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PO Box 18 * 6402 Old Corydon Road Henderson, Kentucky 42419-0018 (800) 844-4832 October 5,2011 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 PUBLIC SERVICE COMMISSION 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 September 2011. The following list contains the safety violations (V) found, if any, and corrective actions (CA) taken to correct the issues discovered. V#1-NA CA #1- NA These audits will be completed and reported on a monthly basis to the PSC for a duration of 12 months, at 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. Garrett Addington, M.S., CSP, OHST, CHMM Risk Management Coordinator Kenergy Corp. Your Touchstone Energy" Cooperative -

PUBLIC SERVICE COMMISSION all of OHST, Case Referenced...DATE e. Flsman - With Proper Equipment 5. Vehide Grounds 6. Personal Grounds 4 CREW WORK PROCEDURES AND SAFETY OBSERVATION

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PO Box 18 * 6402 Old Corydon Road Henderson, Kentucky 42419-0018

(800) 844-4832

October 5,2011

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 PUBLIC SERVICE

COMMISSION

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 September 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-NA CA #1- NA

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.

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

Your Touchstone Energy" Cooperative -

KENERGY CREW WORK PROCEDURES AND

9. Fall Protection a. Climbing Belt and Safety Strap

c. Lanyards J b. Harness (full body) J,

SAFETY OSSERVATfON CHECKtlST (Contractor Construction Crew)

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1 CREW MEMBERS qQp\.& E\\\ F

SAFETYAUDIT ~

PERFORMED BY: i

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10. Proper Equipment Use and Location i 1. TrencNShonng I I

Revised 7-14-2010 Case No 2009-00431

DATE

e. Flsman - With Proper Equipment 5. Vehide Grounds 6. Personal Grounds

4

CREW WORK PROCEDURES AND SAFETY OBSERVATION CHECKLIST

(Contractor Construction Crew}

C O N T ~ ~ T O R G roues G n S~&&J;C,

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SAFETY AUDIT -*2

PERFORMED BY: [/h /vi \

VEHICLES

-- Appendbc

Revised 7-14-2010 Case No 200900631

DATE

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

a Clrmbing Belt and Safety Strap b Harness ( f i ~ l l body) c lanyards

MENERGY CREW WORK PROCEDURES AND

SAFETY OBSERVATION CHECKLIST (Contractor Construction Crew)

d . , I f f

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CONTRACTOR

CREW LEADER 94s -11 -

- 6 Personal Grounds I I J "-

CRfW MEMBERS SAFETY AUDIT PERFORMED BY:

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VEHICLES % w w 4 D I

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d Laddelr; Secured -- 10. Proper Equipment Use and Locatmn 11 TrenchIShonng - I J 1 --

CREW wo URES AND SAFETY OBSERVATION CHECKLIST

(Kenergy Construction Crew)

CREW MEMBERS SAFETY AUDIT PERFORMED BY:

VW.2 NUMBER

VEHICLES

c. Lanyards 1

1 d. Ladders Secured ] /

IO. Proper Equipment use and ~ocation 11. TrencWShoring I

DATE

KE GY CREW WORK PROCEDURES A

SAFETY OBSERVATION C (Kenergy Construction Crew)

CREW MEMBERS SAFETY AUDkT PERFOWED BY:

c. Lanyards - I -I

d. Ladders Secured / /I

50. Pmpcrr Equipment Use and Lacation / I . , 1 'I. TrencMShoring

Revised 7-14-2070 Case No. 2-

D A E

K€ GV CREW WORK PROCEDURES AND

SAFETY OBSERVATION CHECKLIST (Kenergy Construction Crew)

CREW LEADER

-- a. Climbing Belt and Safety Strap b. Harness (full body) “ 1 c. Lanyards f i I

d. Ladders Secured P 1 /

?O, Proper Equipment Use and L O ~ ~ O R 1 / I

11 TrencWShoring 1 P I i

Appendix Revised 7-14-2010 Case No 2009.00430

KENERGY CREW WOR URES AND

SAFETY OBS CHECKLIST (Kenergy Construction Crew)

CREW LEADER

e. Lanyards

d. Ladders Secured Iff. Proper Equipment Use and Location 13. TrencNShoring

CREW MEMBERS SAFETY AUDIT PERFORMED BY:

p" - / d

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VEHICLES

Appendix Revised 7-14-2010 Case No 2009-00430

DATE

3. Personal Protective Equipment

a. Hard Hat __ b. EydFace Protection

c. Hearing Protection 1_

d. Hand Protection

CREW WORK PROCEDURES A SAFETY OBSERVATION CHECKLIST

(Kenergy Construction Crew)

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9 -2 7- // , CREW LEADER

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CREW MEMBERS SAFETY AUDIT PERFORMED B Y

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a. Climbing Belt and Safety Strap

b Harness (full body)

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-I--1- - Appendix Case No. 2009-00430 Revised 7-14-201 0

DATE

KtNtKGY CREW WURK PROCEDURES AND

SAFETY Of3SERVATfON CHECKLIST (Contractor Construction Crew)

CONTRACTOR

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3. Personal Protective Equipment a. Hard Hat --I_-..-.._.___

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b Harness (full body) c Lanyards -- d LaddelsSewred

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KENERGY CREW WORK PROCEDURES AND

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Appendbc

Reuisetl7-14-2010 CaseNo 200940431

DATE

b EyelFace Protection- -- c. Hearing Protection

4. Traffic Control Devices d. Hand Protection

a. Cones

b Signs

KENERGY CREW WORK PROCEDURES AND

SAFETY OBSERVATION CHECKLIST (Contractor Construction Crew}

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5. Vehicle Grounds J 6. Personal Grounds-

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Appendix Case NO. 2009-00431 Revised 7-14-2010

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7. Rubber Gloves and/or Sleeves

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b. Harness (full body) J c. Lanyards /'

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From: Sent: To:

Tony Howard Tuesday, September 13,201 1 7:37 AM Tammy Montgomery

I received a Crew Audit from Greg Morgan, dated 9-7-11. He visited D Crabtree, C Horn, M Castlen, D Coleman and J Maglinger. The two issues with truck 516 have been addressed.(9,-.13-11)

CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and priviledged information. Any unauthorized review, copy, use, disclosure, distribution is prohibited. if you are not the intended recipient, please contact the sender by reply e-mail and destroy i! copies of the original message.

i

OF I

DATE

2. Wheel Chocks 1 3. Personal Protective Equipment

a. Hard Hat b. EyeiFace Protedtion J c. Hearing Protection

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CREW WORK PROCEDURES SAFETY OBSERVATION CHEC

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ENERGY CREW WORK PROCEDURES AND

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VEHtCLES

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Case NO 2009-00-130 Revised - _ _ ___--.-I- 7-14-2010 x -

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10. Proper Equipment Use and Location

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KENERGY CREW WORK PROCEDURES AN5 SAFETY O5SERVATIQN CHECKLIST

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Case No 2009-00430 - .- ____ - Revised 7-14-2010 . .__ -

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