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REQUEST FOR QUOTATION

Kuwait Oil Company (K.S.C)


Return RFQ Response To:
KOCPD
Purchasing Department
PD Address
Ahmadi
I SAMPLE REQUIRED

I
RFQNumber:
Issue Date:
Due Date:
Due Time:
RFQ Status:
2029834
04-Apr-2017
01-May-2017
14:30
APPR

Fax:

Direct Inquiries to: Vendor:


Name: Lija Sara Thomas
Phone:
Fax: +96523984967/23986491
Email: LThomas@kockw.com
Fax:
Email:

Line UP Item Unit Price


5000 NO 0070000723
SUPP, Extension line -Triple lumen
specification of extension lines:-triple lumen Total Price

-Needle free system


-Closed system
-Rotating Luer-Lock connector
-Allows multiple access for direct aspiration or fluid injection
-Suitable for all IV Systems
-allows manipulation away from the injection side
-Tubing with smaller internal diameter are minimizing the contained volume
-Swabable
-NO means one single extension line
Needle free system
Offers convenient and safe needle-free access for injection, aspiration or parallel infusions as a
closed system.
MINIMUM SHELF LIFE 2/3 OF TOTAL SHELF LIFE UPON DELIVERY.
WITHOUT SAMPLE OR ORIGINAL CATALOGUE REQUIRED FOR EVALUATION.
OFFER WILL NOT BE CONSIDERED.

Mfr IVen: UNK


Model:
Part: 385164

Delivery Period in Days Method of Shipment INca Terms Need Date


02/0712017

IRFQ Tot., Co", ,


Page 1 of 2
REQUEST FOR QUOTAliON

Kuwait Oil Company (K.S.C)


Return RFQ Response To: RFQNumber: 2029834
KOCPD Issue Date: 04-Apr-2017
Purchasing Department Due Date: 01-May-2017
PD Address Due Time: 14:30
Ahmadi RFQ Status: APPR

Fax:

Terms and Conditions

I Transportation and Delivery of Materials


Transportation and Delivery of Materials:

1. Materials delivered to KOC Warehouse will be off loaded under the supervision of the company employees during KOC Working Hours as
indicated by Receiving Team.

2. Light Materials delivered on Half Lorries not exceeding 2 Tons will be offloaded by the company.

3. Heavy materials which will be delivered on Trailers or inside Containers to be offloaded by the Vendor with his own offloading equipment.
Special Instruction & Notes

Payment Terms: FOB Point: Ship Via:


Freight Terms:
Special Instructions:
Extension line -Triple lumen
YOU ARE INVITED BY KOC TO PARTICIPATE IN THIS TENDER FOR THE SUPPLY OF MATERIAL IN ACCORDANCE WITH THE
ATTACHED PARTICULAR INSTRUCTIONS AND CONDITIONS. YOUR ATTENTION IS ALSO DIRECTED TO THE GENERAL
CONDITIONS & INSTRUCTIONS, WHICH WILL CONSTITUTE PART OF THE RFQ.
NOTE: PLEASE NOTE THAT THE SAMPLES HAVE TO BE PROVIDED ON THE CLOSING DATE OF THE SUBJECT TENDER TO THE
PURCHASING RECEPTION ADDRESSING TO THE CONCERNED PROCUREMENT OFFICER.

Page 2 of 2
RFQ. NO. 2029834

PARTICULAR INSTRUCTIONS TO THE TENDERER

You are invited by KOC to submit one tender on this RFQ, for the supply of material in
accordance with the attached Particular Instructions, Particular Conditions and General
Instructions. Your attention is also directed to the General Conditions which will
constitute part of the RFQ.

1. BID BOND:
1.1. Each offer must be accompanied by an Initial Bank Guarantee in Arabic language
equal to 2.5% of the value of the offer, in favor of the Kuwait Oil Company (K.S.C.)
and valid for 90 days validity period of the tender, issued in the form of letter of
guarantee by any approved local bank. The Tenderer shall duly fill in and complete
Attachment B to the Form of Tender.
1.2. Bids without the Initial Bank Guarantee shall not be considered.

