Supplier On-boarding Question Set. Section A Company Information
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- Cordelia Booker
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1 Supplier On-barding Questin Set Sectin A Cmpany Infrmatin Cmpany Infrmatin Cmpany Name Trade type Already wrk with Mitie? D yu have any declared interests, r a cnnectin in any way t a Mitie emplyee? E.g.: Family relatinships, persnal friendships, business interests. Cmpany Type Cmpany Registratin Number Natinal Insurance number VAT number DUNS /CREDITSAFE number Address Infrmatin Registered Address 1 Registered Address 2 Registered Address Street Registered City Registered Regin/Cunty Registered Pstcde Registered Cuntry Website Cntact Telephne Number Gegraphical cverage/regins (tick all that apply) Is yur trading address different t yur registered address? Trading Address 1 Trading Address 2 Trading Street Trading City Trading Regin/Cunty Trading Pstcde Trading Cntact Telephne Number Cntact Infrmatin Primary Cntact Name Primary Cntact Telephne Address fr Purchase Orders Remittance Cntact Remittance Telephne fr Remittance advice Additinal Infrmatin Parent Cmpany Number f Emplyees What was yur cmpany turnver fr the last financial year?
2 Des yur cmpany have Diverse Ownership? Diverse Ownership refers t majrity wnership r bard level psitins frm ne r mre f the fllwing areas: Female, Disability, Black, Asian, Minrity Ethnic, Lesbian, Gay, Bisexual, Transgender. Please select the apprpriate categry f trade frm the drp dwn list prvided (chse maximum f 5) D yu subcntract any f yur cre activities? Cuntry f Origin Using yur best judgement, what prprtin (%) f the gd/materials that yu supply are assembled/manufactured in the fllwing lcatins? If yu d nt supply gds please enter 0 in each: UK, EU (excluding UK), Africa, Middle East, Nrth America, Suth America, Asia, Australasia. Using yur best judgement, what prprtin (%) f the cmpnents in the gds/materials that yu supply are surced/prduced in the fllwing lcatins? If yu d nt supply gds please enter 0 in each: UK, EU (excluding UK), Africa, Middle East, Nrth America, Suth America, Asia, Australasia. Using yur best judgement, what prprtin (%) f the labur assciated with the delivery f yur services (such as call centres, administratin) are based in the fllwing cuntries: UK, EU (excluding UK), Africa, Middle East, Nrth America, Suth America, Asia, Australasia. Dcuments Please refer the Mitie T's & C's n the fllwing site: website Please indicate that yu have read and accepted the Mitie standard Ts&Cs Please refer the Mitie Supplier Cde f Cnduct dcument n Please indicate that yu have read and accepted the Mitie Cde f Cnduct fr Vendrs plicy Please refer t the Mdern Slavery Guidance dcument n Please indicate that yu have read and understd the Mdern Slavery guidance dcument D yu have any cmments n these dcuments? Waste If yu are a Waste cmpany can yu cnfirm that yu have als read and accepted the Waste addendum dcument? The dcument is als n the site Catering Des yur cmpany prvide Catering Gds r Services? Mitie Catering perates an E-Purchase t pay (EP2P) system thrugh the Trade Simple platfrm perated by Furth Hspitality: please indicate if yu are using this r are able t integrate with Trade Simple. The due diligence f fd safety audits is managed thrugh NSF-CMI (nte: 100 annual charge fr this service). All nminated Mitie Catering suppliers must have apprved third party accreditatin in rder t supply, via CMI. Please indicate if yu are using this r are willing t d s.
