Job Safety Plan (JSP) – Pfizer Kalamazoo Project Name: Description of Work: (List major tasks/steps) Your Company: Your Sub-Contractors: Prime Contractor: JSP Prepared by: Building: Floor/Area: Estimated Start Date: Estimated End Date: Field Supervisor: Phone: Walk Down Completed by: Estimated # of workers: Date Submitted: Signs CM Contractor Project Contacts PPE Requirements Noise Overhead Work Fall Protection Open Excavation Other: Project Perimeter Controls N/A Temp Walls Flame Retardant poly Rigid/Fixed Barricades Jersey Barricades Fence Other: Yes N/A Type of Activity Hazards/Items to address Controls / Plan / Details Pfizer chemical hazards in work location Solvents Corrosives Cephalosporin Other Antibiotics (potential for sensitivities) Other: Reviewed SDSs Special PPE: Other Area Hazards Area noise above 85 dBA Energy sources in area, but not being worked on (coal lorry) Exposed high voltage buss bars Walkable ceiling/Troffers Vehicle Traffic Working around other trades Existing trip hazards Other: Chemicals / Products used for project Flammables Corrosives Coatings/Paints Compressed gas cylinders Other: SDSs provided Engineering Controls: Required – Describe ventilation: Administrative Controls:
PPE: Proper Storage (flammable 25 gal max, spill containment, secured bottles) Equipment: Forklifts Boom Lifts Scissor Lifts Loader Other: Operator Training current Flag sprinkler heads Travel/work path review Spotter Required Barricade Plan Daily Inspection Tag Other: No gas/diesel powered inside building Hot Work Describe type: Multiple floors Transfer racks in area Other: Items need to be moved Items need to be protected Spark control plan: Grounding location: Asbestos Area evaluated/tested/assumed Abatement required If unknown/unlabeled, contact CM/CMS. Lead Area evaluated/tested/assumed Abatement required If unknown/unlabeled, contact CM/CMS. Confined Space Entry What material was in the confined space? Internal configuration issues Other: LOTO plan: Describe rescue plan: Standby rescue team Special Monitoring Required: Fall Protection Scaffold Ladder Access to elevated work Floor openings Unprotected edges Troffers Other: All components of system inspected Describe fall rescue plan: Hole covers Guardrails Anchor Point method identified Safety nets Roof/Trestle work Roof Access contact person Edge protection required Name: Roof warning line Scaffolding Welded frame Bakers Tube/Clamp Daily inspection by: Work on Electrical Systems Panel access needed Live Electrical work -- permit Arc flash ratings known Buss/ Substation/ MCC shutdown coordination needed Clearance distance issues Other: Panel(s)/MCC/Substation IDs: Arc Flash PPE needed (category): Line Entry/Break Cleaning/Flushing plan Sealed ends needed Disposal plan from Env/Ops Hot tap Line Freezing (Meeting required with area owner and CM) Other: PPE required Other: Process Exhaust Duct Cleaning/Flushing plan PPE required:
Entry Sealed ends needed Disposal Other: Breathing Air required Suit Glove type: Demolition Walkdown to identify utilities GREEN to be removed RED where to stop/what stays Overhead Work Protect area below Troffer work Procedures: Tool Control Lockout / Tagout Existing Procedure Specific plan required Other energy sources in area (coal lorry, hoists, etc.) Are equipment guards removed Other: Procedure #: Pfizer person to work with: Materials Delivery Loading Dock logistics Materials inspection arrangements made (B41) Materials Handling Strains/Sprains potential Appropriate equipment for size of material/debris Weather Summer – heat stress Winter – Ice/snow Lightning Insects (bees) No outdoor work when lightning within 10 miles Environmental Trash plan, lugger locations Light ballast Other: Storm drains protected Spill plan/kit needed Excavation / Saw Cutting Permit is Required Hand dig To be submitted by (supplier): Soil disposition Cranes Standard Lift – set-up checklist Critical Lift - Critical Lift permit To be submitted by (supplier): Rigging/Hoisting Written rigging plan needed Daily Equipment Inspection Trained riggers Other: Other: What will stop this job? 1 2 3