Prevention Service FT 1022

REGIONAL FUND
Professional Risks
HEALTH INSURANCE
26, rue d’Aubigny - 69436 Lyon cedex 03 OCTOBER 2001
RHÔNE -ALPS téléphone : 04 72 91 96 96 - télécopie : 04 72 91 97 09

Prevention plan
Objective:The prevention plan helps to limit the risks associated with thecoactivity of peoplepresents
on the site of an intervention. It is carried out at the end of a prior visit attended by all the
external intervening companies. This document allows the user company toformalize the
general measures applicable by all external companies, and the measures
specific to each company based on the reality of its future intervention.

1 USER COMPANY

2 OPERATIONS TO BE CARRIED OUT

Nature:

Place:

Start of the works: End of work:

3 PRIOR VISIT

Date :
End user company participants: FUNCTION SIGNATURE
M. Internal Coordinator
M.
M.
M.
External company participants:
A M.
B M.
C M.
D M.
Subcontracting companies participants:
A1 M.
A2 M.
B1 M.
B2 M.

4 DOCUMENTS SUBMITTED
External circulation Plan No:
Internal circulation Plan No.:
General safety instructions:

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5 SPECIFICATIONS APPLICABLE THROUGHOUT THE DURATION OF THE OPERATION

5.1 BY ALL COMPANIES

Home M. Winter. must be informed before any

intervention on the site. When welcoming the employees, he will check that they have indeed been
informed in advance of the risks and the measures defined in this prevention plan.
External circulation:
Speed limited to: in the company. Respect the signage.

Internal circulation:

Actions to take in case of an accident:

Actions to take in case of fire:

5.2 PER COMPANY

COMPANIES No. PREVENTIVE MEASURES

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CRAM Rhône-Alpes- Prévention des Risques Professionnels - 26, rue d’Aubigny - 69436 Lyon cedex 03 - Tél. : 04 72 91 96 96 - Fax : 04 72 91 97 09
 P L A N D E PREVENTION - F T 1 0 2 2

GUIDED UTILIZATION
The following works are subject to specific documents:
Asbestos work withdrawal plan
Travaux de chargement et déchargement des véhicules security protocol
Electrical work lockout procedure
Work by hot spots fire permit
This document is a working document that can be updated based on actual needs.
met by the user company.
We advise you to use this document regardless of the duration of the operation to be performed.
In order to select offers based on comparable criteria, it is necessary to specify at the stage of the call
presents the main risks related to your company's activity or the nature of the operation. The
specifications having a significant impact on the prevention and the cost of the service must
to be mentioned in the specifications.
For example: Use of a boom lift (PEMP), soil preparation, staggered hours, work
at night, weekend work, intervention in a fire or explosion risk area, etc.

2 OPERATIONS TO BE CARRIED OUT

Specify the limits of the operation: Nature of the work, location within the establishment, period of
achievement...

3 PRIOR VISIT

It is organized and led by the coordinator of the user company.

Each external company involved must be represented at least by the responsible person of the
construction site
The members of the CHSCT and the occupational physicians of the user companies and intervening companies
must be informed and can participate.

4 DOCUMENTS DELIVERED
These documents are provided and commented on by the user company on the day of the preliminary visit:
Site plan of the user company mentioning the reception point, access points, roads, and directions.
traffic areas, parking areas, unloading and loading areas (see protocol
of security), storage areas, restricted or regulated access zones, the point of
gathering in case of evacuation, etc.
Interior plan of the premises mentioning the precise location of the construction site, the social areas.
(changing rooms, restrooms, dining hall, infirmary), the authorized perimeter, access routes (vehicles and
pedestrians), emergency exits, restricted areas or regulated access.
General safety instructions: excerpts from the internal regulations, welcome booklet...

5 SPECIFICATIONS APPLICABLE THROUGHOUT THE DURATION OF THE OPERATION

5.1 BY ALL COMPANIES

Mention the measures applicable throughout the duration of the operation by all companies.

5.2 PER COMPANY

Mention the specific measures applicable to each company for the entire duration of the operation.

