Contractor Environmental, Health & Safety Record

(form HSF4-4.4.2-4)

Waupaca Foundry, Inc.

Review of Visitor Video

Risk Management Hierarchy

Behavior Based Safety

Injury / Incident Reporting

Emergency Planning / Response

Scaffolds, Aerial Lifts, Ladders

Fall Protection

Energy Control & Lockout

Safety Data Sheets (SDS)

Personal Protection Equipment (PPE)

Security / Sign in & out / Parking

Purpose / Scope of Contractor Program

CAST Policy


Bloodborne Pathogens

Confined Space Entry

Demolition Work

Fire Protection / Hot Work

Powered and Non-powered hand tools

Air / Water Emissions

Signs / Signals / Barricades

Equipment Loan Agreements

ISO 45001 / ISO 14001 / ISO 50001

Pre Job Meetings

Hoist and Cranes

Excavation / Trench Work

Electrical Safety & NFPA 70E

Hazardous Chemicals / Spills

Hazard Communication SDS

Railroad Safety

Insurance Requirements

Hot Zone Review

HR Policy Review: Affirmative Action, Harassment Policy, Union Officials, Workplace Violence, Drug Testing, Smoking Areas

I have participated in and understand the requirements of the Waupaca Foundry, Inc. contractor program as outlined above.

Name of Contract Employee(s) completing the training: