Brun-Way Contractor Health and Safety Standard. Revision History. Revision Date Description Prepared by Approved by

172  Download (0)

Full text


Brun-Way Contractor Health and Safety Standard

Revision History

Revision Date Description Prepared by Approved by

0 April 1st, 2013 Original Issue Brun-Way Coleen


1 March 14, 2014 Updated to 2014 requirements Brun-Way Andrew Christie

2 February 2, 2015 Updated to 2015 Requirements Brun-Way Andrew Christie




Caution: Un-Controlled Copy

Valid only at time of retrieval from network source directory. User should verify that the revision number is the most current.


Table of Contents
















5.1 Forms 5 5.2 Documents 5




6.1 Health and Safety Program Flow Chart 5

6.2 Pre-Qualification 7

6.3 Job Safety Analysis 8

6.4 Critical Risk Control Protocols 10

6.5 Communication 11

6.6 Safe work permitting systems and programs 13

6.7 Personal Protective Equipment standard 13

6.8 General Safety Rules 14

6.9 Monitoring 15

6.10 Security 17

6.11 Reporting 18


Brun-Way Contractor Health and Safety Standard



Contractors can have a significant role on the Operator’s projects and historical records show Contractor injury rates are significantly higher than company injury rates. As well, Contractors have been responsible for many serious incidents which cause project delays and damage to the Operator’s reputation. As such, effective Contractor management is deemed a key component for reducing contractor generated risks. We must actively ensure our Contractors’ effectively manage their Health and Safety (H&S) responsibilities while on the Operator’s Facility.

The objective of this Contractor Management standard is to:

Inform the Contractor that the Operator will evaluate the Contractor OH&S program and industry safety record as part of the tender and selection process.

Inform the Contractor of the specific health and safety measures which the Operator expects and requires the Contractor to undertake during the course of the Contractor work on the project.

Define the action(s) the Operator may take for non-compliance to regulatory and or the Operator health and safety requirements.



This program is applicable to all of the Operator’s operation, maintenance, and rehabilitation activities and projects on the Facility. Each person is responsible for the diligent, ongoing implementation of this program.

Contractors have obligations under OH&S Acts, Codes and Regulations to implement, enforce and maintain health and safety standards for their respective workforces, processes and areas. The duties and expectations detailed in this document in no way relieve the Contractor of their obligations under applicable OH&S Acts, Codes or Regulations. Rather, it stipulates the health and safety requirements prescribed for the Operator projects in furtherance of compliance by Contractors.




“Health and Safety Program”

Means the health and safety program that must be prepared and implemented by the Contractor.


WorkSafeNB is a Crown corporation charged with overseeing the implementation and application of the New Brunswick Occupational Health and Safety Act, the Workers' Compensation Act of New Brunswick, the Workplace Health, Safety and Compensation Commission Act of New Brunswick, and the Firefighters' Compensation Act.


Means the highway, interchanges, structures, cross overs, facilities, fixtures, and all other assets situated on the Facility Lands.

Facility Lands

Means the land between the highway right-of-way lines located on Route 2, between the Quebec border (km marker 0) and Longs Creek (km marker 257) and on Route 95 between the Maine border (km marker 0) and Route 2 (km marker 14).


The General Contractor, its sub-contractors, suppliers, private hired trucks, employees, representatives whom will perform the work on the Facility.


Means Brun-Way Highways Operations Inc. (“Brun-Way”), a division of SNC Lavalin O&M with head office located at 1754, Route 640, Hanwell, NB. This shall include without being limited to any representatives authorized and acting on behalf of Brun-Way such as the Project Manager, Inspectors, Consultants by whom all explanations and directions was given to perform the work.



The Project Manager shall administer the program and enforce its use. Each Contractor shall receive a copy of this program and be responsible to review this standard with their employees and to ensure compliance with the Operator Health and Safety rules and regulations.


Brun-Way Contractor Health and Safety Standard






6845.2.1.2 Contractor Pre-Selection Form 6831.2.2 Job Safety Analysis Work Sheet 6831.3.1.1 Team StepBack Card

6831.3.2.1 Personal StepBack Card

6846.5.1.1 Contractor Safety Orientation Form 6845.2.1.3 Contractor Pre Mobilization Form 6853.3..1.0 Imminent Danger Form

6853.3.3 Incident Notification Form

6853.4.3 Incident Investigation Reporting Form 6853.5.1 ICAM Chart Template

6856.9.3.1 Site Inspection Report

6856.9.3.2 Field Safety Observation Report

6856.9.3.3 Corrective and Preventative Action Request 6856.9.4.1 Stop Work Form

6856.11.1 Contractor Safety Report




6845.2.1.1 Contractor Management Standard 6831.2.1 Job Safety Analysis Standard 6831.3.1 StepBack Risk Evaluation Standard 6845.2.1.1 Critical Risk Control Protocols

6845.2.2.1 Personal Protective Equipment Standard 6853.2.3 Incident Investigation Standard














The Health and Safety Project Flow chart identifies the typical interaction between the Operator and the Contractor.


6.1.1 F





1. Indicate Contractor Classification level



Contractor submits required documents with the Bid Submission

Section 6.2 Contractor


The Operator reviews the bid submissions and evaluates each contractor with respect to H&S, Bid Price and compliance.

Contract is awarded to the successful bidder.



Pre-Start meetings Tool box meetings

The Operator shall attend the Pre-Start meetings.

Section 6.5.3 Section 6.5.4 Contractor Operator


Contractor will ensure that all employees receive the H&S orientation prior to working on the Project

Section 6.5.1 Contractor Operator


Contractor hours worked Incident Reporting Incident Investigation Section 6.11 Contractor Operator CONTRACTOR INSPECTIONS:

Contractor Self Monitor Process Equipment Inspections

Section 6.9.1 Section 6.9.2 Contractor


Site Safety Inspections

Section 6.9.3 Operator


Meeting will be held prior to mobilizing to the project site. Project Manager will conduct the meeting with the Contractors site leadership team.

Section 6.5.2 Contractor Operator


A meeting will be held at the end of the project to review the health and safety performance. All inspection results, meeting minutes, etc. will be kept in the Contractors file for future reference.

Contractor Operator


Brun-Way Contractor Health and Safety Standard






Contractors will be evaluated with respect to Health and Safety ability and performance, along with the other procurement requirements. Contractors must complete the 6845.2.1.2 Contractor Pre-Selection Form and meet the minimum standard as outlined in 6845.2.1.1 Contractor Management Standard for the appropriate classification level.

