Fabrication QUESTIONNAIRE Incl. QHSE

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QUESTIONNAIRE incl. QHSE

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GENERAL
Company
Yard address
Telephone
Telefax
Email address (Contact person)
Ownership
Annual turnover-last three years (in 2019; 2020; 2021;
USD)
Offshore Module fabrication
experience and references (enclose
a list)
Ongoing and Future awarded

projects
FACILITIES
Description Quantity in m2/m/etc. Comments
Total Area
Covered work areas:
Fabrication shops
Speciality shops
Offices and buildings

Warehousing and storage area
Indoor blasting and painting area
Open areas:
Laydown areas
Assembly/Erection areas
Outdoor blasting and painting area
Ground bearing capacities
Quayside:
Total length of quayside
Loadout capacity
Depth min (LLW)
Depth max at High tide
Quayside height from MLLW

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Tide variations
Distance from workshops to water
Limitations on barge size
Berthing capacity
Distance to open sea
Channel width
Channel depth
Derdging requirements
Height restrictions
Dry Dock:
Length
Width
Draft
Floor Load capacity
RESOURCES
Category Number of Persons Comments

Mangement
Engineers and Planners
Shop engineering
QA-personnel
Certified Paint Inspector
Certified painting personnel
Certified NDT-personnel
Foremen
Foreman to worker ratio
Certified welders
Platers
Pipe Fitters
Mechanics
Electricians
Technicians
Others (specify)
Total ( summarized )
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EQUIPMENT and UTILITIES.
Description Quantity Comments

Craneage:
Quayside /Dry Dock
Crawler/Mobile
Overhead/Gantry
Tower
Transportation bogeys
Plate cutting machines
Rolling/Bending machines
Heat treatment Furnace
Air Compressors
Electricity
Fresh Water
FABRICATION CAPACITIES and SUBCONTRACTING

State which activities you perform yourselves and which are subcontracted (indicate in comments the %-split)
Activities Capacity Own Subcontracted Comments

(own+subcontr performance
acted) tonnage
Structural
Primary Steel
Secondary steel
Outfitting steel
Stainless steel structures
Piping
Carbon steel
Stainless Steel
Duplex & Superduplex
6Mo
Titanium
CuNi
GRE
Pressure Testing
EIT
Surface Protection:
Blasting and Painting
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Insulation
Galvanising
Weighing and load out

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Health, Safety and Environment 2022
Date : __________________Contact person_______________________

Yes No
A Does your Company have an HSE Policy?
If yes, please forward a copy of your Safety Policy statement.
B HSE-goals for 2022 (or actual)
C How is HSE organised? Please show organisation and reporting lines

for the HSE work (responsible person/job description/org.chart
D Do you have a system for reporting and follow up of
 Accidents
 Near accidents
 Sick leave
If yes, are these data systematically analysed to ensure
improvements and preventive measures?
E Please provide us with your latest LTI (lost time injury) values.
F Do you have an established goal for reduction of accidents this year?

If yes, what is your goal
G Do you have a system for identification and evaluation of HSE risks
related to the activities and services that your company provides?
If you have such a system/procedure in place, can you document
your risk reducing measures for this year?
H Is your HSE system regularly reviewed by your Company’s

management?
If yes, how often and when was the last time this was done?
I Is your HSE system documented?

If yes, please submit a list of your HSE procedures.
J Do you have safety delegate(s) and

documented HSE training (incl. new personnel)?
K Is HSE part of your evaluation criteria of subcontractors?

Do you have a procedure for HSE subcontractor evaluation and
follow-up?
L Do you have an Environmental Policy or Procedures? System for
waste handling, energy consumption, use of chemicals (MSDS) etc.?
M Documented compliance with national laws, regulations and

standards?
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Quality 2022
Yes No
A Does your Company have an Quality Policy?
If yes, please forward a copy of your Quality Policy statement.
B Quality-goals for 2022 (or actual)
C How is QA organised? Please show organisation and reporting lines

for the QA work (responsible person/job description/organisation-
chart).
D Do you have an implemented / documented Quality System

according to the ISO 9000 standard?
 Certified
 If no, documented
E Do you conduct Management Reviews?

