CPCCo Labor Hours Submittal Form

Contractor Labor Hours Submittal

Contractors are required to report the total labor hours worked on the Hanford site in accordance with Special Provisions for On Site Services (SP-5). The information will be used for required contractor labor safety performance reporting. Address questions to the Contract Specialist (CS).

Complete this form and submit it by the due date for each month indicating total labor hours worked only on the Hanford Site (includes government-owned/government-leased facilities or properties).

Reporting Period

Contractor Name & Phone:


Contractor Name	Phone

Submitted by Name
& Email Address:


Submitted by Name	Submitted by Email

CO & BTR


Contracting Officer	BTR

Hours worked by Contract and Release number.
Use a separate form if more than 5

Contract	Release	Hours worked

Employees working on site for all releases:


Total Worker Count	Submission Date

Comments:

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rev. 02/11/2010

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please print and email to: Krista J Paulson


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