This form must be completed and submitted along with the other documents as listed in section 6.2.1 with the bid documents. The Operator will use the Pre-Selection form to evaluate the bidders with respect to Health and Safety before choosing the successful bidder.

6845.2.1.2 Contractor Pre-Selection Form 6845.2.1.1 Contractor Management Standard

6.2.1 C








As part of the Pre-Selection process, the Contractor is expected to submit the following with the bid proposal to the Operator.

1. A copy of the Contractor OH&S Management System and a Project Specific H&S plan. 2. A list of all the specific sections of the H&S Management System and Project Specific Safety

plan that apply to the Scope of work.

3. A completed Contractor Pre-Selection Form with requested documents 4. Details of key project personnel and their safety responsibilities and training. 5. H&S record and industry performance materials:

Experience Rating Assessment from WorkSafe NB for the past 3 years.

Annual safety data as described below for the past 3 years. If Contractors use subcontractors, show separated data for both contractor and subcontractors:

 Total annual hours worked,  Number of fatalities,

 Number of lost time incidents,  Number of days lost,

 Number of modified work incidents, and  Number of medical aids.

6. Summary record of any penalties levied by WorkSafe NB against the Contractor within the past 3 years.

7. Contractor summary reports for any workplace fatality and / or incidents which resulted in significant property and/or environmental damage.

8. Notification of any pending administrative actions against the contractor by the Regulator.








Every Contractor or employer working for the Operator must have valid Workers compensation coverage for the Province of New Brunswick.


Where a waiver is obtained or where coverage does not exist the Operator will need to accept the liability by completing a Risk Evaluation Form (REF).

A certificate is typically valid for between 45 days from the date of issuance.

The Contractor is responsible to submit updated WorkSafe NB workers compensation clearance certificates if they expire during the duration of the Contract.

6.2.3 L




Every Contractor must demonstrate proof of valid liability insurance in accordance with Strategic Procurement policy.

6.2.4 L


Contractors and their employees must be licensed and or registered in the Province of New Brunswick for the work they are performing as applicable.








The Operator is required to inform contractors of known hazards that they and their employees will be exposed to in the locations where the work is to be completed. The Operator will also provide a list of the proposed controls for any known hazards. The contractor will in turn need to inform their employees of the hazards and control measures in place for this work. The Operator may request written proof that this information was communicated at any time.

A Job Safety Analysis (JSA) is a comprehensive hazard assessment process intended to establish standard safeguards and specific methods for the work. The Contractor must complete a JSA on the form provided in advance of the work. More information on completing a JSA can be found in the Job Safety Analysis Standard.

The JSA will be submitted to the Operator for review and approval prior to the Pre- Mobilization meeting. If the Operator does not approve the Contractor’s JSA, they will be notified along with reasons why the JSA was not accepted. The Contractor would then implement the changes and re-submit the JSA to the Operator.

6831.2.1 Job Safety Analysis Standard 6831.2.2 Job Safety Analysis Work Sheet

6.3.1 STEP


The Operator StepBack Risk Evaluation process is a field-level risk assessment tool. It encourages all personnel and Contractors to step back 2 metres and take 2 minutes at the commencement of a new day, new work assignment and/or when conditions have changed to think critically about their working environment.


Brun-Way Contractor Health and Safety Standard

It is required that the Contractor use the StepBack Risk Evaluation process. There are two types of StepBack Risk Evaluation processes currently in use – Team and Personal.

The Operator will provide the applicable forms and cards along with training to the Contractor for the use throughout the duration of the project.

6831.3.1 StepBack Risk Evaluation Standard TEAM STEPBACK

Work teams or individuals shall participate in a Team StepBack at the start of each day, new task or when the scopes of work or hazard conditions have changed. The Team StepBack is a documented discussion of the hazards, associated controls, and subsequent risk levels associated with the planned work for that day/shift. The activities of every team member, as well as the activities of anyone else within the same area, shall be identified, documented, adequately controlled with a record retained.

6831.3.1.1 Team StepBack Card PERSONAL STEPBACK (INFORMAL)

Personnel shall ensure their own safety and that of their co-workers by using the Personal StepBack process prior to commencing any task or activity. This process provides situational awareness that assists personnel in staying alert, keeping their mind on their tasks, and knowing how changes affect them and others.

The StepBack card is a visual reminder to ensure all staff members are cued to the risk levels in their tasks and assignments.

6831.3.2.1 Personal StepBack Card

6.3.2 R


The Operator will have a Risk Register available for all projects. The Risk Register is reviewed as often as required and whenever project conditions change or new hazards develop. The Contractor must notify the Operator when new hazards develop or conditions change.

Attach Risk Register for project..

6.3.3 M





Contractor shall provide up-to-date MSDS for every WHMIS controlled substance to be used in the course of the work to the Project Manager prior to the beginning of the work.

The MSDS will remain on site in hardcopy in a location readily available to any person who may require access for the duration of the work. All employees must be able to show proof of WHMIS certification upon request by the Operator.











The Critical Risk Control Protocols provide the controls deemed necessary to prevent fatalities, serious incidents and injuries arising from the most common hazards and associated risk levels by our business.

These protocols apply to all the Operator controlled sites and activities, and to all employees, Contractors and visitors when involved in these controlled activities.

Below is a listing and brief description of the 8 Critical Risk Control Protocols. Protocol 1 – Vehicles and Mobile Equipment

This protocol applies to all self-propelled vehicles and mobile equipment. This protocol does not apply to employees’ personal vehicles.

Protocol 2 – Hazardous Materials Management

This protocol applies to hazardous materials that, in one or more of their forms (solid, liquid or gas), have the potential to harm people, the environment, or the communities, this could be an incident involving loss of control / containment or under normal activities such as storage, handling, production, transport, recycling and disposal.

Protocol 3 – Equipment Safeguarding

This protocol applies to the safeguarding of people from mobile machines, equipment, power tools, moving equipment, high pressure equipment, electrical equipment, stored energy, and objects projected from moving parts.

Protocol 4 – De-Energization, Isolation, Lock-out and Tagging

This protocol applies to the isolation of all sources of energy (electrical,

mechanical, hydraulic, chemical, gravitational, pneumatic, kinetic, stored energy, etc.).

