Contractor Health & Safety Management

The Contractor Health and Safety Management, CHSM, forms, templates and checklists are available to download and feel free to change the forms to meet your specific program needs. The forms, template and checklists are designed to assist your organization in documenting the process from Step 1 – Defining the Scope of Work through to Step 8 – Final Record of Contracting Employer’s Performance Evaluation. These documents are designed to guide you through the process of managing contracting employers, Prime Contractors, and other work site parties you need to hire for any type of project, maintenance and service work.

CHSM Templates: 

• 01 Project Specific Health and Safety Plan Template
• 02 Project Experience Template
• 03 Project Specific Health and Safety Plan Review Form
• 04 Technical Evaluation for Health and Safety Plan Form
• 05-08 Prime Contractor Role Decision Tree & Checklists Vertical
• 09 Pre-Qualification of Prime Contractor Review Form
• 10 Acknowledgement of Prime Contractor Designation
• 11 Notice of Prime Contractor Sign
• 12 Contractor General Orientation Checklist Form
• 13 Construction Hazard & Action Assessment
• 14 Project Emergency Contact
• 15 Contracting Employer Incident Notification Form
• 16 Contracting Employer Incident Investigation Report
• 17 Contractor Health & Safety Performance Report
• 18 Notice to Start Stop or Resume Work
• 19 Change Order Form
• 20 Pre-Job Meeting Template
• 21 Due Diligence Checklist
• 22 Gap Analysis Template
• 23 Corrective Action Form

CHSM Handouts:

• Differences in Responsibilities  - Transfer or Retain Prime Role

CHSM Training:

• Contractor Health and Safety Management - Full Day (instructor-led, in-person or virtual)
• Contractor Health and Safety Management - Half Day (instructor-led, in-person or virtual)

Work-Site Parties

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Page updated: July 11, 2023