Pre-Qualification Questionnaire

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1 K&B Builders (South West) Limited Grosvenor Lodge Peacemarsh Gillingham Dorset SP8 4EU T : E : kbbuilders.office@gmail.com Pre-Qualification Questionnaire K&B Builders work in a wide range of sectors specialising in most sections of construction and have experience in working for various prestigious companies in both the commercial and public sectors. Engaging new suppliers and subcontractors in key trades is one of our central business strategies, we are committed to a structured supply chain management program and are constantly looking for ways to improve the service to our clients. In order to meet our statutory obligations and to help achieve the perfect delivery of our projects, K & B pre-qualify the safety, environmental and quality arrangements of all our subcontractors. We therefore ask you to provide us with the information requested on our attached Subcontractor Questionnaire as part of this pre-qualification process. This has been developed to respond to the Health & Safety at Work Act 1974, the CDM Regulations Please can you fill in the attached document and return together with copies of your Insurance, Health & Safety Policy and any Training Certificates for evidence of competency. These records form part of our annual health check. If you have an SSIP Registered Member accreditation such as CHAS/ Safecontractor then we ask for any certificates for proof of this. Please return all pre-qualification questionnaires by to for the attention of Ben Francis. Hard copy attachments will be accepted, although if you can return electronically, please do so. Where possible information should be provided in the order listed on the Pre-Qualification Questionnaire. Once you have successfully completed the process you will be included on our Approved Subcontractor Database. We may contact you again to request additional information if further clarification is required. All information must be received prior to commencement on any K&B Builders project.

2 Pre-Qualification Questionnaire In order for you to become / remain an approved subcontractor can you please complete this questionnaire and return as soon as possible. Part 1 SUBCONTRACTOR DETAILS Name Address Telephone number Mobile Service supplied Please provide copies of the following documents (Please tick included items) 1. Current Employer s Liability Insurance 2. Current Public Liability Insurance 3. Your Health and Safety Policy 4. Any other trade or industry accreditation QUALITY & ENVIRONMENTAL Do you have a dedicated Quality & Environmental department? / If yes, how many people work within this department? If no, who Is responsible for the quality control within the Company Do you hold UKAS BS EN ISO 14001:2004 or another approved environmental standard? / Do you hold UKAS BS EN ISO 9001:2008 or another approved quality standard? / If please return a copy of the relevant certificates and complete questions within Part 1 and then only answer question If you have 5 employees or under only fill out part 1 and only question If please fully complete part 1 and part 2 of our questionnaire

3 TRAINING AND AWARENESS HEALTH & SAFETY HOW IS THIS ACHIEVED Have persons responsible for Health & Safety matters been trained to an appropriate level? Are your operators trained in Health & Safety? If so what training have your workforce had? Does your company make its workforce aware of Health & Safety policy issues? Are Contractors to you, or working on your behalf, briefed on health and safety matters? HEALTH & SAFETY Does your company complete Risk Assessments for Operations? Is your company compliant with all relevant Health & Safety Legislation? / / How many lost time accidents or reportable accidents and incidents has your company had in the last 3 years? PLEASE PROVIDE RIDDOR RECORDS WHERE APPROPRIATE Does your company use an external resource for provision of Health & Safety Advice? IF SO PLEASE PROVIDE INFORMATION / REFEREES Please supply two referees for quality of work supplied or performed Referee 1 Referee 2 Company Contact Name Address Telephone number

4 Part 2 Please circle the appropriate answer to the following questions. 2.1 Does the company have a formal quality/environmental policy, which is defined by a written procedure? 2.2 Is there an Organisation Chart available? 2.3 Are Management Reviews of the Quality and/or Environmental Systems carried out? 2.4 Is there an appointed Management Representative who has authority to resolve all matters pertaining to quality and/or environmental issues? 2.5 Does the management review contracts and maintain records of the reviews? 2.6 Do you control the issuing of operational documentation and the revision of this documentation? 2.7 Do you assess your suppliers in terms of product and quality and maintain records which include basis of approval? 2.8 Do you have a standard outline for purchasing documents which states what they should contain? 2.9 Do you have facilities which allow your customers to check that the products you supply conform to specification before they are delivered to them? (i.e. whilst the products are in your factory or at your supplier s premises?) 2.10 Do you have a system in place which allows you to control / vet any products which have been supplied by the customer for you to use? 2.11 Do you have systems for the identification and traceability of products? 2.12 Do you have procedures for controlling processes and workmanship? 2.13 Do you inspect incoming goods, processes and completed goods and services? 2.14 Do you monitor and calibrate inspection and measuring equipment and maintain records? 2.15 Do you identify the inspection status of products / services during operational activity? 2.16 If, further to inspection, it is established that corrective action should be taken, do you have procedures for dealing with and evaluating such actions? 2.17 Do you have procedures for controlling and processing items or services which do not conform to specification? 2.18 Do you have procedures for handling and storage which prevent damage or deterioration? 2.19 Do you have procedures for packing and delivery of products? 2.20 Do you retain packaging and delivery records? 2.21 Do you carry out internal audits to verify quality and/or environmental procedures are records maintained? 2.22 Do you provide training for personnel who perform activities which affect quality, and keep records of any such training?

5 2.23 Details of person completing this questionnaire Title Name Contact number Signature Date Please Supply the Following Information Name of Business (as registered with HMRC) Tax Reference (UTR Number 10 Digits) National Insurance Number (Sole Trader/Partnership) Registration Number (Limited Company only) Payment Details Account Payee Bank Sort Code Bank Account Number

6 ASSESSMENT SECTION FOR K & B USE ONLY Environment Agency Check HSE Prohibition Register Check Subcontractor Approved for Use Subcontractor T Approved for Use Approved by Name Signature Date Entered onto Subcontractor Register Yes / No Reasons and / or further action if not approved Signed: