly area #9
Secondary Assembly Point: Depending on work area. (TBA)
Spill Kit Location: Shall be located at worksite at all times.

Remediation Contact: X5555 (in-house) or 267-305-5555 (outside phone)

7. Workers will immediately evacuate their work area upon hearing the alarm or being notified of the emergency and ordered to
evacuate. No worker is exempt from evacuation even if the evacuation is a drill.
8. Workers are required to report immediately to their designated assembly point and be accounted for. Failure to report may cause
another to risk danger in an effort to search for you. Do not leave the project without prior authorization from first-line supervision.
9. A designated Skanska employee will call the identified Remediation Company to respond to chemical spills that require outside
attention. An agreement must be made with the Remediation Company prior to identifying them as the remediation contact.

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Project Hazard Communication Program
All workers on this project are entitled to know the properties and potential safety and health hazards of
chemicals or substances that they may come in contact with on this project.
Each project will develop a written project specific Hazard Communication Plan. This plan will be posted in a
location where workers can easily access and review the plan.
Each subcontractor will submit to Skanska a Master Chemical and Substance Inventory List and a copy of the
Material Safety Data Sheet (MSDS) of all known hazardous chemicals that are in their work area. Prime
subcontractors will be responsible for obtaining all sub-tier subcontractors Master Chemical and Substance
Inventory Lists/MSDS and forwarding to Skanska.
The Master Chemical and Substance Inventory List (Appendix G) or equal will be maintained, even if they do
not have or will not use any hazardous chemicals or substances. This is an OSHA requirement.
Subcontractors will maintain a project specific MSDS on location for each hazardous chemical or substance
listed on the Master Chemical and Substance Inventory List. Prime subcontractors will be responsible to ensure
all sub-tier subcontractors have their project specific MSDS sheets at the project.
It will be the responsibility of each workers supervision or project manager to assure Material Safety Data
Sheets are received prior to, or at the time of delivery of, a hazardous chemical.
Project management and first-line supervision will ensure all hazardous chemicals are properly labeled in
accordance with the MSDS. Containers that hazardous chemicals have been transferred into for use during a
single work shift will be labeled as to contents.
Every worker on this project shall receive instruction from their employer on their Hazard Communication
Program, the location of the Master Hazardous Chemical and Substance Inventory list, the location of the
Material Safety Data Sheets, labeling requirements and specific safety or health instructions about the hazardous
chemical or substance.
Recommended minimum Hazard Communication Training will consist of:
1. The contents of the program
2. Prior to use of or the potential exposure to any hazardous chemical or substance, workers are to be
instructed in:
Physical and health hazards Personal protective equipment
Procedures to protect against the hazards Emergency procedures in case of
exposure or accidental spill
Engineering and administrative controls
3. Labeling requirements
4. Whenever a new chemical or substance is introduced into the workplace, workers will be briefed of its
hazards
The client, vendors, and subcontractors that may have business in or near a work area will be notified that
hazardous chemicals are being used and the hazards they may encounter.
If a worker believes they have encountered a hazardous chemical or substance unfamiliar to them, they will
immediately notify their supervisor. Project management or supervision will attempt to identify the hazardous
chemical or substance and initiate all precautions to handle and dispose of this material, if required, and to
properly protect workers.

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Hazard Communication Program
This plan will be reviewed by all Skanska workers and posted in a prominent location accessible by all
workers. This plan is a supplement to the project-specific health and safety program.

Project Number: 149027 Project Name: Upper Gwynedd Solar Project

Project Location: 351 North Sumneytown Pike, North Wales, PA 19454

This is a project specific Hazard Communication Plan ensuring that information on hazardous chemicals and
substances is communicated to workers in accordance with OSHA 29 CFR 1926.59 and the Skanska Hazard
Communication Safety Program.
1. An inventory of known hazardous chemicals and substances used on this project has been conducted
and listed on the Master Chemical and Substance Inventory which is located and can be reviewed at:
Skanska USA Safety Office
2. A copy of the Material Safety Data Sheets (MSDS) for known hazardous chemicals and substances used
on this project are located and can be reviewed at: Skanska USA Safety Office
3. If a copy of a MSDS cannot be located, contact your Project Manager, Superintendent, Foreman or
Skanska Environmental Health and Safety Department at: 973-886-0924 or 732-594-5562
4. Project management and first line supervision are responsible for obtaining MSDS and ensuring they are
received prior to, or at the time of delivery of, a hazardous chemical.
5. Hazardous chemicals will be properly labeled in accordance with the MSDS. Containers that hazardous
chemicals have been transferred into for use during a single work shift require secondary labeling.
6. Workers who work with, or may be potentially exposed to, a hazardous chemical or substance will be
informed of the physical and health hazards and procedures to protect against those hazards. Included in
the procedures are engineering and administrative controls, personal protective equipment, and
emergency instructions for accidental exposure, emergency evacuations, or spill containment of the
hazardous chemical or substance.
7. When new hazardous chemicals or substances are introduced into the work environment, workers will
be informed of the physical and health hazards.
8. Employers, who may be working in a Skanska work area where workers could be exposed to a
hazardous chemical or substance, will be informed of where that hazardous chemical or substance is in
use.
9. Workers performing non-routine tasks will be informed of chemical hazards associated with the work
activity and the appropriate protection measures.

63
Subcontractor Requirements
Designated Subcontractor Safety Representative
Each subcontractor expected to have less than fifty workers on-site will designate a safety representative prior to
mobilization. This on-site safety representative will be a competent worker who has completed at least 10 hours
of OSHA awareness training and who may have other on site duties.
Subcontractors shall follow West Point Safety Procedure 12 and/or GES 7.1, to determine what level of safety
will be required for the job. This may include a designated safety representative or a full time on-site safety
professional upon mobilization. The full time safety professional shall have no other responsibilities.
Subcontractors will submit the resume of their proposed safety professional or representative to be reviewed by
Skanska. Skanska will determine if the proposed safety professional or representative has the training and
experience required for this project. This person will have the authority and responsibility to ensure the proper
implementation of this Safety & Health Management Program.
Subcontractor safety professionals and representatives will have the full authority to implement safety
corrections and recommendations. Subcontractor safety professionals and representatives will have authority to
stop any work they deem unsafe.
Subcontractor full time on-site safety professionals shall have the following minimum qualifications:
Five years construction experience, one year of which includes on-site construction safety
responsibilities.
Specialized training relevant to scope of work.
OSHA 30 hour construction safety awareness course.
Working knowledge of safety regulations and hazard control methods.
Demonstrated ability to conduct safety training.
The minimum duties of the designated safety professional and/or representative will be:
Investigate any incident or near miss and report the findings to Skanska.
Attend safety meetings as required by Skanska.
Conduct regular safety meetings with workers to instruct them on project safety practices and
requirements.
Conduct written daily safety inspections of their work activities and make available to Skanska for
review to ensure compliance with safe work practices and this Safety & Health Management Program.
Take direction from Skanska related to timely abatement and control of hazards.
Subcontractor Safety Orientation
In addition to the Skanska project orientation, each subcontractor will conduct an additional safety orientation
for their employees to ensure they understand the project safety requirements as well as their companys
requirements.
Monthly Man-hour Report
At the end of each month subcontractors must submit total man-hours worked, including hours for tiered
subcontractors using Appendix A or its equivalent.

64
Subcontractor Safety Submittals
Prior to beginning work, each subcontractor shall submit to Skanska the following:
Subcontractor written project specific safety plan.
Submit pre-mobilization JSA and follow up with finalized JSA prior to start of work.
Name(s) of designated safety representative or professional and qualifications.
Name(s) and training verification of designated competent persons as required by the scope of work for
trenching, scaffolding, rigging, respiratory protection, etc.
A list of activities the contractor has identified that will be made available in the event light duty has
been directed by a physician.
Name(s) and training verification of trained and qualified equipment operators as required by the scope
of work for cranes, forklifts, aerial lifts, etc.
Name(s) and training verification of employees trained in first aid and CPR.
Current annual crane inspections by a third party crane inspection firm for all cranes brought onto the
project.
Project specific Master Chemical and Substance Inventory Sheet and Material Safety Data Sheets for all
hazardous chemicals and materials to be used or stored on the project.
Training verification of OSHA or project required training as necessary. Verification shall include
training rosters. Examples of OSHA or project required training may be:
Fall Protection Confined Space Respiratory Protection Excavations and Trenches
Scaffolding Crane Signals Hazard Communications Ladders
On-Going Submittals
Each subcontractor will be required to submit various on-going safety documents to Skanska as required by the
scope of work. These submittals may include the following:
Subcontractor Monthly Man-hour Report (Appendix A).
Incident Notification and Investigation Report (Appendix C) (Within 24-hours of any incident or near
miss).
Weekly Tool Box safety meeting minutes.
Daily Pre-Task Safety Plan (Appendix F).
Maintain While Working on the Project
Throughout the course of the project, each subcontractor will maintain the following records or documents on
site and make available for inspection by Skanska:
Subcontractor Work Site Safety Inspection
Scaffold, Trench, Crane, and Forklift Inspections
Skanska permits or forms, or their approved equivalent, shall be used.

