Morenci Contractor On-boarding Packet

Packet must be filled out completely and returned to Toni Vega at [email protected]

Project Name:
Morenci Contact Information

Department: Project Start Date: Project End Date:

Project Manager: Safety Rep:

CCS: Environmental Rep:

Department/area special considerations (example: pit driving, H2S, respirator, etc.):

Scope of Work Summary

Scope of Work:

Contractor Information
Contractor Name: Contractor Primary Contact:

Contractor Emergency Contacts (Name, Title and Phone Number):

Contractor Off-Site Medical Care Facility:

Contractor Provided Training

Indicate all training provided and documented to employees:

☐ Confined Space ☐ Hoisting/Crane/Rigging

☐ Hot Work ☐ Working from Heights
☐ Lockout/Tagout/Tryout ☐ Pre-job Hazard Recognition

Freeport-McMoRan Health and Safety Policies: https://fcx.com/suppliers/tools-for-suppliers#

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 Contractor Contact Information Sheet
Company Name: MSHA ID #:

Corporate Physical Address:

Street City State Zip Code
Corporate Mailing Address:
Street City State Zip Code

Project Information
Project #: Contract #:

Type of Work: Area Working:

FMI Contact:

Training
Company MSHA Training Plan: Yes No
(if yes, please provide information below; if no, move to next section).

Approved Instructors Name(s)/Organization Instructor’s MIN. Number

Corporate Contacts
Title Name (First, MI, Last) Phone # Cell Name
Phone(First,
# MI, Email Address

Owner/President

Safety Contact

Office Contact

On-Site Management
Local Office Information:

Title Name (First, MI, Last) Phone # Cell Phone # Email Address

Expected number of employees coming on-site:

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 Fatal Risk Management
Please check the fatal risks that are associated with the scope of work:

Blasting Confined Space Drowning Entanglement or Exposure to Hazardous Exposure to Hazardous

Crushing Substances - Acute Substances - Chronic

Contact with Fall from Falling Objects Fire Ground Failure Lifting
Electricity Heights Operations

Rail Collision Rail Impact Uncontrolled Release Vehicle Collision Vehicle Impact
on Person of Energy or Rollover on Person

Define the hazards associated with this job:

How will identified risks be mitigated:

For any projects with 24/7 work or shifts greater than 8 hours, how will you address employee fatigue:

Freeport-McMoRan Health and Safety Policies: https://fcx.com/suppliers/tools-for-suppliers#policy

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 MORENCI INC.
HEALTH & SAFETY FORM

Quarterly Drug & Alcohol Report

On a quarterly basis, the Contractor shall provide information on their drug and alcohol
testing processes and program which details:

Company/Contractor Name:
Name of consortium Company uses (if applicable):
Name of MRO:
Company representative responsible for managing program:
Frequency of random testing:

Note: The contractor shall not submit any confidential information of the individuals who have been
or are subject to testing.

Form must be completed by end of each quarter and forwarded to

Contractor Management

PLEASE CHECK THE REPORTING QUARTER:

First Quarter (Jan – Mar) Number of persons tested: Number of non-negatives:
Second Quarter (Apr – Jun) Number of persons tested: Number of non-negatives:
Third Quarter (Jul – Sep) Number of persons tested: Number of non-negatives:
Forth Quarter (Oct – Dec) Number of persons tested: Number of non-negatives:

PERCENTAGE OF EMPLOYEES TESTED:

First Quarter (Jan – Mar) Percentage YTD 2022:
Second Quarter (Apr – Jun) Percentage YTD 2022:
Third Quarter (Jul – Sep) Percentage YTD 2022:
Forth Quarter (Oct – Dec) Percentage YTD 2022:

Signature of person completing this form:

Printed Name:

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 Morenci Contractor Access Authorization Form
All Employee Information fields are required – form cannot be processed if incomplete
Contractor Company Name: Mine ID:
Subcontractor? Yes ☐ No ☐ If Yes, Prime Contractor:
Project Name: FMI Project Manager:
Contractor Company Contact #1 Contractor Company Contact #2
Name: Name:
Job Title: Job Title:
Phone: Phone:
Email: Email:
• Current and prior-year MSHA 48 5000-23 documents must be submitted with this form for each employee listed below
• Employees will not be allowed on site until they have been cleared for Site Access and current MSHA documents have been verif ied
• Upon verification, the Training Department will send applicable training details to the email addresses provided above
Employee Information Contractor Management Use
DOB Start Date Bad ge MSHA HRT/ Head
Agreement Number Last Name Middle Name First Name Email Address Phone MM/DD MM/DD/YY YY Type Employee ID Par t 48 SS Sho t DL/ID

☐ ☐ ☐ ☐
☐ ☐ ☐ ☐
☐ ☐ ☐ ☐
☐
☐

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 Morenci Subcontractor Approval Form
All proposed subcontractors must be approved by Morenci Global Supply Chain prior to start of work

Will Subcontractors be used on this project?

