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Donald E. Haag
Special Projects EH&S
Xerox Corp. Bldg. 0843-16S
800 Phillips Rd
Webster NY 14580
Telephone 716 422 4877 Fax 716 422 6449



Contractor Address

Contact person

Xerox and several of Rochester's major contractor users have partnered with contractors, representatives of labor and the Builder's Exchange of Rochester to create a contractor health, safety and environmental (HSE) prequalification program. The purpose was to provide a program acceptable to all participating contractor users. The program gives consideration to difficulties contractors have in complying with multiple prequalification requirements, with an objective of continued improvement for construction safety.

The concept of a single regional program such as this is being implemented in several areas around the country. Most are specific to an industry such as petro-chemical. This program is intended to provide minimum HSE standards to meet a variety of contractor user needs.

The following packet contains information on the "Contractor HSE Prequalification Program". There is action you must take to retain your existing qualified status.

The program consists of three main components:

  • Contractor Safety Experience (submit attached form)
  • Written Health, Safety & Environmental HSE Program rated at 100%.
  • Minimum Training Requirements (OSHA 10 hour Construction Outreach Program)

Your HSE program should be submitted for evaluation. If your program was accepted by the Eastman Kodak Company, please send me a copy of their acceptance letter when you send your Contractor Safety Experience Form.

The data supplied to me will be entered in the Greater Rochester Area Construction Safety Committee data base. The data base is confidential and will be only accessible to participating Contractor Users or their designees.


Donald Haag,
Xerox Corporation, CSS/EH&S Safety Center
Chairman, Greater Rochester Area Construction Safety Committee



MISSION STATEMENT: To reduce or eliminate accidents, injuries and illnesses for improvement of construction site health and safety.

OBJECTIVE: To create a health and safety program that will satisfy prequalification requirements of regional contractor users and improve the management of health and safety.

BENEFITS: This program provides a mutual benefit to construction workers, contractors and contractor users by setting a common standard for health and safety. The contractor user will have a pool of contractors to choose from that have met established minimum health and safety requirements. Contractors will be able to prequalify at numerous contractor user facilities with a single set of requirements. This will allow the contractor to bid and work at participating contractor user facilities and will help promote consistency and reduce costs.


  • Contractor - Any firm or person who is not an employee of a participating contractor user, who performs work including skilled trades, construction, demolition and renovation at a contractor user owned or leased facility. For purposes of this document, the generic term contractor will be used when referring to those firms or persons.
  • Contractor Employee - A person employed by a contractor who will perform work or services at a contractor user site and has satisfied the Contractor Employee Training Requirements.
  • Contractor User - Any firm who hires a contractor to perform work or services.
  • Health, Safety & Environmental (HSE) Program - A contractor health and safety program which has been submitted and reviewed by the Greater Rochester Area Construction Safety Committee - Contractor HSE Program Review Board and found to meet the program criteria.
  • Contractor HSE Program Review Board - A committee of representatives from local contractor users who review contractor written HSE Programs for acceptability.

REGISTRATION: Participating contractors will be registered with the Greater Rochester Area Construction Safety Committee with the submittal of required health and safety information to the Builder's Exchange of Rochester, 180 Linden Oaks, Rochester, New York 14625

The role of the Greater Rochester Area Construction Safety Committee is to help contractors comply with OSHA requirements and guidelines and ensure the health and safety of their workers at users' sites.

All information supplied by the contractor to the Rochester Construction Safety Committee is reviewed to determine if it adequately addresses the program requirements. The committee makes no assurances as to whether the information is accurate or current. If the contractor user believes more information is necessary, they should contact the individual contractor.


Contractor shall supply information on company safety experience, HSE Program and provide employees with safety training that meets the Contractor Employee Training Requirements.


  • A.  Using the Contractor Experience form (Exhibit A) submit the following information on a yearly basis:
    • Workers compensation Experience Modification Rate (EMR) for the past three years.
    • OSHA recordable incident rate for the past three years.
    • OSHA lost workday incident rate for the past three years.
    • A.  The program must address each topic listed below. HSE programs will be reviewed by the Greater Rochester Area Construction Safety Committee's - Contractor HSE Program Review Board. If the contractor does not perform work that would involve one or more of the stated elements, a statement to that effect is required.
    • B.  If the Review Board finds that an HSE Program addresses the required topics, it will be placed on file for reference with the Greater Rochester Area Construction Safety Committee. If the program is found to be incomplete the contractor will be notified of necessary improvements. The Greater Rochester Area Construction Safety Committee is not endorsing the program, but merely stating that the program adequately covers the below listed topics.
    • C.  Contractors shall notify the Greater Rochester Area Construction Safety Committee of any changes to their program, or to the safety information supplied.
    • D.  HSE Program Topics:

