Exhibit_1-Contractor_Safety_Responsibility_Form.pdf

PDF 6 MB Posted

Attached to
OC LOOP CARBON CREEK CHANNEL SEGMENT D BIKEWAY GAP CLOSURE
Solicitation number
IFB-080-2237404-JM2
Issued by
Orange County, San Francisco City, California

About this file

This is a Contractor Safety Responsibility Form issued by Orange County, California for the OC Loop Carbon Creek Channel Segment D Bikeway Gap Closure project. The document establishes comprehensive safety requirements and standards that all contractors and subcontractors must comply with throughout the duration of the project. The form covers mandatory safety protocols including injury and illness prevention programs, personal protective equipment requirements, hazardous materials handling, confined space procedures, excavation protocols with competent person requirements, fall protection measures, boatswain's chair usage, lockout/tagout procedures, and scaffolding standards. Contractors must provide documented safety training and maintain compliance with Cal/OSHA regulations, including mandatory reporting of fatal injuries or serious illnesses within eight hours to avoid minimum civil penalties of $5,000. The document requires contractors to evacuate personnel to locations 150 feet away from hazardous areas and obtain "all clear" authorization before resuming work. All contractors must submit an Injury and Illness Prevention Program to the Project Manager prior to project commencement and acknowledge receipt and understanding of the safety policy through a formal acknowledgement form.

Additional safety requirements address air emissions and environmental permits, hazardous waste management, storm drain and sanitary sewer protection, and asbestos/lead handling procedures. The form emphasizes that personal protective equipment use is mandatory with enforcement responsibility assigned to the contractor, and establishes restrictions on smoking and proper trash, waste, and scrap disposal procedures. Contractors must use properly labeled safety cans for hazardous materials and comply with all applicable California Labor Code sections and OSHA standards referenced throughout the document. The Safety Responsibility Form serves as a critical compliance document for this federally-funded transportation infrastructure project, ensuring that all contractors understand and accept their obligations to maintain workplace safety and regulatory adherence throughout project execution.

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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.

File details come from the government source that posted it. Updated .