AM CONSTRUCTION

SERVICES
DESIGNER * CONTRACTOR * ENGINEERING *
FABRICATOR

[FS Enterprises & AM Construction Services]

Safety Plan

[2025]
Table of Contents

A. Safety Policy...................................................................................................................................... 2
Manager Responsibilities:............................................................................................................................ 2
Supervisor Responsibilities:......................................................................................................................... 2
Employee Responsibilities:.......................................................................................................................... 3
B. Safety Committee............................................................................................................................... 3
C. Employee Safety Meetings.................................................................................................................. 4
D. Record Keeping and Review................................................................................................................ 4
E. Safety Inspection Procedures.................................................................................................................... 4
Annual Site Survey..................................................................................................................................... 4
Periodic Change Survey.............................................................................................................................. 4
Monthly Safety Inspection........................................................................................................................... 5
Job Hazard Analysis................................................................................................................................... 5
F. Hazard Prevention and Control................................................................................................................. 5
Eliminating Workplace Hazards................................................................................................................... 5
Basic Safety Rules...................................................................................................................................... 5
G. Job Related Safety Rules..................................................................................................................... 6
Required PPE............................................................................................................................................. 6
Work Rules................................................................................................................................................ 6
Work with Ladders.................................................................................................................................. 6
Lifting Tasks.......................................................................................................................................... 7
H. Equipment Maintenance...................................................................................................................... 7
I. Emergency Planning............................................................................................................................... 7
In case of fire............................................................................................................................................. 7
In case of earthquake [if applicable]............................................................................................................. 8
If an injury occurs....................................................................................................................................... 9
J. Safety and Health Training and Education................................................................................................. 9
K. Acknowledgements.......................................................................................................................... 10

Page 1 of 11
A. Safety Policy
The AM CONSTRUCTION SERVICES place a high value on the safety of its employees. They
are committed to providing a safe workplace for all employees and have developed this program
for injury prevention to involve management, supervisors, and employees in identifying and
eliminating hazards that may develop during our work process.

It is the basic safety policy of this organization that no task is so important that an employee
must violate safety rules or take a risk of injury or illness to get the job done.

Employees are required to comply with all safety rules and are encouraged to actively participate
in identifying ways to make our organization a safer place to work.

Supervisors are responsible for the safety of their employees and as a part of their daily duties
must check the workplace for unsafe conditions, watch employees for unsafe actions and take
prompt action to eliminate any hazards.

Management will do its part by devoting the resources necessary to form a safety committee
composed of management and elected employees. We will develop a system for identifying and
correcting hazards. We will plan for foreseeable emergencies. We will provide initial and
ongoing training for employees and supervisors.

“Safety is a team effort – Let us all work together to have a safe and healthy workplace.”
e
Manager Responsibilities:
1. Ensure that a safety committee is formed and is carrying out its responsibilities as
described in this program.
2. Ensure that sufficient employee time, supervisor support, and funds are budgeted for
safety equipment, training and to carry out the safety program.
3. Evaluate supervisors and employees each year to make sure they are carrying out their
responsibilities as described in this program.
4. Ensure that incidents are fully investigated, and corrective action taken to prevent
hazardous conditions or behaviors from happening again.
5. Ensure that a record of injuries and illnesses is maintained and posted as described in this
program.
6. Set a good example by following established safety rules and attending required training.
7. Report unsafe practices or conditions to the supervisor of the area where the hazard was
observed.

Supervisor’s Responsibilities:
1. Ensure that each employee you supervise has received an initial orientation before
beginning work.
2. Ensure that each employee you supervise is competent or receives training on safe
operation of equipment or tasks before starting work on that equipment or project.
3. Ensure that each employee receives the required personal protective equipment (PPE)
before starting work on a project requiring PPE.

Page 2 of 11
 4. Do a daily walk-around safety-check of the work area. Promptly correct any hazards
observed.
5. Observe the employees you supervise working. Promptly correct any unsafe behavior.
6. Provide training and take corrective action as necessary. Document employee
evaluations.
7. Set a good example for employees by following safety rules and attending required
training.
8. Investigate all incidents in your area and report your findings to management.
9. Talk to management about changes to work practices or equipment that will improve
employee safety.

Employee Responsibilities:
1. Follow safety rules described in this program and the training you receive.
2. Report unsafe conditions or actions to your supervisor or safety committee representative
promptly.
3. Report all injuries to your supervisor promptly regardless of how serious.
4. Report all near-miss incidents to your supervisor promptly.
5. Always use personal protective equipment (PPE) in good working condition where it is
required.
6. Do not remove or defeat any safety device or safeguard provided for employee
protection.
7. Encourage co-workers by your words and example to use safe work practices on the job.
8. Make suggestions to your supervisor, safety committee representative or management
about changes you believe will improve employee safety.

