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P.O. Box 18 6402 Old Corydon Road Henderson, Kentucky 4241 9-001 8
(800) 844-4832
May 4,2011
Mr. Rick Bertelson Public Service Commission 211 Sower Blvd. P.O. Box 615 Frankfort, KY 40602-0615
RE: PSC Case Nos. 2009-00430,2009-00431
Dear Mr. Bertelson:
In compliance with the referenced PSC orders dated December 8,2009, Kenergy respectfully submits requested safety audit checklists along with a brief summary report indicating any safety violations identified during the safety audits and any safety measures Kenergy has undertaken to correct those violations for all Kenergy construction and contractor construction crews for the month of April 2011.
The following l ist contains the safety violations (V) found, if any, and corrective actions (CA) taken to correct the issues discovered.
V # 1 - Groves Construction (Contractor)
CA#l-- Using Chain Saw without chain saw chaps in-place. Stopped work to correct situation. Addressed crew leader and individual.
These audits will be completed and reported on a monthly basis to the PSC for a duration of 12 months, a t which time, the inspection reporting schedule will be revised to perform one safety audit of each Kenergy construction and contractor construction crew once every three months as allowed in the referenced case numbers.
Sincerely,
Garrett Addington, M.S., CSP, OHST, CHMM Risk Management Coordinator Kenergy Corp.
Your Touchstone Energy" Cooperative l a 1
DATE
DESCRIPTION REMARKS .b
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST (Contractor Construction Crew)
1 ~ Tailgate DiscussiOn 2. Wheel Chocks 3. Personal Protective Equipment
4- zl-l?
d I I I J
- -
I _.
SAFEWAUDIT - PERFORMED BY: \ iN\ tv\; \ \ p f
a Hard Hat t J
d. Hand Protection J I
b. EyelFace Protedion c. Hearing Protection
4. Tmffic Contml Devices
-7
J 7
€
a. Cones J J I b. Signs
c. Flagman With Proper Equipment J 5. Vehicle Grounds J 6. Personal Grounds J 7. Rubber Gloves andlor Sleeves J 8. Cover-up Material J
- Appendix
- - -..-...-.--
_I_
7
-
Revised 7-14-2010 Case No 2009-00431
9. Fall Protection a. Climbing Belt and Safety Strap b. Harness (full body)
J J -1_
- e. Lanyards d Ladders Secured
10 Proper Equipment Use and Locabon I 1 ~ TrencNShoring
t
f J
J
- --.
/ -I
- - ___- ~
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST (Contractor Construction Crew)
CREW MEMBERS Joe SAFETY AUDIT PERFORMED BY
WO NUMBER I IO&& VEHICLES /so, 352
.”...__-
Appendix
Case No 2009-004:’11 Revised 7-14-2010
DATE
SAFETY AUDIT PERFORMED BY:
WO NUMBER
VEHICLES
b. Signs c. Flag- With Proper Equipment
5. Vehicle Grounds 6. Personal Grounds 7. Rubber Gloves andor Sleeves 8. Cover-up Material 9. Fall Protection
a. Climbing Bet and Satiety Strap b. Harness (full body) c. Lanyards d. Ladders Secured
10. Proper Equipment Use and Location 11. TrenchIShoring
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST
I I
VI
v‘t 1 i 1
I
k’ I t
(Kenergy Construction Crew)
94- // CREW LEADER
Revked 7-t4-2010 Appendix Case No. 2008-00430
DATE
USED DESCRIPTION PROPERL)’
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION C M ECKLI ST (Kenergy Construction Crew)
NOTUSED PROPERLY REMARKS
VEt.IICtES
1 Tailgate Discussion
3 Personal Protective Equipment 1 - 2. Wheel Chods Y l
t L / a. Hard Hat
c Hearing ProtecUon d. Hand Protectian
4. Traffic Controt Devices a. Cones t I,’ b. Stgns
b. EyelFace Protection I_
t p
I C /
c Flagman Wrth Proper Equipment 5. Vehicle Grounds 6 Personal Grounds 7 Rubber Gloves andlor SIeevcls 8. Cover-up Materral 9 Fall Protection
i
, -
I ___I--
---- -
-I
__c___
- -
-- .--....
