Instructions:Please answer all questions.If the questions does not apply to your business answer not applicable.(NA)
ADDITIONAL GENERAL INFORMATION Is the applicant a subsidiary of another entity or have any subsidiaries?
Is the applicant engaged in any other type of business?
Does the applicant get involved in any of the following operations?
Dam construction, including cofferdams and caisson building
Levee or breakwater construction
Subway or Tunnel construction
Asbestos abatement work
Trucking-interstate or transporting or disposing of hazardous waste
Chemical, petrochemical process, oil/gas well and nuclear work
Occupational disease exposure
Underground or coal mining of any type
Wrecking or demolition of structures, vessels, or buildings exceeding twostories in height
Rocket or missile testing or launching
Sawmills or logging
Window cleaning in excess of two stories
Bridge construction or painting
Steel erection in excess of two stories
Scaffolding-leasing, erection, or repair
Sand or gravel digging
Pesticide operations involving fumigation or tenting
If so, how high and is tie off equipment used?
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