Control #: / OPS-REG-001(C) / Effective Date: / 20/11/2009
1st Issued Date: / 01/04/2008
Revision: / #3 / Prepared by: / Keith Wyn Jones
SECTION 1 – COMPANY INFORMATION
Registered Company Name:(as registered with Companies House)
Trading Name:
Status (e.g. sole trader, private limited company, etc.) / Year of Incorporation:
(if applicable)
HQ Address: / Co. Reg. No.
Tel:
Fax:
Post Code: / E-mail:
Web Site Address:
Main Contacts
(Please put an asterisk against the person who should be our first point of contact for new/existing business enquiries) / Position / Name: / Telephone:
Head of Operations
Health and Safety
Customer Relations
Daily Operations
1.1 – Financial Standing: please give details of you Co. Turnover for the years as indicated below: - (£000)
T3 / £
T2 / £
T1 / £
Last F/Y / £
1.2 – Current Ratio: the current ratio is a measure of how likely a company is able to pay its debts. If the most recent accounting year’s figures are not available, please provide the most recent figures.
Value of Current Assets / £ / For accounting year
Value of Current Liabilities / £ / For accounting year
1.3 – Banking References – applicants should note that banking references may be required at a later stage and should advise in their return if they would be available on request.
1.3 – Banking References – applicants should note that banking references may be required at a later stage and should advise in their return if they would be available on request.
1.4 – Receivership, Administration, Liquidation, Bankruptcy, etc.: responses shall not be accepted from Applicants whose organisations are in receivership, or what have had petitions for winding up or bankruptcy within the last 3 years. Applicants should confirm below whether any of the aforementioned is applicable to their organisation.
1.5 – Insurances: please provide a copy letter from you insurance broker or copy insurance certificates to confirm the information given in this section.
Policy: / Name of Insurer / Policy No. / Renewal Date: / Limit of Indemnity (each claim) (£)
EMPLOYERS’ LIABILITY
PUBLIC LIABILITY
PROFESSIONAL INDEMNITY
1.3 – Banking References – applicants should note that banking references may be required at a later stage and should advise in their return if they would be available on request.
SECTION 2 – CAPABILITY AND EXPERIENCE
1.3 – Banking References: applicants should note that banking references may be required at a later stage and should advise in their return if they would be available on request.2.1 – Details of largest project executed:please include images if available.
Description & Location:
Main Product / Trade Involved:
Approximate date contract started: / Approximate date contract finished:
Value:
2.2 –Trade References: please provide the names and contact details of at least two clients who recently used your arboricultural/utility engineering services.
Name:
Address:
Contact Tel.:
Email: / Name:
Address:
Contact Tel.:
Email:
2.3 – Sub-Contracting: what activities, if any, within the scope of services/supply are you intending to subcontract? If you intend to subcontract all/part of the scope of services please provide details of the arrangements for assessing the competence of the subcontractors.
2.4 – Plant and Machinery: list below an inventory of plant and machinery at your disposal and directly controlled by your organisation. Please note that we will require evidence of training, equipment checks and certification for all machinery/operators, as is required under PUWER 1998.
SECTION 3 – SERVICE FRAMEWORK AND COMPETENCY
3.1 – Scope of Supply: please identify which service framework(s) you propose to provide in behalf of Proarb Ltd.□ – OHPL Arb. Survey and Consenting framework
□ – OHPL Vegetation Management framework
□ – Electrical Power Engineering Framework – OHPL
3.2 – Geographical Scope of Supply: please indicate the maximum and minimum size of contract that you would like to be considered for and the geographical boundaries that you are willing to travel to.
Maximum Contract Value / £ / Minimum Contract Value / £
SIR FôN / ANGLESEY / ABERYSTWYTH
CAERNARFON / BANGOR
RHYL / FFLINT
CHESTER / WRECSAM
3.3 – Prerequisite Qualifications: the following qualifications (Qs), certificates (Cs) and experiences (Es) are requisite competencies for organisations who wish to supply Proarb Ltd with arboricultural/OHPL Engineering services– accordingly, the threshold for consideration has been set at Pass / Fail. Failure to meet the standards relevant to your proposed service provision will result in your application not being considered.Please ensure that the appended Matrix (Appendix 1) is completed and that you enclose photocopiesof all claimed Qs and Cs.
