Pre Qualification Questionnaire (Report No : {{contractorPQDetail.ReportNo}})

1. Scope

This assessment is used by GFL to assess the extent its contractor's development and commitment to EH&S requirements. The questionnaire considers a wide range of issues pretinent to OH&S, based on the response GFL will determine if the contractor will qualify and be registered as an "Approved Contractor".

2. Contractor Details

Unit is required
Postal Address is required
Street Address is required
Company Phone & Fax is required
Contact Person is required
Title is required
Person Name is required
Mobile No. is required Mobile No. {0} is not valid
Company Website is required
Contact Email ID is required Invalid Contact Email ID
Project Or Type Of Work is required
Previous GFL Contracts is required

3. Contractors Profile

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Contractors Profile required

3.1 Organization Details

A. Key Roles

Managers is required
Job Supervisors is required
Safety Supervisors is required
Employees is required
Employees is required
Sub-Contractors is required
Any other details is required

B. E& OH&S Recognition

Achievements is required
Certified (OH&SAS 18000 etc) is required
Awards
Any other please mention is required

C. Injuries/illness 12 Month History

Fatalities is required
Lost Time Injuries is required
Lost Time Injuries Frequency Rate (LTIFR) is required
Medical Treatment is required
Number of Sites/Projects is required
Employee hours worked for 12 months is required
Disabling injuries is required
NearmissNearHitIncidents is required
Incidents causing property damage during contract is required
Illness caused by workplace factors is required
Total no. of accidents is required

D. Details (Please provide evidence)

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Pre Qualification Subject
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Total Score :- {{SiteInspectionCategory.TotalScore ? SiteInspectionCategory.TotalScore : 0 }}
Description YES/NO/NA * Evident Aligns with GFL Reqt. YES/NO * Score
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5. Other Relavant Information

If there is any other information we should have to assist us in the assessment of your capabilities to work effectively on OH&sS and technical training;please inculde it here.

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6. Condition

All Contractors,sub-contractors and their employees are expected to comply with GFL Occupational Health & Safety Policy.

7. GFL Evaluation

This section is to be completed by the GFL Representative to determine if the contractor should be accepted as an "Approved Contractor"

7.1 The assessment of the contractor is a:

Pre-Qualification : *

Pre-Qualification is required

Re-Qualification : *

Re-Qualification is required

7.2 Recommended as an "GFL,Approved Contractor" : *

Contractor Category : *

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7.3 Authorization

Having reviewed the informati provided above and assessed the follow-up reports I acknowledge the Contractor's suitability as an "Approved Contractor".

Authorization

Action is required
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Comments are required

Comment(s) & Status History

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