Draft B2 08.5 SubcontractorFormSQF

Chapter 42: Subcontractor Safety

Subcontractor Safety Qualification Form

ENVIRONMENT, SAFETY & HEALTH DIVISION

Product ID: 456 | Revision ID: 2364 | Date Published: 21 May 2021 | Date Effective: 21 May 2021 URL: https://www-group.slac.stanford.edu/esh/eshmanual/references/subcontractorFormSQF.pdf

This form applies to prime subcontractors (those directly contracted to SLAC)1, performing construction work 2 or high-risk service work3 (see Subcontractor Safety: Non-green Work Procedure [SLAC-I-730-0A21C-024]). The safety qualification is valid for (a) one year and (b) the type of work listed below. Please fill out this form completely. Do not leave items blank and provide all required supporting documents. SLAC reserves the right to accept or reject any directly-contracted subcontractor based on the qualification criteria. SLAC may also require conditions of acceptance. If the subcontractor acts as the general subcontractor, SLAC will evaluate whether it has adequate knowledge and experience to supervise lower tier subcontractors.

1 Company

Year Founded

Address

Phone

License Classifications (if construction use California License Classification)

License #

AF
T

Company Name

2 Types of Work / Trades

List types of work and/or trades, whether self-performed or managed, to be done at SLAC (qualification will be valid for what is listed). Your firm must be properly licensed in California to perform the proposed work. Manage?

Self-perform?

D

R

Description (if construction list California License Classification and description: eg, B - General Building)

As SLAC is a contractor to the Department of Energy, all outside contractors working at SLAC are considered subcontractors. Consequently, a contractor considered a “general contractor” outside of SLAC is considered a “general subcontractor” at SLAC.

Construction work is defined as the combination of erection, installation, assembly, demolition, or fabrication activities involved to create a new facility or to alter, add to, rehabilitate, dismantle, or remove an existing facility. It also includes the alteration and repair (including dredging, excavating, and painting) of buildings, structures, or other real property, as well as any construction, demolition, and excavation activities conducted as part of environmental restoration or remediation efforts.

Service work is defined as any work involving maintenance, repair, cleaning, or testing; technical or administrative services; or other tasks that are not construction activities. Service work may be associated with a construction project. High-risk service work is service work that has an