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DocuSign Envelope ID:29F350EB-C553-4EEB-BD97-898B3775EE03 <br /> I <br /> i <br /> (c) Has the bidder had any citations issued by OSHA as a result of work <br /> related fatalities within the past 5 years? <br /> Yes No <br /> (d) Is the bidder under investigation for any work-related fatalities? <br /> Yes No <br /> (e) If your answer is"yes"to 3(b), (c)or(d),provide a copy of the citation(s), <br /> list of number(s)of fatalities and documented explanation of the fatality. <br /> 4. Safety Plan: <br /> (a) Does the company have a written safety program that includes <br /> responsibility for all aspects of safety management? <br /> Yes l/� No <br /> (b) Does the company have a written plan for safety training of new <br /> employees mlkd ongoing training of existing employees? <br /> Yes t/ No <br /> (c) Does the company have documented evidence of safety training that they <br /> have conducted? <br /> Yes LZ No <br /> (d) If the company has employees with limited English ability,does the <br /> company have a written plan for ensuring that their employees understand the <br /> training they are being given? <br /> Yes r/ No <br /> (e)Do all supervisors have an appropriate documented level of OSHA training <br /> (e.g., a minimum of 30 hour OSHA construction safety training)? <br /> Yes No <br /> i <br />