    Company HSE Policy HSE Responsibilities by Job Title Disciplinary Policy & General Safety Rules Substance Abuse Policy Project Safety Plan Employee Exposure Assessment Safety Training Safety Meetings Inspections and Assessments Emergency Plans Accident Investigation & Reporting Housekeeping Subcontractor Safety Hot Work Safety Multi-employer Worksite Policy Lockout Tagout Electrical Safety Confined Space Entry Trenching and Excavations Elevated Work and Fall Protection Vehicle Safety Mobile Equipment Safety Crane Safety Respirator Use Program Hearing Conservation Personal Protective Equipment Hazard Communication Program Asbestos & Lead Management Fire Protection and Prevention Environmental Policy


  • A.  BACKGROUND: Training is an important part of any health and safety program and a requirement of OSHA regulations. A work force knowledgeable of safety hazards and the methods of accident prevention will benefit all parties involved in construction work. The purpose of this requirement is to improve the health and safety environment by having contractor employees skilled in hazard awareness and accident prevention. These requirements are only a minimum standard. They do not represent a complete list of health and safety training that may be required or necessary.

  • B.  TRAINING COURSE: Beginning January 1, 1998 all contractor employees shall have the OSHA 10 hour Construction Outreach Safety Program to include Minimum Training Topics to satisfy the Contractor Employee Training Requirements. The OSHA 10 hour Program is fast becoming the standard for basic safety training in the construction industry. The training course should be tailored to the employees trade for maximum benefit.

  • C.  MINIMUM TRAINING TOPICS: The OSHA 10 hour training class must include the following topics:
    • Hazard Communication
    • Personal Protective Equipment
    • Fire Protection and Prevention
    • Material Handling
    • Hand and Power Tool Safety
    • Electrical Safety to include Lock Out / Tag Out Awareness
    • Fall Protection
    • Ladder Safety
    • Confined Space Awareness
  • D.  ADDITIONAL TRAINING REQUIREMENTS: Other training is required based on the OSHA requirements and the specific hazards and exposures of the trade and task (i.e. Confined Space Entry, Scaffolding, Respirator Use). Contractors will need to assess the hazards their employees will be exposed to and determine the type of additional training necessary.

  • E.  TRAINING IDENTIFICATION CARDS: The OSHA 10 hour Card will serve as the training identification card. The OSHA 10 hour Card must be carried by the contractor employees at all times when working on a contractor user site. Contractor users may ask to see the OSHA card, failure to produce it will result in removal from the site.

  • F.  GRANDFATHERING: Contractor employees who have completed any OSHA 10 hour Construction Outreach Safety Course will be grandfathered into the program.

  • G.  TRAINER QUALIFICATIONS: The trainer must be adequately qualified to perform the training. Trainers must have successfully completed the Train-the-Trainer course, No. 500 and be recognized by OSHA as a Construction Outreach Trainer. Subject specialists can be used when conducting training classes if they are teaching under a qualified trainer.




    CONTRACTOR NAME: _____________________________________________________________________

    ADDRESS & PHONE NO: ______________________________________________________________

    CONTRACTOR CLASSIFICATION (TYPE OF WORK): ____________________________________________

    CONTACT PERSON: ______________________________________________________________________

    Please provide the information requested below for the past three years. Use your companies OSHA 200 form to complete the information on the number of injuries. Attach a copy of the last page of your OSHA 200 with the totals and summary for the Current Year. Submit by 2/15/98 to the Greater Rochester Area Construction Safety Committee c/o Builder's Exchange of Rochester, 180 Linden Oaks, Rochester, NY 14625.

    Category and Explanation


    Current Year 19_____   19_____   19_____
  • Workers Compensation Experience

    Modification Rate (EMR)

  • Number of Total Recordable Injuries and Illness without Lost Workdays
  • Number of Recordable Injuries and Illnesses with Lost Workdays
  • Exposure Hours

    Employee hours worked per year (Do not include non-work hours)

  • Recordable Injury Incident Rate

    To Compute: The number of recordable incidents is multiplied by 200,000 and then divided by the exposure hours.

    *Formula: (B+C) x 200000 / D

  • Lost Workday Incident Rate

    To Compute: The number of lost workday incidents is multiplied by 200,000 and then divided by the exposure hours.

    *Formula: C x 200000 / D


    I certify the information given above is true and correct to the best of my knowledge.

    NAME & TITLE: _____________________________________________________________________________

    DATE: ____________________________________________