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FFI: Prospective Contractor
General Information
First Name
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Last Name
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Address
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City
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State
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AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
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Phone Number
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Email Address
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Type
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Ad Hoc
Resident
Additional Notes
Role
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Safety
Quality
FFI Form 2.1 - Safety Certifications: Please check all that apply.
OSHA 2264 - Permit-Required Confined Space Entry
OSHA 2264 Expiration Date
OSHA 2455 - Safety and Health Management Program
OSHA 2455 Expiration Date
OSHA 3015 - Excavation, Trenching and Soil Mechanics
OSHA 3015 Expiration Date
OSHA 3085 - Principles of Scaffolding
OSHA 3085 Expiration Date
OSHA 3095 - Electrical Standards
OSHA 3095 Expiration Date
OSHA 3115 - Fall Protection
OSHA 3115 Expiration Date
OSHA 30 - Advanced safety training for construction supervisors and managers
OSHA 30 Expiration Date
OSHA 500 - OSHA Trainer Course in Occupational Safety and Health Standards for the Construction Industry
OSHA 500 Expiration Date
OSHA 501 - Trainer Course in Occupational Safety and Health Standards for General Industry
OSHA 501 Expiration Date
OSHA 510 - Occupational Safety and Health Standards for the Construction Industry
OSHA 510 Expiration Date
OSHA 511 - Occupational Safety and Health Standards for General Industry
OSHA 511 Expiration Date
COSM - Certificate for Occupational Safety Managers
COSM Expiration Date
COSS - Certified Occupational Safety Specialist
COSS Expiration Date
CSHO - Certified Safety and Health Official
CSHO Expiration Date
HAZWOPER - Hazardous Waste Operations and Emergency Response
HAZWOPER Expiration Date
CSST - Construction Site Safety Technician
CSST Expiration Date
CSSS - Construction Site Safety Supervisor
CSSS Expiration Date
CHST - Construction Health and Safety Technician
CHST Expiration Date
CSP - Certified Safety Professional
CSP Expiration Date
STS - Safety Trained Supervisor
STS Expiration Date
OHST - Occupational Hygiene and Safety Technician
OHST Expiration Date
CHMM - Certified Hazardous Materials Manager
CHMM Expiration Date
CHMP - Certified Hazardous Materials Practitioner
CHMP Expiration Date
CDGP - Certified Dangerous Goods Professional
CDGP Expiration Date
CDGT - Certified Dangerous Goods Trainer
CDGT Expiration Date
CSHM - Certified Safety and Health Manager
CSHM Expiration Date
CSMP - Certified Safety Management Practitioner
CSMP Expiration Date
QEP - Qualified Environmental Professional
QEP Expiration Date
CIH - Certified Industrial Hygienist
CIH Expiration Date
CPEA - Certified Professional Environmental Auditor
CPEA Expiration Date
REP - Registered Environmental Professional
REP Expiration Date
REM - Registered Environmental Manager
REM Expiration Date
CESCO - Certified Environmental and Safety Compliance Officer
CESCO Expiration Date
CES - Certified Environmental Scientist
CES Expiration Date
AEP - Associate Environmental Professional
AEP Expiration Date
EOP - Emergency Planning Professional
EOP Expiration Date
LEED Green Associate
LEED Green Associate Expiration Date
Additional Safety Certifications (Please list)
FFI Form 2.2 - Safety Competencies: Please check all that apply.
Safety Auditing
Hazard Identification and Risk Assessment
Safety Policy and Procedure Development
Safety Program Development and Implementation
Emergency Plan Development
Compliance Assessments
Incident Investigation
Root Cause Analysis
Safety Equipment Management
Conduct Safety Meetings
Risk Management
Hazardous Material Safety
Welding and Cutting Safety
Confined Space
Scaffold Safety
Aerial Lift training
Respiratory Protection
Disaster Site Worker training
Fall Protection
Hytorc bolting
Rigging Safety
Performance Maintenance
Forklift Safety
First Aid CPR
First Responder
Fire Protection and Prevention
Excavation Safety
Emergency Response
Rescue
Environmental Auditing
Environmental Monitoring and Assessment
Environmental Analyses
Environmental Procedure Development
Environmental Program Development
Emergency Spill Response
Emergency Spill Clean up
Identify Environmental Issues
Waste Management
Air / Water Quality Assessment
Soil Remediation
Pollution Prevention
Habitat Restoration
Landfill management
Air pollution control and noise abatement
Implementation of Containment systems
SPCC Plan Development
Emissions Monitoring
Bioremediation
Decontamination
Regulatory reports
Additional Competencies (Please list)
FFI Form 2.3 - Quality Certifications: Please check all that apply.