65
Permits or Safety Plans as Required
Skanska shall issue any Merck required permits to the Subcontractors. Subcontractors will submit to Skanska
plans for review by Skanska prior to start of work as required. Work permits or plans that are required include:
Confined Space Entry
Hot Work
Excavation and Trenching
Crane Lift Permit
Fall Protection Plan
Lockout/Tagout Checklist
Other work plans as deemed necessary

66
Forms Appendix
Appendix A Subcontractor Monthly Incident Summary Report
Appendix B General Safe Work Practices Poster
Appendix C Incident Notification & Investigation Form
Appendix D Safety Training Roster
Appendix E Guard Rail Removal Permit
Appendix F Daily Pre-Task Safety Plan
Appendix G Master Chemical & Substance Inventory List
Appendix H Hot Work Permit
Appendix I Confined Space Entry Permit
Appendix J Excavation Permit
Appendix K Notice to Commence Steel Erection
Appendix L Daily Scaffold Safety Inspection Report
Appendix M Work Site Safety Inspection Form
Appendix N Voluntary Use of a Disposable Respirator
Appendix O Lockout/Tagout Checklist
Appendix P Annual Inspection Lattice and Telescoping Boom Crane
Appendix Q Monthly Inspection Lattice and Telescoping Boom Crane
Appendix R Daily Inspection Lattice and Telescoping Boom Crane
Appendix S Crane Maintenance Checklist
Appendix T Critical Lift Checklist
Appendix U Tower Crane Checklist
Appendix V Lift Plan Example
Appendix W Soil Bearing Chart
Appendix X Pre-Demolition Survey
Appendix Y Safety Deviation Ticket

67
Appendix A: Subcontractor Monthly Incident Summary Report

Project:
Subcontractor Name:

Sub-Tier Subcontractor To:

Reporting
Month: Year:
Period:

This form must be submitted to Skanska no later than the 5th of each month. It is to be
submitted even if no accidents occurred.

Note: Subcontractors that fail to submit this report may not receive payment.

Directions: Report all injuries, no matter how minor as indicated below! When reporting number of OSHA
recordable medical cases that had lost work days, enter number of calendar days away from work (do not count
first day of injury, but the weekends must be counted). Carry over days from a previously reported lost time
case where the worker is still off work in this reporting period. Report the number of OSHA recordable medical
cases that had restricted or light duty work and the total number of calendar days or restricted or light duty (do
not count the first day of injury, but the weekend must be counted). Carry over days from a previously reported
restricted or light duty case where the worker is still on restricted or light duty. Report number of first aid only
cases for period as well.

Man- Medical Restricted Days of

First Aid Lost Time Days
hours Treatment Work Restricted
Injuries Injuries Lost
Worked Only Injuries Work

Month

YTD

Person Making Phone Number:

Report:

68
Appendix B: General Safety Work Practices Poster
Clean and safe working conditions are absolutely essential for achieving an Injury Free Environment, as well as
for the promotion of construction efficiency and progress. Each worker on this project is valued not only for
what they do, but for who they are. Everyone must maintain a strong personal desire to think and act safely, in
an effort to create an Injury Free Environment. The following general safe work rules are a partial list of the
general rules that apply to each worker on this project. There will be no tolerance for any worker who carelessly
or callously disregards these rules or other applicable health and safety rules.

1. It is the responsibility of each worker to perform his/her assigned duties so as to provide:

a. Safety for themselves and their fellow worker
b. Protection of the general public and all other workers
c. Protection of equipment, materials and tools
2. Report all unsafe acts and conditions to supervision.
3. Report work related injuries or illnesses immediately to supervision.
4. Work only in conditions that appear to be safe.
5. Use proper fall protection when working six (6) feet or greater above the surface.
6. Wear the minimum personal protective equipment (hardhat, safety glasses, shirt, trousers, and work
boots).
7. Use tools and equipment properly. Remove damaged or defective tools and equipment from service.
8. Lock out and tag equipment, machinery, and/or systems prior to working on them.
9. Maintain clean and orderly work areas.
10. Operate tools and equipment with proper guards and safety devices in place.
11. Request instruction from supervision when unsure as to the safe performance or procedures.
12. Obtain authorization and training prior to entering a confined space.
13. Operate equipment, machinery or any specialty tool (e.g. powder-actuated tools) only with proper
training and authorization.
14. Wear eye and face protection when cutting, welding, grinding, chipping, or performing other tasks
where the danger of flying debris exists.
15. Use safe lifting techniques when required to lift material or other loads.
16. Wear respiratory protection when the task or work area requires it.
17. Ride vehicles only in the cab with proper restraining devices.
18. No worker will be under the influence of drugs/alcohol or engage in any horseplay, fighting or gambling
of any form.
19. Observe and comply with covered, barricaded, taped, or flagged areas. Do not remove, cross, or enter
without proper authorization and protection.
20. No worker will intentionally discharge or remove fire-fighting equipment.
21. Radios and other audio distractions are not allowed in any work area.

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Appendix C: Incident Notification Form
Date of Incident: Date Incident Reported:
Employer Type: (Circle) Skanska Subcontractor Vendor/Supplier General Public
Description of Incident:

How could the incident have been prevented?

Project Information
Project Name: Project Number:
Operations Lead: Account Manager:
Safety Director: Home Office:

Injured Employee Information

First Name: Last Name: Middle Initial:

Home Phone: Date of Birth: Primary Language: Marital Status (Circle)

Married
Single
Other Phone: Craft /Position / Hire Date / ID Number:
Divorced
Widowed
Shift: Title: Separated
Company Name: Phone Number:
Address: City: State: Zip:

Supervisor Name: Supervisor Phone:

OSHA Recordable: yes / no Body Part Injured:
Side of Body Injured: Prescriptions Given: yes / no
Work Restrictions: yes / no Restricted Days Lost: yes / no
Lost Days: yes / How many days? Physician/Hospital Name, Address & Phone Number
no
Investigator Contact Information
Name:
Phone:

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Appendix D: Safety Training Roster
Project Name: Project Location:

Course:
Date: Presented by:

Name Signature
This is to certify that I, the undersigned, have attended this Skanska Safety Training course and understand the contents presented during the program.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

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 Appendix E: Guard Rail Removal Permit
Work will not be performed until form is approved by a Skanska representative!
Contact Information:

Contractor: Date:

Foremans Name: Foreman Phone #:

Write out specific Location N, S, E, W, NW, SW, etc.)

Include yard line (if known), Level (Level 1, Level 2, Suite A, Concourse 1 etc.)

Location Level

Employee(s) Performing Work:

Name Name Signature

Considerations:

Reason for Cable being dropped/removed? Amount of time Cable will be down?
Number of Spans being affected? What other contractors are working in the area?
Total Length of Cable affected? How will you continually notify other contractors?

Fall Protection Plan: yes no

Does your company have a fall protection Program?
Have workers performing work been trained in Fall Protection?
Has Fall Protection Plan been put in place?
Will workers be tied off if within six (6) feet of down cable?
Describe how workers will be tied off:
Describe how the other trades will be protected from the fall hazard:

If No is answered to any of the above questions then the Skanska EHS Department must be contacted
for review prior to guardrail removal
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Appendix F: Daily Pre-Task Safety Plan
Subcontractor: Job Name:
Foreman Name: Task Description:
Date:

List All the Steps of the Job Identify All Specific Hazards Found How Will You Control the Hazards?
(Use additional paper if needed)

Use the Back of this Form to List Any Additional Steps and Other Information
Hazard Identification Tips Hazard Evaluation Tips Hazard Control Tips
What permits are required for this task? Use the following categories to assist you in a proper evaluation of all the hazards Use the following categories to assist you in determining the proper control methods for all the hazards that
Confined Space Hot Work Lockout/Tagout that have been identified. Can any of the following conditions occur with the hazards have been identified and evaluated.
Other: _________________________________________________ that have been identified? Ventilation of exposure area Change of work methods
Will the removal of an existing guardrail or means of fall protection be required for this Isolation of hazard from worker Good work practices
work? Contacting Temperature Extremes Struck By Substitution of hazard with less severe one Personal protective equipment
Yes No Contacting Electrical Current Struck Against Elimination of hazard Other
Environmental/Airborne Release Fall/Slip/Trip
Is there a potential fire, explosion, toxic or radioactive release hazard? Moving Object/Equipment Caught In/Between
Yes No Hazardous Substance Material Handling Housekeeping
Obstruction/Interference Other
Are there any MSDSs that might need reviewed for hazardous substances that might Was site cleaned up and secured after work?
be present on the job site? YES NO
Yes No
Evacuation Route Signatures
What is your evacuation route and assembly point?
Superintendent:

Foreman: General Foreman:

Emergency Numbers
Emergency Phone: Crew Members:
Emergency Radio: Use back of form if
Fire: additional space is
required
Other:

