2b Has your organisation received any Government regulatory agency (e.g. SafeWork NSW) notices in the past 3 years, i.e. improvement notices, prohibition notices, or penalty notices? Yes No If yes, provide details: 2c Has your organisation reported any notifiable incidents to a Government regulatory agency (e.g. SafeWork NSW) in the past 3 years? Yes No If yes, provide details: 3 Risk Management Comments 3a Does the organisation have a Risk Management Procedure? Please attach a copy. Yes No Please advise location in Tender documents i.e. attachment title and page number: 4 Training, Instruction, Information & Supervision Comments 4a Does the organisation ensure that employee licences, training and competencies are current and that records are maintained? (e.g. drivers licence, qualifications, high risk work licences, confined space etc.) Please attach a copy of the Training Register, or an example of an employee’s drivers licence or training certificate. Yes No Please advise location in Tender documents i.e. attachment title and page number: 4b Identify all work activities that your organisation will perform for the Port of Newcastle that requires a work licence: Please tick more than one, if applicable. Please attach a copy of the relevant licences as an example. Please advise location of examples in Tender documents i.e. attachment title and page number: 4c Does the organisation provide health & safety information to its employees? Yes No 4d Does the organisation provide supervision to its employees? Yes No 5 First Aid Comments 5a Does the organisation have trained First Aiders? Please attach a copy of a workers First Aid Certificate as an example. Yes No Please advise location in Tender documents i.e. attachment title and page number:
10 Environmental Risk Management Comments 10a Does the organisation have a procedure to identify and manage environmental risks? YES NO If no please explain in comments 10b Does the organisation have environmental risk assessments specific to the work to be undertaken? Please attach a copy of an example. YES NO If no please explain in comments 11 Training & Competency Comments 11a Does the organisation provide environmental information to its workers? YES NO If no please explain in comments 11b Does the organisation provide environmental training specific to the works (e.g. Blue Book soil and erosion management training)? YES NO If no please explain in comments 12 Emergency Preparedness & Response Comments 12a Does the organisation maintain a list (including volumes) of all chemicals and hazardous materials used on site? YES NO If no please explain in comments 12b Does the organisation maintain spill kits on site appropriate to the works? YES NO If no please explain in comments 12c Does the organisation have a procedure in place to manage its response in the event of an environmental incident/emergency? YES NO If no please explain in comments 13 Waste Management Comments 13a Does the organisation have a procedure for the management and correct disposal of waste? YES NO If no please explain in comments 14 Sustainability Comments 14a Does the company adopt sustainable practices? YES NO 15 Additional Insurance Questions 15a Does your work involve construction or repair of marine assets or ships, working from a vessel or marine platform, or will you be using watercraft? If yes, please upload a copy of your Marine Liability Insurance and/or Ship Repairers Liability Insurance and/or Protection Indemnity Insurance that adequately covers your marine work for not less than $20 Million YES NO 16 Industrial Relations – Due Diligence 16a Are persons who will be working for the applicant employed under a current industrial instrument (award, enterprise agreement or contract of employment)? Please provide evidence to support this (de-identified). If no, then please confirm employment arrangement for persons employed. YES NO 16b Does the applicant provide wages and conditions in accordance with all relevant industrial instruments or contractual arrangements? If no, then please provide reasons why? YES NO