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1.0 Introduction ......................................................................................................................................................

3
1.1 Project Description .........................................................................................................................................3
1.2 HSE Policy .....................................................................................................................................................3
1.3 Objectives ......................................................................................................................................................3
2.0 Project Scope and Schedule ...........................................................................................................................3
2.1 Description of Work ........................................................................................................................................3
2.2 Work Environment ..........................................................................................................................................4
2.3 Schedule ........................................................................................................................................................4
2.4 Project Manpower ..........................................................................................................................................5
3.0 Contract and Regulatory HSE Requirements ................................................................................................5
3.1 Client/owner Requirements ............................................................................................................................5
3.2 HSE Roles and Responsibilities .....................................................................................................................5
3.3 Contract Indemnification.................................................................................................................................5
3.4 Regulatory Inspections ...................................................................................................................................5
4.0 HSE Management and Staffing .......................................................................................................................5
4.1 Project Management ......................................................................................................................................5
4.2 HSE Roles and Responsibilities .....................................................................................................................6
4.3 Leadership Engagement ................................................................................................................................7
4.4 HSE Staffing...................................................................................................................................................8
4.5 Key Client Contacts ........................................................................................................................................8
5.0 Personnel and Contractor Management ........................................................................................................8
5.1 Selection of Contractors and Suppliers ..........................................................................................................8
5.2 Medical Services ............................................................................................................................................8
5.3 Drug Screening and Alcohol Testing ..............................................................................................................8
5.4 Training and Certification ...............................................................................................................................8
5.5 Signs and Communication .............................................................................................................................9
5.6 Personnel skills and physical requirements....................................................................................................9
5.7 Discipline ........................................................................................................................................................9
6.0 HSE Program ....................................................................................................................................................9
6.1 HSE Program Implementation........................................................................................................................9
6.2 Work Control ................................................................................................................................................ 10
6.3 Safety Committee ......................................................................................................................................... 10
6.4 Safety Meetings ........................................................................................................................................... 11
6.5 Project PPE and Dress Code Requirements ................................................................................................ 11
6.6 Environmental Program................................................................................................................................ 12
6.7 Proactive Safety Measures .......................................................................................................................... 12
6.8 Recognition Programs .................................................................................................................................. 13
6.9 Incident Reporting and Investigation ............................................................................................................ 13
6.10 HSE Reports ................................................................................................................................................ 14
7.0 Hazard Analysis ............................................................................................................................................. 14
7.1 Hazard Identification and Risk Assessment ................................................................................................. 14
7.2 Health Hazard Evaluation............................................................................................................................. 17
7.3 Highest Risk Hazards ................................................................................................................................... 17
7.4 Occupied Facility Location ........................................................................................................................... 19
8.0 Site Access and Control, Vehicle Safety, and Security .............................................................................. 22
8.1 Access and Control ...................................................................................................................................... 22
8.2 Security Measures........................................................................................................................................ 22
8.3 Traffic Plan and Vehicular Safety ................................................................................................................. 22
8.4 Facilities ....................................................................................................................................................... 22
9.0 Emergency Response Plan ........................................................................................................................... 22
9.1 Emergency Notification List .......................................................................................................................... 22
9.2 Emergency Notification Procedure ............................................................................................................... 22
9.3 General Emergency Information .................................................................................................................. 23
9.4 Fire Emergency Response ........................................................................................................................... 23
9.5 Medical Emergency Response..................................................................................................................... 23
9.6 Environmental Spill or Response Procedure ................................................................................................ 24
10.0 HSE Records .................................................................................................................................................. 25
APPENDIX ................................................................................................................................................................... 26

ii
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1.0 INTRODUCTION

2.0 PROJECT DESCRIPTION


Project Name: Honda R&D Americas, Inc. Maintenance and Operations
Support Services
Project Location: Raymond, OH 43067
Project Number: 015120 & 015121
Client/owner name: Honda R&D Americas, Inc.
Key project contributors: Technology Group, Commercial Operations
General description: Provide maintenance and test technicians in support of on-going
day to day maintenance and test operations
Primary role of Jacobs: Maintenance and test operations technical services
Unique project conditions: None

3.0 HSE POLICY


The Technology Group (TG), Commercial Operations personnel supporting this project will
adhere to the requirements identified in this HASAP and to all Honda R&D safety and
environmental requirements applicable to the work being performed. Any conflicts will be brought
to the attention of the Jacobs and Honda Project Managers for resolution.

4.0 OBJECTIVES
The safety goal for the project is to sustain Zero Incidents. The primary metrics for determining
success are the number and severity of incidents and injuries (E-1s). In addition, secondary
metrics including proactive safety actions such as the number of Safety Observations (SORs) and
Safe Plans of Action (SPAs) will be tracked and reported as applicable for the type of work being
performed.

5.0 PROJECT SCOPE AND SCHEDULE


5.1 Description of Work
The Honda Maintenance and Operations Support Services project provides on-site maintenance
technicians in support of day to day maintenance and repair of basic electrical and mechanical
systems and on-site test technicians in support of day to day test operations related to on-going
operations for Honda R&D Americas, Inc. in Raymond, Ohio (HRA-O). The Jacobs employees
will self-perform for activities which they have adequate competency and will oversee efforts
performed by vendor personnel. Work includes but is not limited to scheduling, tracking, and
performing preventive maintenance; performing routine inspections or adjustments;
troubleshooting; repairing; installing; coordinating vendor servicing; and accurately documenting,
communicating status of, and closing work orders for test facilities equipment and systems;
vehicle and test article preparations; test system configuration and operations; and operations
and engineering services in support of Honda vehicle development efforts. Further, the Jacobs
personnel will be expected to integrate with the existing Honda team, learning from peers and
serving as mentors for Honda Associates and/or Contingent employees of Honda. Jacobs
personnel will be expected to help to grow and advance Hondas approach to maintenance and
operations, and may be tasked with developing and/or championing innovations for the Honda
R&D Americas, Inc. team.
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In addition, this project provides Honda reach-back support to Honda on a per task purchase
order basis. This work will typically consist of engineering and or technician services in support of
daily operations or to perform a study.
In all cases, with the exception of task specific reach-back, Jacobs employees work efforts are
directed by Honda supervision.
5.2 Exclusions
5.2.1. Crane Lifts / Lift Planning
Jacobs employees will not engage in coordinating subcontractors, preparing official lift plans,
supervising, or directing lifts using any cranes unless they receive prior authorization. This
restriction is in place due to the extensive knowledge, training, and OSHA requirements
associated with crane lift activities, for which the Jacobs personnel are not trained, certified, or
authorized.
For purposes of this exclusion, the term crane is intended to mean either fixed or mobile,
powered, overhead, lifting equipment. Cranes will usually require trained and certified operators
who are experienced and familiar with the crane to be used. Fixed overhead bridge cranes (or
similar) which are always on-site and may be required to move equipment from time to time may
be considered for authorization, if Jacobs management is made aware of the need and given
adequate opportunity to provide sufficient training and certification to Jacobs personnel prior to
any lift planning or lifting events.
Despite the above restrictions on lifting, Jacobs personnel will retain responsibility to complete a
maintenance or operations task that requires lifting and to which they have been assigned, until
relieved of this assignment by Jacobs and/or Honda management. In such cases, Jacobs
personnel will engage in planning and/or executing the non-restricted elements of the task, and
will be expected to communicate with those who plan or oversee the necessary lift. Jacobs and
Honda management will assist in clarifying roles and responsibilities so that the Jacobs personnel
are able to engage and take responsibilities for all elements of the job for which they are
authorized. If Jacobs personnel question whether an upcoming need for lifting would be
considered a crane lift, they should contact Jacobs and Honda management for clarification and
assistance.
5.2.2. Medium- and High-Voltage Electrical
Medium- and High-Voltage electrical work (work involving voltages in excess of 600V) are beyond
the scope of this project. Jacobs personnel will not participate in such activities without
specialized training for medium- or high-voltage and prior approval from the Jacobs and Honda
Project Managers.
5.3 Work Environment
The work will be split between hands-on operations and maintenance activities within equipment
areas and documentation, planning, and coordination activities within an office environment.
5.4 Schedule
The contract period for all on-site personnel coincides with Hondas fiscal year: April 1, 2014
through March 31, 2015. Personnel will be assigned permanently at the site.

