Está en la página 1de 3

Contractor Checklist Instructions

Contractor Company Name: Provide Company Name


Project Start Date_______________ Project Completion Date______________
Project Description: Describe Project
Contractor Project Supervisor: Person for contractor who is managing the project
Terumo Project Manager: Person for Company who is managing the project
Terumo Responsible Person: Person for Company who is running the project
Contractor Responsible Person: Person for the contractor who is on site

[Note: Mark “Yes” where requirements are applicable and details are discussed. This
project discussion and completion of this form must occur before any work begins.

Yes No Requirements Comments


1. Certificate of Insurance Contractor must provide proof of
liability and workers compensation
insurance.
2. Safety All OSHA regulations must be
followed, all accidents/injuries must
be reported to company
Responsible Person
3. Prior approvals required Has this project been discussed with
appropriate departments
4. Clean room Requirements, Are clean room uniforms needed?
Gowning and Hand Washing Provide number and sizes.
5. Employee conduct , smoking Explain sexual harassment of
company associates is forbidden; no
smoking except in designated
locations.
6. Parking Where are contractors expected to
park? If contractors are allowed to
park outside of the parking lot, they
must not obstruct fire lanes,
emergency exits, etc.
7. Card Access Do contractors need card access
badges? Should the badges be
temporary or permanent? Badges
must be returned at job completion
or payment will be delayed.
8. Contractor check-in log Do contractors have to check in
with a company associate daily?
9. Storage facilities & designated Where are contractor tools and
areas & housekeeping supplies to be kept? Contractor
work area to be policed daily and all
trash/debris removed. Show
location of trash disposal.

1
Contractor Checklist Instructions

10. Availability and use of company Show location of rest rooms,


rest rooms and lunch facilities explain shoe covers. Show where
contractors can eat food, drink
beverages.
11. Company equipment use Will contractor be allowed to use
company equipment? If so, how
will they obtain it?
12. State notifications, building Contact Safety to determine if any
permits environmental permits are required.
Are building or electrical permits
needed?
13. Emergency procedures, signals, Explain fire alarm procedure.
evacuation
14. Construction site protection, Explain any clean room barriers
barriers, barricades, fences, security must always be in place and any
loose partitions must be repaired
immediately. If project is not in the
clean room, how will it be secured?
15. Presence of known site hazards Inform contractor of any known
(including asbestos) hazards.
16. Personal protective equipment What PPE will be required for the
(must be supplied by Contractor) job?
17. Lockout/Tagout procedures of Explain that the contractor must
companies involved follow OSHA Lockout/Tagout
laws. If contractor must lockout
equipment, an authorized company
associate must review the lockout
and place their lock on.
18. Cutting, welding, hot work All hot work must be supervised by
authorized associates
19. Chemical/health hazards – Explain any chemical and health
MSDS given by each as required hazards the contractor may
(list on bottom of this form) encounter with company chemicals.
Collect MSDS’ for the chemicals
the contractor plans to use.
Forward MSDS’ to Safety for
review.
20. Chemical spill control & Chemical spills are to be reported to
reporting company associates immediately.
21. Removal & disposal of excess Company associates will supervise
chemicals and hazardous waste the removal of chemical and
hazardous waste.
22. Confined space entry No entry into confined spaces is
permitted unless confined entry
permitting process is followed.

2
Contractor Checklist Instructions

MSDS’_________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
___

Company Project Manager Signature / Date___________________________________

Contractor Project Supervisor Signature / Date__________________________________

También podría gustarte