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Subcontractor Prequalification

Step 1 of 3

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  • The following form must be filled out annually. This will let us know if we need to work on any items to fulfill our duty as a company that goes beyond what is required, and excels in safety, and performance.

    Everyone has a right to a safe workplace. (See OSH Act 1970)

    (a) Each employer --
    (1) shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees;
    (2) shall comply with occupational safety and health standards promulgated under this Act.
    (b) Each employee shall comply with occupational safety and health standards and all rules, regulations, and orders issued pursuant to this Act which are applicable to his own actions and conduct.

    Your cooperation is greatly appreciated.


  • SUBSTANCE ABUSE POLICY

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    • Please select all of the following that applies:
    • COMPETENT PERSONNEL

    • Competent Person For…
    • SAFETY

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      • Do you Report and/or Investigate the following:
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        • OSHA

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          • STATS

          • Submit your OSHA 300 and 300A forms without the personal information.
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            • For the last 3 years please submit the following:
            • Average # of employees:
            • # of Fatalities:
            • # of work hours
            • # injuries with days away
            • # injuries w/ job transfer or restrictions
            • Other recordables:
            • # of days away from work:
            • # of transfer or restriction:
            • INSURANCE

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              • EMR Rating for the past 3 years:
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                • View a Sample
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                  • MBE, EDGE, SBE, WBE, etc.
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                    • Business Partner Information

                    • Vendor Information

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                      • Discount Offered

                      • Credit Card Processing
                      • Standard Payment Terms
                      • General Contact for Compliance Paperwork
                      • Accounts Receivable Contact
                      • Contact for Lien Wavers
                      • Subcontractor Safety Agreement
                        • All contractors are required to follow the BWC Drug Free Safety Program.
                        • All workers must have a valid drug card from a 3rd party program administrator.
                        • All employers are responsible for instructing their employees in the recognition and abatement of unsafe conditions and the regulations applicable to their work environment to control or eliminate any hazards or other exposures to illness or injury.
                        • Good safety practices carried out on this project will produce a safe and healthful workplace for all employees.
                        • Neglecting safety is neglecting job responsibilities. Any unsafe items needing corrected must be done immediately when identified.
                        • All contractors must ensure their equipment has regular maintenance and is inspected on a regular basis.
                        • When required, an industrial hygiene base analysis must be completed and submitted.
                        • All contractors should ensure weekly toolbox talks and daily pre-task plans or equivalent are completed and submitted to Loy Clark.
                        • All subcontractors should set goals to align with making the jobsite safe for employees, including review of trend analysis on injuries to work toward prevention.
                        • Occupational facilities must be posted for your employees to reference. At least one employee should be certified in CPR/First Aid.
                        • Any subcontractors found with any willful violations and/or non-compliance unaddressed items could be subject to discipline including possible removal from project.
                        • Subcontractors must submit the following current certificates prior to work beginning: BWC cert, Insurance Cert (requirements attached), DFSP Cert.
                        We are in receipt of, and will cooperate and comply with, Loy Clark’s Safety Program. A copy of this program shall be provided to and discussed with our project personnel.
                      • Note: By completing this form you are accepting the Subcontractor Safety Agreement.

                      Contact Loy Clark

                      Phone 503-644-2137
                      Fax 503-641-1599
                      [email protected]

                      Physical address

                      19020 A SW Cipole Rd.
                      Tualatin, OR 97062

                      Mailing address

                      P.O. Box 1369
                      Tualatin, OR 97062

                      Territory

                      Licensed, bonded and insured in Washington, Oregon, California, Idaho and Montana.

                      Careers @ Loy Clark

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