PF035.1.1 Supplier Qualification Questionnaire (Safety Critical) PF035.1.1 SUPPLIER QUALIFICATION QUESTIONNAIRE (Safety Critical) Company Details Company Name * Company Reg Number * VAT Number UTR Number * Registered Address * Registered Address Registered Address Registered Address City City County County Post Code Post Code Registered Address Contact Name * Contact Name First Name First Name Last Name Last Name Telephone * Email * Brief Description of Services Provided to ECS: * Please list your main Risk Areas (Safety Critical Suppliers): * If you are a Subsidiary Company, please provide the name of your Parent Company: * If you are a Parent Company, please list any Subsidiaries: * Number of Employees * Do you ensure that all potential or current employees recruited are entitled to work in the UK? * YesNo Bank Details: (Billing Details) Bank Name * Address * Account Number * Sort Code * Annual turnover for the last 5 years Choose Year * 20202021202220232024 Enter Turnover * plus1 Add another year minus1 Remove Insurance details Type of Insurance * Employers LiabilityPublic LiabilityProducts LiabilityProfessional IndemnityOther relevant insurance (please specify) Type of Insurance Name of Insurer Policy Number * Renewal Date * Limit of Indemnity (per claim) * Upload your Insurance Policy * Drop a file here or click to upload Choose File Maximum file size: 67.11MB plus1 Add another type of Insurance minus1 Remove Section 1 Management Systems & Certification 1.1 Are you a ISO9001:2015 Registered Company through a UKAS Accreditation Body? * YesNo Please upload your registration certificate * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 1.2 Are you a ISO14001:2015 Registered Company through a UKAS Accreditation Body? * YesNo Please upload your registration certificate * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 1.3 Are you an ISO45001:2018 Registered Company through a UKAS Accreditation Body? * YesNo Please upload your registration certificate * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 1.4 Do you hold any other certification specific to your industry .i.e. Gas Safe, NFDC? * YesNo Please upload your registration certificate * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 1.5 Are you RISQS Registered? * YesNo Please upload your registration certificate * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 1.6 Do you hold CHAS Certification? * YesNo Please upload your registration certificate * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 1.7 Do you hold SAFE Contractor Certification? * YesNo Please upload your registration certificate * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 1.8 Do you hold Constructionline Certification? * YesNo File Upload * Drop a file here or click to upload Choose File Maximum file size: 67.11MB Section 2 Health & Safety Please provide details of your accident record over the previous 3 years under RIDDOR Select Year * 202320242025 Number of Fatal Accidents: * Number of Major Injuries * Number of over 3 Day Accidents * Number of Reportable Incidents * Number of Prohibition Notices/Prosecutions over the last 5 years (If none please state) * plus1 Add Another Year minus1 Remove Safety Processes 2.1 Do you have a written Health & Safety Policy? * YesNo Please upload your H&S Policy * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 2.2 Do you have documented Arrangements for ensuring H & S Management complies with current legislation? * YesNo 2.3 Do you have access to competent Health & Safety Advice * YesNo 2.4 Person responsible for providing Health & Safety Advice * 2.5 Are all personnel trained & competent? * YesNoN/A Please provide details of training & qualifications * 2.6 Do all employees receive safety training? * YesNo Please provide details * 2.7 Do all new employees receive induction training? * YesNo Please provide details * 2.8 Do Managers and Supervisors undergo training to make them aware of their Health & Safety Responsibilities * YesNo Please provide details of training & qualifications * 2.9 Do you have systems to review Health & Safety procedures at regular intervals * YesNo 2.10 Do you undertake regular documented monitoring or inspections of your employees at work? * YesNo Please supply copies of at least two recent inspections. * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 2.11 Do you have processes to involve or consult your workforce on health & safety matters? * YesNo 2.12 Do you have a written process to report accidents/incidents/near misses? * YesNo 2.13 Do you conduct risk assessments leading to safe systems of working? * YesNo 2.14 Does your methodology detail safe systems of work produced? * YesNo Please provide a sample * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 2.15 Is all plant & equipment regularly maintained, inspected prior to use? * YesNo Please provide supporting documentation * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 2.16 Do you comply with all current legislation and guidelines (such as Statuary Inspections) * YesNo 2.17 Do you issue PPE free of charge to all employees? * YesNoN/A Section 3 Use of Sub-contractors Note: Sub-contractors may only be used on our sites with the prior approval of the company 3.1 Would you ever employ sub-contractors on our sites * YesNo 3.2 If yes please provide details of how you ensure safe working by these sub-contractors. * Section 4 Environmental & Sustainability If you answered yes to any of the following Sections 1.2, 1.6, 1.7, 1.8 and have supplied the corresponding Certification go straight to Question 7: 4.1 Do you have a written Environmental Policy Statement? * YesNo Please supply a copy * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 4.2 Do you have environmental / sustainability advice from qualified person/s * YesNo Provide Details * 4.3 Have you reviewed your significant environmental Aspects & Impacts? * YesNo Please supply details * 4.4 Do you hold a Waste Carriers Licence under the Controlled Waste (Registration of Carriers and Seizures of Vehicles) Regulation 1991? * YesNo Please provide a copy * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 4.5 Do you provide periodical environmental/ Sustainability training and awareness? * YesNo 4.6 Have you received any Environmental prosecutions (including pending) or other enforcement notices by the EA / SEPA or other enforcement agencies? * YesNo Section 5 Quality Management 5.1 Do you have a documented Quality Policy? * YesNo Please provide a copy * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 5.2 What measures do you take to ensure an appropriate quality management system is maintained? * 5.3 Do you have competent advice with regards to Quality Management? * YesNo Provide Details * Section 6 Other Relevant Information Please submit any information that may help us assess your Health, Safety, Environmental & Welfare capabilities: Section 7 Equality & Diversity 7.1 Do you have a documented Equality & Diversity Policy? * YesNo Please supply a copy * Drop a file here or click to upload Choose File Maximum file size: 67.11MB 7.2 If not, can you confirm you will comply with ECS Policy? * YesNo 7.3 ECS does not tolerate any form of sexual harassment to any of our employees – do you have a policy regarding this? * YesNo Section 8 Bribery & Corruption 8.1 Do you have a Bribery & corruption Policy? * YesNo Please Provide a Copy * Drop a file here or click to upload Choose File Maximum file size: 67.11MB Section 9 Information on previous contracts:Please list at least 3 clients for whom you have carried out similar works in the last 2 years Project Title * Finish Date * Project Value * Value of your work * Type of work * Referee * Do you agree to us contacting this client for a reference? * YesNo plus1 Add Another minus1 Remove Section 10 Core Policies Please tick if you have below policies? * Fatigue Management Drugs & Alcohol Refusal to Work Modern Slavery / Human Trafficking / Child Labour Section 11 Confirmatory Statement for Signature by a Senior Executive/Manager NOTE: Please confirm that in supplying us with the foregoing information applicable to possible orders, you agree that we will be notified in writing of any changes in company structure or method of operation that may affect your business in respect of the contractual service being provided. Please also confirm that the staff you provide to carry out any works on our behalf are trained and competent to carry out the task. That they are familiar with the types of equipment on the site, possess the technical knowledge necessary and have sufficient experience to avoid any danger that may be presented by the work being undertaken. We reserve the right to seek documentary evidence of such competency. Signed for and on behalf of the supplier: * signature keyboard Clear Position * Date * Please note that the completion of this form does not signify approval of your company and that it may be necessary for us to carry out an Appraisal Visit in due course. Submit Application If you are human, leave this field blank.