Protocol 5 – Working at Heights

This protocol applies where there is potential for any person to fall 1.8metres (6 feet) or more or where unprotected access to the perimeter of open side of any work surface exists and the height differential is 1.8 metres or more, or, where any fall from a lesser height involves an unusual risk or injury. This protocol does not apply to rope rescue or rappelling because they are specialist functions. Protocol 6 – Lifting Operations

This protocol applies wherever lifting operations are undertaken. It includes lifts involving SNC-Lavalin owned, hired or contracted cranes such as mobile, crawler, tower, derrick, portal and pedestal-type, vehicle loading cranes, electric overhead travelling cranes, and monorail cranes. This protocol also applies to lifting accessories including slings, chains, wire ropes, shackles, padeyes, containers, baskets, tuggers, winches, man-riding winches and baskets.


Brun-Way Contractor Health and Safety Standard

Protocol 7 – Confined Space

This protocol applies to all spaces / areas, which meet the SNC-Lavalin or prevailing legislated definitions for a confined or restricted space. Furthermore, these protocols apply to any space/area which may become a confined or

restricted space as a result of work activities, conditions and/or location. As soon as it becomes apparent that a space or area is becoming confined or restricted space, this protocol shall be applied.

Protocol 8 – Excavations, Trenches and Coring

This protocol applies when creating and/or working in and around excavations and trenches.

It is the Contractors responsibility to review these 8 Critical Risk Control Protocols with their employees and implement the ones that apply to the specific project in the Site Safety Plan. The full description of the 8 Critical Risk Control Protocols can be found in 6845.21.1 Critical Risk Control Protocols. Documentation of this review must be available to the Operator upon request.

6845.1.1 Critical Risk Control Protocols.




6.5.1 P






Every Operator Facility or Operation should be able to provide a document containing sufficient information to allow the contractor to understand the operational and emergency requirement of the location to which they will be granted access. Information on General Safety Rules and any special conditions should also be provided in writing with the tender package.

In addition to the information provided in the tender package, the Operator will provide a Contractor Safety Orientation that must be completed by all employees, and subcontractor employees that will be involved with working on the Facility. This orientation must be completed prior to the employee starting work.

A form will be provided for sign off that this orientation has been completed.

6846.5.1.1 Contractor Safety Orientation Form.

6.5.2 P






Prior to mobilizing to the project site, operation office or as requested by the Operator, each Contractor’s site leadership team shall attend meetings with members of the project management team. This meeting will review the H&S associated with the Contractor scope of work prior to mobilization and ensure the Contractor clearly understands the H&S expectations, standards and objectives.

A Contractor Pre-Mobilization Form (6845.2.1.3) must be completed signed and dated.


6.5.3 P






Once mobilized to site, it is expected that each Contractor with its Subcontractors shall conduct its own kick-off meetings on a scheduled basis, or as the need arises, and as each new Subcontractor arrives for each separate phase of the project.

Contractor kick-off meetings shall be attended by the Operator representative(s).

6.5.4 T






Tool box talks are completed daily, weekly or prior to beginning any unfamiliar or hazardous work. Tool box meetings are the responsibility of the Contractor supervisor and must be documented. Records of participation in a tool box meeting do not need to follow a specific format so long as the date, topic, and content as well as the names and signatures of the supervisor and participants are clear and legible.

In addition to the Tool box talks mentioned above, the New Brunswick WATCM manual requires that a tool box talk is organized prior to the erection of work area traffic control devices. The meeting shall included all staff involved with the erection of work area traffic control devices and the organizer shall record the date and time of the meeting.

6.5.5 S






The Project Safety Plan is generated by the Contractor using the information provided with the tender package. It contains information on the project specific hazards and measures the contractor intends to implement to control said hazards. The Contractor’s general safety plan may be acceptable for the work, provided the controls identified can be implements on the project in an effective manner. The Operator will require additional controls to be implemented if it feels that the Site Specific Safety Plan needs to be reviewed or if job scope or site conditions change.

6.5.6 P








The Operator requires proof that the Contractor employees received information on site hazards, safety rules and that the agreed upon control measures in place are fully understood. In addition, the Operator requires from the Contractor proof of its employees qualifications and trade certificates.

Prior to starting work on the Facility, the Contractor must provide the following information to support the training and instruction of their work forces.

Copies of certificates for any employees engaged in activities where a safety certification is required. Examples of these are:

 WATCM Awareness – everyone on site  Traffic Control Agent

 Fall Protection  Lock out Tag out  Excavations


Brun-Way Contractor Health and Safety Standard

 NB Environmental Management Training  WHMIS




A Safe Work Permit is a written document issued by authorized personnel that allows a specific task to be carried out during a specific period of time in a defined area.

Safe Work Permits define, document and state the agreement between the persons authorized to carry out a task and the persons responsible for the work area.

A Safe Work Permit ensuring that the work will be done safely must be obtained for any work that, because of its nature or the area in which is carried out, poses or may pose a risk to workers, equipment, the environment, production or other construction activities.

To obtain a Safe Work Permit, the person responsible for the task shall describe the equipment and tools that will be used and the safety measures that will be taken.

The person responsible for the task shall carry out a risk assessment before obtaining the Safe Work Permit.

All Safe Work Permits specify the risks to employees and the safety measures to be taken when carrying out the work described in the permit.

Safe Work Permits are required in the following cases: All Work requiring Fall Protection

All hot work that may create a flame source (cutting, welding, grinding, chipping, heating etc.) and that is done in a restricted access area or in an area of operations.

All excavation work to a depth of more than 1.2 metres All Critical Lift operations

All work requiring de-energizing, isolation, lock-out and tagging. Other work where deemed critical by the Operator








Every practicable measure shall be taken to eliminate hazards through substitution for less hazardous materials or by engineering means according to the hierarchy of controls. PPE selection shall be based on a risk assessment process.

Personnel are required to use PPE in order to provide themselves with the maximum level of protection for the task at hand. Training is to be provided in the correct wear, use and inspection of all issued PPE.

All PPE shall be worn, inspected and monitored in a manner in which does not deviate from original equipment/manufacturers specifications.


6845.2.2.1 Personal Protective Equipment Standard.

6.7.1 B




INIMUM REQUIREMENTS At all Facilities, Contractors will:

Wear CSA approved safety hard hats/helmets.