3 Security Des yur cmpany prvide Security Services? D yu have SIA ACS (including N Ireland)? All staff must be screened t BS7858/2012 r equivalent and peratives wh wrk n CCTV and security systems must have a current PNC r Disclsure Sctland; please indicate acceptance t this standard Care Services Des yur cmpany intend t prvide Care services t ur Cmplete Care r MiHmecare businesses? Please attach a cpy f yur CQC r CISSW certificate Name f the business frmally registered with the CQC r CISSW Registratin number with the CQC r CISSW Please supply the Branch Manager identificatin number r if yu d nt have an identificatin number please state the reasn why Date f last inspectin All nminated Care prviders must use the Electrnic Call Mnitring system (ECM) specified by Mitie. Please indicate that yu are using this r are willing t d s All nminated Care prviders must use the frms, prcedures and paperwrk specified by Mitie in the peratin f their duties. Please indicate that yu are using this r are willing t d s All nminated Care prviders are required t pay staff Natinal Minimum Wage. Please indicate that yu understand and are cmpliant Sectin B Financial Infrmatin CIS Infrmatin Are yu registered as a CIS subcntractr? Name f the business r cmpany registered with HMRC UTR number (first 10 digits) If yu are a Partnership, please enter yur partner details: Partner name Partner UTR Partner Natinal Insurance Number Bank Details Bank Name (i.e. Llyds) Name f Accunt Hlder Srt Cde Accunt Cde Swift cde IBAN Alternative bank details Factring Accunt Name /SCF details if applicable Bank Name Name f Accunt Hlder Srt Cde
4 Accunt Number Registered Address Line 1 Registered Address Line 2 Registered City Registered Pstcde Sectin C Insurance Infrmatin D yu have Public Liability insurance (minimum cver preferred 10,000,000)? Des yur insurance cver subcntractrs? Please list any specialist exclusins, cnditins r warranties D yu check the insurance levels f yur subcntractrs? D yu have Prducts Liability (cver required 5,000,000)? D yu have Emplyers Liability insurance (minimum cver preferred 10,000,000)? D yu have Prfessinal Indemnity insurance ( 5,000,000 cver preferred)? D yu have Airside Insurance (minimum cver preferred 50,000,000)? Have yu experienced any reprtable accidents r dangerus ccurrences in the last 5 years? Please enter the number f each type f incident recrded belw: Fatality, Majr Injury, Nn reprtable, Dangerus Occurrence, Reprtable, Ill health, Near Misses
5 Number f prsecutins, imprvement / prhibitin ntices frm ANY enfrcing authrity in the last 5 years Des yur rganisatin have an Ecdesk prfile? Please prvide yur prfile name n Ecdesk Please cnfirm when yu last disclsed yur envirnmental data n Ecdesk Wuld yu be happy t create an Ecdesk prfile and enter yur latest envirnmental data by visiting Ecdesk ( D yu have a UKAS accredited Quality Management System (QMS) i.e. ISO9001 r equivalent? Please attach cpies f certificate If nt, hw d yu guarantee the quality f yur service? D yu have a UKAS accredited Envirnmental Management System i.e. ISO14001 r equivalent? Please attach cpies f certificates If nt, hw d yu ensure that prducts supplied t Mitie are designed in an envirnmentally friendly manner and the impacts upn the envirnment frm yur activities are minimised? D yu have a UKAS accredited Health & Safety Management System i.e. QHSAS18001 r equivalent? Please attach cpies f certificates If nt, hw d yu ensure that yu wrk t legal and safety standards? D yu have any frmal plicies fr the fllwing: Prcurement, Ethical Business Practice, Sustainability, CSR, Equality, Diversity & Inclusin, Nne Please attach cpies Sectin D QHSE Infrmatin NOTE: This sectin f the questinnaire requires infrmatin n the licenses and certificates yu hld. Please attach the licences which are relevant fr yur legal jurisdictin and any ther jurisdictins yu hpe t wrk in with Mitie. D yu hld a valid Safety Scheme in Prcurement ( apprved accreditatin - such as CHAS, SSIP, and Achilles? Please attach cpy f certificates Name f scheme IF NOT Please prvide a current SIGNED cpy f yur H&S plicy Name f persn wh prviding H&S advice t yur cmpany Jb Title Cmpany (if external prvider) Please prvide examples f risk assessments (2 nn generic) Please prvide examples f methd statements (2 nn generic) Please prvide evidence f hw yu implement safe systems f wrk Please prvide evidence f hw yu train yur wrkfrce in H&S
6 Please prvide a cpy f yur training plicy and pan t demnstrate hw cmpetency is measured and recrded Please prvide examples f training recrds and certificates Des yur cmpany have a waste carrier licence r an exemptin? If yur cmpany has a waste carrier licence please attach the certificate r prf f exemptin Waste Carrier Licence number Why are yu exempt? Des yur cmpany have Gas Safe r Registered Gas Installer (RGI) accreditatin? Please attach the certificate Certificate Number Des yur cmpany have REFCOM r FGR Cert (F GAS)? Please attach the certificate Certificate Number Des yur cmpany have an Electrical Wrks accreditatin? Please attach the certificate Type f certificate Certificate Number Des yur cmpany have UKAS accreditatin fr Asbests surveys? Please attach certificates Certificate Number Des yur cmpany have accreditatin fr Asbests remval? Please attach all certificates that apply Type f certificate i.e. ARCA, ACAD, and HSE Licence Number Des yur cmpany have ther certificates mandatry fr the service that yu ging t prvide t us (such as UKAS, FENSA, NASC)? Please attach any additinal certificates Type f certificate Number Please dwnlad and read the Rules fr Subcntractrs dcument n Please sign the declaratin which yu will find n the last page, and then scan and attach it here.
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