2. PERFORMANCE BOND:
The successful Tenderer shall submit a Performance Letter of Guarantee in KWD. to
the value of 10% of the contract value in favor of KOC, before signing the Purchase
Contract and the validity must be for the total duration of the last delivery period,
plus 18 months. The Letter of Guarantee shall be issued by an approved bank
licensed to operate in Kuwait. The Performance Bond shall be worded generally in
accordance with the specimen annexed to the Tender as ANNEXURE-A.

The form in Annexure-B should be completed by the vendor and two copies of the
same form should be brought along at the time of tender submission. KOC representative
present at the tender box shall acknowledge receipt of the bid on the form.

3. PAYMENTTERMS
Payment will be made within 30 days of acceptance of material delivered to KOC
Warehouse.

4. PRICES
4.1 Prices are to be quoted in Kuwaiti Dinars valid for 90 days from opening of the Tender
and should include all charges for customs duty, delivery to the Company Stores.

4.2 The Bidder must fill the unit price, total price, delivery and stamp & sign the RFQ.
Failing to do so, may result in rejection of Bid.
4.3 The Tenderer shall duly fill-in and complete the RFQ.

Page
4.4 Itemized unit prices must be stated separately against each item of RFQ. Lump sum
prices for the whole RFQ or any group of items shall not be acceptable.
4.5 All discounts and the basis on which they are being offered must be clearly stated on
the RFQ.

5. DELIVERY
5.1 The Tenderer must quote on the RFQ its best firm delivery period in weeks to KOC
Medical Stores within which it shall deliver the Material from the date it is instructed
to proceed with the delivery.

5.2 The Tenderer must quote its best firm delivery period for the Material, taking into
consideration KOC's Need Date stated in the RFQ.
5.3 Tender containing range of weeks for delivery (i.e., "X" to "Y" weeks) shall not be
accepted.
5.4 Contractual delivery shall be calculated from the date the Vendor signs the Purchase
Order or within Ten (10) days of KOC's fax intimating award, whichever is earlier.
5.5 Phased delivery may be considered provided that the phased quantities are delivered
to meet the quoted dates. The Tenderer must indicate the number of lots, quantity of
each lot by feet/No. and the delivery of each lot by weeks. However any early delivery
(than the committed delivery as in the P.O.) is subject to KOC's approval which is
based on Operational Requirements.
5.6 Approval request to be submitted minimum 4 weeks prior to arrival of shipment.

6. TENDER SUBMISSION
6.1 Tenderers must be submitted their bids before 14:30 hours on 01/05/2017. Any
offer received later shall be rejected.
6.2 The Tender Envelope shall contain the Material name, Tender number and date, and
shall be deposited in the tender box located in KOC. The offer shall be delivered by
hand in envelope sealed with red wax.
6.3 The Tender envelope must not contain the name of the Tenderer or any other
distinguishing mark or sign other than the IlI1aterial name, Tender number and date.

7. EVALUATION OF TENDER
7.1 Evaluation of the offer shall be made on lump sum basis.
7.2 The Purchase Order shall be awarded to the Bidder with lowest offer who fulfills the
requirements of the Tender. The Tender may be cancelled without giving any
reasons.

Page
7.3 Bid may be rejected in the event of any discrepancy exceeding 5% is detected
between the total price and the itemized prices.

8. SAMPLES
8.1 If requested in the RFQ, samples or previous records of supply are to be submitted.
Unless such records/samples are provided, the bid shall not be considered.

8.2 Bidder must submit the samples to KOC Purchasing Department and attach a copy of
the receipt to the bid.

9. DEVIATIONS
9.1 Offers must be to exact speCifications listed in the RFQ.

9.2 The Tenderer must clearly state any deviations from the requirements / and
appropriate manufacturer's justifications / clarifications must be attached.
9.3 When an equivalent speCification is offered, the Tenderer must clearly state any
deviations from the requirements on the Attachment E & F, failure to do so will be
interpreted as confirmation that the offer fully complies with the technical
specification, Terms and Condition and any subsequent extra costs, which may arise
as a result, shall be borne by the Tenderer.