Utilize hearing protection – it shall be carried at all times and used if entering a designated noise zone.

Wear safety glasses with side shields. Wear CSA approved safety footwear.

Carry hand protection at all times – no material handling may take place without use of appropriate gloves.

Wear shirts with a minimum 4” sleeve.

Wear long trousers, jeans, or full overalls (no shorts).

Use high visibility attire (Class I, II, or III) appropriate to the work/role.

6.7.2 A









Contractors are responsible for reviewing work activities to identify situations in which additional PPE may be required. For example, during grinding work, a face shield and safety glasses with side shields must be worn as stated above.

Contractors are required to monitor work practices on a continuing basis, to ensure that all personnel wear (PPE) suitable clothing to the task being carried out.








To ensure that all personnel work safely on the site, a wide ranging set of general safety rules and regulations shall be implemented by the Contractor. The Contractor will ensure that the rules will apply across the Project and are a reflection of industry standards and best practices. Working safely is everyone’s responsibility.

Contractors shall ensure and document that all workers received a copy of any site safety rules either as part of the Site Orientation or as a standalone document. Contractors are responsible to ensure their employees understand and follow the rules. In addition to the Contractor site safety rules, the Operator has 14 Blue Rules / Safety Absolutes added to complement existing standards and set non-negotiable practices which all employees must follow:


 Conduct a StepBack prior to starting work

 Use fall protection when working above 1.8 m (6’)  Wear a seatbelt when in any moving vehicle  Use a spotter / flag person as required  Verify isolation of all energy sources  Comply with the scaffold color tag system  Hold the handrail when using stairs NEVER


Brun-Way Contractor Health and Safety Standard

 Work from a ladder without maintaining 3 points of contact  Drive above speed limits or while using a mobile phone  Work under the effects of drugs or alcohol

 Modify, remove or override any machine guards  Commence work without wearing required PPE

 Enter an excavation, confined space or exclusion zone without authorization  Walk under a suspended load

Contractors may be requested to submit proof that their employees and subcontractors have understood the requirements for a particular job site.

6.8.1 P






Discipline of Contractor’s employees is the responsibility of the Contractor’s management. However, if actions by a Contractor’s employee(s) endanger the safety of other workers on the Facility or the Public at risk, the Operator will prompt the Contractor to initiate disciplinary proceedings in line with the following Progressive Discipline System.

Providing positive reinforcement and recognition for those employees who consistently comply with site rules and safe work procedures is important. Workers are responsible for being knowledgeable regarding general rules and regulations. Failure to comply with the general safety rules and regulations is a serious violation and will require application of a progressive discipline system.

All Contractors shall develop and implement a progressive discipline process that will be consistent with the principle defined below.

An effective progressive discipline system must meet the following requirements: Use complete and objective evidence

Be based on rules which have been communicated to workers Be fair and applied consistently

Be applied in a calm and rational manner Is a progressive enforcement system Is well documented




6.9.1 C








The Contractor is expected to perform regular audits and inspections on their operations to ensure compliance to their document HSE Plans for the project. At a minimum the Contractor is required to complete at a minimum a weekly Health and Safety Inspection and submit the same to the Operator. Verification of the accuracy of these reports may be completed by the Operator at any time. Contractors can use the 6856.9.3.1 Site Inspection Report if they do not have their own.


6.9.2 E




All mobile equipment brought onto the worksite shall have a mechanical inspection prior to acceptance to the site. Contractor must have a copy of the inspection available to the Operator when requested.

Inspect vehicles at the start of each shift; complete pre-shift checklist and walk around inspection form. Keep the checklist in the vehicle for that shift.

Isolate all potential energy (mechanical, hydraulic, etc.) when servicing vehicles/equipment. Immediately tag and lock defective vehicles/equipment out of service which poses a hazard to safe operations.

6.9.3 S






Site inspections are intended to evaluate the overall condition of the site; the compliance by the workforce with the prescribed safe work procedures and practices/ whether there are hazards present which have not been identified and/or effectively addressed; the adequacy of first aid resources, and whether the administrative procedures i.e. emergency preparedness, information bulletins, notices etc are in place.

Job site safety inspections are to be completed based on the severity of the hazards of the job, according to legislated requirement and in no case less than weekly.

Job site safety inspections will be completed by the Operator. The results will be communicated with the Contractor representative. Any non-conformances will have to be corrected by the date stated.

Records of the inspections will be kept in the Contactors file.

The Operator has the right and responsibility to inspect job site activities and report any issues to the Contractor for resolution and corrective action. The Operator will ensure compliance with the Project H&S plan through regular audits. Audits can include an evaluation of program documents, records, observation of compliance with safe work practices and interviews with management and staff. The Contractor will be advised of the audit results and will be documented in the projects file.

6856.9.3.1 Site Inspection Report

It’s expected that the deficiencies will be rectified by the responsible person within the stated corrective action period. However, if corrective actions are not completed; and/or the same deficiencies are re-occurring; and/or there are ongoing deficiencies which are indicative of insufficient care and attention, the Operator may take the following action(s) to enforce corrective actions.

A Field Safety Observation Report [FSOR], will be issued to the department or Contractor to request action(s) be taken to address deficiencies. The recipient will be required to correct the deficiencies within the timeframe established in the FSOR. The Operator will use the Field Safety Observation Report Log, to track issued FSOR.


Brun-Way Contractor Health and Safety Standard

6856.9.3.2 Field Safety Observation Report

A Corrective and Preventative Action Request [CPAR], will be issued to the department or Contractor to request action(s) be taken to address deficiencies. The recipient will be required to provide a written response detailing the corrective actions to be taken along with the expected timeframe. The Operator will use the Corrective and Preventative Action Request Log, to track issued CPAR.

6856.9.3.3 Corrective and Preventative Action Request

6.9.4 S




A STOP WORK order can be issued at anytime if an unsafe condition or act is observed that can seriously injure or cause death. A Stop Work order can also be issued if there is a re-occurring hazard that is not being corrected as per the Operator’s request.

The supervisor will be contacted to have the concern addressed. All cases of work stoppage will be documented using the 6856.9.4.1 Stop Work Form or other written means of communication and follow up.

If a Stop Work order is given, the Contractor must immediately shut down the work site until a board room meeting can be held to discuss the reasons why the stop work order was issued. The Operator will require one (1) business day notice to arrange for the meeting. At minimum the meeting must be attended by the Operator’s Project Manager and the QSE Manager.

