Attachment 4 - Contractor Safety and Environmental Record Evaluation Form.docx
DOCX document 13 KB Posted
- Attached to
- Y1MG--654-19-3-6360-0025, Construction, 654-19-914, Solar Panels New Parking Garage, (VA-19-00049803)
- Solicitation number
- 36C77621R0077
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C77621R0077 0001.docx | DOCX document | |
| Attachment 8 - Wage Determination SCA - WASHOE - 12-21-20.txt | TXT text file | |
| Attachment 9 - Wage Determination DBA - WASHOE - 2-12-21.txt | TXT text file | |
| Attachment 7 - EP401 ENLARGED ELECTRICAL PLANS.pdf | ||
| Attachment 6 - EP101 POWER _ SIGNAL PLANS - LEVEL 1.pdf | ||
| 36C77621R0077_1.docx | DOCX document | |
| Attachment 3 - SI001 - GENERAL NOTES -STRUCTURAL.pdf | ||
| Attachment 2 - Specs.zip | ZIP file | |
| Attachment 1 - SOW - Reno Solar Array DB.docx | DOCX document | |
| Attachment 5 - Release of Claims.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 36E77619R0042 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 .