Sub-Trade HSE Documents
  • Image field 1
  • HEALTH, SAFETY AND ENVIRONMENT PROGRAM REQUIREMENTS

  • Here at PCL we believe in a culture of Zero Incidents.

    As such, we have enacted several policies and procedures to promote a Zero Incident environment. As a part of these policies and procedures, PCL requires Sub/ Trade Contractors who team with us, to participate in our Health, Safety and Environmental (HSE) programs.

    In addition, we require all Sub/ Trade Contractors who work with us to have an active safety program, which will comply with state regulations, legislation and PCL standards. Please take time to review the list below as you will be required to conduct and follow these requirements prior to starting on site. Understand this is only an outline and other requirements may follow or apply.

    The following documentation will be required to be submitted prior to starting work on site. Project Specific HSE Acknowledgement - Attachment 1 Trade Contractors Qualified/ Competent Person List - Attachment 2 Weekly Safety Submittal - Attachment 3 Job Hazard Analysis - Specific to the Scope of Work - Attachment 4 Fall Protection Task Plan - If Required - Attachment 6 Safety Data Sheet Listing - Attachment 6 Operator Certifications I.e. Forklift, Articulating, Scissor, etc. - Worker Training Records I.e. Fall Protection, Ladder, Scaffold, Powder Actuated, etc.

    Again, we want everyone to understand PCL is fully committed to a safe work environment for all those who are associated with our projects.

    If you have any questions, please contact me.

  • Image field 5
  • HEALTH SAFETY ENVIRONMENT

  • PRE-MOBILIZATION

  • PCL

  • SAFETY REQUIREMENTS

  • Format: (000) 000-0000.
  • In addition to the standard financial and legal obligations with your first billing submission, the following safety-related documentation must also be submitted to the PCL management prior to payment of first billing.

    1.Competent person/Supervisor form

    2. Project-specific HSE Plan Acknowledgement 3.Subcontractor's HSE Plan and/or Project-Specific Job Hazard Analysis (JHA)/Safe Work Procedure (SWP/SWMS Note: JHAs/SWPs are required for all high-risk activities. 4.Material Safety Data Sheets/Safety Data Sheets.

    5.Worker Compensation Certificate.

  • Complete the following section if any portion of the subcontractor's work is subcontracted to a sub-subcontractor.

    SCOPE OF WORK WHICH HAS BEEN OR MAY BE AWARDED TO A SUB- SUBCONTRACTOR

    NAME OF SUB-SUBCONTRACTOR (IF KNOWN)

    APPROX. DATE OF SUB-SUBCONTRACTOR MOBILIZATION ON SITE

    NOTE: The subcontractor is fully responsible for each sub-subcontractor that they hire. At minimum, Item 1 must be submitted on behalf of each sub-subcontractor the subcontractor engages before their respective sub-subcontractor is permitted to mobilize on site. Depending on the scope of work (high risk activity/chemical use), Items 3 and 4 may also need to be collected. Failure to provide this information will result in payment delays. PCL superintendent signs the form once all documentation has been received and verified.

  • Image field 25
  • PCL

  • HEALTH SAFETY ENVIRONMENT

  • SAFETY REQUIREMENTS

  • ATTACHMENT

  • PROJECT SPECIFIC HSE ACKNOWLEDGEMENT

  • Image field 31
  • PRE-MOBILIZATION

  • PCL

  • HEALTH SAFETY ENVIRONMENT

  • SAFETY REQUIREMENTS

  • Project Specific HSE Plan Acknowledgement Form

    Project Name: After reviewing the policies and practices as outlined in this plan, the company owner, site superintendent, on-site foreman, lead hands, and all trade contractors are to sign off this sheet. The sign - off sheet must be returned to the PCL Project Manager, before commencement of work-related activities on the jobsite.

    I have read and understand this Project Specific Health, Safety and Environmental Plan and will carry out my work within these guidelines.

  • Date
     / /
  • Date
     / /
  • Date
     / /
  • RETURN THIS HSE ACKNOWLEDGEMENT FORM ONLY TO PCL. KEEP THE PROJECT SPECIFIC HSE PLAN FOR YOUR RECORDS.

  • Image field 54
  • PCL

  • SAFETY REQUIREMENTS

  • TRADE CONTRACTORS

  • QUALIFIED / COMPETENT PERSON LIST

  • TRADE CONTRACTOR COMPETENT QUALIFIED PERSON LIST

  • Sub/Trade Contractor supervisor to designate QUALIFIED/COMPETENT PERSON for the applicable items listed below and that are associated with this project. Competent/ Qualified Definitions: Federal: 29 CFR 1926.32(f)

    Subject / Expertise General Safety and Health Provisions lonizing Radiation /Lead Hearing Protection Rigging Equipment for material handling Welding, Cutting and Heating Electrical - Wiring Design and Protection

