(b-03) internal audit system - versabar

VERSABAR SAFETY MANAGEMENT SYSTEM

IINNCCIIDDEENNTT

PPRREEVVEENNTTIIOONN


(B-01) HAZARD ASSESSMENT

1 PURPOSE

This procedure provides each Manager/Supervisor with the tools to conduct a thorough and complete

Hazard Evaluation of their facility and assigned equipment.

The results of this survey shall be used to determine the hazards that exist at the facility, and other

employee worksites, and the procedures, operations, techniques, training programs and/or protective

devices needed to insure all employees a safe and healthful work place.

These results will be used to identify the processes and procedures required by the overall Safety

Management System framework. A Job Safety Analysis, reference section (B-8) of the SMS, will be used

for the day to day assessment and management of hazards and risks.

2 SCOPE

This section applies to all VERSABAR, INC. facilities, vehicles and work sites.

3 PHYSICAL CONDITIONS

The physical conditions of the each work activity at the facility shall be surveyed to identify all workplace

hazards existing at the facility. The following partial list, of physical hazards, is provided to assist the

Manager:

1. Mechanical,

2. Electrical,

3. Open Flames and Hot Surfaces,

4. Explosives,

5. Oxidizers,

6. Acids,

7. Flammables and Combustibles,

8. Radiant Energy,

9. Compressed Gases,

10. Overhead Objects,

11. Holes and Openings in the floor,

12. Hydraulics,

13. Pneumatics,

14. Other (i.e. Heights, Over Water, Confined Spaces, energy sources, etc.).

4 ENVIRONMENTAL CONDITIONS

The environment in which work is conducted must also be considered when a hazard evaluation is being

performed. Given below is a partial list of environmental conditions that are to be considered in the

evaluation of each hazard identified:

1. Temperature (Extreme Heat or Cold),

2. Weather (Frequent Rain and or High Humidity),

3. Noise (85 decibels or higher),

4. High Vibration,

5. Working conditions (Fumes, Odors, Dusts, Mists, Poor Ventilation, etc.).



5 PROCEDURES

5.1 Annual Survey

Versabar’s upper management, president and/or vice presidents will be responsible for conducting a walk

through survey of workplace hazards at each facility. The survey shall be conducted at least once every

year, or whenever new hazards exist due to changes in the workplace. During the survey, the managers

shall observe and consider the effects of environmental and physical conditions of the specific work

activities conducted by employees.

The attached “Work Site Hazard Assessment Report” form, form (B-1)(F-1) is to be used by the

manager/supervisor to record findings. The following instructions are provided for completing the

evaluation report (See attached example form):

1. Location - Record the name of the Facility.

2. Date Prepared - Record the date that the survey was completed.

3. Prepared by: - Record the full name of the person/s conducting the survey (if more information is

needed about the survey).

4. Column “A” (Job Task) - List the specific job tasks for all employee work requirements.

5. Column “B” (Environmental, Health and/or Safety Hazards of the Job Task) - List each hazard

associated with the Job Task or Location given in Column “A”.

6. Column “C” (Existing and Suggested Procedures, Practices and/or Personal Protective Equipment

Needed or Used to Prevent or Mitigate the Hazards)

a. List the things that currently exist to keep the hazards listed in Column “B” from causing

an employee injury, illness, an environmental problem and/or damage to equipment.

b. List the things that you suggest could be done to keep the hazards given in Column “B”

from causing an employee injury, illness, an environmental problem and/or damage to

equipment.

5.2 Analysis and Approval

When the survey is completed the manager/supervisor shall send a copy to the HSE Department for

assistance in the analysis of the hazards. The HSE Department shall work with the manager/supervisor to

determine what (if any) additional operations, procedures, technologies and/or personal protective

equipment will be needed to prevent the identified hazards from becoming employee injuries, illnesses,

environmental incidents and/or damages to equipment.

The HSE Department shall then work with the manager/supervisor to develop site specific Facility Safety

Programs, Plans and Procedures.

5.3 Records

A copy of the “Work Site Hazard Assessment Report” with the results of each survey shall be maintained

in the HSE Office for five (5) years.



5.4 Monthly Work Site Inspection

The Manager/Supervisor is responsible for conducting a walk through Inspection of their specific work

area in each Division and Work Site at least once a month. The Work Site Monthly Inspection Report

Form, form (B-1)(F-2), can be used to record the inspection. Other forms are available from the HSE

Department on request. This inspection shall be used to train employees and as a source of information to

provide a safe and healthful work environment.

A copy of this inspection report shall be retained in the HSE Office for a least one year from the date of the

inspection.




Form (B-1)(F-1)

Hazard Assessment Report Form

1. LOCATION: ___________________________________________ 2. DATE: ___________________________________________ 3. PREPARED BY:

(A)

Job Task

And/Or Area

(Describe Area)

(B)

Environmental, Health, and/or

Safety Hazards

(C)

Existing and Suggested

Procedures, practices and/or

Personal Protective Equipment

Needed or Used to Prevent or

Mitigate the Hazards



Work Site Monthly Inspection

Report Form (B-1) (F-2)

LOCATION: _______________________________________

ACCEPTABLE UNACCEPTABLE REMARKS

HOUSEKEEPING

LIGHTING

EXITS, AISLEWAYS

STAIRS, LANDINGS

TOOLS/EQUIP STORAGE

ELECTRICAL BOXES

COMPRESSED GAS

LINES, HOSES, FITTINGS

SLINGS

CONDITION,TAGS,

STORAGE

FIRE EXTINGUISHERS

IN PLACE / CONDITION

FLAMMABLES

STORED/LABELS

OTHER

OTHER

OTHER

OTHER

Inspector (Signature):

___________________________________________________________________

Manager (Signature): ______________________________________Date: ________________________


(B-02) Plans, Programs, & Procedures

1 PURPOSE

This subsection (subsection B – Prevention) provides the Operations Manager assistance in keeping his/her

Division in compliance with OSHA, U.S. Department of Transportation, EPA and U.S. Coast Guard

mandated plans, programs and procedures regulating VERSABAR, Inc. facilities and work sites.

2 SCOPE

This section applies to all VERSABAR, Inc. facilities, vehicles and work sites.

3 PROCEDURES

The Operations Manager or designee shall review the results of the Facility Hazard Assessment and the

results of the Monthly Work Site Inspection and determine if any conditions or operating procedures have

changed since the last hazard assessment or inspection. This review shall be conducted at least once each

year or when the work place hazards change, which ever is more frequent. If conditions or operating

conditions have changed that affect any of the Plans, Programs and Procedures, listed in Sections “D” &

“E” of this Manual, the HSE Manager shall modify the affected Section. Modifications and employee

retraining, subject to the specific subject shall be made as needed within 60 days of each review.

4 COMPLIANCE REGULATIONS

The HSE manager will check the following regulations annually to see if any changes have taken place in

order to update the appropriate sections of the Safety Management System. The HSE Manager will make

the appropriate changes to sections “D” & “E”. Modifications and employee retraining will be made as

needed within 60 days of changes. Records are kept of safety training by HSE department.

