Corporate Safety Plan Checklist 5-28-21.pdf
PDF 47 KB Posted
- Attached to
- Design/Build Site 200 New Warehouse Space
- Solicitation number
- B652262
- 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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