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Health & Safety appraisal for Contractors One of the many CDM regulations calls for EPM Group Companies to be assured that all Sub-Contractors appointed to a project are competent and adequately resourced to ensure that all the requirements of CDM can and will be met in full. This questionnaire seeks to establish your intentions to meet those requirements and to gain insight into your systems and attitudes to Health & Safety in general. We will be more than willing to help and advise with any Health and Safety issues or concerns you may have.
Company Name Address
Tel:
Date:
Name: No of years company has been established: Number of Employees:
Number of Sub-contractors:
1.
Health and Safety Policy
1.1
Do you employ more than five people: Yes *If no go to Section 4.0. If so do you have an up to date Health and Safety Policy
1.2
When was it last reviewed (please give date) ________________________
1.3
Who prepared it for you ________________________
2.
Accident Records
*No
2.1
Do you keep records of all accidents for at least 3 years
Yes
No
2.2
Do you keep records of ill health of any operatives
Yes
No
2.3
How many notifyable accidents/incidents has your company had In the last three years
Yes
No
Please attach details 2.4
Has your company ever had any fatalities on site Please attach details
3.
HSE History
3.1
Have you had any enforcement notices issued to you by the HSE or Local Authority Enforcing Officer on any project:-
3.2
Improvement Notices
Yes
No
3.3
Prohibition Notices
Yes
No
3.4
Have you ever been prosecuted for breach of Health & Safety Regulations
Yes
No
If yes to any of the above, please attach details
4. 4.1
l
Training Please give an outline of the Health and Safety training provided to your employees and management personnel over the last five years Management
Employees
4.2
What are your plans for training during the next 12 months
4.3
What system do you use to ensure that new staff are adequately trained
4.4
Do you currently have a system for ensuring that Employees have undertaken the necessary training?
Yes
If yes, what system do you use?
* Those who do not employ more than 5 people go to Section 8.0*
No
A number of regulations have been introduced over the last few years requiring you to produce hazards analysis and risk assessment for each of the processes you encounter in the day to day activities on site.
5.
Assessments
Do you currently have procedures in place to prepare the following:5.1
C.O.S.H.H. Assessment
5.2
(Control of Substances Hazardous to Health)
Yes
No
Noise Assessment
Yes
No
5.3
Manual handling Assessment
Yes
No
5.4
Risk Assessments
Yes
No
5.5
Method Statements
Yes
No
5.6
PAT Testing (Portable Appliance Testing) Tools
Yes
No
Who produces the assessments:5.7
Who prepares them
________________________
5.8
Who updates them
________________________
5.9
How do you ensure that the information in them is conveyed to all appropriate operatives on site:________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
6.
Health and Safety Monitoring
CDM puts a great emphasis on all contractors to ensure that relevant information, training and Health and Safety guidance and advice is ed to all operatives on site. Are your company health and safety policy and procedures compiled with advice from: 6.1
In house Health and Safety Officers
Yes
No
6.2
External Health and Safety Consultants
Yes
No
6.3
If neither, who undertakes this role:
6.4
Please provide the name of your Company Health and Safety Director ________________________
7.
________________________
The CDM Regulations – Construction Design Management
7.1
Is your company fully conversant with the CDM Regulations
Yes
No
7.2
Do you understand your responsibilities under the Regulations
Yes
No
7.3
Do you feel you may need further help and guidance to enable your company to fulfil your duties
Yes
No
8.
8.1
9.
Site Safety Awareness
Have all Managers / operatives attended a site safety awareness course? Please provide dates.
Yes
If no do you plan to provide site safety awareness training? If so when?
