Touchstone Energy’ Cooperative - KY Public Service … Case Referenced...(Kenergy Construction Crew) / W- cr t/+- I_- __I --...---- I DATE K-&S--/ / CREW LEADER I c. Hearing Protection

PO Box 18 6 6402 Old Corydon Road Henderson, Kentucky 42419-001 8

(800) 844-4832

September 6,2011

Mr. Rick Bertelson Public Service Commission 211 Sower Blvd. P.O. Box 615 Frankfort, KY 40602-0615 PUBLIC SERVICE

COMMISSION

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 August 2011.

The following list contains the safety violations (V) found, if any, and corrective actions (CA) taken to correct the issues discovered.

e V # 1 - Chain Saw without guards, Truck #528 Place guard on chain saw, Truck #528

eJ V#2- Chain Saw without guards, Truck #523 Place guard on chain saw, Truck #523 Keeper pin missing on auger kelly bar pin Place keeper pin on auger

CA #1-

CA #2 - V#3- CA #3 -

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, % I

Garrett Addington, M.S., CSP, OHST, CHMM Risk Management Coordinator Kenergy Corp.

Your Touchstone Energy’ Cooperative

DATE

SAFETY AUDIT PERFURMED BY:

WO NUMBER

VEHICLES

7. Rubber Gloves and/or Sleeves 8. Cover-up Material 9. Fall Protection

a. Climbing Belt and Safety Strap b. Harness (fult body)

-

CREW WORK PROCEDURES AND SAFETY OBSERVATIO CHECKLIST

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From: Sent: To: cc: Subject:

Tammy Montgomery Wednesday, September 07,201 1 10:Ol AM Tony Howard Garrett Addington RE: Crew audit

From: Tony Howard Sent: Wednesday, September 07,201 1 9:35 AM Tu: Tammy Montgomery Subject: RE: Crew audit

Prom: Tammy Montgomery Sent= Wednesday, September 07,2011 89.8 AM To: Tony Howard Subjeck Crew audit

Good morning! Did you find out anything about the crew audit I sent yesterday. We need to send the PSC letter today.

Thanks,

1

DATE

SAFETY AUDIT PERFORMED BY:

WO NUMBER

VEHICLES

CREW WORK PROCEDURES A SAFETY OBSERVATIO CHECKLIST

% -/7- // CREW LEADER

CREW MEMBERS L\

4 3

- . .- I O . Proper Equipment Use and Location 1 'I. TrenchlShoring /

Revised; 511 71201 7

03/06/2011 10113 FAX 270 8300244 KENERGY o w WEST J J A H W Y 0 00 1/00 1

DATE

C R W MEMBERS SAFETY AUDIT PERFORMED BY;

WCI NUMBER

VEtilCUES

!

2. Wheel Chocks 3. Personal Protective Equipment

a. Mad Hat b. EyelFace Protection c. Hearing Protection d. Hand Protection

4. Traffic Control Devices .I__ -

DATE

- :r" Is'#*-

7/ -

1 1 I I ip""

;k f dI -- -

ERGY WORK PROCEDURES A

(Kenergy Construction Crew) SAFETY OBSERVATION CHECKLfST

a. Cones -- J b. Signs -

. c. Flagman With Proper Equipment i 5. Vehide Grounds 1 ".. d . 6. Personal Grounds d

Lf 7. Rubber Gloves and/or Sleeves .-I- - -__.