-
-- Appendix
Revised 7-14-2015 Case No. 2009-00430
a. Climbing 3elt and Safety Strap
c. Lanyards L/ d Ladders Sscured
l/
b Hamslss (full body) ll
10. PropuEquipment Use and Location
7 7 TmncNShonng 1
I 1
I I
KENERGY CREW WORK PROCEDURES AND SAFETY OBSERVATION CHECKLIST
(4&m&a&w Construction Crew)
DESCRIPTION 1. Tailgate Discussion 2. Wheel Chocks
Ilencrg y
PROPEFjLY PROPERLY NtA REMARKS I/
d Potu- +e&
SAFETY AUDIT 6 AddL75 J\zn,
PERFORMED BY: 5j4 66 Tea-
USED
3. Personal Protsctive Equipment I 7'
b. EyefFace Protection I J c. Hearing Protection /
a. Hard Hat I J
WOTUSED I I
i J
"--. I-
Appendix Case No. 2003-OM31 fievised 7-14-2010
4. Traffic Control Devices a. Cones b. Signs c. Flagman With Proper Equipment
J t J ] I J - -7-1 t
5. Vehicle Grounds I J
I J 5. Personal Grounds 7. Rubber Gloves andlor Sleeves
44,q L j M - N&tY.; I J
8. Cover-up Material 9. Fall Protection
a. Climbing Belt and Safety Strap b. Harness (full body) c. Lanyards d. Ladders Secured
10. Proper Equipment Use and Location
J f t
/ \ 1 J J
I 1
w-".-
J J
1 t 11. TrenchlShoring -". J
5ATE
I USED NOTUSED DESCRIPTION PROPERLY PROPERLY
1. Tailgate Discussion u/ 2. Wheel Chocks cl 3. Personal Protective Equipment w' 1
a. Hard Hat t/
I c. Hearing Protection c/ b. EyelFace Protection
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST
REMARKS I
-
(Kenergy Construction Crew)
y ' - L - l l CREW LEADER
d. Hand Protection
SAFETYAUDIT ccc PERFORMED BY: io* /qQdaf CREW MEMBERS
1 f - u
, .
wo NUMBER €2.1 - pa55 @~0oc2\sc0r\ b s l .
VEHICLES 425- 45s-
I
i
4. Traffic Control Devices v - a. Cones tl
- b. Signs
5. Vehicle Grounds tc 6. Personal Grounds
7. Rubber Gloves andlor Sleeves 4
9. Fall Protection L/"
c. Flagman With Proper Equipment
8. Cover-up Material I L/"
1 I --- - cona5 i f i 4'ro-t of bo+h+r~3
J 0 cs coao ,' 1 , W
1 .- d
- .----
.--___.-_-_
f -
- - ~ b. Harness (full body) c. Lanyards
Revised 7-14-2010
-- t/ t,
Appendix Case No 2009-00430
a. Climbing Belt and Safety Strap / ]
d. ladders Secured -IO. Proper Equipment Use and Location I 4 - v
1 __ f 1 f . TrenchfShoring
DATE
SAFETY AUDIT PERFORMED BY:
WO NUMBER
VE HJC LES
6. Personal Grounds I 7. Rubber Gloves andior Sleeves i J 8. Cover-up Material t J 9. Fall Protection
KENEREY CREW WORK PROCEDURES AND
SAFETY OBSERVATtON CHECKLIST
r/
J
(Kenergy Construction Crew)
Y / b / I / CREW LEADER ,
a. Climbing Belt and Safety Strap b. Harness (full body}
c. Lanyards ___I
11, TrenNShoring J
d. Ladders Secured /
1 10. Proper Equipment Use and Location
NA
J J J J
I
I4endvron. d Y Appendix
Revised 7-14-2010 Case No. 2009-UO1930
DATE
SAFETY AUDIT PERFORMED BY
WO NUMBER
VEHICLES
I ' USED DESCRIPTION PROPERLY
I ~ Tailgate Discussion J
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST
NOTUSED PROPERLY NIA REMARKS
(Kenergy Construction Crew)
J 2. Wheel Chocks
I f
3. Personal Protective Equipment
*&sm. I Ly Appendix Case No. 200400430 Revised 7-14 2010
J ] 1 1 J
/ a. Hard Hat 1 b. Eye/Face Protection c. Hearing Protection I
t J
