PQQ a pre-cqualification SHGOC-20150305.doc
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1、沈恒粮油SHGOC承包商资格预审调查表(PQQ)Contractors Pre-Qualification Questionaire (PQQ)通用信息 GENERAL INFORMATION1.公司名称Company Name:广东蓝讯智能科技有限公司电话Telephone: 0769-22859521传真Fax: 街道地址Street Address: 东莞市南城区周溪隆溪路金汇科技园A238邮寄地址Mailing Address: 东莞市南城区周溪隆溪路金汇科技园A238网址 Web site: 联系人Contact Person:王友元电子邮件e-mail:136989526电话 Te
2、lephone:13929208567 传真Fax:2. 管理人员人数Officers number :目前公司办公室员12人,施工人员12人。总经理/总裁President: 王雪芳 3. 贵机构在目前商号下经营已有多少年? How many years has your organization been in business under your present firm name? 蓝讯公司成立于2006年,到目前为止已经成立11年。4. 母公司名称Parent Company Name: 广东蓝讯智能科技有限公司市City: 东莞市省Province:广东省邮政编码Postal C
3、ode: 523000子公司Subsidiaries:5. 何时以来处于目前管理下(日期)Under Current Management Since (Date): 自2006年5月到现在6. 保险信息联系人Contact for Insurance Information: 陆肖丽职务Title: 销售经理电话Telephone:15820888278传真Fax:7. 保险公司 Insurance Carrier(s): 中国平安名称Name保险覆盖类型Type of Coverage电话Telephone王友元意外险13929208567程持红意外险13713470640陈桂钊意外险13
4、428468356朱志刚意外险136627151628. 贵公司对劳工赔偿保险是否劳动保险? 意外伤害险?是Yes R 否No 是Yes R 否No 9. 招标联系人Contact for Requesting Bids: 黄小姐职务Title:前台助理电话Telephone:13580762200传真Fax:10. PQQ填写人 PQQ Completed By: 王友元职务Title: 业务助理电话Telephone:13929208567传真Fax:组织机构ORGANIZATION11. 企业类型Form of Business: 全资拥有Sole Owner 合营公司Partnersh
5、ip 股份公司Corporation 12. A. 描述提供的服务Describe Services Performed:R施工ConstructionR施工设计Construction Design 原始设备制造商和安装商Original Equipment Manufacturer and Installer 原始设备制造商和维修商Original Equipment Manufacturer and Maintenance 服务工作(例如保安、文秘服务等等)Service work (e.g. janitorial, clerical, etc.)R维修Maintenance人力资源Ma
6、npower and ResourceR专业维修Specialty Maintenance大修Turnaround 工程Engineering其它Other13.描述提供的附加服务Describe Additional Services Performed:前期的产品选型、方案设计以及后期维护保养。14.A.贵公司通常雇用的是Do you normally employ? 劳动合同员工 Personnel R 劳务人员Non-Personnel 租借人员Leased Personnel B.过去三年平均员工数量 Average number of employees for last 3 ye
7、ars :12人C.目前员工总数:24人15.过去三年业务金额总量Annual Dollar Volume for the Past Three Years:USDYR 2014年$ 100万YR 2015年$ 130万YR 2016年$ 170万16.过去三年期间的最大工程Largest Job During the Last 3 Years: 广东盛元中天生物科技有限公司17.正在进行的重大工程Major jobs in progress:客户地点 Customer/Location工作类型Type of Work规模 Size$M客户联系人Customer Contact电话Teleph
8、one广东盛元中天生物科技有限公司安防监控、机房工程陈先生18925711068高砂建筑(北京)有限公司系统集成黄小姐13377761885光大企业集团机房工程王先生1337777125518.过去三年中完成的重大工程Major jobs completed in the past three years:客户地点 Customer/Location工作类型Type of Work规模Size$M客户联系人Customer Contact电话Telephone广东盛元中天生物科技有限公司安防监控、机房工程陈先生18925711068广东欧珀移动通信有效公司系统集成徐先生13480067821智
9、宝电子(东莞)有限公司系统集成高先生1899806331619.贵公司是否有任何未决的或未执行的判决、索赔或诉讼? Are there any judgments, claims or suits pending or outstanding against your company?If yes, please attach details.Yes qNo q如果是,请附解释。If yes, please attach explanation是Yes 否NoR安全和健康绩效SAFETY & HEALTH PERFORMANCEYNN/A1伤病数据 Injury and Illness Dat
10、a:a.过去三年员工的工作时间(不包括分包商) Employee work hours in last three years excluding subcontractors)小时年Hours / YearYRYRYR现场Field201420152016总共Total230天230天230天b. 提供过去三(3)年贵公司记录下列数据(不包括分包商):Provide the following data (excluding subcontractor) using your company records from the past three(3) years:注:(1)数据是适用于该地
