36E77618R0087-026.docx
DOCX document 13 KB Posted
- Attached to
- X-Ray Suite Site Prep Northampton Federal contract opportunity
- Solicitation number
- 36E77618R0087
About this file
36E77618R0087 ATTACHMENT 7 - CONTRACTOR SAFETY AND ENVIRONMENTAL RECORD EVALUATION FORM.docx
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36E77618C0034-000.docx | DOCX document | |
| 36E77618R0087-0001001.pdf | ||
| 36E77618R0087-0001000.docx | DOCX document | |
| 36E77618R0087-022.pdf | ||
| 36E77618R0087-015.docx | DOCX document | |
| 36E77618R0087-021.pdf | ||
| 36E77618R0087-017.docx | DOCX document | |
| 36E77618R0087-024.zip | ZIP file | |
| 36E77618R0087-018.pdf | ||
| 36E77618R0087-019.pdf | ||
| 36E77618R0087-025.docx | DOCX document | |
| 36E77618R0087-016.doc | DOC document | |
| 36E77618R0087-023.docx | DOCX document | |
| 36E77618R0087-020.pdf | ||
| 36E77618R0087-027.docx | DOCX document | |
| 36E77618R0087-002.docx | DOCX document | |
| 36E77618R0087-000.docx | DOCX document |
Show all 17
On GovTribe
Work with this file on GovTribe
- 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 36E77618R0087 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2015 |
| 2016 |
| 2017 |
| 2018 |
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.