b. Signs I~ c. Flagman With Proper Equipment
5. Vehicle Grounds I 6. Personal Grounds 7. Rubber Gloves and/or Sleeves I
9. Fall Protection 8. Cover-up Material i
I I
a. Clmbing Belt and Safety Strap b. Harness (full body) c. Lanyards d. Ladders Secured
-
10. Proper Equipment Use and Location 1 2. TrencNShoring 1 I
1
J I
1
" 1 / I / I / I
/ f
J J / / 1
I - - -
--I__
f f
DATE
S A F W AUDIT PERFORMED BY:
WO NUMBER
VEHICLES
DESCRIPTION 1. Tailgate Discussion 2. Wheel Chocks 3. Personal Protective Equipment
a. Hard Hat b. Eyefface Protection c. Hearing Protection
KENERGY CREW WORK PROCEDURES AND
SAFETY OSSE RVATl ON CHECKLIST
USED NOTUSED PROPERLY PROPERLY REMARKS
J DOtUr(.D1 +e A J 4 J J
J
(Kenergy Construction Crew)
b. Signs t c. Flagman With Proper Equipment 1
5. Vehicle Grounds i J 7. Rubber Gloves and/or Sleeves I J 6 Personal Grounds
8. Cover-up Material I J 9. Fall Protection J
a. Climbing Belt and Safety Strap b. Harness (full body) J
I I
c
J c. Lanyards d. Ladders Secured 1
10 Proper Equipment Use and Location 1 ’ 1 I - TrenchlShoring I
CREWV LEADER
J / v c d q / CMCm I‘*
J
J
J
/
Appendix Revised 7-14-2020 Case NO. zo0~-00*130
DATE
USED NOTUSED DESCRIPTION PROPER)& PROPERLY
4. Tailgate Discussion 2. Wheel Chocks
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST (Contractor Construction Crew)
NIA REMARKS 1 I
--_.
4- /9- //
3 Personal Protective Equipment a. Hard Hat I 5. EydFace Protection f v ' I c Hearing Prokction / d. Hand Protection I V I
i 1 a. Cones 1
4. Traffic Control Devices -
SAFETY AUDIT PERFORMED BY:
WO NUMBER
- --
CONTRACTOR
CREW L64DER
b. Signs c. Fiagrnan With Proper Equipment
5 Vehiclii Grounds 6. Personal Grounds 7. Rubber Gloves andot Sleeves
h ? .A r A L CREW MEMBERS
V I I v' I t*", I
VEHICLES
b. Harness ( fu l i body) c. Lanyards V I .-- d. Ladders Secured I ......
-*-- - ~
COMMENTS &*Go
10. Proper Equipment Use and Location 12. TrandVShofing
Appendix
Revised 7-1 4-201 0 Case No. 2009-00431
1 I 1
DATE
SAFETY AUDIT PERFORMED BY:
WU NUMBER
VEHICLES
DESCRIPTION 1. Tailgate Discussion 2. Wheel Chocks 3. Personal Protective Equipment
a. Hard Hat b. EyeIFace Protection
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST
tJSED NOT USED PROPERLY PROPERLY WA REMARKS 1
J J 1
fl i
d I
J,
(Kenergy Construction Crew)
./;I.:. P /, 1 CREW LEADER
c. Hearing Protection I d. Hand Protection J
MA
I /
c. Flagman Wrth Proper Equipment 5. Vehicle Grounds 6. Personal Grounds
I L
L // I
7. Rubber Gloves andlor Sleeves 8. Cover-up Material 9. Fall Protection
a. Climbing Belt and Safety Strap b. Harness (full body)
I /
/, /
I '/
/
c. Lanyards 1 I d. Ladders Secured I
10. Proper Equipment Use and Location 1 / I t 1 TrenchfShoring t 1
/
/ 1 /
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST (Kenergy Construction Crew)
DESCRIPTION 1. Tailgate Discussion 2. Wheel Chocks
DATE CREW LEADER
PROPERLY PROPERLY N/A REMARKS
d do,-* irG J f
CREW MEMBERS SAFETY AUDIT PERFORMED BY: 6 Add~0.t
1
USED
3 Personal Protective Equipment J
WO NUMBER /Qn ”.
