BP Refinery (Bulwer Island) Pty LTD Abn 99 008 422 115 Pobox4 Pinkenba QLD 4008 Australia

BP Refinery (Bulwer Island) Pty Ltd ABN 99 008 422 115 PO Box 4 Pinkenba Qld 4008 Australia Direct
Phone: (07) 3243 7333
Dear Supplier, Prequalification: BP Refinery (Bulwer Island) Pty Ltd BPs enduring objective is that the operating culture of our Refinery delivers safe, compliant and reliable operations. These operations rely on the ongoing capability, performance and commitment of suppliers, contractors and partners whose values are ideally closely aligned to BPs. BP recently introduced a procedural requirement that supports this objective through the Contractor Prequalification process. This process aims to identify contractors and suppliers who are qualified to undertake work or supply to the Refinery and is condition precedence to carrying out work for BP Refinery Bulwer Island. If your organization is currently an incumbent contractor or supplier and you are not prequalified, you will be required to submit a prequalification form in order to support these HSE requirements. If you are a new Contractor or Supplier or are involved in a tender process you will be required to fill out a prequalification process for review and will be advised of the outcome. We aim to provide this information within 10 working days. Please complete and return the attached Prequalification Questionnaire as per the details on the last page of the Questionnaire. If you have any questions about the Questionnaire, please contact the Refinery Procurement Team on 07 3243 7614. Thank you in advance for your support. Yours faithfully,
Tim Wall Managing Director
Ian Finlay ANZ FVC Procurement Director
BP REFINERY (BULWER ISLAND) PTY LTD

Sub-Contractor Pre-Qualification Questionnaire
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SECTION 1 COMPANY INFORMATION
Registered name Previous registered name (if different) ACN/ABN (if applicable) Registered address Telephone Fax Email Website Type of organisation (Please mark one)
Sole Trader Partnership Company Trust Other please attach details
SECTION 2 BUSINESS ACTIVITIES

What are the main business activities of your company?
What other services can your company provide?
How many of your staff are direct employees? How many of your staff are contract employees? Please provide full details of any industrial instruments which are binding on the company with potential application to employees engaged on the BP site (Contracts, Modern Awards, Enterprise Agreements). Instrument Title Type (I.E. Enterprise Agreement, Award, Contract) Agreement ID (I.E. FWA Reference No) Unions Party to Agreement Expiry Date
Please state the employment classification/position titles of employees to be engaged on the BP site and an estimate of numbers to be engaged for each classification. Classification/Position Title (e.g. Fitters, Welders, Project Engineers etc) No. of employees
BP Refinery (Bulwer Island) Pty Ltd. ABN: 99 008 422 115. Uncontrolled if printed.
Originated by Debbie Phillips. Authorised by Alison Roe. Version 1.4. Date 3.02.2014. Document Location: Bulwer/Department /Procurement/Contract Administration/Contract Management Expectations/BRD-PSCM-CM-PS003 Contractor Pre-Qualification Questionnaire
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_______________________________________________________
What is your minimum hiring age? Do you import main raw materials/products from any of the following countries: Cuba, Iran, Sudan, Burma/Myanmar, Iraq, Liberia, North Korea, Syria, Zimbabwe? Are you or any owners or key personnel of the business identified on any relevant U.S. or UK government sanctions list? e.g. OFACs List of Specially Designated Nationals, the U.S. Commerce Departments List of Denied Parties, or the HM Treasury Consolidated List? Do you have a Code of Conduct or similar Compliance and Ethics related policy in place? Does your company currently have any pending legal actions? Has a court order or winding up proceedings been passed against your company? Has your company ever had a contract terminated under the terms of a contract?
Yes No
Yes
No
Yes Yes Yes Yes
No No No No
SECTION 3 INSURANCE
Please provide details of your current insurance cover Type Insurer Workers Compensation Insurance Public Liability Insurance and Product Liability Insurance Goods and Transport Insurance Professional Indemnity Insurance Expiry Date
SECTION 4 SAFETY MANAGEMENT SYSTEM AND POLICY

Company Injury Statistics. Please provide the safety record information for this year to date and the previous three years. BP uses the OSHA reporting requirements to classify recordable injuries. A recordable injury includes: a fatality, loss of consciousness, days away from work authorized by a medical practitioner, or an injury which kept the person from performing one or more of their routine tasks. First aid cases are not recordable injuries. Examples of first aid cases are the use of wound coverings (such as bandages, gauze pads, Band-Aids), over the counter medications, splinter removal or flushing foreign bodies from eyes.
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_______________________________________________________
Item a. Hours Worked b. Recordable Injuries c. Recordable Injury Rate = (b x 200,000) / a d. First Aid Only Cases Please provide details of each of the recordable injuries (if applies) Date Details of the Incident Treatment Received Year To Date Year-Year-Year--
Investigation Outcomes
Please return completed questionnaire and supporting documentation to: Attention: Procurement Manager Email: [email protected]
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_______________________________________________________
SUB-CONTRACTOR PRE-QUALIFICATION QUESTIONNAIRE EVALUATION DO NOT FILL OUT BP USE ONLY 1. 2. Sub-contracted to: Description of Goods and/or Services:
3.
Outcome of Assessment: Acceptable Sub-Contractor Not Acceptable Sub-Contractor Conditions/comments:
HSE Reviewed HSE Manager Approval (when applicable) HR Reviewed Procurement Manager Reviewed
Date: Date: Date: Date:
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AMENDMENT SHEET RECORD
Issue 1 Rev 1 Date 01/01014 Initiator HTT Reason New form for subcontractors Section Summary of Amendments
_______________________________________________________
HARDCOPY DISTRIBUTION RECORD

Postholder/Location of Controlled Hard Copy Copy No.
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BP Refinery (Bulwer Island) Pty Ltd ABN 99 008 422 115 PO Box 4 Pinkenba Qld 4008 Australia Direct

Phone: (07) 3243 7333

Tim Wall Managing Director

Ian Finlay ANZ FVC Procurement Director

BP REFINERY (BULWER ISLAND) PTY LTD

Sole Trader Partnership Company Trust Other please attach details

SECTION 2 BUSINESS ACTIVITIES

What other services can your company provide?

BP REFINERY (BULWER ISLAND) PTY LTD

Yes Yes Yes Yes

SECTION 4 SAFETY MANAGEMENT SYSTEM AND POLICY

BP REFINERY (BULWER ISLAND) PTY LTD

BP REFINERY (BULWER ISLAND) PTY LTD

Outcome of Assessment: Acceptable Sub-Contractor Not Acceptable Sub-Contractor Conditions/comments:

Date: Date: Date: Date:

BP REFINERY (BULWER ISLAND) PTY LTD

HARDCOPY DISTRIBUTION RECORD

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