SUPPLIER AND SUBCONTRACTOR ASSESSMENT PROCEDURE AT-SKTSZZ-QA-PRO-0018-000

Attachment 001 – Supplier/Subcontractor Questionnaire

AMEC / TEKFEN / AZFEN

CONSORTIUM

BP EXPLORATION (SHAH DENIZ) LIMITED

FABRICATION OF OFFSHORE FACILITIES AND HOOK UP AND

COMMISSIONING SUPPORT / SHAH DENIZ STAGE 2 PROJECT

SUPPLIER / SUBCONTRACTOR QUESTIONNAIRE

All information given to ATA Consortium, in the responses to this

questionnaire will be treated in the strictest confidence and not
divulged to any third parties.

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Attachment 001 – Supplier/Subcontractor Questionnaire

SECTION 1
Company Information

Section 1 – Company Information

1.01 Full name of company
[Please provide here the full name of your company as shown in your certificate of incorporation]

1.02 Full postal address of your company

[Please provide on a separate sheet a location map of your premises with this response]

1.03 Contact details

Telephone number:
Fax number:
Website address:

Responsible person Name Email address Telephone number

Managing Director

Sales

Finance

Production

Quality

Health and Safety

Environment

Local representative

1.04 Bankers

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Attachment 001 – Supplier/Subcontractor Questionnaire

1.05 ATA payment method is by Bank Transfer give details of your Bank Account number and
Bank Sort Code
Bank Account number:
Bank Sort Code number:

1.06 Please provide copies of the certificates for the insurance policies held by your company
[List below each policy for which you are providing a copy certificate]

1.07 Main business activities.

State here the main business activities of your company
[Please include three copies of your company brochures]
Your company’s main business activities:

1.08 Products and/or services provided by your company

[State here full details of all products/services provided by your company]

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Attachment 001 – Supplier/Subcontractor Questionnaire
1.09 Your company structure/organisation, including your Health, Safety, Environment and
Quality organisation
[Please provide on a separate sheet your company organisation chart in support of your response to this item]

1.10 Typical numbers of employees

Administration: Quality Control/Inspection:

Workshops: Safety:

Other [state] Other [state]

Other [state] Other [state]

1.11 Annual turnover

Provide details of your company’s annual turnover for the past three years.
Year Turnover (local currency)

1.12 Large orders/contracts

Provide details of the three largest orders/contracts your company has completed in the last
two years.
Year Customer Value (local currency)

Year Customer Value (local currency)

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SUPPLIER AND SUBCONTRACTOR ASSESSMENT PROCEDURE AT-SKTSZZ-QA-PRO-0018-000
Attachment 001 – Supplier/Subcontractor Questionnaire

AMEC / TEKFEN / AZFEN

CONSORTIUM

BP EXPLORATION (SHAH DENIZ) LIMITED

FABRICATION OF OFFSHORE FACILITIES AND HOOK UP AND

COMMISSIONING SUPPORT / SHAH DENIZ STAGE 2 PROJECT.

SUPPLIER / SUBCONTRACTOR QUESTIONNAIRE

All information given to ATA Consortium, in the responses to this

questionnaire will be treated in the strictest confidence and not
divulged to any third parties.

SECTION 2

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Attachment 001 – Supplier/Subcontractor Questionnaire
Health, Safety, Environment and Quality information

Section 2 - Health and Safety

2.01 Does your company have a Health and Safety Management system?
Yes No
[If your response to question 2.01 is Yes, then please advise whether your system is accredited or in line with BS EN ISO 18001 or
HS(G)65]

2.02 Does your company have a written Health and Safety policy statement signed by a senior
management representative?
Yes No
[If your response to question 2.02 is Yes, then please provide a copy of this document]

2.03 Please provide details of the management representative formally assigned with responsibility
for health and safety issues?

Name of management representative:

Position in company:

Telephone number:

Email address:

2.04 Has your company been prosecuted, subject to prohibition/improvement notices or the like by
the Health and Safety Authorities in the past five years, or are there any pending?
Yes No
[If your response to question 2.04 is Yes, then please provide full details]

2.05 Please complete the table following with details of your company’s accident/incident
performance for the past five years and the current year to date?

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Attachment 001 – Supplier/Subcontractor Questionnaire
Year 1997 1998 1999 2000 2001 2002
Fatalities
Incapacity accident
Reportable accident
Medical Treatment Cases
Average employed
Man-hours worked
Frequency rate
Incident rate
Frequency rate: (total reportable accidents x 1,000,000, divided by the number of man-hours worked;
Incident rate: (total reportable accidents) x 1,000, divided by the average number employed;
Medical Treatment Case: person requires treatment by a physician or hospital treatment for an injury, and is able to return to work after
treatment;
Incapacity accident: person incapacitated from normal duties for more than one day/shift (includes reportable accidents, if any)
Reportable accident: person incapacitated from normal duties for more than three days/shifts [Riddor], excluding the day of the
accident but including rest days and weekends;

Section 2 - Environment

2.06 Does your company hold approval to a recognised Environmental Management System
standard, e.g. EMAS, BS.EN.ISO 14001?
Yes No
[If your response to question 2.06 is Yes, then please provide a copy of the relevant certificates]

2.07 Does your company have a written Environmental policy?

Yes No
[If your response to question 2.07 is Yes, then please provide a copy of the policy document]

2.08 Please provide details of the management representative formally assigned with
responsibility for environmental issues?
Name of management representative:

Position in company:

Telephone number:

Email address:

2.09 Has your company been convicted of breaching any Environmental Legislation and or has
there been any Civil Action or convictions against your company in respect of the environment
in the past five years?
Yes No
[If your response to question 2.09 is Yes, then please provide full details]

2.10 Is there any environment related Criminal and or Civil Action pending against your
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Attachment 001 – Supplier/Subcontractor Questionnaire
company?
Yes No [If your response to question 2.10 is Yes, then please provide full details]

2.11 Has your company received any complaints regarding nuisance in the past five years?
Yes No
[If your response to question 2.11 is Yes, then please provide full details]

Section 2 - Quality Information

2.12 Does your company hold approval to ISO 9000 Quality Management Systems?
Yes No
[If your response to question 2.12 is Yes, then please provide a copy of the certificate. Additionally, please provide a copy of your last
UKAS visit report, e.g. LRQA/BSI/DNV]

2.13 If not, how does your company ensure the quality of product or service you provide?
[Please give your response to this question on a separate sheet]

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