Current Closed Date of Violation Status Date, or if Citation Issuing Level (i.e. Brief description of Brief description of actions (Open, Open, or Agency serious, event taken to correct violation(s) Closed, estimated Notice willful) Contested) Close Date INJURY AND ILLNESS INCIDENCE RATE DATA Provide bidder’s *Total Case Incidence TCIR Rates: Rate(s) (TCIR) for the 3 most recent calendar years. Current Rate: _____________ 1 Year Ago: _____________
Date of Citation or Notice Issuing Agency Violation Level (i.e. serious, willful) Brief description of event Brief description of actions taken to correct violation(s) Current Status (Open, Closed, Contested) Closed Date, or if Open, estimated Close Date INJURY AND ILLNESS INCIDENCE RATE DATA Provide bidder’s *Total Case Incidence Rate(s) (TCIR) for the 3 most recent calendar years. TCIR Rates: Current Rate: _____________ 1 Year Ago: _____________