沈恒粮油承包商资格预审调查表-吕顺77.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:广东吕顺智能科技有限公司电话Telephone: 020-82238349传真Fax: 020-82242316街道地址Street Address: 邮寄地址Mailing Address: 广州经济技术开发区锦绣路碧华街10号广州经济技术开发区锦绣路碧华街10号网址 Web site:联系人Contact Person:傅先生电子邮件e-mail:lvshunji
2、dian电话 Telephone:18607325097 传真Fax:020-822423162. 管理人员人数Officers number:9人总经理/总裁President:杨国交 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?13年4. 母公司名称Parent Company Name:市City:省Province:邮政编码Postal Code:子公司Subsidiaries:5. 何时以来处于目前管理下(日期)Under
3、 Current Management Since (Date):6. 保险信息联系人Contact for Insurance Information:傅先生职务Title: 副总经理电话Telephone:18607325097传真Fax:020-822423167. 保险公司 Insurance Carrier(s): 名称Name保险覆盖类型Type of Coverage电话Telephone中国太平洋财产保险股份有限公司意外伤害,意外亡故955008. 贵公司对劳工赔偿保险是否劳动保险? 意外伤害险?是YesR 否No 是Yes R 否No 9. 招标联系人Contact for
4、Requesting Bids:钟小姐职务Title:采购员电话Telephone:020-82238349传真Fax:020-8224231610. PQQ填写人 PQQ Completed By: 张小姐职务Title: 行政专员电话Telephone:020-82238349传真Fax:020-82242316组织机构ORGANIZATION11. 企业类型Form of Business: 全资拥有Sole Owner R合营公司Partnership 股份公司Corporation 12. A. 描述提供的服务Describe Services Performed:R 施工Const
5、ructionR 施工设计Construction DesignR 原始设备制造商和安装商Original Equipment Manufacturer and InstallerR 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MaintenanceR人力资源Manpower and ResourceR 专业维修Specialty Maintenance大修Turnaround R工程En
6、gineeringR其它Other13.描述提供的附加服务Describe Additional Services Performed: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 years :73人C.目前员工总数:65人15.过去三年业务金额总量Annual Dollar Volume for the Past Three Years:USD
7、YR2014$460万YR2015$495万YR2016$407万16.过去三年期间的最大工程Largest Job During the Last 3 Years: 嘉吉粮油Apple项目17.正在进行的重大工程Major jobs in progress:客户地点 Customer/Location工作类型Type of Work规模 Size$M客户联系人Customer Contact电话Telephone嘉吉粮油,东莞Apple电气安装2600万一曲忠明1376141567318.过去三年中完成的重大工程Major jobs completed in the past three y
8、ears: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嘉吉粮油,东莞Apple电气安装2600万元曲忠明13761415673上海装卸车系统设备制造电气安装900万元刘闯15618101887南通嘉吉TURF电气安装1500万元陆生19.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
9、 attach details.Yes qNo q如果是,请附解释。If yes, please attach explanation是Yes 否No R安全和健康绩效SAFETY & HEALTH PERFORMANCEYNN/A1伤病数据 Injury and Illness Data: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 / YearYR2014YR2015YR2016现场Field180016901310总共Total21002000
10、1901b. 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 compan
11、y doesnt have requirement to calculate incidnet rate, can fill in incident number.YRYRYRNo.RateNo.RateNo.Rate 相关死亡率 Injury related fatality 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
12、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 Rate (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 r
13、eceived any regulatory citations in the last three years?RYNN/A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:卓连胜Safety and Health ManagementHighest ranking safety/health professional in the company: 职务Title: 安全主任联系人Contact:卓连胜电话Telephone:020-82238349传真Fax: 020-82242316YNN/A
14、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 R否No b.专职现场安全健康主管Full time Site Safety/Health (S&H) Supervisor 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YesR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 Prog
15、ram? 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Employee 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Re
16、sources 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 employees6. 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
17、 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?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 P
18、RACTICES & 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 Tagout (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 否No 不适用N/A Rd. 坠落防护Fall Protectio
19、n 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 Safety是Yes R 否No 不适用N/A h.压缩气体钢瓶Compressed Gas Cylinders是Yes R 否No 不适用N/A i.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(
20、起重机,叉车,JLG等)Powered Industrial Vehicles 是Yes 否No 不适用N/A R (Cranes, Forklifts, JLGs, etc.)k.内务整理Housekeeping是Yes 否No 不适用N/A Rl.事故意外报告Accident/Incident 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 evacuati
21、on plan是Yes 否No 不适用N/A Ro.废料处置Waste Disposal是Yes 否No 不适用N/A Rp. 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 RYNN/A5.贵公司是否具备下列书面S&H程序或制度?Do you have written S&H programs for the following:a.新员工安全岗前培训Safety Orientation Training for new employees是Yes R 否No b. 呼吸防护Respirato
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