73
Appendix G: Master Chemical & Substance Inventory List
Subcontractor: Date of Update:
Date Brand Name Manufacturer Chemical Name

74
Appendix H: Hot Work Permit

*Merck Hot Work Permits shall be used on this project

75
Appendix I: Confined Space Entry Permit

*Merck Confined Space Permits shall be used on this project

76
Appendix J: Excavation Permit

*Merck Excavation Permits shall be used on this project

77
Appendix K: Notice to Commence Steel Erection
Project name:
Steel Erector Subcontractor:
Contact Name:
Address:
Skanska is hereby authorizing you to commence steel erection activities with the following notifications:

Concrete in footings, piers, and walls, and mortar in

masonry piers and walls has attained, based on the
Name of testing agency:
appropriate ASTM standard test for field cured
samples either 75% of the intended minimum
Attached testing reports:
compressive strength or sufficient strength to
support the loads imposed during steel erection.
Repairs or modifications were made to anchor Approval by: (Structural Engineer of Record):
rods/bolts: Yes No Approval in writing? Yes No (attach)
Date approved:
Locations of repairs/modifications: As built drawings available? Yes No
You are notified of your responsibility to: (initial each)

Indicate to Skanska what material laydown areas are needed, and intended routes of transferring Initials:
materials. Only those designated laydown areas will be utilized, and Skanska responsibility to maintain
laydown areas will be limited to those that are designated.
Preplan all overhead hoisting operations to prevent traveling loads over other contractor personnel, and
to coordinate hoisting activities with Skanska and other contractors to minimize impacts on other
operations.
Provide a written site specific erection plan if any part of your operations will deviate from the published
OSHA Standard 29 CFR 1926.752(e).
Conduct documented daily inspections of all cranes, forklifts, and other hoisting equipment utilized in
steel erection activities.
Designate a qualified trained rigger(s) to inspect all rigging equipment (Submit record of training)
Name of qualified rigger:
Maintain on the project written proof of training for all employees engaged in connecting, bolt-up,
multiple lift rigging procedures, exposure to falls, equipment operation, and as required by any other
specific standard.
Assure that all columns are properly anchored by a minimum of 4 anchor bolts.
Maintain and require the use of fall protection equipment for all employees exposed to fall elevations of 6
feet or greater as directed in the project Incident Prevention Program.
Properly install perimeter guardrail systems on all exterior and interior leading edges consisting of a top
rail and mid rail meeting the requirements of 29 CFR1926.502 (b)(1-15)
Maintain required fire protection/prevention equipment appropriate to the type of work operation and
hazards involved.
Meet all other requirements of the Skanska Incident Prevention Program, Published OSHA Standards,
and the requirements of local regulations.

Skanska Project Manager/Superintendent Steel Erector Subcontractor

78
Appendix L: Daily Scaffold Safety Inspection Report
Inspection by: Date:
(Must Be a Competent Person)
Company Name: Time:
Project Name: Project #:
Scaffold Location:
Inspection Criteria

Yes No N/A Action Taken

1. Are 2x10 mud sills and base plates used?
2. If CMU piers are used for footings are they poured solid?
3. Are all components free of damage?
4. Are scaffold frames plumb and level?
5. Are scaffold frames pinned together to prevent displacement?
6. Are cross braces used at all locations?
7. Are frames and braces compatible?
8. Are all working levels fully planked (Max. 1 gap between planks)?
9. Are all platforms at least 18 wide?
10. Is the work platform not more than 14 from the wall?
11. Do all planks overlap their end supports 6-12?
12. Are scaffold planks free of damage, splits, etc.?
13. Are scaffolds secured to the structure once the scaffold is 4 times
as high as it is wide including guardrails?
14. Are scaffold ties repeated every 26 vertically after the first set of ties?
15. Where scaffold ties are required are they installed at both ends of the
scaffold and at 30 max. intervals between ends?
16. Is a safe means of access provided to all scaffold platforms more
than 2 high? (Extension ladders, attachable ladders, stairs or integral
ladder access frames must be used.)
17. Does the ladder extend 3 above the platform?
18. Are ladders secured to prevent displacement?
19. Are ladders installed as scaffold is erected to provide access
for erectors?
20. Are scaffolds at safe distances from power lines?
21. Are tag lines used when hoisting loads onto scaffolds with cranes?
22. Are guardrails installed on all platforms over 6 high?
23. Is the top rail between 3845 high and capable of supporting 200 lbs?
24. Are midrails capable of supporting 150 lbs.?
25. Where cross bracing is used as a midrail is the crossing point of the
brace between 20 30 above the work platform?
26. Where cross bracing is used as a top rail is the crossing point of the
brace between 38 48 above the work platform? (cross bracing cannot serve as both top rail and midrail)
27. Are platforms kept clear of unnecessary material and debris?
28. Are all material platforms equipped w/ toeboards?
29. Are all areas below and around scaffolds barricaded to prevent workers
from walking under scaffolds?
30. Are canopies erected when workers must pass under scaffolds?
31. Are all scaffolds that are incomplete tagged Danger Do Not Use?
32. Are all damaged components removed from service and tagged
Danger Do Not Use?
33. Are there legible scaffold tags at each access point?
34. Is the tag proper for the scaffold condition? (red, yellow, or green)
Signatures

Competent Persons Signature Date:

Superintendents Signature: Date:

79
Appendix M: Work Site Safety Inspection Form

*Merck GES Safety Inspection Forms shall be used on this project

80
Appendix N: Voluntary Use of a Disposable Respirator

I __________________________________________ am requesting to use a disposable paper filter respirator,

also known as a Dust Mask for my personal comfort.

I will be performing the following work task: (Example Sweeping Floor, etc.)

I clearly described the task I am to perform to my supervisor or safety coordinator and upon evaluating the task
they determined I should not be exposed to a hazardous chemical or substance.

I have been supplied the following Dust Mask:

Brand: Model:

I understand that the disposable dust mask is for personal comfort and not intended to protect me from a
hazardous chemical or substance. I further understand the voluntary use is limited to the task described above.
Please read the following:

Appendix D to Sec. 1910.134 (Mandatory) Information for Employees Using Respirators When Not Required Under the Standard
Respirators are an effective method of protection against designated hazards when properly selected and worn. Respirators use is
encouraged, even when exposures are below the exposure limit, to provide an additional level of comfort and protection for workers.
However, if a respirator is used improperly or not kept clean, the respirator itself can become a hazard to the worker. Sometimes, workers
may wear respirators to avoid exposures to hazards, even if the amount of hazardous substances does not exceed the limits set by OSHA
standards. If your employer provides respirators for your voluntary use, or if you provide your own respirator, you need to take certain
precautions to be sure that the respirator itself does not present a hazard.
You should do the following:
1. Read and heed all instructions provided by the manufacturer on use, maintenance, cleaning and care, and warnings regarding the
respirators limitations.
2. Choose respirators certified for use to protect against the contaminant of concern, NIOSH, the National Institute for Occupational
Safety and Health of the U.S. Department of Health and Human Services certifies respirators. A label or statement of certification
should appear on the respirator or respirator packaging. It will tell you what the respirator is designed for and how much it will protect
you.
3. Do not wear your respirator into atmospheres containing contaminants for which your respirator is not designed to protect against. For
example, a respirator designed to filter dust particles will not protect you against gases, vapors, or very small solid particles of fumes or
smoke.
4. Keep track of your respirator so that you do not mistakenly use someone elses respirator.

I have read the above section from the OSHA standard for respiratory protection and understand its
content. I further understand that I am responsible for the care, maintenance/upkeep, and proper
storage of this respirator. Instructions on the proper wear were made available to me.

Signature: Date:

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Appendix O: Lockout/Tagout Checklist to be used in conjunction with Merck
HECP
Name of Contractor(s): Scope of Work:

Temporary Electrical Service

Permanent Electrical Service

Mechanical Work

Other ___________________________________
Name of Contractors On Site Supervisor :

Date of Coordination Meeting: Date(s) LO/TO Will Be In Affect:

Electrical hazards and many forms of stored energy are unique in that there are very few properties that warn of
their presence. The goal of this Checklist is to minimize the circumstances where electrical workers and
others are exposed to the deadly hazards associated with stored energy.
This Checklist shall be used to identify and/or review the following:
 Scope of work that requires LO/TO,
 Identify circumstances and/or locations where electrical hot work or other hot taps cannot be avoided, and
 Identify the procedures and safety precautions that will be followed in the event hot work or a hot tap must
proceed.
The contents of this Checklist shall be reviewed with all affected contractor employees and Skanska personnel.

