Washington Works - DuPont

Contract Administration Initiated: 07/1992 CAG-07Site Conditions SC1 Revised: 05/2013 Monitor: John SorokaRetention: 3 yrs after obsolete or superseded Revision Due: 10/2015 Page 4Service Contractor Check SheetThe Check List is to assist the Contract Company of important Sections of SC-1 as well as additionalinformation required to be provided to DuPont prior arrival on DuPont Site. A “XX” has been alreadyplaced in those sections of mandatory requirements. Contract Company is required to place an “X” inSections applicable to your work. Procedures will be provided to Contract Company as needed/requested.Completed Check Sheet must be emailed to:Randall.L.Morris@usa.dupont.com & John.A.Soroka@usa.dupont.comSection Task Description Req’d Task1.2 Criminal Background Check and Drug Testing ---Contractor must submit allemployee names on Supplier letterhead. (see Appendix B)1.4 Fitness for Duty and Fatique Risk Management System ---Contractor shallsubmit company policy and program which addresses these situations.1.5 DuPont will furnish Green Books at Complete Site Training. XX1.5 On – Site Safety Professional or Safety Representative Requirement1.6 Submit Written Safety Program to DuPont for approval XX1.6 If employing Union Building and Construction Trades workers – requirescompletion of 10 Hr OSHA Safety Training Course or equivalent1.7 Pre-scheduled Contractor Level I training and PSM Training XX1.9 A "DuPont Representative" designate will be assigned to Contractor XX1.10 Conduct a Pre-Implementation MeetingXXXXComplete1.11 Attend Weekly Safety Meeting and conduct weekly safety meetings with onsiteemployees (if work will last > 1 week).1.15 Vehicles being brought on site. Vehicles must have identification displayedon both sides of the vehicle1.17 Submit in writing names, address and telephone number of local medicalprovider and after hours facilities, and posted1.20 Hazard Materials MSDS - Any new and/or potentially hazardous or knownhazardous materials being brought onto DuPont property1.22 Electrical Work Performed. Electrical safety training (OSHA 1910-Subpart S)required. - “Procedure 560”1.23 Personal protective equipment listed shall be worn and meet the existing ANSIstandards. (i.e. Glasses, Shoes, hard hats )1.23 Contractor will be required to furnish Fire-Retardant Clothing Nomex®XXOther special personal protective equipment.1.24 Respiratory Protection Equipment needed. -- Contractor shall furnish theirRespiratory Protection Program to DuPont and a list of employees qualified touse respiratory protection1.25 Barricades being erected - “Procedure 564”Copyright © 2012 E. I. du Pont de Nemours and Company. All rights reserved