9form Ohsms Prequalification Questionnaire

Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Document ID No : MSSM-1-SF-002
Page 1 of 17
OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL
Rev. No.: 0
Date of issue: 2 Oct 2011
FORM NO. 102
OHSMS PRE-QUALIFICATION QUESTIONNAIRE

COMPANY
NAME
MARAFIQ Power & Water Utility Company

CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE
COMPANY ADDRESS /
Submitted by (PRINT):
CONTACT DETAILS
Position/Designation:
Date Submitted:
Signature:
Doc. No._______________
(The information provided is

accurate and genuine)
* listed in the evidence column indicates mandatory evidence to be provided.

Item
Question
A.
What are the companys

main activities?
D.
G.
J.
How long have you been

in business?
Answer
Evidence
Attached
Details of Evidence
Attached
Tick box if
attached
Tick box if
attached
Do you maintain a
current Quality
Assurance Programme?
Tick box if
attached
Please provide 3
examples of work you
Tick box if
PROPRIETARY NOTICE
THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY
DISCLOSURE OR USE IS EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION
BY MARAFIQ.
Approval (Marafiq use only)

(Tick & Initial)
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
IMPORTANT
Only document with stamps are considered
official.
Page 2 of 17
Rev. No.: 0
Item
M.
P.
S.
V.
Y.
AB.
Question
have carried out recently
in Saudi Arabia?
Are you prepared for
Marafiq to approach
previous clients for
references?
How many people do
you employ?
Have you ever had a
contract refused or
terminated on HSE
grounds?
Answer
Evidence
Attached
attached
Details of Evidence
Attached
Tick box if
attached
Tick box if
attached
Tick box if
attached

(Tick & Initial)
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
Tick box if
attached *
Do you have a formal

Safety Management
System (SMS) detailing
the HSE arrangements?
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached *
REFERRAL......................
Do you have a Health &

Safety Committee? If
Yes, please give details
of structure and agenda?
Tick box if
attached
REFERRAL......................
Do you have a HSE

Policy?
PROPRIETARY NOTICE
BY MARAFIQ.
APPROVED.....................
.
REJECTED......................
APPROVED.....................
IMPORTANT
official.
Page 3 of 17
Rev. No.: 0
Item
AE.
AH.
AK.
AN.
AQ.
AT.
Question
Answer
Evidence
Attached
Who is the competent

person for the
organisation?
Tick box if
attached
What formal HSE

qualifications do they
have?
Tick box if
attached *
How many HSE

Personnel do you
employ, please give
details including
qualifications?
Has the company ever
been prosecuted or
subject to police
investigation for health
and safety matters?
Do you have suitable
insurance and have you
complied with any
insurer requirements?
Do you subscribe to any
industry or safety related
Details of Evidence
Attached

(Tick & Initial)
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached
REFERRAL......................
Tick box if
attached
REFERRAL......................
APPROVED.....................
.
REJECTED......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached *
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
PROPRIETARY NOTICE
BY MARAFIQ.
REFERRAL......................
IMPORTANT
official.
Page 4 of 17
Rev. No.: 0
Item
Question
organisations?
AW.
AZ.
BC.
BF.
BI.
BL.
Are you a member of a

recognised industry or
HSE specific
organisation i.e. IOSH,
IIRSM etc?
Where do you gain
access to up to date
health and safety
information and best
practice guidance?
How often do you review
your HSE arrangements
and ensure up-to-date
compliance?
How do you
communicate your
Health and Safety Policy,
arrangements and
procedures to your
employees?
Do you provide your
employees with health
and safety training?
Answer
Evidence
Attached
attached
Details of Evidence
Attached

(Tick & Initial)
APPROVED.....................
.
REJECTED......................
Tick box if
attached
REFERRAL......................
Tick box if
attached
REFERRAL......................
Tick box if
attached
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached
REFERRAL......................
APPROVED.....................
.
REJECTED......................
APPROVED.....................
.
Tick box if
attached *
Are you prepared to fund
PROPRIETARY NOTICE
BY MARAFIQ.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
IMPORTANT
official.
Page 5 of 17
Rev. No.: 0
Item
BO.
BR.
BU.
BX.
CA.
Question
any HSE training
required to meet the
requirements of
Marafiqs SMS?
How do you review and
measure your health and
safety performance?
Do you have safety rules
for work activities?
Can you provide Marafiq

with a HSE Plan for
company activities or
previous work?
Provide worked
examples of the
following: Risk Assessment
(specific)
Method
Statement
(specific)
Inspection Report
(specific)
Provide worked
Answer
Evidence
Attached
Tick box if
attached
Details of Evidence
Attached
Tick box if
attached *
Tick box if
attached
Tick box if
attached