Name of Meeting Attendees: Title/Responsibility:

1. Does the Owner or host employer have a LO/TO Permit or LO/TO requirements? Yes No
2. Has a project specific safety plan or Job Hazard Analysis (JHA) been developed by the Yes No
contractor(s) doing the work?
3. What type of energy sources or systems will be worked on and/or need to be isolated and locked out?
(Check all that apply)

Type of System LO/TO Required? (Check One)

Yes No N/A
 Electrical
 High volt (> 480 v)
 Low volt (< 480 v)
 Mechanical
 Hydraulic/Steam
 Pneumatic
 Chemical
 Other

82

Appendix O: Lockout/Tagout Checklist

 4. Are other contractors or entities affected by this lockout? Yes No
If yes please Identify:

5. Identify the companies and individuals who will responsible for leading the Lockout-Tagout program for
their employer. These individuals must be on site for the duration of the lockout-tagout in most
circumstances.

Name of Contractor Name of Individual

Check here if Skanska will be participating in locking out the affected system(s).

Safety Equipment and Procedures Checklist

A. Will the work proceed in a flammable or Class I atmosphere? YES NO
If no, continue to item B. If Yes, check all safety equipment that
will be used.

Non sparking tools

Intrinsically safe lights, tools, radios, etc.

Non static charging clothing or shoes

LEL Monitor

B. Will other trades be working in the immediate vicinity of live circuits or

otherwise be affected or exposed to the hazards of the activity? YES NO

If Yes, describe safety precautions that must be taken to protect affected workers:
_________________________________________________________________________________________
_________________________________________________________________________________________

C. Check the safety equipment or procedures that will be followed to protect the safety of the workers
conducting live work (hot taps, working on energized circuits, etc):

Safety glasses with side
Electrical blankets
Gloves (electrical, hot work,
shields and/or face shield or chemical resistant?)

Hard hat (regular or high
Blankets for hot work
Insulating mats
volt?)

Leathers or heat resistant
Chemical resistant clothing
Barricades around the work
clothing area

Insulating tools
Air monitor
Retrieval equipment

Low volt lighting
Harness and lanyard
Locks and Tags

D. To be completed by the employer(s) completing the work: If work is to proceed on live, energized,
charged, or otherwise operating systems, describe why work cannot proceed in a locked-out or de-
energized state.
83

Appendix O: Lockout/Tagout Checklist

Appendix P: Follow West Point Safety Procedure 49 along with Annual
Inspection Forms and state inspection form Lattice & Telescoping Boom
Lattice Boom Crane Periodic (Annual) Inspection
Date: Location: Service Status:
Make: Model: Serial Number:
Unit ID Number: Max. Capacity: Date of Manufacturer:
Inspector: Title: Inspector Certification
Number:
Before inspection crane, lockout/tagout power source
Consult Operator / Service Manual for additional inspection items, service bulletins, and other service information
Before inspection and operating, crane, crane must be set up away from power lines and leveled.
References: O OSHA 1926.550, 101-.180, ANSI B30.5 (1968)
A ANSI / ASME B30.5 (1995)
C New York City Cranes & Derricks (1996)
Status S Satisfactory Recommendation
D Deficiency Not Applicable
Item Status Item Status
1. Historical Data 5. Operators Cab & Station (cont)
1.1 Monthly Inspection Records 5.7 Fire Extinguisher
1.2 Maintenance Records 5.8 Mirrors
1.3 Repair/Modification Records 5.9 Seat Restraint
1.4 Load Test Reports 5.10 Seat Belt
1.5 NYC Cranes & Derricks Certificate 5.11 Operators Manual
1.6 Other 5.12 Operating Instructions / Decals
5.13 Electrocution Warning Sign(inside)
2. General 5.14 Hand Signal Chart
2.1 Sheet Metal 5.15 Swing Brake
2.2 Guards / Covers 5.16 Positive Swing Lock
2.3 External Lights 5.17 Controls-Forces / Movements
2.4 Housekeeping 5.18 Air Pressure
2.5 Safety / Warning Decals & Labels 5.19 Foot Brakes Latches / Linkage
2.6 Hand Signal Chart (outside) 5.20 Power Controlled Lowering
2.7 Paint Condition / Corrosion Control 5.21 Engine Clutch
2.8 Other 5.22 Accelerator / Throttle Control
2.9 Other 5.23 Other
5.24 Other
3. Power Plant
3.1 Performance 6. Load Chart
3.2 Exhaust System/Guards & Insulators 6.1 Per Configuration
3.3 Belts / Hoses Condition 6.2 Durable
3.4 Guards/CoversRotate & Recip Parts 6.3 Legible
3.5 Other 6.4 Visible from Operators Station
6.5 Secured
4. Crawler Assembly 6.6 Other
4.1 Car Body / Side Frames
4.2 Chain Condition / Adjustment 7 Safety Devices/ Operational Aids
4.3 Sprockets / Idlers / Rollers 7.1 Warning Devices
4.4 Track Pads / Pins 7.2 Boom Angle Indicator
4.5 Travel Locks 7.3 Boom Length Indicator
4.6 Steering Clutches 7.4 Main Drum Rotation Indicator
4.7 Other 7.5 Aux. Drum Rotation Indicator
4.8 Other 7.6 Load Moment Indicator
7.7 Load Weight Indicator
5. Operators Cab and Station 7.8 Radius Indicator

84

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

5.1 Grab Rails / Steps / Platforms 7.9 Crane Level Indicator
5.2 Anti-Skid Surface 7.10 Anti-Two Block Device
5.3 Protection from Weather 7.11 Two Block Warning Device
5.4 Window Glass 7.12 Boom Hoist Shut Off
5.5 Windshield Wiper(s)
5.6 Door Restraint

8. Rotating Upper Structure 9.4 Outer Ball / Equalizer

8.1 Turntable / Bearing 9.5 Sheaves
8.2 Turntable Rollers / Roller Path 9.6 Boom Hoist Reeving
8.3 Ring Gear / Pinion Gear 9.7 Other
8.4 Hydraulic Pump(s)
8.5 Hydraulic Hoses / Tubes / Fittings 10. Boom
8.6 Hydraulic Pressure 10.1 Boom Selection Identification
8.7 Electrical Wiring 10.2 Boom Section Sequence
8.8 Main Hoist Motor / Valves / Lines 10.3 Boom Section Alignment
8.9 Main Hoist Clutches / Brakes 10.4 Warning Decals
8.10 Main Hoist Wrapping on Drum 10.5 Spreader Bar
8.11 Main Hoist Min. 2 Rope Wraps 10.6 Sheaves
8.12 Aux. Hoist Motor / Valves & Lines 10.7 Hoist Line Dead End
8.13 Aux. Hoist Clutches / Brakes 10.8 Wire Rope Retainer(s)
8.14 Aux. Hoist Wrapping on Drum 10.9 Boom Foot Pins / Keepers
8.15 Aux. Hoist Min. 2 Rope Wraps 10.10 Boom Head Section
8.16 Boom Hoist Motor / Valves & Lines 10.11 Auxiliary Boom Head
8.17 Boom Hoist Clutches / Brakes 10.12 Lattice Members
8.18 Boom Hoist Wrapping on Drum 10.13 Cord Members
8.19 Boom Hoist Minimum 2 Rope Wraps 10.14 End Connections / Pins
8.20 Boom Hoist Gears / Shafts / Etc 10.15 Lift Cylinder(s)
8.21 Swing System / Assembly 10.16 Telescoping Cylinder(s)
8.22 Hydraulic Motors / Valves / Lines 10.17 Hydraulic Hoses/Tubing & Fittings
8.23 Drums / Flanges 10.18 Holding Device (check valve)
8.24 Clutch / Brake Protection 10.19 Wear Pads
8.25 Torque Converter 10.20 Equal Extension
8.26 Anti-Skid Surface 10.21 Boom Hinge Pin
8.27 Steps / Hand Holds / Platforms 10.22 Structure
8.28 Access to Cab and Roof 10.23 Other
8.29 Air System Compressor / Lines etc 10.24 Other
8.30 Counterweight & Mounting
8.31 Counterweight Warning Sign 11. Jib
8.32 Electrocution Warning Sign (outside) 11.1 Positive Stops
8.33 House Lock 11.2 Sheave(s)
8.34 Frame 11.3 Wire Rope Retainer(s)
8.35 Swing Gear Box 11.4 Lattice Members
11.5 Cord Members
9. Boom Support System 11.6 End Containers / Pins
9.1 Gantry / Mast 11.7 Other
9.2 Boom Stops
9.3 Inner Ball

12. Wire Rope

Rope Rope Measured Broken End
Type Size Construction Grade Core Lubrication Status
Application Damage Wear Wires Connections
Main Hoist

85

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

 Drum
Aux. Hoist
Drum
Boom
Hoist
Drum
Boom
Pendants
Jib
Pendants

13. Main Load Block & Hook 14. Overhaul Ball & Hook
Manufacturer: Manufacturer:
Rated Capacity: Rated Capacity:
Block Weight: Block Weight:
Original Hook Throat Opening: Original Hook Throat Opening:

13.1 Capacity Marking 14.1 Capacity Marking

13.2 Weight Marking 14.2 Weight Marking
13.3 Sheaves 14.3 Safety Latches
13.4 Safety Latches 14.4 10 Degree Hook Twist
13.5 10 Degree Hook Twist 14.5 15% Hook Throat Opening
13.6 15% Hook Throat Opening 14.6 10% Hook Wear
13.7 10% Hook Wear 14.7 Swivel
13.8 Swivel 14.8 Bearing
13.9 Bearing 14.9 Wedge Socket / End Fitting
13.10 Wedge Socket / End Fitting 14.10 NDT Results
13.11 Reeving 14.11 Other
13.12 NDT Results 14.12 Other
13.13 Other 14.13 Other

15. No-Load Operational Test

ITEM Status Caution: Operation of cranes by Safety Department
inspectors shall be limited to those crane functions necessary
15.1 No-Load Operational Test to accomplish the inspection.
Inspectors must be qualified as outlined in ANSI/ASME B30.5

16. Load Test

Hoisting Boom / Ext. Load Boom Angle Parts of Rated Test Weight % of Rated
From: / Jib Length Radius Line Capacity Capacity
Main Boom

Jib

Item Status
Load Test Results Passed Failed N/A
Explanation:

86

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

Deficiency/Recommendation Report

The following corrective action(s) (repairs, adjustments and replacement parts, etc.) are to be performed by a
qualified person in accordance with all manufacturers instructions, specifications and requirements. OSHA
requires that any deficiency (d) be repaired or defective parts replaced before continued use.

