36E77618R0063-0001001.docx
DOCX document 13 KB Posted
- Attached to
- Parking Garage - WR (VACAA) Construction
- Solicitation number
- 36E77618R0063
About this file
36E77618R0063 0001 S02 Attachment 12 Contractor Safety and Environmental Record Eval Form Revised 6-19-2018.docx
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36E77619C0004-000.docx | DOCX document | |
| 36E77618R0063-0007000.docx | DOCX document | |
| 36E77618R0063-0006000.docx | DOCX document | |
| 36E77618R0063-0005001.pdf | ||
| 36E77618R0063-0005000.docx | DOCX document | |
| 36E77618R0063-0004000.docx | DOCX document | |
| 36E77618R0063-0004001.pdf | ||
| 36E77618R0063-0003000.docx | DOCX document | |
| 36E77618R0063-0002000.docx | DOCX document | |
| 36E77618R0063-0001000.docx | DOCX document | |
| 36E77618R0063-012.docx | DOCX document | |
| 36E77618R0063-002.pdf | ||
| 36E77618R0063-006.pdf | ||
| 36E77618R0063-009.pdf | ||
| 36E77618R0063-001.docx | DOCX document | |
| 36E77618R0063-013.docx | DOCX document | |
| 36E77618R0063-010.pdf | ||
| 36E77618R0063-004.pdf | ||
| 36E77618R0063-007.pdf | ||
| 36E77618R0063-003.pdf | ||
| 36E77618R0063-005.pdf | ||
| 36E77618R0063-011.pdf | ||
| 36E77618R0063-008.pdf | ||
| 36E77618R0063-000.docx | DOCX document |
Show all 24
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Contractor Safety and Environmental Record Evaluation Form
Information provide below is current and applicable to Solicitation 36E77618R0063 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2014 |
| 2015 |
| 2016 |
| 2017 |
Number of man hours (jobsite and office).
Number of cases involving days away from work, restricted activity, or both (Column H and I of OSHA 300).
Days away, restricted, or transferred rate (# of days away, restricted, or transferred cases x 200,000/# of man hours) (DART Rate).
Number of serious, willful, or repeat violations from OSHA within the last 3 years. Please attach explanation for any violations.
File details come from the government source that posted it.