Document OJzxJNeNVwGegVJ09qrn0oY2p
T PLANT
__________ ~R _ f!.
health
Fhx*wcitfrrt*rn*l>orMt (AAcmotl* Group)
a safety complaint
(N-131 Complaints Only)
form
.
_________________________ date 5/5/7D,H E S COMPLAINT Nq_,-
EMPLOYEE'S NAMZLocal 1924
DEPARTMENT____________________ .CLASSIFICATIONSHIT
FIRST STEP: STATEMENT Of* COMPLAINT:
Around the assembly area there is a large accumulation of asbestos,
dust in the air and on the floor that la caused from employees aanding and
drilling the "brake ehoe. linerer This in turn is being blown around the
shop by people us,ln^ air hosea in this area.
.
We th'erefore^t'ftat'the Company take immediate steps to correct this
problem
*
ADJUSTMENT REQUESTED:
received:
JUN 2 0 REC'D
W, & LOHQ
.ATE RESULT OF DISCUSSION WITH FOREMAN: .V - ^ 'l
TIGIIATURE OF
EMPLOYEE AND/OR
-/'Zw' ,,
TNI ON REPRESENTATIVE *y t -FFl'
DATE-
APPEALED TO PERSONNEL SUPERVISOR OR REPRESENTATIVE
SIGNATURE OF CHA SHOP COMMITTEE
. 1 k.'PATE .jj. ,
SECOND STEP: COMPANY-DISPOSITION:
SIGNATURE OF UNION REPRESENTATIVE
SIGNATURE OF
MANAGEMENT
-
'REPRESENTATIVE
DATE DATE'
--.lit 1 e It Is true chat the brake lining of the shoes art* sand papered to remove grease and il drilling of linings done on a daiLy basis, our exposure limits to concentrations- of asbestos libers average under one fiber per cubic centimeter. Also, the assembly area has an exhausi ventilation system for drilling and a dust collection system for the grinder. To further
liminate the dust exposure in the area, the asbestos will be stored in drums utilizing a
->-j process with the proper cnucionnry labels bypassing dlspensenent by the Maintenance De
partment. The assembly nren will also be vacuum swept Jaily and the empty brake lining box
dispensed ln_a more efficient mnnnpr_______________________--------------------------------------------------------L '
SIGNATURE OF
,----- .
THAIRMAN SHOP ."S. V %
" - \ VTDMMITTEE
X
r \ f, n V F*
SIGNATURE OF * l //,/? MANAGEMENT /K' DATE Q <?// " REPRESENTATIVE
DAIS ('!
APPEALED TO THIRD s)rEP: SIGNATURE OF bEGIONAL DIRECTOR
DATE REFERRED TO UAH
ROCKWELL INTERNATIONAL COUNCIL DIRECTOR*
t> 1HT i mm n
*i