The stop work order will remain in effect until this meeting is held and until corrective actions can be put in place to ensure the unsafe act or condition does not occur again.

6856.9.4.1 Stop Work Form




The Operator reserves the right to refuse access and / or entry to the premises.

Access to the Project shall be restricted to the Contractor and the Operator. The Contractor is responsible for site security throughout the project period.

6.10.1 N


Contractors shall report the arrival of any new workers on the site to the Operator’s Project Manager or designate. The workers would then be required to complete the Contractor Safety Orientation training prior to starting any work.

6.10.2 V


All visitors shall be informed of the emergency response plan and site regulations. Visitors must be accompanied by an authorized person and wear the required personal protective equipment.





6.11.1 H


The Contractor will complete a report to indicate hours worked and health and safety indicators for any work completed for the Operator. The report shall also include subcontractor hours and safety indicators. The report will be completed at the end of the project, and in cases where the project extends over a long period of time; the report shall be completed at the end of each month.

In no case shall the report be received by the Operator later than the 1st day of each month where work took place in the previous month.

The Operator will withhold payment subject to receiving these reports.

6856.11.1 Contractor Safety Report

6.11.2 I




The Contractor shall report all recordable incidents immediately to the Operator representative.

The Contractor shall provide accurate and timely reports of any occupational illnesses, injuries or accidents (including explosions, floods, failure of any equipment, device, supports, etc.) to the applicable government agency, including but not limited to the provincial workers’ compensation board, the provincial “Ministry of Labour”, the “Health and Safety Representative” or the “Trade Union”, as required by any applicable legislation. Should a case of occupational illness be discovered, the Contractor’s supervisor shall be advised immediately.

In the event of a critical injury and/or fatality, or where the occupational illness, injury or accident results in property damage or an absence from work, the Operator Designee shall be telephoned immediately and given an accurate and detailed verbal report stating job number, employee's name, name of the doctor or hospital referred to, and a description of the accident. Thereafter, the Contractor shall provide a copy of the report(s) to the Operator at the time such is provided to the appropriate government agency (ies), as well as confirmation that the report(s) have been filed with the appropriate government agency (ies). This activity is in addition to the report given to the Contractor's head office.

The Contractor shall act promptly in advising the applicable governmental agency (ies). They must be informed of an injury or accident, at the latest, as follows:

Immediately - in the case of a fatal accident, hospitalization of an employee, loss of a limb, or other serious injury;

 in all other cases of accident, within twenty-four (24) hours of the accident or of becoming aware of the accident.


Brun-Way Contractor Health and Safety Standard

In the event of a serious accident or injury, the Contractor shall ensure that the work area in which the accident or injury occurred is secured, and is not released until the applicable governmental agency (ies) provide approval for same.

If there is a serious risk of unsafe conditions, a temporary barrier must be established on all accessible sides with an appropriate "danger" tag attached to each side, or other appropriate steps must be taken to prevent possible personal injury or other accident, before unsafe condition are reported.






Accident investigations are conducted solely to determine what caused the accident and what steps can be taken to avoid a re-occurrence. The Contractor is responsible for ensuring that all accidents and incidents occurring during the performance of the work or at the work site are investigated It is expected that all incidents be reported and investigated utilizing the Incident

Investigation Standard and Form(s). For recordable and/or high potential incidents, root cause(s) must be established using the Incident Cause Analysis Methodology (ICAM), as detailed in the

Incident Investigation Standard. The final incident investigation report must be submitted to the Operator within 14 days.

Investigations should be conducted promptly and without bias. It is essential that all facts concerning the accident are learned, and therefore the following procedure is recommended:

Secure the site, ensuring all hazards have been eliminated before attempting to analyze the accident.

physically check the conditions at the site of the accident including any equipment, materials, tools or environmental condition that could have contributed to the cause; establish factually what happened by interviewing the injured person, witnesses and

supervisor responsible and, where possible have the witnesses and the injured person(s) return to the positions they were in when the accident occurred;

determine the conditions or actions that led to and caused the accident, establishing the root cause; and

prepare a list of recommendations for each of the causal factors to prevent similar accidents

An incident form with the above mentioned information shall be submitted to the Operator within seven (7) days of the incident occurrence.


In the case of a fatality or critical injury, the Contractor and employer must conform to all requirements identified in the applicable provincial occupational health and safety acts. Such investigations will be conducted by the Contractor in conjunction with the Operator.

The Contractor’s supervisor, or appointed delegate, must inform their head office of any work-related injury or illness requiring treatment beyond the first-aid level on the same day as the accident occurs.




Contractor is responsible to submit Emergency Response Plans that shall include the following: Objective and Policies

Responsibilities of responders

Assistance that can be obtained outside the worksite

The Emergency Response Plan shall provide instructions and procedures for various situations:

o Injured Worker o Fire or explosion

o Emergency telephone numbers during and outside work hours Contact information for the Operator Project Manager and QSE Manager Contract the Operator’s - Operations Control Centre 24/7

o 1-888-464-7575 Response team

Communication with the media


Contractor Pre-Selection Form


1. Highest ranking H&S professional in the Company:

Name: Title: Qualifications: Reporting to:

Canadian Registered Safety Professional Certified H&S Consultant

Certified Engineering Technician Registered Occupational Hygienist Construction Safety Officer Professional Engineer

Trade Certification (specify): Other Specify: Phone: ( ) Fax: ( ) Email:

2. Does the Company have or provide a full-time H&S representative? Yes No If, yes include resume as part of the Company’s supporting documentation submittal

3. Does the Company have or provide a full time site / project H&S representative? Yes No 4. Identify the person within the Company directly responsible for administration of the H&S management system Name: Title :


5. Name of the Health and Safety Authority or Regulatory Agency in the Company’s jurisdiction. 6. Address of the Company Health and Safety Authority or Regulatory Agency.

7. Email address or Website URL of the Company’s Health and Safety Authority or Regulatory Agency. 8. The Company’s registration number with its Health and Safety Authority or Regulatory Agency. 9. Name of the Company’s Workers Compensation Insurance.

10. Address of the Company’s Workers Compensation Insurance.

11. Email address or Website URL of the Company’s Workers Compensation Insurance.

12. The Company’s registration number or policy number with its Workers Compensation Insurance. 13. List the Provinces/States in which the Company is registered with a Health and Safety Authority or Regulatory

Agency (For Canada and USA only).