VEHICLES /VA
NOTUSED
I
a. Hard Hat- 1 J - b. EydFace Protectjon I J
I 1 c. Hearing Protection d. Hand Protection
a. Cones 4. Traffic Control Devices J
J
I
Appendix Revised 7-14-2010 Case No. 2009-00430
J
b. Signs c. Ragman With Proper Equipment
5. Vehicle Grounds
s J I
t ‘ J
6 Personal Grounds J
7. Rubber Gloves andlor Sleeves 8. Cover-up Material
i J
r/
9. Fall Protection 4
I c. Lanyards J
d. Ladders Secured 1
s I O . Proper Equipment Use and Location 1 1. TrenchlShonng
J l 1 1
1 1
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATJON CHECKLIST
5. Vehicle Grounds 6. Personal Grounds 7. Rubber Gloves andfor Sleeves
(Kenergy Construction Crew)
/ 1 /
$?b I , / I 1 CREW LEADER DATE
c Flagman Wah Proper Equipment
8. Cover-up Material 1 9. Fall Protection I J
/ a Climbing Belt and Safety Strap I'
b. Hamss (fulult body) I c. Lanyards /
CREW MEMBERS SAFETY AUDIT PERFORMED BY: 6 A!.& > 3 f ~ ~ ?
/ IF I
i
I d. Ladders Secured /
I O . Proper Equipment Use and Location I J f I 1. TrenchlShoflng I 1
/
/ /
44,,,. fd!f Appendix
ReviseU 7-14-2010 Case No. 200900430
KENERGY CREW WORK PROCEDURES AND
SAFETY QBSERVATJON CHECKLIS-I'
I USED NOTUSEO DESCRIPTION PROPERLY PROPERLY
(Kenergy Construction Crew)
REMARKS
Y . 3 1 - r ( CREW LEADER DATE
1. Tailgate DscussIofl
3. Personat Pmtectlve Equipment - 2. Wheel Chocks
a. Hard Hat
SAFETY AUDIT C R N MEMBERS PERFORMFD BY: Tm kio -a&
J t t/-
/ 1
b--
'. wo NUME~ER t l o A t 7
b. Eye/F8~€! Protection / c. Hearing Protection ccc"I f d. Hand Protection _- I u) 1
VEHICLES
*30& 4loucLs (~Counb-CJ!
a. Cones \I"
f 5. VehicIe Grounds -I1 6. Personal Grounds I 7. Rubber Gloves and/or Sjeeves i/ --
9. Fall Protection .L/" a. Climbing Belt and Safety Strap b. Harness (full body) A/
b- Signs -- , c. Flagman Wdh Proper Equipment
8. Cover-up Material
c. Lanyards
d. Ladders Secured
~~ ~
--I__--- --.------..--- Appendix
Revised 7-14-2010 Case No 20D9-0(3930
I - u,
LJ
/
/
- .-- .-- y/
__^I_
..--
KENERGY CREW WORK PROCEDURES AND
SAFETY 06SERVATION CHECKLIST (Kenergy Construction Crew)
USED NOTUSED DESCRl PTlO N PROPERLY PROPERLY REMARKS
-.