(Tick & Initial)
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached *
PROPRIETARY NOTICE
BY MARAFIQ.
REFERRAL......................
APPROVED.....................
.
REJECTED......................
IMPORTANT
official.
Page 6 of 17
Rev. No.: 0
Item
Question
examples of HSE
Inspections carried out
by your HSE personnel?
CD.
CG.
CJ.
CM.
CP.
Provide detailed
information of the
accidents and incidents
in the last 3 years
(include statistical
records).
What is your
organisations procedure
for reporting, recording &
investigating accidents &
incidents?
Provide details of your
First Aid arrangements
including training
provider information?
Emergency
Arrangements when on a
clients site?
Do you or any of your
sub-contractors use
hazardous materials? If
Yes, provide details and
precautions
Answer
Evidence
Attached
Tick box if
attached *
Details of Evidence
Attached
Tick box if
attached *

(Tick & Initial)
REFERRAL......................
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached *
REFERRAL......................
Tick box if
attached *
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached
APPROVED.....................
.
REJECTED......................
REFERRAL......................
APPROVED.....................
.
REJECTED......................
Tick box if
attached
REFERRAL......................
PROPRIETARY NOTICE
BY MARAFIQ.
APPROVED.....................
.
IMPORTANT
official.
Page 7 of 17
Rev. No.: 0
Item
Question
CS.
Do you use equipment

that could present a risk
during work activities? If
Yes, provide details
CV.
How do you ensure the

competence and suitable
of health and safety
performance of subcontractors?
Answer
Evidence
Attached
Details of Evidence
Attached

(Tick & Initial)
REJECTED......................
Tick box if
attached
REFERRAL......................
Tick box if
attached
REFERRAL......................
PROPRIETARY NOTICE
BY MARAFIQ.
APPROVED.....................
.
REJECTED......................
APPROVED.....................
.
IMPORTANT
official.
Page 8 of 17
Rev. No.: 0
For Marafiq Official Use Only

Signed:___________________________________________
Tick box if
ALL
Questions
answered
Name:______________________________________
Position:____________________________________
Date:_____________________________________________
Issues for Referral
Tick box if
ALL
evidence
is attached
PRE-QUALIFICATION RESULT
APPLICATION APPROVED
...................
APPLICATION REFERRED
....................
APPLICATION REJECTED
...................
Tick the appropriate box and add initials alongside.
Further Evidence of Clarification Provided
PROPRIETARY NOTICE
BY MARAFIQ.
Approved?
IMPORTANT
official.
Power & Water Utility Company for Jubail and

Yanbu (MARAFIQ)
OCCUPATIONAL HEALTH AND SAFETY
MANAGEMENT MANUAL
1.0
Page 9 of 17
Rev. No.: 0
FORM GUIDANCE
The purpose of this form is to structure to the process of determining the competence and
capabilities of a contractor to work safely on projects organized or managed by Marafiq.
The questionnaire is intended to challenge contractors to demonstrate, with evidence, their
knowledge and ability to apply sound OHS principles. The blank form is issued to
contractors with instructions on how to complete the form, attach evidence and return it to
Marafiq for evaluation.
Company Name
The contractor enters the name of his company in this box. This name must be the name of
the company to whom contracts will be awarded.
Company Address / Contact Details
The contractor enters here the address, main contact phone number, fax number, direct line
for the person who submitted the form and their e-mail address.
Submitted by
Enter the name of the person who works for the contractor who completed and submitted
this form.
Position / Designation
Enter the position the person named in the above box holds within their company. For
example: Contracts Manager, Project Manager or Health and Safety Manager.
Date Submitted
The contractor enters the date on which the questionnaire is completed and submitted to
Marafiq.
Signature
The person whose name is noted above signs to say that the information provided in the
questionnaire and appended to it is accurate and genuine at the time of submittal.
Item Column
A numbering system to allow reference to questions and corresponding responses.
Question Column
The questions to be answered by the contractor.
Answer Column
The contractor enters in here a brief response to the question. He may provide a more
detailed response in a separate response document that clearly connects responses to
referenced questions.
Evidence Attached Column
PROPRIETARY NOTICE
THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO
MARAFIQ. ANY DISCLOSURE OR USE IS EXPRESSLY PROHIBITED
EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ.
IMPORTANT
Only document with stamps are
considered official.

