AN English Partnerships The National Regeneration Agency Corporate Health and Safety Assessment 10, "1 Issue 3 Questionnaire This questionnaire is to be completed by developers tendering for EP projects, partner ‘organisations and organisations applying for funding who will act in the capacity as CDM Client. The purpose of the assessment is to determine your overall corporate competence in managing health and safety as an employer and suitability as a construction Client under the Construction (Design and Management) Regulation 2007. It is strongly recommended that you seek competent health and safety advice in completing this questionnaire. This questionnaire forms part of the 2" stage of the tendering or application process. Failure to return this questionnaire along with the supporting enclosures by the required deadline date will result in your submission being dismissed. Please note thal we do not operate an ‘Approved List’ for developers or partners. This assessment is purely for the project or funding you are applying or bidding for. Therefore, if you regularly bid for EP projects or apply for funding, itis strongly recommended that you ikeep a copy of your completed questionnaire and enclosures for future submissions. In the case of @ consortium or joint venture bids, the questionnaire MUST be completed by the organisation who will be acting as the CDM Client on behalf of other JV or consortium members for the project. Itis recognised that some organisations will also undertake the role of duty holders such as designer, CDM coordinator and principal contractor, however, this assessment Is purely focussing on your organisation's role as an employer and construction Client. The questionnaire is based on the core criteria for demonstration of competence in Appendix 4 of L44 Managing Health and Safety in Construction - Construction Design and Management Regulations 2007, but tailored to assess corporate and client competence, The completed questionnaire including enclosures must be placed in a separate envelope and marked ‘Health and Safety Assessment’ along with your company name and the project, name. On receiving your submission, this will be passed on to our Term Health and Safety Consultants who will undertake the evaluation on our behalf Some questions require you fo submit specific documents to demonstrate compliance with certain criteria, These are mandatory enclosures and are indicated as such on the enclosure list at the back of the questionnaire All questions must be answered, in addition to providing supplementary evidence where necessary to demonstrate compliance with the criteria, Each question is weighted equally in terms of marks. A minimum of four marks is required for each question in order to pass. Additional marks are awarded for questions supported with evidence to demonstrate compliance and examples of good practice over and above legal compliance If you have any queries about this questionnaire and the assessment process then please contract Mark Dabell, EP's Health and Safety Manager, on 01908363613 or email markdabell@englishpartnerships.co.uk Corporate Heath and Safety Questionaire Date Created 19/10/07 Date Last reviewed 31/08/07Corporate Health and Safety Assessment Questionnaire Project OJEU Ref No (where applicable) Site or Project Name Company Trading Name (if Registered Name different to registered name) Registered Correspondence ‘Address Addres: different Has your company changed its Yes | Ifyes, what did it name during the last three years | or _—_| change from and ? No | when? What is your contact What is your telephone Number email address How many employees How many does your company offices / bases employ ? do you operate from? In the box below, describe your business's main area of work. 1s your organisation a member of the Construction Clients Group CCG or Major Contractors Group ? If yes, please give membership details. Has your organisation already registered with any nationally recognised health and safety assessment schemes such as CHAS, Achilles UVDB verity, NHBC Contractor Assessment Scheme or Safecontractor 7 Ifyes, please give details of registration. Do you participate in the HSE’s Corporate Health and Safety Performance Index (CHaSPi) ? If yes, please confirm your self assessment results, and whether they were externally verified and published. Do you have OHSAS 18001 registration ? If yes, please provide a copy of your registration certificate. Issues Corporate Health and Safety Questionaire Date Created 19/10/07 Date Last Reviewed 31/08/07 Page 2ot7Corporate Health and Safety Assessment Question: If your bid is part of a consortium, please give contact details of consortium members below and their role in this particular project. Organisation Role e.g. principal contractor, designer, client What is the size, type and value of typical projects you normally procure as a construction Client ? Issue 3 Date Crested 19/10107 Date Last Reviened 31/08/07 Corporate Health and Safety Questionate Page 3of7