• Pre-Qualification Assessment

    Pre-Qualification Assessment

  • In order for Altona Group to pre-qualify potential subcontractors, we require this assessment to be completed prior to being considered. As such, please ensure that:

    • All sections are completed
    • A response is provided for each question
    • Attachments are provided where requested

    This form is not a commitment from Company to award any contracts or future works.

  • Type*

  • Company Details

  • Are you incorporated as a company?
  • Date of Incorporation
     - -
  • Is this the Legal Entity allowed to enter into a formal Contract?
  • Corporate Structure
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  • Are you part of a corporate group or joint venture?
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  • Contacts

  • Format: (00) 0000-0000.
  • Format: (00) 0000-0000.
  • Format: (00) 0000-0000.
  • Format: (00) 0000-0000.
  • Format: (00) 0000-0000.

  • Business Profile

  • Do you source or manufacture goods or services outside of Australia?
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  • Has ownership of the Business changed in the last 3 years?
  • Have any Directors/Partners of the Business been associated with any other businesses that have become insolvent, bankrupt, entered into a deed arrangement with creditors, had a winding up order made against it, or been party to the appointment of a receiver, administrator or liquidator?
  • Is the Business registered for GST?
  • Does the Business have any outstanding debts due to the Australian Taxation Office?
  • Is the Business required to be registered for Payroll Tax?
  • Is the Business required to be registered for Long Service Leave (or comparable scheme)?
  • Are all current employees registered?
  • Is the Business required to contribute to a redundancy trust scheme such as ACIRT?
  • Are all current and past due contributions paid and up to date?
  • Is the Business required to contribute to an employee’s Superannuation Scheme?
  • Are all current and past due contributions paid and up to date?
  • Has the Business paid all current and past due remunerations payable to its employees?
  • Does the Business hold all required licences to perform the services for which it seeks qualification?

  • Work History

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  • Health, Safety & Environment

  • HSE Organisation

  • Does the Company provide direct supervision of workers?
  • What ratio of supervision to workers is typically provided?
  • Does the Company have a HSE training program for newly hired or promoted supervisors?
  • Does the company have initiatives implemented to support a positive HSE culture?
  • Does the Company have a process to communicate HSE learnings?

  • HSE Performance

  • Does the Company require a license or permit issued by a Government Authority to perform work?
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  • Has the Company been prosecuted for a health, safety, or environmental offence in the past five years?
  • Has the Company been issued any improvement, prohibition or environmental breach notices by a regulatory body in the past five years?
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  • Acronym

    Definition
    Fatality An incident that has resulted in the loss of life
    LTI: Lost Time Injury An injury or illness where a worker is unable to work their next, or any subsequent, full rostered shift/workday
    RWI: Restricted Work Injury An injury or illness requiring medical treatment where the treating Medical Practitioner has certified that an worker is unable to perform one or more of their routine work functions or from working the full day on their next rostered shift.
    MTI: Medical Treatment Injury An injury or illness where the level of treatment is restricted to a Medical Practitioner, Medical Professional or licensed Health Professional (on referral by a treating Medical Practitioner).
    Serious Environmental Incident Widespread impact requiring < 1yr remediation or local impact requiring > 2yrs remediation
    TCI: Total Case Injury Frequency Rate (Fatalities + LTI + RWI + MTI) x 1 Million / Total Hours Workers
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  • HSEQ Management System

  • Does the Company have a HSEQ Management System certified by an external body?
  • If yes, indicated to which standard and attach copies of current certificate/s:
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  • Does your Company have a HSEQ Management Plan?
  • Are Health and Safety responsibilities clearly identified for all levels of staff?
  • The HSEQ Management System includes written processes for the following?
  • Does the Company have a formal induction process for new employees?
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  • How often are internal HSEQ Management System Audits?
  • Are records of HSEQ audits retained?
  • Does the Company maintain employee training records including verification of competency?

  • Operational Controls

  • High Risk Activities

  • Does the Company undertake high-risk activities?
  • Indicate relevant activities?
  • Does the company have a process for monitoring and recording regular equipment inspections and maintenance?
  • Indicate for which equipment

  • Environmental Controls

  • Does the Company undertake activities which have the potential to impact the environment?

  • Health Controls

  • Does the Company conduct pre-employment medical assessment for operational roles?
  • Specify type of assessment
  • Does the company specify alcohol and drug tolerance levels whilst at work?
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  • Does the company supply and provide training in the selection, use and maintenance of PPE?
  • The Company's minimum PPE requirements include:

  • Employee Relations

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  • Is your Company apart of any enterprise agreements that will cover the intended work?
  • Does your Company have an Employee Relations Management Plan (ERMP)?
  • Does your Company have an employee dispute resolution procedure?
  • Does your Company have a right of entry procedure?
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  • Indigenous Participation

  • Are you a majority owned Australian Aboriginal or Torres Strait Island indigenous business?
  • Are you Supply Nation Certified?
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  • What is the percentage of Australian Aboriginal or Torres Strait Islander employees within your organisation?
  • Do you directly engage businesses majority-owned by Australian Aboriginal or Torres Strait Islander people?
  • Do you have an Indigenous employment strategy or action plan for your business implemented within the last two (2) years?
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  • Are you prepared to support any initiatives to hire Indigenous apprentices or tradespersons or engage or procure from Indigenous owned businesses?
  • Are there other ways (not described above) in which your Company demonstrates commitment to Indigenous Australians?
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  • Insurances

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  • Financial Information

  • Altona Group may, as part of the subcontractor evaluation process, engage the services of an independent financial consultant to provide a comprehensive assessment report of the subcontractors financial capacity. A representative from the independent financial consultant may contact the subcontractors nominated representative requesting such financial information as is necessary to assess financial status. Subcontractors failing to provide this information may not be considered further.

    The independent financial assessment report will remain private and confidential.

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