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SP 8.1.4-2 EHS PreGÇÉ Qualification Checklist - Tier 2

This document contains an EHS pre-qualification checklist for tier 2 contractors looking to work with Larsen and Toubro Limited (L&T) on construction projects. It requests information about the company such as type of business, core activities, previous work history with L&T, major jobs executed, accident/incident details, employee qualifications and experience, and equipment to be used. The contractor must declare that the information provided is correct and understand it will be used to evaluate the company's suitability for L&T's requirements.

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Danish Shaikh
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127 views1 page

SP 8.1.4-2 EHS PreGÇÉ Qualification Checklist - Tier 2

This document contains an EHS pre-qualification checklist for tier 2 contractors looking to work with Larsen and Toubro Limited (L&T) on construction projects. It requests information about the company such as type of business, core activities, previous work history with L&T, major jobs executed, accident/incident details, employee qualifications and experience, and equipment to be used. The contractor must declare that the information provided is correct and understand it will be used to evaluate the company's suitability for L&T's requirements.

Uploaded by

Danish Shaikh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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LARSEN AND TOUBRO LIMITED

BUILDINGS & FACTORIES INDEPENDENT COMPANY


Ref : SP 8.1.4 - 2
EHS Pre‐ Qualification Checklist - Tier 2
COMPANY NAME : ADDRESS FOR COMMUNICATION :

MAIN CONTACT NAME & DESIGNATION : TELEPHONE NUMBER : Mail ID:

TYPE OF COMPANY / INDUSTRY / FIRM (TICK AS APPROPRIATE)


Private : Partnershi Proprietary :
p:
Supplier Others
(Please specify) :

NATURE OF THIS CONTRACT :

COMPANY WORK HISTORY


What are your core Business activities ?
Have you worked with L&T? (If Yes, which Unit
& Project)

MAJOR JOBS EXECUTED


Customer & Location Type of Work Year Customer EHS Feedback/ Award

ACCIDENT/INCIDENT DETAILS
No.of Occupational Fatalities in last 5 years
No.of Major Injuries in last 5 Years
Please provide details of Accident/Incident Details
Detail of the Accident/Incident Type (Fatality, Major , Minor Injuries) Year

Please state the employment classification/designation, Qualification & Experience of employees to be engaged on this project and estimate
of numbers to be engaged for each classification.
Classification/Designation (Engineer, Supervisor, No.of Certification/Qualification Year of Experience
Safety Engineer, Safety supervisor, Rigger, Welder Employees
etc)

Please state the equipments to be deployed on this project and years of usage.
Equipment (Crane, Excavator, Grader, Major power tools, etc) Years of Usage

I/We declare that to the best of my knowledge the answers submitted in this Pre-Qualification Questionnaire are correct. I understand that
the information will be used in the evaluation process to assess my company’s suitability for LTHE’s requirements

Date                               

Name:

Designation:

Place:

Signature of authorized Person with company seal:

Sensitivity: LNT Construction Internal Use


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