TSG Building Services PLC SUPPLY CHAIN MANAGEMENT SUB – CONTRACTOR FIRST STAGE
It is the duty of TSG Building Services plc to ensure that all sub-contractors are both qualified and competent to carry out their sub-contract works before the sub-contract is placed, and are adequately resourced regarding matters of Health & Safety and Welfare in their organisation in accordance with the requirements of the Construction (Design Management) Regulations 2007
1. An electronic version can be obtained if requested. 2. Answers should be typed or written in block capitals 3. All answers should be answered when necessary using “N/A” or “NONE” 4. When requested supporting documentation should be attached and clearly marked as relating to your application and which question. 5. Incomplete forms without supporting documentation will not be processed and will be returned to the applicant.
All forms will be reviewed and judged by the Procurement Team. Successful companies will be placed on our Supply Chain List and all future works will be monitored in terms of performance through our suit of Key Performance Indicators.
CONTRACT NAME: (if applicable)
SUB-CONTRACTOR NAME:
TRADE:
CONTACT TELEPHONE NUMBER:
MOBILE NUMBER:
FAX NUMBER:
FOR TSG BUILDING SERVICES PLC USE ONLY (NOT TO BE COMPLETED BY SUB – CONTRACTOR) CONTRACT CONTRACTORS REF: NAME: DATE OF DATE OF RETURN: ISSUE: CONSIDERED APPROVED: YES / NO BY:
PM Doc 007
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] Page 1
1.0 COMPANY DETAILS
COMPANY NAME:
ADDRESS OF COMPANY AND MAIN CONTACT:
CONTACT:
TEL NUMBER:
FAX NUMBER:
ADDRESS OF REGISTERED OFFICE (IF APPLICABLE):
EMAIL ADDRESS:
WEBSITE ADDRESS:
REGISTRATION NO:
VAT NUMBER:
COMPANY STATUS: PUBLIC LIMITED COMPANY PRIVATE LIMITED COMPANY PARTNERSHIP OTHER (PLEASE SPECIFY)
UTR NO:
NINO: if sole trader or partnership
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] PAGE 2
AREA/S OF OPERATION : INNER LONDON EAST LONDON SOUTH LONDON WEST LONDON NORTH LONDON EAST ANGLIA SOUTHERN COUNTIES HOME COUNTIES WEST OF ENGLAND MIDLANDS NORTH OF ENGLAND OTHERS
VALUE OF CONTRACT: UP TO £10K UP TO £50K UP TO £100K UP TO £250K UP TO £500K UP TO £1MILLION OVER £1MILLION
NUMBER OF DIRECTLY EMPLOYED OPERATIVES: UP TO 5 UP TO 10 UP TO 15 UP TO 20 UP TO 25 UP TO 50 UP TO 100 100+
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] ACCREDITATIONS: GAS SAFE (copy to be enclosed) NICEIC (copy to be enclosed) OTHER (PLEASE SPECIFY) (copy to be enclosed)
Page 3 Page
WORK TYPES: RESIDENTIAL NEW BUILD RESIDENTIAL REFURB DECENT HOMES EDUCATION COMMERCIAL HEALTH OTHER RESPONSIVE & MAINTENANCE ENVIRONMENTAL & SUSTAINABILITY
ANNUAL TURNOVER OF LAST THREE YEARS: (Most Recent Year 1) 1. YEAR: 2. YEAR: 3. YEAR: £ £ £ Percentage of Turnover committed to TSG Building % Services plc
Copy of your recent Profit ENCLOSED & Loss Accounts:
PLEASE ENCLOSE COPIES OF YOUR INSURANCE FOR THE FOLLOWNG: PUBLIC LIABILITY Enclosed EMPLOYER’S LIABILITY Enclosed PROFESSIONAL INDEMNITY Enclosed
NAME OF BANK ADDRESS:
SORT CODE
ACCOUNT NUMBER:
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] PM Doc 007 Page 4
TRADES PRIMARY (only select one from this list) SECONDARY (select multiples) Aerials, Satellites & IRS Aerials, Satellites & IRS Aluminium Copings Aluminium Copings Aluminium Rainwater Aluminium Rainwater Asbestos Removal Asbestos Removal Asbestos Surveys Asbestos Surveys Bath Repairs Bath Repairs Blinds/Curtains Blinds/Curtains Brickwork (Labour Only) Brickwork (Labour Only) Brickwork (Supply & Fix) Brickwork (Supply & Fix) Brickwork Cleaning Brickwork Cleaning Brickwork Repointing Brickwork Repointing Remedial Wall Ties Remedial Wall Ties Resin Injection Resin Injection Multi trade Builders Internals Multi trade Builders Internals Multi trade Builders Externals Multi trade Builders Externals Car Park Barriers Car Park Barriers Carpentry (Labour Only) Carpentry (Labour Only) Carpentry (Supply & Fix) Carpentry (Supply & Fix) Shopfitting Shopfitting Cubicles Cubicles Fixtures & Fittings Fixtures & Fittings Catering Equipment Catering Equipment Tiling (Ceramic, Marble etc..) Tiling (Ceramic, Marble etc..) Builders Works Builders Works Cladding Rainscreen Cladding Rainscreen Cladding Ind Sheeting Cladding Ind Sheeting Cladding Upvc Cladding Upvc Cladding Timber Cladding Timber Cleaners Cleaners Chimney Sweeps Chimney Sweeps Concrete Repairs Concrete Repairs Damp Proofing & Injection Damp Proofing & Injection Timber Treatment Timber Treatment Demolition Demolition Door Entry Door Entry CCTV Equipment CCTV Equipment Doors Garage Doors Garage Doors Security Doors Security Doors Revolving Doors Revolving Roller Shutters Roller Shutters Drain Repairs & Surveys Drain Repairs & Surveys Electrical Electrical Fencing Timber Fencing Timber Fencing Metal Fencing Metal Fencing Hoardings Fencing Hoardings Fire Escapes Fire Escapes Fire Protection Fire Protection Flooring Specialist Flooring Specialist
