Exhibit_1-Contractor_Safety_Responsibility_Form.pdf
PDF 6 MB Posted
- 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 .