10. FORM OF TENDER


The Tenderer must duly fill-in sign and stamp all details directed in the Form of
Tender Attachment-A inclusive, all the attachments. Failing to do so will result in
disqualification of the bid.

11.TECHNICAL DETAILS
11.1 If required, the Tenderer shall provide manufacturer's own detailed technical
speCifications, drawing, catalogues, leaflets, etc. for proper evaluation of the tender.
11.2 Reproduction of Manufacturers' technical details of the Material on the Tenderer's
stationary shall not be accepted, unless the Tenderer is itself the manufacturer of the
Material.

12.0RIGIN AND APPROVED MANUFACTURERS


12.1 The Tenderer must provide the full name and address of the Manufacturer, including
FaCSimile, Telephone numbers and e-mail address on Attachments C and D.
12.2 The Tenderer must state the country of origin where the IVJaterial is / will be
manufactured and purchased.

Page 3 of 5
12.3 The Tenderer must ensure that where the Material is also manufactured in Kuwait, it
shall give priority to such Material over imported Material, provided however, the
locally manufactured material conforms to the standards and specification
requirement of the Tender.

13. DECLARATION
13.1 The Tenderer must not be a member of the Central Tenders Committee or and
employee of the Company and shall submit a declaration to the effect with its
quotation in the format attached to the Tender as Attachment H.
13.2 In accordance with the provisions of Articles 2 & 3 of Law No. 25/1996 relating to
declarations of commissions in connection with State contracts, the Tenderer shall
submit a declaration, relating to commissions with regards to this tender in the format
attached to the Tender as Attachment I.
13.3 The bidder is to adhere to the provisions of the Law No. 19 of 2000 on the national
employment support and encouragement to work in the non-governmental
organizations, the Council of Ministers Resolution No. 904 for the year 2002 the ratio
of national employment in the non-governmental organizations and the amendments
thereto, and the bidder must attach a certificate to meet national manpower
percentage issued by the Ministry of Social Affairs and Labor in the tender, otherwise
it will exclude any bidder does not include the certificate in question.

14 QUESTIONAIRE
Attachment G to the Tender must be filled-in by the Tenderer.

15 INSPECTION
This Tender does not involve Third Party Inspection.

16 TRANSPORTATION AND DELIVERY OF MATERIAL


Supplier shall strictly comply with KOC delivery vehicles requirements for transportation of
material to KOC site.

17 PURCHASE ORDER
In case your tender is accepted, a Purchase Order will be issued.

Page 4 of 5
PARTICULAR CONDITIONS OF
CONTRACT FOR PROCUREMENT

A. This document shall be read in conjunction with the Tender, other documents included
along with the same and the documents mentioned therein.

B. This Tender involves liquidated damages as per Clause 43 of the General Conditions of
Contract. Applicable rate shall be 0.5% of the delayed material value per week or part
thereof, subject to a maximum of 10% of the invoice value.
This clause is also applicable for phase deliveries.

Page 5 of 5
ATTACHMENT-A

FORM OF TENDER

TO: KUWAIT OIL COMPANY (K.S.C.) AHMADI.

RFO No. 2029834

Tender for: Supply of EXTENSION LINE-TRIPLE LUMEN.

Tender documents, including the Company's Instructions


to the Tenderer, both General and Particular, the Technical Specification including in
particular the standards, codes and specifications set forth therein, all in connection
with the above mentioned proposed Services:
1- We, the undersigned offer to perform the Services in strict conformity with the
requirements of the above mentioned documents at total Contract Price:
Total price (in figure): KD. (in words) . . . ~_ _ _ _ __

2. We undertake, if our Tender is accepted, to complete the whole said Services


within the period stated in our offer.
3. We agree to abide by this Tender for a period of ninety (90) days from the date
of opening bid envelopes and further agree that it shall remain binding upon us
and may be accepted at any time before the expiration of that period.
4. We understand and accept that, in the event that this Tender is accepted, we will
be required to enter into a formal agreement with you, which will be in the form
ofproposed Contract forming part ofthe said tender documents.
5. We understand that you are not bound to accept the lowest or any tender, nor to
assign a reason for the rejection of any tender pursuant to provisions of Public
Tender Law No. 37/1964.
6. We understand and shall comply with the Ministry Low for employing National
Labour Percentage (2%). Submit certificate copy obtained from the relevant
Ministry. Otherwise, our offer may not be considered.

