Contractor_Safety_Responsibility_Form.pdf

PDF 6 MB Posted

Attached to
Disaster-Related Debris Removal Monitoring Services
Solicitation number
080-3052202-RN
Issued by
Orange County, San Francisco City, California

About this file

This is a Contractor Safety Responsibility Form document issued by the County of Orange, California, for use in disaster-related debris removal monitoring services contracting. The form outlines comprehensive safety requirements and responsibilities that contractors must adhere to throughout project execution. Key safety areas addressed include mandatory reporting of fatal and serious injuries to Cal/OSHA within eight hours (subject to minimum $5,000 civil penalties for non-compliance), submission of an Injury and Illness Prevention Program (IIPP) prior to project start, personal protective equipment requirements, confined space protocols, excavation safety with competent person requirements, fall protection standards, hazardous materials handling, lockout/tagout procedures, and scaffolding compliance with applicable California codes and manufacturer specifications. The document further requires contractors to address asbestos and lead handling, proper waste disposal, training documentation, air emissions compliance, and environmental permit management. All contractors must sign an acknowledgement form certifying they have read and fully understand the safety policy and agree to comply with all outlined provisions.

The form emphasizes contractor accountability for safety enforcement and compliance with all relevant California state safety codes and regulations referenced throughout the document. Contractors are required to maintain competent personnel at work sites, implement proper material storage and labeling protocols, prevent unauthorized disposal into storm drains or sanitary sewers, and maintain comprehensive training documentation. The document serves as a binding safety agreement that contractors must execute as part of their contract obligations with the County of Orange, establishing clear expectations for occupational safety, environmental compliance, and incident reporting procedures throughout the duration of disaster-related debris removal monitoring services.

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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.

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