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F <br /> a. SUbcontrsc!or'9 01!A1!h and SafexV 7r0cran wat UA!+t+ <br /> . Name and Address of subcontractor: A r! ^ /�frll� EX /oro��`�� <br /> orf <br /> &&J, <br /> es <br /> Activitito be conducted by subcontractor: 1�rP �D�rSal$If�IO 17y1. :a��UP�r t'I�GP <br /> r' <br /> EVALUATION CRITERIA <br /> Item Acceptable Unacceptable Comments <br /> Medical Program meets OSHA/WESTCH Criteria {)O ( ) <br /> Z Personal Protective Equipment Available; <br /> a, meets OSHA Criteria, <br /> b. is as specified in WLHASP (><) <br /> On-Site Monitoring Equipment Available, <br /> Calibrated and Operated Properiy ( ) ( ) 1/11Gi� Jt1 } rev+r� , h+0 6x.149 eju <br /> 1 Safe Working Procedures Ctearty Specified (Xy ( ) iljn !i& C7U+ {$ nx f+I6 <br /> Y Training meets OSHA/WESTCN Criteria {k) ( ) �is� Rafq G 40,1 <br /> Emergency Procedures ( ) ( ) Will aO LSfans R4SP <br /> Decontamination Procedures ( ) ( y 4/Ji ellovJ SUMS AS? <br /> Generat Health and Safety Program Evaluation 0o ( ) <br /> Additional Comments: beak l�r,9 o,,, -i' AB !!ya/Uflle pr4nr fe <br /> Evaluation conducted by: ! Date: <br /> C. Subcontractor -Will CoMplekG wkcN LJork ►x Ims <br /> Medical Fit Test Training Certification <br /> Name Title Task(s) Current Current Current Level or <br /> I i I Oval. Ouant.l I Description <br /> I _b. I b. I c. <br /> I ! <br /> 6. <br /> ) 1. <br /> I i <br /> 2. <br /> i I <br /> I ! <br /> c, ) <br /> I I <br /> ! i <br /> I I <br /> 24 of 40 <br />