.06 Contractor Safety Record Form - Greene County.pdf

This is a Contractor Safety Record Form required by the Pennsylvania Department of Transportation (PennDOT) for the Tree Trimming and Stump Removal Services contract opportunity in Greene County, District 12. Bidders must submit documentation demonstrating their safety performance and program compliance as part of the bid evaluation process. The contract covers tree trimming and stump removal services for all State Routes, PennDOT facilities, and other areas under PennDOT jurisdiction within Greene County. Waste materials including chips, mulch, leaves, and branches will be hauled away and disposed of, with fly chipping available upon instruction for specific projects. Bidders are required to submit electronically through the Commonwealth's SRM system via the PA Supplier Portal at www.pasupplierportal.state.pa.us.

Submission of a complete and properly executed safety record form is mandatory for bid responsiveness. Contractors must provide the last three years of OSHA 300A logs with redacted personnel information, calculate and report Total Recordable Case Rates and DART (Days Away, Restricted, or Transferred) incidence rates for each of the three calendar years, and submit a copy of their current safety program. Only DGS-certified small businesses are eligible to bid and receive award for this procurement. Questions regarding the electronic bidding system should be directed to the Supplier Service Center at (877) 435-7363, option 1.