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Checklist  \nOverview and Instructions:  \n10 CFR 851 requires contractors and subcontractors working at a Department of Energy facility to provide a place of employment that is free from recognized hazards that are causing or have the potential to cause death or serious physical harm to workers. This provision of the rule closely parallels the OSHA general duty clause established in Section 5(a)(1) of the OSH Act of 1970. SRS requires all subcontracting companies to identify hazards & controls associated with their specific subcontract scope of work.  \nIf applicable to your specific subcontract, the following documents must be completed and submitted as they are listed below.  \nAny questions should be directed to the SRS buyer for resolution with the SRS safety professional responsible for reviewing and acceptingthe Prequalification Packet. Nothinginthischecklist mustbeconstruedas relievingasubcontractorfromcomplying with anyadditional specificrequirement that it determinesto be necessary to protect the safety and healthofworkers.  \nForms for Completion:  \nWorker Protection Plan Checklist – The Worker Protection Plan (WPP) Checklist identifies the minimum applicable program elements required in the Worker Protection Plan however, full compliance where applicable is mandated by 10 CFR 851.  \nEMR & TRC Worksheet – Subcontractors must provide information related to the firm’s Experience Modification Rate (EMR) and their OSHA Total Recordable Case Rate (TRC) for the past three full calendar years.  \nNote: Certain exemptions apply per 29 CFR 1904.1 (ten or fewer employees) and Non-Mandatory Appendix Ato Subpart B of Part 1904 (partially exempt industries).  \nQualifications (IfApplicable)–The subcontractor shall designate on-site safety and industrial hygiene representation, as specified in the subcontract. Reference OSR 1-126 (Subcontract Field Conditions) to determine if your subcontract requires safety and/or industrial hygiene staff.  \nGuidance Documents (Pages 26-29):  \n1. Worker Protection Plan  \n2. Onsite Safety and Health Staffing Requirements  \n3. Local Medical Providers  \nDocuments to Submit:  \n􀂾 Worker Protection Plan / Site Specific Safety and Health Plan – A WPP specifies how a company will implement, maintain, and manage subcontract regulatory compliance while conducting business under contract at SRS. In accordance with 10 CFR 851, the WPP must mandate an environment that is free from recognized hazards and requires participation by all levels of management and employees in the prevention and recognition of unsafe acts and conditions.  \n􀂾 Resume (If Applicable)– On-site safety and industrial hygiene representation requires minimum staffing qualifications. To satisfy this requirement, submit a resume for each proposed individual for review and acceptance.  \n􀂾 Insurance Confirmation of EMR Rate – Subcontractors must provide a letter from its Workman’s Compensation Insurance Carrier certifying the EMR data provided to SRS.  \n􀂾 OSHA 300 Logs/Summaries (If Applicable)– Subcontractors must attach copies of the OSHA Annual Summary Logs (OSHA’s Form 300A) for the previous 3 years.  \nNote: Certain exemptions apply per 29 CFR 1904.1 (ten or fewer employees) and Non-Mandatory Appendix A to Subpart B of Part 1904 (partially exempt industries).  \nWPP Checklist  \nInstructions  \nSubcontractors must identify all hazards involved with their work scope. This checklist identifies the minimum safety and health program elements that SRS expects subcontractors to address in their SRS Site Specific WPP. It is not intended to be all inclusive and should be used only as guidance to support minimum documentation. SRS Site Specific WPPs must comply with all local, state and federal requirements, including 10 CFR 851, all subsequent updates and technical amendments.  \nBegin by completing Sections I and II. For Section II, address each requirement in your WP","cbCaibV6nSGSnvbd","https://ap.wps.com/l/cbCaibV6nSGSnvbd","pdf",10748406,29,"English","# Overview and Instructions\n## Forms for Completion\n## Guidance Documents (Pages 26-29)\n## Documents to Submit\n# WPP Checklist\n## Instructions\n## Section I (Required)\n## Section II (Required): Site Specific Requirements\n### Fitness for Duty\n### Accidents/Incidents/Investigations","[{\"question\":\"What is the purpose of the SRS Category C prequalification checklist?\",\"answer\":\"It sets minimum safety and health program elements SRS expects subcontractors to address in their SRS Site Specific Worker Protection Plan (WPP) and helps ensure compliance with 10 CFR 851.\"},{\"question\":\"Which forms and worksheets must subcontractors complete and submit?\",\"answer\":\"Subcontractors complete the Worker Protection Plan checklist and the EMR \\u0026 TRC worksheet, and submit required documents such as the WPP/Site Specific Safety and Health Plan and supporting records when applicable.\"},{\"question\":\"What information is required in the EMR \\u0026 TRC worksheet?\",\"answer\":\"Subcontractors must provide Experience Modification Rate (EMR) and OSHA Total Recordable Case Rate (TRC) for the past three full calendar years, subject to stated exemptions.\"},{\"question\":\"What are the site-specific requirements in Section II of the checklist?\",\"answer\":\"Section II includes expectations such as fitness for duty policies and immediate reporting of accidents, injuries, and incidents, along with investigation and recordkeeping aligned with OSHA and DOE requirements.\"}]","Savannah River Site (SRS) - Category C Service & Construction Subcontract Prequalification Checklist | PDF",1790439711,73]