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Page 10 of 17
Rev. No.: 0
Where additional information or evidence is attached, the contractor will tick the box to
indicate this.
Details of Evidence Attached Column
The contractor lists the evidence provided in response to the question.
Approval Column
This column is for use by Marafiq when evaluating the contractor responses. Each response
is approved, rejected or referred. Approve the response if it meets the required standard.
Referred means that more information may be required or that the risk indicated by the
response may be controlled using Marafiq control measures. If the response indicates that
the contractor has insufficient knowledge or capability to meet Marafiqs standards of
occupational health and safety, tick the Rejected box.
For Marafiq Official use Only
Signed, Name, Position, Date
The reviewer enters their signature, printed name, position and the date they completed the
review.
Tick boxes
All questions must be answered, even if the answer is to explain why the question is not
valid for the contractors operations. If any questions are unanswered, the reviewer will ask
the contractor for responses in the first instance to obtain an immediate response. If all
questions are answered, tick the box.
Mandatory evidence, indicated by a * in the evidence column, must be provided. Other
evidence may be required depending on the written response provided. The reviewer must
use judgment to determine if evidence should be provided. If all the required evidence is
provided, tick the box.
Pre-qualification Result
If all the questions are marked approved and both tick boxes are ticked, the questionnaire is
approved.
If any of the boxes are marked Rejected, the questionnaire is rejected. If any of the
questions are marked Referred or further information is required from the contractor or
from the Marfiq department who will work with the contractor, the referred box will be
ticked. In some instances, minor shortcomings in the contractors knowledge or capability
may be mitigated by temporary control measures used by the Marafiq department. This
further information will be sought. Tick the appropriate box and add the reviewer initials
alongside.
Issues for Referral
The reviewer will list the further information to be provided or the control measures from the
Marafiq department.
PROPRIETARY NOTICE
IMPORTANT

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Page 11 of 17
Rev. No.: 0
Further Evidence of Clarification Provided

The reviewer will provide a summary of the further evidence or information provided by the
contractor or any temporary control measures to be used by the Marafiq department
Approved?
If the information provided is satisfactory write Approved. If all issues for referral are
approved, the reviewer may change the status of the PWW result. Otherwise enter
Referred or Rejected. Only two referral loops are permitted before the questionnaire is
rejected.
The form below includes examples of good responses and evidence provided with the PreQualification Questionnaire form. Use this information to determine whether contractor
responses are satisfactory, unsatisfactory or require clarification.
Item
A.
Question
What are the companys
main activities?
Examples of Good Responses
This question allows Marafiq

to get an indication of the
contractors specific skill in terms of
providing services.
B.
How long have you been in

business?
C.
Do you maintain a current

Quality Assurance
Programme?
This question clearly indicates

the longevity of the business and a
business that has only been
established for a short period of time
would indicate a lack of experience
or perhaps suggest previous
financial problems etc.
Many companies maintain

Quality Assurance Standards as a
means of inclusion on tender lists for
prospective clients and would
indicate a commitment to sound
management systems.
D.
Please provide 3 examples

of work you have carried
out recently in Saudi
Arabia?
E.
Are you prepared for

Marafiq to approach
The reason for this question is

to check that the contractor is used
to working locally, give an indication
that they have worked recently and
open up the opportunity to see
references.
This should indicate if the

contractor has anything to hide in
PROPRIETARY NOTICE
Examples of G
Good evidence
information about spe
just general indication
that could be provide
brochures, websites,
company name etc.
A contractor th
history of good busine
provide evidence of s
established clients ov
time.
OHSAS 18001:
would be a good indic
with the minimum sta
comply with most cur
requirements for heal
NOTE: Be awa
outdated certification
questions as to why t
Names, addres
recent work carried o
from 3 sources that c
relevance of experien
with regard to work a
Good reference
by follow up phone ca
IMPORTANT

