Shop Contractor and Temp Labor Orientation

Information

FIRST NAME/LAST NAME of Contractor/Shop Contractor Onboarding
Name of Contracting Company
District
- Midland
- Leduc
- Appalachia
- Rio Vista
- North Dakota
- Grand Prairie
Conducted on
BOS Onboarder/BOS Supervisor
Picture of the contractor

HSE To be completed by BOS:

HSE BOS Requirements

Attached picture of Resume and or Tickets/Certs if shop temp labor.
Contractor has the required tickets/certifications to perform their Scope of Work
Review BOS Shop Contractor On-boarding Presentation
Review applicable HSE Expectations, Programs, and Standards to include LOTO, Permits to Work, Stop Work Authority, Accident Reporting and Investigation, Working Alone, Confined Space, Hot Work, and Injury Case Management.
Contractor has the correct PPE for Scope of Job (Hard Hat, Coveralls, Fall Protection and SRL, Mask with cartridges, Impact Gloves, Safety Toed Boots, Eye Protection (Glasses), Lock Out Tag Out Kit, H2S monitor if applicable.
Set Temp worker up in I-Auditors and review PJRA, Haz ID and Permits to work with all contractors
If the Contractor will operate Heavy equipment on location on behalf of BOS: • Has proof of third party certification qualifying them to operate the heavy machinery • Has completed a BOS competency evaluation with qualified BOS employee before operation of the heavy machinery Photocopy of ticket / training certification to be attached to this document.
Temp Labor Contractor has a clean Alcohol and Drug test. Photocopy of test result to be attached to this document. Insert N/A if not required.

Items to be Answered by the Contractor

I have been informed and understand that I have the right and responsibility to stop or refuse work if I believe: • A hazard exists, or has the potential to exist and/or the proper controls are not in place • I observe an unsafe act or condition
I have been informed and understand that I must report any actual or potential Health and Safety loss event immediately to my BOS supervisor and or HSE.
I have been informed and understand that I must report any environmental risks or loss events immediately to their BOS supervisor and/or HSE immediately.
I have been informed and understand that I must participate in various HSE functions including but not limited to safety monitoring, safety observations, safety meetings, job safety risk assessments and pre-job meetings
I have been informed and understand that I must provide BOS with a list of all hazardous chemicals brought onto a BOS worksite whether the hazardous chemical is used for work or not. All hazardous chemicals brought onto a BOS worksite must have a Safety Data Sheet and be properly labeled per regulatory requirements. The chemical must be current and all labels must be legible and in good condition
I have been informed and understand that I must not engage in horseplay, discrimination, sexual harassment or intimidation
I have been provided with and understand the BOS Shop Contractor orientation
I confirm that I am physically and mentally fit for duty
I have been provided with and understand the following BOS specific training (must be completed using BOS Training material) • Hazcomm / WHMIS as it relates to chemicals supplied by BOS • Fall Protection as it relates to BOS equipment • Respiratory Protection as it relates to working with Invert etc. on BOS equipment • Hearing Protection as it relates to BOS equipment • Electrical Safety as it relates to BOS equipment • Fatigue Management – banned driving hours & maximum hours worked • BOS Driving Standards (if driving own vehicle)

BOS Requirements and Permits to Work

To be completed by the Contractor

I have been shown how to complete a Daily Pre Job Risk Assessment and understand when one is required and who to submit it to
I have been shown how to complete a Hazard ID and understand when one is required and who to submit it to
I have been shown how to complete a Lock Out Tag Out Permit and understand when one is required and who to submit it to
I have been shown how to complete all other Permits to Work that are applicable and understand when one is required and who to submit it to.
I have been informed and understand that I must report any actual or potential Service Quality events (such as equipment or process issues) immediately to my BOS supervisor
I understand that it is their responsibility to ensure they have all necessary tools and safety equipment to preform the task at BOS Solutions locations or their clients
I understand that all tools and safety equipment brought to BOS Solutions or their client’s locations are in correct working order with all safety features in places
I understand that any tool deemed in not proper working order or with missing safety features or damaged cords will not be allowed to be used at BOS Solutions or their client’s locations.
Contractors agree to follow all guidelines, policies and procedures set in place by BOS Solutions while at BOS Solutions or one of their client’s sites. Failure to adhere to any guidelines, policies or procedures may result in the contractor or contracting company being removed from BOS Solutions or their client’s locations and, at the discretion of the BOS Management or BOS Supervisors may be refused access to their or their client’s sites in the future
Contractor has completed Shop Contractor Onboarding