Pre-Qualification Questionnaire - Edgeley

Edgeley Construction Pre-Qualification Questionnaire

Edgeley Construction Unit 25 Tait Road, Croydon, CR0 2DP 0208 664 8093 Company Registration: 7194014 VAT Number: 101850261

Pre-Qualification Questionnaire Document Number 060320-00-EC-CSP-PQQ-2005-001

Current Revision No 1A

Date 31st March 2020

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Document Template Number: 060320-00-EC-CSP-PQQ-2005-001 (Rev 1A)

Issue and Revision Record

Information class: Standard

This document is issued for the party which commissioned it and for specific purposes connected with the above-captioned project only. It should

not be relied upon by any other party or used for any other purpose.

We accept no responsibility for the consequences of this document being relied upon by any other party, or being used for any other purpose, or

containing any error or omission which is due to an error or omission in data supplied to us by other parties.

This document contains confidential information and proprietary intellectual property. It should not be shown to other parties without consent from

us and from the party which commissioned it.

Revision Date Originator Checker Approver Description

1A 31/03/2020 HB TB JB First Issue for Implementation

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0208 664 8093 Company Registration: 7194014 VAT Number: 101850261Edgeley Construction Unit 25 Tait Road, Croydon, CR0 2DP


Contents

1 Introduction 4 1.1 Project Title 4 1.2 Contract Reference Number 4

2 Section A – Company Details 5

3 Section B – Sub-Contractors 7

4 Section C – Enforcements/Non-Compliances 7

5 Section D - PQQ & ISO Accreditation 8

6 Section E – Health & Safety Policy 8

7 Section F – Training 8

8 Section G – Plant & Equipment 9

9 Section H – Plant & Equipment 9

10 Section I – Quality Assurance 10

11 Section J – Environmental Issues 10

12 Section K – Sustainability 11

13 Section L – Deliveries in London CLOC’S 11

14 Section M – Give a summary of work undertaken in the last 3 years 12

15 Section N – References 13

16 Section O – Declaration 14

17 Section P – Documentation 14

18 Section Q – PQQ Review 15

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1 Introduction

This questionnaire is designed to help Edgeley Construction Ltd assess the health, safety, quality & environmental standards that their sub-contractors are working to.

All sub-contractors that wish to be on Edgeley Construction Ltd.’s preferred contractor list must complete all parts of this questionnaire relevant to the service / product they provide. Please be aware that sub-contractors will be assessed on an individual basis. If you are working towards a qualification, please make this apparent on the form. Wherever possible, prospective sub-contractors holding valid ISO certification or SSiP accreditation will be able to follow the shortcuts through the questionnaire.

This questionnaire and the required supporting documents should be forwarded via email to: [email protected] or post to our head office Unit 25 Tait Road, Croydon, CR0 2DP

Emails and letters MUST be submitted with the name of the project you are interested in tendering for in the ‘subject field’ – if in doubt contact us on: 0208 664 8093.

1.1 Project Title

1.2 Contract Reference Number

mailto:[email protected]

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2 Section A – Company Details

Company Details Company name:

Street Address:

Address:

Town/City:

Post Code:

Country:

Telephone No:

Email:

Nature of business:

Are you a member of any trade association? If so, please state.

Director / senior manager responsible for Health & safety (name & Title):

Telephone No:

Email

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Please give the contact details of your appointed in-house or external Health & Safety advisor (you MUST have a competent Health & Safety.

Name:

Telephone No:

Email:

Is there an individual in your company responsible for quality management? If yes, please provide contact details:

Name:

Telephone No:

Email:

Is there an individual in your company responsible for environmental management?

If yes, please provide contact details:

Name of Advisor::

Telephone No:

Email:

Can you confirm your insurance adequately covers the activities to be undertaken on the project?

If If no, please state policy exclusions/restrictions where relevant. E.g. confined space working, working at height, etc:

Yes No

Yes No

Yes No

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Do you agree to comply with Edgeley Construction Ltd.’s Health, Safety and Environmental Standards for Sub-Contractors?

