APPENDIX A- Safety Enhancements and Safety Policy Statementpage 2

Agenco

Safety Plan (Revised JULY 2012)

Table of ContentsPage 1

APPENDIX A- Safety Enhancements and Safety Policy StatementPage 2

APPENDIX B- Code of Safe PracticesPage 3

APPENDIX C- Orientation- IndoctrinationPage 4

APPENDIX D- Inspection ChecklistPage 5

-Daily Safety ChecklistPage 6

- Safety and Health DeficiencyPage 7

-Machinery and Mechanized Equipment Safety ChecklistPage 8

- Company/ Employee Disciplinary ActionPage 9

APPENDIX E- Safety Notice of Violation or Unsafe PracticePage 10

-Employee Safety ReportPage 11

-Accident ReportPages 12-13

APPENDIX G- Workplace Environment PolicyPage 14

-Substance Abuse PolicyPages 15-18

APPENDIX H- Crane Safety ProgramPage 19

-Crane Critical Lift ChecklistPage 20

APPENDIX I- Fall Protection PlanPages 21-23

APPENDIX J- Severe Weather Plan and Heat Illness Prevention PlanPages 24-25

APPENDIX K- Emergency Response PlanPage 26

APPENDIX L- Fire Prevention and Protection PlanPage 27

APPENDIX M- Heavy Equipment and Forklift PolicyPage 28

APPENDIX N- Safety and Health TrainingPages 29-30

APPENDIX O- Health Hazard Control ProgramPages 31-32

APPENDIX A

SAFETY ENHANCEMENTS

Company conforms to federal and state laws regarding safety. Recent DOT and DOL safety audit passed. Agenco has experienced no OSHA violations and has been awarded multiple contracts. Agenco Safety and Incentive Program reward employees and sub-contractors for achieving 100% Task completion and productivity goals in a safe and timely manner. Participation in the reward program requires eligibility based on strict adherence to OSHA rules and guidelines.

SAFETY POLICY STATEMENT

It is the policy of Agenco that a quality product, and employee safety and health are inseparable for continued success. Affirmative steps are taken to provide employee training, performance, and follow-up evaluation.

The objectives are: (1) to provide a safe and healthful workplace free of known hazards for our employees; (2) provide for the safety of the public in connection with its operations; and (3) strive to achieve zero accidents, property and equipment damage or loss. Each of us is to meet a specific level of performance to achieve the stated objectives. In order to determine the degree of success in meeting those objectives, a system of accountability is used to measure each individual’s performance. This avoidance of work-related injuries and illnesses is an inseparable component of quality performance. Agenco supports this policy with an Accident Prevention Program (APP), which conforms to Federal OSHA, or EM 385-1-1, depending on the contract requirements.

Supervisors and employees working as a team developed our Code of Safe Practices. The Director of Safety, Annette Carrington (34-600695235), has been delegated the authority and responsibility of implementing andmanaging the Accident Prevention Program (APP). The successful implementation of the Accident Prevention Program requires a motivated personal attitude and cooperation in all safety and health matters, company wide. Our program works through a team effort; this provides the means to achieve our goals of quality transportation with zero accidents.

APPENDIX B

Code of Safe Practices

The Code of Safe Practices is a guideline of some of the required safety and healthstandards and regulations that have been adopted MTC in order to meet the proactive goal of zero incidents. Compliance with thesesafety rules is a condition of employment.AGENCOs safety and health policy is to complete the work in the safest possible manner andensure all employees at the jobsite go home uninjured. AGENCOis responsible to provide a safe and healthful workplace for all their employees.Safety shall never be sacrificed for production. All management is held accountable for thesafety performance of employees under their direction. However, the ultimate success ofthis accident prevention program depends upon your full cooperation to follow thesesafety and health regulations.AGENCOshall enforce all the safety and health regulations forevery person according to Federal OSHA Regulations, EM 385-1-1, Stateand Local Regulations and Accident Prevention Plan, AGENCOwhichever is more stringent.

