Please enable JavaScript in your browser to complete this form.Company Name *Full Legal Company NameContractor Operating NameContact Name *FirstLastEmail *Address and Phone NumbersCurrent Available Capacity (%) 0% Number of Staff (full and part time)Company WebsiteNumber of years in businessCOR CertifiedThe areas of work will be broken down as follows ( Please check areas you are able to service ):Alberta - SouthAlberta - CentralAlberta - NWAlberta - NECheckboxesManitoba - Capital RegionManitoba - Rural SouthManitoba - Rural NorthROHL is seeking companies that can provide one or more of the following services ( Please check which services you are able to provide ):Plowing – BackhaulPlowing – DistributionTrenchingHydrovacDirectional Drilling ( up to 10” casing )Aerial installationSplicing and TestingHandhole InstallationDropsNotes:Please mark each high-risk service that the contractor is offering:AsbestosConfined Space EntryElectrical WorkGround DisturbanceHot WorkPowered Mobile EquipmentPressurized GasWorking at HeightsWorking with Power Tools PPE the contractor will be providing for work:Hard HatSafety Glasses / Goggles / Face Protection / Face ShieldHearing ProtectionSafety Boots (must be CSA Green Triangle & Di-electric Omega, 6” or higher)Protective GlovesFall Arrest Equipment (mandatory at heights 10’ or higher)Personal Floatation Device / Life JacketsTraffic / Reflective Clothing (minimum of Class 2 Level 2)Respiratory Protection (specify type):Confined Space EquipmentFirst Aid KitsSpill KitsOther PPE (please list):Are all work functions completed in house?YesNoIf you answered No above, please indicate for what functions:Submit