14. List the Countries in which the Company is registered with a Health and Safety Authority or Regulatory Agency.


15. Does the Company have a written H&S manual? If yes, please provide copy. Yes No If yes, does the manual contain:


Accountabilities and responsibilities for managers? Yes No N/A Do managers / executives visit worksites? Yes No N/A

How often, provide details:

Accountabilities and responsibilities for supervisors? Yes No N/A Accountabilities and responsibilities for employees? Yes No N/A Management commitment and expectations? Yes No N/A Standards for employee participation? Yes No N/A Periodic employee H&S performance appraisals? Yes No N/A Resources required to meet H&S requirements? Yes No N/A Hazard recognition and control? Yes No N/A

How are employees informed of job hazards?

Reference to legislation? Yes No N/A Right to Refuse legislative requirement? Yes No N/A Address the Company Suppliers and Sub-Suppliers H&S Management

Systems Yes No N/A

16. Upon Request, can copies of the Company Suppliers and Sub-Suppliers Health and Safety Management System policy, program, manuals, plans, specifications, procedures, audit reports and performance records be provided?

Yes No N/A

17. Is the H&S manual updated annually? Yes No N/A 18. What is the date of the last revision for the H&S manual?

19. Please list all languages the H&S Manual is available in? 20. How does the Company measure H&S success?


21. Does the Company use a Risk Register? Yes No N/A If yes, briefly explain the philosophy behind using a Risk Register?

If yes, Please provide 3 examples of Risk Registers the Company has used recently.


22. Does the Company have a Training policy and programs? Yes No N/A 23. Does the Company have a system to indentify and provide appropriate

training for all personnel? Yes No N/A 24. Does the Company have a process to validate the Companies’ workers

have received appropriate training before undertaking work activities? Yes No N/A 25. Are there regulatory health and safety training requirements for employees Yes No N/A


Contractor Pre-Selection Form

in the Company’s jurisdiction?

26. Have the Company employees received the required regulatory health and

safety training and re-training? Yes No N/A 27. Are your Company employees job skills and competency certified, where

required, by regulatory or industry consensus standards? Yes No N/A If yes, list crafts which should be certified by regulatory or industry consensus standards.

If yes, list crafts which have been certified by your Company.

28. Does the Company have a Training Matrix? If yes, please attach. Yes No N/A 29. Does the Company maintain records for its health and safety training

programs for employees? Yes No N/A

30. What type of training is used? Provide a sample.

31. Does the Company have a specific health and safety training program for

supervisors? Yes No N/A

If yes, what is the length of the program?

32. Does the Company have a specific health and safety orientation program

for new employees and workers? Yes No N/A If yes, what is the length of the program?

33. How is understanding of training verified?


34. Does the Company have a Certificate of Recognition (COR or SECOR)? (Canada Only) Yes No If yes, provide the following specifics:

Certificate Number: Expiry Date:

Last external audit score: Date of last external audit: Date of last internal audit: Date of next external audit:

35. Does the Company conduct H&S audits in addition to, or in lieu of, the COR process? Yes No If yes, provide the following specifics:

Frequency of audits: Audit protocol used: Date of latest audit: Audit score achieved: Name of auditor:

36. Are areas for improvement identified and an action plan established? Yes No If yes, provide details:

37. If requested, can copies of the audit (first, second and third party) reports be provided? Yes No



Incident reporting) Yes No N/A

Barricades and flagging Yes No N/A

Compressed gas cylinders Yes No N/A Communications (meetings, written, etc.) Yes No N/A

Confined Space Entry Yes No N/A

Dangerous holes and openings Yes No N/A Electrical equipment grounding assurance Yes No N/A

Emergency preparedness Yes No N/A

Equipment lock out and tag out Yes No N/A Equipment safety devices Yes No N/A Excavation and trenching Yes No N/A Fall prevention and protection Yes No N/A Field level risk assessment Yes No N/A Fire prevention and protection Yes No N/A General rules and regulations Yes No N/A

H2S Awareness Yes No N/A

Hand Tools Yes No N/A

Hearing Conservation Yes No N/A

Housekeeping Yes No N/A

Imminent danger Yes No N/A

Ladders Yes No N/A

Man-made mineral fibres Yes No N/A

Manual materials handling Yes No N/A Personal protective equipment Yes No N/A Portable electrical power tools Yes No N/A Powered industrial vehicles (cranes, forklifts, etc.) Yes No N/A Preventive / predictive maintenance Yes No N/A

Respiratory protection Yes No N/A

Rigging and cranes Yes No N/A

Power line clearances Yes No N/A


Contractor Pre-Selection Form

Stacking materials Yes No N/A

Transferring materials Yes No N/A

Vehicle safety Yes No N/A

Weather extremes Yes No N/A

Workplace Hazardous Materials Information System Yes No N/A


39. Is the Company capable of identifying all hazardous wastes that may be

used or encountered? Yes No N/A

40. Will the Company provide Material Safety Data Sheets for all controlled

products? Yes No N/A

41. Is the Company aware of the legislated requirements for the disposal of

hazardous wastes that may be encountered? Yes No N/A 42. Does the Company provide (free of charge) applicable personal protective

equipment for employees? Yes No N/A 43. Does the Company have a program to ensure that personal protective

equipment is regularly inspected and maintained? Yes No N/A 44. Does the Company have a fatigue management program? Yes No N/A 45. Does the Company have a fleet safety or journey management program? Yes No N/A 46. Does the Company have a Substance Abuse Program? Yes No N/A 47. Does the Company have personnel trained to perform First Aid and CPR? Yes No N/A 48. How will the Company-provide First Aid and other medical services for employees while on site?

49. Does the Company have a formal process for job and task hazard identification, risk assessment and control for each job description or type of operation performed?

Yes No N/A 50. Does the Company have a system or procedure for establishing the

applicable health and safety specifications for the acquisition of materials and equipment?

Yes No N/A 51. Does the Company maintain and update, scheduled inspection and

maintenance certification records for operating equipment (cranes, forklifts, JLGs, etc.), in accordance with laws and regulations, industry and

Company standards and protocols?