If yes, regularity / documentation / actions
F Do you have a system for following-up of sub-suppliers?

 Approved sub-suppliers (incl. updating)
 Verification system
 Responsibilities
 Applicable quality requirements
G Do you conduct internal audits

 Plans for 2022 (actual)
 Examples of reports and findings
H Description of your non conformance system
 NCR-log
 Closing status
 NCR trends-/cause analyses
I Training & qualification requirements

 Qualification matrix
 Example; qualification of welders, log, updating-routines
J Example of a Quality Plan (for the work)
K How document compliance with national laws, regulations and

standards?
L Documented internal system handling
 Risk identification & analyzes
 Experience transfer / lessons learnt
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Environment 2022

Yes No
1. Are you registered acc. to EMAS?
a) If yes, please send us your environmental report
2. Are you certified according to ISO 14001?
b)
Are you planning to implement a certified environmental
3. management system?
c) If so, which and when?
…………………………………….. Date: ……………..
4. Have you undertaken an external or internal environmental audit?

e) If yes, please send us a summary of the results.
5. Do you have a program for continual environmental improvement?

f) If yes, please send us a summary of your program
Do you have an up-to-date environmental impact assessment?
If yes, please send us a copy.
6.
If no, please describe briefly below what kind of environmental
g)
impacts your operations cause.
7. Do you need consent, authorisation environmental permit to

h) operate?
8. Have you an environmental contact person?
i) Name: …..…...Title:……………………..
9. Do you educate your staff in environmental issues?
j)
10. Do you have any sites for surface treatment, metal plating, pickling,
k) etc…
11. Have you established and maintain a register for

l) environmental/safety datasheet (MSDS)?
12. Have you established an environmental accounting system?
m)
13. Do you have formal procedure for handling of hazardous waste from
n) your sites?
14. Does your deliveries include any materials or chemicals that can
o) result in handling of hazardous waste? If yes, please specify
………………………………………………………………………………..
15. Other comments and responses to questions g and h, if
p) any……………………

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Fabricator Page

QUESTIONNAIRE incl. QHSE

Ongoing and Future awarded

Description Quantity in m2/m/etc. Comments

Offices and buildings

Indoor blasting and painting area

Outdoor blasting and painting area

Ground bearing capacities

Total length of quayside

Depth min (LLW)

Depth max at High tide

Quayside height from MLLW

Distance from workshops to water

Limitations on barge size

Floor Load capacity

Category Number of Persons Comments

Engineers and Planners

Certified painting personnel

Foreman to worker ratio

EQUIPMENT and UTILITIES.

Description Quantity Comments

FABRICATION CAPACITIES and SUBCONTRACTING

Activities Capacity Own Subcontracted Comments

Stainless steel structures

Duplex & Superduplex

Weighing and load out

Health, Safety and Environment 2022

Date : __________________Contact person_______________________

B HSE-goals for 2022 (or actual)

C How is HSE organised? Please show organisation and reporting lines

F Do you have an established goal for reduction of accidents this year?

H Is your HSE system regularly reviewed by your Company’s

I Is your HSE system documented?

J Do you have safety delegate(s) and

K Is HSE part of your evaluation criteria of subcontractors?

M Documented compliance with national laws, regulations and

B Quality-goals for 2022 (or actual)

C How is QA organised? Please show organisation and reporting lines

D Do you have an implemented / documented Quality System

E Do you conduct Management Reviews?

F Do you have a system for following-up of sub-suppliers?

G Do you conduct internal audits

I Training & qualification requirements

J Example of a Quality Plan (for the work)

K How document compliance with national laws, regulations and

Date : __________________Contact person_______________________

4. Have you undertaken an external or internal environmental audit?

5. Do you have a program for continual environmental improvement?

7. Do you need consent, authorisation environmental permit to

11. Have you established and maintain a register for

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