ContPreQ Module ContPreQ Module Company Basic Information Legal Name * Foundation Date * Company’s CEO/Manager/Owner * Number of Employees * Company Address * City * Country * Select Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Company Phone * Company Fax * Company Website * Contact Person Contact person below data MUST be valid, It will be used to contact your company through email and mobile number. First Name Last Name * Job Title * Mobile * Email * Add references from your previous projects Your Client Name * Project Scope * Contact Person * Project Value * Add Remove Category of Activities * Civil Electrical Facility Management Hazard zone Instrumentations Low Current Mechanical/MEP Packaging Renewable Energy Service Transportation Scope * Scope Description * HSE Risk Level * QC Risk Level * Feedback by admin Status Awaiting ReviewApprovedRejectedBlocked Comment in case of rejection , blocking Occupational Health and Safety Information Does your company have a full time HSE professional on staff? * Yes No HSE CV and certificate * Choose File Maximum upload size: 268.44MB Does your company keep injury/illness records for the last 3 years? * Yes No In the current or last three (3) years, has the company experienced any work-related FATALITIES or multiple HOSPITALIZATIONS? * Yes No If YES: • Upload implemented corrective action plan to eliminate re-occurrence • Upload a written Incident/Accident Investigation Document (Program, Safety Risk Assessment, Policy, Method Statement, Procedure, Process, etc.) under the Additional Required Documentation section Did your company work the last 3 years without any citations or violations from any regulatory agency? * Yes No Does your company have HSE management system in place, including a procedures manual? * Yes No Upload HSE Manual / System / ISO Certificates * Choose File Maximum upload size: 268.44MB Does your company have a written HSE policy signed by senior management? * Yes No Upload an HSE Policy * Choose File Maximum upload size: 268.44MB Does your company use / hire subcontractors? * Yes No Does your company have an HSE program for managing subcontractors? * Yes No Is written documentation available for: (Check all that apply) * Safety Risk Assessment Job Hazard Analysis (JHA) Environmental Impact Assessment Other (Please specify in the comment box below)Other (Please specify in the comment box below) Upload recent records of Safety / Environment Assessment and JHA * Choose File Maximum upload size: 20MB HSE Plan is needed for each GS Projects, Do you have HSE Plan? * Yes No Does your company certified as ISO 45001? * Yes No Do you have a written emergency response plan for your running activities ? And Do you train your employees on this plan? * Yes No Does your company calibrate and test all lifting tools/ equipment by a third party? * Yes No How do you evaluate your employees to ensure they are qualified, competent and licensed/certified (where required) for performing assigned scope of work (such as Heavy Equipment Operation, Welding, Pipefitting, Instrumentation, Electrical, HVAC, Plumbing etc)? * Yes No Does your company has a disciplinary action program for employees that violate HSE requirements? * Yes No Does your company provide HSE training and technical training to the all staff? * Yes No Does your company has incident investigation procedure? * Yes No Does your company have a full time HSE professional on staff? * No Yes All GS contractors should comply with the following * Provide drug test for (work at height workers – drivers), If applicable Provide medical fit certificates for all of your employees Provide calibration certificates for all lifting gears Comply with Giza Systems HSE management system Comply with GS PPE requirement Sign HSE Declaration form Attend awareness session with GS HSE Requirement for subcontractors, if needed Provide method of statement, if required Incidents Data Total Number of Employees 08/06/2023[x format=”d-m-Y”] * [[year]-1] * 2021 * Lost Time 2019 * 2020 * 2021 * Total Number of First Aid Injuries 2019 * 2020 * 2021 * Lost Time Injuries Rate (LTIR) 2019 2020 2021 Quality Control Does your company have HSE management system in place, including a procedures manual? * Yes No Upload HSE Manual / System / ISO Certificates * Choose File Maximum upload size: 268.44MB Text If you are human, leave this field blank. 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