Signature & Stamp

Tenderer's Name

Date
ANNEXURE-A

SPECIMEN OF PERFORMANCE BOND

Kuwait Oil Company (K.S.C.)


P.O. Box 9758
61008 Ahmadi
Kuwait

Dear Sirs,

At the request of [name of Vendor] ("Vendor") we hereby agree and guarantee to pay you the sum
of Kuwaiti Dinars upon receipt of your first
written demand therefore in connection with your Contract No. with the Vendor
relating to the supply of
L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- '

We shall make payment hereunder notwithstanding any contestation by the Vendor.

Our liability hereunder shall not be affected by any modification or additions to the terms of the
said Contract or its scope or any extension of time which may be agreed between the Vendor and
yourselves or by any indulgence or forbearance which you may grant to the Vendor.

Our liability hereunder will expire _ _ _ _ _ _ _ and any demand received by us thereafter
shall be null and void.

BANK

(Address)
by

(Authorized Signature)

(SEAL)

Date:
ANNEXURE B

~~\~4.s~
KOC PC ~\.lll s--\y.;J\ 41

(Bid Receipt Registration for Tenders/Mumarasa )~JL-/UllA :,) eo!ll}l4')11 ~ ,) Jig. J~)

Closing Date: I

RFP / RFQ No: I


:~W.I~J

Title: :~.,.t.1

Received From :o~L..J1 w-o ~J

(Company Name) :

No. of Envelopes: : .....i.:..)U;J.1 ~~

No. Of Cartons: :V9L,SJI ~~

Name of Bidder's :"':IJ..u.l1 f""" I I


Representative.

Mobile No.: :JLilJI .....i:l4l1 i

Submission Date: :~IEJ~

Signature: : ~.,:ul

~ ,.~I ~.; "i JJ:i .;1.)" 2016 W 49 rl.; ~ll!l .) ~ (.)Q~I.b,,~1 ,.~\ uS- ~.l ..llt.; 'J JI...a.;'i\ 11\
.1.:b.'J J.i:I...I liltl ~I t~1 uA JJ~I ~ ~ ~~I.hi..l4..s~ "I~I ~ ~
This receipt is not proof of fulfillment of the terms and conditions stipulated in the Public
Tender Law no. 49/2016. The decision of acceptance or rejection of the bid rests solely
with the KOC Procurement Committee(KOCPC) after opening the tender box at a
Committee Meeting to be specified later.

(FOR KOC BOC VERIFICATION)

Name of Employee:

Signature:

ATTACHMENT B
Kuwait Oil Company
Initial Bank Guarantee

1. The Tenderer must attach with his offer an original Initial Bank Guarantee.
Bids without Initial Bank Guarantee shall not be considered.
2. The Tenderer must fill-in the following details.

a) RFQ No:

b) Bank Guarantee No.:

c) Guarantee Period.:

d) Start Date.: .____._________________________________________________________. Expiry Date.:

e) Guarantee Amount.:

Signature & stamp:

Date:
Attachment C

TENDER INFORMATION

1. The material on the RFQ must be delivered to KOC Stores, Ahmadi.

2. Delivery in Weeks: weeks

3. Grand Total In Numbers


and in words, Kuwaiti Dinars :

4. Offer is valid for days.


----------------

S. Local Supplier/Tenderer's Name & Address: 6. Foreign Supplier's Name & Address:

Tel No. Fax No. Tel Fax No.

Email : Email:

The Contact Person:,._.,,_, . . ,_.,.. . . . ,. . . . .___,.. . . _. _,.....,_.."._,_~_~_. The Contact

7.
Manufacturer's Name & Address:

~#~~~~~~~~~~~--,-,

Tel Fax No.


