36E77619R0031-010.docx
DOCX document 13 KB Posted
- Solicitation number
- 36E77619R0031
About this file
36E77619R0031 Attachment 9 - CONTRACTOR SAFETY AND ENVIRONMENTAL RECORD EVALUATION FORM.docx
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36E77619C0053-000.docx | DOCX document | |
| 36E77619R0031-0005006.pdf | ||
| 36E77619R0031-0005005.pdf | ||
| 36E77619R0031-0005001.xlsx | XLSX spreadsheet | |
| 36E77619R0031-0005008.pdf | ||
| 36E77619R0031-0005003.pdf | ||
| 36E77619R0031-0005004.pdf | ||
| 36E77619R0031-0005007.pdf | ||
| 36E77619R0031-0005000.docx | DOCX document | |
| 36E77619R0031-0005009.pdf | ||
| 36E77619R0031-0005002.pdf | ||
| 36E77619R0031-0004001.png | PNG image | |
| 36E77619R0031-0004000.docx | DOCX document | |
| 36E77619R0031-0003008.docx | DOCX document | |
| 36E77619R0031-0003009.docx | DOCX document | |
| 36E77619R0031-0003000.docx | DOCX document | |
| 36E77619R0031-0003001.xlsx | XLSX spreadsheet | |
| 36E77619R0031-0002000.docx | DOCX document | |
| 36E77619R0031-0001000.docx | DOCX document | |
| 36E77619R0031-003.pdf | ||
| 36E77619R0031-004.pdf | ||
| 36E77619R0031-001.docx | DOCX document | |
| 36E77619R0031-007.pdf | ||
| 36E77619R0031-008.pdf | ||
| 36E77619R0031-002.pdf | ||
| 36E77619R0031-006.pdf | ||
| 36E77619R0031-005.pdf | ||
| 36E77619R0031-009.docx | DOCX document | |
| 36E77619R0031-000.docx | DOCX document |
Show all 29
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 36E77619R0011 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.