Contractor/Sub-Contractor Performance Assessment (Health Check Review)
Name of Contractor/Sub-Contractor _________________________
Work Category___________________________________________
Part A
Contractor Previous Work Performance:
1
Quality of the Previous Work
Quality Assurance Policy & Program
Quality Control Plan
Schedule Control Plan
Manpower/Equipment Control
Environment Control Plan
Meetings of Contract Dates including approved extensions
Job Closeout Activities (punch list, clean-up, paperwork, etc)
Coordination and Cooperation with other Contractors &
Government Agencies
Workforce Safety Practices & Polices
Safety Policy and Plan
Compliance with Environmental Requirements & Health and Safety
Procedures (Safety History Record)
2
3
4
5
6
Part B
Contractor Project Management and Administration
1
2
3
Project Supervisory Personnel
Project Technical Staff
Project Labor Workforces
4
5
6
7
Project Organization
Project Submittals
Equipment
Tools
Proof
(Site Visit)
(To be Provided)
(To be Provided)
(To be Provided)
(To be Provided)
(To be Provided)
(Samples to be provided)
(Samples to be provided)
List to be provided
To be provided
To be provided
Assessment Proof
List of their CV’s
List of their CV’s
Attach list (name +nation+ details)
To Be Provided
List to be provided
List to be provided
List to be provided
1
Part C
Contractor’s Financial Status & Miscellaneous Document:
1
2
3
4
5
6
Business Ethics and attitude
Financial strength
Documentation & Archiving Polices & Procedures
ISO Certification
Company Commercial registration
List of completed and on-going projects
• project name;
• client’s project manager (name and phone/fax numbers);
• tender price, variations and final cost;
• completion date and extensions of time granted.
Copy of recommendation/ appreciation letters received from
Clients/ Consultants
List of facilities – workshop, manufacturing etc. with available
machinery, productivity etc.
7
8
Assessment Proof
Attach
Attach Last year Financial Audit
To Be Provided
To Be Provided
To Be Provided
To Be Provided
To Be Provided
Please provide the
productivity/capacity of facilities (in
volume, number of units which can
be produced per day etc.)
Part D
Quality
1
2
Do you have a documented Quality Policy?
Has this been implemented through a documented Quality
management system/plan/programmed
Does the Quality system comply with national or
international standard or other criteria? Who is responsible
for administration of your Quality management system?
Quality Certification
Do you carry out formal audits of your subcontractors/subsuppliers?
Has your organization manufactured products to
International Standards?
Please provide details of Standards (e.g., ISO, welding,
painting, other codes etc.) used?
Please provide details of your In-House Testing Facility or
the third-party organization engaged for the works
3
4
5
6
7
Assessment Proof
2
Attach
Attach
To Be Provided
To Be Provided
List to Be Provided
To Be Provided
To Be Provided
Part E
(HSE) Health, Safety, Environment
1
Specify the OHS legislative requirements and regulations
that apply to your activities
Do you have a documented OHS Policy?
Does the documented OHS system comply with a national
or international standard or other criteria
Has your documented OHS been approved and either
certified by an accredited third party or endorsed by a
recognized second party
Specify the environmental legislative requirements and
regulations that apply to your activities?
Do you have a documented Environmental Policy?
Has your Company had any instances of fines, penalties or
stop work notices for breaches of environmental
protection requirements?
2
3
4
5
6
7
Assessment Proof
3
Attach
Attach
Attach
To Be Provided
List to Be Provided
To Be Provided
To Be Provided
EVALUATION ITEMS
COMPANY EVALUATION
(20%)
BEST
SUB
TOTAL
WORST
EXPERIENCE (8%)
A>=10YEARS B 8-10 YEARS C 5-7 YEARS D 2-4 YEARS E<=2YEARS
8
6
4
2
COMPANY OPERATION (6%)
COMPANY’S CURRENT WORK LOAD, ANY PROBLEM/DISPUTE SITUATION WITH OTHER
PARTY/CLIENT
6
5
4
3
EMPLOYEES (PERSONS) (6%)
A:>=500 B:350-500 C: 200-350 C:50-200 E:<=50
6
5
4
3
G
E
N
E
R
A
L
L
A
B
O
R
M
O
B
I
L
I
Z
A
T
I
O
N
A
B
CONST-RUCTION EVALUATION
(80%)
EVALUATION POINTS
C
O
N
S
T
R
U
C
T
I
O
N
A
B
I
L
I
T
Y
(
4
4
%
)
ORGANIZATION
FIELD ORGAN.
MANAGE’T
COOPERATIVE
RELATIONS
KNOWLEDGE OF STAFF
COOPERATIVE RELATION WITH CHIYODA/JV PARTNER ANY TROUBLE/DISPUTE
EXPERIENCED
COMMITMENT FROM HEAD OFFICE/PARENT COMPANY FOR SMOOTH OPERATION OF THE
WORK
WERE SUFFICIENT NUMBER OF STAFF ALLOCATED AGAINST THE WORK VOLUME AND
WORK SCHEDULE?
KNOWLEDGE AND EXPERIENCE OF THE STAFF PLANNED
WORKER CONTROL
WORKER’S PERFORMANCE CONTROL PLAN
NUMBERS OF
WORKERS
ADEQUATE FOREMAN-WORKER RATIO?