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Item
Question
previous clients for
references?
F.
How many people do you

employ?
G.
Have you ever had a

contract refused or
terminated on HSE
grounds?
H.
Do you have a HSE Policy?
I.
Do you have a formal Safety

Management System (SMS)
detailing the HSE
arrangements?
J.
Do you have a Health &

Safety Committee? If Yes,
please give details of
structure and agenda?
Page 12 of 17
Rev. No.: 0

terms of previous work carried out
and demonstrate their openness and
honesty.
It is important to gauge the

resources available in terms of
people that would be required to
carry out the service to be provided
and this question should give an
indication. This question also allows
Marafiq to measure numbers of staff
against trained health and safety
staff provision.
Any contractor who has had a
contract refused or terminated on
HSE grounds is likely to have serious
problems in terms of HSE provision
and/or management and would
require further investigation.
A HSE Policy demonstrates a verbal

commitment to providing a safe and
healthy workplace and is only the
initial indicator of this assurance and
requires suitable and sufficient
arrangements to support this
promise.
A SMS demonstrates that the
contractor understands that the
commitment stated in a HSE Policy
needs a mechanism to meet the
objectives stated. The SMS must be
specific to the organisation and
should detail all roles,
responsibilities, policies, procedures
and suitable guidance.
The answer to this question will
show if the contractor understands
that communication is a key element
to successful HSE management and
that they regularly meet to discuss
HSE issues.
PROPRIETARY NOTICE
Examples of G
are relevant to the wo
contractor is going to
Good evidence
personnel records wit
designation who will b
working on Marafiq si
Good evidence would

contract termination
grounds and this coul
references where pos
NOTE: Be open minde
could have had issues
to refusal or terminat
not be relevant to HS
thoroughly investigat
A carefully considered
HSE Policy that is app
Arabia that has been
supported by sound a
evidence for this ques
A well thought out SM

required elements to
that have been review
evidence of continual
A HSE Committee me
agenda and where po
minutes of meetings
IMPORTANT

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Page 13 of 17
Rev. No.: 0
Item
K.
Question
Who is the competent
person for the organisation?

Best practice states that a person
should be nominated from within an
organisation to be the competent
person and that they should have
the relevant skills, knowledge and
qualifications to carry out the
function.
This question supports the previous
one by ensuring the contractor
backs up their claims to having a
competent person with supporting
evidence of background, skills and
qualifications.
L.
What formal HSE

qualifications do they have?
M.
How many HSE Personnel

do you employ, please give
details including
qualifications?
As mentioned above, the contractor

must demonstrate that they have
sufficient competently trained safety
personnel to supervise, monitor and
manage any HSE hazards and risk
associated with the contractors
business.
N.
Has the company ever been

prosecuted or subject to
police investigation for
health and safety matters?
This question speaks for itself as any

organisation that has been
prosecuted must be able to indicate
that all the relevant steps have been
taken to prevent any reoccurrence
and strengthen their systems.
O.
Do you have suitable

insurance and have you
complied with any insurer
All contractors need to provide an

up-to-date insurance policy for
workers, professional and public
PROPRIETARY NOTICE
Examples of G
A suitable individual s
the competent person
competence can be m
answer given in Ques
A good level of compe

on the size of the org
service provided in te
would be good eviden
Certification or Diplom
Council International
Certification or any ot
qualification in accord
and nature of the org
NOTE: Checks should
qualifications and bea
qualifications can be
internet nowadays, so
thorough checks are r
Safety personnel to c
the organisations bus
qualifications and bac
NOTE: Ensure that the
be verified and that t
to providing the numb
carrying out the work
A prosecution does no
that a contractor shou
clearly good evidence
regarding the inciden
have taken the right a
that this will not happ
was dealt with in a tim
for evidence of invest
management meeting
plans, lessons learnt e
Copies of Insurance P
date and can be verifi
IMPORTANT