API 510 - Pressure Vessel Inspector
API 510 Expiration Date
API 570 - Piping Inspector
API 570 Expiration Date
API 653 - Above Ground Storage Tank Inspector
API 653 Expiration Date
API 571 - Corrosion and Materials Professional
API 571 Expiration Date
API 577 - Welding Inspection and Metallurgy Professional
API 577 Expiration Date
API 580 - Risk Based Inspection Professional
API 580 Expiration Date
API TES - Tank Entry Supervisor
API TES Expiration Date
API 936 - Refractory Quality Control Personnel
API 936 Expiration Date
API SIEE - Source Inspector Electrical Equipment
API SIEE Expiration Date
API SIFE - Source Inspector Fixed Equipment
API SIFE Expiration Date
API SIRE - Source Inspector Rotating Equipment
API SIRE Expiration Date
API RP 1169 - Pipeline Inspector
API RP 1169 Expiration Date
API QUPA - Qualification of Ultrasonic Testing Examiners (PAUT)
API QUPA Expiration Date
API QUSE - Qualification of Ultrasonic Testing Examiners (Sizing)
API QUSE Expiration Date
API QUTE - Qualification of Ultrasonic Testing Examiners
API QUTE Expiration Date
CAWI - Certified Associate Welding Inspector
CAWI Expiration Date
CWI - Certified Welding Inspector Program
CWI Expiration Date
SCWI - Senior Certified Welding Inspector
SCWI Expiration Date
CWI/SCWI Endorsements - D1.1 Structural Steel
CWI/SCWI Endorsements - D1.1 Structural Steel Expiration Date
CWI/SCWI Endorsements - D1.2 Structural Aluminum
CWI/SCWI Endorsements - D1.2 Structural Aluminum Expiration Date
CWI/SCWI Endorsements - D1.5 Bridge Welding
CWI/SCWI Endorsements - D1.5 Bridge Welding Expiration Date
CWI/SCWI Endorsements - D15.1 Railroad
CWI/SCWI Endorsements - D15.1 Railroad Expiration Date
CWI/SCWI Endorsements - D17.1 Aerospace
CWI/SCWI Endorsements - D17.1 Aerospace Expiration Date
CWI/SCWI Endorsements - API 1104 Pipeline
CWI/SCWI Endorsements - API 1104 Pipeline Expiration Date
CWI/SCWI Endorsements - Welder Performance Qualification
CWI/SCWI Endorsements - Welder Performance Qualification Expiration Date
CWI/SCWI Endorsements - Magnetic Particle Testing (MT Dry Powder Yoke Method)
CWI/SCWI Endorsements - Magnetic Particle Testing (MT Dry Powder Yoke Method) Expiration Date
CWI/SCWI Endorsements - Penetrant Testing (PT Type II- Method C)
CWI/SCWI Endorsements - Penetrant Testing (PT Type II- Method C) Expiration Date
CWI/SCWI Endorsements - ASME Pressure Vessel Section IX, Pressure Piping B31.1 and B31.3
CWI/SCWI Endorsements - ASME Pressure Vessel Section IX, Pressure Piping B31.1 and B31.3 Expiration Date
CWI/SCWI Endorsements - ASME Pressure Vessel Section VIII, Div. 1 and Section IX
CWI/SCWI Endorsements - ASME Pressure Vessel Section VIII, Div. 1 and Section IX Expiration Date
CWI/SCWI Endorsements - Structural Bolting Inspection
CWI/SCWI Endorsements - Structural Bolting Inspection Expiration Date
CWI/SCWI Endorsements - Structural Drawing Reading
CWI/SCWI Endorsements - Structural Drawing Reading Expiration Date
CWE - AWS Certified Welding Engineer
CWE Expiration Date
CIP Level 1 - Coating Inspector
CIP Level 1 - Coating Inspector Expiration Date
CIP Level 2 - Coating Inspector
CIP Level 2 - Coating Inspector Expiration Date
CIP Level 3 - Coating Inspector
CIP Level 3 - Coating Inspector Expiration Date
CP1 - Cathodic Protection Tester
CP1 Expiration Date
CP2 - Cathodic Protection Technician
CP2 Expiration Date
CP2 - Cathodic Protection Technician – Maritime
CP2 - Cathodic Protection Technician – Maritime Expiration Date
CP3 - Cathodic Protection Technologist
CP3 Expiration Date
CP4 - Cathodic Protection Specialist
CP4 Expiration Date
CIP Specialties - Nuclear Specialty
CIP Specialties - Nuclear Specialty Expiration Date
CIP Specialties - Bridge Specialty
CIP Specialties - Bridge Specialty Expiration Date
CIP Specialties - Marine Specialty