The normal work hours for the Maintenance and Operations Technicians is defined as Monday
through Friday, one 8-hour shift per day. The normal work hours are from 7:00 or 7:30AM
through 3:30 or 4:00PM, but may be adjusted as agreed upon between the Technicians and the
Honda Project Manager, or as required to meet facility objectives. Significant or permanent
changes to normal work hours are to be communicated to the Jacobs Project Manager.
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5.5 Project Manpower


The bulk of the project will be performed by the Jacobs Maintenance and Operations Technicians
assigned to Commercial Operations. Occasional visits by the Jacobs Project Manager to the site
will be scheduled with Honda, and coordinated with the Technicians schedules.

Support from additional Jacobs personnel will be provided on an as-needed basis, and per future
purchase orders.
Periodically there may be a need to supplement the on-site Jacobs staff with additional temporary
labor obtained through a contract staffing agency (contract employee). In such instances, from
an HSE standpoint, the contract employee will be treated as a Jacobs employee and will be
monitored and supported in HSE compliance by experienced on-site Jacobs personnel.

6.0 CONTRACT AND REGULATORY HSE REQUIREMENTS


6.1 Client/owner Requirements
Jacobs will comply with all Honda rules and regulations governing security, maintenance,
operations and safety. Honda has provided the following documentation, and may continue to
furnish, verbally or in writing, additional rules and requirements:
HRA-O On-site Contractor Rules rev1
Confined Space Entry Plan
Hotwork Permit Policy
Lockout Plan
Hazard Communication Plan
6.2 HSE Roles and Responsibilities
Sawson Samimy will serve as the on-site safety representative. The Jacobs operations and
maintenance personnel will report any safety concerns / incidents to both the Jacobs and Honda
Project Managers as soon as possible, and no later than 24 hours after discovery. Resolution of
the safety concern or event will be coordinated between Jacobs and Honda as necessary to
satisfy both companies safety requirements. Should site activities warrant additional HSE
support, personnel will be obtained from the Jacobs office in Bingham Farms (MI) or Tullahoma
(TN). Other HSE support needs for specialized expertise will be provided by the Technology
Group Safety Manager and other resources as required. See Section 4.2 for additional
information.
6.3 Contract Indemnification
Indemnification shall be per section 16 of the Contract.
6.4 Regulatory Inspections
Jacobs personnel shall comply with the law regarding cooperation with any inspections by
regulatory agencies. Directions given by the Honda Project Manager shall be followed in such
instances unless it is in violation of applicable laws or in conflict with specific instructions provided
by Jacobs management. Should an outside regulatory agency such as OSHA request an
inspection of the workplace that involves Jacobs personnel for any reason, the Project Manager
will notify the Technology Group HSE Manager.

7.0 HSE MANAGEMENT AND STAFFING


7.1 Project Management
The project will be managed out of the Bingham Farms office with Project Executive oversight
John Clayton on a monthly basis.

The Jacobs project team members are listed below:


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Name Address E-mail Phone Fax


Jacobs Technology Group
John Clayton
30800 Telegraph Rd., 248-633-1426
Director john.clayton@jacobs.com 248-633-1414
Suite 4900 248-302-1100 (c)
Project Manager
Bingham Farms, MI 48025
Jacobs Technology Group
John Clayton
30800 Telegraph Rd., 248-633-1426
Project john.clayton@jacobs.com 248-633-1414
Suite 4900 248-302-1100 (c)
Executive
Bingham Farms, MI 48025
Sawson Samimy
Honda R&D Americas, Inc.
Maint. Suprv.
21001 State Route 739 Sawson.Samimy@oh.hra.com 937-309-2997 (c) 937-645-1945
Site Safety Rep.
Raymond, OH 43067
Cindy Robertson Jacobs Technology Group
Jacobs Human 600 William Northern Blvd. cindy.robertson@jacobs.com 931-393-6211
Resources Tullahoma, TN 37388
Laurie Hagen Jacobs Technology Group
Jacobs Safety 600 William Northern Blvd. laurie.hagen@jacobs.com 931-393-6480
Manager Tullahoma, TN 37388
Honda R&D Americas, Inc.
David Coates
21001 State Route 739 dcoates@oh.hra.com 937-309-2696 (c) 937-645-1945
Test Technician
Raymond, OH 43067
Brian
Honda R&D Americas, Inc.
Obuchowski
21001 State Route 739 bobuchowski@oh.hra.com 937-309-4476 (c)
Maintenance
Raymond, OH 43067
Technician
Aaron Manuel Honda R&D Americas, Inc.
Maintenance 21001 State Route 739 amanuel@oh.hra.com 937-209-9288 (c) 937-645-1945
Technician Raymond, OH 43067
Jim Przeklasa Honda R&D Americas, Inc.
Test Technician 21001 State Route 739 jprzeklasa@oh.hra.com 937-309-9389 (c) 937-645-1945
Lead 3/8 Tunnel Raymond, OH 43067
Keith McKenzie Honda R&D Americas, Inc.
Maintenance 21001 State Route 739 kmckenzie@oh.hra.com 734-968-3739 (c)
Technician Raymond, OH 43067
Honda R&D Americas, Inc.
Dan Thomas
21001 State Route 739 dthomas@oh.hra.com 517-977-2012 (c)
Test Technician
Raymond, OH 43067
Honda R&D Americas, Inc.
Joe Olson
21001 State Route 739 jolson@oh.hra.com 937-309-4735
Test Technician
Raymond, OH 43067

7.2 HSE Roles and Responsibilities


7.2.1. Jacobs Project Manager
Assures the necessary resources are provided to achieve the safe execution of the
project
Ensures compliance with all safety, health, and environmental standards and procedures
Ensures that proper safety planning, direction, training, and control are accomplished for
each facet of the project
Integrates safety into the project decision-making process
Reviews (or delegates review of) Safe Plans of Action (SPAs) for any new or unusual
tasks (responsibility shared with Honda Project Manager)
Assures that Incident Reports are filed with Jacobs HSE and any necessary Honda
Reports / Forms are completed in support of Hondas corporate HSE management within
24 hours of incident (Honda forms may be used in lieu of Jacobs incident forms if the
effort to complete the Jacobs incident report is simply duplication)
Ensures employees are current on safety training and proper PPE
Tracks and provides updates to safety metrics
Holds employees responsible and accountable for compliance with the safety rules and
procedures
Provides a consistent method of communicating safety issues to employees
Ensures the prompt treatment and proper case management of all reported incidents
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7.2.2. Site Maintenance and Operations Technicians (and contract employees)


