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APPLICATION FOR MEMBERSHIP

IN THE
AMERICAN BIO-RECOVERY
ASSOCIATION


American Bio-Recovery Association
P.O. Box 828
Ipswich, MA 01938
1-888-979-ABRA (2272)
www.americanbiorecovery.com


Membership in ABRA requires that the member will subscribe and agree to abide by ABRA's Code of Ethics and By-Laws, as they are now, or as they may be amended and all Rules,
Regulations and / or Policies that are now in effect or may be approved and adopted by the membership or the Board of Directors. Members also
agree to meet all financial obligations promptly as they become due.

Active Members are companies,
corporations, firms, proprietorships,
partnerships who are actively providing bio-recovery services. Please complete application pages 1 & 2 and submit required plans and papers.

Associate members are all others who have an interest in the bio-recovery industry. Please complete 1st half of application only.

Annual Dues: 2006 - $250
Annual Dues:
2007 - $325
Annual Dues:
2008 - $400
Plus a non-refundable one-time
$50.00 processing fee.

Upon receipt of membership dues and the one time processing fee, a welcome packet and plaque will be mailed to you.

 

as

Membership Application – Click One
Active Associate

Company:

Representative:

Title:

Street Address:

City:                             State:                            Zip:

Phone Number:          Extension:

Fax Number:

E-mail Address:

Number of Employees:

In Business since:

Check this box if company has multiple office locations
Please list additional locations:





 

 


Active member application requirements include submitting copies of the BBP Exposure
Control Plan, Respiratory Protection Plan, Hazard Communications Plan, insurance
requirements, medical waste disposal agreement and company work experience as well as completion of the following:
  1. Within the first year of membership, at least one principal of the active membership
    company must become an ABRA certified technician.

    .
  2. It is the ABRA policy that any false statements on the application could result in
    revocation of membership without refund.

    .
  3. By completing the ABRA application you agree to observe and abide by the ABRA
    Code of Ethics.

    .
  4. By completing the ABRA application you affirm that your company holds all required
    permits and licenses required to conduct bio-recovery in their location(s).

    .
  5. Please include a list of Associations or Organizations of which you are a member.
    .
  6. Please list all Certifications,( HAZWOPER, HAZWOPER Supervisor, Asbestos, Lead
    Mold, other
    ) held by principals and employees.

    .
  7. Please list all Certifications,( HAZWOPER, HAZWOPER Supervisor, Asbestos, Lead
    Mold, other
    ) held by principals and employees.

    .
  8. Has your company received any inspections from a regulatory agency during the last
    three (3) years? YES ? NO ? If yes, please provide details:

    .
  9. Has your company received any citations from a regulatory agency during the last
    three (3) years? YES ? NO ? If yes, please provide details:

    .
  10. Are all the documents pertaining to this questionnaire available for auditing upon
    request               YES ? NO ? If No, please provide details:

    .
  11. Does your company have scheduled, documented employee safety meetings?
                                YES ? NO ? If yes, how often:

    .
  12. Does your company hold documented on site (tailgate/toolbox) safety meetings?
                                YES ? NO ? If yes, how often:

    .
  13. Does your company perform documented job safety analysis (JSA)?
                                YES ? NO