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BUSINESS PARTNER & VENDOR QUESTIONNAIRE
RESOURCE ENVIRONMENTAL SOLUTIONS

General Information

GENERAL INFORMATION

Remittance Information

REMITTANCE ADDRESS & CONTACT

ACH PAYMENT INFORMATION

Sustainability Information

SUSTAINABILITY QUESTIONS

Socioeconomic Statuses

SOCIOECONOMIC STATUSES

Safety Qualifications

ORGANIZATION’S PROFESSIONAL SAFETY/EHS CONTACT

SAFETY AND HEALTH PROGRAM

DRUG FREE WORKPLACE PROGRAM

FLEET & DOT PROGRAM

WORKERS’ COMPENSATION EXPERIENCE MODIFICATION RATE

List your Organization’s Workers’ Compensation Experience Modification Rate (EMR) for each of the last 3 years.

ORGANIZATION'S TOTAL RECORDABLE INCIDENT RATE

If applicable, please list your Organization’s Total Recordable Incident Rate for each of the last 3 years.

ACCIDENT AND ILLNESS STATISTICS

OSHA CITATIONS

EHS&S Code of Conduct

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