OSHA Regulations

Confined Space 29 CPR 1910.146 SMS Section D-1

Electrical Safety 29 CFR 1910.301 SMS Section E-3

Fall Protection 29 CFR 1926.500-503 SMS Section D-11

Hand Safety 29 CFR 1910.138 SMS Section D-9

Hazard Communication 29 CFR 1910.1200 SMS Section D-4

Hazwoper 29 CFR 1910.120 SMS Section D-3

Lock-out/Tag-out 29 CFR 1910.147 SMS Section D-7

Personal Protective Equipment 29 CFR 1910.132 SMS Section D-9

Respiratory Protection 29 CFR 1910.134 SMS Section D-10

Bloodborne Pathogens 29 CFR 1910.1030 SMS Section D-9

CPR/First Aid 29 CFR 1910.151 SMS Section D-9

Crane Operations 29 CFR 1910.179-180 SMS Section E-7

Man lift Operations 29 CFR 1910.68 SMS Section E-7

Forklift Operations 29 CFR 1910.178 SMS Section E-7

Fire Awareness & Protection 29 CFR 1910 Subpart D-O SMS Section E-12

Hazard Assessment 29 CFR 1910.132 SMS Section B-3

Incident Reporting OSHA 300 SMS Section C-3

Emergency Action Plans 29 CFR 1910.38 SMS Section D-2

Hearing Conservation Program 29 CFR 1910.95 SMS Section D-5

Welding & Burning 29 CFR 1910.119 (k), 1910.252 (a) SMS Section D-6

Short Service Employee 29 CFR 1910 General Safety SMS Section B-6



Compressed Gas Handling 29 CFR 1910.101, 29 CFR

1910.166-169, 29 CFR 1910.253

SMS Section E-2

Hand Tools 29 CFR 1910.242 SMS Section E-4

Large Power tools 29 CFR 1910.212 , Subpart O SMS Section E-5

Painting & Blasting 29 CFR 1910, Subpart D-O SMS Section E-9

Fabrication 29 CFR 1910.212, Subpart O SMS Section E-15

Slings 29 CFR 1910.184 SMS Section E-16

Department of Transportation

DOT 49 CFR Parts 100-185 SMS Section D-3

American Petroleum Institute

API RP- 2D “Operation and Maintenance of Offshore

Cranes”

SMS Section E-16

American Society of Mechanical Engineers

ASME B30-9 “Slings”

American Welding Society

AWS D1.1 “Structural Welding Code”

Other:

Wire Rope User’s Manual, 3rd

edition

Wire Rope Sling User’s Manual, 2nd

edition

5 CONTINUOUS IMPROVEMENT

Versabar’s Safety Management System links to their commitment to Health Safety and Environmental

Performance. This drives the implementation of the safety management system and promotes buy-in.

People at all levels in the organization are responsible for leading and engaging the workforce in meeting

our health, safety, technical integrity and environmental goals and objectives. Leaders will be held

accountable for accomplishing this by demonstrating correct HSE behaviors, by clearly defining HSE roles

and responsibilities, by providing needed resources, and by measuring , reviewing and continuously

improving our HSE performance.

6 SAFETY MEETINGS

All safety meetings will follow an agenda. The HSE manager will take meeting minutes and send them out

to supervisors. Action items will be developed from these meetings and sent out by e-mail to all the

supervisors and posted in the employees break room.

7 ANNUAL GOALS

Annual goals are established at the beginning of the first quarter by the HSE Manager. HSE manager will

complete form (B-2)(F-2). One member of Senior Management must sign off on the annual goals. The

goals will be reviewed at the quarterly HSE Safety Meeting. The meeting notes will be sent out to all

employees by email and posted in break rooms.



At this quarterly meeting upper management assure that all relevant processes are in place and working

effectively to manager HSE risks associated with their business activities. This is achieved through

reviews of performance indicators against agreed targets and reviewing HSE Action Items completed.

8 DAILY MANAGER MEETINGS

The daily manager’s production meeting will set aside time every meeting to discuss safety. The HSE

manager will take meeting minutes and e-mail the meeting minutes to all Versabar managers and

supervisors.

9 DAILY EMPLOYEE MEETINGS

Supervisors will hold a daily JSA/Toolbox meeting to discuss safety with all the employees. They will go

over what was discussed in the previous day’s managers meeting. Items that come up by the employees

will be discussed in the daily managers meetings and added to the action items if necessary.

10 MONTHLY OPERATIONS MEETING

On a monthly basis the HSE manager will present a HSE update to the Operations Managers to keep them

informed on safety matters.



YEAR:

Item Description Comments Date Lead

OBJECTIVES

1.

2.

3.

4.

STRATEGIES

5.

6.

7.

8.

MEASURE

9.

10.

11.

12.

Senior Management Signature: Date:

HSE Manager Signature: Date:


(B-03) INTERNAL AUDIT SYSTEM

1 PURPOSE

The purpose of Periodic Hazard Audits is to provide Versabar, Inc. Management and Supervisors with an

independent objective review of the Facility. This procedure provides Versabar, Management with the

tools to conduct a thorough and complete Hazard Analysis of their facilities as per OSHA 29 CFR

1910.132.

The results of these audits shall be used to determine what hazards exist on the Facility and what

procedures, operations, techniques, training programs and/or protective devices are needed to insure all

employees a safe, healthful and environmentally sound work place.

2 SCOPE

This section applies to the Versabar facility, vehicles and work sites.

3 PROCEDURES

The HSE Department will conduct a hazard audit of the Versabar facility periodically. This audit will

include an inspection of the facility plant and operations as well as a review of employee development,

regulatory compliance and documentation.

A copy of this audit report shall be given to the Operations Manager within one (1) week of the audit date.

The Operations Manager shall return a written statement (see page (B-3)(2)) to the HSE Department. This

statement will verify that all items noted on the audit report checklist, as “Not Satisfactory”, have been

“Corrected” or “Resolved” or the statement will explain the status of each item not yet completed.

The Operations Manager’s written statement shall be sent to the HSE Department within thirty (30) days of

the audit report date.

The report shall be retained in the HSE Department for at least five (5) years from the audit date.



VERSABAR, Inc.

INTEROFFICE CORRESPONDENCE ___________________________________________________________________________ TO: HSE MANAGER DATE: _______________ FROM: _______________ LOCATION: _______________ SUBJECT: ANNUAL HSE AUDIT CORRECTION VERIFICATION LETTER ___________________________________________________________________________ The below listed Hazards referenced in the Annual HSE Audit of ___________________ on the date of __________ have been corrected or resolved by the dates given: HAZARD DATE CORRECTED/RESOLVED

NOTE: This form must be completed for each item on the attached HSE report that was

listed as needing correction or resolution. This form with all attachments must be

returned to the HSE Department within thirty (30) days after the date of the

attached HSE Audit Report.




Form (B-3)(F-1)

Annual Audit Check List

ITEM

HSE

Manual

Section

DESCRIPTION

QUESTION

YES

NO

1.

(B-1)

HAZARD IS THE FACILITY HAZARD

ASSESSMENT:

COMPLETE?

CURRENT?

ON FILE?

REMARKS:

2.

(B-1)

HAZARD IS THE HAZARD ASSESSMENT FILE

ON RECORD FOR THE PAST 5

YEARS?

REMARKS:

3.

(B-1)

WEEKLY SITE

INSPECTION

IS THE WORK SITE WEEKLY

INSPECTION:

COMPLETE?

CURRENT?

ON FILE?

REMARKS:

4.

(B-1)

WEEKLY SITE

INSPECTION

REPORT ON FILE FOR EACH WEEK

OF THE LAST YEAR?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section

DESCRIPTION QUESTION YES NO

5.

(B-8)

JOB SAFETY

ANALYSIS

IS THERE A JSA ON FILE FOR EACH

DAY FOR EACH WORK AREA FOR

THE LAST YEAR?

REMARKS:

6.

(B-8) JOB SAFETY

ANALYSIS

ARE ALL JSA’s FOR THE LAST

YEAR:

COMPLETE?

CURRENT?

ON FILE?

REMARKS:

7.

(B-4)

EMPLOYEE

TRAINING

ARE EMPLOYEES GIVEN

TRAINING:

UPON BEING HIRED?

WHEN REASSIGNED?

AS HAZARDS CHANGE?

REMARKS:

8.

(B-4)

EMPLOYEE

TRAINING

WAS THE TRAINING FILE READILY

AVAILABLE UPON REQUEST?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


9.

(B-4)

EMPLOYEE

TRAINING

IS THE “EMPLOYEE ORIENTATION

TRAINING CHECKLIST” ON FILE

FOR EACH EMPLOYEE HIRED

AFTER 6/1/04?

REMARKS:

10.

(B-4)

EMPLOYEE

TRAINING

IS EMPLOYEE REFRESHER

TRAINING CURRENT?

REMARKS:

11.

(B-5) EMPLOYEE

COMMUNICA-

TION

ARE NOTICES AND POSTERS

COMMUNICATION DISPLAYED FOR

ALL EMPLOYEES?

