Contractor_Safety_Responsibility_Form.pdf
PDF 6 MB Posted
- Attached to
- Elevator Maintenance and Repair Service
- Solicitation number
- 080-3085403-RN
- Issued by
- Orange County, San Diego City, California
About this file
This is a Contractor Safety Responsibility Form issued by the County of Orange, California, Public Works department for use in the Elevator Maintenance and Repair Service contract solicitation. The form establishes mandatory safety requirements and responsibilities that all contractors must acknowledge and comply with throughout project execution. The document outlines comprehensive safety protocols covering multiple areas including injury and illness prevention programs, personal protective equipment requirements, fall protection, confined space work, excavation procedures with competent persons, asbestos and lead handling, hazardous materials management, lockout/tagout procedures, scaffolding standards, and boatswain's chair operations. Additional requirements address environmental compliance including air emissions permits, hazardous waste disposal, storm drain and sanitary sewer protection, and training documentation. The form requires contractors to report fatal or serious injuries to Cal/OSHA within eight hours, with minimum civil penalties of $5,000 for failure to comply.
The document mandates that contractors submit an Injury and Illness Prevention Program (IIPP) to the County Project Manager prior to project commencement and establish evacuation procedures requiring personnel to relocate 150 feet from hazard zones until clearance is given. Contractors bear full responsibility for enforcing personal protective equipment use and compliance with all referenced California safety codes and regulations. The form concludes with a contractor safety policy acknowledgement section requiring authorized representatives to certify in writing that they have read, understand, and agree to comply with all stated safety responsibilities and procedures. This acknowledgement must be completed and submitted as part of the contractor's bid package.
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Text version
Safety Responsibilities, Contractors
306 07
Safety Responsibilities
PURPOSE:
SCOPE:
at any time it determines that the contractor’s actions are exposing non y
9 1 1
714 285 5535
714 558 4451
As of January 1, 2003 – If an employer fails to report to Cal/OSHA a fatal injury or serious injury or illness to an employee within 8 hours will be subject to a minimum civil penalty of $5,000.
to Cal/OSHA .
5535 6288 furnish person is person’s condition through the County Project Manager.
Those projects involving offending odor ents may require work during “after hours” ontractor’s personnel shall evacuate to a location 150 feet away from the “ALL CLEAR” is announced and they are instruc .
, 19, , 8, 3220 undo risk.
h.
, 8, 1513
Injury and Illness Prevention Program to the Project Manager prior to the start of the project. The contractor’s IIPP shall in evaluating the contractor’s IIPP.
, 8 1509 3203
, 8, 5194
Personal Protection use is mandatory and enforcement is the responsibility of the contractor. Contractor’s
, 8, 1514
Smoking
7 1
Trash, Waste, and Scrap Disposal
, 8, 1736 b
, 8, 1707
Asbestos / Lead
, 8, 5208
Confined Space ontractor’s Con
, 8, 5157
, 8, 2974 providing a “Competent Person” at every excavation site. This individual must be
, 8 1541
Fall Protection
● Boatswain’s chairs are
, , 1671.1
Hazardous Materials
“safety” cans that have been properly labeled as to their contents.
bungs, top
, 8, 5191
Lockout/Tagout ontractor’s Locko
, , Sections 3314 and 4413
Scaffolding
, Article 21, 22 and 23 and the manufacturer’s requirements. Each two
Air Emissions
Environmental Permits, Registrations, and Notifications
Hazardous Waste
Storm Drains / Sanitary Sewer formed during “off hours”
Training Documentation a , CONTRACTOR SAFETY POLICY ACKNOWLEDGEMENT FORM
I, ________________________________________, certify that I have read the contractor Safety Policy and fully understand my responsibilities with respect to the policy and procedures as outlined. I further agree to comply with the provisions of this program.
File details come from the government source that posted it. Updated .