Provide advanced notice to Jacobs and Honda management of any atypical maintenance
or operations events that require planning, SPA development and review, additional
hazard mitigations, approvals, or support from outside specialists
Notify Jacobs or Honda management of any concerns or aspect of the Jacobs or Honda
safety programs which are unclear or seem to be lacking
Ensure compliance with all safety, health, and environmental standards and procedures
Assist in observing and enforcing daily site safety
Develop, review, and sign Safe Plans of Action (SPAs) for any new or unusual tasks
Complete daily SPAs
Request assistance as necessary from the Jacobs Project Manager regarding proper
safety planning, direction, training, and control for each facet of the project
Integrate safety into the decision making process
Hold co-workers responsible and accountable for compliance with the safety rules and
procedures
Assist in the identification and selection of PPE
Provide assistance in recognizing training deficiencies
Understand and comply with this HASAP along with associated safety procedures and
instructions
Utilize the proper PPE as designated for the specific task being performed
Report all incidents, regardless of severity, and all unsafe acts and/or conditions to the
Jacobs and Honda Project Manager
Use the right tools and equipment for the job
Participate in the safety planning process for jobs, tasks, and activities
Intervene when a co-worker is performing in a manner which may cause harm to
him/herself or others including imminent danger situations
Conduct safety observation walk-through of assigned areas on a periodic basis, reporting
any findings to Jacobs and Honda management
Take responsibility for completion of all safety training (tracked on TG Learning Center
on-line and classroom courses)
7.2.3. Corporate HSE Management
Provides necessary support to the Jacobs Project Manager and site Maintenance
Technicians
Conduct routine inspections & audits to ensure compliance with company requirements
and processes
7.2.4. Honda Project Manager
Assures that necessary resources are provided for the safe execution of the project
Supports compliance with all required OSHA (as well as other applicable requirements)
and Honda safety, health, and environmental standards and procedures
Assists in confirming that proper planning, direction, training, and control are
accomplished for each facet of the project
Arranges for any Honda-provided safety training which is necessary for qualification to
perform certain duties on-site (i.e. fire extinguisher training necessary to allow for hot
work permit activities)
7.3 Leadership Engagement
Regular site visits by the Jacobs Project Manager will include site safety walk-throughs (as
authorized by Honda) and provide an opportunity for the Jacobs Site Maintenance and
Operations Technicians and Jacobs Project Manager to discuss safety and environmental
concerns. Reviews of the safety metrics will also be conducted at this time. All critical safety
issues will be immediately addressed with the Honda Project Manager as appropriate.
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Safety will be among the topics discussed as part of the Customer Satisfaction Survey to be
performed no less than annually.
7.4 HSE Staffing
There are no additional HSE staffing requirements associated with this project. Existing roles and
responsibilities of the client safety organization and TG provide adequate HSE support.
7.5 Key Client Contacts
Correspondence sent to Honda should be addressed to the Honda Project Manager Chip
Maurer or designee Kathie Van Atta. Correspondence may be sent directly to specific Honda
associates with a copy also sent to Chip Maurer and Kathie Van Atta when appropriate. The
address at Honda is:

Honda R&D Americas, Inc.


21001 State Route 739
Raymond, OH 43067-9705

Faxes should be sent to: 937-645-1945


Responsibility Name Phone E-mail
Main Honda R&D Switchboard 937-644-0439
Honda R&D Emergency 6-1000
Honda R&D Security 6-0279
Honda R&D Operator 6-7575
Honda Project Management Chip Maurer 937-309-9279 cmaurer@oh.hra.com
Honda PM Designee Kathie Van Atta 937-309-2724 kvanatta@oh.hra.com
Manager Honda SEHS Joe Heater 937-309-9260 jheater@oh.hra.com
Safety/Health Honda SEHS Sue Borawksi 937-309-9337 sborawksi@oh.hra.com
Security Honda SEHS Dave Butchko 937-309-9220 dbutchko@oh.hra.com
Environmental Honda SEHS Steve Stutz 937-309-4392 sstutz@oh.hra.com

8.0 PERSONNEL AND CONTRACTOR MANAGEMENT


8.1 Selection of Contractors and Suppliers
The specific selection process of contractors and suppliers will be done in accordance with the
TG Quality Management System.
For contract labor employees (short-term supplemental labor) see Project Manpower (section 2.4)
and HSE Roles & Responsibilities (section 4.2).
8.2 Medical Services
Routine injury or illness will be handled as outlined in Section 9.6 Medical Emergency Response.
Injury drug screening will be administered whenever personnel are taken to the Memorial Hospital
of Union County for treatment. If personnel seek care elsewhere, they should notify the caregiver
of the need for the screening and notify the Jacobs Project Manager as soon as possible (use
forms provided in the red emergency response folder).
After hour injury or illness treatment that is suspected to be the result of a work injury will also be
handled as discussed above and outlined in Section 9.6.
8.3 Drug Screening and Alcohol Testing
Refer to Technology Group (TG) Human Resources Policies, available on TGNet, for information
on the drug and alcohol policy.
8.4 Training and Certification
Personnel shall satisfy all training and certification requirements necessary to perform their work
in compliance with Jacobs, Honda, OSHA and other applicable codes and standards. Any
specialized training deemed necessary will be conducted as needed. Safety training
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requirements for this project are listed, administered, and tracked via the TG Learning Center
available on TG Net. Additional technical training will be defined in collaboration with the client as
need arises.
Each employee performing services at Honda R&D Americas, Inc. Ohio Center (HRA-O) will be
required to read and acknowledge Honda site specific safety requirements and complete site
safety training as directed by the Honda and/or Jacobs Project Manager. Prior to working on site,
Jacobs employees will receive a site specific safety orientation, to familiarize them with specific
site hazards, personal protective equipment requirements, site evacuation procedures, and
project-specific safety guidelines including any client-specified safety rules.
Visitors to the site who are under the supervision of Jacobs personnel will receive a brief
orientation on the specific hazards they may encounter during their visit.
8.5 Signs and Communication
Prior to engaging in work on facility equipment, Jacobs employees will clearly communicate with
their Honda customers to make them aware of the activities that are to be occurring. At a
minimum, updates to customers will be given at the conclusion of shifts and the completion of the
work. Additionally, at the work location temporary signs and barriers (when appropriate to restrict
movement of personnel through the area) will be hung or erected to alert personnel who
approach the job site.

Signage will be provided in English.


8.6 Personnel skills and physical requirements
There are no special pre-requisite skills or physical requirements needed to work on this project
site other than those identified in the Essential Functions of the Position form maintained by
Human Resources.
8.7 Discipline
A Safety Disciplinary Program will be utilized as necessary for all personnel working on site.
This program will satisfy Jacobs and Honda requirements for dealing with behavior that violates
established safety requirements for the work location. Jacobs policies are available for review on
TGNet or through Human Resources upon request.

9.0 HSE PROGRAM


9.1 HSE Program Implementation
Safety will be included in planning all aspects of the project. Various planning tools will be used
including, but not limited to:
Job Hazard Analysis (JHA)
Pre-task planning
Safe Plan of Action (SPA)
9.1.1. Job Hazard Analysis
The initial JHA is included in Section 7.0 of this document. Any additional job hazards identified at
the site will be part of the daily SPA process.
9.1.2. Pre-task Planning
Pre-task planning will be performed for specific tasks for the purpose of identifying hazards and
hazard control measures. The tasks for which pre-task planning will be accomplished include but
are not limited to the following:
Confined space entry
Hot Work (tasks requiring a burn permit)
Tasks requiring respiratory protection Tasks involving working at elevations
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Tasks involving lockout (electrical, mechanical, and/or other sources of energy)


Tasks that involve troubleshooting on powered systems or systems with stored energy
(electric, hydraulic, etc.)
Secondary coolant handling and filling of system
Tasks involving use of tools (including any machining or fabrication)
Tasks involving any man-lifts or powered industrial trucks (fork trucks, etc.)
Complex or dangerous jobs
Any task where there is a known hazard or need for PPE
Another member of the Jacobs team at Honda or a Jacobs employee in the Bingham Farms
office will review and provide feedback on all written pre-task plans prior to work execution.
Pre-task plans may be required for other tasks or activities at the discretion of the Jacobs or
Honda Project Manager depending on the perceived complexity of the job or the potential
hazards.
9.1.3. Safe Plan of Action (refer to HSEP 2.16)
The Safe Plan of Action is a task driven control document to ensure that every task receives
proper HSE planning prior to beginning work. The SPA is developed by the crew/individual
assigned to perform the work with guidance or review from peers or the Jacobs or Honda Project
Manager (Supervisors). Creating the SPA requires identifying hazards and hazard control
measures such as PPE, training requirement, permits, procedures, etc. Each member of the
team signs the SPA to indicate their participation, their understanding of the plan and agreement
to follow the plan.

An SPA will be developed to cover the most common activities that an employee will be engaged
in on a daily basis. Additionally, an SPA will be developed whenever an employee participates in
a task that presents unusual activities or constitutes increased exposure to hazards beyond the
daily activities.