REMARKS:

12.

(B-5) VERSABAR

OBSERVATION

PROGRAM

DOES EACH EMPLOYEE KNOW

HOW TO CONDUCT AN

OBSERVATION?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


13.

(B-5) VERSABAR

OBSERVATION

PROGRAM

DOES EACH

EMPLOYEE KNOW

AND UNDERSTAND

HOW TO COMPLETE

THE OBSERVATION

FORM?

REMARKS:

14.

(B-5) VERSABAR

OBSERVATION

PROGRAM

ARE ACTION PLANS CREATED AND

ARE THE PLANS MONITORED TO

COMPLETION?

REMARKS:

15.

(B-8) JOB SAFETY

ANALYSIS

ARE DAILY TAILGATE MEETINGS

BEING CONDUCTED AND ON FILE

FOR THE CURRENT YEAR?

REMARKS:

16.

(C-1) INCIDENT

MANAGEMENT

DOES EACH SUPERVISOR AND

MANAGER UNDERSTAND WHAT

TO DO IN THE EVENT OF AN

INCIDENT?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


17.

(C-1) INCIDENT

MANAGEMENT

DOES EACH SUPERVISOR AND

MANAGER KNOW AND

UNDERSTAND THE VERSABAR

LIGHT DUTY PROCEDURES?

REMARKS:

18.

(C-1) INCIDENT

MANAGEMENT

DOES EACH SUPERVISOR KNOW

AND UNDERSTAND THE

VERSABAR RETURN-TO-WORK

PROCEDURES?

REMARKS:

19.

(C-2) INCIDENT

INVESTIGATION

ARE ALL INCIDENTS

INVESTIGATED?

REMARKS:

20.

(C-2) INCIDENT

INVESTIGATION

IS A ROOT CAUSE ANALYSIS

CONDUCTED FOR EACH INCIDENT?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


21.

(C-3) INCIDENT

REPORTING

DOES EACH EMPLOYEE KNOW THE

REQUIREMENTS FOR REPORTING

INCIDENTS?

REMARKS:

22.

(C-3) INCIDENT

REPORTING

DOES EACH SUPERVISOR KNOW

AND UNDERSTAND HOW TO

COMPLETE THE FIRST AID LOG,

FIRST REPORT OF INCIDENT AND

VEHICLE INCIDENT REPORTS?

REMARKS:

23.

(C-6) STATISTICS

REPORTING

IS THERE A SEPARATE FILE FOR

EACH INCIDENT?

REMARKS:

24.

(C-6) STATISTICS

REPORTING

IS EACH FILE IDENTIFIED BY THE

INCIDENT DATE? AND THEN THE

CLAIMANT’S NAME?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


25.

(C-6) STATISTICS

REPORTING

ARE MEDICAL AND PERSONNEL

RECORDS MAINTAINED SEPARATE

FROM THE INCIDENT FILES?

REMARKS:

26.

(C-6) STATISTICS

REPORTING

DOES EACH MANAGER KNOW

WHAT AN OSHA LOG 300 IS?

REMARKS:

27.

(C-6) STATISTICS

REPORTING

IS THE OSHA LOG 301 POSTED IN A

COMMON AREA DURING THE

MONTHS OF FEBRUARY, MARCH &

APRIL EACH YEAR?

REMARKS:

28.

(C-6) STATISTICS

REPORTING

ARE THERE OSHA 300 LOGS &

OSHA 301 SUMMARIES ON FILE

FOR THE PAST FIVE YEARS?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


29.

(D-2) EMERGENCY

ACTION PLAN

IS A WRITTEN EMERGENCY

ACTION PLAN IN PLACE FOR THE

LOCATION?

REMARKS:

30.

(D-2) EMERGENCY

ACTION PLAN

HAVE ANNUAL DRILLS BEEN

CONDUCTED AND IS

DOCUMENTATION ON FILE?

REMARKS:

31.

(D-4) HAZCOM

PROGRAM

IS THE WRITTEN HAZCOM PLAN

CURRENT? AND COMPLETE?

REMARKS:

32.

(D-4) HAZCOM

PROGRAM

IS THE LIST OF HAZARDOUS

MATERIALS CURRENT?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


33.

(D-4) HAZCOM

PROGRAM

ARE ALL MATERIALS PROPERLY

LABELED?

REMARKS:

34.

(D-4) HAZCOM

PROGRAM

IS A COPY OF THE MSDS FOR EACH

CHEMICAL ON SITE EASILY

AVAILABLE TO EMPLOYEES?

REMARKS:

35.

(D-7) LOCKOUT/

TAGOUT

PROGRAM

IS A TRAINING RECORD

AVAILABLE FOR ALL LO/TO

AUTHORIZED PERSONNEL?

REMARKS:

36.

(D-8) BLOODBORNE

PATHOGEN

PROGEAM

ARE ALL UNIT/LOCATION

EMPLOYEES TRAINED IN

BLOODBORNE PATHOGEN

PROGRAM?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


37.

(D-8)

FIRST AID

PROGRAM

ARE THE FIRST AID KITS

INSPECTED MONTHLY?

REMARKS:

38.

(D-8)

FIRST AID

PROGRAM

ARE THE FIRST AID KITS LOCATED

IN CONVIENENT AREAS AND

FULLY STOCKED?

REMARKS:

39.

(D-9) PERSONAL

PROTECTIVE

EQUIPMENT

ARE SAFETY TOE SHOES/BOOTS

BEING WORN IN ALL REQUIRED

AREA?

REMARKS:

40.

(D-9) PERSONAL

PROTECTIVE

EQUIPMENT

IS FACE AND EYE PROTECTION

BEING WORN IN REQUIRED AREA?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


41.

(D-9) PERSONAL

PROTECTIVE

EQUIPMENT

ARE HARD HATS BEING WORN IN

REQUIRED AREAS?

REMARKS:

42.

(E-2) COMPRESSED

GAS HANDLING

PROCEDURES

ARE ALL CYLINDERS SECURED IN

THE STANDING POSTION?

REMARKS:

43.

(E-2) COMPRESSED

GAS HANDLING

PROCEDURES

ARE ALL CYLINDERS PROPERLY

LABELED?

REMARKS:

44.

(E-2) COMPRESSED

GAS HANDLING

PROCEDURES

ARE ALL PIPING AND HOSE LINES

PROPERLY COLORED CODED AND

LABELED?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


45.

(E-3) ELECTRICAL

OPERATING

PROCEDURES

ARE ALL ELECTRIAL LINES IN

GOOD CONDITION?

REMARKS:

46.

(E-3) ELECTRICAL

OPERATING

PROCEDURES

IS ALL ELECTRICAL POWERED

PROPERLY ISOLATED, GUARDED,

AND GROUNDED?

REMARKS:

47.

(E-4) HAND TOOL

USE

PROCEDURE

IS THERE A FACE SHIELD AND SET

OF GOGGLES POSTED AT EACH

POWERED HAND TOOL?

REMARKS:

48.

(E-4) HAND TOOL

USE

PROCEDURE

ARE SIGNS POSTED AT EACH

STATION, REQUIRING THE

WEARING OF GOGGLES AND FACE

SHIELD WHEN OPERATING THE

TOOL?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


49.

(E-5) LARGE POWER

TOOLS &

MACHINES

OPERATING

PROCEDURES

ARE ALL THE TOOLS OR

MACHINES IN GOOD CONDITION?

REMARKS:

50.

(E-5) LARGE POWER

TOOLS &

MACHINES

OPERATING

PROCEDURES

ARE SIGNS POSTED AT EACH

STATION, REQUIRING THE

WEARING OF GOGGLES AND FACE

SHIELD WHEN OPERATING THE

TOOL?

REMARKS:

51.

(E-6) TEST MACHING

OPERATING

PROCEDURES

WHEN THE TEST MACHING IS

SHUT DOWN IS THE ESD BUTTON

LATCHED? AND LOCKED?

REMARKS:

52.

(E-7) MATERIAL

HANDLING

PROCEDURES


THAT TO CARRY A LOAD OF 50

LBS. OR MORE IS A TWO MAN JOB?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


53.