~ ---- 8. Cover-up Material .If

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b. Harness (full body) f , c. lanyards +/ I d Ladders Secured i - LCpF -

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SAFETY AUDIT - PERFORMED ,_ BY: CREW MEMBERS

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VEHICLES .ray r a t

-. -. - - - Appendtx

- - - Case No 20094IC43Q fievised 7-14-251 0 - - - -

DATE


WO NUMBER

VEHICLES

2. Wheel Chocks I L/

3. Personal Protective Equipment bc"" a. Hard Hat ,/ b. Eyeffact? Protection v.""

c. Hearing Protection f i . .II- d. Hand Protection L.+@*

CREW WORK PROCEDURES A SAFETY OBSERVATION CflECKLIST

(Kenergy Construction Crew)

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/ - tac - --. 4. Traffic Control Devices

a. Cones up""

- b. Signs . . . - c. Flagman With Proper Equipment 5. Vehicle Grounds ~ - _ -

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Revised 7-14-201 0 Case No 2006-CO430

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d. Ladders Secured --

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DATE

E 6‘9 CREW WORK PROCEDURES A

SAFETY OBSERVATION CHECKLIST (Kenergy Construction Crew)

CREW MEMBERS mas SAFETY AUDIT PERFORMED BY:

VEHICLES -§26-5,3

L

COMMENTS

s

Revised 7-14-2010 Case No 20013-00430 . _ _ --- _.- - -. - .

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4 . Tailgate Discussion 2. Wheel Chocks 3. Personal Protective Equipment

a. Hard Hat b. EyeFsce Protection


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DATE K-&S--/ / CREW LEADER

I c. Hearing Protection d. Hand Prokectlon

4. Traffic Control Devices a. Cones b. Sfgns

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c. Flagman With Proper Equipment * 5. Vehicle Grounds fl 6. Personal Grounds

8. Cover-up Material 9. Fall Protection

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URES AND CHECKLIST

(Kenergy Construcfion Crew)

CREW LEADER _cI

DATE E-. 2 s--( I n

SAFETY AUDIT .//- fib; CREWMEMBERS PERFORMED BY. -- . ' 1.d

Revised 7-14-205(1 - .--- -- - .. _. .

Appendix Case MO 2009-00430

DATE

SAFEIY AUDIT PERFORMED BY:

WO NUMBER

VEHICES

CREW SAFETY


I & l.6. i I Y Appendix

Revised 7-14-2010 Case No. 200940430

DATE

CREW WO SAFETY OB


PERFORMED BY:

WO NUMBER lo - d y 75’

VEHICLES %3”-

CREW LEADER

CREW MEMBERS

Appendix Case No. 2M9-00430 Revised 7-1 4-201 0

D A E

c. Hearing Protection d. Hand Protection

ROCEBURES VATION CHEC

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(Kmergy Construction Crew)

5. Vehicle Grounds

CREW LEADER

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CREW MEMBERS SAFETY AUDIT 6 /k@{J1j h PERFORMED 8Y: ,( .. fi g j I,

7. Rubber Gloves andlor Sleeves 8. Cover-up Material 9. Fall Protection

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DATE

d. Ladders Secured 10. Proper Equipment Use and Location I i/ 11. IRRd.1IShOfillg i

KENERGV CREW WORK PROCEDURES AND

SAFETY OBSERVATION CHECKLIST

-- - I .

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(Contractor Construction Crew)

SAFEWAUDIT +.-/ PERFORMED BY: [ !An , M f e r

CONTRACTOR

CREW LEADER

CREW MEMBERS

--

Revised 7-1 4-25?0

~

Appendix

Case NO 2004-00431

CREW WORK PROCEDURES AND SAFETY OBSERVATION CHECKLIST

(Contractor Construction Crew)

CONTRACTOR

CRNV LEADER

CREW MEMBERS

I J ? 0. Proper Equipment Use and Location L,,’ I 11. Tronch/Shofing i J

I ,.-- d. Ladders Secured

Appendix

Revised 7-14-2010 Case No 2009-00431

DATE

KENERGY CREW WORK PROCEDURES AND

SAFETY OBSERVATION CHECKLlST (Contractor Construction Crew}

CONTRACTOR

CREW LEADER

CR€W M€MBERS S A F W ALJDlT PERFORMED BY:

- WO NUMBER

VEHICLES

- / I - Lo 3 3.