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Item
P.
Q.
R.
Question
requirements?
Do you subscribe to any
industry or safety related
organisations?
Are you a member of a

recognised industry or HSE
specific organisation i.e.
IOSH, IIRSM etc?
Where do you gain access
to up to date health and
safety information and best
practice guidance?
S.
How often do you review

your HSE arrangements and
ensure up-to-date
compliance?
T.
How do you communicate

your Health and Safety
Policy, arrangements and
procedures to your
employees?
U.
Do you provide your

employees with health and
safety training?
V.
Are you prepared to fund

any HSE training required to
meet the requirements of
Marafiqs SMS?
Page 14 of 17
Rev. No.: 0

liability where appropriate.
Committed organisations should be
interested in industry best practice,
innovations and safety alerts and as
such this question prompts the
contractor to provide evidence of
this assurance.
As above.
As above and this question also

forces the contractor to provide
evidence that they are able to go to
the right place to get the right
information as required.
This is an important question as
many contractors rely on generic
information, documentation and
procedures as evidence of
competence, this questions looks at
up-to-date specifics regarding their
HSE management review.
It is important to establish that the
organisation communicates with all
interested parties regarding their
HSE arrangements and this question
asks them to show a clear
understanding of this element.
This question prompts the contractor
to provide information that would
indicate that they recognise the
importance of keeping their
employees well trained in HSE
matters.
Some contractors may not be able to
show that all their staff are
appropriately trained and may have
gaps in levels of competence. This
question allows Marafiq to establish
gaps and be certain that the
contractor is willing to financially
support any shortfall in their training
PROPRIETARY NOTICE
Examples of G
Membership details, i
subscriptions, technic
subscriptions etc, etc
As above
As above and HSE We

Safety Executive, OSH
BSI, ISO, OHSAS etc,
and other external HS
HSE Policy reviewed w

months, HSE Docume
logical numbering for
regular revision and w
of future HSE objectiv
backed up with Mana
Meeting minutes.
HSE Employee Handb
and HSE Induction Tra
good forms of eviden
HSE Training Needs A

Training Programme,
Certifications and Tra
Sheets etc.
Evidence that the org

budget set aside for H
good evidence for thi
NOTE: This informatio
to the Contracts Depa
that any training requ
contract documents.
IMPORTANT

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Item
Question
Page 15 of 17
Rev. No.: 0

provision.
The answer to this question is an
indicator that the contractor that
they must show that when they
carry out their work, they appreciate
that the HSE performance is as
important as completing the work to
a standard, on time and within
budget.
It is important that the contractor
can show that they have rules in
place to indicate to their workers the
expectations of the organisation and
that non conformance is
unacceptable.
A HSE Plan will provide Marafiq with
complete documentary evidence of
how the organisation has managed
HSE during previous work activities.
W.
How do you review and

measure your health and
safety performance?
X.
Do you have safety rules for

work activities?
Y.
Can you provide Marafiq

with a HSE Plan for
company activities or
previous work?
Z.
Provide worked examples of

the following: Risk Assessment
(specific)
Method Statement
(specific)
Inspection Report
(specific)
This question should prevent the

contractor from relying on generic
documents to demonstrate
competence and will give Marafiq a
clear indication that they can adapt
to real life specific situations.
AA.
Provide worked examples of

HSE Inspections carried out
by your HSE personnel?
Marafiq need to know that the

contractor is capable of inspecting a
work area, asking the right
questions, looking for the right
things and taking appropriate action
in a timely manner.
AB.
Provide detailed information

of the accidents and
incidents in the last 3 years
(include statistical records).
The answer to this question will give

Marafiq a guide as to the health and
safety performance of the
organisation and indicate any
PROPRIETARY NOTICE
Examples of G
HSE Key Performance

Statistics, Positive HS
(inspections, audits, t
Negative HSE Indicato
incidents, first aid cas
conformance etc).
Site Rules Book, Site

Disciplinary Procedure
Well structured HSE P

both generic and spe
appropriate and show
understanding of the
involved with suitable
measures in place
All document provide
appropriately, should
areas/activities and s
generalised in any wa
NOTE: Be aware of g
such as All Staff, Wh
for specifics such as
Chemical Store and
information.
Good evidence would
Inspection Checklist t
findings, records the
identifies appropriate
responsibility for the
timescale for complet
to close out the action
should be completed
trained and competen
Realistic statistical ev
account all aspects of
and includes sub-con
in the statistics where
IMPORTANT

