Borras Construction Limited
1 Salar House
Campfield Road
St Albans
Hertfordshire
AL1 5HT
Tel: 01727 850633
Fax: 01727 847306
Our ref: SQ1
24 March 2016
Dear Sir/Madam,
To ensure we are in full compliance with the Construction (Design and Management) Regulations 2015 as well as our
own ISO quality, environmental and safety management procedures we require that all our sub-contractors complete
the attached SQ1 – Sub-Contractor Questionnaire.
To enable the questionnaire to be approved please complete all sections to the best of your ability, providing as much
detail as possible. This will enable the originator of the SQ1 to approve your company without delay.
Questions relating to the completion of the form should be directed to the originator. If you need specific information
on membership to receive safety/environmental competent advice or inspection services (Question 14) you can also
contact The Building Safety Group (BSG). If you need company training (Question 15) you can also contact
Bedfordshire and Hertfordshire Construction Training Limited (BHCTL).
Both BSG and BHCTL are not for profit groups who work for the benefit of their members striving to improve our industry
standards throughout the region. Their contact details are listed below.
The Building Safety Group Limited
http://www.bsgltd.co.uk/
Tel: 01454 414877
Fax: 01454 415388
Email: info@bsgltd.co.uk
Bedfordshire & Hertfordshire Construction Training Limited
http://www.bhctl.com/
Tel: 0845 603 5783
Fax: 0845 603 5783
Email: info@bhctl.com
Yours Sincerely
Kane Blatchford
Health, Safety, Quality & Environmental Manager
SQ1/4/Rev11
04/15
SUBCONTRACTOR QUESTIONNAIRE
Please complete sections 1-20 and provide details where requested
Originator:
Date:
Company Details
Name &
Address:
1.
Tel:
Fax:
E-mail:
2.
Nature of Business:
3.
Managing Director:
4.
Preferred geographical operating
area:
5.
Value of Contracts undertaken:
6.
(Please complete the attached trade listings)
Estimator:
Previous years turnover:
Min:
£
Max:
Last Year:
£
2 years ago:
£
3 years ago:
£
£
If yes state group name:
7.
Member of a group of companies?
Yes/No
Company Registration No:
Received:
VAT No:
8.
UTR No:
N.I. No (if not a Ltd company):
If a partnership please provide names and UTR number of each partner
BACS Payment Details
Bank Account Name:
Bank Name:
Bank Branch:
Account Number:
9.
Sort Code:
Insurance:
Public Liability
Employers Liability
Professional Indemnity
Insurer:
Policy No:
9.
Renewal Date:
Limit & one occurrence
Received:
SQ1/4/Rev11
04/15
Do you have the following accreditations?
Yes/No
ISO 9001 Quality Standard
10.
ISO 14001/BS 8555 Environmental Standard
BS 18001 Health and Safety Standard
BS 25999 Business Continuity Standard
Please Provide:
Received:
Environmental Policy Statement
Equal Opportunities Policy Statement
11.
Details of any Environmental incidents/prosecutions
Copies of Insurance Certificates, or Broker’s letter, showing renewal date/liability
limit
Note: If you have any relevant incidents or prosecutions you must notify us immediately
Borras Construction Office Use Only:
Approved By:
HSQE Approval (refer to checklist on page 6)
Name:
Name:
Signature:
Signature:
Date:
Date:
12.
Has your organisation been approved by SSIP Member organisation e.g. CHAS, Exor, Safe
Contractor or equivalent?
Yes/No
If yes please provide a copy of your certificate or registration number and skip questions 13-17
Please provide a copy of your organisations Policy, Organisation, arrangements and procedures in
relation to health & safety.
13.
This should include details of arrangements and procedures for monitoring, audit and review of H&S
performance, worker involvement and consultation, accident reporting, sub-contracting (including how you
assess the competence of your sub-contractors), hazard identification, risk assessment and production of
method statements, co-operation and co-ordination of works with other contractors and welfare.
Note: if your organisation employs less than 5 employees you may not have a safety policy. If this is the case
please provide a written statement, signed by the person responsible for H&S within your organisation that
you will comply with the requirements of our documented health and safety policy as a minimum.
