SUPPLIER APPROVAL FORM
ADVANCE \d8Section 1: Company Details
Supplier Name
Business Registration No.
(ABN or national equivalent)
GST Registered?
(Or national sales tax equivalent)
[ FORMCHECKBOX
] Yes
[ FORMCHECKBOX
] No
Premises Address
Post Code
Account (Postal) Address
Post Code
Phone No
Fax No
Sales Contact
Position
Quality Contact
Position
Health, Safety & Environment Contact
Position
Accounts Contact
Position
What generic business is conducted at your premises?
Manufacturer [ FORMCHECKBOX
]
Rail Safety Maintenance
[ FORMCHECKBOX
]
Stockist [ FORMCHECKBOX
]
Other [ FORMCHECKBOX
]
Brief Description of Company Products
Brief Description of Design / Production / Testing Capabilities
Current / Previous Major Contracts
Sales Turnover ($)
Do you agree to the management system requirements detailed within the Downer EDI Rail Supplier Quality Manual?
[ FORMCHECKBOX
] YES
[ FORMCHECKBOX
] NO
Note: The ‘Downer EDI Rail Supplier Quality Manual’ can be accessed via the Downer EDI Rail website ‘Downloads’ page. (http://www.downeredi.com/Default.aspx?aCateId=935)
Section 2: Additional documentation requirements
Confidentiality Agreement (Form:SPP5043/4/5/6) signed and enclosed
[ FORMCHECKBOX
] YES
[ FORMCHECKBOX
] NO
[ FORMCHECKBOX
] Not required
(Downer EDI Rail to complete)
Electronic Funds Transfer Application (Form:SPP3052) signed and enclosed
[ FORMCHECKBOX
] YES
[ FORMCHECKBOX
] NO
[ FORMCHECKBOX
] Not required
(Downer EDI Rail to complete)
Supplier Insurance Details (Form:SPP3054) enclosed
[ FORMCHECKBOX
] YES
[ FORMCHECKBOX
] NO
[ FORMCHECKBOX
] Not required
(Downer EDI Rail to complete)
Direct Digital Manufacturing (Form:SPP3055) questionnaire enclosed
[ FORMCHECKBOX
] YES
[ FORMCHECKBOX
] NO
[ FORMCHECKBOX
] Not required
(Downer EDI Rail to complete)
Independent supplier performance reference enclosed
[ FORMCHECKBOX
] YES
[ FORMCHECKBOX
] NO
[ FORMCHECKBOX
] Not required
(Downer EDI Rail to complete)
Section 3: Management System Details
Do you have a third-party certified Quality Management System?
[ FORMCHECKBOX
] YES Details below
[ FORMCHECKBOX
] NO
If NO, please go to Section 4
Quality System Standard
Certificate Number
Certificate Issue Date
(please attach a copy)
Do you have a third-party certified Environmental Management System?
[ FORMCHECKBOX
] YES Details below
[ FORMCHECKBOX
] NO
If NO, please complete Section 5
Environmental Management System Standard
Certificate Number
Certificate Issue Date
(please attach a copy)
Do you have a third-party certified OH&S Management System?
[ FORMCHECKBOX
] YES Details below
[ FORMCHECKBOX
] NO
If NO, please complete Section 5
OH&S Management System Standard
Certificate Number
Certificate Issue Date
(please attach a copy)
Do you have Rail Safety Accreditation to AS4292 ‘Rail Safety Management’?
[ FORMCHECKBOX
] YES Details below
[ FORMCHECKBOX
] NO
If NO, please complete Section 5
Certificate Number
Certificate Issue Date
(please attach a copy)
Section 4: Quality Management System Details
If Third Party certification not held please provide listings of available Quality Management System (QMS) procedures.
QMS procedure listing enclosed:
[ FORMCHECKBOX
] YES
[ FORMCHECKBOX
] NO
Section 5: Company Environmental, Occupational Health & Safety and Rail Safety Management System’s documentation
(If yes, to any of the questions below, please attach supporting documentation)
1. Do you have a documented;
YES
NO
a) Environmental Management System?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
b) Occupational Health & Safety Management System
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
c) Rail Safety Management System?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
2. Do you have a documented;
a) Environmental Policy
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
b) Occupational Health & Safety Policy?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
c) Rail Safety Policy?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
3. Do you have a documented procedure that outlines how your company identifies and access’s applicable legal and other requirements, and how your company determines how they apply to your responsibilities in regards to;
a) The Environment
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
b) Occupational, Health & Safety
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
c) Rail Safety
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
4. Do you have documented procedures to identify potential emergency situations and accidents, and how to respond to them, for;
a) Environmental emergencies?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
b) Health & Safety emergencies?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
c) Rail Safety emergencies?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
5. Do you have a documented procedure for consulting with employees in regards to issues relating to;
a) OHS
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
b) Rail Safety
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
6. Is your organisation accredited as a Rail Operator by your state Regulator?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
7. Has you organisation had an environmental, OH&S or Rail Safety incident on site, which was required to be reported to a regulatory body? (If yes, please provide details)
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
8. Has your organisation been issued with a notice (eg clean up notice, improvement notice, prohibition notice) from a government regulatory body of an environmental, OH&S or Rail Safety incident? (If yes, please provide details)
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
9. How many Lost Time Injuries have occurred in the last 12 months?
10. Do you provide environmental / safety / rail safety training to all new and existing employees?
[ FORMCHECKBOX
] [ FORMCHECKBOX
]
Completed by:
Name
Position
Date
Please append any other information you wish to include within your submission.
For Downer EDI Rail HSE Review Use Only
Supplier action plan required?
YES[ FORMCHECKBOX
]
NO[ FORMCHECKBOX
]
Details
Reviewed By:
Name
Signature
Date
Page 1 of 3
Form:SPP3051 (11.08)
Created by: Sunil Sharma
Approved by: J Rzetelski
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