Supplier pre-qualification questionnaire (fictional)
Company name:
Federal Tax ID / EIN:
Year established:
Number of employees:
Primary contact name:
Contact email:
Contact phone:
Do you have a written HSE policy signed by top management?
Do you carry out documented risk assessments and method statements before work starts?
What is your EMR for the last three years?
Total recordable incident rate (TRIR) for the last three years
Do you hold public liability insurance? Please attach your certificate of insurance.
Are you debarred or suspended from government contracting?
Do you have an anti-bribery and corruption policy?
Please attach a signed W-9.