(E-7) MATERIAL

HANDLING

PROCEDURES

DOES EACH FORK LIFT OPERATOR

HAVE IN THEIR POSSESSION AND

OPERATOR’S CARD? THAT IS

CURRENT?

REMARKS:

54.

(E-7) MATERIAL

HANDLING

PROCEDURES

IS A FORKLIFT OPERATOR’S

INSPECTION COMPLETE? ON FILE?

AND FOR EACH WEEK OF THE

PAST YEAR?

REMARKS:

55.

(E-7) MATERIAL

HANDLING

PROCEDURES

ARE CRANE OPERATORS TRAINED

AND QUALIFIED?

REMARKS:

56.

(E-7)

MATERIAL

HANDLING

PROCEDURES

ARE ALL CRANES INSPECTED &

DOCUMENTED:

DAILY?

MONTHLY?

ANNUALLY?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


57.

(E-7)

MATERIAL

HANDLING

PROCEDURES

ARE ALL SLINGS SAFE AND READY

TO USE?

REMARKS:

58.

(E-8) OFFICE

OPERATING

PROCEDURES

IS THE EMERGENCY ACTION PLAN

POSTED? IN ALL AREAS?

REMARKS:

59.

(E-8) OFFICE

OPERATING

PROCEDURES

IS THE OFFICE AREA CLEAR OF

SLIPS, TRIPS AND FALL HAZARDS?

REMARKS:

60.

(E-9) PAINTING &

BLASTING

PROCEDURES

ARE ALL PAINTING AREAS CLEAR

OF IGNITION SOURCES?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


61.

(E-9) PAINTING &

BLASTING

PROCEDURES

ARE FIRE EXTINGUISERS

PROVIDED JUST OUTSIDE THE

PAINTING AREA?

REMARKS:

62.

(E-12)

FIRE

AWARENESS &

PREVENTION

IS GOOD HOUSEKKEPING

OBSERVED IN ALL AREAS?

REMARKS:

63.

(E-12)

FIRE

AWARENESS &

PREVENTION

ARE ALL COMBUSTIBLES AND

FLAMMABLES STORED IN AN

APPROVED STORAGE AREA WHEN

NOT IN IMMEDIATE USE?

REMARKS:

64.

(E-12) FIRE

AWARENESS &

PREVENTION


UNDERSTAND THE EMERGENCY

ACTION PLAN?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


65.

(E-12)

FIRE

AWARENESS &

PREVENTION

HAS A FIRE DRILL BEEN

CONDUCTED DURING THE LAST

TWELVE MONTHS?

REMARKS:

66.

(E-11)

HYDRAULIC

SYSTEMS

IS THE OPERATOR’S

MAINTENANCE LOG CURRENT FOR

EACH WINCH?

REMARKS:

67.

(E-11)

HYDRAULIC

SYSTEMS

IS THERE A COMPLETED JSA

SIGNED BY EACH EMPLOYEE

FOR EACH DAY OF THE WEEK?

REMARKS:

68.

(E-14)

CABLE GREASE

COATING

PROCEDURES

IS EACH EMPLOYEE WEARING THE

PROPER PPE?

REMARKS:




Form (B-3)(F-1)


ITEM

HSE

Manual

Section


69.

(E-14) CABLE GREASE

COATING

PROCEDURES

ARE THE WATER PROOF COVERS

IN PLACE WHEN THE PIT IS NOT IN

USE?

REMARKS:

70.

(E-14) CABLE GREASE

COATING

PROCEDURES

IS THE PIT DRAINED

PERIODICALLY TO PREVENT OVER

FLOWING?

REMARKS:

71.

(E-15)

FABRICATION

DIVISION

IS THERE A COMPLETED JSA

SIGNED BY EACH EMPLOYEE FOR

EACH DAY OF WORK?

REMARKS:

72.

(E-15)

FABRICATION

DIVISION

IS THE WORK AREA CLEAN AND

FREE OF TRASH, DEBRIS AND

ITEMS NOT NEEDED FOR THE JOB?

REMARKS:


(B-04) EMPLOYEE COMPETENCY ASSURANCE TRAINING

1 PURPOSE

This procedure allows the HSE Manager to ensure that all Versabar employees receive the required training

to allow them to safely perform their jobs.

Training requirements will be based on the processes and procedures contained in the Versabar Safety

Management System, particularly hazard assessments and regulatory requirements.

2 SCOPE

This section applies to all Versabar, Inc. facilities, vehicles and work sites.

3 PROCEDURES

The HSE Manager shall insure that each employee is properly trained in:

1. The hazards present in the work place,

2. The procedures, processes and personal protective equipment developed to prevent these hazards

from causing injuries, property damage and / or environmental incidents, and

3. The skills necessary to conduct their assigned jobs safely and efficiently while providing product

quality and economy.

The Manager shall insure that each employee is properly trained before starting work, when:

1. The employee is first hired

2. The employee is appointed to a new job assignment

3. The employee is exposed to new substances, processes, procedures, equipment, etc. that represent

a new hazard to the employee

4. When existing training has expired

3.1 New Employee Orientation

Each employee shall receive the New Hire training as outlined in the Versabar approved training matrix.

3.2 Employee Training Matrix

A Training Matrix has been developed and will be maintained by the HSE Department. The Training

Matrix describes the training requirements (HSE and Skills) for each employee job title in Versabar, Inc.

The training requirements listed on the matrix are derived from the written “Job Title/Position Descriptions

on file in the HSE Department.

The Training Matrix and Job Descriptions will be reviewed annually by the HSE Department in

conjunction with the Operations Manager to determine currency, accuracy and applicability to the types of

work being conducted by an employee with that job title. This review will be conducted using the results

of the annual facility hazard assessment.



3.3 Employee Training Documentation & Records

Training shall be provided through the Versabar HSE Department.

All training must be documented by a written test and a written certification with: the Employee’s Name,

the Employee’s social security number or employee identification number; the topics included in the

course, the date the program was completed, the instructor’s signature and the certifying agent’s signature.

Attendance at all training shall be recorded using form (B-4)(F-1)

A training file shall be maintained in the HSE Department for each employee on site. This file shall contain

documentation of all training the employee has received while employed by Versabar.

The HSE Manager shall ensure that periodically a review of the training records of each employee is

conducted to keep each employee current with required training.

Versabar employees will be required to wear stickers on their hard hats after completing training in the

following classes: Forklift, Cherry Picker, Manlift, and Manitowac Crane.

3.4 Outside Training Organizations

The training from an outside organization is acceptable, if documentation is on file verifying the quality

and experience of the outside training organization.

Approval of the outside organization and the training program by the HSE Department and documentation

consistent with that described above is required before the employee is considered to be properly trained or

qualified.




Form (B-4)(F-1)

Training Sign-Up Sheet

Date: Class Name:

Class Start Time: Class End Time:

Instructor: Instructor Company:

Subjects Covered:

Name (Print) Signature


(B-05) EMPLOYEE COMMUNICATION

1 PURPOSE

This procedure provides for two-way communication between the company and the employees on safety,

health and environmental issues. This communication shall include meaningful and reprisal-free employee

input to all Versabar, Inc. Policies and Procedures.

2 SCOPE

This section applies to the Versabar, Inc. facility and work sites.

3 NOTICES AND POSTERS

Each Versabar, Inc. Facility shall post and maintain in the lunchroom and / or break room all notices and

posters required by federal, state and local governments.

All company notices shall be displayed in this area.

Each year the OSHA Log 300 for the facility shall be posted in this area from February 1, through May 1.

The following is a list of notices and posters that are required to be posted in these areas. This list is not

all-inclusive but is intended as a starting point.

