2b Has your organisation received any Government regulatory agency (e.g. SafeWork NSW) Yes No notices in the past 3 years, i.e. improvement notices, prohibition notices, or penalty notices? If yes, provide details: 2c Yes No Has your organisation reported any notifiable incidents to a Government regulatory agency (e.g. SafeWork NSW) in the past 3 years? If yes, provide details: Risk Management Comments 3 Does the organisation have a Risk Management Please advise location in Procedure? Tender documents i.e. Yes No 3a Please attach a copy. attachment title and page number: 4 Comments Training, Instruction, Information & Supervision Does the organisation ensure that employee licences, training and competencies are current and that records are maintained? (e.g. drivers licence, Yes No qualifications, high risk work licences, confined space Please advise location in 4a etc.) Tender documents i.e. Please attach a copy of the Training Register, or an attachment title and page example of an employee’s drivers licence or training number: certificate. Identify all work activities that your organisation will perform for the Port of Newcastle that requires a work licence: Please tick more than one, if applicable. 4b Please attach a copy of the relevant licences as an example. Please advise location of examples in Tender documents i.e. attachment title and page number: Does the organisation provide health & safety Yes No 4c information to its employees? Does the organisation provide supervision to its Yes No 4d employees? 5 First Aid Comments 5a Does the organisation have trained First Aiders? Please advise location in Please attach a copy of a workers First Aid Certificate Yes No Tender documents i.e. as an example. attachment title and page number:
2b Has your organisation received any Government regulatory agency (e.g. SafeWork NSW) notices in the past 3 years, i.e. improvement notices, prohibition notices, or penalty notices? Yes No If yes, provide details: 2c Has your organisation reported any notifiable incidents to a Government regulatory agency (e.g. SafeWork NSW) in the past 3 years? Yes No If yes, provide details: 3 Risk Management Comments 3a Does the organisation have a Risk Management Procedure? Please attach a copy. Yes No Please advise location in Tender documents i.e. attachment title and page number: 4 Training, Instruction, Information & Supervision Comments 4a Does the organisation ensure that employee licences, training and competencies are current and that records are maintained? (e.g. drivers licence, qualifications, high risk work licences, confined space etc.) Please attach a copy of the Training Register, or an example of an employee’s drivers licence or training certificate. Yes No Please advise location in Tender documents i.e. attachment title and page number: 4b Identify all work activities that your organisation will perform for the Port of Newcastle that requires a work licence: Please tick more than one, if applicable. Please attach a copy of the relevant licences as an example. Please advise location of examples in Tender documents i.e. attachment title and page number: 4c Does the organisation provide health & safety information to its employees? Yes No 4d Does the organisation provide supervision to its employees? Yes No 5 First Aid Comments 5a Does the organisation have trained First Aiders? Please attach a copy of a workers First Aid Certificate as an example. Yes No Please advise location in Tender documents i.e. attachment title and page number:
FM-0504-4-Contractor-Management-Pre-Qualification-Questionnaire.docx