OHPL Arb. Survey and Consenting Framework – tick to confirm accordance with prerequisite Qs, Cs and Es:
□ The Company manager has 3 years’ experience in managing a tree surgery company and is qualified to level 2 as specified by the Arboricultural Association’s Guide to Qualifications and Careers in Arboriculture.
□ All nominated surveyors have passed the NPTC Utility Arboriculture Unit 1: Electrical Hazard Awareness Qualification
□ All nominated surveyors have passed the NPTC Utility Arboriculture Unit 2.1: Tree Recognition
□ All nominated surveyors have passed the SAC Utility Surveyor qualification1
□ All nominated surveyors have passed the NPTC UA5 Risk Assessor/Surveyor qualification
□ All nominated surveyors have at least three years’ arboricultural survey experience on any distribution service area
□ All nominated surveyors hold a DNO issued Certificate of Authorisation to work on their Network
□ All nominated surveyors hold a clean and current driving licence
□ All nominated surveyors hold an Emergency First Aid at Work qualification
OHPL Vegetation Management Framework – tick to confirm accordance with prerequisite Qs, Cs and Es:
□ The Company manager has 3 years’ experience in managing a tree surgery company and is qualified to level 2 as specified by the Arboricultural Association’s Guide to Qualifications and Careers in Arboriculture.
□ Each team consisting of a climber and grounds-person is competent in the skills necessary for carrying out safe and efficient small or large scale tree pruning works and have,relative to their designated duties,the essential certificates listed below.
□ Employees carrying out aerial tree pruning works and site forepersons are qualified to Level 22 and/or have four or more years’ experience in the utility vegetation management industry.
□ All nominated personnel are over eighteen years old.
- Banksman/Ground Personnel – defined as those who process felled vegetation and, in some instances, are nominated as aerial rescuers. For those ground personnel charged with felling small and medium trees, see the prerequisites noted at the Climbing Personnel section.
□ CS30.2 NPTC Maintain and Operate the Chainsaw – On-site Preparation and Basic Crosscutting
□ CS38 NPTC Climb Trees and Perform an Aerial Rescue3
□ Hold a certificate of training in wood chipper operations4
□NPTC Utility Arboriculture Unit 1: Electrical Hazard Awareness Qualification
□ Have held/hold a Live/Isolated DNO issued Certificate of Authorisation to work on the Networkrelevant to his duties
□ Hold a valid Emergency First Aid at Work qualification
□ Manual Handling
- Climbing Personnel – tick □ as above and as follows:
□ CS32 (as amended 2010) NPTC Fell and Process Medium and Large Trees (380 – ≥760mm)
□ CS39 NPTC Use of Chainsaw from a Rope and Harness
□ CS40 NPTC Carry Out Pruning Operations
□ CS41 NPTC Undertake Sectional Felling Operations
□ NPTC Utility Arboriculture Unit 2.1: Tree Recognition
□ NPTC Utility Arboriculture Unit 2.2: Prune and Fell Trees
□ NPTC Utility Arboriculture Unit 2.3: Prune Trees (Aerial)
Team Leaders/Foremen/Manager – tick □ as above and as follows:
□ CS34 NPTC Process Individual Windblown Trees
□ CS35 NPTC Process Multiple Windblown Trees
□ NPTC Utility Arboriculture Unit 3: Receive Safety Documentation
□ DNO issued Certificate of Authorisation to receive/hold Permit for Works
1 UA5 is a suitable alternative to the SAC qualification.
2 It is accepted that, in the interests of training, it may be necessary to use less experienced employees. This is acceptable providing that it is done under the supervision of a fully experienced employee meeting all of the requirements set out in the essential criteria.
3 At least one member of a working party must hold CS38.
4 This should be to Lantra standards. However, evidence of suitable in-house training by a suitably experienced operative would suffice. Please evidence experience of instructor in the latter’s case.