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Appendix Case No 2009-00431 Revised 7-14-2010

KENERGY C

SAFETY QBSE

6. Flagman wifh Proper Equipment

7 Wheelchock

9. Fall Protection -

s.Safety Belt

b.Hamess

WO NUMBER

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VEHICLES

c. Lanyards -- 9. Proper Equipment Location and Use

4. Vehicle andlor Personal Grounds I f 5. Traffic Control Devices J

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DATE

-..__.-. b. Harness (full body)

d. Ladders Secured

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c. Lanyards --.

10. Proper Equipment Use and Location Z 1. TrencNShoring --

KENERGV CREW WORK PROCEDURES AND

SAFEJY OBSERVATION CHECKLIST { Kenergy Construction Crew)

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CREW MEMBERS SAFETY AUDIT .,q- (-- PERFORMED B Y - I e.i-4

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Appendix

Revised 7-14-2010 Case No 2009-00430

DATE


WO NUMBER

VEHICLES

I DESCRIPTJON I. Tailgate Discussion

KENERGY CREW WORK PROCEDlJRES AND SAFETY OBSERVATION CHECKLIST


REMARKS PROPERLY PROPERLY NIR 1 J

CREW LEADER

CREW MEMBERS

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(Kenergy Construction Crew}

REMARKS PROPERLY NIA I i

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DATE 53-11- r i CREW LmDER

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DATE


WO NUMBER

VEHICLES

a. flard Hat b. EyeiFace Protection c. Hearing Protection

CREW WORK PROCEDURES A SAFETY OBSERVATION CHECKLIST

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1

2. Wheal Chocks I 3. Personal Protective Equipment It--- 1 --

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c. Lanyards t .-.-. - d. Ladders Secured

..- - IO. Proper Equipment Use and Location 11. TrenchIShoring

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~~ _ _ - Revised: 511 71201 1

9. Fall Protection a. Climbing Bett and Safety Strap

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DATE

SAFETY AUDIT PERFORMED 3Yy:

WO NUMBER

VE H f CLES

KE GY CREW WORK PROCEDURES AND


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CREW MEMBERS M

4 J

Revised: 5/17/201 I


SAFETY OBSERVATlON CHECKLIST (Kenergy Construction Crew)

SAFETY AUDIT PERFORMED BY: --

CREW L€AC)ER

CREW MEMBERS

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b. Signs .-.-----

5. Vehicle Grounds 6. Personal Grounds

7. Rubber Gloves andlor Sleeves

8. Cover-up Material 9. Fall Protection

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----- - -

---- a. Climbing Beltandsafety Strap

--- - I?. TrenchlShoring

- ..-- Appendix

Case No. 200400430 Revised 7.14201 0

DATE

6 Personal Grounds 7 Rubber Gloves andlor Sleeves 8. Cover-up Material 9 Fafl Protection


f -

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a. Climbing Belt and Safety Strap

c. Lanyards

d Ladders Secured

I / b. Harness (full body) -

/ I O . Proper Equipment Use and Location

WO NUMBER

-

I_- - __

VEHICLES 4 3 6

.- Revised: 5/17/201 I

DATE

c. Lanyards I d d. Ladders Secured

10. Proper Equipment Use and Location 1 J I I. TrenchlShorina I 8 1


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MEMBERS SAFETY AUDIT PERFORMED BY:

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a. Canes

COMMENTS

~. - Appendix Case No 2009-00430 Revised 7-1 4-2010

DATE


WO NUMBER

VEHICLES

MENEREY RK PROCEDURES AND

SAFETY OBSERVATION CHECKLIST (Kenergy Construction Crew)

CREW LEADER

c,

COMMENTS

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Revised 7-14-2010 Appendix Case No 2009CO43a

DATE



SAFETY AUDIT PERFORMED BY: CREW MEMSERS

Y r -

WO NUMBER l ) ’B21:38

d- - COMMENTS

-..” - Appendix

Revised 7-14.2010 Case No 2009-00430

DATE

SAFE3Y AUDIT PERFORMED BY:

WO NUMBER

VEHICLES


(Keoergy Construction Crew)

CRRN LEADER

CREW MEMBERS

-_ ---.---I.

