Prequalification Page

It is our policy to ensure that all subcontractors have been pre-qualified before we issue contractual agreements. This information will be good for two (2) years at a time, which helps with any work you may be awarded from Millie and Severson, Inc.

Documents

Please fill out the attached Prequalification and submit all the following documents to the appropriate individuals listed below:

Prequalification forms to prequal@mandsinc.com

Prequalification Form

Download

Cal_OSHA Employee Access to Injury and Illness Prevention Program

Download

California Code of Regulation, Title 8, Section 5141.1 Protection from Wildfire Smoke

Download

Cal_OSHA Workplace Violence Prevention for General Industry (Non-health Care Settings)

Download
In addition, we need your Safety information (qualified annually). Submit the following documents electronically to our safety department at safety@mandsinc.com.

Injury Illness Prevention Plan (IIPP)

Note: IIPP needs to include the 8 required IIPP elements – Responsibility, Compliance, Communication, Hazard Assessment, Accident/Exposure Investigation, Hazard Correction, Training, and Instruction,  Record Keeping and Accessibility (for accessibility reference CCR Section 3203 (a); attached for reference), Employee Access to the IIPP,  Semi-Permanent Wildfire Smoke Plan (CCR Section 5141.1) and Workplace Violence Prevention Plan  (CLC Section 6401.9)

DIR Website Link for Injury Illness Prevention Plan

View Link

DIR Website Link for Employee Access to Injury and Illness Prevention Program

View Link

Semi-Permanent Wildfire Smoke Plan

View Link

Workplace Violence Prevention

View Link

Heat Illness Prevention Plan (HIPP)

Note: HIPP needs to be the current standard and list high trigger temperature as well as high heat procedures – refer to CCRT83395

DIR Website Links for Heat Illness Prevention Plan

View Link

EMR

Note: If your EMR is over .90 we require a letter from your insurance company stating why the EMR is so high and what steps are being taken to mitigate those issues

OSHA

OSHA Annual Permits for trench and excavations, scaffolding, and demolition for work over 36’, if applicable.

Submission of this current information is required for you to conduct business with Millie & Severson and Storie & Severson Construction.  If you require additional information, please send an email to prequal@mandsinc.com or you can contact the Safety Director: Ronnie Galvan at (951) 660-8389. 

Note our review and approval of your submissions does in no way constitute compliance with Cal OSHA, OSHA, or any regulatory agency.

License # 99031

Corporate Headquarters

3601 Serpentine Drive
Post Office Box 3601
Los Alamitos, CA 90720
(562) 493 3611

All Locations
@ 2024 Millie and Severson
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