Electrical Power Engineering Framework – OHPL – tick to confirm accordance with prerequisite Qs, Cs and Es:
□ The company designated safety manager (Dir.) has ≥3 years’ operational power engineering field experience and is qualified by technical knowledge to the end of ensuring that all company processes and safety management systemsare designed to ensure the safety of all persons from an Electrical System.
- Senior Authorised Person:
• Linesman5(minimum Limitation of Authorisation set at OHL and Pole Mounted Fuses / Links):
□ Holds DNO authorisation to Receive and Clear Limited Work Certificate (LWC) – Low Voltage System
□ Holds DNO Switching authorisation – Low Voltage System
□ Holds DNO Authorisation to Insert and Remove LV Cutout Fuses
□ Holds DNO Authorisation to work on Isolated Plant / Apparatus including work adjacent to Live Apparatus – 33kV, High Voltage (11kV) and Low Voltage Systems
□ Holds DNO Authorisation to Receive and Clear Permits for Work (PFW) and LWC – 33kV & 11kV Systems
□ Holds DNO Authorisation to apply and remove Drain Earths to Overhead Conductors – 33kV and 11kV
• Linesman’s Mate (Craftsperson)5(minimum Limitation of Authorisation set at OHL):
□ Holds DNO Authorisation that allows the holder to work as the Accompanying Person for work on, or near to, Live Apparatus – LV and 11kV Systems.
□ Qualified to carry out Pole top rescue
□ Carry out limited overhead line duties on de-energised equipment and to assist the Linesman on all wood pole lines up to and including 33kV – LV, 11kV and 33kV Systems.
5Personal Supervision authorisation satisfactory on the basis that the working party includes a fully authorised person.
SECTION 4 – PERSONNEL POLICIES AND PRACTICES
4.1 – Equality and Diversity: can you please confirm you have statutory personnel policies in respect of the following (please note that we may seek evidence relating to your claim) / Yes / No(delete as applicable)
- Race
- Sexual Orientation
- Disability
- Age
- Religion or Belief
- Gender
- Human Rights
SECTION 5 – QUALITY ASSURANCE
What is the name and title of the person responsible for co-ordinating Quality Management in your company?Name: / Designation:
Is your management system certified to ISO 9000 or equivalent / If no, please provide us with a quality policy statement.
System Certified to ISO 9000
Does your company hold a Quality Management System certificate issued by an assessment body accredited by UKAS? / Which standard is the certificate for?
(ISO 9001/9002, etc.)
(ISO 9000/2000, other)
Date certificate awarded / Who is the certifying body?
Certificate number
What is the scope of certification?
SECTION 6 – HEALTH & SAFETY
By law, if you employ five or more people you must have a written health and safety policy. If you employ fewer than five people, less formal documentation is acceptable; although you do need to demonstrate a good understanding of H&S legislation to your area of work. The policy must be specific to your firm, setting out who does what, when and how – please note that the policy MUST be dated .6.1 – Please provide the name of the person responsible for the implementation of the firm’s Safety Policy.
Name: / Designation:
Does this person hold a professional qualification in H&S management? / YES / NO
(delete as appropriate) / Qualifications held:
6.2 – In the last 5 years has the company suffered a reportable incident under RIDDOR? If yes, please enclose brief details – we do not require any personal information.
YES / NO (delete as appropriate)
6.3 – PLEASE GIVE DETAILS OF YOUR ACCIDENT RECORD OVER THE PAST THREE YEARS:
Year / Average Workforce / No. of Major Injuries / No. of Fatalities / No. of other Reportable Accidents
T3
T2
Last calendar year
6.4 – Please attach a copy of your Health & Safety Policy or statement explaining the measures in place to meet your legal requirements covering general policy, organisation and arrangements, as is required by Section 2(3) of the Health and Safety at Work Act 1974.