Appendix

Revised 7-14-2070 Case No 2009+00430

DATE


WO NUMBER

VEHICLES



5 -pg-/f CREW LEADER

-.. Revised: 5/17/2017

DATE

KENERGY CREW WORK PROCEDURF3 AND

SAFETY OBSERVATION CHECKLIST (6e&wte~Constnrction Crew)

SAFETY AUDIT PERFORMED BY: f? /?i&(, % &-,

- CREW LEADER

CREW MEMBERS

DATE


WO NUMBER

VEHICLES

3. Personal Protective Equipment a. Hard Hat b. EyelFace Protectiorr c. Hearing Protedion


J

J 8

J

d/

-- d. Hand Protection

Appendix c4se No. 2GmUQ431

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DATE

Construction Crew)

VEHICLES '/V, Yr3

- CREW LEADER

CREW MEMBERS

DATE

SAFETY AUDIT PERFORMED BY.

WO NUMBER

VEHICLES

1 U a. Hard Hat

c. Hearing Protection b. Eye/Face Protection v'

d. Hand Protection J 4. Traffic Control Devices I d/



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1 J

1 J

(- Construction Crew) - CREW LEADER

b. Signs 1 5. Vehicle Grounds 6. Personal Grounds 7. Rubher Gloves andlor Sleeves 8. Cover-up Material 9. fall Protection

a. Climbing Belt and Safety Strap b. Harness (fult h d y )

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I O . Proper Equipment Use and Location / 11. TrencNShoring i

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DATE

1. Tailgate Discussion I d, 2 WheelChocks J, 3. Personal Protective Equipment L/


SAFETY OBSERVATION CHECKLIST (C3Wactw Construction Crew)

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1

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a HerdHat , b Eyefface Protecbon J

SAFETY AUDIT PERFORMED BY: .jm

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WO NUMBER I } 0 2"LC7 VEHICLES Ys9 5-07

c Hearing Protecban

- CREW LEADER

L/

CREW MEMBERS

d Hand Protectron 1 ./, 4. Traffic Control Devices 1

a. Cones ! J b 8gns c Flagman With Proper Equipment

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a Climbing Belt and Safety Strap b. Harness (fuli body)

COMMENTS

I f v ' I i 141 i . , I

J / 4

Appendix

R e v i d 7-14-2010 Caw No. 2001Sw431

DATE

b. Signs I c. Flagman With Proper Equipment

5. Vehide Grounds J



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6. Personal Grounds


WO NUMBER

Ad2 4 c, fiuA

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CREW LEADER

CREW MEMBERS

c. Hearing Protection I

d. Hand Protection J

a. Cones J 4. Traffic Control Devices J,

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d. Ladders Secured / I J IO. Proper Equipment Use and Location J, 1 11. TrenchlShoring J i

D A E

SAFETY AUMT PERFORMED BY:

WO NUMBER

VEHICLES

b. Signs c. Flagman v\Mh Proper Equipment

5 Vehicle Grounds 6 Penonai Grounds 7. Rubber Gloves and/or Sleeves

8 Cover-up Matenai 9 Fafl Pratecbon

a Climbmg Belt and Safety Strap b Harness (full body) c Lanyards d Ladders Secured

IO. Proper Equipment Use and Locatron 11. TrencNShonng



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CREW LEADER

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COMMENTS

Touchstone Energy’ Cooperative - KY Public Service … Case Referenced...(Kenergy Construction Crew) / W- cr t/+- I_- __I --...---- I DATE K-&S--/ / CREW LEADER I c. Hearing Protection

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