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Item
Question
Page 16 of 17
Rev. No.: 0

deficiencies or trends in a particular
area that may need further attention
or investigation.
AC.
What is your organisations

procedure for reporting,
recording & investigating
accidents & incidents?
This is a follow up question to

Question BB and the answer can be
used to support further questions,
investigation or referral.
AD.
Provide details of your First

Aid arrangements including
training provider
information?
Emergency Arrangements
when on a clients site?
Any good contractor will have

arrangements in place to deal with
First Aid.
AF.
Do you or any of your subcontractors use hazardous

materials? If Yes, provide
details and precautions
AG.
Do you use equipment that

could present a risk during
work activities? If Yes,
provide details and
precautions
AH.
How do you ensure the

competence and suitable of
health and safety
Marafiq need to know the detail

regarding any dangerous or
hazardous substance that may be
brought onto site. This will allow the
management to decide the
suitability and acceptability of the
proposed substances and whether
the contractor can manage the
substances safely.
Marafiq need to know the detail of
any equipment that may be brought
onto site that may present a hazard
or risk. This will allow the
management to decide the
suitability and acceptability of the
proposed equipment and whether
the contractor has the systems in
place to manage the equipment
safely.
It is just as important for Marafiq to
know how a contractor selects their
own sub-contractors to ensure the
AE.
All good contractors will have

arrangements in place to deal with
emergencies.
PROPRIETARY NOTICE
Examples of G
NOTE: Question wher
indicates an accident
organisation as there
reporting or a blind e
reporting.
Incident Report Forms
First Aid Records, Inve
and other related evid
NOTE: Do not just acc
scrutinise the detail in
List of First Aid Traine
Plan (including First A
and First Aid Training
Emergency Evacuatio
Emergency Planning P
Warden Lists, Fire Tra
Emergency Structure
NOTE: Ensure that the
identified all likely em
and have procedures
Register of Chemicals
Safety Data Sheets fo
chemicals/substances
Assessments and Saf
their use.
Equipment Register, S
Records, Test Certifica
Preventative Mainten
Competent Operator
Contractor Selection P
Qualification Question
of careful scrutiny of
IMPORTANT

Yanbu (MARAFIQ)
MANAGEMENT MANUAL
Item
Question
performance of subcontractors?
Page 17 of 17
Rev. No.: 0

level of competence is not being
compromised in any way as these
workers may soon be on the sites.
PROPRIETARY NOTICE
Examples of G
background and comp
IMPORTANT

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Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

FORM NO. 102

OHSMS PRE-QUALIFICATION QUESTIONNAIRE

MARAFIQ Power & Water Utility Company

(The information provided is

* listed in the evidence column indicates mandatory evidence to be provided.

What are the companys

How long have you been

Approval (Marafiq use only)

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

Approval (Marafiq use only)

Do you have a formal

Do you have a Health &

Do you have a HSE

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

Who is the competent

What formal HSE

How many HSE

Approval (Marafiq use only)

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

Are you a member of a

Approval (Marafiq use only)

Are you prepared to fund

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

Can you provide Marafiq

Approval (Marafiq use only)

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

Approval (Marafiq use only)

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

Do you use equipment

How do you ensure the

Approval (Marafiq use only)

OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT MANUAL

For Marafiq Official Use Only

Issues for Referral

Tick the appropriate box and add initials alongside.

Further Evidence of Clarification Provided

Power & Water Utility Company for Jubail and

Power & Water Utility Company for Jubail and

Power & Water Utility Company for Jubail and

Further Evidence of Clarification Provided

Examples of Good Responses

This question allows Marafiq

How long have you been in

Do you maintain a current

This question clearly indicates

Many companies maintain

Please provide 3 examples

Are you prepared for

The reason for this question is

This should indicate if the

Power & Water Utility Company for Jubail and

How many people do you

Have you ever had a

Do you have a HSE Policy?

Do you have a formal Safety

Do you have a Health &

Examples of Good Responses