Corporate Construction Group (CCG) - HSE Sub Evaluation

• Program Review Date

  Date

• Project Name

• Project Number

• Subcontractor

• Contact

• Contact Info

• Reviewed by

• Comments

• Questionnaire Received

• Documentation Reviewed

• Documentation Requestd

• Documentation Received

• Contractor Interviewed

• Subcontractor Approved

  Yes

  No

• Loss Experience

  Yes

  No

  Not Observed

• Experience Modifier

  Yes

  No

  Not Observed

• Activities & Contracts

  Yes

  No

  Not Observed

• OSHA Activity

  Yes

  No

  Not Observed

• Safety Program

  Yes

  No

  Not Observed

• Field Safety Inspection

  Yes

  No

  Not Observed

• Professional Staff

  Yes

  No

  Not Observed

• New Hire & Job Orientation

  Yes

  No

  Not Observed

• Training Programs

  Yes

  No

  Not Observed

• Disciplinary Procedures

  Yes

  No

  Not Observed

• Accident Investigations

  Yes

  No

  Not Observed

• Hazard Communication

  Yes

  No

  Not Observed

• State OSHA Requirements

  Yes

  No

  Not Observed

• Medical Surveillance

  Yes

  No

  Not Observed

• Toolbox Safety Talks

  Yes

  No

  Not Observed

• Drug Free Program

  Yes

  No

  Not Observed

• Safety Planning THA & DPTP

  Yes

  No

  Not Observed

• Certificate of Insurance

  Yes

  No

  Not Observed

• Other

  Yes

  No

  Not Observed

Environment

• Written Environmental Program

  Yes

  No

  N/A

• Implement Environmental Management System

  Yes

  No

  N/A

• EPA Violation Free

  Yes

  No

  N/A

• No Transporting Hazardous Waste

  Yes

  No

  N/A

• No HAZWASTE Disposal

  Yes

  No

  N/A

• Summary

• Health & Safety Manager

  Sign