Please provide details of who provides your organisation with competent health and safety advice
including relevant records of training and experience.
14.
15.
Name:
E-mail:
Address:
Tel:
Do your employees and subcontractors have the necessary training and qualifications for the work
they are to undertake?
Yes/No
If yes please provide evidence of training that you have undertaken relevant to your works
SQ1/4/Rev11
04/15
16.
Please state the percentage of your workforce that has passed the CSCS touch screen test and/or provide us with a commitment to obtain a
minimum of 90% CSCS carded workforce within 3 years:
% Carded:
We commit to 90% of our onsite operatives being CSCS carded by:
Provide a summary of your health and safety record over the past three years, including details of any notifiable accidents, prosecutions or notices
issued by the Health and Safety Executive that have occurred during this period as set out in the Reporting of Injuries, Disease and Dangerous
Occurrences Regulations (RIDDOR). Where you have indicated a RIDDOR reportable incident or HSE notice/prosecution please provide details
including actions taken to prevent further occurrences. Numbers should include staff, direct employees and sub-contractors.
Statistics
Last Year
2 Years ago
3 Years ago
Comments
Prohibition or Improvement Notices
Prosecutions
Fatalities
17.
Specified Injuries
Over 7 day injury
Dangerous Occurrences
Reportable Disease
Accident incident rate (AIR) = average
number of employees including subcontractors divided by number of
reportable incidents multiplied by 100,000
Please provide details of relevant experience in the field of work for which you are applying and provide 2 references confirming that the
work was carried out with due regard for health and safety
18.
19.
Please select trade categories relevant to your business using the table below
SQ1/4/Rev11
04/15
A10
A11
A12
A13
A14
A15
A20
A30
A40
A41
A45
A50
A70
A90
A94
A95
A96
A97
A98
C
C10
C15
Preliminaries
Scaffolding
Scaffolding alarms
Fall arrest/Eyebolts
Air tight/Thermal testing
Scaffolding roofs
Acoustic/Sound testing
Tower cranes
Concrete pumps
Hoisting/Cranes
Abseiling/Difficult access
Temporary fencing
Temporary works engineers
Site electrics
Skip hire
Drain cleaning
Site cleaning
Labour hire
Site survey
Security Guard
Demolitions/Alterations
Demolishing structures
Soft strip
F14
F20
G
G05
G10
G20
G25
G31
G32
G35
G40
G50
G59
G61
G65
G68
G70
G75
H
H10
H11
H13
H14
C20
C21
C35
C36
C37
C38
C39
C40
C42
C44
C51
C60
C65
C70
Shoring
Demolition/Welding
Clean stonework
Clean concrete
Anti graffiti
Pest control
Chemical DPC to existing
Rep. to concrete/brickwork
Sika approval
Fosroc approved
Wet/Dry rot
Repairs to timber windows
Repairs to steel windows
Shot blasting
H15
H20
H21
H22
H23
H24
H25
H26
H60
H62
H71
H72
H73
H75
C80
C81
C90
D
D10
D11
D12
D20
D21
D30
D32
D40
D50
D75
D80
E
E10
E15
E20
E30
Asbestos removal
Asbestos testing
Preservation
Groundwork
Ground investigation
Soil stabilization
Site dewatering
Excavating and groundwork
Bulk dig
Piled foundations
Steel sheet piling
Diaphragm walling
Underpinning
Thrust boring
Machine hire
Concrete/Precast
Concrete frames
Industrial insitu concrete slab
Formwork
Steel fixing
J
J01
J02
J03
J04
J05
J06
J07
J08
J09
J20
J22
J31
J41
J42
J44
J45
J46
J47
J48
Wall tie repair
Stone walling
Structural steel/timber
Onsite welding
Structural steel
Woodwork
Specialist joinery
Timber frames
Timber frames fix only
Timber roof trusses
Metal balustrades
Stainless steel
Keeclamp
PVC handrail
Architectural metalwork
On-site welding
Metal stairs
Mezzanine floors
Cladding/Coverings
Patent glazing/curtain wall
Rainscreen cladding
Structural glazing
Concrete rooflight/pavement
light
Shop fronts
Metal cladding
Corus
Euroclad
Kingspan
Rigidal
Speedeck
Wards
Roof tiling
Roof slating
Lead sheet/flashings
Alum strip/sheet/flashings
Copper strip/sheet/flashings
Stainless steel
strip/sheet/flashings
Waterproofing
Ext insulation (Enclad)
Ext insulation (Eglinton)
Ext insulation (PCP)
Ext insulation (MR)
Ext ins. (Permarock)
Ext insulation (EWIA)
Ext insulation Alumasc EW1
Ext insulation (Sto)
Ext ins Envirowall
Asphalt
Green roofing
Liquid applied membrane
Build up felt roof covering
Sgle layer hi-perform roof
Decra roofing system
Callenders approved
Andersons approved
Erisco & Bauder approv.
