Get Pfizer Contractor

The Pfizer Contractor form is essential for ensuring that subcontractors meet the necessary safety and compliance standards. Completing this form accurately helps facilitate the onboarding process and ensures alignment with Pfizer's safety criteria.

Follow the steps to successfully complete the Pfizer Contractor form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the general information section, provide the prime contractor company name, project title, and project duration by filling in the start and end dates.
3. Navigate to the sub-contractor information section. Enter the sub-supplier company name, contact name, title, email address, and phone number.
4. Specify the type of work the sub-supplier will perform at Pfizer.
5. In the safety section, refer to the OSHA 300 A logs for the last three years. Record the number of injuries and illnesses, ensuring to attach a copy of the OSHA 300A.
6. Complete the table with the total hours worked, number of deaths, and other specified cases from the logs.
7. Fill in the National American Industry Classification System (NAICS) code for the sub-supplier.
8. Next, enter the worker’s compensation experience modification rate (EMR) for the past three years and calculate the three-year average.
9. Indicate whether the sub-supplier has received any OSHA or other regulatory citations in the last three years, and if so, attach copies of the citations.
10. Confirm if the sub-supplier has a written Environmental, Health & Safety program and check the relevant elements included.
11. Designate a safety officer responsible for compliance and provide their name and position.
12. Confirm the presence of a substance abuse program and a criminal background check policy that complies with Pfizer’s policy.
13. Check if the sub-supplier has reviewed and implemented the necessary programs according to Pfizer's requirements.
14. Complete the certification section at the end of the form by having an authorized representative sign and date the document.

Complete the Pfizer Contractor form online today to ensure compliance and safety.