Redland Industrial Services (Arabia) Ltd

P.O. Box 32375, Al Khobar 31952, Kingdom of Saudi Arabia

Telephone: +966 13 834 3343 Fax: +966 13 834 2937 E Mail: stuartgreaves@risal.com

COMPETENCE QUESTIONNAIRE FOR CONTRACTORS

RISAL have duties to make reasonable enquiries regarding the suitability of contractors whom they employ. Such
enquiries include checks of knowledge, competence, resources and the HSE standards of potential contractors to
ensure adequacy.

In order for us to make these reasonable enquiries would you please provide the following information:

1. CONTRACTOR DETAILS
Company Name:……………………………………………………………………………………………………….
Address:………………………………………………………………………………………………………….……..
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Telephone No:………………………………………….. Fax…………………………………………………
No:………………………………………………….
Contact Name:…………………………………………………………………………………………………………..
Title:…………………….…………………………………………………………………………………………………

2. NATURE OF BUSINESS
Please indicate the type of work/services you provide.
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3. DOES YOUR COMPANY HAVE A HEALTH & SAFETY POLICY? YES/NO

If YES please attach a copy of your latest Health & Safety Policy Statement and summary of
organisation and arrangements.
COPIES ENCLOSED YES/NO
Please give the name, initials and job title of the person having executive responsibility for health and
safety in your company
Name:………………………………………………………………….
JobTitle:…………………………………………………………………………………………………………………

Form SF018 Contractor Supply Questionnaire Issue 3.0

4. DOES YOUR COMPANY HAVE AN ENVIRONMENTAL POLICY STATEMENT? YES/NO
If YES please attach a copy of your latest Environmental Policy Statement and summary of
organisation and arrangements.
COPIES ENCLOSED YES/NO
Please give the name, initials and job title of the person having executive responsibility for environmental
compliance in your company.
Name:………………………………………………………………….
JobTitle:…………………………………………………………………………………………………………………

5. Does your company have an Environmental Management System (EMS) (i.e. ISO 14001),
Quality Management System (QMS) (i.e. ISO 9000) or a relevant Health & Safety management
system (i.e. ISO 18001). YES/NO (Please supply certificates)

Details ……………………………………………………………………………………………………………………

6. Do you have the services of a professional Safety Adviser, Consultant, or other competent
person appointed to assist with health and Safety? YES/NO
(If yes please provide details)
Name:………………………………………………………Job Title:………………………………………………
Qualifications:……………………………………………..Full Time/Part Time (circle as applicable)
Employed By:……………………………………………..Telephone No:………………………………………

7. Do you have the services of a professional Environmental Adviser or Consultant, or other

competent person appointed to assist with environmental issues ? YES/NO
(If yes please provide details)
Name:………………………………………………………Job
Title:……………………………………………………...
Qualifications:……………………………………………..Full Time/Part Time (circle as applicable)
Employed By:……………………………………………..Telephone No:…………………………………………

Form SF018 Contractor Supply Questionnaire Issue 3.0

8. Please provide details of health and safety/environmental instruction and training given to your
managers, supervisors and operatives within the last three years. Include applicable skills
certification of supervisors and operatives. (Please attach examples of training records/certificates)
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9. Do you carry out risk assessments and produce safe systems of work (SSW)? YES/NO
Do your risk assessments include an adequate assessment of environmental risk? YES/NO

If the answer is yes to either of the above please provide examples of risk assessments (include examples
of BOTH Health and Safety and Environmental assessments as appropriate).

State how you bring to the notice of your operational personnel and contractors the requirements of your
safe systems of work (please provide example records).
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How do you ensure that your employees and contractors comply with your safe systems of work?
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10. How do you assess the Health & Safety/Environmental record of subcontractors who you may
use on our sites? (Please provide examples)
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11. How do you monitor performances on health and safety/environmental matters for the works
under your control? (Please provide example records)
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Form SF018 Contractor Supply Questionnaire Issue 3.0

12. Please provide your accident statistics for the past 3 years in the boxes below
Year 1 Year 2 Year 3
Employees Hired Employees Hired Employees Hired
No of Fatalities

No of Reportable Injuries
(e.g. MTCs & LTIs)
No 1st Aid Injuries

No of Damage Incidents

No. Near Miss

Total Working Hours

13. Please provide your environmental statistics for the past 3 years in the boxes below
Year 1 Year 2 Year 3
No of Prosecutions/offences

14. Please provide details of any improvement notices, prohibition notices or prosecutions served
upon your company by any enforcing authority within the last three years.
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15. Do you appoint employee safety and/or environmental representatives? YES/NO

Do you have safety/environmental committees? (Please attach examples of recent minutes) YES/NO

How often do your committees meet? …………………………………………………………………………….

What topics are generally discussed?
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16. Please indicate what maintenance and inspections you undertake on vehicles, plant and work
equipment that you may use when working for RISAL (Please attach examples).
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Form SF018 Contractor Supply Questionnaire Issue 3.0

17. Do you possess valid insurance for the following.
PLEASE INCLUDE COPIES OF CERTIFICATES – APPROVAL CANNOT BE GIVEN UNTIL THEY ARE RECEIVED

• Employers liability Yes / No Value SR/$ ……………………………..

• Public liability Yes / No Value SR/$ ……………………………..
• Products liability/professional Indemnity Yes / No Value SR/$ ……………………………..
• Employee Medical Insurance Yes / No Value SR/$ ……………………………..
• Motor Insurance Yes / No Value SR/$ …………………………….
Are you registered under GOSI (KSA) or other national insurance scheme? Yes/No (Please attach Details)
……………………………………………………………………………………………………………………………

18. Do you provide pre-employment health screening & healh surveillance for your employees?
YES/NO (Please attach sample medical certificates)
Details ……………………………………………………………………………………………………………………
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19. RELEVANT REGISTRATIONS AND AUTHORISATIONS

Does the service(s) you provide involve you in the carriage of waste on the public highway? YES/NO
Does the service(s) you provide involve the treatment, recovery or disposal of waste? YES/NO

If the answer to the above is YES please supply a copy of your/your suppliers current waste carrier’s
registration certificate, or waste management license

19. OTHER RELEVANT INFORMATION

Please list any other information which you wish to make us aware of in connection with these enquiries,
e.g. membership of professional bodies, receipt of safety awards, incentive schemes and technical support.
(please attach examples)
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Form SF018 Contractor Supply Questionnaire Issue 3.0

I certify that the details given in this questionnaire, and in any enclosed supporting documentation are
correct. I also confirm that I have assessed the details of the RISAL contractors supply specification
CSS001 and confirm this organisation can and will meet the requirements specified when engaged for
RISAL. I fully understand that all applicable requirements of CSS001 are mandatory implied contractual
terms in all contracts with RISAL, unless all, or part of these terms are specifically wavered, or modified, by
RISAL executive management in writing.

NAME…………………………………………………..TITLE…………………………………………………………
SIGNATURE…………………………………………..DATE…………………………………………………………
COMPANY………………………………………………………………………………………………………………

Please return the completed form to RISAL via fax, post or E mail

FOR RISAL USE ONLY

Contractor approved for use YES/NO

Level of approval 1 2 3

Scope of Supply

Signed Position Date

(HSE Approval)

Signed Position Date

(Supply Chain Approval)

Form SF018 Contractor Supply Questionnaire Issue 3.0