FAILURE TO DO SO WILL RESULT IN YOUR APPLICATION FOR APPROVED SUPPLIER STATUS BEING DENIED
HS POLICY ATTACHED (circle if applicable)
FOR THOSE WITH LESS THAN 5 EMPLOYEES, OR WHERE THEIR HS POLICY DOES NOT CONSIDER THE UNDERNOTED, PLEASE PROVIDE WRITTEN DETAILS IN RESPECT OF THE FOLLOWING
Tick if enclosed:
6.3A / Procedure to be followed in the case of an emergency
6.3B / Procedure for the reporting and recording of accidents and dangerous occurrences
6.3C / First Aid and welfare provisions
6.4D / Provision of appropriate protective clothing and equipment
6.5 – The Management of Health & Safety at Work Regulations
THE FOLLOWING MUST BE AFFIRMED AND COPIES PROVIDED; FAILURE TO DO SO WILL RENDER YOUR APPLICATION FOR APPROVED SUPPLIER STATUS DENIED.
The company has risk assessments and method statements which demonstrate that all situations associated with the proposed service framework are assessed and all appropriate regulations, safety guidelines and measures are considered. / Signed hereunder to affirm that this is the case
Signed:______
(copies attached)
All Forepersons/ Team Leaders are capable of carrying out a risk assessment for their particular area of work. / Signed hereunder to affirm that this is the case
Signed:______
(x3 recent examples attached)
The company uses and promotes the use of industry guidelines and safety information such as the AFAG and INDG series. / Signed hereunder to affirm that this is the case
Signed:______
All Lifting equipment used at work for lifting or lowering loads,including attachments used for anchoring, fixing or supporting it, are inspected by a suitably trained/experienced person and recorded in accordance with the obligations outlined in LOLER 1998 (see HSE INDG290). / Signed hereunder to affirm that this is the case
Signed:______
(Provide copies of all LOLER Certs and inspection records.)
All employees are adequately trained and/or qualified before using work equipment and all records/training are maintained/updated – as is required under PUWER Provision and use of Work Equipment Regulations (1998). / Signed hereunder to affirm that this is the case
Signed:______
(copies attached)
There is a system in place for daily pre-use checks of chainsaws, other operational equipment, and vehicles. / Signed hereunder to affirm that this is the case
Signed:______
(copies attached)
Each employee is issued with PPE according to the Personal Protective Equipment at Work Regulations (1992). / Signed hereunder to affirm that this is the case
Signed:______
(copies attached)
Adequate First Aid facilities are provided for all employees in each vehicle/work gang as is required under Health and Safety First Aid Regulations (1981) – see INDG214 First Aid at Work Your Questions Answered for a suggested minimum stock in first aid kit levels. / Signed hereunder to affirm that this is the case
Signed:______
6.6 – Please describe how Environmental Issues are managed on site or at the design stage:
SECTION 7 – DUTY OF CARE/LICENSING
Do you have relevant licences/certification as issued by the Environmental Agency for any of the following?Waste Haulage?
Waste Storage?
Waste Processing?
Provide copies of any relevant documentation with your response.
SECTION 14 – CERTIFICATION SIGNATURE
I/We certify that the information supplied is accurate to the best of my/our knowledge and that I/we accept the conditions and undertakings requested in the questionnaire. I/We understand that false information will result in my/our exclusion from being considered as an approved supplier to Proarb Ltd.
Signed:…………………………………………………………………………………………………………………………………………………………………………..
For and on behalf of (Company Name):
Position:
Date:
Signed:…………………………………………………………………………………………………………………………………………………………………………..