Recommendation(s) (R) should be considered for corrective action. The advisability of a particular
recommendation depends on the facts of each situation. Any corrective action(s) is to be performed by a
qualified person in accordance with all manufacturers recommendations, specifications and requirements.

D = Deficiency R = Recommendation

D/R Item # Explanation/Corrective Action Date Corrected

Crane Inspector Project / Equipment Manager

87

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

Project Name: __________________________ Project No. _______________ Date_________

88

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

Telescoping Boom Crane Periodic (Annual) Inspection
Date: Location: Service Status:
Make: Model: Serial Number:
Unit ID Number: Max. Capacity: Date of Manufacturer:
Inspector: Operator: Inspection Interval: Annual/ monthly
Before inspection crane, lockout/tagout power source
Consult Operator / Service Manual for additional inspection items, service bulletins, and other service information
Before inspection and operating, crane, crane must be set up away from power lines and leveled.
References: O OSHA 1926.550, 1910-.180, PCSA#2, ANSI B30.5(1968)
A ANSI / ASME B30.5 (1998), PCSA#4
C NYC RS 19-2 (1996)
Status S Satisfactory D Deficiency
R Recommendation N Not Applicable
Item Status Item Status
1. Historical Data 5. Outriggers
1.1 Monthly Inspection Records 5.1 Boxes
1.2 Maintenance Records 5.2 Beams
1.3 Repair/Modification Records 5.3 Cylinders
1.4 Load Test Reports 5.4 Floats / Pads
1.5 NYC Cranes & Derricks Certificate 5.5 Hydraulic Hoses / Tubing / Fittings
1.6 Other 5.6 Holding Valves
5.7 Position Locks
2. General 5.8 Warning Signs
2.1 Sheet Metal 5.9 Other
2.2 Guards / Covers
2.3 External Lights 6 Operators Cab & Station
2.4 Housekeeping 6.1 Grab Rails / Steps / Platforms
2.5 Safety / Warning Decals & Labels 6.2 Anti-Skid Surface
2.6 Electrocution Warning Chart (outside) 6.3 Protection from Weather
2.7 Hand Signal Chart (outside) 6.4 Window Glass
2.7 Paint Condition / Corrosion Control 6.5 Windshield Wiper(s)
2.8 License Plates 6.6 Door Restraint
2.9 Other 6.7 Fire Extinguisher
6.8 Mirrors
3. Power Plant 6.9 Seat Restraint
3.1 Performance 6.10 Seat Belt
3.2 Exhaust System/Guards & Insulators 6.11 Operators Manual
3.3 Belts / Hoses Condition 6.12 Controls Clearly Identified
3.4 Guards/CoversRotate & Recip Parts 6.13 Operating Instructions / Decals
3.5 Other 6.14 Electrocution Warning Sign (inside)
6.15 Hand Signal Chart
4. Carrier 6.16 Parking Brake
4.1 Transmission Function 6.17 Swing Brake
4.2 Drive Line Function 6.18 Positive Swing Lock
4.3 Main Frame Members 6.19 Controls Forces / Movements
4.4 Hydraulic Hoses / Tubing / Fittings 6.20 Accelerator / Throttle Control
4.5 Hydraulic Fluid Level 6.21 Air Pressure
4.6 Anti-Skid Surface 6.22 Hydraulic Leaks
4.7 Backup Alarm 6.23 Horn / Warning Device
4.8 Tires / Wheels Condition 6.24 Electrical Access Panels Covered
Front Left: Size- Press- 6.25 Other
Front Rt: Size- Press-
Back Left: Size- Press- 7. Load Chart
Back Rt: Size- Press-
4.9 Tire Size & Pressure per Load Chart 7.1 Per Configuration
7.2 Durable & Legible

89

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

 7.3 Visible from Operators Station
7.4 Secured
7.5 75% of Tipping
8. Safety Devices/ Operational Aids 10. Main Boom
8.1 Boom Angle Indicator 10.1 Lift Cylinder(s)
8.2 Boom Length Indicator 10.2 Telescoping Cylinder(s)
8.3 Main Drum Rotation Indicator 10.3 Hydraulic Hoses/Tubing & Fittings
8.4 Aux. Drum Rotation Indicator 10.4 Holding Device (check Valve)
8.5 Load Moment Indicator 10.5 Boom Sections Alignment
8.6 Load Weight Indicator 10.6 Wear Pads
8.7 Radius Indicator 10.7 Equal Extension
8.8 Crane Level Indicator 10.8 Sheaves
8.9 Anti-Two Block Device 10.9 Hoist Line Dead End
8.10 Overload Indicator 10.10 Wire Rope Retainer
10.11 Boom Hinge Pins
9. Rotating Upper Structure 10.12 Boom Head Section
9.1 Turntable 10.13 Auxiliary Boom Head
9.2 House Lock 10.14 Structure
9.3 Frame 10.15 Other
9.4 Hydraulic Pump(s)
9.5 Hydraulic Hoses / Tubes / Fittings 11. Manual / Pinned Section
9.6 Hydraulic Pressure 11.1 Alignment
9.7 Electrical Wiring 11.12 Locking Device
9.8 Main Hoist Motor / Valves / Lines 11.13 Structure
9.9 Main Hoist Wrapping on Drum 11.14 Other
9.10 Main Hoist Minimum 2 Rope Wraps
9.11 Aux. Hoist Motor / Valves & Lines 12. Lattice Boom Extension
9.12 Aux. Hoist Wrapping on Drum 12.1 Boom Extension Alignment
9.13 Aux. Hoist Minimum 2 Rope Wraps 12.2 Cords
9.14 Counterweight / Mounting 12.3 Lattices
9.15 Swing Gear Box 12.4 End Connections
9.16 Electrocution Warning Sign (Outside) 12.5 Storage Device
9.17 Counterweight Warning Sign 12.6 Sheave(s)
9.18 Other 12.7 Wire Rope Retainer
9.19 Other 12.8 Structure
12.9 Other

13. Jib
13.1 Positive Stops
13.2 Sheave(s)
13.3 Wire Rope Retainer(s)
13.4 Structure
13.5 Other

15.. Wire Rope

Rope Orig Rope Measured Broken End
Type Construction Grade Core Lubrication Status
Application Size Damage Wear Wires Connections
Main Hoist

Aux. Hoist

90

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

13. Main Load Block & Hook 14. Overhaul Ball & Hook
Manufacturer: Manufacturer:
Rated Capacity: Rated Capacity:
Block Weight: Block Weight:
Original Hook Throat Opening: Original Hook Throat Opening:

13.1 Capacity Marking 14.1 Capacity Marking

13.2 Weight Marking 14.2 Weight Marking
13.3 Sheaves 14.3 Safety Latches
13.4 Safety Latches 14.4 10 Degree Hook Twist
13.5 10 Degree Hook Twist 14.5 15% Hook Throat Opening
13.6 15% Hook Throat Opening 14.6 10% Hook Wear
13.7 10% Hook Wear 14.7 Swivel
13.8 Swivel 14.8 Bearing
13.9 Bearing 14.9 Wedge Socket / End Fitting
13.10 Wedge Socket / End Fitting 14.10 NDT Results
13.11 Reeving 14.11 Other
13.12 NDT Results
13.13 Other

15. No-Load Operational Test

ITEM Status Caution: Operation of cranes by Safety Department inspectors
shall be limited to those crane functions necessary to
15.1 No-Load Operational Test accomplish the inspection.
Inspectors must be qualified as outlined in ANSI/ASME B30.5

16. Load Test

Hoisting From: Boom / Ext. / Load Boom Parts of Rated Test % of Rated
Jib Length Radius Angle Line Capacity Weight Capacity
Main Boom
Jib
Boom Extension
Jib

ITEM STATUS
Load Test Results PASSED FAILED N/A
Explanation:

91

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

Deficiency/Recommendation Report

The following corrective action(s) (repairs, adjustments and replacement parts, etc.) are to be performed by a qualified
person in accordance with all manufacturers instructions, specifications and requirements. OSHA requires that any
deficiency (d) be repaired or defective parts replaced before continued use.

