Contractor Sign In

To be completed by the Project Manager and the Contractor with workgroup participation before beginning work. If conditions change during the job, STOP and re-evaluate the task and fill out a new permit.


All contractors must have completed safety orientation within the last year and have a current safety sticker on their helmets. Submission of this form signifies that this step has been completed by all workers on-site for the day the form is submitted.

 

All MMSD and Veolia Construction Safety Requirements must be followed. Copies are available for download at: https://www.mmsd.com/government-business/rules-regulations/safety

 
 
 
 
 
 
 
 
 
 
 
 

Add items to the list to confirm that they have been checked.

 
 

Add items that are used in the job.

 

Add items that are used in the job.

 

Add items that are used in the job.

 

Add items that are used in the job.

 

Please list any potential hazards of the job and the recommended controls that will be used to mitigate risk.

 

This email address will be used to send you a receipt for this form. You are required to keep this receipt throughout the day.

 

By typing your name here you acknowledge that the above-listed information is accurate and complete to the best of your knowledge, and that you will follow Veolia and MMSD safety guidelines.

 

List the full names of all workers that will be on the job today. By typing your name here you acknowledge that the above-listed information is accurate and complete to the best of your knowledge and that you will follow Veolia and MMSD safety guidelines.

 
 

Prior to work Start

All contractors must have completed safety orientation within the last year and have a current safety sticker on their helmets. Submission of this signifies that this step has been completed by all workers on-site for the day the form is submitted.