Yes No N/A

52. Does the Company have a procedure for inspection/certification of tools,

equipment and vehicles prior to arrival/use on site? Yes No N/A 53. Does the Company have a procedure for positive identification and

removal of defective tools, equipment and vehicles on site? Yes No N/A 54. Does the Company have a Behaviour Based safety program? Yes No N/A

If yes, describe and state the Companies position on Behaviour Based Safety Programs?


56. Describe the Companies philosophy on incentives.


57. Does the Company hold H&S meetings to ensure proper communication of safety information to:

Yes No Daily Weekly Bi-weekly Monthly Quarterly Employees

Field Supervisors New Hires Subcontractors

58. Are H&S meetings documented? Yes No N/A


59. Does the Company investigate first aid incidents? Yes No N/A 60. Does the Company have a procedure to investigate and follow-up on all

incidents? Yes No N/A

61. Does the Company have an injury management program in place? Yes No N/A 62. How are individual incidents totalled and how often are they reported? Yes No N/A Yes No Monthly Quarterly Annually Incidents totalled for entire company

Incidents totalled by project Subtotalled by superintendent Subtotalled by supervisor

63. Are incident reports and report summaries sent to the following within the Company and if so, how often are they reported?

Yes No Monthly Quarterly Annually Project Management

Vice President President / CEO


64. Does the Company use health and safety performance criteria in the

pre-screening and selection of subcontractors? Yes No N/A 65. Does the Company evaluate the ability of subcontractors to comply with

applicable health and safety requirements as part of the pre-screening and selection process?

Yes No N/A 66. Does the Company require its subcontractors to have a written health


Contractor Pre-Selection Form


67. Does the Company conduct health and safety walkthroughs? Yes No N/A If yes, what is the frequency of the walkthroughs?

68. Does the Company conduct health and safety inspections? Yes No N/A If yes, what is the frequency of the inspections?

69. Does the Company conduct internal health and safety program audits? Yes No N/A If yes, what is the frequency of the audits?

70. Does the Company have a standard form or checklist to conduct the

walkthroughs, inspections and audits? Yes No N/A 71. Are the walkthroughs, inspections and audits documented, including

corrective actions (if any) of deficiencies noted? Yes No N/A 72. Does the Company post or communicate the results of the

walkthroughs, inspections and audits to employees ? Yes No N/A 73. Does the Company communicate the results of the walkthroughs,

inspections and audits to senior management? Yes No N/A 74. Does the Company have a corrective action process for addressing

individual health and safety performance deficiencies? Yes No N/A


75. Has the Company received any awards for safety performance

achievement? Yes No N/A


Hoes / Bobcats Ladders Radiation Chemical Potential Residual Landslide

Powered Hand Tools Light trucks / Vehicles


Biological / Biomedical Traffic



Work Area Equipment & Tools (Powered)

Equipment & Tools (Non Powered) REQUIRED SAFE WORK PERMIT (Mark each box as applicable)

CRITICAL RISK CONTROL PROTOCOLS (Mark each box as applicable)

COMMON HAZARD CATEGORIES (Mark each box as applicable)

#1 - Vehicles & Mobile Equipment #2 - Hazardous Materials #3 - Equipment Safeguarding #4 - Energy Isolation

#5 - Working at Heights #6 - Lifting Operations #7 - Confined Space #8 - Excavations Not Applicable Confined Space Entry Hot Work Excavation Electrical Work Not Applicable

Hazardous Materials

Weather Conditions Energy

Working alone Boom lifts / Scissor lifts Man-basket Communications Aerial mobile platform

Simultaneous operations Forklifts Scaffolding Elevated Platforms Cranes Trucks / Trailers Remote location Hand tools Excavators Superposed works Flammable / Combustible Compressed gas Foggy Electrical Mechanical Pneumatic Hydraulic Thermal Tidal Sea storm



P C RL Initial Risk



described in this JSA and that all control measures have correctly been implemented:

Name & Signature


NAME (Print)

I confirm that I have read and understood the Job Safety Analysis which is provided for this work:


Supervisor Name


Date and Time

Task Description


Project / Site


Safe Work Permit Required? Yes


Confined Space

Energy isolation of the space not completed - Insufficient gas testing

- Insufficient rescue equipment/preparedness - Safe Work Permit not in place

- Unsuitably trained personnel - Watch person not available


Exposed documents/equipment Lack of travel preplanning Unauthorized access Working alone

Working at Heights

Contact with overhead power lines Improper use of elevated work platforms Lack of guards/barricades

Poor placement of ladders and scaffolds Possibility of falling objects and material Working near unprotected edges

Excavations, Trenches and Coring

Improper access/egress

Insufficient protection (sloping and/or shoring) Spoil piles/equipment stored too close to the edge Underground utilities and/or objects not identified Unprotected edges

Unstable soil conditions exist


Extreme temperatures

Extreme weather (i.e. ice, lightning, high winds, etc.) Landslide or avalanche possibility

Negative impact to the ecosystem (i.e. spills, leaks, etc.)

Hazardous Materials Management

Dangerously reactive materials

Extensive accumulation of dust, mist and fumes Improper identification and labels

Improper storage, containment and/or transport of chemicals Potential exposure to ionizing or non ionizing radiations Presence of sources of ignition nearby

Look and see the


Below is a list of common hazards to help your group in identifying potential ones you may encounter.


Lifting Operations

Improper selection of cranes and lifting equipment Lack of trained crane operators/riggers Lift plans not available for review

Over loading and/or over reaching required Overridden safety and/or warning devices Uninspected or tagged lifting equipment

Occupational Health and Hygiene

Awkward work position Exposure to noise and vibration Insufficient lighting

Lifting, twisting, and/or repetitive movements Poor air quality conditions

Potential for slips, trips and falls

Other Hazards (please list)

❑ ❑ ❑

Equipment Safeguarding

Equipment not certified and/or inspected - Fail-to-Safe switches not operable - Improper guards

- Interlocks bypassed and/or poor conditions - Pinch points or crushing

- Possibility of entanglement in rotating equipment

Vehicles & Mobile Equipment

Driver not trained

Interaction with pedestrians/other equipment possible Possible distractions exist

Restricted visibility Seat belts not available Vehicle in poor condition

De-Energization, Isolation, Lock-Out and Tagging

Overhead and underground power lines involved Possible release of potential or stored electrical, mechanical and/or chemical energy Strong magnetic fields and high voltage work Systems under pressure

Uncontrolled energy source not isolated





Step back 2 meters for 2 minutes

Look and see the hazards Assess the risk Take appropriate action



1. Have we looked and identified all hazards?

2. Do we have the necessary JSA and/or safe work permit as applicable? 3. Can we do the job as planned in the JSA and/or safe work permit? 4. Are the resources (equipment, tools, PPE and personnel) available? 5. Have we identified all new hazards since we last did the task? 6. Are other persons protected from our activities in the area? 7. Do we know what to do in case of an emergency?

