I. Contractor Information and Agreement

Contractor Company Name:

[Contractor's Company]

Type of Work:

[Nature of contracted work]

Confirmation that the contractor has read and agreed to comply with all workplace safety policies. 

• Compliant

• Non-Compliant

II. Safety Training and Certification

Documentation proving the contractor’s employees have undergone relevant safety training. 

• Present

• Not-Present

Check if the contractor’s employees hold the necessary certifications for their roles.

• Held

• Not Held

III. Insurance and Liability

Verification that the contractor has up-to-date liability insurance.

• Valid

• Expired

Confirmation of workers’ compensation coverage for the contractor’s employees.

• Covered

• Not Covered

IV. Safety Equipment and Practices

Check if the contractor’s employees use proper personal protective equipment as per the job requirements. 

• Compliant

• Non-Compliant

Assessment of adherence to safety protocols and procedures during work.

• Compliant

• Non-Compliant