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Pre-qualification assessment for subcontractor engagement under WHS obligations.
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Assessment Items
Complete each row with the subcontractor's details. Attach copies of certificates and evidence as required.
| # | Assessment Item | Details / Evidence |
|---|---|---|
| Company Details | ||
| 1 | Years in operation and relevant industry experience | |
| 2 | Number of employees (direct and subcontracted) | |
| Insurance & Licences | ||
| 3 | Public liability insurance (policy no., amount, expiry) | |
| 4 | Workers compensation insurance (policy no., insurer, expiry) | |
| 5 | Professional indemnity insurance (if applicable) | |
| 6 | Trade licences and registrations (licence nos. and expiry dates) | |
| WHS Management System | ||
| 7 | WHS policy statement provided | |
| 8 | Risk assessment and SWMS process documented | |
| 9 | WHS management system certification (e.g. ISO 45001) | |
| 10 | Drug and alcohol policy in place | |
| # | Assessment Item | Details / Evidence |
|---|---|---|
| Training Records | ||
| 11 | Construction induction training (white/blue card) for all workers | |
| 12 | High risk work licences held by relevant personnel | |
| 13 | First aid and emergency response training records | |
| 14 | Competency records for plant and equipment operators | |
| Recent Incident History | ||
| 15 | Number of notifiable incidents in the last 3 years | |
| 16 | Lost time injury frequency rate (LTIFR) for last 12 months | |
| 17 | Regulatory notices or prosecutions in the last 5 years | |
| References | ||
| 18 | Reference 1: company name, contact person, phone | |
| 19 | Reference 2: company name, contact person, phone | |
| 20 | Reference 3: company name, contact person, phone | |
Declaration
I confirm that this pre-qualification assessment has been completed to evaluate the subcontractor's capability to perform work safely in accordance with the Work Health and Safety Act 2011 and relevant regulations. The risk rating reflects the overall assessment of the subcontractor's safety systems, competency and incident history. Subcontractors rated High must not be engaged until all deficiencies are resolved.