APPENDIX C

ORIENTATION-INDOCTRINATION

Contract Name: Date: ______

I, ______acknowledge receipt of AGENCO

“Code of Safe Practices.”I have read and understand these rules and standards contained in the “Code of Safe Practices” and I have been

given the opportunity to ask questions about them. I agree to abide by these safety rules and any other safety and health rules

or standards that are required at this contract. My failure to follow these safety procedures will result in disciplinary action up to

and including discharge.

Contract Name: ______

I have received safety and health training for the information contained in my trades “Activity Hazard Analysis” (AHA)

and the following:

1. Safety Policy Statement ( )

2. CODE OF SAFE PRACTICES ( )

3. Safety Policy and Location of the Accident Prevention Plan( )

4. Accident Reporting Procedures ( )

5. Reporting Unsafe Conditions( )

6. Heat and Cold Injuries/Illnesses( )

7. Personal Protective Equipment, Training and Use `( )

8. Emergency Phone

From phone call 911

Numbers, Location of First Aid Kits, and Fire Extinguishers ( )

Emergency phone numbers.

9. Tools, Machinery, and Equipment Safety ( )

10. Scope of Work. ( )

11. Known Medical Conditions (optional): ______

12. Hazardous Communications and Material Safety Data Sheets ( )

13. Site Specific Safety Concerns: ( )

14. Post Accident Drug Testing ( )

APPENDIX D

INSPECTION CHECKLISTS

Inspection checklists are used as a working aid to identify potential safety and healthhazards that are found on the job sites. They are used to track safety hazard correctionsfound during these inspections. The "Daily Inspection Checklist" shall be kept in a separate loose leaf-binder and bekept up to date. The checklists contained in this appendix are examples of theformat to be used during each phase of work. Safety Administrator willensure these "Daily Inspection Checklists* are kept up to date and the deficienciescorrected immediately or as-soon-as-possible.The following inspection checklists shall be used (or some form there of) on this contract:

1. A Weekly Safety Audit is to be completed by the designated Safety Officerof other MTC staff. Federal OSHA. Ca OSHA. EM 385-1-1,and MTC Accident Prevention Plan require WeeklySafetvInspections.

2.When any type of scaffold is used on the job site, the "Competent Person” for scaffold shall complete these Scaffold Checklists. The maintenance tech. that erects dismantles, or uses scaffolds shall be given this checklist.

NOTE: Scaffolds shall be tagged with a GREEN tag stating that the scaffold is safe touse. ARED tag shall be used when the scaffold is being erected or dismantled or isunsafe to work on. If the scaffold does not have a tag attached to the accesspoint(ladder) it is considered red tagged and cannot be used by anyone.

3. When the Director of Safety inspects the job site a "Project Safety Audit"form shall be used. When it is completed it shall be explained to andsigned by the responsible person.

4. If a crane is used to lift a Box Vana “Certificate of Compliance” iscompleted BEFORE the crane is allowed to operate. This form shall be mounted inside the cab or operating, station of the crane.

5. BEFORE a piece of equipment, such as, a dozer, dump truck, forklift, etc.is allowed to operate, a "Machinery and Mechanical EquipmentSafety" form shall be completed by a qualified person for the equipment,to ensure that piece of equipment is ''safe" to operate. Allequipment shall be inspected daily before use and documented using the manufacturer’s recommendations.

6. The Director of Safety shall ensure “Weekly Safety Inspection” are completed. Failure to comply with these procedures will result in disciplinary action to be taken.

7. Other “Safety Checklists” shall be developed as the conditions change on contracts.

COMPANY/EMPLOYEE

DISCIPLINARY ACTION

Company Name: ______

Employee Name: ______

Violation Date: ______Warning Date: ______

MTC Project Name: ______

First Notice: (circle one)

Verbal Written

Second Notice: Written

Third Notice: Written

Type of Violation:

( ) Conduct on the Job

( ) Ignoring Directions or Warnings

( ) Safety Violation

Explain the Violation: ______

Re-Training Completed: ______

Person Issuing Violation: ______Title: ______

(print)

Sign Name: ______Date: ______

APPENDIX E

Safety Notice of Violation

Or

Unsafe Practice

(Pocket Version)

AGENCO

Contract Number: ______

Date: ______

SAFETY NOTICE OF VIOLATION

OR UNSAFE PRACTICE

______VERBAL Violation

______WRITTEN Violation

______2nd WRITTEN Violation

DESCRIPTION OF VIOLATION:

PLEASE CORRECT THE ABOVE

CONDITION.SITUATION IMMEDIATELY

Issued To: ______

Company: ______

Issued By: ______

APPENDIX F

EMPLOYEE SAFETY REPORT

WHAT WAS THE DATE OF THE INCIDENT, UNSAFE CONDITION, OR VIOLATION OF CODE OF SAFE PRACTICES? ______

WHAT WAS THE LOCATION OF THE INCIDENT, UNSAFE CONDITION OR VIOLATION OF CODE OF SAFE PRACTICES?

______

WHAT CLASSIFICATION AND DEPARTMENT OF EMPLOYEE (S) WAS INVOLVED OR AFFECTED?

______

WHAT ARE THE NAMES OF EMPLOYEES INVOLVED OR AFFECTED?

______

WHAT IS THE NATURE OF THE INCIDENT, UNSAFE CONDITION OR VIOLATION OF CODE OF SAFE PRACTICES?

______

WHAT IS THE CAUSE OF THE INCIDENT, UNSAFE CONDITION OR VIOLATION OF CODE OF SAFE PRACTICES?

______

WAS A SAFETY CODE VIOLATED? IF SO WHICH SAFETY CODE WAS VIOLATED?

______

HAS THE SAFETY DIRECTOR BEEN NOTIFIED?

______

WHAT SUGGESTION DO YOU HAVE TO CORRECT THE SITUATION?

______

DATE:______

NAME OF EMPLOYER MAKING THE REPORT:______

Accident Prevention Plan

APPENDIX G

Workplace Environment Policy

Agenco and its client companies are committed to providing a workplace free of discrimination and harassment. This policy applies to all areas of employment. Prohibited acts include:

• Discrimination on any basis prohibited by law including sex, race, religion, age, sexual

orientation, national origin, or disability;

• Derogatory comments; negative stereotyping; denigrating or hostile written or graphic material;

• Creating an intimidating, hostile, or offensive working environment;

• Sexually oriented teasing or humor; unwelcome flirtation; touching or brushing against another’s body;

• Unwelcome sexual advances, requests for sexual favors, sexual innuendoes and any verbal, written, or physical conduct of a sexual nature which creates an uncomfortable offensive, hostile working environment, or using sexual behavior to control or affect the position, wages, or working conditions of an employee;

• Visual conduct, such as gestures, leering, and/or the display of sexually suggestive objects or pictures; It is the responsibility of all employees to fully support this policy and promptly report any incident to their direct supervisor. The Federal statute of limitations is 300 days and each individual state has separate statute of limitations provisions. All complaints will be promptly investigated. Confidentiality will be maintained to the fullest extent possible. The circumstances of cases may differ widely and the investigation process will vary depending on the circumstances of each case. Employees in violation of the policy will be subject to disciplinary action up to and including termination.

I have read and understand the above stated policy

Employee Signature______

Print Name______

Date______

Substance Abuse Policy

Acknowledgment and Receipt

I have received a copy of the Company’s Substance Abuse Policy dated September 2002

I understand that the Policy contains strict rules and regulations concerning the use of alcohol and illegal drugs. I understand that the Policy applies to me, and that I will be subject to discipline, up to and including immediate discharge, for any violation of the Policy. I agree to comply with the Policy.

I understand that the Policy is not intended to and does not constitute a contract of continuing employment between me and the Company. I also understand that my employment with the Company is “at will,” and that either I or the Company may terminate my employment with the Company at any time, and for any or no reason. I also understand that no supervisor or manager has any authority to make any statements or representations to me that change or conflict with the at-will status of my employment with the Company, or that change or conflict with any of the provisions of the Substance Abuse Policy.

I authorize the release of any drug and alcohol screen to the designated representative of the Company’s personnel department, to the owner of the Company’s client, and to the current workers’ compensation carrier. In addition, I authorize release of any urine or blood sample taken at a hospital.

I understand that the Substance Abuse Policy supersedes and revokes all previous practices, procedures, policies, and other statements of the Company, whether written or oral, that modify, supplement, or conflict with the Policy. I also understand that the Policy may be amended at any time.