3.1 FEDERAL

1. H.E.W. notice “PROHIBITION OF SICKLE CELL TRAIT DISCRIMINATION”

2. EQUAL EMPLOYMENT OPPORTUNITY ACT

3. DEPT. OF LABOR NOTICE “JOB SAFETY & HEALTH PROTECTION”

4. FAIR LABOR STANDARDS ACT

5. POLYGRAPH PROTECTION ACT

6. FAMILY & MEDICAL LEAVE ACT

7. Poster “HAZCOM TRAINING”



3.2 STATE / LOCAL

1. NOTICE “UNEMPLOYMENT INSURANCE BENEFITS”

2. NOTICE “COMPLIANCE WITH THE WORKERS’ COMPENSATION LAW”

3. NOTICE “MINOR LABOR LAW”

4. CERTIFICATE “SALES & USE TAX”

5. LICENSE “OCCUPATIONAL LICENSE”

6. NOTICE “EMERGENCY ACTION PLAN”

7. NOTICE “EMERGENCY TELEPHONE NUMBERS”

4 VERSABAR OBSERVATION PROGRAM

VERSABAR, Inc. established a Behavior Based Safety Process: “V.E.R.S.A.B.A.R.”. This process

empowers the individual employee to “Identify”, “Evaluate” and “Correct” hazards and risks in the work

place. Managers, Supervisors and Employees work together, as a “Team”, to constantly improve the

operational safety and quality within and with out the company.

4.1 Employees

The Work Force is the first to recognize work place hazards and the first to be affected by work place

hazards. VERSABAR has empowered the work force to “Identify”, “Evaluate” and “Correct” facility

hazards, equipment hazards and at-risk employee behaviors. The method available to the employee to

accomplish this is “V.E.R.S.A.B.A.R.”, a behavioral based safety process designed specifically for

VERSABAR by VERSABAR, Inc.

Step 1 Each employee is empowered to “Observe” the work place and “Identify” at-risk

behaviors and physical hazards before they can become an “Incident”.

Step 2 Each employee is empowered to “Observe” the work place and “Identify” desirable

behaviors and desirable work procedures that can be shared with all Versabar employees

so that all will benefit from the successful work methods.

Step 3 Each employee is empowered to “Stop the Job”, and “Evaluate” and “Correct” or

recommends corrective action at-risk behaviors and physical hazards before they can

become an “Incident”.

The tool provided to the employees to accomplish these steps is the V.E.R.S.A.B.A.R. Observation Form.

Each employee is provided a quantity of these forms.

The employees use the form to record:

1. Observations (Safe & Unsafe) made during their shift.

2. Corrective Actions taken.



3. Feed back exchanged between the Observer and the Observed Employee/s.

The employees will then give the completed observation form to their Supervisor as soon as possible after

the observation for review and possible further action.

5 STOP WORK AUTHORITY (SWA)

Everyone working for Versabar including contractors are empowered and expected to stop the work of co-

workers if any person’s safety or the environment are at risk. No repercussions will result from this action.

It is the policy of this company that all employees and its contractors have the authority and obligation to

stop any task or operations where concerns or questions regarding the control of Health, Safety, or

Environmental (HSE) risk exist.

No work will resume until all stop work issues and concerns have been adequately addressed.

In general terms, the SWA process involves a stop, notify, correct and resume approach for the resolution

of a perceived unsafe work actions or conditions.

Any form of retribution or intimidation directed at any individual or company for exercising their authority

as outlined in this program will not be tolerated.

Thought situations may differ; the following steps should be the framework for all stop work interventions.

Step 1: When a person identifies a perceived unsafe condition, act, error, omission, or lack of

understanding that could result in an undesirable event, a “stop work intervention shall be

immediately initiated with the person(s) potentially at risk.

Step 2: If the supervisor is readily available and the affected person(s) are not in

immediate risk, the “stop work action” should be coordinated through the

supervisor. If the supervisor is not readily available or the affected

person(s) are in immediate risk, the “stop work” intervention should be

initiated directly with those at risk.

Step 3: “Stop work” interventions should be initiated in a positive manner and

start the conversation with the phrase “I am using my stop work authority

because....”

Step 4: Notify all affected personnel and supervision of the stop work issue. If

necessary, stop associated work activities, remove person(s) from the area,

stabilize the situation and make the area as safe as possible.

Step 5: All parties shall discuss and gain agreement on the stop work issue.

Step 6: If determined and agreed that the task or operation is OK to proceed as is

(i.e., the stop work initiator was unaware of certain facts or procedures)

the affected persons should thank the initiator for their concern and

proceed with the work.

Step 7: If determined and agreed that the stop work issue is valid, then every



attempt should be made to resolve the issue to all affected person’s

satisfaction prior to the commencement of work.

Step 8: If the stop work issue cannot be resolved immediately, work shall be

suspended until proper resolution is achieved. When opinions differ

regarding the validity of the stop work issue or adequacy of the resolution

actions, the supervisor shall make the final determination. Details

regarding differences of opinion and resolution actions should be included

in the documented report.

Step 9: Positive feedback should be given to all affected employees regarding

resolution of the stop work issue. Under no circumstances should

be directed at any person(s) who exercise in good faith their stop work

authority as detailed in this program.

Step 10: All stop work interventions and associated details shall be documented

and reported as detailed in his program.

Reporting:

All “stop work” interventions exercised under the authority of this program shall be documented on a

Versabar Observation Card or a Near Miss Incident Report Form.

5.1 HSE Manager

The HSE Manager will:

1. Review each submitted observation form,

2. Collect the observation forms for evaluation daily and input into the computer tracking and

trending program.

3. Forward a request for corrective action / evaluation to the affected Supervisor and / or Operations

Manager for items needing action that are outside the Supervisor’s authority.

4. Includes the observations submitted in the next days JSA Tailgate Meeting to provide feed back

for the crews involved.

5. Maintain Safety Committee meeting minutes, incident / illness statistics and reports.

6. Complete minutes of Safety Committee meetings and prepare and submit final minutes to

VERSABAR, Inc. Management.

7. Assist the Operations Manager in implementing and managing HSE and Quality controls.

6 SAFETY COMMITTEE

The Safety Committee is comprised of Employees from each Division of the company. At least one person

from each Division must be represented on the safety committee.

The Safety Committee shall:



1. Advise Management in all matters of health, safety and environment brought before the

Committee.

2. Assist the Supervisors in conducting the monthly hazard inspections of the work areas.

3. Once a quarter the company President or one of the Vice Presidents are required to attend a

meeting.

Meet monthly to review the observations, inspections and to address any issues involving employee health,

safety and work environment. The committee may meet more frequently if deemed necessary to address

some specific issue. Each meeting will include the following topics:

1. Work towards the goal of recruiting one hundred percent of the Personnel in the

V.E.R.S.A.B.A.R. Observation Process

2. Observation Card review

3. Review the Observation Summary Reports of the entire company. These Observation Summary

Reports identify the areas needing attention and the trends with in each Division of the company

4. Bring to the meeting any action items needing correction from their respective departments. Plans

5. After reviewing and analyzing these needs the Safety Committee will issue new “Action Plans”,

which will be sent to the affected Operations Manager for resolution

6. Review incident experience since the last meeting

7. Status of employees previously injured - corrections of causal factors involved

8. Prepare a Report back to the Employees and Management identifying the current status and

actions planned to implement Employee Observations, Suggestions, Recommendations and

Requests previously submitted by the Employees.

7 EMPLOYEE MEETINGS

7.1 Tailgate Meetings

7.1.1 Daily Tailgate Meetings

Each Division and Work Site should conduct Tailgate Meetings at the beginning of each work day and as

often as needed during the day when job conditions change.

The Supervisor of each fieldwork crew will conduct a Tailgate Meeting at the customer work site. The

Tailgate Meetings should last just long enough (approximately 10 to 15 minutes) to allow for a review of

the JSA’s for the day and to establish procedures, personal protective equipment needs and job assignments

to handle any problems expected during the coming day’s work.

A record of these meetings must be kept in the HSE Office for the period of one year. The record shall

contain a list of signatures and names of each employee attending the meeting and the topics covered

during the meetings.



7.1.2 Special Tailgate Meetings

In addition to the Daily Tailgate Meeting, the Customer, the Versabar, Inc. Operations Manager or

Supervisor will to conduct or participate in a safety critical job site specific tailgate meeting. The purpose

of a Special Tailgate Meeting is to insure that any unique or unusual job requirements are reviewed and

discussed before the start of the job. An example, a tailgate meeting is required before any personnel lift is

made.