Page 5 Flooring Vinyl/Carpet Flooring Vinyl/Carpet Power Floating Power Floating Glass Blockwork Glass Blockwork Glazing Glazing Glazing Structural Glazing Structural Groundwork ( Labour Only) Groundwork ( Labour Only) Groundwork (Supply & Fix) Groundwork (Supply & Fix) Bulk Earth Moving Bulk Earth Moving
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] Underpinning Underpinning Handrails Balustrades Handrails Balustrades Insulation Cavity Insulation Cavity Insulation Loft Insulation Loft I.T Specialist I.T Specialist Labour General Labour General Labour Technical Labour Technical Landscaping Landscaping Tree Surgery Tree Surgery Lifts Passenger & Goods Lifts Passenger & Goods Lifts Stair Lifts Stair Lifts Wheelchair Lifts Wheelchair Lightning Protection Lightning Protection Mastic Mastic Mechanical Mechanical Air Conditioning Air Conditioning Painting Painting Painting Specialist Painting Specialist French Polishing French Polishing Painting Specialist Painting Specialist Partitions Demountable & Sliding Partitions Demountable & Sliding PCC Floors - Beam & Block PCC Floors - Beam & Block PCC Floors Omnideck PCC Floors Omnideck PCC Floors Wideslab PCC Floors Wideslab PCC Stairs PCC Stairs Pest Control Pest Control Piling Augured Piling Augured Piling Driven Piling Driven Piling Micro Piling Micro Piling Sheet Piling Sheet Piling Vibro Piling Vibro Ground Stabilisation Ground Stabilisation Plastering (Labour Only) Plastering (Labour Only) Plastering (Supply & Fix) Plastering (Supply & Fix) Dry Lining Dry Lining Screeding Screeding Fibrous Plaster Fibrous Plaster Playground Equipment Playground Equipment Safety Play Surfaces Safety Play Surfaces Sports Equipment Sports Equipment Plumbing Plumbing Render Render Roofing Slate & Tile Roofing Slate & Tile Roofing Felt Roofing Felt Roofing Asphalt Roofing Asphalt Roofing Single Ply Roofing Single Ply Roofing Metal Roofing Roofing Metal Roofing Roofing Leadwork Roofing Leadwork Metalwork Metalwork Roof Trusses Roof Trusses Glulam Beams Glulam Beams Timber Frame Timber Frame Refuse Chutes Refuse Chutes Renewable Energy Renewable Energy Safety Equipment Safety Equipment Access Cradles Access Cradles Scaffold Alarms Scaffold Alarms Scaffolding Scaffolding Security Alarms Security Alarms Security Guards Security Guards Signs Signs Sewer Connections Sewer Connections
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] Street Works Street Works Street Lighting Street Lighting Steelwork Structural Steelwork Structural Stone Masons & Restoration Stone Masons & Restoration Suspended Ceilings Suspended Ceilings Surfacing Tarmac Surfacing Tarmac Surfacing Block Paving Surfacing Block Paving Surfacing Asphalt Surfacing Asphalt Site Investigations Site Investigations Teleflex Teleflex Temps. Electrical Temps. Electrical Temps. Plumbing Temps. Plumbing White Lining White Lining Windows Aluminium Windows Aluminium Windows Composite Windows Composite Windows Repairs Windows Repairs Windows Steel Windows Steel Windows Timber Windows Timber Windows Upvc Windows Upvc Windows Curtain Wall Windows Curtain Wall Tower Cranes Tower Cranes Plant Hire Plant Hire After Sales After Sales Maintenance / Defects Maintenance / Defects
Sub-contractors shall provide this information, giving as much detail as possible
2.0 HEALTH AND SAFETY
PERSON RESPONSIBLE FOR HEALTH & SAFETY WITHIN YOUR COMPANY: Tel No: NAME & CONTACT DETAILS OF YOUR SAFETY CONSULTANT / ADVISOR. Tel No:
PLEASE PROVIDE FIGURES FOR THE LAST THREE YEARS: ITEM YR: YR: YR: APPROXIMATE NUMBER OF EMPLOYEES NUMBER OF ACCIDENTS/INJURIES NUMBER OF REPORTABLE ACCIDENTS NUMBER OF IMPROVEMENT NOTICES * NUMBER OF PROHIBITION NOTICES * NO. OF SUCCESSFUL PROSECUTIONS BY THE HSE * * PLEASE PROVIDE DETAILS ON A SEPARATE SHEET
STATE THE NUMBER OF YEARS’ EXPERIENCE YOUR ORGANISATION HAS IN THE TASKS INVOLVED IN THIS CONTRACT.