Please attach a copy of your Health, Safety, & Welfare Statement to your application.

3 Section B – Sub-Contractors

Sub-Contractors Yes No Do you engage / employ Sub-Contractors If yes: How do you assess the health & safety record and competence of Sub- Contractors employed by you?

How do you know whether your Sub- Contractors are fully trained in respect of their activities?

Where insufficiently trained, do you deliver relevant training to your Sub-Contractors?

4 Section C – Enforcements/Non-Compliances

Enforcements / Non-compliances Has your organisation during the past 3 years been:

Yes No Please state the number over the last 3

years Served a Prohibition Notice Served an Improvement Notice Served a Formal Caution Prosecuted for Health & Safety offences Responsible for the Principal Contractor receiving formal notice Is your organisation currently undergoing legal proceedings for health & Safety offences? Please give the number of reportable accidents, dangerous occurrences, and causes of ill health as defined under RIDDOR (UK), or HAS form IR3 (ROI), which have involved your employees over the past 3 years. Please attach:

• Brief details of the RIDDOR/IR3 reportable incidents• Copy of your accident reporting and investigation procedures

Yes No

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5 Section D - PQQ & ISO Accreditation

PQQ & ISO Accreditation Yes No Is your organisation registered with Achilles, SSIP accredited body or do you have ISO18001 If YES, please attach a copy of the accreditation certificates(s) and skip forward to Section I

6 Section E – Health & Safety Policy

Health & Safety Policy Yes No Has your Health, Safety & Welfare Policy / Statement been reviewed within the last year? Does it reflect your intention to commit to Health & Safety? How is the Policy brought to the attention of your employees?

7 Section F – Training

Training How many direct employees (including labour-only Sub-contractors) do you have?

Yes NoIf training is not provided by you, do you agree to pay for relevant training provided by Edgeley Construction Ltd? Do you have a company Matrix/ Training Log?

If YES, please provide a copy of this and skip to Section G Have you delivered Health & Safety training to:

Yes No (please state relevant Skills Card held, e.g. CSR. CSCS, etc.)

Directors: Managers: Supervisors: Operatives: Sub-Contractors Office-based Staff:

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8 Section G – Plant & Equipment

Plant & Equipment How do you ensure that the plant, equipment or tools used by you on site are inspected, examined, tested and maintained in a safe condition?

How do you ensure that lifting, equipment and/ or accessories used by you on site are inspected, examined, tested and maintained in a safe condition?

How do you ensure that scaffolding, MASTs and other work at height platforms used by you on site inspected and maintained in a safe condition?

9 Section H – Plant & Equipment

Performance Monitoring Yes No Do you conduct safety inspections and audits of your work activities? How regularly do you conduct: Never Daily Weekly Monthly Annually Safety Inspections? Safety Audits? Please Provide 2 samples of complete forms Please indicate steps are you taking to manage quality issues.

Please attach a signed copy of your Quality Policy Statement Are you prepared to act on complaints received by Edgeley Construction Ltd site management, or Edgeley Construction health & safety relative to your works and/ or operatives?

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10 Section I – Quality Assurance

Quality Assurance Yes No Are you a registered with Achilles or do you have ISO9001 certification? If YES, please attach a copy of the accreditation certificate(s) and skip forward to Section J If you don’t have a third accredited quality management system, are you working towards implementing one? If YES, please provide evidence of when certification is due to take place:Please indicate steps you are taking to manage quality issues:

Please attach a signed copy of your Quality Policy Statement Do you feel your organisation is deficient in quality standards and would work with guidance from Edgeley Construction Ltd.?

11 Section J – Environmental Issues

Environmental Issues Yes No Are you a registered waste carrier?