Reference checklists of typical pre-task actions as well as common hazards will aid in the SPA
and task planning. Such checklists and an example SPA form are included in Appendix A.
9.1.4. Accident and Incident Reporting and Investigation
All incidents, regardless of severity, will be reported and investigated as soon as possible, as
prescribed in the local policies and in P0502(TG), Incident Reporting and Investigation.
9.2 Work Control
The Honda Project Manager will administer the day-to-day assignments for Jacobs personnel
and/or may delegate this responsibility to the Jacobs personnel. Jacobs personnel will keep
Honda test facility users and Honda Facilities Department management informed of the activities
they are working on and the status of such jobs. The Jacobs Project Manager will be informed of
the nature of the work assignments but will not be required to authorize specific work.
Jacobs personnel will retain the right and responsibility to stop work or refuse to proceed if an
unsafe act or task for which they lack necessary knowledge or experience is requested of them.
In such instances, the Jacobs Project Manager should be contacted to assist in resolving the
issues.
The Jacobs team will conduct regular planning meetings to coordinate activities for the coming
days/weeks. Additionally, these meetings will serve as an opportunity to raise safety concerns,
discuss any important issues, raise awareness regarding visitors (vendors, etc.) to the facility,
communicate planned absences, check-in with Jacobs Bingham Farms management, and
collaborate with one another.
9.3 Safety Committee
Not applicable
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9.4 Safety Meetings


Safety will be discussed during planning meetings, as part of monthly project review meetings,
and as necessary in conjunction with any safety incidents or whenever significant concerns are
raised.
9.4.1. HASAP Review
Prior to starting work at the site, all personnel shall participate in a project orientation meeting,
which shall include the major provisions of this HASAP. This meeting shall be conducted by the
Jacobs Project Manager. The HASAP will also be reviewed and updated annually by the Jacobs
Project Manager, distributed to all project personnel for annual refresher review and
implementation, and posted on TGNet for access by all affected personnel.
9.4.2. Special Safety Meetings
When events warrant, special safety meetings may be called to discuss critical safety issues or
concerns.
9.5 Project PPE and Dress Code Requirements
Minimum PPE required for personnel working on site includes the following:
Hard-toe footwear (ASTM F2413 or equivalent)
o Additionally, Qualified Electrical Workers must have shoes that are EH (Electrical
Hazards) rated (Required by NFPA 70E)
Safety glasses with rigid side shields (ANSI Z87.1-1989 or equivalent)
Long pants/slacks
Shirt/blouse with minimum two-inch sleeves

In addition to the minimum PPE, task-specific PPE may be required depending on the assigned
work. Jacobs personnel will be responsible for assessing the hazards associated with each task
and for identifying the required PPE in the Pre-Task Plan or SPA.
Examples of task specific PPE include but are not limited to the following:
Hard hats (ANSI Z89.1-1997 or ANSI Z89-2003, Types 1 and 2, Class G (General) or E
(Electrical) or equivalent)
o Electrical workers and others who may be exposed to voltages in excess of
2,000 volts must use Class E hard hats only
o Class E hats are recommended since they provide the most comprehensive
coverage
Gloves appropriate for specific work requirements
Hearing protection when exposures of 85 dBA or above are experienced (or as holding
conversations with another individual within 3 feet without shouting are difficult)
Fall protection harness & lanyards when working from elevations of greater than 6 feet
above lower levels to which a fall would be possible
Fall protection harness & lanyards when working in a man-lift
Chemical resistant goggles and face shield whenever working with or handling hazardous
chemicals or fluids
Arc-Flash protection gear when working on or around powered electrical equipment
o Category 0 (Equipment less than 240 volts powered up but not working on live
parts)
Long sleeved shirt of non-melting material
Pants
Safety glasses
o Category 1 (Equipment less than 240 volts powered up and working on live parts
including voltage testing or equipment greater than 240 volts but less than 600
volts powered up but not working on live parts)
2
Long sleeved shirt (Fire Rated 4 cal/cm )
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Pants (Fire Rated Denim)


Hard hat
Safety glasses
o Category 2 (Equipment greater than 240 volts but less than 600 volts powered up
and working on live parts including voltage testing)
Tee shirt (Cotton Underwear)
2
Long sleeved shirt (Fire Rated 8 cal/cm )
2
Pants(Fire Rated 8 cal/cm )
Hard hat
Safety glasses
Arc rated face shield
Leather gloves
Hearing protection
9.6 Environmental Program
A goal of the project is to practice good environmental stewardship and achieve zero
environmental incidents. The Jacobs Project Manager and Technicians are responsible for
meeting this goal by demonstrating environmental initiative and leadership.
In the event of a spill, the Jacobs Technician(s) will confirm that the Jacobs and Honda Project
Managers are notified immediately after initial spill containment measures are performed.
Jacobs Technicians will not conduct spill containment or clean-up which they are not trained /
authorized to perform. If not authorized, Jacobs employees will immediately move to a safe /
uncontaminated area and notify qualified site personnel to deal with any spills that are
discovered.
9.7 Proactive Safety Measures
Jacobs will strive to implement proactive safety measures in the daily execution of work. These
will include but not be limited to ensuring that employees have safety training appropriate to the
job, preparing, reviewing, and revising (as need arises) safe plans of action (SPAs), ensuring that
unsafe conditions and work practices are identified and corrected through proactive Safety
Observations, and by incorporating an attitude and mind-set of promoting safety in the day-to-day
job planning and execution processes.
Proactive safety actions:
o Safety Interventions
o Development, Review, and Revision (as need arises) of Safe Plans of Action
o Near Miss Reporting
o Safety Observations/Suggestions
Safety measures:
o # of Incidents (Near Miss, First Aid, and E-1).
Near Miss incidents are occurrences which given a slight shift in position, timing, or
outcome could have resulted in First Aid, E-1, or equipment damage. They are to
be viewed as opportunities to learn from a mishap, mistake, unexpected occurrence,
ill-planed, or ill-executed event so that hazards can be better avoided in the future.
First Aid incidents will be any occurrence that results in minor illness or injury.
An E-1 incident is any injury or illness that results in treatment beyond first aid by a
physician or other licensed medical professional.
o Completion of safety training requirements (TG Learning Center)
o Individual participation in safety observations, and track the number of SORs completed
o Quarterly walk-through investigations

9.7.1. Safety Observations


The Safety Observation Report (SOR) process will be used to identify both positive feedback
(safe) and conditions or practices of concerns (unsafe). Observations can be brought to the
Page 13 of 37

attention of the Jacobs and/or Honda Project Managers for resolution / discussion. Jacobs
personnel are expected to communicate SORs as part of their daily behavioral practices.
No less than quarterly, each Jacobs Technician shall conduct a more focused walk-through /
inspection of their work area(s) for the purpose of identifying any safety concerns that remain
unresolved and/or that have not been previously communicated. Inspection shall consist of
walkthroughs of the overall work site, with particular attention paid to area housekeeping;
slip/trip/fall hazards which include scaffolds, ladders, stairways, excavations, and areas requiring
fall protection; the availability and serviceability of personal protective equipment (PPE); and
tools/equipment. The person performing the inspection shall ensure any discrepancies found are
communicated to the Honda Project Manager for determination of appropriate resolution prior to
personnel being placed at risk.
There is no formal system for hand tool inspection established for this site, so all employees are
expected to support the continuous, or pre-task, informal inspection process to assure that all
equipment is fit for use and being properly maintained. Broken, damaged, or unsafe tools shall
be immediately removed from service.
Any person on the site can submit an SOR for an observed safe or unsafe action or condition.
Jacobs personnel will follow Honda protocols for sharing/communicating observations.
Participation in the SOR process is mandatory and will be used for purposes of performance
evaluations.
9.7.2. Safety Evaluation Reports
At this time, a Safety Evaluation Report (SER) is not required for this project.
9.7.3. Inspections, Audits, and OSHA (or another regulatory body)
Site inspections shall be performed on a continuous basis by Jacobs Technicians, as part of the
SOR process (see above). Any problems or dangers will be immediately contained or addressed,
and the Honda Project Manager notified at the earliest convenience for determination of
appropriate resolution. The Jacobs Project Manager will perform site inspections as able
depending upon access / permission granted by Honda during periodic visits to the site.
At this time, a Safety Audit is not required for this project.
If at any time OSHA or another regulatory body conducts an inspection or audit, Jacobs
personnel will be expected to cooperate and communicate to Jacobs and Honda management
the details of this investigation or request for information.
9.8 Recognition Programs
Jacobs may publicly recognize particular safety actions taken by personnel as significant in
contributing to a safer work environment. Such recognition is at management discretion, and
may qualify personnel for a small monetary bonus.
9.9 Incident Reporting and Investigation
Investigations, reporting, and recording of all accidents, incidents, and illnesses (attributable to
the work location) is a key step in detecting trends and establishing measures to prevent
recurrence. For this reason, it is imperative that all accidents, incidents, and illnesses be
reported, investigated, and documented. This includes non-injury incidents and near misses.

