Dw Generic Competence Form

Contractors Competency Questionnaire - CCQ2 IMPORTANT NOTE: Please complete this form fully and use Guidance Notes (GD2) for further details of required information.

Section 1:

General Information about the company:

Company Name: Full Address:

Office Use Only Guidance Sppld N/A Note

Contact name/s (for questions/correspondence relating to this form):

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Contact details: Tel No.(s) Fax Email

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Full description of the nature of the company's work:

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Number of employees:

Section 2:

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General Documentation:

Please provide: 2.1: Your company's Health & Safety Policy including arrangements made for dischargning your duites under the CDM2007 regulations.

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2.2: A current, signed & dated Health & Safety Statement.

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2.3: A company organisation chart that includes the person/persons who is/are responsible for Health & Safety within the company.

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2.4: Full details of any/all external Health and Safety consultants/advisers, evidence of their competence and written experience of their work in the construction sector. 2.5: Full details of any internal Health and Safety professional and evidence of their competence. 2.6: Full details of the arrangements you have in place to assess the competence/suitability of any subcontractors and/or consultants you may use to carry out work - including: - Their Insurance - Their Training - Their own arrangements for appointing further sub-contractors and/or consultants. 2.7: A copy of your Employers Liability Insurance certificate clearly showing - The Insurance company - The period (dates) of cover - The cover value (Min £10,000,000) 2.8: A copy of your Public Liability Insurance certificate clearly showing - The Insurance company - The period (dates)of cover - The cover value (Min £5,000,000) 2.9: Full details of any claims made against any of the Insurance policies within the last 5 years.

Section 3:

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Training & Information:

Please provide: 3.1: A detailed TRAINING MATRIX showing: - the training category - the employee name - the date received - future training courses booked

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Pass

Fail

Office Use Only

3.2: Health & Safety training: Proof/Evidence detailing the Health and Safety training and competence of employees who will be carrying out work: - CSCS card accreditation - CITB training (Proof/Evidence detailing the Health and safety training attended by persons who manage or supervise work on site). - Proof/Evidence detailing the Health and safety training attended by Directors. 3.3: First Aid Training: - Provide details and evidence/proof of any First Aid training. 3.4: Other training: Provide details and evidence/proof of any additional training for site operatives for the works they are carrying out - on-site induction record (for individuals) - evidence of on-site toolbox talks - asbestos awareness - use of plant - specific tools - other

Section 4:

Guidance Sppld N/A Note

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Accidents:

Please provide: 4.1: Full details of your company's reporting procedure for ALL accidents.

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4.2: The number, type and details of REPORTABLE accident/diseases that have occurred within the last 3 years.

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4.3: Details of ALL non-lost-time accidents and civil claims made within the last 3 years.

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4.4: Details of how all acidents are investigated including follow up actions to prevent recurrence.

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Section 5:

Prosecutions and Notices:

Please provide: 5.1: Full details of ANY/ALL prosecutions and convictions under Health and Safety legislation within the last 5 years.

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5.2: Full details of ANY/ALL improvement or prohibition notices issued against the company within the last 5 years.

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Section 6:

Workforce involvement:

Please provide: 6.1: Details and evidence of workforce consultation on Health & Saftety matters.

Section 7:

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Control of Work:

Please provide: 7.1: Details of how Health & Safety is supervised when working on site.

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7.2: Details of what welfare provisions are provided for operatives on site.

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7.3: Copies of a previously used risk assessment and the method statement relating to it - demonstrating how you assess and control work.

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7.4: Details of how will you ensure co-operation and co-ordination between your employees and other contractors and/or staff on site?

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7.5: A copy of any PERMIT TO WORK or HOT WORK permits: - provided by your company to any sub-contractor - provided by a site to your company.

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7.6: Details of how you assess & control COSHH materials.

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7.7: Details of how you assess and & control working at height.

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7.8: Details of the procedures used for the disposal of ALL waste generated from site works.

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Section 8:

Resources:

Please provide: 8.1: Full details of your experience in carrying out previous similar work:

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Pass

Fail