Corporate Safety Plan Checklist 5-28-21.pdf

PDF 47 KB Posted

Attached to
Institutional Construction Services Federal contract opportunity
Solicitation number
B649697
Issued by
Department of Energy

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Corporate Safety Plan Checklist LLNS requires its subcontractors performing construction work to have a Corporate Safety Plan

(CSP) with the program elements identified below. Check the box if your CSP contains the program element. If your CSP does not contain a specific program element, provide an explanation in the comments section below.

Submit this Checklist with the Prequalification Document Checklist.

Company Name

Completed By Date:

Contact Information

PROGRAM ELEME NTS

☐ One Pager ☐ Ladder Safety

☐ Aerial Lifts Safety Program

☐ Lead Abatement Program

☐ Asbestos Abatement Program

☐ Lifting, Rigging and Hoisting Program

☐ Chemical Safety (HazCom Program)

☐ LOTO

☐ Confined Space Program

☐ Noise

☐ Electrical Safety

☐ Personal Protective Equipment Program

☐ Emergency Procedures

☐ Powered Industrial Truck Program

☐ Excavating, Trenching and Shoring Program

☐ Respiratory Protection

☐ Fall Protection Program

☐ Scaffolding Program

☐ Heat Stress

☐ Silica Exposure Program

☐ IH Exposure Monitoring ☐ Welding/Hot Work

COMME NTS OR ADDITIONAL INFORMATION

Comments:

Additional Information Provided:

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