☐ Yes (if Yes, complete the remainder of this form)
☐ No (if No, skip to the next page)

Proposed Subcontractors:
Company Name Type of Work Contact Person Phone

If a proposed Subcontractor does not have a current Contractor Certification on file at Freeport-McMoRan Morenci,
they will be required to complete the Contractor Certification packet for review in order to be considered for approval.

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 Independent Contractor Environmental Contact Person(s)

Full Company Name: Date:

Street Address: P.O. Box:
City: State: Zip:
Phone Number: Fax:

List ALL individual(s) that will be present at the Morenci site – if more than one
individual will be responsible for site crew(s), meetings, etc., complete multiple sheets

Contact Person Information:

Name:
Title:
Phone Number:
Fax Number:
Cell Number:
After Hours Number:
E-mail Address:

The environmental contact person is not required to be a full -time environmental

specialist; however, they are required to be the main point of contact for the Morenci
Environmental Services Department. The environmental contact person will be
responsible for possessing and maintaining a working knowledge of the Morenci
Envionmental Best Management Practices, Training Requirements, and Other
Requirements established by Freeport-McMoRan Morenci Operations. Additionally, they
will assist the Morenci Environmental Services Department with all environmental issues
in their areas.

The environmental contact person will receive environmental information to educate their
personnel and will also be responsible for ensuring that all necessary environmental
information is passed on to their supervisors, employees, and any other personnel that
are deemed as necessary.

Please complete this form and return it with the Contractor Onboarding Packet. This form
should be updated when there is a change in personnel or contact information.

Enviro Services Approved By:

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 Independent Contractor Data Information Sheet

Full Company Name: Date:

Street Address: P.O. Box:
City: State: Zip:
Phone Number: Fax:

Completed By:
Title:
Email:

Service or Activity to be performed

Please indicate all activities that will be performed by your company.

Material/Chemical
Solvents Lubricants, Oils, Grease
Cleaners
Cleaners Janitorial
Treatment Chemicals Gases
Maintenance
Maintenance Chemicals
Chemicals Other
(if checking other, fill-in with description

Facilities/Construction descripipttioionn)

Electrical General Contractor

Mechanical Roofing
Structural Other
HVAC (if checking Other, fill-in with description)

Industrial Services
Maintenance Environmental Consulting
Janitorial Roofing
Structural Other
Engineering (if checking Other, fill-in with description)

Spray Painting/Abrasive Blasting

Architectural Equipment
Haul Trucks Other
(if checking Other, fill-in with description)

Environmental Management System Expectations

Please review each of the following Environmental Management System Expectations and initial in the
space provided to acknowledge that your organization understands the requirements and intends to
ensure compliance by all independent contractor employees and subcontractors.

Enviro Services Approved By:

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 Environmental Compliance
Identify all Environmental, Land, and Water Risks

Air Quality/Dust Control

Yes ☐ No ☐ Will controls be needed to manage fugitive dust?
Yes ☐ No ☐ Will the project involve abrasive blasting or large scale spray painting?
Yes ☐ No ☐ Does the project involve any demolition or renovation work?

Water
Yes ☐ No ☐ Will the project involve any drilling into the ground?
Yes ☐ No ☐ Will there be changes to any tanks or secondary containment (contents, size, location, etc.)?
Yes ☐ No ☐ Will the project disturb any undisturbed/native ground?
Yes ☐ No ☐ Will the project bring or build new tanks in the property containing petroleum products or any other
hazardous material?
Yes ☐ No ☐ Will the project modify any water dams or stormwater controls?