B. Safety Committee
A safety committee will help employees and management work together to identify safety
problems, develop solutions, review incident reports and evaluate the effectiveness of our safety
program. The committee is made up of management-designated representatives and one
employee representative each from the Tribe’s programs.

w Employees in each program should have representations on the committee.

w Term limits to serve on the committee will be determined by the Tribal Administrator or The
Council.
w A chairperson will be selected by the majority vote of the committee members each year. If
there is a vacancy, the same method will be used to select a replacement.
w In addition to the committee’s responsibilities explained above, duties of safety committee
members include:

Ÿ A monthly self-inspection of the area they represent

Ÿ Communicating with the employees they represent on safety issues and
Ÿ Encouraging safe work practices among co-workers.

w The regularly scheduled meeting time will be set each month

w A committee member may be designated each month to keep minutes on the attached minutes
form. A copy will be posted on the employee bulletin board after each meeting. After being

Page 3 of 11
posted for one month, the minutes will be filed for one year. The minutes form contains the basic
monthly meeting agenda.

C. Employee Safety Meetings

All employees are to attend a monthly safety meeting at the designated time and location. This
meeting is to help identify safety problems, develop solutions, review incidents reports, provide
training and evaluate the effectiveness of our safety program. Minutes will be kept on the
attached minutes form. Meeting minutes will be kept on file for one year.

D. Record Keeping and Review

Employees are required to report any injury or work-related illness to their immediate supervisor
regardless of how serious. Minor injuries such as cuts and scrapes can be entered on the minor
injury log posted on the safety bulletin board. The employee must use an "Employee's
Injury/Illness Report Form" to report more serious injuries.

The supervisor will:

1. Investigate a serious injury or illness using procedures in the "Incident Investigation"
section below.
2. Complete an "Incident Investigation Report" form.
3. Determine from the Employee’s Report, Incident Investigation Report, and any form
associated with the incident, whether it must be recorded on the OSHA Injury and Illness
Log and Summary according to the instructions for that form.
4. Enter a recordable incident within six days after the organization becomes aware of it.
5. If the injury is not recorded on the OSHA log, add it to a separate incident report log,
which is used to record non-OSHA recordable injuries and near misses.
6. Each month before the scheduled safety committee meeting, make any new injury reports
and investigations available to the safety committee for review, along with an updated
OSHA and incident report log.

The safety committee should/will review the log for trends and may decide to conduct a separate
investigation of any incident.

E. Safety Inspection Procedures

[Community’s Name] is committed in identifying hazardous conditions and practices which are
likely to result in injury or illness to employees. We will take prompt action to eliminate any
hazards we find. In addition to reviewing injury records and investigating incidents for their
causes, management and the safety committee will regularly check the workplace for hazards as
described below:

Annual Site Survey -- Once a year an inspection team made up of members of the safety
committee will do a wall-to-wall walk-through inspection of the entire worksite. They will write
down any safety hazards or potential hazards they find. The results of this inspection will be
used to eliminate or control obvious hazards, target specific work areas for more intensive
investigation, assist in revising the checklists used during regular monthly safety inspections and
as part of the annual review of the effectiveness of our health and safety plan.

Page 4 of 11
Periodic Change Survey -- We will assign a supervisor or form a team to look at any changes
we make to identify safety issues. Changes include new equipment, changes to production
processes or a change to the building structure. A team is made up of maintenance, production,
and safety committee representatives. It examines the changed conditions and makes
recommendations to eliminate or control any hazards that were or may be created as a result of
the change.

Monthly Safety Inspection -- Each month, before the regularly scheduled safety committee
meeting, safety committee representatives will inspect their areas for hazards using the standard
safety inspection checklist. They will talk to co-workers about their safety concerns.
Committee members will report any hazards or concerns to the whole committee for
consideration. The results of the area inspection and any action taken will be posted in the
affected area. Occasionally, committee representatives may agree to inspect each other's area
rather than their own. This brings a fresh pair of eyes to look for hazards.

Job Hazard Analysis -- As a part of our on-going safety program, we will use a “Job Hazard
Analysis” form to look at each type of job task our employees do. This analysis will be done by
the supervisor of that job task or a member of the safety committee. We will change how the job
is done as needed to eliminate or control any hazards. We will also check to see if the employee
needs to use personal protective equipment (PPE) while doing the job. Employees will be trained
in the revised operation and to use any required PPE. The results will be reported to the safety
committee. Each job task will be analyzed at least once every two years, whenever there is a
change in how the task is done or if there is a serious injury while doing the task.

F. Hazard Prevention and Control

Eliminating Workplace Hazards
The [Community’s Name] is committed to eliminating or controlling workplace hazards that
could cause injury or illness to our employees. We will meet the requirements of state safety
standards where there are specific rules about a hazard or potential hazard in our workplace.
Whenever possible we will design our facilities and equipment to eliminate employee exposure
to hazards. Where these engineering controls are not possible, we will write work rules that
effectively prevent employee exposure to the hazard. If the above methods of control are not
possible or are not fully effective, we will require employees to use personal protective
equipment (PPE) such as safety glasses, hearing protection, foot protection etc.

