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Submit a hardcopy of your completed Safety Action Plan to your BNSF Project Manager or Employee in <br />Charge (EIC). <br />Maintain a hard copy of your completed Safety Action Plan on-site with each of your work groups. <br />You may also provide your BNSF Project Manager or EIC and work groups with additional detailed <br />information to support the Safety Action Plan. <br />COMPANY INJURY HISTORY <br />Contractors must provide the "Frequency and Severity Rates" for each of the PREVIOUS THREE CALENDAR <br />YEARS. Frequency and severity rates data is used to estimate the organizational performance on safety. <br />Frequency Rate <br />Experience on BNSF = # of Recordable Injuries x 200,000 divided by the # of Actual Hours Worked for BNSF <br />Severity Rate <br />Severity Rate = # of Lost Days x 200,000 divided by the Actual Hours Worked for BNSF <br />Year Frequency/Incident Rate Severity/Lost Workday Rate <br />2015 0 0 <br />2014 0.29 0 <br />2013 0.59 0.59 <br />CORRECTIVE ACTIONS FOR PAST INJURY EXPERIENCE <br />Please attach as an Addendum to the Safety Action Plan. <br />The safe operations and prevention of incidents and injuries is priorities in the BNSF culture. The feedback of <br />Contractors' past experiences plays a major role and Contractors must have a system in place to identify the <br />lessons learned and implement effective actions to prevent incidents. <br />ATTACH AN ADDENDUM OF CORRECTIVE ACTIONS TO THE SAP. <br />4. EMERGENCY PREPAREDNESS <br />ON SITE EMERGENCY INFORMATION <br />Written Emergency Preparedness information needs to be at the job site with work groups. <br />Work groups performing work on project(s) in a fixed work location must complete the information below for the fixed <br />location. <br />Work groups that will be on the move during the course of a project must update this information as necessary and <br />retained and maintained with each work group. <br />The BNSF 24-hour Emergency Phone Number is 1-800-832-5452 <br />Emergency preparedness plans must be developed by the contractor and communicated to the <br />contractor's/subcontractor's employees. In some cases, contractors may need to interface with BNSF Railway <br />Project Manager or EICs to obtain specific addresses, the names of local, responsible fire/medical/police agencies. <br />Please provide the following information: