CFSGAM Evaluation of Contractor OH&S Procedure Checklist MARSH 290411 Issue 5

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• MARSH DOCUMENT 29/04/2011 ISSUE 5

• Evaluation of Contractor OH&S Procedures Checklist

• The following questionnaire is to be completed by Major Contractors when tendering for work or being considered for inclusion on the register of preferred contractors. Colonial First State Global Asset Management (CFSGAM) requires contractors to demonstrate competence and commitment to OH&S issues in accordance with CFSGAMÕs OH&S Policy and Contract Specifications.

• Name of Company/Contractor

• Work being tendered

OH&S QUESTIONNAIRE

• 1. Can your company provide evidence of a written OH&S Policy?

  Yes

  No

  N/A

• 2. Does your company have a safety manual detailing:

• 2.1 individual's responsibilities for OH&S issues

  Yes

  No

  N/A

• 2.2 training records

  Yes

  No

  N/A

• 2.3 equipment maintenance records

  Yes

  No

  N/A

• 2.4 OH&S committee

  Yes

  No

  N/A

• 2.5 names of OH&S representatives

  Yes

  No

  N/A

• 2.6 emergency procedures

  Yes

  No

  N/A

• 2.7 first aid procedures

  Yes

  No

  N/A

• 2.8 proper use of personal protective equipment

  Yes

  No

  N/A

• 2.9 evidence of a safety manual must be provided. This may require a copy of the manual included in your tender submission a copy of the table of contents which clearly identifies the format & content of the manual.

  Yes

  No

  N/A

• 3. Will a documented Job Safety Analysis of specific OH&S hazards relating to the work be undertaken prior to commencing work? (A template or a Job Safety Analysis is attached)

  Yes

  No

  N/A

• 4. Will you ensure all personnel (including sub-contractors) entering the work site undergo a suitable induction program and that induction records are maintained?

  Yes

  No

  N/A

• 5. Will safety equipment be required to undertake the work?

  Yes

  No

  N/A

• 5.1 If yes specify

  Yes

  No

  N/A

• 6. Will hazardous materials be required on site? (ie flammable, poisons, corrosives, compressed gases, explosives, etc)

  Yes

  No

  N/A

• 6.1 If yes, will these hazardous materials be stored in accordance with State regulations?

  Yes

  No

  N/A

• 6.2 Will Material Safety Data Sheets (MSDS's) be available?

  Yes

  No

  N/A

• 7. Does your company have Public Liability Insurance?

  Yes

  No

  N/A

• 7.1 (Limit of PI insurance $.....................................................)

  Yes

  No

  N/A

• 7.2 Is your company registered as an employer with WorkCover Insurance?

  Yes

  No

  N/A

• 7.3 Registration No:

  Yes

  No

  N/A

• 7.4 Other Insurances:

  Yes

  No

  N/A

• 8. Can your company provide details of previous projects and references of OH&S performance?

  Yes

  No

  N/A

• Please provide: PROJECT / REFEREE / CONTRACT #

• 9. Will you record, investigate and act on all accidents and 'near misses'?

  Yes

  No

  N/A

• 10. Will qualified medical or first aid assistance be provided on site?

  Yes

  No

  N/A

• 11. Are appropriate fire protection procedures and equipment available?

  Yes

  No

  N/A

• 12. Is a designated and suitably qualified/experienced officer responsible for managing OH&S?

  Yes

  No

  N/A

• 12.1 Name of person

• 12.2 Company name

• 12.3 Company representative

• Signature of company representative:

  Sign

• Date and time:

  Date

• 13. Are you prepared to complete the Job Safety Analysis and submit it if applicable?

  Yes

  No

  N/A

• CFSGAM USE ONLY

• This document has been reviewed by CFSGAM and consideration of OH&S procedures has formed part of the selection process.

• NAME OF CFSGAM REPRESENTATIVE:

• SIGNATURE OF CFSGAM REPRESENTATIVE:

  Sign

• DATE & TIME

  Date

• CLASSIFICATION OF CONTRACTOR

• Issue date 29/4/2011 Issue No: 5 MARSH