Recommendation(s) (R) should be considered for corrective action. The advisability of a particular recommendation
depends on the facts of each situation. Any corrective action(s) is to be performed by a qualified person in accordance
with all manufacturers recommendations, specifications and requirements.

D = Deficiency R = Recommendation

D/R Item # Explanation/Corrective Action Date Corrected

Crane Inspector Project / Equipment Manager

Project Name: __________________________ Project No. _______________ Date_________

92

Appendix P: Annual Inspection Forms Lattice & Telescoping Boom

Appendix Q: Monthly Inspection Forms Lattice & Telescoping Boom
Lattice Boom Crane Frequent (Monthly) Inspection Checklist
Date: Location: Service Status:
Make: Model: Serial Number:
Unit ID Number: Max. Capacity: Date of Manufacturer:
Inspector: Operator: Superintendent:
Before inspection crane, lockout/tagout power source
Consult Operator / Service Manual for additional inspection items, service bulletins, and other service information
Before inspection and operating, crane, crane must be set up away from power lines and leveled.

References: O OSHA 1926.550, 101-.180, ANSI B30.5 (1968)

A ANSI / ASME B30.5 (1995)
C New York City Cranes & Derricks (1996)
Status S Satisfactory R Recommendation
D Deficiency N Not Applicable
Item Status Item Status
1. Historical Data 5. Operators Cab & Station (cont)
1.1 Daily Inspection Records 5.7 Fire Extinguisher
1.2 Maintenance Records 5.8 Mirrors
1.3 Repair/Modification Records 5.9 Seat Restraint
1.4 Load Test Reports 5.10 Seat Belt
1.5 NYC Cranes & Derricks Certificate 5.11 Operators Manual
1.6 Other 5.12 Operating Instructions / Decals
5.13 Electrocution Warning Sign(inside)
2. General 5.14 Swing Brake
2.1 Sheet Metal 5.15 Positive Swing Lock
2.2 Guards / Covers 5.16 Controls-Forces / Movements
2.3 External Lights 5.17 Air Pressure
2.4 Housekeeping 5.18 Foot Brakes Latches / Linkage
2.5 Safety / Warning Decals & Labels 5.19 Power Controlled Lowering
2.6 Hand Signal Chart (outside) 5.20 Engine Clutch
2.7 Paint Condition / Corrosion Control 5.21 Accelerator / Throttle Control
2.8 Other 5.22 Other
2.9 Other 5.23 Other

3. Power Plant 6. Load Chart

3.1 Performance 6.1 Per Configuration
3.2 Exhaust System/Guards & Insulators 6.2 Durable
3.3 Belts / Hoses Condition 6.3 Legible
3.4 Guards/CoversRotate & Recip Parts 6.4 Visible from Operators Station
3.5 Other 6.5 Secured
6.6 Other
4. Crawler Assembly
4.1 Car Body / Side Frames 7 Safety Devices/Operational Aids
4.2 Chain Condition / Adjustment 7.1 Warning Devices
4.3 Sprockets / Idlers / Rollers 7.2 Boom Angle Indicator
4.4 Track Pads / Pins 7.3 Boom Length Indicator
4.5 Travel Locks 7.4 Main Drum Rotation Indicator
4.6 Steering Clutches 7.5 Aux. Drum Rotation Indicator
4.7 Other 7.6 Load Moment Indicator
Other 7.7 Load Weight Indicator
7.8 Radius Indicator
5. Operators Cab and Station 7.9 Crane Level Indicator
5.1 Grab Rails / Steps / Platforms 7.10 Anti-Two Block Device

93

Appendix Q: Monthly Inspection Forms - Lattice & Telescoping Boom

 5.2 Anti-Skid Surface 7.11 Two Block Warning Device
5.3 Protection from Weather 7.12 Boom Hoist Shut Off
5.4 Window Glass 7.13 Boom Hoist Ratchet and Pawl
5.5 Windshield Wiper(s) 7.14 Other
5.6 Door Restraint
8. Rotating Upper Structure 10. Jib
8.1 Hydraulic Hoses/Tubes/Fittings 10.1 Positive Stops
8.2 Electrical Wiring 10.2 Sheave(s)
8.3 Main Hoist Clutches / Brakes 10.3 Wire Rope Retainer(s)
8.4 Main Hoist Wrapping On Drum 10.4 Lattice Members
8.5 Main Hoist Min. 2 Rope Wraps 10.5 Cord Members
8.6 Aux. Hoist Motor, Valves & Lines 10.6 End Containers / Pins
8.7 Aux. Hoist Clutches / Drums 10.7 Other
8.8 Aux. Hoist Wrapping on Drum Visual (Unable to lay boom down)
Physical (Able to lay boom down)
8.9 Aux. Hoist Min. 2 Rope Wraps 11. Main Load Block & Hook
8.10 Boom Hoist Motor, Valves & Lines Manufacturer:
8.11 Boom Hoist Clutches / Brakes Rated Capacity:
8.12 Boom Hoist Wrapping on Drum Block Weight:
8.13 Boom Hoist Minimum 2 Rope Wraps Original Hook Throat Opening:
8.14 Swing System / Assembly
8.15 Anti-Skid Surface 11.1 Capacity Marking
8.16 Steps / Hand Holds / Platforms 11.2 Weight Marking
8.17 Access to Cab and Roof 11.3 Sheaves
8.18 Air System Compressor / Lines etc 11.4 Safety Latches
8.19 Counterweight and Mounting 11.5 10 Degree Hook Twist
8.20 Counterweight Warning Sign 11.6 15% Hook Throat Opening
8.21 Electrocution Warning Sign (outside) 11.7 10% Hook Wear
11.8 Swivel
9. Boom & Support System 11.9 Bearing
9.1 Boom Hoist Reeving 11.10 Wedge Socket / End Fitting
9.2 Hoist Line Dead End 11.11 Reeving
9.3 Wire Rope Retainer(s)
9.4 Boom Head Section 12. Overhaul Ball & Hook
9.5 Auxiliary Boom Head Manufacturer:
9.6 Hydraulic Hoses / Tubing & Fittings Rated Capacity:
9.7 Holding Device (check valve) Block Weight:
9.8 Other Original Hook Throat Opening:
Visual (Unable to lay boom down)
Physical (Able to lay boom down)
12.1 Capacity Marking
12.2 Weight Marking
12.3 Safety Latches
12.4 10 Degree Hook Twist
12.5 Swivel
12.6 Bearing
12.7 Wedge Socket / End Fitting

13. Wire Rope

Rope Rope Measured Broken End
Type Size Construction Grade Core Lubrication Status
Application Damage Wear Wires Connections
Main Hoist
Drum
Aux. Hoist
Drum

94

Appendix Q: Monthly Inspection Forms - Lattice & Telescoping Boom

 Boom Hoist
Drum
Boom
Pendants
Jib
Pendants

Deficiency/Recommendation Report

The following corrective action(s) (repairs, adjustments and replacement parts, etc.) are to be performed by a qualified
person in accordance with all manufacturers instructions, specifications and requirements. OSHA requires that any
deficiency (d) be repaired or defective parts replaced before continued use.

Recommendation(s) (R) should be considered for corrective action. The advisability of a particular recommendation
depends on the facts of each situation. Any corrective action(s) is to be performed by a qualified person in accordance
with all manufacturers recommendations, specifications and requirements.

D = Deficiency R = Recommendation

D/R Item# Explanation/Corrective Action Date Corrected

Crane Inspector Project / Equipment Manager

95

Appendix Q: Monthly Inspection Forms - Lattice & Telescoping Boom

Telescoping Boom Crane Frequent (Monthly) Inspection
Date: Location: Service Status:
Make: Model: Serial Number:
Unit ID Max. Capacity: Date of Manufacturer:
Number:
Inspector: Operator: Superintendent:
Before inspection crane, lockout/tagout power source
Consult Operator / Service Manual for additional inspection items, service bulletins, and other service information
Before inspection and operating, crane, crane must be set up away from power lines and leveled.