CREW LEADER DATE 4 4 t - t I
1. Tailgate Discussion 2. Wheel Chocks
SAFETY AUDIT PERFORMED BY: <e - /&A r &.+CREW MEMBERS
I. c
y/
./"I 3. Persona! Protective Equipment t ./I
b. EyelFace Protection cl I c. Hearing Protection d. Hand Protection L/
a. Hard Hat I
itevisad 7-24-20:O Case No 2009-00430
4
4. Traffic Control Devices 4
a. Cones b. Signs
J
"--- . c. Flagman With Proper Equipment
- / I - " I l9
5. Vehicle Grounds --- 6, Personal Grounds L/ - 7. Rubber Gloves andlor Sleeves 8. Cover-up Material 9. Fait Protection
- J ~
/ ] -...- / I
1 I a. Climbing Belt and Safefy Strap
c. Lanyards _.1
I
- b. Hamess (full body) -- d Ladders Secured
10 PcoperEquipmentUseandLocation 1
- 4 1 / I / I
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST
DESCRJPTION
(Kenergy Construction Crew)
REMARKS
DATE q-224 f CREW LEADER
1 - Tailgab Discussion i w' ' 3. Personal Protective Equipment -_
2. Wheel Chocks I u " I
a. Hard Hat b. EydFace Protection c Hearing Protection I
SAFETY AUDIT r'; PERFORMFD BY:
I. I
-
- tJ/
VEHICLES
I d. Hand Protection 1 - L./ -
-- -_ - COMMENTS
a. Cones i t"T' b. Signs 1
. . .
..-
-- J i c ~ ~ ~ c I S ?
Revised 7-14-2010
. c. Flagman Wrth Proper Equipment 5. Vehicle Grounds
Appendix Case No 2009-00430
G&CVLLCG P O LE v/ 6. Personal Grounds 7. Rubber Gloves and/or Sleeves 8. Cover-up Materia!
__
- 9. Fall Protection
c - t * v/ 1 f i k Q V G S -0v - t +--
/ ___. - _I a. Climbing Belt and Safety Strap -
b. Harness (full body) -..kc
10 Proper Equipment Use and Location I \I
c. Lanyards \I
d. Ladders Secured
, / -
I - -- -
-
DATE
SAFETY AUDtT PERFORMED BY:
WO NUM3ER
VEHICLES
3. Personal Protective Equipment a. Hard Hat
K€NERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CHECKLIST (Kenergy Construction Crew)
4 f
- I / CREW LEADER ..
b. EyelFace Protection c. Hearing Protection
d. Hand Protection 4. Traff~c Control Devices
a. Cones b. Signs f
~ I _
,%ccd C.
v/ 1 I
1
-~
I PROPERLY NIA REMARKS DESCRI PTiON I 1. Tailaab Discussion
c. Flagman With Proper Equipment 5. Vehicle Gmunds 6. Personal Grounds
I --_--I_ - v/
I I /
c. Lanyards
.-- d. Ladders Secured 10. Proper Equipment Use and Location -- I I ~ Trench/Shoring
7. Rubber Gloves andlor Sleeves -.- ! / I
L/"
c, --
8. Cover-up Material I / I 9. Fall Protection
Revised 7-14-2010 Appendix Case No. 2009-00430
KENERGY CREW WORK PROCEDURES AND
SAFETY OBSERVATION CH ECKLiST (Kenergy Construction Crew)
-
VEHICLES
I J J
.J
475 - 5a3
I DESCRIPTION
1. Tailgate Discussion - 2. Wheel Chocks
3. Personal Protective Equipment a. Hard Hat b. EyelFace Protection e. Hearing Protection d. Hand Protection
4- Traffic Control Devices a Cones b. Signs
. c. Flagman With Proper Equipment - I - 5. Vehicle Grounds
6. Personal Grounds 7. Rubber Gloves andfur Sleeves
9. Fat1 Protection 8. Cover-up Material _I
a. Climbing Belt and Safety Strap b. Harness (full body) c. Lanvards
-- d. Ladders Secured IO. Proper Equipment Use and Location $1, TrenchlShoring
I I I / I 1
-. -______I_-- .-- Appendix Case No 2009-00430 Revised 7-14.201 0