CIP Specialties - Marine Specialty Expiration Date
GDTP - Geometric Dimensioning and Tolerancing Professional
GDTP Expiration Date
QRO - Certification for Municipal Solid Waste Combustion Facilities Operator
QRO Expiration Date
QFO - Certification of High Capacity Fossil Fuel Fired Plant (Boiler) Operators
QFO Expiration Date
ANDE - Level III Nuclear inservice NDE Certification
ANDE Expiration Date
NBIC Inspector - National Board commissioned inspector
NBIC Inspector - National Board commissioned inspector Expiration Date
ASQ- CMQ/OE - Certified Manager of Quality/Organizational Excellence
ASQ- CMQ/OE - Certified Manager of Quality/Organizational Excellence Expiration Date
ASQ- CQA - Certified Quality Auditor
ASQ- CQA - Certified Quality Auditor Expiration Date
ASQ- CQE - Certified Quality Engineer
ASQ- CQE - Certified Quality Engineer Expiration Date
ASQ- CQIA - Certified Quality Improvement Associate
ASQ- CQIA - Certified Quality Improvement Associate Expiration Date
ASQ- CQI - Certified Quality Inspector
ASQ- CQI - Certified Quality Inspector Expiration Date
ASQ- CCT - Certified Calibration Technician
ASQ- CCT - Certified Calibration Technician Expiration Date
ASQ- CQPA - Certified Quality Process Analyst
ASQ- CQPA - Certified Quality Process Analyst Expiration Date
ASQ- CQT - Certified Quality Technician
ASQ- CQT - Certified Quality Technician Expiration Date
ASQ- CRE - Certified Reliability Engineer
ASQ- CRE - Certified Reliability Engineer Expiration Date
ASQ- CMBB - Certified Six Sigma Master Black Belt
ASQ- CMBB - Certified Six Sigma Master Black Belt Expiration Date
ASQ- CSSBB - Certified Six Sigma Black Belt
ASQ- CSSBB - Certified Six Sigma Black Belt Expiration Date
ASQ- CSSGB - Certified Six Sigma Green Belt
ASQ- CSSGB - Certified Six Sigma Green Belt Expiration Date
ASQ- CSSYB - Certified Six Sigma Yellow Belt
ASQ- CSSYB - Certified Six Sigma Yellow Belt Expiration Date
ASQ- CSQE - Certified Software Quality Engineer
ASQ- CSQE - Certified Software Quality Engineer Expiration Date
ASQ- CSQP - Certified Supplier Quality Professional
ASQ- CSQP - Certified Supplier Quality Professional Expiration Date
ASNT PT NDT Level II - ASNT Certified Level II - Liquid Penetrant Testing
ASNT PT NDT Level II - ASNT Certified Level II - Liquid Penetrant Testing Expiration Date
ASNT MT NDT Level II - ASNT Certified Level II - Magnetic Particle Testing
ASNT MT NDT Level II - ASNT Certified Level II - Magnetic Particle Testing Expiration Date
ASNT VT NDT Level II - ASNT Certified Level II - Visual Testing
ASNT VT NDT Level II - ASNT Certified Level II - Visual Testing Expiration Date
ASNT RT NDT Level II - ASNT Certified Level II - Radiographic Testing
ASNT RT NDT Level II - ASNT Certified Level II - Radiographic Testing Expiration Date
ASNT ET NDT Level II - ASNT Certified Level II - Electromagnetic Current Testing
ASNT ET NDT Level II - ASNT Certified Level II - Electromagnetic Current Testing Expiration Date
ASNT UT NDT Level II - ASNT Certified Level II - Ultrasonic Testing
ASNT UT NDT Level II - ASNT Certified Level II - Ultrasonic Testing Expiration Date
ASNT 9712 PT Level II - ASNT Certified ISO 9712 Level II - Liquid Penetrant Testing
ASNT 9712 PT Level II - ASNT Certified ISO 9712 Level II - Liquid Penetrant Testing Expiration Date
ASNT 9712 MT Level II - ASNT Certified ISO 9712 Level II - Magnetic Particle Testing
ASNT 9712 MT Level II - ASNT Certified ISO 9712 Level II - Magnetic Particle Testing Expiration Date
ASNT 9712 VT Level II - ASNT Certified ISO 9712 Level II - Visual Testing
ASNT 9712 VT Level II - ASNT Certified ISO 9712 Level II - Visual Testing Expiration Date
ASNT 9712 RT Level II - ASNT Certified ISO 9712 Level II - Radiographic Testing
ASNT 9712 RT Level II - ASNT Certified ISO 9712 Level II - Radiographic Testing Expiration Date