References: O OSHA 1926.550, 1910.180, PCSA#2, ANSI B30.5 (1968)

A ANSI / ASME B30.5 (1998)
C New York City RS 19-2 (1996)
Status S Satisfactory D Deficiency
R Recommendation N Not Applicable
Item Status Item Status
1. Historical Data 5. Outriggers
1.1 Daily Inspection Records 5.1 Boxes
1.2 Maintenance Records 5.2 Beams
1.3 Repair/Modification Records 5.3 Cylinders
1.4 Load Test Reports 5.4 Floats / Pads
1.5 NYC Cranes & Derricks Certificate 5.5 Hydraulic Hoses / Tubing / Fittings
1.6 Other 5.6 Holding Valves
5.7 Position Locks
2. General 5.8 Warning Signs
2.1 Sheet Metal 5.9 Other
2.2 Guards / Covers
2.3 External Lights 6 Operators Cab & Station
2.4 Housekeeping 6.1 Grab Rails / Steps / Platforms
2.5 Safety / Warning Decals & Labels 6.2 Anti-Skid Surface
2.6 Electrocution Warning Chart (outside) 6.3 Protection from Weather
2.7 Hand Signal Chart (outside) 6.4 Window Glass
2.7 Paint Condition / Corrosion Control 6.5 Windshield Wiper(s)
2.8 License Plates 6.6 Door Restraint
2.9 Other 6.7 Fire Extinguisher
6.8 Mirrors
3. Power Plant 6.9 Seat Restraint
3.1 Startup and Performance 6.10 Seat Belt
3.2 Exhaust System/Guards & Insulators 6.11 Operators Manual
3.3 Belts / Hoses Condition 6.12 Controls Clearly Identified
3.4 Guards/CoversRotate & Recip Parts 6.13 Operating Instructions / Decals
3.5 Other 6.14 Electrocution Warning Sign (inside)
6.15 Hand Signal Chart
4. Carrier 6.16 Parking Brake
4.1 Transmission Function 6.17 Swing Brake
4.2 Drive Line Function 6.18 Positive Swing Lock
4.3 Main Frame Members 6.19 Controls Forces / Movements
4.4 Hydraulic Hoses / Tubing / Fittings 6.20 Accelerator / Throttle Control
4.5 Hydraulic Fluid Level 6.21 Hydraulic Leaks
4.6 Anti-Skid Surface 6.22 Horn / Warning Device
4.7 Backup Alarm 6.23 Electrical Access Panels Covered
4.8 Tires / Wheels Condition 6.24 Other
Front Left: Size- Press- Front Rt: Size- Press-
Back Left: Size- Press- Back Rt: Size- Press- 7. Load Chart
4.9 Tire Size & Pressure per Load Chart Per Configuration
96

Appendix Q: Monthly Inspection Forms - Lattice & Telescoping Boom

 Durable & Legible
Visible from Operators Station
Secured
75% of Tipping
8. Safety Devices/ Operational Aids 12. Jib
8.1 Boom Angle Indicator 12.1 Positive Stops
8.2 Boom Length Indicator 12.2 Sheave(s)
8.3 Main Drum Rotation Indicator 12.3 Wire Rope Retainer(s)
8.4 Aux. Drum Rotation Indicator 12.4 Structure
8.5 Load Moment Indicator 12.5 Other
8.6 Load Weight Indicator Visual (Unable to lay boom down)
8.7 Radius Indicator Physical (Able to lay boom down)
8.8 Crane Level Indicator
8.9 Anti-Two Block Device 13. Main Load Block & Hook
8.10 Overload Indicator Manufacturer:
Rated Capacity:
9. Rotating Upper Structure & Boom Block Weight:
9.1 Hoist Line Dead End Original Hook Throat Opening:
9.2 Main Boom Head Section
9.3 Auxiliary Boom Head 13.1 Capacity Marking
9.4 Main Hoist Wrapping on Drum 13.2 Weight Marking
9.5 Main Hoist Minimum 2 Rope Wraps 13.3 Sheaves
9.6 Aux. Hoist Wrapping on Drum 13.4 Safety Latches
9.7 Aux. Hoist Minimum 2 Rope Wraps 13.5 10 Degree Hook Twist
9.8 Counterweight Warning Sign 13.6 15% Hook Throat Opening
13.7 10% Hook Wear
10. Manual / Pinned Section 13.8 Swivel
10.1 Alignment 13.9 Bearing
10.2 Locking Device 13.10 Wedge Socket / End Fitting
10.3 Structure 13.11 Reeving
10.4 Other
14. Overhaul Ball & Hook
11. Lattice Boom Extension Manufacturer:
11.1 Boom Extension Alignment Rated Capacity:
11.2 Sheave(s) Block Weight:
11.3 Wire Rope Retainer Original Hook Throat Opening:
11.4 Structure
Visual (Unable to lay boom down) 14.1 Capacity Marking
Physical (Able to lay boom down) 14.2 Weight Marking
14.3 Safety Latches
14.4 10 Degree Hook Twist
14.5 15% Hook Throat Opening
14.6 10% Hook Wear
14.7 Swivel
14.8 Bearing
14.9 Wedge Socket / End Fitting

15.. Wire Rope

Rope Rope Measured Broken End
Type Size Construction Grade Core Lubrication Status
Application Damage Wear Wires Connections
Main Hoist

Aux. Hoist

97

Appendix Q: Monthly Inspection Forms - Lattice & Telescoping Boom

Deficiency/Recommendation Report

The following corrective action(s) (repairs, adjustments and replacement parts, etc.) are to be performed by a qualified
person in accordance with all manufacturers instructions, specifications and requirements. OSHA requires that any
deficiency (d) be repaired or defective parts replaced before continued use.

Recommendation(s) (R) should be considered for corrective action. The advisability of a particular recommendation
depends on the facts of each situation. Any corrective action(s) is to be performed by a qualified person in accordance
with all manufacturers recommendations, specifications and requirements.

D = Deficiency R = Recommendation

D/R Item # Explanation/Corrective Action Date Corrected

Crane Inspector Project / Equipment Manager

98

Appendix Q: Monthly Inspection Forms - Lattice & Telescoping Boom

Appendix R: Daily Inspection Forms Lattice & Telescoping Boom
Lattice Boom Crane Daily Inspection Checklist
Make/Model: Serial #:
Unit ID: Jobsite:
Inspector: Date:
S = Satisfactory D = Deficiency N/A = Not Applicable
Condition MON TUE WED THU FRI SAT SUN
1. Crankcase Oil
Level
Fluid

2. Coolant
3. Hydraulic Oil
4. Electrical System
5. House Lock
6. Service / Parking Brake
7. Swing Brake / House Lock
CAB(S)

8. Gauges
9. Housekeeping
10. Fire extinguisher(s)
11. Load Chart
12. Windows / Mirrors
13. Travel
14. Steering
Functions

15. Outriggers
16. Boom Up / Down
17. Hoist Up / Down
18. Swing
19. Anti Two-Block
20. LMI / Load Weight Indicator
Devices
Safety

21. Boom Angle Indicator

22. Lights / Locks / Buzzers
23. Back Up Alarm / Horn
24. Boom Kick Out
25. Load Block / Ball / Hooks
26. Safety Latches
Accessories
Boom, Jib &

27. Wedge Sockets

28. Sheaves
29. Wire Rope Retainers
30. Main Boom
31. Jib / Extension
32. Tires / Inflation
Lower Works

33. Carrier / Car Body

34. Shoes / Tracks / Chain
35. Outriggers
36. Machine Guards
37. Hoist Brakes / Clutches
38. Hoses / Tubing
Upper Works

39. Hoist(s)
40. Wrapping on Drum
41. Rope Reeving
42. Wire Rope
43. Gantries / Bridles
Operators Initials
Superintendant Signature: ________________________________________________________
99

Appendix R: Daily Inspection Forms - Lattice & Telescoping Boom

Telescoping Boom Crane Daily Inspection Checklist
Make/Model: Serial #:
Unit ID: Jobsite:
Inspector: Date:
S = Satisfactory D = Deficiency N/A = Not Applicable
Condition MON TUE WED THU FRI SAT SUN
1. Crankcase Oil
Level
Fluid

2. Coolant
3. Hydraulic Oil
4. Electrical System
5. Service / Parking Brake
6. Swing Brake / House Lock
7. Gauges
CAB(S)

8. Housekeeping
9. Fire Extinguisher(s)
10. Load Chart
11. Windows / Mirrors
12. Travel
13. Steering
14. Outriggers
Functions

15. Boom Up/Down

16. Boom In / Out
17. Hoist Up/Down
18. Swing
19. Anti Two-Block
20. LMI / Load Weight Indicator
Devices
Safety

21. Boom Length Indicator

22. Boom Angle Indicator
23. Radius Indicator
24. Warning Lights / Alarms
25. Back Up Alarm & Horn
26. Load Block / Ball / Hook(s)
Boom, Jib &
Accessories

27. Safety Latches

28. Wedge Socket(s)
29. Sheaves
30. Wire Rope Retainers
31. Main Boom
32. Jib / Extension
Lower Works

33. Lift Cylinder(s)

34. Tires / Inflation
35. Carrier
36 Outriggers
37. Machine Guards
38. Hoist Break(s)
Upper Works

39. Hoses / Tubing

40. Hoist(s)
41. Wrapping on Drum(s)
42. Rope Reeving
43. Wire Rope
Operators Initials
Superintendant Signature: ________________________________________________________