Email :
The Contact
The Bid Reference : _ _'''_______ -----------_.............._...... """ .... _-- Date Signature Stamp
Attachment 0

MANUFACTURER'S DATA

We, the tenderer, give hereinafter the manufacturer data of each item:

Item No. Manufacturer's Name Address Origin Tel. No. Fax No. E-mail Contact Person
I

(* The tenderer shall use additional sheet if required)

Signature & Stamp: _ _ _ _ _ _ _ _ _ _ _ __ Date: _ _ _ _ _ _ _ __


ATTACHMENT-E
TO FORM OF TENDER

SCHEDULE OF DEVIATIONS FROM TECHNICAL SPECIFICATION

. PARAGRAPH OF
'-,",'

TENDER SPECIFio~~iON'\:
?' ;" -;',. , ~ ',:-.;:). ,
TO FORM OF TENDER

SCHEDULE OF DEVIATIONS FROM TENDER TERMS & CONDITIONS

CTDETAILS

ATTACHMENT-G
TO FORM OF TENDER

Bidders are required to complete this questionnaire and attach it to the offer:

YES NO
------------------------------------------------------------~--------------------~------~----~
1. Are the manufacturers detailed quotation and Data Sheets Attached?
Please specify :
f------
2. Are the Catalogue, Leaflets, Drawing etc. attached with the offer?
Please specify precisely in Number 9 of this form.
3. Have you submitted the necessary sample to KOC (To be filled in as and when applicable.) N/A
~------

4. Are complete price lists of spare included as requested in Particular Instructions. The original
manufacturer's name and part no. of each part must be specified in Annexure "J".
5. Please confirm that you have carefully read the tenders technical specifications and have clearly
detailed any deviations, if any, on the attached Deviation Sheet.
/-----
6. Please confirm that you will supply the following (as appropriate in accordance with specification
details), in the event that the Purchase Order is placed with you:
6.1 Operations Manuals
6.2 Maintenance Manuals
6.3 General Arrangements Drawing etc.
6.4 All special tools, jigs and templates necessary for routine maintenance and full
overhaul of the plant/equipment
6.5 Performance Test Reports
6.6 Materials Test Certificates
6.7 Standards & Codes Applied.
6.8 Vendor Drawings.

7. Please confirm that you will in the future promptly inform KOC of any modifications or changes to
specifications, identity codes, manufacturer's spare part numbers etc. and will also inform KOC at
least six months before any item heads for obsolescence.
--------------------------
8. Are local service facilities available, including spare parts for Emergency Repairs and Replacement?
(To be filled in as and when applicable). i

9. Please provide a list of all Catalogue, Leaflets, Drawings, etc. attached with your offers. Please list below the Catalogues
Titles in details and specify relevant item number on each Catalogue/Drawing.
Title of Catalogue/Drawing Items related in this Tender

9.1
9.2
9.3
9.4
9.5
9.6

9.7

9.8
TO FORM OF TENDER

KUWAIT OIL COMPANY (K.S.C.)

DECLARATION

We, the Tenderer (as defined by Article 20 of Law No. 3711964), hereby certifY
that none of the owners/partners of our firm or local agent (as applicable) is a
member of the Central Tender Committee nor an employee of the Kuwait Oil
Company. Further, we submit a certificate from the Ministry of Commerce and
Industry, indicating owner/partner names of our firm/local agent.

Signed:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

F or and on behalf of : - - - - - - -

Date: - - - - Stamp: _ _ _ _ _ _ _ _ _ _ __
AnnexureJ

TRANSPORTATION & DELIVERY OF MATERIAL

In accordance with KOC HSEMS procedures and to enhance safety to all concerned, all
Mobile equipment entering the company Warehouse/facilities must be inspected /
certified/complied with the requirements as detailed below.

A. All Mobile equipment entering KOC's Warehouse/facilities are subject to verification


with the attached check-list for full compliance. KOC reserves its right to deny access
to enter Company premises for Non- Compliant Mobile equipment.