The prompt reporting of incidents is the responsibility of all personnel working on the site. As
soon as possible after receiving notification of an accident/incident, the Jacobs Project Manager
shall ensure that the incident is investigated in accordance with the Technology Group Incident
Investigation Procedure, P0502(TG) and Honda requirements. Completed reports shall be
available to Honda.
Page 14 of 37

9.10 HSE Reports


Monthly reports shall be submitted by the Jacobs Project Manager to the Jacobs Project
Executive. Tracked metrics will be made available to Jacobs and Honda Management. Each
significant safety event or topic worthy of discussion will be summarized to ensure clear
communication of the incident and lessons learned.

10.0 HAZARD ANALYSIS


A preliminary Job Hazard Analysis was conducted to identify the hazards associated with the
normal daily activities of the Jacobs Technicians. Any issues not covered, will be brought to the
attention of the Honda and Jacobs Project Managers for consultation and resolution.
10.1 Hazard Identification and Risk Assessment
The following general hazards have been identified and determined to be low risk after applying
the appropriate hazard controls.

Hazard Definition Hazard Control

Fall from Elevation Ensure ladders, scaffold, etc. are in good repair, properly secured and fall
protection provided as required
Pre-planning work activity
Avoid stacking or placing equipment / materials at elevations

Manual Lifting Compliance with Lifting and Rigging Training


Inspection and proper use of any manual lift assisting equipment (chain
falls, come-alongs, straps, etc.)
Proper Lifting Techniques
Mechanical Assistance (limit of 50 lbs. per individual w/o assistance)
Buddy System (limit of 50 lbs. per individual w/o assistance)

Fork Truck Fork Truck Training / Certification / License


Proper use of a fork truck

Noise Hearing protection available for all designated noise areas


Pre-planning work activity

General Industrial Hazards and Job Site Awareness


Equipment Operation / Start-up
Lockout/Tagout Confirmation
Proper Hand Tool Use (includes use of proper tool for the job)
Equipment Inspections and Proper Use
Confined Space Recognition
Use of eye and face protection devices
Protective covers over rotating / operating machinery
Appropriate clothing no loose fitting clothing, rings, jewelry, etc.
Schedule breaks to avoid fatigue or excessive exposure to harsh
environments (heat, cold, vibration, dust, allergens, repeated motion, etc.)
Page 15 of 37

Hazard Definition Hazard Control


Hearing protection for environments > 85dBA

Hydraulics Job Site Awareness


Pressure control, venting
Confirmation of de-energization and release of stored energy
Lockout/Tagout Confirmation
Use of eye and face protection devices
Proper leak-checking techniques (in de-energized state)
Buddy System review and ensure safe-to-proceed
Cautious and methodical return-to-service techniques
Hoses / Pipes securely fastened in place

Pinch Points, Crushing, Sharp Edges Job Site Awareness


Proper PPE: Hard-toe industrial footwear, gloves, etc.
Avoid hazardous body positions
Use proper tool for the activity

Slips, Trips, and Falls Proper PPE: Slip-resistant footwear


Use of handrails when ascending / descending ladders, stairs, etc.
3-point contact with ladders, stairs, etc.
Job Site Awareness avoid slippery surfaces, clean-up trip hazards, etc.
Ensure ladders, scaffold, etc. are in good repair, properly secured and fall
protection provided as required

Welding, Burns, Fires Proper PPE: Welding mask, fire-resistant clothing, welding apron, welding
gloves, etc.
Proper training (fire extinguisher use)
Completion of Hot Work Permit
Clear path to and knowledge of closest safety shower / eyewash station
Clear path to and knowledge of closest fire extinguisher
Fire watch as required
Proper labeling / storage of flammable materials

Confined Spaces Completion of Confined Space Permit


Attendant with appropriate monitoring and communication equipment
(Honda) Entry Supervisor directing work activity
Calibrated environment sensors and detectors for testing of confined
space environment
Necessary lock-out and other isolation devices
Forced ventilation equipment as required

Unsuitable respiratory environment (FUTURE) Respiratory PPE (fit tested)


Page 16 of 37

Hazard Definition Hazard Control


(FUTURE) Physician clearance to utilize respiratory PPE
(FUTURE) Qualified individual(s) have completed necessary training
(FUTURE) Rescue drills (periodically scheduled throughout each year)

Hazardous Fluids, Spills, etc. Proper PPE: Chemical goggles, apron, rubber (or other) gloves, slip-
resistant footwear, etc.
Review and understand MSDS
Clear path to and knowledge of closest safety shower / eyewash station
Knowledge of nearest spill station
Immediate notification of other personnel in the immediate vicinity (for
awareness / evacuation), as well as Honda spill response personnel in
event of incident

Electrical Job Site Awareness


Lockout/Tagout Confirmation
Proper PPE: Arc Flash gear when appropriate
Proper grounding
Proper labeling
Verification of de-energization

Extreme Environments Appropriate clothing (winter coats, long-sleeve shirts, hat and/or
sunglasses, etc. as necessary)
Buddy System
Schedule breaks to avoid fatigue or excessive exposure to harsh
environments
Avoid contact with hot / cold surfaces

Lasers Avoid contact with eyes (dont stare into laser)


Proper PPE: Protective eyewear (for lasers of Class II & above), protective
clothing (Class IV)
Baseline vision exam (for individuals working with lasers of Class II &
above)
Protective curtains
Barricades, signage, restricted access
Training

General Office Hazards Ergonomic Best Practices


Good Housekeeping
Workstation comfort and proper computer use
File cabinets closed when not being accessed
Ensure adequate lighting
Page 17 of 37

