| Contractor Report Form |
| Questions marked by * are required. |
| 1. |
Your Local Number: *
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| 2. |
Name of Contractor (Signage): *
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| 3. |
Contractor address:
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| 4. |
Telephone or website address: *
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| 5. |
Number of Contractors: *
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| 6. |
Performing specifically what work:
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| 7. |
Were they wearing work area protection and following state
and/or federal laws such as OSHA? Explain:
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| 8. |
What type of interaction(s) with represented Qwest employees
or managers: *
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| 9. |
Do they use their own tools, equipment and materials or are
they supplied by CenturyLink? Explain: *
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| 10. |
Date and Time of observation(s): *
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| 11. |
Your personal Email address If you wish the answers to the
questions sent to you:)
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| 12. |
Click here to upload pictures. (Please have file no larger
than 8 megs):
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