INSTRUCTIONS FOR COMPLETING THE QUESTIONNAIRE
Thank you for your interest in becoming an approved member of our supply chain or an approved provider of subcontracted services. Please complete the form and provide supporting evidence of policies, certification, licenses and procedures where requested. If you have any questions or if you require assistance or clarification about any aspect of this form please email or phone us at:
Procurement Team
Mobius Works Ltd
Mobius House
Unit 4, 221 Central Park
Petherton Road
Hengrove
Bristol
BS14 9BZ
E: payus@mobiusgroup.co.uk
T: 0117 403 8560
1.1 COMPANY DETAILS
1.2 DESCRIPTION OF PRODUCT/SERVICES TO BE SUPPLIED
1.3 CONTACTS
1.4 BANK DETAILS
2. COMMERCIAL AND PROFESSIONAL STANDING
2.1 PARENT COMPANY DETAILS
Only complete this section if your company has a parent organisation or is part of a group of companies.
3. INSURANCES
3.1 INSURANCE POLICIES
Please enclose evidence that you hold the following insurances. Your application will fail if you do not provide a copy of your confirmation of insurances.
4. QUALITY
4.1 POLICY AND CERTIFICATION
All organisations to complete this section.
4.2 QUALITY MANAGEMENT
Please self-certify that the following statements are true. Your application will fail if you answer ‘No’ to any of the following questions.
5. HEALTH AND SAFETY
5.1 PROSECUTION AND ENFORCEMENT
All organisations to complete this section.
5.2 TRAINING AND COMPLIANCE
All organisations to complete this section.
5.3 SAFETY SCHEME IN PROCUREMENT
All organisations to complete this section.
5.4 POLICY
Only complete this section if you employ five or more people. Skip to section 8, ‘Environment’ on page 16 if your organisation is registered under a Safety Scheme in Procurement, (SSIP) provider or your organisation is ISO18001 and you have enclosed a copy of your certificate.
Please self-certify that the following statements are true. Your application will fail if you answer ‘No’ to any of the following questions.
5.5 COMPETENCE AND ADVICE
All organisations to complete this section. If you employ a Health & Safety professional, please complete the ‘Internal Advisor’ section.
6. ENVIRONMENT
6.1 PROSECUTION AND ENFORCEMENT
All organisations to complete this section.
6.2 ISO14001 CERTIFICATION
All organisations to complete this section.
6.3 POLICY AND COMPLIANCE
If ISO14001 accredited, skip the next questions in the subsequent sub-sections and go to 7. DECLARATION.
6.4 TRAINING AND AWARENESS
Please self-certify that the following statements are true. Your application will fail if you answer ‘No’ to any of the following questions.
6.5 COMPLIANCE AND RISK
Please self-certify that the following statements are true. Your application will fail if you answer ‘No’ to any of the following questions.
7. DECLARATION
7.1 HEALTH AND SAFETY
7.2 ENVIRONMENT
8. Rates
B - OTHER TYPES OF SERVICES
If the services you provide are not represented as an entry within the lists on the previous page, please describe your services here and advise us of your proposed fee structure
C – FIXED PRICE TERM
If the services you provide are not represented as an entry within the lists on the previous page, please describe your services here and advise us of your proposed fee structure
D - NOMENCLATURE TERRITORIAL UNITS