10.2 Health Hazard Evaluation


When working with equipment or materials that contain or may emit toxic substances, process
fluids/gasses such as CO, HC, refrigerants, Dowtherm-J, loud or piercing noise, lasers, etc.
Jacobs personnel will institute appropriate monitoring techniques to ensure they remain aware of
the exposure they are getting to such substances. Exposure will be limited by PPE and other
means available to reduce or eliminate exposure. Maximum exposure limits will be established
by Honda or Jacobs safety personnel, and will, at a minimum, satisfy OSHA standards.
10.3 Highest Risk Hazards
The Jacobs personnel may be exposed to the following hazards during the performance of the
work. The consequence is high but the probability of occurrence is low if appropriate safeguards
as outlined below are adhered to.
10.3.1. Hazardous chemicals handling & storage
Hazards associated with chemicals used on the site will be communicated to all employees via
the Material Safety Data Sheet (MSDS). Jacobs Technicians shall adhere to the site Hazard
Communication Plan and appropriate Federal, State, and Local requirements. A master MSDS
file will be maintained in the Lotus Notes database by Honda.
10.3.2. Flammable and combustible liquids/gases handling and storage
Jacobs personnel shall ensure that proper precautions are taken when using flammable and
combustible liquids including, but not limited to, adequate training for personnel handling the
liquids, adequate ventilation to prevent accumulation of vapors, and proper storage and disposal
of liquids and contaminated rags.
10.3.3. Compressed Gas Cylinders
Not currently applicable to this project
10.3.4. Special Substances
Refer to OSHA standards for specific procedures for handling, storage, use, and disposal of
special substances (such as hydrogen, explosives, oxygen, ammonia, materials containing
benzene, glycol, etc.)
10.3.5. Material Storage
Storage of any materials shall be in properly marked containers and enclosures. All containers
must be clearly labelled as to their contents.
10.3.6. Manual Lifting and Rigging
Manually operated lifting equipment and rigging for routine operations or maintenance actions will
not be considered crane lifts which have been excluded per section 2.2 of this document.
Jacobs Technicians must complete Jacobs Lifting & Rigging training, be certified by Honda prior
to utilizing any manual lifting or rigging equipment, and must follow guidelines and procedures set
forth in the training. All manual lifts must be planned, a SPA developed, and reviews of both must
be conducted by additional Jacobs and Honda personnel prior to the lift execution.
Examples of manual lifting and rigging include the use of chain falls, come-alongs, lifting straps
and chains, etc. Use of a fork-truck is not considered a crane lift or a manual lift.
10.3.7. Fork Trucks
Fork truck use is permitted within the guidelines established during Fork Truck Training /
Certification / Licensure. Annual demonstrations of fork truck competency will be required of all
Jacobs personnel who use fork trucks, and training / certification / licensure must be kept current
to allow continued use of fork trucks.
Page 18 of 37

10.3.8. Working at Elevations


When employees work from an unprotected elevation of six feet (2.0 meters) or more, fall
protection equipment shall be used. Working means while travelling, stationary, or at anytime
exposed to a fall from a surface not protected by approved handrails, guardrails, or some other
approved fall arrest or restraint device. The 6-foot (2-meter) fall distance is measured from the
employees feet to the walking and working surface below. Refer to Jacobs HSEP 18.3 for fall
protection requirements while using ladders.
Personnel shall be prevented from falling or protected by a fall arrest system whenever working
six feet (2.0 meters) or more above a lower level. This requirement applies to unprotected
sides/edges, leading edges, hoist areas, holes, and floor openings, formwork, and reinforcing
steel, excavations, roofing work, pre-cast concrete erection, and other walking/working surfaces
not otherwise addressed. Proximity to a fall hazard (i.e. distance away from the edge of a roof)
should be considered, and work occurring within six feet of this hazard requires adequate fall
protection.
The use of passive systems such as safety nets, monitoring systems or controlled access
zones, as the sole means of fall protection when working above 6 feet (2.0 meters), is prohibited.
The safest means of access for overhead work (e.g. rolling scaffolds, mechanical lifts, platform
ladders, etc.) shall be considered as alternatives to the use of portable ladders. If ladders are
used, then the top of all straight and extension ladders shall be tied to a substantial anchor point
before use; a second worker must hold the ladder until the tie-off is secure. And, if a workers
feet are on or above the fifth rung of a stepladder, the top of the ladder must be tied to a
substantial anchor or a second worker must hold the ladder.
When ascending or descending a portable ladder, three-point contact may be considered
adequate fall protection for fall exposures of less than 20 feet. When exposure exceeds 20 feet,
personnel must be protected with a personal fall arrest system.
10.3.9. Hot Work
Hot work including welding, burning, brazing, cutting, grinding or any other spark-producing
activity shall be performed in accordance with the Honda Hotwork Permit Policy, and shall be
approved in advance by a burn permit and review by the Honda Project Manager. Personnel who
are to perform such activities must be certified in such activities (by Honda), and must meet all
Jacobs training requirements (including fire extinguisher use) prior to being assigned or
authorized to perform hot work. Appropriate precautions shall be taken when performing hot
work including, at a minimum, the use of fire extinguishers, fire resistant blankets and shields,
and the posting of a fire watch.
10.3.10. Working in Hot/Cold Temperatures
Any work in cold or hot temperatures should be noted on the SPA and the proper attire and
precautions against symptoms be taken. Cold work precautions should include layered clothing,
hat, gloves and breaks for warming.
Hot work precautions should include protection from heat/sun, and provide breaks for hydration
and cooling. If appropriate, sun tan lotion with an SPF rating of 30 or greater, a hat, sunglasses,
lightweight clothing, or other PPE appropriate to the task may be utilized to protect personnel.
Direct heat from any heat producing equipment should be minimized using heat shielding,
insulation, or shut down of equipment.
Other environmental conditions should also be considered when planning for work that exposes
personnel to an outdoor environment. Examples of this can include precipitation, wind,
accumulated snow or ice, etc. that can have a significant impact not only upon the ability to safely
perform the task being planned, but that can also affect planning for personnel protection from the
elements.
Page 19 of 37

10.3.11. Pressurized Systems and Equipment


Honda lockout and de-pressurization procedures shall be followed to minimize the potential
exposure of workers to hazardous energy when working on pressurized systems.
10.3.12. Electrical
Honda lockout procedures shall be followed to minimize the potential exposure of workers to
hazardous energy. All circuitry will be locked out and verified to be dead prior to working on a
system. When verifying that circuits have been de-energized, Arc Flash PPE adequate for the
level of voltage exposure within the cabinet / enclosure being inspected will be worn as if the
circuits were still energized.
In accordance with NFPA 70E, electrical hot work will be performed only when absolutely
necessary. Personnel working in any enclosures containing power wiring shall be trained in
accordance with NFPA 70E.
Annual demonstration of lockout procedures will be performed by each individual who has need
to lockout equipment, and will be witnessed by a Subject Matter Expert (SME).
10.3.13. Confined Spaces
Entry into and work within confined spaces is allowed for personnel who have completed
Confined Space Entrant / Attendant Training, who have read the Honda Confined Space Plan,
who complete a thorough SPA prior to engaging in confined space work, and who follow all
provisions of the Honda Confined Space Plan and any applicable permit. Hot work that requires
a burn permit is not permitted for Jacobs personnel within confined spaces. Additionally, work
that requires use of respiratory protection inside of confined spaces is not permitted for Jacobs
personnel.
10.3.14. Lasers
Any Jacobs personnel who will be using or in proximity to operating lasers must complete Laser
Safety training. In conjunction with this training, use of or proximity to operating lasers is
permitted within guidelines defined by the training and upon OSHA regulations. Prior to any laser
use, Jacobs personnel must discern the Class, power level, and wavelength of light that the laser
will emit. Lasers of Class I are considered low-risk, and therefore carry no special restrictions.
Should Class II and above laser use be required, Honda and Jacobs management should be
notified to discuss the SPA and approach. Depending on the Class, emitted power and
wavelength of the laser, a baseline vision exam, PPE, restricted access, signage, radio (or
comparable) communications, protective curtains, safety interlocks, or other measures may be
required.
10.3.15. Environmental
Jacobs personnel must comply with Honda environmental standards at all times. Refer to
information provided by Honda for environmental standards.
10.3.16. Tools and Equipment
Jacobs personnel will be expected to care for tools that they utilize in performance of their work.
This will include pre-use inspections, cleaning of tools, and appropriate care for tools so that they
do not become damaged or dangerous due to misuse. Dirty, damaged, or otherwise unsafe tools
can become a hazard and should be discarded if they cannot be cleaned or appropriately
repaired (advise Honda of this if it is customer-owned equipment).
10.4 Occupied Facility Location
Not applicable
Page 20 of 37

10.5 Maintenance Hazard Assessment Severity / Probability / Mitigation Matrix


Page 21 of 37

10.6 Operations Hazard Assessment Severity / Probability / Mitigation Matrix


Page 22 of 37

11.0 SITE ACCESS AND CONTROL, VEHICLE SAFETY, AND SECURITY


11.1 Access and Control
All Jacobs personnel will follow Honda rules for site access to perform work, make deliveries, etc.
11.2 Security Measures
All Jacobs personnel will follow Honda rules for site security. This includes:
Obtaining passes for each of its employees who will be at the site
Remaining in the immediate work area or other approved areas and using approved
routes between these areas
Cameras are strictly prohibited. It is Jacobs responsibility to check with security prior to
bringing any electronic devices (i.e. laptops, PDAs, cellular phones with imaging
capabilities, etc.) onto Honda property
11.3 Traffic Plan and Vehicular Safety
All Jacobs personnel will abide by Honda rules and instructions regarding driving, parking, etc. on
Honda property.
11.4 Facilities
Good housekeeping shall be maintained in all work areas at all times. Lean fundamentals and
procedures will be in effect on this project.