B. The TPI Agency issued certification shall be valid for ONE ye<;lr period or the duration
of the supply of ordered materials.

C. The Mobile equipment classification and the relevant requirements shall be as


follows:

1. HEAVY EQUIPMENT AND CRANE (For handling Merchandises with gross weight more
than 3.S Tons)

1.1. For Hired Mobile Equipment:


1.1.1 The Mobile Equipment hired should be from the companies listed in KOC
Approved List category (48) "Hire Equipment and Crane".
1.1.2 AlIlVlobile Equipment should have a valid Third Party Inspection Certificate
from companies listed in KOC approved list category (64) "Inspection of
Mobile Equipment".
1.1.3 All Mobile Equipment should pass safety inspection at Warehouse gates as
per the "Safety Checklist".

1.2. For Supplier - Owned Mobile Equipment:

As specifically stated in 1.1.2 and 1.1.3 above.

2. LIGHT MOTOR VECHILE (LMV) (For handling Merchandises with gross weight less than
3.S Tons)

As specifically stated in 1.1.3 above.

P&C/P&MM-f(7.4-P 1&11_01)-30
~;t..:==

Category (64) -Inspection of Mobile Equipment

-
..
-...~-
~
..........

Contractors Name Address Telephone Fax Email Contact Person n


1. AL-MANSOORI SPECIALIZED
MSEQPS09@fMIRAI P.GANGADHARANAN- GENERAL
ENGINEERING lLC. P.O.BOX 3374, ABU DHABI, UAE 9712-5543718 97125543718
ES.NET.AE MANGER INSPECTION SVCS

SULIAN BEN ESSA & SONS


2. BUREAU VERITAS
COMPlEX-PLOT 44, P.O.BOX 24315078/ 24314078 .8VKUWA1T@AE.8UR ROYAN BRITO- 0- CHIEF
1476 DAlJEJ, FARWANIYA81025 24314978 EAUVERlIA$,.CQM EXECUTIVE
KUWAIT

3.GERMANISCHER LLOYD INDUSTRIAL GERMANISCHER LLOYD BRANCH


22251338/ 22251339/ GLO:KUWMT@GL SHERIF HElMY-CY-COUNTRY
SERVICES GMBH. OFFICE KUWAIT P.O. BOX 20842
22478963 22478961 GROUP.COM MANAGER GL GRO GROUP
SAFAT 13069

4JNDIAN REGISTER OF SHIPPING INDIA


INDUSTRIAL SERVICE M.s. RAY -CONTDNTRY
009122-6721-2300 009122-6721-2315
5@IRClASS.ORG REPRESENTATlVETIVE - KUWAIT

5.1 NTERNATJONAL INSPECTION CENTRE P.O.BOX 296" SABAHIYA 54573 23986748 INTERX@MAILOUAlI
23986749 FADI KARDAHJIIIl VICE PRESIDENT
KUWAIT 23988915 TYNEI.NEI

P&C/P&MM-f(7.4-P I&ICOI)-30
,,~
"~d"" ........ _ _
~..,.~.<-,...,'"

CATEGORY (48) - HIRE OF HEAVY EQUIPMENT AND CRANES

243362001 243363371
P.O. BOX 516, JASSIM AL-MAJIAJID
AGAM GROUP LTD 243478151 243491311
DASMAN 15456 JASSIM.ALMAJID@AMCO.COM GENERAL MANAGER &
COMPANY W.LL II KUWAIT
23987913 243478191
PARTNER
1844822 3987914
AL-AJMI & PARTNER FOR P.O. BOX 46913, ALI MOHAMMEMED
239289011 239209831
GENERAL TRADING & FAHAHEEL 64020 ALAJMICO 6@yahoo.Com AL-AJMI
23916977 23920985
CONTRACTING CO. KUWAIT CHAIRMAN
AL-MUSAIRIE NATIONAL P.O. BOX 47976,
23986225 RAYEK ABDO MANAGING
GEN.TRDG & CONTG. FAHAHEEL 64020 23986743 BMTVRNA@NCC.MOC.KW
23980441 DIRECTOR
EST COMPANY KUWAIT
EL-HOSS ENGINEERING P.O. BOX 9304, LOT 6
JOHN RAAD 1 GENERAL
& TRANSPORT AHMADI 61004 23981388/9 23981585 JOHN.RAAD@HETCO.NET
MANAGER
COMPANYWLL KUWAIT
OSAMA AL- HASA
EQUIPMENT CO.
II P.O. BOX 192, SAFAT 248124001
24819562 AGM@EQUIPMENTCO.KUWAIT.COM WI-ACTINTING
KUWAIT 24833621
GENERAL MANAGER