ASNT 9712 ET Level II - ASNT Certified ISO 9712 Level II - Electromagnetic Current Testing
ASNT 9712 ET Level II - ASNT Certified ISO 9712 Level II - Electromagnetic Current Testing Expiration Date
ASNT 9712 UT Level II - ASNT Certified ISO 9712 Level II - Ultrasonic Testing
ASNT 9712 UT Level II - ASNT Certified ISO 9712 Level II - Ultrasonic Testing Expiration Date
ASNT PT NDT Level III - ASNT Certified Level III - Liquid Penetrant Testing
ASNT PT NDT Level III - ASNT Certified Level III - Liquid Penetrant Testing Expiration Date
ASNT MT NDT Level III - ASNT Certified Level III - Magnetic Particle Testing
ASNT MT NDT Level III - ASNT Certified Level III - Magnetic Particle Testing Expiration Date
ASNT VT NDT Level III - ASNT Certified Level III - Visual Testing
ASNT VT NDT Level III - ASNT Certified Level III - Visual Testing Expiration Date
ASNT RT NDT Level III - ASNT Certified Level III - Radiographic Testing
ASNT RT NDT Level III - ASNT Certified Level III - Radiographic Testing Expiration Date
ASNT ET NDT Level III - ASNT Certified Level III - Electromagnetic Current Testing
ASNT ET NDT Level III - ASNT Certified Level III - Electromagnetic Current Testing Expiration Date
ASNT UT NDT Level III - ASNT Certified Level III - Ultrasonic Testing
ASNT UT NDT Level III - ASNT Certified Level III - Ultrasonic Testing Expiration Date
ASNT 9712 PT Level III - ASNT Certified ISO 9712 Level III - Liquid Penetrant Testing
ASNT 9712 PT Level III - ASNT Certified ISO 9712 Level III - Liquid Penetrant Testing Expiration Date
ASNT 9712 MT Level III - ASNT Certified ISO 9712 Level III - Magnetic Particle Testing
ASNT 9712 MT Level III - ASNT Certified ISO 9712 Level III - Magnetic Particle Testing Expiration Date
ASNT 9712 VT Level III - ASNT Certified ISO 9712 Level III - Visual Testing
ASNT 9712 VT Level III - ASNT Certified ISO 9712 Level III - Visual Testing Expiration Date
ASNT 9712 RT Level III - ASNT Certified ISO 9712 Level III - Radiographic Testing
ASNT 9712 RT Level III - ASNT Certified ISO 9712 Level III - Radiographic Testing Expiration Date
ASNT 9712 ET Level III - ASNT Certified ISO 9712 Level III - Electromagnetic Current Testing
ASNT 9712 ET Level III - ASNT Certified ISO 9712 Level III - Electromagnetic Current Testing Expiration Date
ASNT 9712 UT Level III - ASNT Certified ISO 9712 Level III - Ultrasonic Testing
ASNT 9712 UT Level III - ASNT Certified ISO 9712 Level III - Ultrasonic Testing Expiration Date
ASNT IRRSP - Industrial Radiography Radiation Safety Personnel
ASNT IRRSP - Industrial Radiography Radiation Safety Personnel Expiration Date
Additional Quality Certifications (Please list)
FFI Form 2.4 - Quality Product/Equipment Inspection or Hands On Experience: Please check all that apply.
Boilers/Fired Heaters
Castings/Forgings
Downhole Equipment
Drill rigs/rig eq./pump jacks
Drilling Equipment
FRP/Plastic materials
Heat Exchangers
Hoses/flanges
Lifting Devices: Crane/hoist/derrick
Machines - General
Oil country tubular goods (OCTG)
Pressure vessels
Dimensions (using measuring tools)
Rotating equipment / Pumps
Skid mounted – mechanical
Structural steels
Subsea
Tanks/vessels
Turbine – gas/steam
Umbilicals & Flexibles
Valves, piping & fittings
Wellhead equipment
Supplier/Factory Audit
Pre-shipment Inspections
Marine Inspections
Wind Farm
Cables/wires/insulators
Batteries
Blowers/fans1
Communication systems
Control Panel/ centres
Generators/E-motors
Heating, Ventalation, AC
Instrumentation & Control Systems
Metering equipment/skids
Skid mounted – electrical
Switchgear/relays/MCC
Transformers
Solar Farm
Files & Documents
CV/Resume
Certification Files
Driver's License
TWIC Card (if applicable)
Work History
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