1. If your company is hired by Parsons, will there be personnel working in the field, at a job site, or in a Parsons office to complete the services requested?
Yes No * Required
2. Does your company have more than ten (10) employees?
Yes No * Required
3. Does your company transport, deliver or pick up hazardous materials as defined by the Department of Transportation (DOT) or by Canadian Transportation of Dangerous Goods (TDG) or hazardous waste legislation?
Yes No * Required
4. Are your workers (i.e. employees or other hired personnel) required to use hazardous chemicals or wear personal protective equipment (PPE) as regulated by OSHA (1910 Subpart I, 1926 Subpart C) or OHS legislation (federal or provincial)?
Yes No * Required
5. Do your workers (i.e. employees or other hired personnel) enter a "work zone" at a project site where there is a potential for exposure to hazardous substances or health hazards? For U.S. contractors, this pertains to the HAZWOPER regulations 29 CFR 1910.120 (OSHA) or OHS regulations (federal or provincial).
Yes No * Required
6. Do your workers (i.e. employees or other hired personnel) operate tools (i.e. electric, pneumatic, hydraulic) or mobile equipment (i.e. heavy, forklift, aerial manlift)?
Yes No * Required
7. Is the sole business of your company to provide of any of the following? surveying, utility locating, utility supplier or equipment rental services?
Yes No * Required
Whom requested that you fill out this form?
* Required
Contractor Home Office Information:
Company
Name:
* Required
Address 1:
* Required
Address 2:
City:
* Required
State/Country:
* Required
Zip Code:
* Required
Web Address:(ie. http://123.com)
Health and Safety Contact Name:
* Required
Health and Safety Contact Title:
* Required
Telephone:
Fax:
H&S Contact e-mail Address:
* Required
Parent Company Information (if applicable) :
Company Name:
Address 1:
Address 2:
City:
State/Country:
Zip Code:
Web Address: (ie. http://123.com)
Health and Safety Contact Name:
Health and Safety Contact Title:
Telephone:
Fax:
H&S Contact e-mail Address:
Person Completing This Contractor Registration Form
Name:
* Required
Title:
* Required
Note: If you plan to have lower level subcontractors perform this work they must register separately.
