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safety action plan confirmat0iage • Page I of 4 <br /> BURLINGTON NORTHERN SANTA FE RAILWAY -ENGINEERING <br /> CONTRACTOR SAFETY ACTION PLAN <br /> Please PRINT this case for your records. <br /> [FrontPage Save Results Component] <br /> Thank you for submitting your safety action plan. <br /> This is a copy of your plan that has been submitted. <br /> Use the toolbar and press(file)then(print)to print this Safety Action Plan.If you need any reprints of this Action Plan <br /> there will be a$5.00 charge. <br /> Today's Date 03/05/2015 <br /> I. GENERAL INFORMATION <br /> Your Name Mike McLeod <br /> Company Name Kennedy/Jenks Consultants <br /> Company Address 303 Second St.Ste 300 South <br /> Company City San Francisco <br /> Company State CA <br /> Company Zip 94107 <br /> Phone Number 415-243-2508 <br /> Scope of Work <br /> Drill 5, 15-foot soil borings,using a hydraulic push/drive rig,at BNSF Mormon Yard at the site of a 2011 diesel spill <br /> Location of Project/Work <br /> 801 Diamond St.,Stockton,Ca <br /> Anticipated timeframe of project,from 1 day;btwn I Apr 2015 to 30 May 2015(date). <br /> On-Site Supervisor Mike McLeod Phone 415-533-8530 <br /> On-Site Safety Coordinator Mike McLeod Phone 415-533-8530 <br /> BNSF Project Representative Mike Makerov Phone(909)289-1893 <br /> H. COMPANY INJURY HISTORY <br /> Frequency Rate = #of reportable injuries x 200,000 divided by the#of actual manhours <br /> Severity Rate = #of lost days x 200,000 divided by the actual manhours <br /> Frequency and Severity Rates for Each of the Last Three Calendar Years: <br /> Year 2014 Frequency 0.29 Severity 0 <br /> Year 2013 Frequency 0.59 Severity 0.59 <br /> Year 2012 Frequency 0.29 Severity 3.43 <br /> List some areas of concern(e.g.sprains/strains,back injuries,vehicle operations) <br /> Work within 25 feet of active railyard.Vehicle and heavy equipment. Slip/trips/fall.Potential exposure to petroleum <br /> hydrocarbons and other compounds(i.e.,VOCs,PAHs,metals)in environmental media.Adverse weather conditions. <br /> Overhead and buried utilities.Pinching/crushing hazards.Hand tool use. <br /> How are you addressing these areas of concern? <br /> Worker Protection/On-Track Safety training.Railroad flagger briefings when working within 25 feet of tracks.Job Safety <br /> http://www.railroadcourses.com/bnsf/safety/safetyplanconfirmation.asp 3/5/2015 <br />