Esha (UK) roofs
J56
J57
J58
J59
J60
J61
J62
J63
J64
K
K10
K11
K15
K30
K31
K32
K33
K39
K40
K41
K50
L
L05
Alumasc
Icopol
Trocal
Alkor Draka
Axter
Protan
Permaquick
Ecofin
Kemper
Linings/Partitioning
Drylining
Hygienic wall/ceiling clad
Acoustic floors/ceilings
Demountable partitions
Specialist fixed partitions
Folding partitions
Moveable partitions
Clean/redec suspd ceilings
Suspended ceilings
Raised access floors
Corner/Door protection
Windows/Doors
Aluminium windows
L06
L07
L08
L09
L10
L11
L12
L13
L14
L15
L16
L17
L18
L19
Aluplus
Comar
Sapa
Kawner
Timber windows
Steel windows
Plastic windows
Plus plan systems
Rehau systems
Schuco systems
Profile 22 systems
Veka systems
Glostal Monarch
Deceuninck systems
L20
L22
L23
L24
L35
L37
L39
L40
L41
L42
L45
L56
L60
L70
L75
L80
L90
M
M04
M05
LB Plastics
Eurocell
Spectus
Duraflex
Industrial doors
Shutters & Grilles
Secondary glazing
General glazing
Lead light glazing
Glass blocks
Applied films
Glass renovation
Metal louvers
Rood lights
Sunpipes
Garage doors
Automatic doors
Surface Finishes
Plastering/Screeding
Screeds
SQ1/4/Rev11
04/15
E50
E60
E95
F
F09
F10
F11
M32
Precast concrete large units
Precast/Concrete flooring
Metal deck forming
Masonry
Repointing
Brickwork
Glass block walling
Rigid insulation thermal
J49
J50
J51
J52
J53
J54
J55
Q26
Sarnafil roofing
Permafelt
Derbigum
Langley
Ruberoid
Tremco
Marley
Special surface/paving sports
M06
M08
M12
M16
M21
M24
M28
Y
M36
M40
M41
M42
M45
M50
M60
M61
M62
Rigid insulation fire protection
Ceramic W/F tiling
Terazzo
Woodblock/Parquet flooring
Sports flooring
Carpet/Vinyl tiling
Painting/Wallpaper
Anti graffiti
Intumescent painting
Q30
Q31
Q40
Q41
Q50
Q90
Q91
R
R10
Z10
Z20
Z30
Z31
Z32
M63
M64
M65
M66
M67
M68
M70
M72
M76
N
N09
Resin finishes
Artex
TOR-Communal areas
TOR-Balcony coatings
TOR-Roof coatings
Sprayed painting
Window care
French polishing
Signwriting
Furniture/Equipment
General
fixtures/Furnishings/Equipment
Laboratory equipment
Domestic kitchen fittings
Catering equipment
Sanitary ware
Signs/Notices
Medical equipment
Sauna/Steam rooms
WC cubical partitions
Curtains and blinds
Shop fitting
Warehouse racking
Clocks
Entrance matting
R21
R50
R60
R65
S
S10
S11
S21
S34
S63
S64
Landscaping
Arborlogist
Fencing timber/chain link
Security fencing
Site/Street furniture/equip.
