Supplier Self-Assessment Questionnaire – TIER BAROMETER


Questionnaire

Required Field = Required field
Section 1 : Contact Details
Your Name : Required Field
Position : Required Field
Phone Number : Required Field
Mobile Number : Required Field
Email Address : Required Field
Section 2 : Organisation Details
Company Name : Required Field
Trading Name :
ABN Number : Required Field Lookup
No of employees (located in Australian) : Required Field
Company Email : Required Field
Website : Required Field
Address : Required Field
Suburb : Required Field
Location : Required Field
Postcode : Required Field
Country : Required Field
Company Type : Required Field
Scope of Business Activites : Required Field
Projects your company is targeting : Required Field
Section 3 : Questionnaire
Please complete the following by answering each question:
More Information What is the maximum size job (in dollar value) you tender for, or can complete for a customer?
  Less than $1 million in value?  
  More than $1 million but less than $5 million in value?  
  More than $ 5 million but less than $20 million in value?  
  More than $20 million but less than $100 million in value?  
  More than $100 Million in value?  
More InformationWhat is your company’s turnover?
  Less than 1 million  
  More than $1 million but less than $5 million pa  
  More than $ 5 million but less than $20 million  
  More than $20 million but less than $100 million  
  More than $100 million  
More InformationManagement System (Safety):
  Does your company have a documented Health and Safety Policy Statement? Yes No
  Does your company have a Senior Manager who is responsible for health and safety management? Yes No
  Does your company have a documented Health and Safety Management System and/or Health and Safety Procedures? Yes No
  Can your company supply statistics on Lost Time Injuries / Near Misses? Yes No
  Has your company’s Health and Safety System and procedures been certified by a Third party? Yes No
  Does your Health and Safety Management System and procedures comply with AS ISO 4801? Yes No
More InformationManagement System (Environmental):
  Does your company have an Environmental Policy Statement? Yes No
  Does your company have a Senior Manager who is responsible for environmental management? Yes No
  Does Your Company have a documented Environmental Management System and/or procedures for assessing and minimizing negative environmental impacts? Yes No
  Can you supply statistics on your company’s carbon footprint? Yes No
  Has you company’s Environmental Management System and/or procedures been certified by a Third Party? Yes No
  Do your company’s Environmental Management System and procedures comply with AS ISO 14001? Yes No
More InformationManagement System (Quality):
  Does your company have a Quality Policy Statement? Yes No
  Does Your Company have a documented Quality Management System? Yes No
  Does your company have a standard inspection and test plan? Yes No
  Does your company have a Senior Manager who is responsible for quality management? Yes No
  Have your company’s Quality Management System and/or procedures been certified by a Third Party? Yes No
  Does your company’s Quality Management System comply with AS ISO 9000 series? Yes No
  Do you have procedures for assessing and approving the Quality Systems of your subcontractors and sub suppliers? Yes No
More InformationInsurances : Does your company have
  Professional Indemnity insurance? Yes No
  Public Liability insurance? Yes No
  Workers Compensation insurance? Yes No
  Plant and Equipment insurance? Yes No
More InformationRisk management : Does your company :
  Have a risk management matrix to determine and assess potential risks? Yes No
  Does your company have a Senior Manager who is responsible for Risk Management? Yes No
  Does your company’s Risk Management System and procedures comply with AS  ISO 31000:2009? Yes No
  Has your company’s Risk Management System and/or procedures been certified by a Third Party? Yes No
  Have a Risk Management System and/or procedures that comply with AS ISO 31000:2009? Yes No
More InformationStaffing : Competency of Operators
  Have you documented records that establish the competencies of your plant operators, tradespersons and other occupations? Yes No
  Does your company have a workforce development plan and procedures in place to improve the competency and skill levels of staff? Yes No
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