attachment_3_SafetyCertification.docx

Attachment 3 Contractor Safety Plan Certification

a. The Contractor shall have a Safety Plan in place.

b. The Safety Plan shall be available to all employees and subcontractors working on the contract.

c. The Safety Plan shall cover at a minimum:

i. Safety briefings covering the work area, equipment being used, and any special considerations for the work under the contract

ii. Personal Protective Equipment required for the work under the contract

iii. Appropriate OSHA requirements for the type of work under the contract

iv. Weather considerations for the time of year of the contract

v. Communication issues and locations of the nearest medical facilities

vi. Name and point of contact information of supervisor responsible for enforcing Safety Plan

vii. Name, position title and point of contact information of company executive responsible for approving the Safety Plan

viii. Specific contingency plans for emergencies such as medical, fire, hazard material spills and any other contract assessed hazard prevention and abatement requirement needs that apply to this project

(Name of Contractor)_certify that I have a safety plan in place and certify that it will be strictly enforced.

Signature:___________________ Title:_______________________ Date:_____________________