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Page 1: Annexure 2

EHS PREQUALIFICATION QUESTIONNAIRE 2012

1 | P a g e

EHS Questionnaire for Prequalification of the contractors

Sr.

No.

Criteria Weightage Response

(Yes/No)

Evidence Required Evaluation by Tata Housing

Score Remark

1 Does your company have a

documented EHS Policy?

5 A copy of EHS Policy

2 Do you prepare EHS Plan for each

project?

10 A copy of cover &content page of EHS

Plan of any current project

2 Is your company’s SAFETY

Organization defined?

5 A copy of existing EHS Organization at

HO & project

3 Are you OHSAS 18001 certified

company?

10 A copy of OHSAS 18001 Certificate

4 Are you ISO 14001 certified company? 5 A copy ISO 14001 Certificate

5 Is Management Representative (MR)

of OHSAS/ISO from top

management?

5 Name & designation of MR

6 Are you a member of National Safety

Council?

5 Membership Number

7 Do you have exclusive EHSBudget for

each project? Indicate % of EHS

Budget vis-à-vis project total budget.

10 A copy of EHS Budget of any current

project

8 Who is accountable for EHS

management at project site?

5 Indicate “Is it Project In-charge or EHS In-

charge?”

Page 2: Annexure 2

EHS PREQUALIFICATION QUESTIONNAIRE 2012

2 | P a g e

Sr.

No.

Criteria Weightage Response

(Yes/No)

Evidence Required Evaluation by Tata Housing

Score Remark

9 Did you receive any award or

accolade for your EHS performance?

10 List of awards

10 Did you receive any complain/legal

notice for faulting EHS?

5 If yes then provide detail

11 Did you compensate victims of

accidents as per workmen

Compensation Act?

5 A copy of policy/procedure towards

accidental compensation

12 Do you measure safety performance

of the project?

5 Safety statistics of any current project for

last FY

13 What is the maximum accident free man days achieved by your company at any project

5 Indicate highest Accident Free Man Days achieved

14 Are your sub-contractors responsible

for safety?

5 Copy of sub-contract agreement

15 Do you comply with Labour Laws

relevant to construction?

5 Submit copy of labour license, ESIC, PF

for any current project

Total Weightage Total Score

Guideline for contractor seeking empanelment:

1. Indicate your response (Yes/No) in column 4. If yes, then submit evidence as indicated in column 5. All evidences shall be submitted in sequence as a separate document.

2. Empanelment will follow the Score Band. 75 -100: A Class, 60 – 74: B Class, 50- 59: C Class. Less than 50 score will not be entitled for empanelemnt