36E77619R0087-009.docx
DOCX document Posted
- Attached to
- Digital Radiography Room Renovation Design Build - 636A6-CSI-500 - Central Iowa (VA-19-00039549)
- Solicitation number
- 36E77619R0087
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36E77619R0087 ATTACHMENT 8 - Contractor Safety And Environmental Record Evaluation Form.docx
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| 36E77619R0087-0001001.pdf | ||
| 36E77619R0087-0001000.docx | DOCX document | |
| 36E77619R0087-0001001.pdf | ||
| 36E77619R0087-0001000.docx | DOCX document | |
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| 36E77619R0087-010.pdf | ||
| 36E77619R0087-011.zip | ZIP file | |
| 36E77619R0087-007.pdf | ||
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| 36E77619R0087-012.zip | ZIP file | |
| 36E77619R0087-001.docx | DOCX document | |
| 36E77619R0087-005.zip | ZIP file | |
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| 36E77619R0087-012.zip | ZIP file | |
| 36E77619R0087-011.zip | ZIP file | |
| 36E77619R0087-010.pdf | ||
| 36E77619R0087-002.pdf | ||
| 36E77619R0087-008.pdf | ||
| 36E77619R0087-006.pdf | ||
| 36E77619R0087-004.pdf | ||
| 36E77619R0087-003.pdf | ||
| 36E77619R0087-009.docx | DOCX document | |
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| 36E77619R0087-013.pdf | ||
| 36E77619R0087-001.docx | DOCX document | |
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Text version
Contractor Safety and Environmental Record Evaluation Form
Information provide below is current and applicable to Solicitation 36E77619R0087 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2016 |
| 2017 |
| 2018 |
| 2019 |
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. Updated .