Company Details

General Company Details

Company Name

Company Address

Address 1

Address 2

Address 3

City

ZIP / Postal Code

State / Province

Country

Company Registration Number

Telephone Number

Company Website

Key Contact Name

Key Contact Email Address

Turnover Last Year

Total number of employees in your organisation

5-10

10-20

20-50

50+

Finance & Tax Information

Bank Name

Bank Address

Address 1

Address 2

City

ZIP / Postal Code

State / Province

Country

Account Name

Account Number

Sort Code

VAT Registration Number

Anti-Bribery and Corruption

Does your organisation have an Anti-Bribery and Corruption Policy (if Yes, Please upload a copy below)

Yes

No

Anti-Bribery and Corruption Policy Upload

Does your organisation require all of its employees, subcontractors and supplies to sign up to its policy on Anti-Bribery or have their own policy?

Yes

No

Does your organisation have a Modern Slavery/Forced Labour policy?

Yes

No

Modern Slavery/Forced Labour policy upload

Data Protection and Sanctions

Do you agree to comply with all applicable Data Protection laws and regulations UK or Worldwide?

Yes

No

Do you agree to comply with all Export Controls and Sanctions Laws and not do anything which would cause to be in breach of any Export Controls and Sanctions Laws, UK or Worldwide?

Yes

No

HSEQ Questionaire

Confirm Insurance Policies Held

Employers Liability

Yes

No

Public Liability?

Yes

No

Products?

Yes

No

Quality Management

Has the company achieved independent registration to ISO 9001:2015 from a UKAS Approved Accreditation Body?

Yes

No

Health & Safety Management

Has the company achieved independent registration to ISO 45001:2018 from a UKAS Approved Accreditation Body?

Yes

No

Do you have a Health & Safety Policy?

Yes

No

Please identify your Professional Safety Advisor/Comptent Person as required under The Management of Health and Safety at work Regulations 1999 - Section 7 Please attach evidence of their qualifications belwo. e.g - NEBOSH, IOSH, Diploma, etc

Name:

Job Title

If required can you provide any Qualifications to support the person mentioned above

Yes

No

How do you assess the health and safety competence and resources of companies with whom you place contracts?

Please describe how you manage and monitor your own Health and Safety Perfomance, e.g. Regular Audits, Inspections. Audits/Toolbox talks.

Will you be able to provide supporting evidence if requested for the processes described, such as records of audits, inspections, or toolbox talks?

Yes

No

Environmental Management

Do you have an Environmental Policy?

Yes

No

Does your company have a Carbon reduction plan?

Yes

No

Does your company have a policy in place to ensure that materials supplied do not contain conflict minerals (tin, tungsten, tantalum, or gold) sourced from conflict-affected or high-risk areas?

Yes

No

Declaration & Signature

Name

Job Title

Date Signed

Telephone Number

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