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6 ANALYSIS OF SPECIFIC RISKS RELATED TO THE INTERVENTION OF EACH COMPANY

Start and end date: to be specified for each intervention (see schedule).
Nature of the intervention: precisely define the scope of the intervention of each EE.
Phases of the intervention: it is about anticipating with the EE the operating methods of its
intervention, with a view to facilitating the identification of risks.
Risks: through the analysis of operating modes, it is a matter of identifying, at each
intervention phase, the risks faced by the personnel of each of the companies
present on the site.
Preventive measures. These measures may concern the following areas:
Technique appropriateness of resources.
Organizational the safest operating modes.
Human information, training, qualification, qualification...

7 EXAMPLES OF DANGEROUS PHENOMENA

MACHINESdangerous mechanism accessible, intervention on machine in operation, starting

untimely, projection.
ELECTRICITYconductive enclosure, intervention on installations or near bare parts under
tension.
CHEMICAL PRODUCTStoxic products, harmful, corrosive, dust, gases, vapors.
PHYSICAL AMBIENCEcold, noise, heat, vibrations.
FIRE EXPLOSIONflammable or oxidizing products, sources of ignition, hot spots.
RADIATION: ionisants : alpha, bêta, gamma , X. Non ionisants : UV,IR, HF,micro ondes.
MECHANIZED MAINTENANCEcharges above the operators, charge instability, equipment of
insufficient capacity.
MANUAL MAINTENANCEdifficult to grasp charges, dangerous postures, actions
répétitifs, charges lourdes.
CIRCULATIONcrossing of flows, superposition of positions, congestion, state and stability of soils.
WORK IN CONFINED SPACEasphyxia, intoxication, dust explosion, vapor explosion.
WORK AT HEIGHTfragile material roofs, employee fall, object fall, use
ladders.
ISOLATED WORKSat night, on weekends, irregular hours, isolated location.
EXCAVATION WORKSlandslide, fall, tearing of electrical cable.

8 EXAMPLE

Prévention des Risques Professionnels - 26, rue d’Aubigny - 69436 Lyon cedex 03 - Tél. : 04 72 91 96 96 - Fax : 04 72 91 97 09
 Example of use

SA DUPONT - 38760 SUCCIEU - Tél : O4 78 90 05 XX - fax : 04 78 45 33 XX

High pressure cleaning of exterior facades, and application of an anti-moss product.

Facades 1 2 3 4 5 6 7 8 see joint plan

Friday, June 8, 2001, at 8:00 AM Friday, June 15, 2001

4 mai 2001

MARTIN Internal Coordinator

RIBBON Director
SECURITY Member of the CHSCT

PRONET WHITE Mission officer

NET Site Manager

LOCNACELLE SKIN Site Manager

DUPUIS DUPUIS Locksmith

125 Access to parking and intervention areas

567 Access to social facilities (infirmary, restrooms)
welcome booklet
 MARTIN post 9856

30 km/h
HEAVY TRUCK TRAFFIC ALERT

Use the marked pedestrian paths

ATTENTION LIFT TRUCK CIRCULATION

Emergency call Rescuers: posts 5674 -7896 Nursing station 7890

Night work: guard post 6666 Firefighter 018 (from a mobile phone 112)

Emergency call First Response Team: posts 5674 - 7896 - 6666

Firefighters 018 (from a mobile phone 112)

A PRONET 1 The cleaning operations and the application of the anti-moss product will be

carried out only from the nacelle, except for façade No. 2.

2 The facades inaccessible to the lift will be done with a pole from the ground.

(see map).

3 The anti-moss product will not be applied to the cleaned facades since the

sol.

A1 LOCNACELLE 4 Provide a lift (mobile elevating platform for people) on a carrier,

compliant and verified: lifting 15 meters, minimum offset 5 meters.

5 Provide a trained and authorized lift operator.

6 Mark around the bearer at the advance. (safety perimeter)

7 Ensure effective support adjustment based on the slopes and stability of the

terrain.

A2 DUPUIS 8 The work will be carried out only using the provided and operated lifts:

- by LOCNACELLE for work outside the dock.

- by DUPONT SA for work inside the dock.