12.0 EMERGENCY RESPONSE PLAN


When working on the Honda site it is very important to coordinate all the emergency response
procedures with Honda Security and the Jacobs and Honda Project Managers. It is the Jacobs
Technicians and Jacobs Project Managers responsibility to assure that Honda personnel are
notified of all emergency, fire and medical incidents. Notifications will include verbal notice at the
time of the incident with a written report to follow up.
12.1 Emergency Notification List
Supervisor: Sawson Samimy 937-309-2997 (c)
Project Executive: John Clayton 248-633-1462 (w); 248-302-1100 (c)
Safety Manager: Laurie Hagen 931-393-6480 (w); 931-247-9334 (c)
12.2 Emergency Notification Procedure
DO NOT attempt to move a seriously injured person, unless it is a life-
threatening situation
1. For injuries requiring Emergency Medical Assistance, Call Honda Security
(ext. 61000).
2. Provide assistance to the Affected Person until help arrives.
Employee
3. Administer first aid, if trained.
(or responder if employee is
4. Try to keep the person calm and comfortable.
unable to perform these
5. Call the immediate supervisor (Honda Project Manager) and the Jacobs
duties)
Project Manager

Note: Emergency medical assistance is warranted in the event of unconsciousness,


profuse bleeding, physical entrapment, seizures, difficulty breathing/shortness of
breath and other life threatening situations.
If emergency medical assistance is not required, ensure that the Affected Person
Supervisor receives the appropriate medical attention by a qualified person. Notify the Jacobs
Project Manager as soon as events permit.

Supervisor or If off-site medical treatment or observation is required, transport the injured employee
Designee to the local clinic or hospital. The Jacobs Project Manager will also be notified as soon
as events permit.
Page 23 of 37

12.3 General Emergency Information


Honda has an internal emergency response team, consisting of trained EMTs, on site contracted
security staff and Honda Safety personnel. These personnel can be contacted by dialing the
security office (x61000).
In all cases, be prepared to provide the following information:
A description of the emergency
The location, i.e., building, floor, column number where emergency situation occurred
Any injuries observed
Any action undertaken
Your name and telephone number
12.4 Natural Weather Emergencies
If county weather-warning siren sounds, take cover immediately. Suggested safe places during
severe weather will be identified by Honda.
12.5 Fire Emergency Response
See General Emergency Information.
12.6 Medical Emergency Response
Location of First Aid and other medical supplies
A first aid kit will be available from Honda EMT for minor injuries by contacting the security office
(x61000).
Identification of CPR and First Aid trained personnel
Honda has EMTs on site who can be contacted by dialing the security office (x61000).
Location of on-site and off-site medical treatment facilities
The closest Occupational Medical Clinic and Emergency Room Hospital is Union County
Memorial Hospital in Marysville, Ohio. Unless emergency care is required, Jacobs personnel will
be taken to the Occupational Medical Clinic as it is Jacobs primary care facility in the area. See
the following map for locations.
Memorial Hospital of Union County
500 London Avenue
Marysville, Ohio
43040
937-644-6115
1 Begin at State Route 739 on Dayton Ave, OH-739 and go Northeast for 700 feet 0.1
2 Turn right on Main St, OH-347 and go Southeast for 0.3 miles 0.4
3 Continue on Raymond Rd, CR-191 and go Southeast for 8 miles 8.2
4 Turn left on W 5th St and go East for 1.2 miles 9.5
5 Turn right on S Court St and go South for 0.3 miles 9.8
6 Continue on OH-38, London Ave and go South for 600 feet 9.9
7 Turn left and go Southeast for 90 feet to 500 London Ave 9.9
Page 24 of 37

12.7 Work Place Violence


Immediately report any threats, intimidation, and acts of violence to your Supervisor and the
Human Resources Department. Remain calm and avoid actions that may provoke or
escalate the situation.
In the event of a workplace violence incident:
o Call X61000 or 911 when it is safe to do so.
o When possible, evacuate. Leave your belongings behind. Keep your hands visible.
o If evacuation is not a safe option, hide out. Hide in an area out of the shooters
view. Block entry to your hiding place or lock the doors. SILENCE your cell phone
o As a last resort and only when your life is in imminent danger, attempt to incapacitate the
shooter. Act with physical aggression and throw items at the shooter.
o When law enforcement arrives:
Follow instructions
Put down any items in your hands and raise hands with your fingers spread out.
Keep hands visible at all times
Avoid quick movements towards officers
Do not stop to ask officers for help or directions when evacuating
12.8 Environmental Spill or Response Procedure
Honda has an emergency response team who should be contacted in the event of an
environmental spill by dialing the security office (x61000).
Specific spill and/or release response procedures
General response to a spill or other environmentally related emergencies will include:
Alert personnel in the area that a spill has occurred
Evacuation of the area
Notify Honda Security (x61000)
o Give as exact of a description as possible of the nature of the emergency and
your name and telephone number where you can be reached (If it is a spill, give
the type of spill, name of the media that was spilled, and the amount spilled)
o Give the exact location of the emergency, by building and location within the
building
Page 25 of 37

Attending to affected personnel (personnel injured or contaminated by the spilled or


released chemical)
Notify Jacobs and Honda Project Managers
Take appropriate measures to contain the spill if employees are trained to perform the
necessary tasks

13.0 HSE RECORDS


HSE records will be maintained in the Jacobs Bingham Farms office. Typical records may
include but are not limited to:
Incident reports
Inspection reports
Training records
The following HSE records will be maintained at Honda R&D Americas by Jacobs personnel for
at least 30 days:
Safety Observation Reports (SOR)
Safe Plans of Action (SPAs)
Pre-task plans
Page 26 of 37

APPENDIX
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Page 29 of 37
Page 30 of 37

SITE VISIT SAFE PLAN OF ACTION FOR OFFICE EMPLOYEES*

WORK TASK: DATE:


PROJECT
REQUESTING MANAGER: NO:

SITE TO VISIT:

SITE POINT OF CONTACT:

BRIEF WORK DESCRIPTION:

Home office emergency contact information

PHONE (Bus./Home):
SUPERVISOR:
CELL PHONE:
PHONE (Bus./Home):
MANAGER/DIRECTOR1:
CELL PHONE:
PHONE (Bus./Home):
HSE COORDINATOR:
CELL PHONE:
PHONE (Bus./Home): 931 393-6480
SAFETY MANAGER1: Laurie Hagen
CELL PHONE: 931 247-9334
2
PERSONAL (next of kin) : PHONE (Bus./Home):
[OPTIONAL] CELL PHONE:

SITE emergency contact information

SITE MANAGER or CUSTOMER PHONE (Bus./Home):


CONTACT: CELL PHONE:
PHONE (Bus./Home):
SITE SECURITY1:
CELL PHONE:

SITE SAFETY PHONE (Bus./Home):


REPRESENTATIVE1: CELL PHONE:
1
- Designates secondary contacts to be used when primary contacts cannot be reached in person.
2
- Personal contacts are to be only at the request of the employee or determination of employees supervision.
Page 31 of 37

Work Plan Steps Hazard Safe Plan Resources/Notes

1. Pre-Departure Home Office Preparation

2. Travel to/from Site and Arriving On Site

3. Processing In and Site Orientation , Walking On-Site, Visual Inspections, Taking Notes, Taking Photographs

4. Access Issues (Heights - Ladders/Lifts/Scaffolding, Confined Spaces, Low Overhead, Congested Areas, Low Lighting,
etc.)

