SUPPLIER PREQUALIFICATION QUESTIONNAIRE

SCOPE
- This vendor quality questionnaire will be used to assess existing and potential vendor capabilities.
- All information in this questionnaire will be treated as confidential and disclosed to third parties
only with your written authority.
- Please arrange for completion and return of this questionnaire within the next fourteen days
marked for the attention of: Purchasing/Quality assurance Coordinator.
- All financial documentation to be sent separately enclosed with your response marked for the
attention of the Accounting Manager/Purchasing Coordinator.

1.0 General Information

1.1 Vendor Name:
Vendor Address:

Telephone No.: Fax No.:

E-mail Address:
Web Site:

1.2 Manufacturing Address (if different from above):

Telephone No.: Fax No.:

E-mail Address:

1.3 Date company established:

1.4 Company Registration Number:

1.5 Type of Company (i.e. Partnership, Private limited, Public limited, Other):

1.6 Place of Registration:

1.7 Financial Information

The following table reflects the minimum information required for financial evaluation.
However, vendors are encouraged to provide their audited financial statement at this stage In the
event this is not provided their audited financial statements for the last three financial years
would be required at the bidding stage to corroborate the financial evaluation carried out at the
prequalification stage.

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 SUPPLIER PREQUALIFICATION QUESTIONNAIRE

Amount in 000 Currency* 2013 2014 2015 2016

(see note)

Annual turnover
Gross profit
Post-tax profit
Total current assets
Stock / inventory (include in current
assets)
Total current liabilities

Capital authorized and paid up

Accumulated reserves (losses)

Long term debt

Guarantees issued on behalf of the

company (contingent liability)

Note: Yr. 2013 financial information only to be provided if Yr 2016 information is

unavailable at time of request. (Yr dates to be amended accordingly)
* Please state currency and whether given values are in 100s, 1,000s or 1,000,000s.
1.8 Management Lead Members

Name Designation Contact Details

2.0 Describe briefly your Inspection/Quality Control facilities:

2.1 Describe briefly your manufacturing facilities:

2.2 Describe briefly your Product Range:

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3.0 Number of Employees (Total):

3.1 Males:

3.2 Females:
3.3 Workers:
3.4 Quality Control Inspection:
3.5 Administration:

3.6 Minimum Hiring Age

4.0 Person responsible for Quality:

To whom does the person responsible for Quality reports:

Position:
5.0 Details of Engineering Staff in Terms of Member per Discipline.

6.0 Please list other Companies who have Vendor Assessed and Approved your company:

Products Approved:

7.0 Do you have a Quality Manual? Yes No

Do you operate to Formal Written Quality Control Procedures? Yes No
Do you have HSE Manual or Hazard Identification and
Yes No
Assessment for all activities?
8.0 Quality Management

Please state if your Organization is accredited to ISO 9001 or Yes No

Equivalent

If Yes, Please provide current Quality Certification (ISO 9001), accreditation or other approvals
(ASME, API, etc). All associated attachments and Schedules to the main Certificates are also required.

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 SUPPLIER PREQUALIFICATION QUESTIONNAIRE

NOTE: Vendors who have been approved to (SEDEX, BSCI, ETI, BS EN ISO 9000:2008 and/or
SA8000) are exempted from completion of Section 8 to 14.1 inclusive, but should attach a copy
of their Registration Certificate.

9.0 Do you operate a formal and documented system to Vendor Yes No

Assess your own material suppliers?

9.1 Do you operate a formal and documented goods received Yes No

inspection system?
9.2 Do you operate a formal Vendor Record System? Yes No
(if yes, please supply sample record)

9.3 Do you carry out QHSE/Social audits? Yes No

10.0 Do you carry out Internal Quality Audits? Yes No

11.0 Are records of Defective Work Maintained? (if yes, please supply Yes No
sample record)

Are rejected items identified as such and segregated in a Yes No

Quarantine Area?

12.0 Describe briefly the method used to control work in progress:

12.1 Is there First Off, Batch (using a sampling scheme) and Final Inspection?
First off Batch Final Inspection
12.2 Are Inspection/Test Records retained or sent to customer (if records please supply sample
Record)?

12.3 Is traceability maintained at all times during Manufacture? Yes No

12.4 Are there Manufacturing Instructions in use in the Production Yes No
Area?(If Yes Please provide a complete list of machines, tools &
tackles)

13.0 Is all Measuring Equipment Calibrated regularly and Yes No

Records of Calibration kept? (if yes, please supply sample record)

14.0 Do you have a Formal Dispatch Department? Yes No

14.1 Are all Dispatched items identified with Customer, Part or Order Yes No
Number?

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14.2 Are there packing instructions for delicate items? Yes No

14.3 Is there a system for dealing with Customer's Rejections? Yes No

15.0 Are Controlled Change Procedures being applied to all Yes No

Design and Manufacturing Procedures?

Are there Drawing Office/Design Procedures with Control Yes No

maintained over Drawings and Superseded Issues?
16.0 General Notes on your Company Quality Systems:

17.0 Would your company agree to PSP conducting QHSE/Social Yes No

compliance audit?
Audits as required? If NO to above, amplify statement
18.0 Reference Projects
Provide details of the last four contracts (or four typical contracts during the last three years, if
this is a better demonstration of the range of supply) utilizing the tables provided. For each of the
reference project stated below, please provide the specification and range of sizes of the items
supplied, together with the quantity of each size supplied. Projects in INSERT COUNTRY are
of particular interest.
Reference Project 1
Name & Address:
Contact name & tel. no:
Project Name/Location
Details of Equipment/
Materials Supplied:
Value of order Start &
Finish:
% of Items Late/On Time
Actual Delivery
Contractual Delivery (weeks)
(Weeks)
Reference Project 2
Name & Address:
Contact name & tel. no:
Project Name/Location
Details of Equipment/
Materials Supplied:
Value of order Start &
Finish:

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% of Items Late/On Time

Actual Delivery
Contractual Delivery (weeks)
(Weeks)
Reference Project 3
Name & Address:
Contact name & tel. no:
Project Name/Location
Details of Equipment/
Materials Supplied:
Value of order Start &
Finish:
% of Items Late/On Time
Actual Delivery
Contractual Delivery (weeks)
(Weeks)

Reference Project 4
Name & Address:
Contact name & tel. no:
Project Name/Location
Details of Equipment/
Materials Supplied:
Value of order Start &
Finish:
% of Items Late/On Time
Actual Delivery
Contractual Delivery (weeks)
(Weeks)

19.0 Please attach Company Brochure

Name: Signature:
Position: Date:

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