If YES, please detail your waste carriers licence number:

Please attach a copy of your waste carrier licence Is your organisation accredited as ISO14001 compliant? If YES, please attach a copy of the accreditation certificate(s) and skip forward to Section K If you don’t have a third party accredited environmental management system, are you working towards implementing one? If YES, please provide evidence when certification is due to take place Please indicate steps you are taking to manage environmental issues:

Please attach a signed copy of your: Environmental Policy Statement Environmental Aspects Register Has your organisation ever received a formal caution for alleged environmental breaches? If Yes, please provide details of this.

Has your organisation ever been prosecuted for incidents involving pollution or breaches of environmental legislation?

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If Yes, please provide details of this.

Do you feel your organisation is deficient in environmental standards and would like guidance from Edgeley Construction Ltd.?

12 Section K – Sustainability

Sustainability Yes No If you are accredited to a sustainable sourcing and supply chain management standard, please identify the means by which it is audited: BES6001 Responsible Sourcing of materials Any other Responsible Sourcing Accreditation Please provide details of this:

If you manufacture timber products, please confirm all the timber products supplied are sourced from legal and sustainable sources with chain of custody certification NB you will be required to ensure all delivery dockets state the COC code Please attach copies of PEFC or FSC certificates Please confirm that your suppliers have a 3rd party accredited Environmental Management System e.g. ISO 15001, BES 6001 NB you will be required to provide copies of your suppliers responsible sourcing certificates

13 Section L – Deliveries in London CLOC’S

Deliveries in London CLOC’S Yes No N/A All service providers operating vehicles over 3.5 tonnes operating in London should be registered to FORS minimum bronze level accreditation and vehicles should comply with CLOC’s requirements. I can confirm our we have registered to FORS and achieved a minimum bronze level I can confirm all vehicles will conform to the requirements of the CLOC’s scheme NB copies of suppliers FORS certification and CLOC’s compliance self-certification will be requested on each project

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14 Section M – Give a summary of work undertaken in the last 3 years

Give a summary of work undertaken in the last 3 years

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15 Section N – References

References Please supply the names and addresses of 3 organisations for which you have undertaken work in the past 3 years in order that we can take up references to prove your competence:

Reference 1 Name of Contact:

Company Name:

Street Address:

Town/City:

Post Code:

Telephone No:

Email:

Reference 2

Name of Contact:

Company Name:

Street Address:

Town/City:

Post Code:

Telephone No:

Email:

Reference 3

Name of Contact:

Company Name:

Street Address:

Town/City:

Post Code:

Telephone No:

Email:

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16 Section O – Declaration

Signature I declare that information provided within this questionnaire to be accurate and true.

Name: Date:

Signature: Job Title:

For and on behalf of:

*By signing this document, you accept our privacy policy and allow us to store your data on our servers.Data will never be shared with any third parties.

17 Section P – Documentation

I confirm that the following documents are attached where relevant to my company’s operations

Yes N/A

Health & Safety Policy and Statement Insurance Certificates:

Public Liability Insurance Employers Liability insurance Professional Indemnity Insurance (if applicable)

OHSAS 18001 or other Safety Accreditation Certificate Samples of 2 completed Safety Inspection/ Audit Forms Quality Policy/ Management Statement ISO 9001 or other Quality Accreditation Certificate Environmental Policy/ Management Statement ISO 14001 or other Environmental Accreditation Certificate Environmental Aspects Register Waste Carrier Licence PEFC or FSC Certificates Training Matrix/ Log Copy of Accident Reporting and Investigation Procedures Details of an RIDDOR’s in the last 3 years

Please return this completed questionnaire with Documentation required to the Edgeley Construction Ltd.

Failure to produce this document will mean you are unable to commence work and may impact on the acceptability of your staff or Sub-Contractors depending in their training and compliance with Health & Safety Systems.

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18 Section Q – PQQ Review

This section is to be completed by Edgeley Construction Ltd

Reviewed by Edgeley Construction

Questionnaire reviewed for and on behalf of Edgeley Construction Ltd by:

Name: Date:

Signature: Job Title

Documents

Pre-Qualification Questionnaire - Edgeley