The records requirement for these meetings is the same as given in Section 7.1.1 above.

7.1.3 Conducting a Tailgate Meeting

The purpose of a Tailgate Meeting is to employ the JSA to identify actual or potential hazards and to

develop strategies to manage them by:

1. Defining the Job: establish the purpose of the job.

2. Break the Job into Tasks: Job tasks follow a sequence of events, and describe the activities in each

task.

3. Identify Hazards and Risks for Each Task: Is it the right equipment for the job? Is all the

equipment properly rated, inspected and tested?

4. Capture the procedure: Is it safe? does it need to be changed? is there risk of injury due to contact

with an object or chemical, Slip, Trip or Fall, Pushing, Pulling, lifting, bending or twisting?

5. Understand the Environment: Is there an environmental hazard to safety or health? is fluid

containment necessary and in place?, have the proper permits been obtained?,

6. “Assess the “What ifs”: What is the worst thing that could happen on the job? what else could

happen?

7. Develop Strategies to Mitigate Risks: Change physical condition/s that create any hazards, use

Management of Change to alter procedures, review the hazards and strategies with job crew, take

steps to prevent the “What ifs” from happening and be prepared to handle them if they do occur, to

ensure that everyone knows what to do, what extra precautions should be taken if there is a new

contractor, a new crew or a new person on the crew?

8. Assign Work Duties Consistent with Section 4 above.



VERSACARD

VERSABAR EMPLOYEES RECOGNIZE SAFETY AS

BEHAVIOR, ATTITUDE & RESPONSIBILITY

Date: Area/Dept:

(S) Safe (U) Unsafe

Personal Protective Equipment

S U S U

□ □ Head/face □ □ Feet

□ □ Eyes □ □ Respirator

□ □ Ears □ □ Harness/Lanyard

□ □ Hands □ □ Work Vest

□ □ Seatbelt □ □ Other

Slips, Trips and Falls

S U S U

□ □ Housekeeping □ □ Ladders

□ □ Stairs □ □ Open Holes

□ □ Walkways □ □ Hand Rails

□ □ Lighting □ □ Barricades

Material handling

S U S U

□ □ Manual Lift □ □ Forklift/Picker

□ □ Pinch Points □ □ Rigging

□ □ Crane Operation □ □ Body Position

□ □ Tag Lines □ □ Communication

Tools and Equipment

S U S U

□ □ Proper Tool □ □ Proper Use

□ □ Inspection □ □ Guards

□ □ Condition □ □ Lockout/Tag out

□ □ Hand Tools □ □ Pneumatic tools

□ □ Slings □ □ Hoses/Couplings

□ □ Hydraulic Equipment □ □ Hooks/Shackles



□ Safe Condition □ Unsafe Condition

□ Environmental □ Safety Suggestion

Explanation:

8 STATES

Rushing

Frustration

Fatigue

Complacency

Can cause or

contribute to

9 ERRORS

Eyes not on task

Mind not on task

Line-of-fire

Balance, traction or grip

Open-ended Questions:

1. How can you get hurt doing this activity?

2. What kind of injuries could you sustain?

3. How could you prevent these injuries?

Reminders:

1. Don’t argue

2. Stay positive

3. Be unthreatening

4. Be respectful


(B-06) SHORT SERVICE EMPLOYEES

1 PURPOSE

This procedure provides each Operations Manager with the tools to provide for the safety, the well being

and the training of Short Term Employees as per OSHA 29 CFR 1910 “General Safety”, DOT 49 CFR

“Transportation”, USCG 33 CFR 1-199 “Marine Safety”, EPA 40 CFR “Environmental” and MMS 30

CFR 250 “Offshore Oil and Gas Exploration and Production Safety” requirements.

2 SCOPE

This section applies to all Versabar, Inc. and facilities, vehicles and work sites.

3 DEFINITIONS

Short Service Employee (SSE): Versabar, Inc. and / or Contractor Employee with less than three (3)

months, in the same type of job, or employment with their employer.

4 CUSTOMER NOTIFICATION

The Project Operations Manager will ensure that the affected customers are notified of the SSE status of an

employee, before that employee begins work for the customer. Utilization of the SSE must be with the

approval of the customer management and with the knowledge of the customer Field Supervisor.

5 CONTRACTOR INFORMATION

The Versabar, Inc. Project Operations Manager will ensure that each Contractor has notified Versabar, Inc.

Management of the SSE status of an employee, before that employee begins work for the Versabar, Inc.

Utilization of the SSE must be with the approval of the Project Operations Manager and with the

knowledge of the local Supervisor.

Not more than 20% of the Contractor’s work force or three (3) employees per work group or team

(whichever is greater), at each work site, can be made up of Short Service Employees. The Manager of the

affected Versabar, Inc. Division must approve any exceptions to this requirement.

6 TRAINING

The Operations Manager shall insure that each Short Service Employee (SSE) is properly trained in:

1. The hazards present in the work place,

2. The procedures, processes and personal protective equipment developed to prevent these hazards

from causing injuries, property damage and / or environmental incidents, and

3. The skills necessary to conduct their assigned jobs with safely and efficiently while providing

product quality and economy.

The Operations Manager shall insure that each Short Service Employee is properly trained as per the

requirements of Section (B-4) “EMPLOYEE TRAINING” of this manual before starting work, when:

1. The employee is first hired,

2. The employee is appointed to a new job assignment,

3. The employee is exposed to new substances, processes, procedures, equipment, etc. that represent

a new hazard to the employee.



7 SHORT SERVICE EMPLOYEE SUPERVISION

All Short Service Employees are required to wear a “Hi-Vis Orange Hard Hat” at all required times while

on the Versabar Facility and Work Sites. Certain areas on Versabar Facility do not require hard hat.

The Supervisor shall provide close supervision and not allow the SSE to perform any task for which they

have not been properly trained. The Supervisor shall ensure that the SSE understands the task to be

performed and the associated hazards.

8 MENTORING PROGRAM

All Short Service Employees will be assigned to a Versabar mentor. The mentor will be a seasoned, well

experienced employee that demonstrates proper work habits with exceptional safety attitude and

performance. This mentor will train the new hire on how to perform each work task. They will work

directly together day-by-day, minute-by-minute until the 3 month period comes to an end. At the end of

three months the supervisor along with Operations Manager will decided if he is qualified to come off the

SSE Program. The mentor will give weekly updates to his supervisor on the progress of the training

program.



MENTOR PROGRAM

JOB DESCRIPTION: All Short Service Employees will be assigned to a Versabar mentor. The mentor will be a seasoned, well experienced employee that demonstrates proper work habits with exceptional safety attitude and performance. This mentor will train the new hire on how to perform each work task. They will work directly together day-by-day, minute-by-minute until the 3 month period comes to an end. At the end of three months the supervisor along with Operations Manager will decided if he is qualified to come off the SSE Program. The mentor will give daily updates to his supervisor on the progress of the training program. PROCESS: You have been selected as a mentor. You will be responsible for training the following employee on work duties including safety aspects of his/her job. If you so choose to accept this position you will work one-on-one with this employee. They must stay with you the entire shift for the next 90 days (3 months). At the end of each week you will fill out a progress report. At the end of the 3 month period, you will meet with the area Supervisor, Operations Manager, HSE Manager and discuss the Short Service Employee’s progress. PROGRESS REPORTS: Weekly reports will be filled out and signed by both the mentor and the Short Service Employee then returned to your supervisor. At the end of the 3 month period, the Supervisor, Operations Manager, HSE Manager and Mentor must all agree that the employee is ready to move out of the SSE category and into the next level of employment, which is no longer short service employee. Hard hat color will no longer be orange. If someone on the team thinks we need to keep the employee in the category of SSE longer then we will go another 30 days and meet again. Date:________________________________ I accept the responsibility of SSE Mentor: I accept the duties of Short Service Employee: ____________________________________ _____________________________________

Signature of Mentor Signature of SSE



Mentor Program Weekly Progress Report

Item Comments

Willingness to Learn

Eager to help others

Arrives rested

Works in a safe manner

Follows instructions well

Wearing PPE

Paying attention

Staying focused

Learning proper lifting techniques

Learning proper rigging hand signals

Aware of body and hand placement

Signature of Mentor: Date:

Signature of Supervisor: Date:

This form should be filled out weekly and turned into the department supervisor. It will then be turned into Yard Superintendent. Phil Wilkerson, Sr. in Belle Chasse and Dave Folse, Sr. in Houston.