  • CP / QP

  • Federal 1926.751/ 752/ 753/ 754

    Fall Protection Material hoist, personnel hoists, and elevators Excavations Concrete Masonry - Lift Slab Operations Steel Erection and Construction

    Ladders Toxic Hazardous Substance - Asbestos Toxic Hazardous Substance - Cadmium Cranes and Derricks in Construction

    Pile Driving Confined Space Window Cleaning Equipment Inspection Respiratory Protection Handling/use of Explosives Respirable Crystalline Silica | certify that the above listed is/are competent and/or qualified to oversee our scope of work and will provide the designed person and provide as requested. Company Representative Signature:

  • Date
     / /
  • Image field 67
  • PCL

  • ATTACHMENT

  • WEEKLY SAFETY SUBMITTAL

  • Image field 71
  • PCL

  • HEALTH SAFETY ENVIRONMENT

  • PRE-MOBILIZATION

  • SAFETY REQUIREMENTS

  • SOLAR DISTRICT

  • WEEKLY SAFETY SUBMITTAL

  • INSTRUCTIONS:

  • Indicate start and end date (month and day) for the week. Indicate workhours for each day Subcontractor representation was present on site [(workhours = number of workers times hours of work that day (ex. hours of work 7:00 am to 4:00 pm and 5 workers, equals 45 work-hours)]. Indicate days PSIs were completed by inserting a checkmark for such days. Indicate days HSE field meetings (i.e., Toolbox/Tailgate Talks) were completed by inserting a checkmark for such days. Indicate if a Subcontractor monthly safety inspection was completed this week (required at least monthly Form Pre-Mobilization Safety Requirements is required for your first billing only.

  • SUBMITTALS REQUIRED:

  • PSI

  • YNTotal Project workhours for this week: Subcontractor monthly safety inspection complete this week:

  • Image field 93
  • PCL

  • HEALTH SAFETY ENVIRONMENT

  • SAFETY REQUIREMENTS

  • ATTACHMENT

  • JOB HAZARD ANALYSIS FORM

  • Image field 99
  • PCL

  • PCL HSE Manual Hazard Identification & Control Standard HSE 05-04

  • Job Hazard Analysis (JHA) Project Name:

  • JHA

  • Hazards Considerations to: People, Equipment, Material, Environment, Tools, (Chemical, Biological, Physical, Hygiene and Ergonomics)

    Controls Post ControlVerified Yes / No Risk Rating

  • SPECIAL REVIEW BY:

  • Crew Reviewed with Signatures:

  • Image field 116
  • PCL

  • PCL HSE Manual Hazard Identification & Control Standard HSE 05-04

    Job Hazard Analysis Audit Auditors will provide comments on all inadequate items and those that are worthy of positive recognition.

    1. Work Activity/Work Task Description 2. Steps Identified 3. Hazard Identification

  • 4. Pre/Post control Risk Rating 5. Hazard Controls

    7. All sections completed 8. Review Signatures Required 9. Crew Signatures 10. JHA at task location

  • DD/MM/YY

  • DD/MM/YY

  • Very FrequentPossibility of repeated activities (many times in the course of a task) Possibility of isolated activities (several times in the course of a task) Frequent

    Likelihood of activity occurring sometime (likely in overall task and/or project) Possible it will occur but not likely to Severity - Consequences

    Public Image, Reputation & Disruption

    Fatality Permanent, long-term injury or illness Recordable Injury

    Impact >$100,000 Impact < $100,000 but > $50,000 Impact < $50,000 but > $ 10,000 Impact < $10,000

    Site Conditions Unacceptable No Impact

    Definition Situation must be corrected immediately. Approval to continue at current level of risk by District Manager, Senior Construction Manager and District HSE Manager. Approval to continue at current level of risk by 2 senior supervisory project team members.

    Managed appropriately at field level.

  • FALL PROTECTION TASK PLAN

  • FALL PROTECTION TASK PLAN

  • Project: Azalea Spring Solar Project Company:

  • Date
     / /
  • Fall Protection System to be used: (Check which applies)

    P.F.A. System Harness Yellow Caution Tape Lanyard Red Danger Tape Guard Railing *Notes systems which require a specific written fall protection plan and approval.

    Horizontal System Vertical System Safety Net System *Controlled Access Zone *Safety Monitored System

    YesNo Rated for One Man Use (5000lbs) Two Man Use (10,000lbs)

  • Explain how Fall Protection System will be used:

  • A copy of this fall protection permit, once approved, shall be reviewed during PSI and added to this fall protection plan

  • SAFETY DATA SHEET LIST

  • PRODUCT, COMMON, CHEMICAL NAME

    OSHA requires employers to maintain a list of the hazardous chemicals known to be present in the workplace. Using the product identifier (e.g., product name, common name, or chemical name) to prepare the list will make it easier for you to track the status of SDSs and labels of a particular hazardous chemical. Remember, the product identifier must be the same name that appears on the label and SDS of the hazardous chemical.

  •  
  • Should be Empty: