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Bid Package 08 North Well Field - Garney Construction

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Colorado River Municipal Water District<br />

Ward County Water Supply Expansion Project – <strong>North</strong> <strong>Well</strong> <strong>Field</strong><br />

4. Does your company have a written procedure for informing all Yes No<br />

employees of their right to stop work that is unsafe?<br />

5. Does your company prepare site-specific Safety and Health plans? Yes No<br />

6. Does your company conduct site-specific Job Hazard Analysis (JHA’s) Yes No<br />

And / or Job Safety Analysis (JSA’s)<br />

7. Does your company hold job site safety meetings (i.e. Tool Box Talks)? Yes No<br />

If Yes, Please indicate how often below<br />

Daily Weekly Bi-Weekly Monthly As Needed<br />

8. Does your company hold regularly safety meetings for its employees? Yes No<br />

If Yes, Please indicate how often below<br />

Daily Weekly Bi-Weekly Monthly As Needed<br />

9. Does your company perform field safety inspections? Yes No<br />

If Yes, Please indicate how often below<br />

Daily Weekly Bi-Weekly Monthly As Needed<br />

10. Does your company have a follow-up procedure to track items identified during safety Yes No<br />

inspections?<br />

11. Does your company have a reporting system for incidents, near misses, hazard Yes No<br />

identification, and / or occupational injuries?<br />

If Yes, Please provide the person (s) who receives / reviews these reports below.<br />

Name:_____________________________________ Title:_________________________________________<br />

Name:_____________________________________ Title:_________________________________________<br />

12. Does your company have a safety incentive program? Yes No<br />

13. Does your company use safety as a criterion during performance reviews? Yes No<br />

14. Does your company have a disciplinary action program for unsafe acts or behaviors? Yes No<br />

4.0 Safety and Health Training<br />

<strong>Bid</strong> Proposal Form – <strong>Bid</strong> <strong>Package</strong> #8<br />

Colorado River Municipal Water District<br />

Ward County Water Supply Expansion Project – <strong>North</strong> <strong>Well</strong> <strong>Field</strong> BP - 19<br />

5/24/2012

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