(B-07) MANAGEMENT OF CHANGE

1 PURPOSE

The Management of Change (MOC) procedure addresses temporary and/or permanent changes to Versabar

approved policies, procedures and systems, products, materials or substances, equipment, organization and

personnel. All temporary and/or permanent changes will be evaluated and managed to ensure that health,

safety and environmental risks arising from these changes remain at acceptable levels. When a change is

identified as temporary, a time limit for the change must be identified.

The MOC procedure establishes the minimum procedures necessary to identify and control potential

hazards or impacts associated with change. The use of MOC ensures that the impacts of changes that affect

the health and safety of personnel, or threatens the environment are properly recognized, reviewed,

approved, communicated and documented.

A MOC process is completed and should include a risk assessment conducted by all impacted by the

change. Development of a work plan that clearly specifies the time scale of the change and any control

measures to be implemented. Included in the work plan should be authorization of the work plan by the

responsible person(s) through completion.

2 SCOPE

This section applies to all Versabar, Inc. facilities, vehicles and work sites.

3 ROLES & RESPONSIBILITIES

The Operations Manager is accountable for the MOC at the Versabar Facility and is responsible for the

proper application of the MOC process for all work activities and operations performed at the Versabar

facility.

The designated Project Manager is accountable for all MOC that relate to project related products and

services.

The designated Versabar Person-In-Charge is responsible for the proper application of the MOC process at

the Job Site.

All personnel must understand the definition of change and be able to identify such changes as they are

proposed so that the change can be managed to prevent incidents. The HSE manager is responsible for

ensuring that all personnel are training in the MOC process.

4 PROCEDURES

The MOC process requires the implementation of the following steps:

1. Provide a clear description of the change as proposed.

2. Capture the justification for the change.

3. Identify the Authority for approving the change.

4. Document the risk analysis of safety and environmental implications.

5. Develop a work plan that clearly specifies the timescale for the change and any control measures

to be implemented.

6. Describe the outcomes of any reviews of the proposed change and supporting information.

7. Communicate the change to all affected parties.



8. Capture all required activities needed to support the change, i.e. new training, purchase of

additional equipment, and modification to existing procedures.

Form (B-7)(F-1) will be used as a template for the application of the MOC process.

4.1 Proposal for Change

The originator of the proposed change must clearly communicate to appropriate line management a

description of and the reason for change. Line management will evaluate the merits of the change and

determine the additional action required to properly address the change.

4.2 Screening

After the need for change has been verified, appropriate line management will determine whether the MOC

process is applicable. Generally, if health, safety, the environment, or the quality of products and services is

impacted the MOC process should be employed. Line management will assign an MOC coordinator

(usually the person most involved with the change) to coordinate the review and implementation activities.

The MOC originator/coordinator initiates the MOC process using form (B-7)(F-1).

4.3 Review

A proposed change must be evaluated for potential health, safety, environmental and product and service

quality implications. A review should be conducted to assess hazards associated with physically

implementing a change, the hazardous effects that the change could have on processes and personnel, as

well as any negative impact on customer requirements for products and services. Reviewers must be

knowledgeable, trained and experienced with the equipment, practices, procedures and processes, and

products and services under consideration, and have a thorough understanding of the MOC process.

4.4 Authorization

Appropriate line management must authorize the change before implementation. Authorization must be

adequately documented. Approval of the proposed change is contingent upon the following pre-

implementation actions:

1. All necessary health, safety and environmental reviews have been completed.

2. All impacts on product and service compliant with customer requirements are understood.

3. All hazards and consequences associated with the change have been addressed, including approval

from the client if required.

4. All affected personnel have been informed of the change.

5. All required supporting system changes/updates have been implemented, including additional

training and updated product and service specifications and requirements.

6. Documentation of the change and reviews is complete.

4.5 Implementation and Follow-up

Prior to the implementation, the change must be properly communicated to all affected personnel. This can

be accomplished through regular meetings such as pre-job safety meetings and tool box meetings, project

team meetings, or directly by line supervisors. All additional training requirements should be formally

identified and completed prior to final implementation of the change.

After the change has been implemented the MOC coordinator is responsible for verifying that the change

was performed as intended, and that the proper documentation was prepared, and drawings, procedures and

processes updated.



If the change was designated as temporary, a prescribed time limit for the change must be established. The

overall change implementation plan must insure that this time limit, as well as any other stipulations, is

met.

4.6 Emergency Changes

In an extreme emergency it may be necessary to carry out a modification or change before normal MOC

procedures can be followed. In these cases the change will be permitted only on verbal authority of the

designated Person-In-Charge following a recognized risk analysis process. Emergency changes should be

subjected to the normal MOC procedures at the earliest possible time.

4.7 Record Retention

At a minimum the final MOC form and approvals will be maintained on file for a minimum of five (5)

years.




Form (B-7)(F-1)

MANAGEMENT OF CHANGE

Date: Change Coordinator:

Description of Change:

Reasons for Change:

Approval Authorities

Authority Signature Date

Operations Manager

Project Manager

PIC

Other

Implications:

(HSE, Schedule, Cost,

Quality)

Review Comments:

(Reviews, meetings)

Communication Plan:

(People to be notified)

Supporting Changes:

(updates to systems,

procedures etc.)


(B-08) Job Safety Analysis

1 PURPOSE

The Job Safety Analysis (JSA) program provides a systematic framework for identifying, assessing and

managing work location hazards and risks.

This program is to be followed at the Versabar, Inc. facility and work sites for all operations.

2 SCOPE

This section applies to all Versabar, Inc. facilities, vehicles and work sites including offsite locations. In

some cases at offsite locations a Customer defined Safety Management System may be in force which

requires Versabar employees to participate in Customer led JSA’s. In this case the Versabar personnel will

participate fully in the customer JSA process. Versabar employees should make available all in-house JSA

forms and records as input to any client JSA’s.

3 DELEGATION OF RESPONSIBILITY

The Supervisor and/or the person in charge is responsible for ensuring that the JSA process is followed. All

employees involved in the work must participate in the JSA process. Once the JSA form has been

completed it is kept on file at the jobsite. All employees must be able to review the JSA form as required.

4 PROCEDURE

The basic steps of the JSA process are as listed below. The latest version of the Versabar standard JSA

form is to be used for each JSA.

1. Assemble the work team.

2. Define the task (scope of work)

3. Clearly define the sequential steps to be performed.

4. Identify and list the potential job hazards, personnel exposure areas and environmental issues for

each of the identified sequential steps.

5. For each of the potential hazards listed identify and list actions and procedures that may be

followed to eliminate or reduce these hazards.

6. List the personnel participating in the task in conjunction with their work assignments (roles and

responsibilities).

7. All employees will sign the JSA form after the completion of the JSA.

5 GOOD PRACTICES

The following good practices are recommended to be followed to help ensure that an effective JSA is

performed.

1. Management commitment to the process through their involvement in it

2. Involving the right people, i.e. all personnel involved in the activity

3. Full participation of participants, and not just the “reading out of a check list”

4. Quality of JSA preparation through continuous improvement, i.e. update and re-write standard

JSA’s on a regular basis.

6 FORMS AND RECORDS

The standard Versabar JSA form shall be used for all JSA’s. Completed copies of JSA forms shall be held

on file by the Operations Manager for at least 1 (one) year.


(B-09) VISITOR SAFETY PROGRAM

1 PURPOSE AND SCOPE

The purpose of this guide is to present health and safety information to all personnel

visiting Versabar to ensure that you conduct yourself in a safe manner and comply with

all Versabar Safety Management Safety Management Requirements.