Road markings
Access control
Disposal Systems
UPVC Rainwater
pipework/Gutters
Sewage pumping
Aluminium gutters/fascias
CCTV drain inspections
Drain lining
Piped Systems
Plumbing
Plumbing –Social Housing
Swimming pools
Medical gases
Sprinklers
Fire protection installations
Storage equipment
Flagpoles
Insulation/Ironmongery/
Sundries
Sundry insulation/Fire stops
Loft insulation
Cavity insulation
Mastic pointing
Diamond drilling
Paving/Planting/Fencing
Tarmac paving
Asphalt road
Interlock brick/Block road/paving
Slab/Brick/Sett/Cobble paving
W30
W40
W41
N10
N11
N12
N13
N15
N20
N22
N41
N60
N70
N80
N90
N91
N92
N93
P
P10
P13
P20
P22
P31
Q
Q21
Q22
Q24
Q25
T
T30
T40
U
U41
V
V10
V30
V40
V50
V60
V65
W
Specialist floor coatings
Granolithic
Lightweight screeds
Fibrous plaster
Insulation with render
Sprayed insulation therm
Spray/d insul fire protect
Mechanical & Electrical
Services
Various
Solar control
General builders
Civil engineering
Social Housing contractors
Mechanical Services
Mechanical services
Heated screeds
Air Conditioning
Air Conditioning
Electrical Installations
Electrical services
Fire alarm installations
Sound insulation
TV aerials
Computer wiring
Induction loops
Communications/
Security
TV installations
Door entry systems
Security systems
W45 Window controls
W52 Lightning protection
X
Lifts & Transport Systems
X10
Lifts
X15
Mobility lifts
X20
Escalators
Q90
Road markings
Other (Please add in the space below your trade if not listed above)
SQ1/4/Rev11
04/15
Declaration: I hereby confirm the information given in this questionnaire is true and
correct
Signed on behalf of the subcontractor
Date:
20.
Name:
Position:
SQ1/4/Rev11
04/15
Borras Assessors Checklist:
Evidence required by assessor carrying out approval: Note where no evidence is provided the HSQE Manager is to be
consulted prior to approval
1-11:
Provided (Y/N)
Details provided (registration to 9001, 14001, 18001/8555 or 25999 is desired but not mandatory)
12:
EXOR, CHAS, Safe Contractor or Equivalent Registration Certificate or Number (registration is desired but not mandatory).
If certificate provided then the contractor can skip questions 13-17 otherwise a full assessment is required.
13:
Policy includes all listed items or statement is included verifying they will comply, as a minimum, with the requirements
contained within our Health and Safety Policy and Procedures. Where there is doubt as to the adequacy of the H&S policy
for the type of works the contractor is to undertake the HSQE Manager is to be consulted.
14:
Should supply evidence of qualifications or experience to carry out this role and may include IOSH, NEBOSH, CITB, CSCS
or other relevant qualifications (note that some companies may use external consultants, in-house operatives or directors to
fulfil this role). Where industry experience is the only evidence HSQE should be consulted prior to approval.
15:
Training records should include H&S records for Management/Supervisory Staff as well as applicable operative training e.g.
asbestos awareness, plant operators, working at height etc and may include on the job, in-house or external training. The
HSQE Manager is to be consulted where recent training, relevant to the works to be carried out cannot be provided.
16:
The contractor has over 90% of their on site workforce qualified to CSCS or provided a commitment to do so within 3 years.
Where accidents, dangerous occurrences, HSE prosecutions/prohibitions have been identified the contractor should identify
actions taken including actions to prevent recurrence of a similar incident.
17:
The HSQE manager is to be consulted where the contractor has had any Fatalities, Major Accidents, Dangerous
Occurrences or Reportable Diseases or if the AIR is over 1000 prior to approval.
18:
2 satisfactory references have been provided; they are relevant to the type of work the contractor is approved to carry out
19:
Trade categorisation identified
20:
Questionnaire singed on behalf of contractor
Assessor Comments:
SQ1/4/Rev11
04/15