100

Appendix R: Daily Inspection Forms - Lattice & Telescoping Boom

Appendix S: Crane Maintenance Checklist

Rig # :
Rig Model:
Rig Hours:
CD #:
Date of Check List
Month of Check List
Recommended Operator
Monthly Maintenance Check List Maintenance Person
Super/PM on Jobsite
Job#
Jobsite Name
Action Recorded
Description of Service Action Good N/G Needs Mechanic
Air Cleaner Restriction Check
Charge Air Piping Check
Charge Air Cooler Check
Fuel Injection Pump Mounting Check
Air Compressor Mounting Check
Filter or Change the Hydraulic Oil Check/Change
If Needed
Replace the Hydraulic Oil Filter Elements Check/Change
If Needed
Clean the Hydraulic Oil Tank If Needed
Pressure Settings of the Hydraulic System Check
Hydraulic Valve System Functions Properly Check
Hydraulic Hose and Pipe Connections Check
Mountings of the Hydraulic Pumps Check
Torque up the Slewing Ring and the Swing Check/Tighten
Drive Bolts If Needed
Winch Brakes Check
Winch Transmission Oil Level Check/Refill
If Needed
Track Drive Transmission Oil Level Check/Refill
If Needed
Swing Drive Transmission Oil Level Check/Refill
If Needed
Tighten the Track Shoe Bolts Check / Tighten
If Needed
Hydraulic Cooler Check/Clean
If Needed
A copy of this Report must be left in the rig at all times.
Please note that all actions shall be done the first of every month.
If a Mechanic is needed please notify your Superintendent or Project Manager

101
Appendix T: Critical Lift Checklist / Follow West Point Safety Procedure 49

Go No Go

Date
Work Description
Work Duration
Associated Working Drawings
Crane Model
Location Pick
Capacity of Crane at Pick Radius
Weight of Pick
Ground Conditions
Overhead Wires Present
Proximity to Traffic
Outrigger Placement
Outrigger Blocking as per Drawing
Rigging in good working order
Delivery Location
Wind Speed and Approximate Direction
Weather
Operator
IW Foreman
Supervisor
Design Engineer

Prepared by

Approved by

102
Appendix U: Tower Crane Checklist
1 Tower Crane Requirement
A Mobile Vs. Tower Superintendent

2 Tower Crane Selection

A Load Requirements. Superintendent
B Reach Requirements Superintendent
C Location Superintendent
D When Required Superintendent
E Lead Time Superintendent
F Place Order (Define Final commitment Date) Superintendent / PM

3 Geotechnical Considerations
A Sub grade - Evaluation & Test Report Geo Technical Engineers
B Rat Slab Installation Prior to Tower Crane Foundation Pour Skanska

4 Foundation Considerations
A Structural Design by Structural Engineer Structural Engineer
B Tower Crane Loads Transmitted to Structural Engineer Provided by Crane Supplier Crane Supplier
C Reinforcing Steel Submittal (Blow-up of Footing Detail and Rebar Schedule) Skanska
D Special Inspection Report of Footing Reinforcing and Concrete Special Inspector
E Structural Engineer Inspection of Footing Prior to Concrete Pour Structural Engineer
F Concrete Strength Required for Plinths and Footing from Structural Engineer Structural Engineer
G Concrete Break Reports of Plinth and Footing Special Inspector

5 Electrical Considerations
A Electrical Permit for Crane Temporary Power Electrical Contractor
B Electrical Inspection Report Electrical Contractor
C Miscellaneous Crane Specific Electrical Information Crane Supplier

6 Tower Crane Erection Considerations

A Set Tower Crane Base
1 Critical Pick Plan to Set Base Provided by Erector Crane Erector
2 Plumb Tolerance of Base
a Crane Supplier Provide Base Plumb Tolerance Crane Supplier
b Pre-erection Base Plumb Survey Transmitted to Crane Supplier Skanska
c Post-erection Base Plumb Survey Transmitted to Crane Supplier Skanska
3 Traffic Control Plan Crane Erector
B Pre-Inspection of Tower Crane
1 Pre-erection Inspection Report from Skanska 3rd Party Consultant 3rd Party Crane Inspector
2 Skanska Superintendent Daily Log as witness to Pre-erection Inspection Skanska
Documentation of Skanska Request for Repairs Noted in 3rd Party Pre-
3 erection Inspection Report Skanska
Documentation from Crane Supplier that Skanska 3rd Party Consultant
4 Requested Repairs are Complete Crane Supplier
5 Crane Suppliers 3rd Party Consultant Pre-Inspection Report Crane Supplier

103
Appendix U: Tower Crane Checklist
 Documentation from Crane Supplier that their 3rd Party Consultant Requested
6 Repairs are Complete Crane Supplier
C Set Tower Crane
1 JHA in Place Skanska
2 Traffic Control Plan Crane Erector
3 Critical Pick Plan to Set Tower Provided by Erector Crane Erector
Documentation of Where and How Erection Equipment can sit on Site Relative
4 to Shoring Wall Skanska
5 Copies of Crane Certificate for Assist Cranes Crane Erector
6 Confirmation of Skanska Operator being Nationally Certified Skanska
7 Confirmation of Erector Operators being Nationally Certified Crane Erector
8 Erector Safety Plan
a Project Specific Safety Plan for Erector Crane Erector
b Pre-task Safety Plan - Including day of erection crew signatures Crane Erector
Fall Protection Plan Specific to Erection Day Operation - Including day
c of erection crew signatures Crane Erector
9 Copies of Insurance Certificates
a Erector Crane Erector
b Crane Supplier - for their Technician Crane Supplier
10 Drug Testing
Copy of Erector's Company Drug Test Policy - w/employees names if
a possible Crane Erector
11 Site Safety Orientation Skanska

7 Post-Erection Inspections
A Crane Suppliers Post Inspection Reports
1 Certification & Acceptance Report Crane Supplier
2nd Re-torque Tower & Turntable Inspection & Field Service Report (30 days
2 or 80 hours) Crane Supplies
B Skanska 3rd Party Consultant Inspection Report 3rd Party Crane Inspector

8 Jump Considerations
A JHA in Place Skanska
B Pre-task Safety Plan Crane Erector
C Post Jump 3rd Party Consultant Inspection Report 3rd Party Crane Inspector

9 Appendix
A Yearly Inspection Report - Crane Supplier Crane Supplier
B Miscellaneous Field Service Reports - Crane Supplier Crane Supplier
C Quarterly Inspection Reports 3rd Party Inspector
D Daily Inspections - Operator Skanska

104
Appendix U: Tower Crane Checklist
Appendix V: Lift Plan Example

105
Appendix V: Lift Plan Example
106
Appendix V: Lift Plan Example
 107
Appendix V: Lift Plan Example
108
Appendix V: Lift Plan Example
 109
Appendix V: Lift Plan Example
Appendix W: Soil Bearing Chart

110
Appendix X: Pre-Demolition Survey
Please Print Clearly
Project Name: Project No:
Location: Survey Date:
Name:
Major Cross Streets: Title:

Structure Information
Structure Type:

Basement: Yes No Type: Block Concrete Other:

Building Height: No: of Stories:

Shoring Required: Yes No

If Yes complete the following:
Type of Shoring Describe:
Location of Shoring Describe:

Adjacent Properties: Yes No Describe:

If Yes complete the following:
Protection Required: Yes No Describe:
Underground Tanks Yes No Describe:
Location of Tanks Describe:
Previous Use: Describe:
Tanks Drained Yes No Date:
Tanks Purged: Yes No Date:
Performed
Tested: Yes No By:

Public Prot. Required: Yes No Describe:

If Yes complete the following:
Signage: Yes No Describe:
Barricades: Yes No Describe:
Fencing: Yes No Describe:

Demo Methods:

111

Appendix X: Pre-Demolition Survey

Disconnects
Reference No:

Disconnect
Utility Disconnect Date Utility Contact Name & Phone
Electric Yes No
Gas Yes No
Water Yes No
Sewer Yes No
Phone Yes No
Security Yes No
PC Network Yes No

Location of Energized Power / Communication

Lines / Gas:

[ ] Original Superintendent Signature

[ ] Copy-General Superintendent
[ ] Copy-Main Office Safety File via Safety Director

112

Appendix X: Pre-Demolition Survey

Appendix Y: Safety Deviation Ticket

Subcontractor: Date Observed:

Job Site:
Type of Deviation: Safety/Health Housekeeping
Environmental

Location:

Description of Deviation:

Remedial Work Required:

The subcontractor is hereby directed to perform the noted remedial work by no later
than _______________. Until the remedial work is completed by the subcontractor and
acknowledged by Skanska, $_____________ will be withheld from any payment due to
the subcontractor prior to the specified date, this document will serve as written notice
the Skanska, at its sole discretion and without any further notice, may elect to perform
the remedial work and all associated costs will be deducted from the subcontractors
price.

Skanska Initiator:
Remedial Work Acknowledgement

Remedial Work Performed by: Back charge: $

Remedial Work Observed: Date Observed:

Project Accounting
Additional Copies: Regional EHS Director

113