During your visit to Versabar you are required to remain with your escort at all times

while in the yard.

2 PERSONAL PROTECTIVE EQUIPMENT (PPE)

All visitors shall wear the proper PPE once they leave the offices and enter the yard. The

following is the list of PPE requirements for visitors:

1. Safety glasses with side shields

2. Hard hats

3. Steel-toe boots/shoes

4. Hearing protection around noisy areas

5. Personal floatation devices are to be worn when work is to occur on barges

In addition and depending upon any specific tasks or activities you may be required to

wear additional job specific PPE.

3 EMERGENCY PLANNING

In the event of an emergency occurring on the premises, all visitors shall follow their

escorts and gather at the Versabar sign.

4 INCIDENT REPORTING

Visitors shall immediately notify a Versabar supervisor of all accidents resulting in

personal injury. Should you require First Aid please notify your Versabar host.

5 GENERAL

We have heavy equipment (fork lifts, cherry pickers, and cranes) working all over the

yard. Pedestrians have the right-of-way, but visibility is poor when you a driving a

forklift or cherry picker. Never assume that the driver see you. The best practice is to

stand clear, as far away as possible and let the driver pass.

Our yard is full of large rocks, to prevent tripping, watch where you are walking at all

times.

When we are running a test with our test machine, we have red warning lights that come

on to alert others. If you notice the red warning lights on, you should stay 50 feet away

from the test machine.


(B-10) CONTRACTOR AND SUBCONTRACTOR MANAGEMENT

1 PURPOSE AND SCOPE

The purpose of this program is to establish the minimum safety requirements for contractors and sub-

contractors to be able to work on Versabar owned property. The objectives of this policy are to ensure that

all personnel working on Versabar facilities are adequately trained in safe procedures and job task

functions, to ensure that safety and environmental policies have been established, provide early

communication of work activities, and that management is committed to safety.

Versabar has a vital interest in maintaining a safe, healthy, and efficient working environment.

Being under the influence of a drug or alcohol on the job poses serious safety and health risks to the

user and to all those who work with the user. The use, sale, purchase, transfer, or possession of an

illegal drug or contraband in the workplace, and the use, possession, or being under the influence of

alcohol also poses unacceptable risks for safe, healthy, and efficient operations.

Versabar has the right and obligation to maintain a safe, healthy, and efficient workplace for all of its

employees and subcontractors and to protect the organization’s property, information, equipment,

operations and reputation.

Versabar may perform drug or alcohol testing of any contractor or subcontractor who manifests

“reasonable belief” behavior, or if they are involved in an accident, or happens to be working with us

at the time of random drug testing both on Versabar facility and offshore.

These requirements will be sent to all contractors & sub-contractors at the time of issuing a purchase order.

2 TRAINING

Contractor and sub-contractor personnel shall be adequately trained for the tasks or activities to be

accomplished. This includes being in compliance with appropriate safety and environmental training

codes, standards, laws and regulations as required by governmental or regulatory agencies having

jurisdiction at the work site (e.g. DOT, OSHA). Versabar may request copies of all training records for

contractor and sub-contractor personnel.

3 PERSONAL PROTECTIVE EQUIPMENT (PPE)

Contractors and sub-contractors shall provide their employees with the proper PPE for them to perform

their jobs safety. The following is the minimum PPE required to work on Versabar facilities. Any

additional job specific PPE (face shields, goggles, respiratory protection, fall protection, hand protection,

etc.) required by Versabar or government regulations shall also be provided by the contractor or sub-

contractor. Minimal PPE Requirements for Contractors and Sub-Contractors:

1. Safety glasses with side shields will be worn in areas where employees are exposed to flying

particles and/or when working around pressurized process equipment, piping, pumps, etc. This

would be in all areas of Versabar except in the offices.

2. Hard hats shall be worn at all times in the yard. Hard hats are not required in the following areas

or situations: Fabrication shops, mechanics shop, and machine shop.

3. Safety steel toe shoes/boots shall be worn at all times when working anywhere on Versabar

facilities except offices.

4. Hearing protection is required in high noise areas or areas that are posted as requiring hearing

protection.



5. Personal floatation devices are to be worn when work is to occur on barges.

6. Fall protection equipment shall be worn when working or climbing more than six feet above an

established working surface.

7. When riding in a manlift, you will wear a full body harness with retract able lifeline or a lanyard

with shock absorber.

4 JOB SAFETY ANALYSIS

Versabar supports the completion of a job safety analysis as a means of evaluating and controlling existing

or potential workplace hazards and to ensure the information is communicated to all affected personnel. A

JSA may be required based upon the complexity of the job, the number of personnel involved and the

hazards that may be encountered. (i.e. - hot work operations, working at heights requiring fall protection.)

Versabar approval of the JSA is a requirement. The JSA should define each person’s roles and

responsibilities.

A JSA must be completed with a Versabar representative (Versabar supervisor or HSE Manager) along

with the entire subcontractor work team if any of the following questions can be answered with “Yes”.

Question 1. Will you be working above 6 feet? _______________

Question 2. Will you be lifting anything heavier than 50 lbs? _____________

Question 3. Will you be using any chemicals? _______________

Question 4. Will you be using any gas cylinders? _____________

Question 5. Will you need to have access to any of Versabar’s heavy equipment: crane, forklift,

manlift, or cherry picker? ________________

5 BASIC SAFETY RULES

No jewelry allowed except watches with break-a-way bands.

Everyone has permission to stop-a-job, so if anyone from Versabar asks you to stop working due

to a safety violation or concern, you must stop. Ask the Versabar employee to call the

Superintendent to come to your location so that the situation can be discussed and rectified.

When lifting or moving loads; assess the weight, bulkiness of the item, and the route of travel.

Use proper lifting techniques. When the load is over 50 lbs. it will take more than one person to

lift, the worker shall ask for assistance or use a mechanical lifting device. Versabar employees

must operate Versabar equipment.

Use handrails when ascending or descending stairways.

The use, possession and distribution of alcohol, illegal drugs, or deadly weapons while on

Company premise is prohibited.

No one is allowed to work on a barge alone.

If you are bringing any chemicals into Versabar yard, you must present the MSDSmmediately to a

supervisor. All containers must be properly labeled.

6 INSPECTIONS/AUDITS

Versabar reserves the right to inspect/audit the Environmental, Health and Safety activities of all

contractors and sub-contractors who work on company properties.



The objective of conducting an inspection/audit is to assure that all contractors are in compliance with

applicable regulatory and Versabar requirements and to prevent Environmental and Safety incidents.

7 INCIDENT REPORTING / FIRST AID FACILITIES

Contractors and sub-contractors shall immediately notify a Versabar supervisor of all accidents resulting in

personal injury, damage to property, or incidents with possible infractions of applicable environmental

protection regulations. There are several first aid stations and eye wash stations on the Versabar facility.

The contractor or sub-contractor should locate these stations prior to starting a job.

8 EMERGENCY PLANNING

In the event of fire occurring on the premises, all visitors shall follow their escorts and gather by the

Versabar sign on Engineers Road.

9 SIGNATURE OF AGREEMENT

I have read and fully understand these minimal safety and environmental requirements for working on

Versabar facilities. I understand that these are minimal requirements and any additional precautions or

safety procedures needed to secure the safety of my employees will be established.

Print Company Name Date

Print Contractor Name Signature




As a Versabar Employee and/or Representative, I have presented the above safety information to the

contractor listed above.

Versabar Employee/Representative Date



Emergency Contact Information

Print Name ____________________________________

Print Company Name _________________________________

Print Company Contact Name ___________________________________

Company Phone Number ____________________

Print Personal Contact Name __________________________________ Relationship ________________

Phone Number _______________

Please list any medicines that you are taking or any medical conditions that you feel an emergency doctor

treating you should know. (For example, diabetes or heart condition.)

______________________________________________________________________________________

______________________________________________________________________________________

(b-03) internal audit system - versabar

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