Basic Safety Rules

The following basic safety rules have been established to help make our organization a safe and
efficient place to work. These rules are in addition to safety rules that must be followed when
doing jobs or operating certain equipment. Those rules are listed elsewhere in this program.
1. Never do anything that is unsafe to get the job done. If a job is unsafe, report it to your
supervisor or safety committee representative. We will find a safer way to do that job.
2. Do not remove or disable any safety device! Always keep guards in place on operating
machinery.
3. Never operate a piece of equipment unless you have been trained and are authorized.
4. Use your personal protective equipment whenever it is required.

Page 5 of 11
 5. Obey all safety warning signs.
6. Working under the influence of alcohol or illegal drugs or using them at work is
prohibited.
7. Do not bring firearms or explosives onto organization property.
8. Smoking is only permitted outside the building away from any entry or ventilation intake.
9. Horseplay, running, and fighting are prohibited.
10. Clean up spills immediately. Replace all tools and supplies after use. Do not allow
scraps to accumulate where they will become a hazard. Good housekeeping helps prevent
injuries.
11. Do not distract or talk with employees when they are using a machine.

G. Job Related Safety Rules

We have established safety rules and personal protective equipment (PPE) requirements based
upon a hazard assessment for each task listed below:

Required PPE
 Safety glasses. Check prior to use for broken or missing components (such as side
shields) and for scratched lenses. If they are prescription glasses, the initials of the lens
manufacturer must be stamped into the corner of the lens to show that they are safety
glass lenses.
 Leather gloves – for sharp objects or surfaces
 Steel toe safety shoes in production and shipping areas (to be supplied by the employee)
must be in good condition.

Work Rules
Work with Ladders: All locations
Required PPE:
 Full body harness when working at greater than 25’ and both hands must be used to do
the job.
Ladder safety:
1. Before you use a ladder check it for defects such as loose joints, grease on steps, or
missing rubber feet.
2. Do not paint a ladder! You may hide a defect.
3. Do not use a ladder as a brace, workbench or for any other purpose than climbing.
4. Do not carry objects up or down a ladder if it will prevent you from using both hands to
climb.
5. Always face the ladder when climbing up or down.
6. If you must place a ladder at a doorway, barricade the door to prevent its use and post a
sign.
7. Only one person is allowed on a ladder at a time.
8. Always keep both feet on the ladder rungs except while climbing. Do not step sideways
from an unsecured ladder onto another object.
9. If you use a ladder to get to a roof or platform, the ladder must extend at least 3' above
the landing and be secured at the top and bottom.
10. Do not lean a step ladder against a wall and use it as a single ladder. Always unfold the
ladder and lock the spreaders.

Page 6 of 11
 11. Do not stand on the top step of a step ladder.
12. Set a single or extension ladder with the base 1/4 of the working ladder length away from
the support.

Lifting Tasks: All locations

Required PPE:
 Safety glasses. Check prior to use for broken or missing components (such as side
shields) and for scratched lenses. If they are prescription glasses, the initials of the lens
manufacturer must be stamped into the corner of the lens to show that they are safety
glass lenses.
 Leather gloves – for sharp objects or surfaces
 Steel toe safety shoes in production and shipping areas (to be supplied by the employee)
must be in good condition.
Lifting safety:
1. Do not lift on slippery surfaces.
2. Test the load before doing the lift.
3. Get help if the load is too heavy or awkward to lift alone.
4. Break the load down into smaller components if possible, to provide a comfortable lift.
5. Do not overexert!
6. Make sure you have a good handhold on the load.
7. Do not jerk the load or speed up. Lift the load in a smooth and controlled manner.
8. Do not twist while lifting (especially with a heavy load). Turn and take a step.
9. Keep the load close to the body. Walk as close as possible to the load. Pull the load
towards you before lifting if necessary.
10. Avoid long forward reaches to lift over an obstruction.
11. Avoid bending your back backwards to loft or place items above your shoulder. Use a
step stool or platform
12. Do not lift while in an awkward position.
13. Use a mechanical device such as a forklift, hoist, hand truck or elevating table whenever
possible to do the lift or to bring the load up between the knees and waist before you lift.
14. Back injury claims are painful for the worker and expensive for the organization. Lift
safely!

H. Equipment Maintenance
The [Community’s Name] and [Environmental Agency’s Name] have machinery and equipment
that must be inspected or serviced on a routine basis. A checklist/record to document the
maintenance items will be maintained and kept on file for the life of the equipment.

