This questionnaire forms part of The Department’s tender evaluation process and is to be completed by Tenderers and submitted with their tender offer. The objective of the questionnaire is to provide an overview of the status of the Tenderers OH&S management system. Tenderers will be required to verify their responses noted in their questionnaire by providing evidence of their ability and capacity in relevant matters.
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Certification |
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The information provided in this questionnaire is an accurate summary of the company's occupational health and safety management system. |
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Company Name: |
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Signed: |
Name: |
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Position: |
Date: |
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Contract Details |
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Contract Name |
Contract Number: |
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Tenderer OH&S Management System Questionnaire |
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OH&S Policy and Management |
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- Is there a written company health and safety policy? - If yes provide a copy of the policy - Comments |
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- Does the company have an OH&S Management system certified by recognised independent authority (eg SafetyMAP) - If yes provide details |
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- Is there a company OH&S Management System manual or plan? - If yes provide a copy of the content page(s) - Comments |
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- Are health and safety responsibilities clearly identified for all levels of Management and staff? - If yes provide details |
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Safe Work Practices and Procedures |
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- Has the company prepared safe operating procedures or specific safety instructions relevant to its operations? - If yes provide a summary listing of procedures or instructions - Comments |
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- Is there a register of injury document? |
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- Is there a documented incident investigation procedure? - If yes provide a copy of a standard incident report form - Comments |
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- Are there procedures for maintaining, inspecting and assessing the hazards of plant operated/owned by the company? - If yes provide details |
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- Are there procedures for storing and handling hazardous substances? - If yes provide details |
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- Are there procedures for identifying, assessing and controlling risks associated with manual handling? - If yes provide details |
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OH&S Training |
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- Describe how health and safety training is conducted in your company |
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- Is a record maintained of all training and induction programs undertaken for employees in your company? - If yes provide examples of safety training records |
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Health and Safety Workplace Inspection |
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- Are regular health and safety inspections at worksites undertaken? -If yes provide details |
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- Is there a procedure by which employees can report hazards at workplaces? - If yes provide details |
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Health and Safety Consultation |
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- Is there a workplace health and safety committee? |
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- Are employees involved in decision making over OH&S matters? - If yes provide details |
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- Are there employee elected health and safety representatives? - Comments |
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OH&S Performance Monitoring |
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- Is there a system for recording and analysing health and safety performance statistics including number and type of injuries and incidents? - If yes provide details |
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- Are employees regularly provided with information on company health and safety performance? - If yes provide details |
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- Has the company ever been convicted of an occupational health and safety offence? - If yes provide details |
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Company Reference |
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- Provide the following information for the three (3) most recent contracts completed by the company |
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