Injury Illness Prevention Plan - Flipbook - Page 75
Health and Safety Program Manual
Teamwrkx
Construction, Inc.
x
Issue Date: 10/16/23
Revision Date: 10/16/23
Subcontractor Safety Management
Reference: S-1
Reporting and recordkeeping of incidents/injuries including near misses
Typical Actions Recommended During Performance of Work
Include subcontractors in the following safety activities:
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Manager Audits
Safety Meetings
Training Sessions
Safety Audits
Work Observations
Job Safety Analysis Systems
Hazard Analysis including Site inspections and hazards created by others
Injury Intervention Processes
Root Cause Analysis
Client-Required Programs
Post Job Review
A post job review will be performed to evaluate the overall safety performance of the subcontractor.
Appendix 5-1
COMPANY NAME
SUBCONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE
All subcontractors are required to complete this questionnaire. The contents of this questionnaire will be
considered confidential and used solely to determine your company’s qualifications and will not be disclosed to
the project staff. Please direct any questions, and return this completed form, to:
{Company name}
{Address}
Telephone: {Phone}
Fax No.: {Fax}
GENERAL INFORMATION. Please fill in the following:
Name of Business: _______________________________________________
Street Address: _________________________________________________
Post Office Address: _____________________________________________
City, State, Zip Code: _____________________________________________
Telephone Number __________________ Fax Number: _________________
Person to Contact: _______________________________________________
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