1881E 000 PP 606 Rev A - Instruction to bidder - Annex-B - HSE Questionnaire

SUPPLIER DECLARATION
I, hereby, confirm that the PURCHASER or his representative will be given access to our workshop and premises for a pre-award evaluation, if required.
Latest internal audit schedule
10.3
A copy of award certificate according item 8 above
(Tick
if attached)
11.0 Declaration
We hereby certify that the foregoing statements are correct and we agree to notify you any significant changes affecting Safety, health or the Environment. We understand that TECHNIP reserve the right to visit our premises, to assess our company and verify the above statements, after reasonable notification.
2.0
3rd party certification Authority(for 1.5)
:
3.0
Date of first certification
:
4.0
HSE Management Representative
Name
:
Job Title
:
Report To
:
Telephone No.
:
Fax No.
1.0
HSE Policy
1.1
Have you a written HSE Policy Statement? YES/NO
1.2
Have you a HSE Manual? YES/NO
1.3
Have you written HSE Procedures/Instructions? YES/NO
1.4
Do you establish an annual HSE Program? YES/NO
1.5
Have you any HSE certificate, qualification or agreement? YES/NO
1.6
Do you train your employees in HSE matters? YES/NO
from government bodies?
Yes
No
8.0
Have you received any performance awards (HSE)?
Yes
No
9.0
Do you conduct quality audit on your Sub-Suppliers?
Yes
No
10.0
Documentation to be submitted to support this questionnaire :
Date:________________ Date:____________
:
E-Mail
:
5.0
Do you have a Non-Conformance Report logbook ?
Yes
No
6.0
Do you have a Customer Complaint logbook ?
Yes
No
7.0
Have you received any Improvement/Prohibition Notices
This Questionnaire shall be completed by the SUPPLIER and is intended to help PURCHASER’s assessment of the SUPPLIERS’s quality system and the ability to comply with the requirement of this Enquiry.
10.1
A copy of HSE System Certificate
OR
10.2
A copy of HSE Manual if not certified
List of QA/QC Procedures
(Complete with Document Title, Document No. Revision No.)
ENQUIRY NO.
:
1881E MR 2050 001 Rtition Wall & Ceiling
DESCRIPTION
SUPPLIER NAME
:
PREVIOUS/RECENT
CONTRACT WITH
:
TECHNIP
(PROJECT NAME/YEAR)
I also confirm that the answers given to this Questionnaire is correct to the best of my knowledge.
Signature
Name
Title /Position
Date
(To be signed by an authorized senior member of the Supplier’s Management)
Signed:__________________ Signed:________________
(Senior Management Representative) (Management HSE REPRESENTATIVE)
Position:_______________ Position:________________