11、区或区域的最佳可用数据。Notes: (1) Data should be the best available data applicable to the work in this region or area. (2)如果公司没有计算事故率,可以直接填写事故数量。If company doesnt have requirement to calculate incidnet rate, can fill in incident number. YR 2014YR 2015YR 2016No.RateNo.RateNo.Rate 相关死亡率 Injury related fatality
12、and injury number工伤死亡率 =(伤害数 x 200,000)员工总时间Rate = # of Injuries x 200,000)/ Total Employee Hours无无无涉及 损工伤害率Lost workday case injuries involving days away from work.损工伤害率 =(伤害数 x 200,000)员工总时间Rate = # of Injuries x 200,000)/ Total Employee Hours无无无须报告的总伤害率 (所有需要到医院治疗的受伤事故)Total Recordable Injury Rat
13、e (All injuries need get treatment from hospital须报告的伤害率 =(伤害数x 200,000 )员工总时间Rate = # of Injuries x 200,000)/ Total Employee Hours无无无2.过去三年中贵公司是否受过奖励?Have you received any regulatory citations in the last three years?YNN/A答:无奖励安全健康管理信息SAFETY & HEALTH MANAGEMENT INFORMATION3. 安全健康管理公司中最高级别的安全健康专业人员Sa
14、fety and Health ManagementHighest ranking safety/health professional in the company: 职务Title: 项目经理联系人Contact:程持红电话Telephone: 13713470640传真Fax: YNN/A a. 贵公司是否具有或提供下列人员? Do you have or provide:a.专职安全健康总监Full time Safety/Health Director是Yes 否No Rb.专职现场安全健康主管Full time Site Safety/Health (S&H) Supervisor
15、 是Yes R否No c.专职现场安全健康承包商协调人Full time Site Safety/Health Contractor Supervisor是Yes R否No b.贵公司是否有书面安全健康管理体系?Do you have a written Safety and Health Program? 是Yes R否No c.体系中是否有出下列要素?Does the program address the following key elements?1. 管理层承诺和预期Management commitment and expectations是Yes R否No 2. 员工参与Emp
16、loyee participation是Yes R否No 3. 经理、主管和员工的责任和职责Accountabilities and responsibilities for managers, 是Yes R否No supervisors, and employees4. 满足安全健康要求的资源Resources for meeting safety & health requirements是Yes R否No 5. 定期评估所有员工的安全健康绩效Periodic safety and health performance appraisals是Yes R否No for all employe
17、es6. 安全奖惩制度Safety Recognition Program 是Yes R否No 7. 危害识别和控制Hazard recognition and control是Yes R否No d.制度是否符合法律对贵公司/责任人的责任要求Does the program satisfy your responsibility under the law for:1. 确保贵公司员工遵守的安全规章制度?Ensuring your employees follow the safety rules of是Yes R否No the facility?2. 承包商在作业中发现的任何危险通知给业主?
18、Advising owner of any unique hazards presented by是Yes R否No the contractors work, and of any hazards found by the contractor?安全健康惯例和程序SAFETY & HEALTH PRACTICES & PROCEDURESYNN/A4.体系是否包括安全作业惯例和程序?例如Does the program include work practices and procedures such as:a.设备上锁挂牌(LOTO)Equipment Lockout and Tagou
19、t (LOTO)是Yes R 否No 不适用N/A b.入槽/密闭空间作业Confined Space Entry是Yes R 否No 不适用N/A c. 伤害疾病报告记录Injury & Illness Recording是Yes R 否No 不适用N/A d. 坠落防护Fall Protection 是Yes R 否No 不适用N/A e. 个人防护装备Personal Protective Equipment是Yes R 否No 不适用N/A f.便携式电动工具Portable Electrical/Power Tools是Yes R 否No 不适用N/A g.车辆安全Vehicle S
20、afety是Yes R 否No 不适用N/A h.压缩气体钢瓶Compressed Gas Cylinders是Yes 否No 不适用N/A Ri.电气设备接地保证Electrical Equipment Grounding Assurance是Yes R 否No 不适用N/A j. 动力工业车辆(起重机,叉车,JLG等)Powered Industrial Vehicles 是Yes R 否No 不适用N/A (Cranes, Forklifts, JLGs, etc.)k.内务整理Housekeeping是Yes R 否No 不适用N/A l.事故意外报告Accident/Incident
21、 Reporting是Yes R 否No 不适用N/A m.不安全条件或隐患报告Unsafe Condition or hazard Reporting是Yes R 否No 不适用N/A n.应急准备情况,包括疏散计划Emergency Preparedness, including evacuation plan是Yes R 否No 不适用N/A o.废料处置Waste Disposal是Yes R 否No 不适用N/A p. 材料装卸和人工吊装技术Material Handling & Manual Lifting Techniques是Yes R 否No 不适用N/A YNN/A5.贵公
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