Appendix F
Example of a Contractor Competency Questionnaire

6.1 Contractor Competency Questionnaire

As the client, the (organisation removed for confidentiality) has a duty under the Health and Safety at Work etc. Act 1974 (HASAWA) and the Construction (Design and Management) Regulations 2015 (CDM) to ensure that the Contractor engaged for work is competent to meet the obligations conferred on them by law.

To ensure we can meet the requirements of this duty the (organisation removed for confidentiality) use the Safety Schemes in Procurement Registered Members Scheme (SSIP) as a basis for evaluating contractor competence. If you do not have a current listing in SSIP that relates to the types of work required by the project, please complete this questionnaire and provide evidence in support of your submission.

Declaration
I confirm that the information I have given in this form is a true and accurate statement of my organisation’s Safety Management procedures.
Name of person completing this form:
Name of organisation:
Position in organisation:
Signature and date:
Section 1 – COMPANY INFORMATION
Name of Organisation:No. of Employees:
Address
Contact Name and Position:
Tel. No.:E-mail:

Insurance:

Employer’s Liability Insurance held:

Attach a copy of your policy

Insurer:
Policy No.:
Extent of Cover:

Insurance:

Public Liability (3rd party) insurance held: Attach a copy of your policy

Insurer:
Policy No.:
Extent of Cover:
Section 2 – HEALTH and SAFETY INFORMATION
1

Health and Safety Policy

You are expected to have implemented an appropriate policy, regularly reviewed and signed off by the Managing Director or equivalent.

Attach a signed current copy of your company’s health and safety policy (including statement of intent, organisation for health and safety and arrangements for H&S management within the organisation relevant to the nature and scale of the work).

2

Competent Advice

Your organisation and employees must have ready access to competent H&S advice. The advisor must be able to provide general, as well as construction related, H&S advice.

Please provide the contact details below:

Name:
Address:
Tel No.:E-mail:
Provide details of their health and safety qualifications, experience and relevant training that enables them to undertake this responsibility:
3

Risk assessment leading to safe methods of work

You should have procedures for carrying out risk assessments and for developing and implementing safe systems of work/method statements.

Attach sample risk assessments and method statements undertaken for similar projects.

Section 3 – TRAINING and INFORMATION
4

Training, Information and Instruction

You should have training arrangements in place to ensure your employees have the skills and understanding necessary to discharge their duties as Contractors. You should also have a program of refresher training, to keep employees updated on new developments and changes in legislation to good H&S practice.

How does your Company provide relevant health and safety training, information and instruction to its employees?

.

5

Individual Qualifications and Experience

Employees are expected to have the appropriate qualifications and experience for the assigned tasks, unless they are under controlled and competent supervision continuously.

Attach copies of qualifications or training certificates relevant to the assigned tasks, e.g. Asbestos Awareness, CSCS, ECS, CPCS, SMSTS, SSSTS, CSIRS, PASMA, IPAF, S/NVQs, and company-based training programme suitable for the work to be carried out.

6

Trades and Professional Bodies

Please provide details of any health and safety organisations, groups, associations or bodies that your company is a member of:

Please provide details of any trade federations or other professional industry bodies or organisations that your company is a member of:

Section 4 – HEALTH and SAFETY PERFORMANCE
7

Accident Reporting

You should have records of all RIDDOR reportable events for the last 3 years. You should also have a system for reviewing all incidents, and recording the action taken as a result.

Incidents reported to HSE under RDDOR
YearFatalitiesSpecified InjuriesOver 7-Day InjuriesDangerous OccurrencesNon-Reportable

This year

(year to date)

Last year

(full calendar year)

Year before last
Enforcement action
How do you investigate accidents and incidents?
8

Enforcement Action

You should record any enforcement action taken against your organisation over the last 5 years and the actions taken to remedy the relevant matters.

Provide details of any enforcement notices issued or prosecutions taken against your organisation in the last 5 years and what action was taken to rectify matters, if none please state:

Section 5 – MONITORING, AUDIT and REVIEW
9

Monitoring of Procedures

You should have a system in place for monitoring of procedures, for auditing them periodically and for reviewing them on an on-going basis.

What methods are in place to ensure effective communication/consultation with staff, on health and safety matters, following a procedural review?

How do you ensure health and safety procedures are followed by staff?

Attach an example of a site inspection report from a similar project.

Attach a copy of a site inspection report.

10

Appointment of Sub-Contractors

You should have arrangements for appointing competent sub-contractors/consultants.

What criteria is used to assess the competence of any sub-contractors?

11

Monitoring Performance of Sub-Contractors

You should have arrangement in place for monitoring sub-contractor performance.

How do you monitor sub-contractor performance?

Section 6 –REFERENCES
12

You should give details of relevant experience in the field of work for which you are applying.

Give the names and addresses of 2 organisations where you have completed similar work ideally within the last 12 months.

Provide details of an individual who has first-hand knowledge of your involvement in the project below:
Name:
Address:
Tel No.:E-mail:
Where there are significant shortfalls in your experience, or there are risks associated with the project that you have not managed previously, you should provide an explanation of how you would overcome these issues:
APPENDIX – Evidence to Support Submission

Attached

(please tick)

YesNo
Employer’s Liability Insurance

If No please state why?

…………………………………………………………………………………….

Public Liability (3rd party) Insurance

If No please state why?

…………………………………………………………………………………….

Health and Safety Policy

If No please state why?

…………………………………………………………………………………….

Sample Risk Assessments (for similar projects)

If No please state why?

…………………………………………………………………………………….

Sample Method Statements (for similar projects)

If No please state why?

…………………………………………………………………………………….

Health and Safety Training Records

If No please state why?

…………………………………………………………………………………….

Qualifications and Training Certificates

If No please state why?

…………………………………………………………………………………….

Example of actions taken following an investigation

If No please state why?

…………………………………………………………………………………….

Example of a site inspection report (from similar project)

If No please state why?

…………………………………………………………………………………….

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