.06 Contractor Safety Record Form - Fayette County.pdf

This is a Contractor Safety Record Form for Tree Trimming and Stump Removal Services submitted to Fayette County, Pennsylvania for District 12. The form requires bidders to provide comprehensive safety documentation including the last three years of OSHA 300A logs identifying accident trends, with all personnel information redacted. Bidders must complete the form by entering their total recordable case rates and DART (Days Away, Restricted, or Transferred) incidence rates for each of the three calendar years, along with a copy of their current safety program. The submission of a completed and uploaded Contractor Safety Record Form is mandatory; failure to do so will result in a bid being deemed non-responsive.

This contract opportunity is restricted to DGS-certified small businesses only under Pennsylvania's Small Business Procurement Initiative established by Executive Order 2011-09. The work encompasses tree trimming and stump removal services for PennDOT throughout Fayette County, including State Routes, Department facilities, and other areas under PennDOT jurisdiction. Waste materials including chips, mulch, leaves, and branches will be hauled away and disposed of, with fly chipping available upon instructions if required for specific projects. All bids must be submitted electronically through the Commonwealth's SRM system via the PA Supplier Portal at www.pasupplierportal.state.pa.us, with technical support available through the Supplier Service Center at (877) 435-7363, option #1.