TIER 3: ORSA Includes • On-site roof safety assessment conducted by height safety experts • Everything else in Tier 2 • *Price: $$$ ON-SITE ROOF SAFETY AUDIT™ *Based on geographical location Kattsafe Height Access and Fall Protection Budgetary Document Project: Mock project Address: 3921 Perry Blvd, Whitestown, IN 46075 Date: March 10, 2024 Fall Protection and Access Systems Required: ☐Yes ☐No Select applicable OSHA code. ☐ Budgetary Price Bracket: Cost Category 1 Cost Category 2 Cost Category 3 Cost Category 4 Cost Category 5 OSHA 1910.22 – Walking-Working Surfaces - General Requirements COMPLIANCE AUDIT 1 Cost Category 6 ☐ OSHA 1910.23 – Walking-Working Surfaces - Ladders Audit Item ☐Up to $10k $20k ☐$20k to $30k Project ☐$10k Visit to Checklist ☐$30k to $50k ☐$50k to $80k ☐$80k+ issue Roof Access Fall Protection ☒ OSHA 1910.28 – Walking-Working Surfaces – Duty to have Fall Protection. 1 ☐ OSHA 1910.29 – Walking-Working Surfaces – Fall Protection Systems criteria and practices ☐ positioned in close Fall proximity of trip hazards and the leading edge. . OSHA 1910.140 – Personal Protection Systems Item No Description will be required to visit the facility again to ensure the relevant information is provided. Confidentiality Any information or images obtained as CUSTOMER a result of this audit will be kept in strictest confidence. It QUOTE will only be used for EXPIRATION the C001029 DATE DATE What works is the relating access to method to the will roof?  purpose of this Roof report Access and for – future this site and not be shared with any other party unless as Kattsafe Projects 4/11/2024 3/12/2024 instructed by you the As client. long as the necessary permission 3921 Perry Boulevard has been granted, take photos of all areas where access and fall QUOTED TO prevent additional CONTACT DETAILS IN 46075 in this design brief. These photos could potentially 1 protection systems are Whitestown recommended USA Disclaimer site visits being required. This Audit Report and its entire contents are copyright Kattsafe and all rights are reserved. This Report relates solely to the Ensure there is a ‘Roof Access Log’ that is maintained. This should record all roof access activity and duration QUOTED BY particular site that permitted TERMS under the REP 2 is the subject of this report and may only be reproduced and utilized in full as PAYMENT of access. Copyright Act in the USA, or with express written consent by Kattsafe. Findings 0 and recommendations as outlined in COD Only WJL JAM SHIP prior TO ADDRESS Existing Fixed – Kattsafe verify of if the the data existing hatch sole fixed responsibility ladder is OSHA compliant. is this report do not constitute legal or Ladders professional advice cannot and use is the roof Users and Kattsafe Kattsafe Projects PROJECT NO CUSTOMER REF 3 Use the Kattsafe Ladder if the existing damages, fixed ladder meets the latest OSHA therefore not obligated or liable for any direct Compliance indirect, Checklist incidental to or verify consequential losses or expenses 3921 Perry or Boulevard IN of 46075 standards. Whitestown This available on contained the Kattsafe - https://bit.ly/42QlWT6 howsoever arising compliance from the interpretation or use checklist any is information in this website certification report. A site visit will be USA required prior to quote being is needed supplied or and PROJECT New being Fixed confirmed Ladders – and If a product new ladder if the installed. existing ladder does not meet NAME compliance, please QUOTE NO Q000020587 take photos & measurements so a new fixed ladder can be quoted. Please reference the following link to MOCK RSA 4 Knowing that [COMPANY NAME] takes safety seriously, trust we will be afforded the the opportunity to assist you correct with determine the