5. Troubleshooting and Diagnostic Tasks

6. Repair, Replacement and Modification Tasks

7. Processing Out and Departing From Site

Team Member Signatures


Name Signature
Name Signature
Name Signature
Name Signature
Name Signature
Page 32 of 37

The signature of the Supervisor confirms the completion of the hazard assessment and Safe Plan of Action by the site visit team.

Supervisors Signature: Date

* Instructions for Use:


1. Only one SPA should be completed for each site visit, regardless of the number of employees
participating in the visit.
2. Insert project-specific items, use checklists as needed.
3. Work shall stop when conditions change, the job changes, or a deficiency in the plan is discovered,
and current SPA will be modified or a new SPA created.
4. When the site visit is complete, file this document in File 9, Planning Documents.
Page 33 of 37

PERSONAL PROTECTIVE EQUIPMENT (PPE) CHECKLIST


(Check all PPE required)

EYE & FACE RESPIRATORY PROTECTION


Safety glasses with side shields Dust mask
Chemical splash goggles Fume/mist mask
Impact goggles Half face filter
Full faceshield (worn over 1, 2, or 3 only) Full face filter
Cutting goggles Full face airline
Welding hood Full face SCBA
Other: Emergency escape pack
Emergency escape disposable
HAND (GLOVES) Other:
Cloth
Leather PROTECTIVE CLOTHING
Welding Nomex/FRC
Metal mesh Tyvek suits
Elect. Insulated Rainsuit
Rubber Acidsuit
Neoprene Encapsulating suit
Latex Other:
Vinyl
Butyl HEARING
Nitrile Ear plugs
Other Canal caps
Ear muffs
FOOT Dual Protection
Hard toe shoes/boots Other:
Dielectric
Neoprene HEAD
Rubber Class A (Limited voltage) hard hat
PVC/Urethane Class B (Hi-voltage) hard hat
Metatarsal guard Chin strap accessory
Other: Other:

Other PPE not listed above:

Does the task present potential exposure to hazardous chemicals? Yes No


If yes, has the Material Safety Data Sheet for each chemical been reviewed? Yes No
Page 34 of 37

POTENTIAL SITE VISIT HAZARDS


Hazard Safe Plan Resources/Notes

1. Pre-Departure Home Office Preparation

Travel authorization not approved and accident Enter Travel Authorization into PeopleSoft.
insurance not in effect

Home office not aware of trip schedule and Enter trip in branch Outlook calendar and/or review SPA
agenda, changes in plans, or method of contact with supervisor.
in case of emergency.
Inform immediate supervisor and administrative assistant of
travel plans and site contact information.
Check in periodically during site visit.

Traveling to an unfamiliar location/route Maps, identification of road construction to avoid, etc.

2. Travel to/from Site and Arriving On Site

PPE not available on-site or does not fit. Contact site to identify PPE requirements and prepare to Possible PPE: Safety
take them with you. glasses, hard hat, hard toe
shoes, hearing protection,
Use all mandatory PPE. gloves, etc.
Use hearing protection when appropriate.

Travel related issues such as plane travel, train Take security and weather conditions into account. Jacobs standard SPAs.
travel, hotel stays, etc.
Travel in groups when possible.
Try not to stand out when on foreign travel.
Avoid secluded and dimly lit areas.

Motor vehicle hazards Use vehicle SPA

Weather hazards Clothing/gear for rain, cold, snow, sun, etc.

Vehicle traffic Be extra cautious of moving vehicles when entering/exiting


the building.
Walk in pedestrian crosswalks when provided.
Obey posted traffic signs.

3. Processing In and Site Orientation , Walking On-Site, Visual Inspections, Taking Notes, Taking Photographs

Home office not aware of change in plans or Inform immediate supervisor and admin of travel
method of contact in case of emergency information.

Unaware of current site activities and hazards Site specific safety training.
Mode of operation: under construction, partial Identification of hazards in areas to be visited.
startup phase, fully operational, maintenance
shutdown period, etc. Be informed of the activities of others.
Page 35 of 37

Hazard Safe Plan Resources/Notes

Unfamiliar building/surroundings Obtain plant/site map.


Identify emergency procedures, alarms and evacuation
routes.
Identify exits.
Identify CPR/first aid personnel.
Locate fire extinguishers, first aid kits, eye-wash and safety
showers.

Carrying items (notepads, cameras, etc.) that Use elevator if available.


make use of handrails, etc. difficult
Make multiple trips.

Looking through viewfinders of cameras (still


and videos) and not aware of surrounding
activities or while walking.

Construction vehicle/forklift/crane/etc. traffic Identify operating mobile equipment in the area.


Avoid crane and vehicular work area when possible.
Make eye contact with the operator to make sure he knows
you are in the area.
Listen for reverse warning beeps.
Understand who has the right-of-way in the plant.
Do not pass or stop under suspended loads.

Slip, trip and fall hazards Take notice of uneven/unstable ground where you are
walking or standing.
Carefully use handle, rails and steps. Use stair handrails.
Wear skid resistant footwear.
Frequently look down to locate tools, equipment or material
items which could cause misstep, stumble or fall.
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4. Access Issues (Heights - Ladders/Lifts/Scaffolding, Confined Spaces, Low Overhead, Congested Areas, Low Lighting, etc.)

Ladders/Lifts Familiarize yourself with plant procedures and regulations.


Verify equipment is fit for use.
Tie off ladders.
Do not operate lifts unless qualified to do so.
Watch for overhead and side clearances when using power
lifts.
When using powered lifts, tie-off to the approved lift anchor
point.

Fall protection and scaffolding systems Workers use 100% fall protection when on a walking
surface 6 feet or more above a lower level.
When working on roofs and wall openings tie off to an
approved anchor point or retractable.

5. Troubleshooting and Diagnostic Tasks

Pinch points, hand hazards and rotating Identify hazards and avoid when possible.
equipment
Remove ties and loose clothing.
Use proper tools when making equipment checks.

Electrical hazards Familiarize yourself with plant lock-out/tag-out procedures.


Follow LOTO procedures rigorously.
Do not operate electrical panels unless qualified to do so.

Slips, trips and falls When carrying equipment, be aware of your surroundings
and ask for assistance if needed.
Do not place equipment where it may cause a tripping
hazard.
Use site lighting to illuminate work areas in dark conditions
or a flashlight when site lighting is not available.
Be careful when standing near the edge of an
embankment.

Confined space Treat all confined spaces as permit required.


Investigate space, including atmospheric monitoring.
Assess space for other possible hazards before entering.

Environmental Familiarize yourself with possible hazards such as dust,


vapors, infectious agents, etc.
Wear PPE as appropriate per plant guidelines and site
staff.

6. Repair, Replacement and Modification Tasks

Excavations, trenches and stockpiles Slope or shore all trench banks exceeding 5 foot depth.
Do not store materials and equipment such that they pose
a hazard to the public or other operations.
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Chemical exposure Familiarize yourself with chemical usage in the work area.
Review applicable MSDS.
Consult plant contact and HSE if actually working with
chemicals.

Active mechanisms

Fluids or gases in piping systems

Electricity QEW status required to


open or work on electrical
equipment.

Temperature (hot or cold surfaces, etc.)

Others in the potential path of motion

Unexpected motion paths due to equipment not


operating properly

Work activities create an unknown hazard Provide appropriate level of coordination and fire watch to
assure hot work activities do not create a fire.
Communicate to plant staff the status of any equipment or
interlocks that are temporarily disabled.
Communicate to plant staff and use appropriate signage
and barricades for all temporary site hazards.

Changes in operational status Perform start-up and commissioning tests to verify new
operations.
Communicate to plant staff the status and work around for
equipment that is left in a disabled or non-functioning
condition.

7. Processing Out and Departing From Site

Site and/or office staff not aware of work Sign out inform site contact of work completion.
completion status
Inform immediate supervisor and admin of task completion.

Changes in operational status Inform plant personnel of changes in equipment operation.


Provide O&M training as needed.

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