P.O. BOX 750 SALEH AL


INTEGRATED LOGISTICS II DASMAN 15458
239853061
23985884 INFO@ILCKW.COM HUWAIDI - CHIEHIEF
CO. 23985883
KUWAIT EXECUTIVE OFFICER

P.O. BOX 22801,


JASSIM TRANSPORT & 24910525 MARTIN J. FOSTER - GM
SAFAT 13089, 24910520 MARTIN@JTCKW.COM
STEVEDORING CO. II KUWAIT
EXT.336 EQUIPMENT LEASING

P.O. BOX ,29804


KGL TRANSPORTATION 222464421 II 222464491 II YASAR SHTNAWI
SAFAT 1315915456 YASARSHATNAWI@KG.COM
CO.
KUWAIT
II 1888700 24845926 II TENDERS MANAGER

P&C/P&MM-f(7.4-P 1&11_01)-30
P.O. BOX 24081 222590001
'-
KHARAFI NATIONAL KSC 22299991 KHARAFI. NATIONAL@ ROBERTO BENGINA
SAFAT 13101 247626551
(CLOSED)
24749655 24760891 KHARAF1NATIONALCOM CORPORATE DIRECTOR
KUWAIT
------------ ------------

NASER M. AL-BADDAH & P.O. BOX ,9088


MOHAMMAD ND N.
PARTNER GEN. TRDG. & AHMADI 61001 23260666 23260555 ADMIN@NBTCGROUP.COM
AL-BADDAH - I - CHAIRMAN
CONTG.CO KUWAIT

P&C/P&MM-f(7.4-P I&II_OI)-30
Warehouse Team
Safety Checklist for Vehicle Entry
KTNo:
Vehicle Type:
Contract/p.O. No
Name of Owner : .......................................................................................................................
Name of Supplier / Contractor:

OK

~
Sr

.No I
The Required Checks
Remarks

Strike out whichever is not applicable based on type of Equipment! Mobile Plant
1.0 Essential Documents:

1.1 Valid Registration Card

1.2 Valid Test Certificate (lifting equipment)

1.3 Driver has valid and required type of driving license

1.4 *Valid third party inspection Certificate (list 64)

1.5 *Vehicle owned by supplier or hired from list 48.

2.0 External Checks:

2.1 Marking of safe Working Load (SWL) (Lifting Equipment)

Head Light (hi/low beam), rear light, flashing indicators

I
2.2 (rear & front), parking light, brake light.

2.3 Reverse horn & Warning horn functioning

2.4 Free from physical damage

2.5 Windshield in good condition

2.6 Rear view/ side view mirror in good condition

2.7 Tires in good condition

2.8 No oil leaks in the hydraulic system

2.9 Wheel nuts & Bolts checked

2.10 Safety Latch in place (for lifting Equipment)

2.11 No abnormal smoke, noise & vibration while running

2.12 Load properly secured with straps, bands or other means

2.13 Cabin backsid~guard (Head Board) in place.

2.14 Trailer side supports is suitable and in good c()l'l~ition

2.15 Out Rigger Jack Support in good condition(if Applicable)

Recommendation: The equipment is 0 suitable un-suitable for deployment in the field.


Checked By (Name) ................................................................................. KOC/Contractor No............................... .
Signature & Date ...............................................................................................................................................................

Revision Date:
26/05/2015

P&C/P&MM-F(7.4-Pi&li_01 )-29