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organisation profile Will your organisation comply, if required, with Our Code and our Anti-Corruption policy?Yes FORMCHECKBOX No FORMCHECKBOX Is your Company a Supplier FORMCHECKBOX Contractor FORMCHECKBOX Registered NamePostal AddressPost Code ABN No.Trading Name Email AddressName of Bank BSBAccount NumberType of Organisation (Pty Ltd, Public Ltd, Partnership/Sole Trader)Number of EmployeesPlease provide contact details within your OrganisationPositionNameTelephoneEmail AddressManagerSales/EstimatingProduction/ConstructionAccounts Who is your contact for the Company?Contact NameDoes your organisation have a minimum of 25% indigenous ownership?Yes FORMCHECKBOX No FORMCHECKBOX 2industry classification Select your Organisations primary businessAccommodation & Diners FORMCHECKBOX Business Services FORMCHECKBOX Construction FORMCHECKBOX Cultural & Recreational Services FORMCHECKBOX Education & Training FORMCHECKBOX Finance & Insurance FORMCHECKBOX Health & Community Services FORMCHECKBOX Information Tech & Comm FORMCHECKBOX Mining FORMCHECKBOX Manufacturing FORMCHECKBOX Plant & Equipment FORMCHECKBOX Retail Trade FORMCHECKBOX Transport & Storage FORMCHECKBOX Wholesale Trade FORMCHECKBOX Other (please specify) FORMCHECKBOX Please detail your Organisation’s Work Type, i.e. if Construction, the Work Type may be concreting, or drilling etc.3legalHas your Organisation been prosecuted by a regulatory body?Yes FORMCHECKBOX No FORMCHECKBOX If Yes, please provide further informationIs your Organisation involved in any bankruptcy or reorganisation proceedings?Yes FORMCHECKBOX No FORMCHECKBOX If Yes, please provide further information4referencesProvide contact information for your current or previous 3 jobsNameReferee 1Referee 2Referee 3Client Name Contact Name Contact Details Fax Number Email AddressValue $5insurancesPlease complete and supply copies of current certificates of insurances in ALL INSTANCESInsurance TypeInsurerPolicy NumberExpiry DateValueWorkers CompProfessional IndemnityPublic LiabilityMotor Vehicle Other - Marine Cargo Ins6registrations 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.S. NoRegistration TypeRegistration NumberExpiry Date1234Provide details of licencesS. NoLicence TypeLicence NumberExpiry Date12347organiSational stabilityHow long has your Organisation been in business in Australia?What percent of your Organisations business is repeat work from existing clients?What is the number of years of Construction industry experience of your Organisation?Has your Organisation ever been involved in legal proceedings with a Client?Has any Partner, Principal or other person with an interest in the Organisation ever been associated with any other Organisation or any entity which has failed in the last 5 years to complete a Contract?8personnel qualificationsWhat is the average number of years of Construction industry experience of your workforce?What percentage of your management team have recognised technical, tertiary and/or trade qualifications?What percentage of your field personnel have recognised trade certificates?What percentage of your plant operators hold relevant National tickets to operate mobile plant?9plant & equipment What percentage of your plant & equipment is more than 5 years old?Is your plant and equipment regularly serviced and maintained?Is maintenance history/service records available for your plant and equipment?What is the condition of your plant and equipment?When bringing mobile plant on our site will you provide risk assessments and service records?10QualityIs your Organisation accredited to ISO 9001 or equivalent standard? If you answer NO, go to Part B.If yes provide detailsAccreditation StandardAccreditation BodyCertificate NumberCertificate Expiry DateDate of Last Audit No. of Non-conformances in last auditPart B: If you Organisation is not accredited to ISO 9001 or equivalent standard, then answer following questionHow many of the following checklists and controls are documented are in use in your Organisation?Tender & Contract reviewResource Control In-process InspectionNon-Conformance ControlPurchasing ControlIncoming InspectionRecords ControlCalibration & Maintenance Will you conform to our Quality Management System and site specific Quality Management Plan?Yes FORMCHECKBOX No FORMCHECKBOX 11Occupational safety & Health (osh)Is your Organisation accredited to AS 4801 or equivalent standard? If you answer NO, go to Part B.If yes provide detailsAccreditation StandardAccreditation BodyCertificate NumberCertificate Expiry DateDate of Last Audit No. of Non-conformances in last auditPart B: If your Organisation is not accredited to AS 4801 or equivalent standard, then answer following questionsDoes your Organisation have a documented OSH Policy?Are employees involved in developing Job Hazard Analysis/SWMS?Does your Organisation have a documented incident/accident investigation procedure?Are Supervisors/Senior Management involved in incident/accident investigation?Are Material Safety Data Sheets (MSDS) available to all employees for hazardous substances?Does your Organisation have an Alcohol & Drugs Policy and procedures in place?Are records maintained for all training and induction programs undertaken for your employees?Does your Organisation conduct regular workplace inspections?Does your Organisation have formal processes in place for handling workplace grievancesHas your Organisation had any fatalities or permanent disabilities accidents in the past 3 years?Provide safety statistics for the last 3 years S. NoYearNo. of Lost Time AccidentsNo. of Medically Treated Injuries123Will you conform to our OSH Management System and site specific OSH Management Plan?Yes FORMCHECKBOX No FORMCHECKBOX 12EnvironmentIs your organisation accredited to AS/NZS ISO 14001 or equivalent standard?If yes provide detailsAccreditation StandardAccreditation BodyCertificate NumberCertificate Expiry DateDate of Last Audit No. of Non-conformances in last auditIf no, answer the following questionsDo you have procedures in place to ensure that project planning identifies environmental risks?Do you establish environmental management plans that address identified project risks?Has your Organisation been issued with any infringement notice by Environmental Protection Agency in last 2 years?Will you conform to our Environmental Management System and site specific Environment Management Plan?Yes FORMCHECKBOX No FORMCHECKBOX 13Industrial relationsDoes your Organisation have a documented Industrial Relations Policy?Did your Organisation have any industrial disputes in the past 3 years?What type of Industrial Instrument does your Organisation have in place?If your Organisation is associated with any Unions, then provide name of the UnionDeclarationOn 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 OrganisationName of Authorised SignatoryPositionDateSignatureFor office use onlyName of AssessorDateSignature RatingApproved FORMCHECKBOX Review FORMCHECKBOX CommentsCommercial Manager/System Manager approval:NameDateSignature ................
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