measurements required; we https://bit.ly/42RG6wf. Confirm wall substrate so the creating a safer workplace and at the same time increase robust risk mitigation protection for [COMPANY NAME]. QTY ITEM CODE DESCRIPTION UM UNIT PRICE TOTAL hardware can be provided. CODE DESCRIPTION TOTAL GR34 SYSTEM ONE will include notes relating to paths of travel. Please 1 confirm Paths of Travel – The Design ITEM Brief Roof Plan EA QTY that UM UNIT PRICE Aluminum Guardrail Kit - Freestanding 60ft $4,098.71 5 the proposed path of GR34.0060 travel is clear GR34 of trip and KATTCARE fall hazards. If Kattsafe Flexible Walkway is included 1 in this EA 1 4,098.71 EA Design Brief, the Roof GR34.CNR Membrane type must be communicated to Kattsafe. 64.40 $64.40 GR34 Guardrail Corner Kit - Includes (1) toprail elbow, (1) midrail elbow, (1) brace and 1 EA KATTCARE Kattcare Onsite Support - Tech on-site to ensure compliance and perform final inspection 1 $2,800.00 EA 2,800.00 Roof access is made through a roof hatch from a fixed ladder. The roof hatch is ☐ Risk Consequence Comments OSHA 1926.1051 – Stairways & Ladders – General Requirements 4 Risk Level !"#$ÿ &'&(') Risk Likelihood B Recommended Action ☐ Low level short term injury. Typically first aid and no medical treatment ☐ Reversible injuries requiring treatment. Typically a medical treatment ☐ Moderate irreversible injury. Typically a lost time injury ☒ Severe irreversible damage, permanent disability or impairment. Risk of death Install KATTGUARD Roof Hatch Guardrail System to provide fall protection around roof maintenance parts and tools. Images hardware. EA hardware. GR34.RET5 GR34 5ft Return Kit Signature: GR.PAD.EPDM ____________________________________ Effective Date: 2ft x 2ft x 5/32in Recycled Rubber EPDM Pad Name (Print): SUBTOTAL ____________________________________ 2 9 Title: 592.90 $1,185.80 EA __________/_________/_________ 28.70 $258.30 EA ____________________________________ $5,607.21 To approve Email to sales@kattsafe.com. ----- this quotation (if not electronically signed), please return signed quotation via email 1 or fax. EA IMPORTANT NOTE ROOF HATCH GUARDRAIL KG3036 1 EA Please note that above quoted the measurements or lengths provided. Where measurements we will quote Aluminum Hatch systems Rail Kit with are Gate - To based suit 30in on x 36in hatch 1 $1,487.50 EA 1,487.50 are unknown, based on a height stated. If measurements exceed what is quoted where field verified, Kattsafe is not responsible for the cost impact. Customer is $1,487.50 ultimately SUBTOTAL responsible to verify all measurements in the field prior to order/production. Whilst we will do our best to ensure everything is captured on customer provided drawings or plans, we are not liable for areas or systems missed. Customer must verify prior to order and communicate any EA systems ----- or products not quoted. Please note that all payments made via card will be subject to 1 a 3% fee. DMPVC.02G DUKMAT 1 EA 33ft x 2ft wide DukMat PVC Walkway matting - Gray 8 EA 1 EA 675.50 ----- *+,ÿ./01ÿ23456,4,7897:4;ÿ.<98=89:>ÿ?@?7,AÿB83C:=,?ÿ7+,ÿ+:;+,?7ÿ VWXYZ[W\ >,C,>ÿ3DÿB9??:C,ÿ?9D,7@ÿD38ÿA,AE894,ÿ94=ÿE<:>7ÿÿD,97<8,?ÿ9ÿB>9?7:GÿG397,=Hÿ?7,,>ÿI,:;+7,=ÿE9?,ÿ ]ÿ^94,ÿ 9>7:4;ÿ:4ÿ9ÿG3AB>,7,>@ÿ ]ÿ^3=<>98ÿ?@?7,AÿD9G:>:797,?ÿ :4D:4:7,ÿG34D:;<897:34? D8,,?794=:4;ÿ?@?7,Aÿ7+97ÿ:?ÿJKLMÿG3AB>:947Fÿ./01ÿE9?,?ÿ94=ÿ B3?7?ÿ98,ÿB3?:7:34,=ÿ9ÿA9N:A=ÿ ]ÿ_94ÿE,ÿ,9?:>@ÿG:G97:34 :4ÿQ:7ÿD38Aÿ73ÿ,4?<8,ÿ9>>ÿG3AB34,47?ÿ98,ÿ:4G><=,=ÿD38ÿ?,9A>,??ÿ ]ÿJKLMÿG3AB>:947 :4?79>>97:34Fÿ/33Dÿ;<98=89:>ÿ?@?7,A?ÿG94ÿE,ÿB<8G+9?,=ÿE@ÿ?:AB>@ÿ ?,>,G7:4;ÿ7+,ÿQ:7ÿ>,4;7+R?Sÿ8,T<:8,=Hÿ7+,ÿ4>ÿ7,8A:497:34ÿQ:7?ÿ94=ÿ>9==,8ÿG344,G7:34ÿ+98=I98,ÿQ:7?Fÿ./01ÿ ;<98=89:>ÿ:?ÿ?:AB>,ÿ94=ÿT<:GQÿ73ÿ:4?79>>Fÿ*+,ÿ?@?7,AÿG94ÿE,ÿ,9?:>@ÿ G

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