Contractor Pre-Qualification Form

Complete the form below and submit for HSE review (ISO 45001:2018 aligned)

Contractor Pre-Qualification (ISO 45001:2018)

New pre-qualification submission

Score: 0%

A. Company Information

B. Primary Contact & HSE Manager

PRIMARY CONTACT
HSE MANAGER

C. Management System Certifications

D. HSE Performance — Last 3 Years

IndicatorYear 1Year 2Year 3
Man-hours worked
Fatalities
Lost Time Injuries (LTI)
Medical Treatment Cases (MTC)
First Aid Cases
Near Misses

1. Leadership & Worker Participation (ISO 45001 cl. 5)

1.1Does top management demonstrate visible OH&S leadership and commitment?
1.2Is there a documented OH&S Policy signed by top management and communicated to all workers?
1.3Are OH&S roles, responsibilities, and authorities defined and communicated?
1.4Is there a process for consultation and participation of workers (including non-managerial)?
1.5Are HSE committees / safety reps established and functional?

2. Planning – Hazard ID & Risk Assessment (ISO 45001 cl. 6)

2.1Is there a documented hazard identification and risk assessment (HIRA) procedure?
2.2Are task-specific risk assessments / JSAs prepared before commencing work?
2.3Are legal and other OH&S requirements identified, documented and kept up to date?
2.4Are OH&S objectives and plans to achieve them established at relevant functions/levels?
2.5Is there a process to manage change (MOC) that addresses OH&S risks?

3. Support – Competence, Awareness & Communication (ISO 45001 cl. 7)

3.1Are resources (people, infrastructure, finance) provided for the OH&S management system?
3.2Is there a documented competency matrix for all OH&S-critical roles?
3.3Are induction, toolbox talks and refresher trainings conducted and recorded?
3.4Are workers made aware of OH&S policy, hazards, controls and incidents?
3.5Are internal and external OH&S communication channels established?
3.6Are OH&S documents and records controlled, retained, and accessible?

4. Operation – Operational Controls (ISO 45001 cl. 8)

4.1Are operational controls (procedures, permits-to-work, method statements) implemented?
4.2Is there a Permit-to-Work system covering high-risk activities (hot work, confined space, work at height, excavation, LOTO, etc.)?
4.3Is PPE provided free of charge, inspected, and replaced when required?
4.4Are plant & equipment inspected and certified by competent third parties where required?
4.5Are subcontractors and suppliers pre-qualified and managed for OH&S?
4.6Is there an Emergency Preparedness & Response plan including drills?
4.7Are first-aid arrangements, trained first-aiders and facilities in place?

5. Performance Evaluation (ISO 45001 cl. 9)

5.1Are OH&S performance indicators (leading & lagging) monitored and measured?
5.2Is there a documented internal HSE audit programme?
5.3Is compliance with legal requirements periodically evaluated?
5.4Does top management review the OH&S management system at planned intervals?

6. Improvement – Incident, NCR & CAPA (ISO 45001 cl. 10)

6.1Is there a documented incident investigation procedure (including near misses)?
6.2Is root cause analysis (e.g. 5 Whys, fishbone) used for incidents and nonconformities?
6.3Are corrective and preventive actions (CAPA) tracked to closure and verified for effectiveness?
6.4Is there a continual improvement programme for the OH&S management system?

7. Insurance & Legal

7.1Does the contractor hold valid Workmen's Compensation / Employer's Liability insurance?
7.2Is Public / Third-Party Liability insurance in place?
7.3Are all workers covered by valid medical insurance?
7.4Are vehicles and plant covered by valid insurance and registration?
7.5Has the contractor had any prosecutions or enforcement notices in the last 3 years?

E. Previous Relevant Projects

F. Key HSE / Project Personnel

G. Declaration, Review & Approval

SUBMITTED BY (Contractor)