Yes
Documentation
Please provide copies of:9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12
Your Company Health and Safety Policy Accident Records for the last three years Training Records Enforcement Notices (if applicable) Examples of your sub contractors competence vetting system Examples of C.O.S.H.H., Noise, Manual handling and Risk Assessments. Appropriate Method Statements Copies of Training Certificates PAT Test Certificates i.e. portable appliance, electrical testing. Site Safety Awareness training records
Insurance Details
No No
9.13
UTR Number
9.13 END
Company Registration Number
Company Name Address
Tel:
Date:
Name: No of years company has been established: Number of Employees:
Number of Sub-contractors:
1.
Health and Safety Policy
1.1
Do you employ more than five people: Yes *If no go to Section 4.0. If so do you have an up to date Health and Safety Policy
1.2
When was it last reviewed (please give date) ________________________
1.3
Who prepared it for you ________________________
2.
Accident Records
*No
2.1
Do you keep records of all accidents for at least 3 years
Yes
No
2.2
Do you keep records of ill health of any operatives
Yes
No
2.3
How many notifyable accidents/incidents has your company had In the last three years
Yes
No
Please attach details 2.4
Has your company ever had any fatalities on site Please attach details
3.
HSE History
3.1
Have you had any enforcement notices issued to you by the HSE or Local Authority Enforcing Officer on any project:-
3.2
Improvement Notices
Yes
No
3.3
Prohibition Notices
Yes
No
3.4
Have you ever been prosecuted for breach of Health & Safety Regulations
Yes
No
If yes to any of the above, please attach details
4. 4.1
l
Training Please give an outline of the Health and Safety training provided to your employees and management personnel over the last five years Management
Employees
4.2
What are your plans for training during the next 12 months
4.3
What system do you use to ensure that new staff are adequately trained
4.4
Do you currently have a system for ensuring that Employees have undertaken the necessary training?
Yes
If yes, what system do you use?
* Those who do not employ more than 5 people go to Section 8.0*
No
A number of regulations have been introduced over the last few years requiring you to produce hazards analysis and risk assessment for each of the processes you encounter in the day to day activities on site.
5.
Assessments
Do you currently have procedures in place to prepare the following:5.1
C.O.S.H.H. Assessment
5.2
(Control of Substances Hazardous to Health)
Yes
No
Noise Assessment
Yes
No
5.3
Manual handling Assessment
Yes
No
5.4
Risk Assessments
Yes
No
5.5
Method Statements
Yes
No
5.6
PAT Testing (Portable Appliance Testing) Tools
Yes
No
Who produces the assessments:5.7
Who prepares them
________________________
5.8
Who updates them
________________________
5.9
How do you ensure that the information in them is conveyed to all appropriate operatives on site:________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
6.
Health and Safety Monitoring
CDM puts a great emphasis on all contractors to ensure that relevant information, training and Health and Safety guidance and advice is ed to all operatives on site. Are your company health and safety policy and procedures compiled with advice from: 6.1
In house Health and Safety Officers
Yes
No
6.2
External Health and Safety Consultants
Yes
No
6.3
If neither, who undertakes this role:
6.4
Please provide the name of your Company Health and Safety Director ________________________
7.
________________________
The CDM Regulations – Construction Design Management
7.1
Is your company fully conversant with the CDM Regulations
Yes
No
7.2
Do you understand your responsibilities under the Regulations
Yes
No
7.3
Do you feel you may need further help and guidance to enable your company to fulfil your duties
Yes
No
8.
8.1
9.
Site Safety Awareness
Have all Managers / operatives attended a site safety awareness course? Please provide dates.
Yes
If no do you plan to provide site safety awareness training? If so when?
Yes
Documentation
Please provide copies of:9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12
Your Company Health and Safety Policy Accident Records for the last three years Training Records Enforcement Notices (if applicable) Examples of your sub contractors competence vetting system Examples of C.O.S.H.H., Noise, Manual handling and Risk Assessments. Appropriate Method Statements Copies of Training Certificates PAT Test Certificates i.e. portable appliance, electrical testing. Site Safety Awareness training records
Insurance Details
No No
9.13
UTR Number
9.13 END
Company Registration Number
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