OMB control number

Contractor Safety

OMB 1910-5203 · DOE/DOEOA.

OMB 1910-5203

The information collected in these documents is used to track and manage contractor safety programs and ensure that all safety measures are in place for work that is inherently risky. This collection is necessary to comply with OSHA safety regulations for contracted workforce.

The latest form for Contractor Safety expires 2027-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form BPA F 5480.28e Contractor Safety Form
Supporting Statement Contractor Safety- Final.docx Supporting Statement A
30-day FRN 11-14-22.pdf Supplementary Document
60-day FRN 8-30-22.pdf Supplementary Document
Contractor Safety Form

All Historical Document Collections

202301-1910-001

Approved without change

New collection (Request for a new OMB Control Number)

2023-01-10