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please submit this questionnarie along with the following documents:? Proof of bank details (deposit slip/bank letter/screenshot of online banking/old invoice)? Insurance copies (Public Liability, Professional Indemnity, Work Cover, Vehicle, etc)? Labour Hire providers – copy of Labour Hire Licence ? Other Licence copies Section 1 - Company InformationRegistered Name:Address:Trading Name:ABN:Name of Bank (please provide bank slip):BSB:Account Number:Company Service/Product Details (provide details of the major services/products/parts/goods etc.):Section 2 - Industry ClassificationFabrication ?Labour Hire ?Building Materials?Engineering/Consultancy?Trade services?Waste Management?Plant & Equipment?Recruitment?Specialised Services?Section 3 - Area of OperationNational?ACT?New South Wales?Northern Territory?Queensland ?South Australia?Tasmania?Victoria?Western Australia?Section 4 - Contact DetailsContact NamePositionTelephone No.Email AddressAccounts ContactSales ContactManager ContactSection 5 – payment termsWill your company agree to Duratec Limited’s payment terms which is 30 days from end of the month?Yes ?No ?Section 6 – Health and Safety ManagementIs your company’s Health and Safety Management System accredited to AS 4801 or ISO 45001? If yes, please provide a copy of the certificate and go to question 2.Yes ?No ?Will you conform to our OSH Management System requirements? If No answer the questions below, If Yes complete HSE Performance in this section and then go to section 7.Yes ?No ?Does your company have a Health & Safety Policy signed by senior management and has it been reviewed in the last 12 months? If yes provide copyYes ?No ?Does your company have a documented procedure to ensure OHS inductions and training are conducted and recorded for employees, subcontractors and visitors? If yes provide copyYes ?No ?Does your company have a documented procedure or process for the management and investigations of incidents/accidents/near misses? If yes provide copyYes ?No ?Does your company have a documented procedure or process for hazard identification and risk management? If yes provide copyYes ?No ?Does your company have a documented procedure for maintaining, inspecting and assessing the hazards of plant operated or owned by your organisation? If yes provide copyYes ?No ?Does your company have a documented procedure or process for the handling, safe storage and risk assessment of hazardous substances? If yes provide copyYes ?No ?Does your company have a documented procedure or process to ensure health and safety inspections are conducted at work sites? If yes provide copyYes ?No ?Does your company have a documented procedure or process to ensure effective communication and consultation of the workforce and stakeholders? If yes provide copyYes ?No ?Has your company received any infringement or prohibition notices from the regulator? If yes provide details: Yes ?No ?HSE PerformancePlease provide the following information on your company’s Safety Performance for the past 3 years.Injury Classification 20__20__20__Man HoursNumber of FatalitiesNumber of lost time casesNumber of restricted work casesNumber of medically treated casesSection 7 – Quality Management Is your company’s Quality System accredited to ISO 9001? If yes, please provide a copy of the certificate and go to question 2.Yes ?No ?Will you conform to our Quality Management System requirements? If No answer the questions below, If Yes go to section 8.Yes ?No ?Does your company have a Quality Policy signed by senior management and has it been reviewed in the last 12 months? If yes provide copyYes ?No ?Does your company have a documented procedure for the management of non-conforming products, services or work are identified, quarantined and appropriately addressed? If yes provide copyYes ?No ?Does your company have a documented procedure for Inspecting and testing during the production stage? If yes provide copyYes ?No ?Does your company have a documented procedure for Internal Auditing & Management Review? If yes provide copyYes ?No ?Section 8 – Environmental ManagementIs your company’s Environmental Management System accredited to ISO 14001? If yes, please provide a copy of the certificate and go to question 2.Yes ?No ?Will you conform to our Environmental Management System requirements? If No answer the questions below, If Yes go to section 9.Yes ?No ?Does your company have an Environmental Policy signed by senior management and has it been reviewed in the last 12 months? If yes provide copyYes ?No ?Does your company have a documented procedure to ensure environmental training is conducted and recorded for employees, subcontractors and visitors? If yes provide copyYes ?No ?Does your company have a documented procedure or process for the management and investigations of environmental incidents/accidents/near misses? If yes provide copyYes ?No ?Does your company have a documented procedure or process for hazard identification and risk management of environmental issues? If yes provide copyYes ?No ?Does your company have a documented emergency response procedure or process to limit environmental impacts in the case of an accident/chemical spill? If yes provide copyYes ?No ?Has the company been served environmental fines/notices in the last five (5) years? If yes provide details: Yes ?No ?Section 9 – Construction Requirements and Industrial RelationsIs your company compliant to the Building Code 2016? If yes, please provide Letter of Compliance and skip question 2, If No please answer question 2 and provide relevant documentsYes ?No ?Does your company comply with section 11 of the Building Code? Provide relevant Self-Declaration to demonstrate eligibility to express interest in, tender for and be awarded Commonwealth funded building work.Yes ?No ?Has your Organisation been prosecuted by a regulatory body? If yes provide details:Yes ?No ?Has your company recently had any Industrial disputes in the past 3 years? If yes provide details:Yes ?No ?Does your organisation have an approved Industrial Instrument in place? If yes provide details of type of instrument:Yes ?No ?Does your organisation have a minimum of 51% indigenous ownership? Yes ?No ?Does your organisation provide goods and services that meet applicable Australian Standards?Yes ?No ?Will your company comply with Our Code and Anti-Corruption policies?Yes ?No ?Section 10 – Insurance DetailsPlease complete and supply copies of current certificates of insurances for states identified in section 3.Insurance TypeInsurerPolicy NumberExpiry DateValueWorkers CompProfessional IndemnityPublic LiabilityMotor VehicleOther:Section 11 – Registrations and LicencesProvide details of, and expiry dates of all statutory Registrations and Licences held by your Organisation for example: Builders, Classified Plant, Painters, Registrations, Plumbing, Electrical, Gas, Dangerous Goods, Radiation, Explosives, Dewatering, Demolition Licences, etc.Registration/LicenceLicence/Registration NumberExpiry DateSection 12 – FinanceIs your Organisation involved in any administration or reorganisation proceedings? If yes provide details:Yes ?No ?Has your organisation been involved in any legal proceedings with any customers? If yes, provide details:Yes ?No ?Have any directors/proprietors of the organisation been involved in any bankruptcy proceedings? If yes, provide details:Yes ?No ?Section 13 - DeclarationOn behalf of our Organisation, I hereby certify that the information provided in this questionnaire is an accurate reflection of our Organisation and we will provide appropriate documented evidence if requested. I also confirm access will be permitted to our Organisation premises for audit if requested.Name of Organisation:Name of Authorised Signatory:Position: Date: Signature:Section 14 - Review and Approval - For office use onlySupply Chain Specialist:Signature:Date:CommentsABN VerifiedYes ? No ?Business registered for GST: Yes ? No ?If yes, date of registration: ____ /____ /____ ................
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