contractor safety rating form initial evaluation presented by: james bergeron houston business...

Contractor Safety Rating Form Initial Evaluation

Presented by: James Bergeron

Houston Business Roundtable2010 Safety Excellence Award Training

Contractor Safety Rating Form Initial Evaluation

Nine Sections Fatalities

OSHA Incident Rate for Lost Work Day Cases

OSHA Incident Rate for Total Recordable Injuries and Illnesses

Documented Safety Policies/Procedures

Nine Sections Accident/Incident

Investigation Procedure

Self Audit Program

Orientation and Training Program

Best Practice(s)

Year to Year Improvement

Contractor Safety Rating Form Initial Evaluation

Score of up to 200 Points.

This weighs heavily on the over all scoring.

Section 1: Fatalities

1. Fatalities - If there are no fatalities for the year, enter 10 in the score box. If there are any fatalities enter 0 in the score box. Multiply score by the weighted value to obtain performance index. _____ Score x 20 = _____

Score Subtotal

Score of up to 150 Points.

Section 2: OSHA Lost Workday Cases

2. OSHA Incidence Rate for Lost Workday (days away from work) Cases - take the most recent year’s rate. Select the corresponding score from the table below and enter that number in the score box. Multiply score by the weighted value to obtain performance index.

LCWR Score0 100.01 – 0.25 90.26 – 0.5 80.51 - 0.75 70.76 – 1.0 61.01 – 1.25 5 _____ Score x 15 = _____1.26 – 1.5 4 Score Subtotal1.56 – 1.75 31.76 – 2.0 22.01 – 2.25 1Over 2.5 0

Score of up to 150 Points.

Section 3: OSHA TRR

Score of up to 80 Points.

Section 4: Documented Safety Policies/Procedures

Section 5: Accident/Incident Procedures

Score of up to 80 Points.

Section 6: Safety Audit Program

Score of up to 80 Points.

Section 7: Orientation and Training Program

Score of up to 80 Points.

Section 8: Best Practice(s)

Score of up to 40 Points.

Section 9: Year to Year Improvement

Score of up to 40 Points.

Total Points

All subtotal values or added together for a maximum Total Performance Index of 900.

Contractor Safety Rating Form Initial Evaluation

Houston Business Roundtable2010 Safety Excellence Award Training