GZA GeoEnvironmental, Inc.
Subcontractor Health & Safety Evaluation Questionnaire
In order to manage risks posed by high-hazard activities performed by GZA subcontractors, GZA has instituted a subcontractor health and safety prequalification process. The activities your company may perform could expose your personnel to hazardous chemicals or wastes in the performance of their tasks. Therefore, requirements up to, and possibly including, OSHA standard 29 CFR 1910.120 (entitled Hazardous Waste Operations and Emergency Response) may be applicable to subcontractor services. Your company is required to recognize and comply with any OSHA or other regulatory requirements applicable to their services.
Bidder Health and Safety Submission Checklist
|Submit To GZA
Contact Prior To
(Submit Health & Safety Evaluation Registration online. Link at the bottom of this page)
|OSHA 300A/300 logs for previous 3 years||X|
|EMR rates for previous 3 years on insurance-carrier letterhead||X|
|Table of Contents of Health and Safety Program||X|
|Drug and Alcohol Program||X|
|Copies Of Employee Training Certificates And Medical Surveillance Clearances (for each employee participating in on-site activities)||X|
|Medical Clearance Sheets for any employees who will work on a GZA project site||X|
|Chemical Inventory and chemical Safety Data Sheets for any chemicals you bring to a GZA project site||X|
GZA Health & Safety Evaluation Registration Form is a web based electronic form. Please answer the questions in the form completely, upload the requested information in allowable format, and submit the form after all required fields are filled out.
Important Information about File Upload
Acceptable file types including: gif, jpg, png, bmp, txt, pdf, doc, docx, xls, xlsx.
(Any other file type will not be accepted by the system)
If your company is exempt from maintaining OSHA logs or does not qualify for an Experience Modification Rate (EMR): create a short document describing the exemption(s) and upload it each time this questionnaire requires an OSHA log and/or EMR file to be uploaded. Without this information the questionnaire will not submit correctly and the evaluation of your company will be delayed.