Professional Documents
Culture Documents
Prequalification Form Contractor Specific
Prequalification Form Contractor Specific
Date : ______________________
This document is the Intellectual Property of Indus Motor Company. Any unauthorized use, including the modification and
reproduction of the content is strictly prohibited. © Copyrights Ordinance 2002, All Rights Reserved.
INDUS MOTOR COMPANY
CONTRACTOR PREQUALIFICATION FORM Page: 2 of 8
To be Filled by Contractor
____________________________________________________________________
7.1 CIVIL
7.4 MECHANICAL
b) Inspection Service
7.5 OTHERS
b) Manpower Supply
c) Rental Equipment
This document is the Intellectual Property of Indus Motor Company. Any unauthorized use, including the modification and
reproduction of the content is strictly prohibited. © Copyrights Ordinance 2002, All Rights Reserved.
INDUS MOTOR COMPANY
CONTRACTOR PREQUALIFICATION FORM Page: 6 of 8
Sr. Work / Job Description Location Customer Contract Value Contract Duration Date of
No. Commencement
18. Do you have any documented procedure for Quality Control? Yes No
Note: In case NO; the Contractor shall follow IMC QHSE Policy and No
Procedures during execution the work / job.
20. Upto what extent, do you have know-how about ISO 9001 Quality Management
System:
Little Low Medium High Very High
21. Upto what extent, do you have know-how about ISO 14001 Environmental
Management System
Little Low Medium High Very High
This document is the Intellectual Property of Indus Motor Company. Any unauthorized use, including the modification and
reproduction of the content is strictly prohibited. © Copyrights Ordinance 2002, All Rights Reserved.
INDUS MOTOR COMPANY
CONTRACTOR PREQUALIFICATION FORM Page: 7 of 8
22. Please provide following details about your Health, Safety & Environment (HSE)
System:
a. HSE Organization Chart.
b. List of HSE experienced key personnel.
c. How would you manage HSE during execution of work?
d. Do you have written procedure for emergency handling.
e. Please give the injuries frequency rates of last three years.
Not Enclosed
27. Annual Turnover for the last 3 years and paid up capital (Optional):
Year ______
Year ______
Year ______
DECLARATION
______________________ ____________________
Signature & Seal Date
Note: Any change in mailing address and contact numbers will be intimated within 48 hours to Indus Motor
Company, in writing.
HOD Signature COIA Signature CFO Signature CEO Signature IT Personnel Signature
This document is the Intellectual Property of Indus Motor Company. Any unauthorized use, including the modification and
reproduction of the content is strictly prohibited. © Copyrights Ordinance 2002, All Rights Reserved.