Waste
Yes ☐ No ☐ Will the project generate General Waste (Industrial, lunchroom, recycling)?
Yes ☐ No ☐ Will the project generate Hazardous Waste (aerosol cans, paint, chemicals)?
Yes ☐ No ☐ Will the project generate Universal Waste (batteries, lamps, mercury-containing equipment, pesticides)?
Yes ☐ No ☐ Will the project generate Electronic Waste (circuit boards)?
Yes ☐ No ☐ Will the project generate Scrap Metal?
Yes ☐ No ☐ Will the project generate Special Waste (petroleum contaminated debris/soil, asbestos, lead paint, PCBs)?

Chemicals
Yes ☐ No ☐ Will the project require any petroleum product in quantities of 55 gallons or more?
Yes ☐ No ☐ Will this project require any chemicals to be brought on site? (If yes, see below*)

Chemical Approval
• Please complete the Chemical Approval table with all chemicals to be used on site (page 4)
• All products/chemicals brought onto Company property MUST have an approved Safety Data Sheet (SDS)
• All SDS must meet GHS Standards and be most recent revision from manufacturer
• SDS sheets must be approved by Environmental and Health & Safety prior to the start of the job
• Review of proposed chemicals will take place upon contract award

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 Morenci Chemical Approval Form
If you are not bringing chemicals
on-site, check this box
All chemicals must be approved prior to the start of the job – please provide all corresponding SDS forms ✔
Contractor Use Morenci Use Only

Max on ENV H&S

Product Name Manufacturer UOMM ax on Site
U OM ChemicalApplication/Use
Chemical Application/Use Comments
Site Approval Approval

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 SDS File Number:
MORENCI INC. Reporting Date:

Environmental TRI Quarterly Reporting Form

Contractor Information (Please Print):
Company/Contractor Name:
Product Name:
Manufacturer:
Location/Purpose:
MSDS Product Requestor:

Form must be completed at the end of each quarter and forwarded to

Morenci Environmental Services.

PLEASE CHECK THE REPORTING QUARTER:

First Quarter (January – March)
Second Quarter (April – June)
Third Quarter (July – September)
Forth Quarter (October – December)

Quantity Unit of Measure Container Size

Instructions: Fill out the company/contractor name, the product name, manufacturer name,
and location that the product is used. Check the appropriate quarter that is being reported for
and then indicate the quantity and units of measure for the product which was used during the
reporting quarter. Send a copy of the completed form to Morenci Environmental Services
by the 15th of the month following the close of the quarter.

Signature of person completing this form:

Printed Name:

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 MORENCI INC.
ENVIRONMENTAL FORM

General Project Air Emissions Control Form

(must be completed in ink and legible)

Date of project: Duration of Project:

Project location:
Project/Work Order #:

Contractor Information
Contractor Name:
Contact Name: Phone:

FMMI Employee Information

FMMI Employee Name:
Department/Division: Phone:
Type of Emission Control Measures Used:
(check all control methods that apply to this project)

Application of water Vacuuming

Application of wetting agents Wind Fencing

(i.e. sufactants)
Enclosures
Minimizing material drop height
Dust suppressants
Optimizing blast patterns
Other good modern practices
Limiting vehicle speed (if unsure contact Enviro Services for guidance)

Controlling vehicle access High volume low-pressure spray guns

Airless spray techniques

After completion original must be returned to Environmental Services – Air Quality Group.

Contact Environmental Services with any questions at (928) 865-6000

Environmental Services Personnel Reviewed

(Initial)

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 Certification of Information
Contractor must agree to all requirements below

Contractor certifies that all safety policies meet or exceed the Freeport-McMoRan policies

Contractor agrees that all policies will be available to their employees while on site

Contractor agrees that all documents (safety policies, 5000-23's, Hazard Recognition Cards/
5000-23's, and training plan) will be accessible to employees on site either digitally or in a binder
at all times
Contractor certifies that they have an MSHA approved training plan, or can provide third party
documentation.

Contractor certifies that they have a submitted a Health Safety, and Environmental Plan
(HSEP) that has been approved by the Project Manager. A template for this plan is provided
on pages 16-18 of the Contractor Safety Manual

Contractor certifies that if situations or requested services significantly change from original
scope of work (such as risks, hazards, required training, chemicals/environmental aspects) a new
safety plan must be submitted by the contractor to the Project Manager and Health & Safety.

Signature

Name

Date

Return completed packet to Toni Vega at [email protected]

Revision 1.0 Page 13