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Conditional Safety Program Review
Company:
AMCE Corp.
Tax ID:
00-11223344
ASBESTOS
The safe removal and handling of asbestos is vital to preventing dangerous exposures.
Does your company remove asbestos containing materials?
- Select -
Yes
No
Please provide the Asbestos Building Inspector or Supervisor Certification
CHEMICAL SAFETY
Exposure to chemicals in the workplace can cause acute or long-term detrimental health effects. Safety protocols must be in place for safe use, handling and disposal of hazardous chemicals.
Will your employees be bringing hazardous materials onsite and storing?
- Select -
Yes
No
Please upload your Safety Data Sheets
Please upload your Spill Response Procedure
CONFINED SPACE
To keep workers safe, an employer must develop a detailed plan for each confined space, train employees on the plan, and implement immediate emergency response procedures including a rescue plan. Provide a written plan and proof of training for your employees to that plan. Make sure to detail the following: • Who enters confined spaces? • How do employees enter and exit? • Have proper Confined Space Permit. • What equipment workers need for each space? • The work scheduled for each confined space. • Have the proper equipment to test and monitor the atmosphere. • Require attendant(s) outside each confined space to monitor the work, recognize an emergency, and activate a rescue if needed.
Will your employees be entering permit or non-permit required confined space?
- Select -
Yes
No
Please upload your Confined Space Program
Please upload your Confined Space Training records employees performing the work
CRANE / HOISTS SAFETY
If you plan to use cranes, hoists or other lifting or aerial devices, provide a program or policy that details equipment to be used, policies on regular inspections and operator training. Even if the contractor is renting equipment, proof of employee training must be provided.
Will employees be performing work using a hoist or crane?
- Select -
Yes
No
Please upload your Crane Training
Please upload your Certificates to operate equipment to be used on site
D.O.T.
Current U.S. Department of Transportation (DOT) regulations require initial and recurrent training of all employees who perform work functions covered by the Hazardous Materials Regulations (HMR; 49 CFR Parts 171-180). Any employee whose work directly affects hazardous materials transportation safety is required to have training.
Is your company shipping or removing hazardous materials (including wastes)?
- Select -
Yes
No
Please upload your DOT and Manifest Training Records
ELECTRICAL SAFETY
Electrical safety programs must be in accordance with OSHA regulations and NFPA 70E standards. Electrical contractors or those conducting work that involves the electrical systems, must be provided a program that identifies how their employees recognize hazards and prevent injury and exposure, safe work practices, Qualified Electrical Persons (QEPs), the training they require, PPE, and job specific policies related to the work tasks they will be conducting.
Will your company be performing ENERGIZED electrical tasks for voltages more than 50 volts?
- Select -
Yes
No
Please upload your Electrical Safety Program.
Please provide your Qualified Electrical Person Training for employees performing work
FALL PROTECTION
Contractors must show how they protect their employees when working from heights. This includes use of fall protection equipment and personal fall protection equipment.
Will employees be working from heights above 4ft (i.e. roof work, ladder work, elevated work platform, etc.)
- Select -
Yes
No
Please upload your Working at Heights (Fall Protection) Program
Please upload your Training Records for applicable employees
FLEET SAFETY
A fleet safety program establishes the policies and procedures that are needed to help ensure a safe work environment for employees . It can also help protect against liability from vehicle accidents.
Do your employees drive commercial vehicles?
- Select -
Yes
No
Please upload your Drug and alcohol policy
Please upload your Fleet Safety Program
HAZARDOUS ENERGY CONTROL / LOTO
Contractors must show proof they have a policy for controlling hazardous energy that includes the use of energy control procedures, application and removal of locks, tags and necessary devices, and training for authorized employees.
Will employees be performing tasks that require de-energizing equipment and the use of Lockout/Tagout equipment?
- Select -
Yes
No
Please upload your Hazardous Energy Control / LOTO Program
Please upload your LOTO Training Records for employees performing the work
HEAVY EQUIPMENT OPERATOR
Heavy equipment safety is particularly important because when accidents happen, they often lead to a lot of people being injured. Therefore, there is mandatory safe operator training specific to the equipment used.
Will your company be using heavy equipment while on-site?
- Select -
Yes
No
Please provide your Heavy Equipment Operator Training Certification
HOT WORK
Welding and Hot Work, such as brazing or grinding present a significant opportunity for fire and injury. All precautions of this program must be applied prior to commencing any welding or hot work by company employees or contractors.
Will your company be performing hot work (i.e. welding, cutting, grinding, brazing)?
- Select -
Yes
No
Please upload your Hot Work Program (with fire watch policy)
MOLD
Companies involved in mold removal must follow guidelines for the remediation/cleanup including measures designed to protect the health of building occupants and remediators.
Does your company conduct mold remediation?
- Select -
Yes
No
Please upload your Site Safety Plan for remediation activities
PEST CONTROL
Pest control companies must obtain proper licenses and certifications per federal, state and local requirements. A company should consider the safeguards to prevent worker injury and injuries related to pest control activities.
Does your company provide pest control services?
- Select -
Yes
No
Please provide licenses / certifications for the specific pest control category
POWERED INDUSTRIAL TRUCKS (PIT)
Powered industrial truck (PIT) as any mobile, power-propelled truck used to carry, push, pull, lift, stack, or tier materials, whether ridden by the operator or controlled by a walking operator.
Will your company be operating a forklift or other powered industrial truck or vehicle (PIT)?
- Select -
Yes
No
Please provide your Operator Training Certificate
Please provide your PIT Safety Program
PROFESSIONAL CERTIFICATION
Certain trade professions require special certifications.
Does your job require special license or certification?
- Select -
Yes
No
Please provide a Copy of Professional License or Certification
Document Expires
RESPIRATORY PROTECTION
Respirators are a type of personal protective equipment used to provide protection against worker exposure to airborne substances. When airborne exposures cannot be controlled, or while controls are being installed, appropriate respirators may be used. Contractors must have a written program that details respirator selection, medical clearances, fit testing and training.
Will employees be performing work that will require a NIOSH approved respirator?
- Select -
Yes
No
Please upload your Respiratory Protection Program
Please upload your Respiratory Training Records for applicable employees
SUBCONTRACTED WORK
Will your company be sub-contracting any onsite work or services?
- Select -
Yes
No
Please upload a copy of your Subcontractor Management Program
TRENCHING AND SHORING
Trenching for buried utilities, pipelines, water transport, and other activities may be hazardous. Trenches are usually deeper than wide, and the walls may become unstable and collapse on top of workers. Activities of trenching and shoring much follow the applicable regulations and safety protocols.
Will your company be creating or completing work in trenches?
- Select -
Yes
No
Please upload your Trenching and Shoring Program
Please upload your Training Records for employees conducting the work
WORK ALONE
Working alone includes all workers who may go for a period of time where they do not have direct contact with a co-worker. Policy should be developed around working alone, especially in hazardous situations.
Will your employees be working alone?
- Select -
Yes
No
Please upload your Working Alone Policy