8. Do we have safe access/egress to/from the work area?

9. Can we do this job without putting ourselves or others at risk?

10. Is our work area clean and tidy?

Determine the most appropriate control to mitigate the hazards.

Most Effective

Take appropriate


Assess the


Hierarchy of Controls

All team members must understand and agree to the controls prior to commencing work. Signatures are required as acknowledgement of our shared responsibilities: we are physically prepared and mentally focused to do our job safely.

Name Name Name Signature Signature Signature Name Signature Name Signature Name Signature



Least Effective Elimination Substitution Separation Engineering Administrative

Personal Protective Equipment


If you answered NO to any of these questions, consult your immediate supervisor for assistance.

Risk Level Probability Consequence %Z "2 ,/# '% L, 2% %Z *2 ,? ,"2 % F* 1B % %D #$ #', $4% G% G% G% G% Z % G% G% Z % Z % J% G% Z % Z % J% M% Z % J% J% M% J%


J% M% M% Almost Impossible Conceivable Possible Has Happened Almost Certain L L L M M L L M M H L M M H H L M H H E Low High Medium Extreme

First Aid Medical Aid Modified Work Lost Time Fatality









Step back 2 meters for 2 minutes

Look and see the hazards

Assess the risk Take appropriate action



STOP. Take prompt action to reduce the risk level


ASK a supervisor to help you make your task safer


VERIFY all safety controls and remain cautious



If you answered NO to any of these questions, consult your immediate supervisor for assistance.

1. Have I looked and identified all the hazards?

2. Do I have the necessary JSA and/or safe work permit as applicable? 3. Can I do the job as planned in the JSA and/or safe work permit? 4. Are the resources (equipment, tools, PPE and personnel) available? 5. Have I identified all new hazards since I last did the task? 6. Are other persons protected from my activities in the area? 7. Do I know what to do in case of an emergency?

8. Do I have safe access/egress to/from my work area? 9. Can I do this job without putting myself or others at risk? 10. Is my work area clean and tidy?

Decision Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No No No No No No No No %Z"2 ,/# '% L,2 % %Z*2 ,?, "2% F* 1B% %D# $# ',$ 4% G% G% G% G% Z % G% G% Z % Z % J% G% Z % Z % J% M% Z % J% J% M%


Almost Impossible Conceivable Possible Has Happened Low High Medium Extreme

First Aid Medical Aid Modified Work Lost Time Fatality


Assess the



Risk Level



Contractor Safety Orientation

Course Name: Brun-Way Safety Management System Orientation

Brief Course Description:

A description of the Contractor Safety Management program operated by

Brun-Way Highways Operations Inc., describing the safety policy, the safety

procedures and instructions and the legislative requirements.

The undersigned employees have viewed and understand the concepts

described in the Brun-Way Contractor Safety Management System


Participant Signature















We have discussed and understand the Health & Safety requirements of SNC-Lavalin.

___________________________________ ___________________________________________

Company Name Date

___________________________________ ___________________________________________ Subcontractor Representative (Name) Subcontractor Representative (Signature)



1 Meetings “We Care”/Safety moment (≥3 attendees) 2 Daily Tool Box Meetings (all attendees must sign in) 3 Complete Job Safety Analysis (JSA) as appropriate 4 StepBack (team and personal) conducted

5 Weekly safety meetings to be held

6 Daily work plans to be submitted including type of work planned, manpower, equipment and tools used 7 Develop a site specific risk register

8 Develop a site specific H&S manual 9 Dedicated H&S Coordinator(s) appointed

10 Transportation in / out of site (air / buses) arranged with traffic control considerations

11 Identification of company employees (i.e. hard hat sticker, badges, etc)

12 Security-access card system

13 First Aid Personnel (number qualified) a. All supervisors must be qualified

b. Workers qualified per legislation (e.g. Alberta OHS code part 11)

14 First Aid Facility and Supplies

a. Any injured employee must be seen by the medical clinic and reported

b. Immediately reported verbally

c. Preliminary report completed within 24 hours (form # 6853.1.2)

d. Investigation report (form # 6853.1.3) completed within 14 days


Contractor Pre-Mobilization Form

e. Imminent dangers and near misses reported 15 Vehicles – Proper Safety Equipment and Inspections

a. SNC-Lavalin vehicle sticker (6845.1.6) on dashboard b. 20 lb. ABC fire extinguisher

c. First-aid kit

d. Back-up alarm (vehicles 1 ton and over)

e. Company logo visible on both sides of vehicle (minimum 2” height)

f. Vehicle numbers on the rear window 16 Vehicles – Registration and Insurance

a. Pre-site access inspections completed b. Proof of registration

c. Minimum $3 million liability insurance for each vehicle d. All drivers to have valid a driver’s license and training e. Seat belts mandatory

f. Gasoline storage, handling and containment g. Vehicle pass program

h. Roll over protection (if applicable) – see CRCP 17 Site Evacuation

a. Contractor has adequate transportation for full site evacuation of employees

b. Emergency procedures established and communicated

c. Muster point (labelled) d. Updated contact lists e. Alarm type and procedures f. Emergency drills conducted 18 Training

a. Orientations completed for all employees on first day b. ID badges, returned for terminated employees c. Site training requirements


d. Employee training matrix/log submitted e. SNC-Lavalin orientation video shown 19 Permit Programs in Place

a. LOTO/Isolation

b. Excavations and earth works c. Hot work

d. Work at height e. Confined space

20 Positive Incentive Program a. Requirements

b. Ratios and budget c. Participation

21 Behavior Intervention Program (BIP) 22 Audits

a. Internal (self audit)

b. External (corporate and regulatory audits)


1 Safety signage

a. SNC-Lavalin CRCP Banner b. Caution

c. Working above

d. Caution construction area e. Danger open excavation f. No smoking

g. Yellow / red flagging h. Confined space i. Danger j. Power lines k. X-ray