Contractor Pre-Qualification

Before You Begin

Please have the following documents ready to upload:

WSIB/EHS Certificate of Clearance
Certificate of Insurance
Health & Safety documentation (optional)

General Information

Company Name *

Address *

City / Province *

Postal / Zip Code *

Telephone *

Fax

Email *

Website

Parent Company (if applicable)

Parent Company Name

Address

City / Province

Postal Code

Telephone

Fax

Organizational Information

Type of Business *

Years in Business *

Years Under Current Management *

Describe the Services Offered *

List Officers & Titles *

Is your company a subsidiary, affiliate, or joint venture? *

Yes No

If Yes, Please Explain

Financial

Is your firm bonded? *

Yes No

If Yes, Name of Bonding Company

Name of Insurance Company *

Has your firm ever failed to complete a contract? *

Yes No

Are there any judgments, claims, or suits pending? *

Yes No

Health & Safety

Incident Statistics

Incident Type	This Year	Last Year	2 Years Ago
Medical Aid (No Lost Time)
Medical Aid (Lost Time)
Fatalities

Inspections & Audits

Do you conduct H&S inspections? *

Yes No

Do you review/audit your H&S program? *

Yes No

Corrective action process for H&S deficiencies? *

Yes No

Insurance & Pre-Qualification

3rd Party Contractor Registration System Member?

Yes No

If Yes, Which Ones?

Contractor Agreement

Download our contractor health & safety agreement, sign, and upload below.

Download Agreement (PDF)

Signed Agreement *

WSIB *

Please upload your WSIB records.

Insurance *

Please upload your insurance documents.

Form 1000

Please upload a Form 1000, if applicable.

Program Manual *

Please upload your Health & Safety program.

Hazard Identification Form *

Please upload your primary hazard identification form (FLHA, JSA, etc.).

Additional Documents

Upload any additional documents.

We will review your application and contact you within 3-5 business days.

Before You Begin

General Information

Parent Company (if applicable)

Organizational Information

Financial

Health & Safety

Incident Statistics

Programs & Procedures

Inspections & Audits

Insurance & Pre-Qualification

Contractor Agreement

Application Submitted