Laserfiche WebLink
i <br />hr .~ 1 ~ Exhibit D • <br />~aqe 6 of 7 <br />SAFETY CHECK-OFF COVERING <br />CONTRACT WORK ON <br />6ATZZE MOUNTAIN GOLD COMPANY PREMISES <br />i. Does contractor have own MSHA <br />identification number? <br />2. Has Contractor worked under MSHA <br />jurisdiction before? <br />3. Have applicable safety provisions <br />boon included with contract bid <br />documsnta and/or purchase contracts? <br />4. Has Contractor mot with company <br />representative to discuss safety <br />requirQments? <br />5. Was Contraotor provided with a <br />copy of the Battle Hountain Gold <br />Company Policy and 6atety <br />Guidelines covering contract work? <br />6. Ia ContYdCtor familiar With the <br />compaxry•s accident and injury <br />reporting requirements? <br />T. Has hazard training been provided <br />to the Contractor? <br />8. Dcea contractor require any <br />spacial treining7 <br />9. Has Contractor developed a safety <br />and training plan covering the <br />project? <br />lo. will Contractor have a responsible <br />person present at all times that <br />work is in progrnas? <br />il. Has Contractor provided evidence o! <br />xorkars•e compensation and liability <br />insurance coverage? <br />12. Has Contractor made arrarigemants <br />in advance for medical servicee7 <br />Y$.Tt HQ ~L.A <br />