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] STATE THE TOTAL NUMBER OF PEOPLE EMPLOYED BY YOUR COMPANY FOR WHOM YOU ARE RESPONSIBLE.
DOES YOUR COMPANY CURRENTLY RUN CRB CHECKS ON YOUR EMPLOYEES? IF SO, WHAT PERCENTAGE OF YOUR STAFF HAVE BEEN CHECKED? YES NO PERCENTAGE CHECKED %
PROVIDE THE FOLLOWING DETAILS OF YOUR LAST TWO CLIENTS AS HEALTH & SAFETY REFEREES.
Contact Name: 1 2
Tel No:
Job Title:
Company Name:
Address:
PM Doc 007 Page 8
STATE MEMBERSHIP OF ANY APPROVED OR RECOGNISED TRADE ASSOCIATIONS, E.G. CORGI, NICEIC ETC. IF YES, PLEASE ENCLOSE COPIES OF CERTIFICATES.
…......
WHAT GENERAL SAFETY AWARENESS TRAINING IS GIVEN TO YOUR EMPLOYEES, E.G. CSCS?
AS A PERCENTAGE:- HOW MANY OF YOUR STAFF/CONTRACTORS HOLD A CURRENT CSCS CERTIFICATION? %
………………………………………………………………………………………………………………………………………………………….
GIVE DETAILS OF THE TESTING AND MAINTENANCE PROGRAMME FOR YOUR PLANT AND EQUIPMENT, E.G. FREQUENCY, TYPE, BY WHOM, ETC.
IF YOU EMPLOY 5 OR MORE PEOPLE PLEASE PROVIDE A SIGNED COPY OF YOUR HEALTH & SAFETY POLICY, STATING WHEN IT WAS LAST REVIEWED.
3.0 ENVIRONMENTAL
DOES YOUR COMPANY HAVE AN ENVIRONMENTAL POLICY? IF YES, PROVIDE A SIGNED COPY. IF NO, ARE YOU PREPARED TO WORK UNDER THE TSG BUILDING SERVICES PLC POLICY? YES NO
4.0 DIVERSITIES (FOR COMPANIES WITH OVER 5 EMPLOYEES)
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] DOES YOUR COMPANY HAVE AN EQUAL OPPORTUNITIES POLICY? IF YES, PROVIDE A SIGNED COPY. IF NO, ARE YOU PREPARED TO WORK UNDER THE TSG BUILDING SERVICES PLC POLICY? YES NO
DOES YOUR COMPANY MONITOR THE DIVERSITY OF YOUR WORKFORCE? IF YES, PROVIDE A SIGNED COPY OF YOUR DIVERSITY MONITORING FIGURES. YES NO
I/we hereby certify that the information supplied is accurate to the best of my/our knowledge and that I/we accept the conditions and undertakings requested in this questionnaire.
Signed: On behalf of:
Position: Date:
Before returning this assessment form please ensure all appropriate questions are answered and relevant information is enclosed
PLEASE RETURN TO: [email protected]
Page 9 PM Doc 007
GUIDANCE NOTES
This form is forwarded to sub-contractors as part of the enquiry document, which is to be completed and returned to TSG Building Services plc with the Tender. Sub-contractors should keep a copy for their records. As the company’s initial contact, the TSG Building Services plc Surveyor named overleaf will ultimately ensure the completed form is made available to the Company’s Health & Safety Department for assessment before awarding the contract.
If successfully vetted, the sub-contractor’s details will be recorded on a central register of approved sub-contractors that is used to source future contracts. To avoid any unnecessary delays in placing companies on TSG Building Services plc’s Approved List, please ensure that all documents requested are enclosed when returning this form. The following check list is provided to assist. Your company’s accident statistics
Copies of any HSE Improvement or Prohibition Notices
Copy(ies) of membership certificate(s) of relevant trade association(s)
Current Employer’s & Public Liability Insurance details Only original insurance documentation to be forwarded. No faxed, photocopied or scanned documents will be accepted.
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected] Examples of your employees’ plant operators’ certificates
Examples of maintenance certificates for plant or machinery
Examples of risk assessments, COSHH assessments, etc…
If your company employs 5 or more people, it is a legal requirement to have a Health & Safety Policy. Please provide a signed and dated copy. W HERE APPLICABLE, THE ABOVE ITEMS MUST BE RETURNED W ITH THIS COMPLETED FORM, OTHERW ISE YOUR COMPANY W ILL NOT BE CONSIDERED OR APPROVED.
ADDITIONAL NOTES: e.g. provide a brief explanation of how your Company manages health and safety on site and communicates information to operatives:
Registered Address: TSG House, Cranborne Road, Cranborne Industrial Estate, Potters Bar, EN6 3JN Tel: 01708 800 361 [email protected]