Contractor Safety and Environmental Record.docx
DOCX document 16 KB Posted
- Solicitation number
- 36C77623B0001
About this file
This document contains a federal contract solicitation for infrastructure upgrades at the Fort Harrison VA Medical Center. The solicitation seeks a contractor to provide all labor, materials, equipment and services to complete infrastructure improvements at multiple buildings on the campus. The scope of work includes architectural, structural, electrical, HVAC, plumbing, data communication and IT infrastructure upgrades. It also involves civil site work, abatement of asbestos and lead paint, fire suppression and alarm upgrades, physical security enhancements, and building automation system integration. Bidders must submit relevant safety and environmental records using the provided evaluation form to be considered for the award. The solicitation does not specify a response deadline or award date.
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Contractor Safety and Environmental Record Evaluation Form
Information provided below is current and applicable to Solicitation 36C77623B0001 Company Name: ______________________________________________ Address: _____________________________________________________ Telephone: ______________________ Fax: ________________________ Email: _______________________________________________________ Contact: ______________________________________________________ Utilizing your OSHA 300 Forms, please complete the following information:
| Category |
| 2018 |
| 2019 |
| 2020 |
| 2021 |
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 .