HEAD OFFICE BACK-UP
PROFESSIONA
LS ENGINEERS
SUPERVISORS’
INSPECTORS
(12%)
WORKERS
(8%)
NUMBER OF STAFF
ABILITY & EXPERIENCE
TIER SUBCON.
DILIGENCE
TEMPORARY
FACILITIES
CONSTRUCT’N
EQUIPMENT
(8%)
PAST GOOD EXPERIENCE WITH CCC, APPROPRIATE EXPERIENCE TO THE ASSIGNED WORK
SUFFICIENT CAPACITY
SUFFICIENT QUANTITY
MAINTENANCE AND
REPAIR
SAFETY EQUIP’T
FACILITIES
ORGANIZATION
A LEVEL OF EXPERT/EXPERIENCE OF FOREMEN IN COMPANY
A LEVEL OF SKILL/EXPERIENCE OF WORKERS IN COMPANY
ADEQUATE CAPACITY OF BUILDINGS, ELECTRICITY, WATER SUPPLY, ETC. FOR TEMPORARY
USAGE?
SUFFICIENT NUMBER OF TEMPORARY FACILITIES AND CONSTRUCTION EQUIPMENT?
PLAN
REPAIR AND MAINTENANCE OF TEMPORARY FACILITIES AND CONSTRUCTION EQUIPMENT
ACCEPTABLE?
PROPER QUALITY CONTROL PROCEDURES PREPARED
SCHEDULE
CONTROL
(8%)
SCHEDULING ABILITY
DOCUMENTS
(2%)
COMPLETE UNDERSTANDING ON CHIYODA’S SCHEDULE REQUIREMENT.
ADDITIONAL COSTS
DOCUMENT HANDLING
ADEQUATE EVALUATION OF THE EFFICIENCY AND REQUIRED QUANTITY OF MANPOWER,
AND ITS TIMELY MOBILIZATION?
NEW TECHNOLOGIES AND INVENTION APPLIED, WHEREVER FEASIBLE FOR MANAGEMENT
OF SAFETY, QUALITY AND SCHEDULE?
DOES SUBCONTRACTOR USE TECHNOLOGIES THAT ARE SUPERIOR TO OTHER
COMPETITORS EXPECTING BETTER PRODUCTIVITY?
ANY TROUBLES WITH SUBCONTRACTING? ANY BAD IMPACT DUE TO SEVERE COST
DISPUTES BETWEEN SUBCONTRACTOR AND CHIYODA?
REASONABLENESS OF CLAIMS FOR ADDITIONAL COSTS?
ALL DOCUMENTS HANDLED ACCORDING TO THE AUTHORIZED PROCEDURES?
REPORT
REASONABLENESS OF CLAIMS FOR ADDITIONAL COSTS IN EXPERIENCES.
COST MANAGEMENT
6
3
8
6
4
2
8
6
4
2
 12

10
6
2
 12
9
6
3
8
6
4
2
6
5
4
2
4
3

1
1
0
PROPER INCORPORATE ON SAFETY REQUIREMENT INTO EXECUTION PLAN.
ANY TROUBLE WITH SUBCONTRACTING, ANY COST DISPUTES BETWEEN SUBCONTRACTOR
AND CHIYODA.
PROPER QUALITY CONTROL ORGANIZATION PREPARED
COSTS
(4%)
9
COMPLETE UNDERSTAND ON SHES PLAN/REQUIREMENT PROVIDED BY CHIYODA.
ORGANIZATION
TECHNOLOGY LEVEL
 12
SAFETY MANAGEMENT ORGANIZATION PROVIDED? (INSPECTIONS, DISPOSITIONS,
TREATMENT, ETC.)
QUALITY CONTROL
POLICY
CONSTRUCTIO
N
TECHNOLOGY
(6%)
2
QUALITY AND QUANTITY OF THE SAFETY EQUIPMENT AND FACILITIES ADEQUATE?
QUALITY
CONTROL
(12%)
PROGRESS CONTROL
4
COOPERATIVE RELATION WITH TIER SUBCONTRACTORS
SAFETY MANAGEMENT/STAFF ORGANIZATION IS ACCEPTABLE?
SAFETY MANAGEMENT
PLAN & COMMITMENT
6
APPROPRIATE NUMBER OF WORKERS ASSIGNED FOR THE WORK VOLUME AND SCHEDULE?
COMPANY’S COMMITMENT PREPARED IS ACCEPTABLE?
SAFETY (12%)
8
2
TOTAL
4
Item No.
1
Checklist Assessment Description
Received Subcontractors Documents
2
Initial Site Visits
3
Conduct & Prepare for Company Inspection
4
Prepare Inspection Remarks (identify equipment
warranty, Assets & Other Premises)
Resources
5
Start Date
Manpower
Subcontractors
Safety Equipment
Equipment & Vehicles
Store & Transport Equipment
Tools & Instruments
Computer Software
Computer Hardware
Material Spare Parts
Office Furniture & Equipment
Stores (if applicable)
Open Storage (if applicable)
Power/Telephone/Communication
Workshops
Transportation
ID Cards / Booklets
Seals
Official / Inter Division Stationary
Control Systems
6
Safety Program
Maintenance & Operation Programs (M.M.S.)
Quality Management System
Corporate Documents
Admin Documents
Other Documents (as required)
Administrative Requirements
Property Damage Insurance
Third Party Insurance
Workmen Accident Insurance
Issue Monthly Progress Report
Unit is Ready for Quality Internal Audit
Unit Characteristics Report Preparation
5
Completion Date