For and on behalf of (Company Name):
Position:
Date:
BEFORE RETURNING THIS FORM, PLEASE ENSURE THAT YOU HAVE:
- Completed the Competency Matrix at Appendix 1
- Answered all appropriate questions
- Enclosed relevant documents
- Signed the above undertaking
Name – Number: Approved Supplier Evaluation Questionnaire – OPS-REG-001(C)
Page 1 of 13
/ Title: / Approved Supplier Evaluation Questionnaire / Revision Date: / 31/03/2013Control #: / OPS-REG-001(C) / Effective Date: / 20/11/2009
1st Issued Date: / 01/04/2008
Revision: / #3 / Prepared by: / Keith Wyn Jones
Scope of Supply: OHPL Arb. Survey and Consenting framework – tick/complete all columns (1 If no SAC then UA5 must have been achieved)
Nominated Employee / DOB / UA1 / UA2.1 / SAC1 / UA5 / DNO Authorisation Level and any Limitations to Work
(include DNO name) / Clean Drivers Licence / First Aid at Work Qualification(enter expiry date) / Utility Experience in Years
(include CV) / Other qualifications (append CV to detail other qualifications)
Scope of Supply: OHPL Vegetation Management framework – tick/complete all columns (2 If nominated aerial rescuer) (3or in-house training)
DESIGNATION: BANKSMAN/GROUND PERSONNEL
Nominated Employee / DOB / CS30.1 & CS30.2 / CS382 / UA1 / Lantra Chipper Training3 / DNO Authorisation Level and any Limitations to Work
(include DNO name) / Clean Drivers Licence / First Aid at Work Qualification and Manual Handling
(enter expiry date) / Utility Experience in Years
(include CV) / Other qualifications (append CV to detail other qualifications)
Name – Number: Approved Supplier Evaluation Questionnaire – OPS-REG-001(C)
Page 1 of 13
APPENDIX 1 – Supplier Human Resource and Competency Matrix: please detail the names of all employees nominated to discharge arboricultural/electrical engineering services in respect of your chosen supply services framework (Section 3.1). N.B. copy certificates for all claimed qualifications/training MUST be provided, failure to do so will delay your application.
Scope of Supply: OHPL Vegetation Management framework – tick/complete all columns 3or in-house training)DESIGNATION: CLIMBING PERSONNEL
Nominated Employee / DOB / CS30.1 & CS30.2 / CS31 / CS32 / CS38 / CS39 / CS40 / CS41 / UA1 / UA2.1 / UA2.2 / UA2.3 / Lantra Chipper Training3 / DNO Authorisation Level and any Limitations to Work
(include DNO name) / First Aid at Work Qualification and Manual Handling
(enter expiry date) / Utility Experience in Years
(include CV) / Other qualifications (append CV to detail other qualifications)
Scope of Supply: OHPL Vegetation Management framework – tick/complete all columns 3or in-house training)
DESIGNATION: TEAM LEADERS / FOREMEN / MANAGERS
Nominated Employee / DOB / CS30.1 & CS30.2 / CS31 / CS32 / CS34 / CS35 / CS38 / CS39 / CS40 / CS41 / UA1 / UA2.1 / UA2.2 / UA2.3 / UA3 / Lantra Chipper Training3 / DNO Authorisation Level and any Limitations to Work
(include DNO name) / First Aid at Work Qualification and Manual Handling
(enter expiry date) / Utility Experience in Years
(include CV) / Other qual’s
(append CV to detail other qualifications)
Scope of Supply: Electrical Power Engineering Framework – OHPL – tick/complete all columns
DESIGNATION: SENIOR AUTHORISED PERSON
Nominated Employee / DOB / DNO SAP Authorisation –
Name of DNO / DNO SAP Expiry Date / First Aid at Work Qualification and Manual Handling
(enter expiry date) / Experience in Years
(include CV) / Other qualifications (append CV to detail other qualifications)
Scope of Supply: Electrical Power Engineering Framework – OHPL– tick/complete all columns
DESIGNATION: LINESMAN
Nominated Employee / DOB / DNO SAP Authorisation –
Name of DNO / Rec. & Clear LWC
33kv, HV&LV / Switching / Ins. & Rem LV Cut out Fuses / Rec. & Clear PFW 33kV & HV / Work on Isolated Plant 33kV, HV&LV / Work on Live Plant (HV&LV) / Application and Removal of Drain Earths (33kV & HV) / First Aid at Work Qualification and Manual Handling
(enter expiry date) / Experience in Years
(include CV) / Other qualifications (append CV to detail other qualifications)
Scope of Supply: Electrical Power Engineering Framework – OHPL – tick/complete all columns
DESIGNATION: LINESMAN’S MATE
Nominated Employee / DOB / DNO SAP Authorisation –
Name of DNO / Attended a craftsperson Linesman’s mate course / Pole top rescue qualified / DNO Authorisation Accompanying Person for work on Live Apparatus – LV and 11kV Systems / First Aid at Work Qualification and Manual Handling
(enter expiry date) / Experience in Years
(include CV) / Other qualifications (append CV to detail other qualifications)
Name – Number: Approved Supplier Evaluation Questionnaire – OPS-REG-001(C)