EMPLOYEE SIGNATURE______DATE______

EMPLOYEE NAME (PRINTED)______DATE______

WITNESS SIGNATURE______DATE______

Updated September 2002

Substance Abuse Policy

The Company believes that it is important to maintain safe, healthy, and efficient operationsand to protect the safety and security of the employees, facilities, and property of the Company.

Being under the influence of drugs or alcohol on the job may pose serious safety and health risks to the user and all those who work with the user. In addition, the use, possession, sale, transfer, manufacture, distribution, and dispensation of alcohol or illegal drugs in the workplace pose unacceptable risks to the maintenance of a safe and healthy workplace and to the security of Company employees, facilities, and property. For those reasons, the Company has established this policy against drug and alcohol abuse.

1. Scope of Policy

This Policy applies to all persons who are employed by the Company in Colorado (“employees”), and to all persons who have received conditional offers of employment by the Company

2. Work Rules

a. Alcohol

Employees may not use, possess, sell, or transfer alcohol while working, while on Companyproperty, or while operating Company equipment, machinery, or vehicles. Employees may not work or report to work under the influence of alcohol, with an alcohol level that would constitute a violation of state law prohibiting driving while under the influence of alcohol, or with an alcohol level that would create a presumption that the employee was under the influence of alcohol.

Employees who violate either of these rules will be subject to discipline, up to and includingimmediate discharge. The Company may make exceptions to these rules for certain business orsocial functions sponsored or approved by the Company.

b. Illegal Drugs

Employees may not possess illegal drugs or engage in the illegal use of drugs while working, while on Company property, or while operating Company equipment, machinery, or vehicles.

Employees may not work or report to work under the influence of illegal drugs or with detectable levels of illegal drugs or the metabolites of illegal drugs in their systems. Employees may not manufacture, distribute, dispense, transfer, or sell illegal drugs. Employees who violateany of these rules will be subject to discipline, up to and including immediate discharge.

c. Legal Drugs/Medication

Any employee who has reason to believe that the legal use of drugs, such as a prescribed

medication, may pose a safety risk to any person or interfere with the employee’s performance of his or her job must report such legal drug use to his or her supervisor. The Company shall then determine whether any work restriction or limitation is indicated. Failure to report the legal use of a drug that may pose a safety risk could result in disciplinary action.

d. Inspection

All persons on Company property or who are performing services on a Company project, and all property, equipment, and vehicles on Company property or being used in connection with the performance of work on a Company project, are subject to unannounced inspection by the Company. You should not expect that any property or items that you bring to work with you are private. If you do not want any property or items inspected, do not bring them to work.

e. Definitions

“Illegal drugs” means any controlled substance, medication, or other chemical substance that (a) is not legally obtainable; or (b) is legally obtainable, but is not legally obtained or is not being used for the purpose(s) for which it was prescribed or intended by the manufacturer. Thus, “illegal drugs” may include even over-the-counter medications, if they are not being used for the purpose(s) for which they were intended by the manufacturer. “Company property” and “Company equipment, machinery, and vehicles” means allproperty, equipment, machinery, and vehicles owned, leased, rented, or used by theCompany.

3. Drug and Alcohol Testing

The Company may require that employees and applicants provide urine and/or blood samplesfor drug and alcohol testing and/or breath samples for alcohol testing under any of the followingcircumstances:

a. Reasonable Suspicion Testing

The Company may require any employee to undergo drug and alcohol testing if managementhas a reasonable suspicion that the employee:

I. Has violated the Company’s written work rules prohibiting the use, possession, sale,or transfer of alcohol and/or illegal drugs while working, while on Company property, orwhile operating Company equipment, machinery, or vehicles;

II. Is under the influence of alcohol and/or illegal drugs while working, while onCompany property, or while operating Company equipment, machinery, or vehicles;

III. Is impaired by alcohol and/or illegal drugs; or

IV. May be affected by the use of alcohol and/or illegal drugs and that the use mayadversely affect job performance or the work environment.

b. Post-Accident Testing

The Company may require any employee to undergo drug and alcohol testing as soon aspracticable after a work-related accident, if the Company reasonably believes that theemployee may have contributed to the accident.