I. Emergency Planning
In case of fire
An evacuation map for the building is posted safety bulletin board. It shows the location of
exits, fire extinguishers, first aid kits, and where to assemble outside. All employees will receive
training on how to use of fire extinguishers as part of their initial orientation.

Page 7 of 11
 1. If you discover a fire: Tell another person immediately. Call or have them call 911 and a
supervisor.
2. If the fire is small (such as a wastebasket fire) and there is minimal smoke, you may try
to put it out with a fire extinguisher.
3. If the fire grows or there is thick smoke, do not continue to fight the fire.
4. Tell other employees in the area to evacuate.
5. Go to the designated assembly point outside the building.
6. If you are a supervisor notified of a fire in your area: Tell your employees to evacuate to
the designated assembly location. Check that all employees have been evacuated from
your area.
7. Verify that 911 has been called.
8. Determine if the fire has been extinguished. If the fire has grown or there is thick smoke,
evacuate any employees trying to fight the fire.
9. Tell supervisors in other areas to evacuate the building. Go to the designated assembly
point and check that all your employees are accounted for. If an employee is missing, do
not re-enter the building! Notify the responding fire personnel that an employee is
missing and may be in the building.

In case of earthquake [if applicable]

The [Community’s area location] of the United States is/is not subject to earthquakes. There will
be no advance warning. The shock will be your only warning. Because there are power lines
over [describe assembly location] is the designated assembly location for earthquake evacuation.
We have bolted tall narrow storage racks to the floors, walls or to each other to provide a wide
base to help reduce the potential for collapse. A wrench is available at the rear entrance to turn
off the gas shut off outside the building. All supervisors will be trained in the gas shut-off
procedure. An earthquake drill will be conducted each year during the first week of September.
In the event of an earthquake:

If you are inside a building:

1. Drop under a desk or table, cover your head and hold on. Stay away from windows,
heavy cabinets, bookcases or glass dividers.
2. When the shaking stops, supervisors are to check for damage and available evacuation
routes then begin an evacuation of their area to the designated assembly location.
3. Evacuation should proceed as quickly as possible since there may be aftershocks.
4. Supervisors must account for each employee in their work group as quickly as possible.
5. First aid certified employees should check for injuries and help evacuate injured
employees. Do not attempt to move seriously injured people unless they are in
immediate danger of further injury.
6. If a gas odor is in the building, tell a supervisor to turn off the gas at the main. Open
windows.
7. Supervisors and first aid employees must not re-enter the building once evacuation is
complete.
8. Do not approach or touch downed power lines or objects touched by downed power lines.
9. Do not use the phone except for emergency use.
10. Turn on the radio and listen to public safety instructions.

Page 8 of 11
If you are outside: Stand away from buildings, trees, telephone, and electric lines.
If you are on the road: Drive away from underpasses/overpasses. Stop in a safe area. Stay in the
vehicle.
[Delete if not applicable in your area]
If an injury occurs
1. A first aid kit should be available at the workplace. Also, each organization vehicle
should be equipped with a first aid kit located in the glove box or under the driver's seat.
These kits are checked monthly by members of the safety committee. An inventory of
each kit is taped to the inside cover of the box. If you are injured, promptly report it to
any supervisor.
2. All supervisors should be required to have first aid cards. Other employees may have
been certified. A list of current first aid and CPR certified supervisors and employees is
posted on the safety bulletin board along with the expiration dates of their cards.
3. In case of serious injury, do not move the injured person unless absolutely necessary.
Only provide assistance to the level of your training. Call for help. If there is no response,
call 911.
4. Aids/HIV and Hepatitis B are the primary infectious diseases of concern in blood. All
blood should be assumed to be infectious. These diseases can both be deadly. Employees
are not required to perform first aid as part of their job duties. In the event of a bleeding
injury where first aid is needed, use gloves, if possible, to prevent exposure to blood or
other potentially infectious materials. The injured person can often help by applying
pressure to the wound. Gloves and a mouth barrier for rescue breathing are available in
the first aid kits. If you are exposed to blood while giving first aid, wash immediately
with soap and water and report the incident to a supervisor. The appropriate follow-up
procedures will be initiated, including medical evaluation, counseling, Hepatitis B
vaccine and blood testing of the source person if possible.

J. Safety and Health Training and Education

Training is an essential part of our plan to provide a safe workplace. To Ensure that all
employees are trained before they start a task that requires training. Some of the training we may
require is:

 Basic Safety Orientation

 First Aide/CPR
 Safe Lifting
 Chemical Hazards (General)
 Fire extinguisher safety
 Respirator Training (Employees who use a respirator)
 Lockout Awareness Training

Page 9 of 11
K. Acknowledgements
Employee Acknowledgment:

I have read this document and will abide by these safety rules to the best of my ability.

Print name: _________________________________

Signed: _____________________________________ Date: ____________________

Page 10 of 11