PF035.1.2 Supplier Risk Assessment PF035.1.3 SUPPLIER RISK ASSESSMENT The following questions support with assessing which category the required supplier is applicable Proposed Supplier Name * Address * Address Address Address City City County County Post Code Post Code Address Main Contact Name * Main Contact Name First Name First Name Last Name Last Name Main Contact Email Main Contact Phone Number * Type of Business * Trading AccountSub Contract Off SiteSub Contract On SiteSupply of ServicesPlant & Equipment HireSupply of Training ServicesOther Type of Business Supplier Accreditation Risk Assessment 1. Is the value of the order with the supplier of strategic significance on your contract? * YesNo 2. Is the trade already identified as high risk or accredited? * YesNo 3. Is the supplier providing design services? * YesNo 4. If the material/service supplier fails to deliver on goods or services will this have serious consequences on the job timescale and cost? * YesNo 5. Is the supplier working in high risk environment (highways, excavations, working at height, water, rail, confined spaces, plant operations etc)? * YesNo 6. Does the work the supplier is completing impact on: Refuelling on Site, Treatment/Disposal of Waste, Using Chemical &/or involves the treatment and management of vegetation? * YesNo 7. Is supervision or monitoring required for the supplier / contractor for the works they are procured? * YesNoN/A 8. Is the supplier providing their own risk assessment and/or safe system of work? * YesNoN/A 9. Are the supplier’s competency certification required for the procurement? Such as: PTS/COSS/CPCS/POS Rep etc, and other required electrical competencies? * YesNoN/A 10. Is the supplier a provider of calibrated equipment? Such as crimping tools & testing equipment. * YesNo ** YOU ANSWERED YES TO ONE OR MORE OF THE QUESTIONS WITHIN THE RISK ASSESSMENT - THE SUPPLIER IS DEEMED AS "SAFETY CRITICAL" ** SEND THE SUPPLIER THE LINK FOR THE: : Safety Critical Questionnaire Risk Assessment Completed by: Name * Name First Name First Name Last Name Last Name Email * Date * Signature * signature keyboard Clear Upload any supporting information Prior to Submitting the Risk Assessment Drop a file here or click to upload Choose File Maximum file size: 67.11MB Submit the Risk Assessment If you are human, leave this field blank.