Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE

Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

SUPPLIER INFORMATION
Supplier:      
Address (Street):      
Address (City, State, Zip, Country):
Contact Name:      
Telephone No.:      
E-mail address:      

SECTION I – FINANCIAL INFORMATION

Last Full Year 2nd Year 3rd Year
1) Gross revenue last three (3)
years:
2) After tax profit last three (3)
years:
SECTION II – MANPOWER RESOURCES
KEY MANAGEMENT PERSONNEL IN ADMINISTRATION, ENGINEERING,
PRODUCTION, QUALITY ASSURANCE AND QUALITY CONTROL
Completed By Survey Team
Contacted During Survey
Key Personnel (Title) Name Yes No

PRESENT MANPOWER NUMBERS

Department/Classification 1st Shift 2nd Shift 3rd Shift Comments
Staff Management
Engineers
Procurement
Manufacturing Engineers
Manufacturing
Quality Assurance Engineers
Quality Control Inspectors
Business Development/Sales
Site Technical Service Representatives
Other: Labour

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

SECTION III – PRODUCTS SUPPLIED

Principal Items Manufactured – Supplied:

                 

                 
                 
SECTION IV – CUSTOMERS (PAST & PRESENT)
1) Past Customers
Customer Project Name Product Year Completed

2) Present Customers
Customer Project Name Product Scheduled Complete

SECTION V – FACILITY RESOURCES & WORK AREAS

1) Total Operating Space: Indoor (MSq)       Outdoor (MSq)      
2) Building Bays For All Facilities:      
Number Length (Ft) Width (Ft) Crane Capacity Under Hook Height
(Ft)
3 production lines                        
3) Describe Clean Room Facilities or Other Restricted Access Facilities      
4) Current Shop Loading Percentage:
5) Estimated Shop Loading Percentage In 1 Year:
6) Estimated Shop Loading Percentage In 2 Years:
7) Number of Years Experience in Manufacture and/or supplying products surveyed:

SECTION VI – SHIPPING DATA

Rail: Serviced by:      
Truck: Serviced by:      
Water: Serviced by:      
Air: Serviced by:      

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

SECTION VII – MANUFACTURING CAPABILITY

ELECTRICAL MANUFACTURING DATA
I. Code Construction
NEMA      
IEEE      
ANSI      
ASI      
Underwriters      
Other (Specify):      
1) Does the supplier have at the manufacturing location all
     
codes and standards required by specification? Yes No
II. Tools and Equipment
1) Principal Electrical Manufacturing Equipment:      
Description Quantity Size – Capacity
Ovens            
Coil Press            
Coil Winding Equipment            
Coil Spreaders      
VPI Tanks            
Balance Equipment            
Other (specify):                  
2) Principal Metal Forming and Cutting Equipment:      
Description Quantity Size – Capacity
                 
3) Testing Equipment and Facilities:
Description Quantity Capacity Calibration
Megger Meters                  
A.C. Hi-Pot                  
D.C. Insulation Testers                  
Volt Meters                  
Amp Meters                  
Oscilloscopes                  
Power Factor Meters            
Ratio Testers                  

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

Analyzers                  

Corona                  
Dynamometer                  
Load Box                  
Noise Analyzer                  
Vibration Analyzer                  
Leak Detectors                  
4) Other Principal Equipment:      
III. Special Processes
1) Welding Equipment and Personnel:      
Description No. of Machines – Type No. of Qualified Qualifications
Welders
Arc Welding                  
Hard Solder                  
Soft Solder                  
2) Other Special Processes (specify):      
MECHANICAL MANUFACTURING DATA
I. Principal Manufacturing Code & Standard
Code & Standard Effective Date Comments
     
     
                 
                 
1) Does the supplier have at the manufacturing location all codes and      
standards required by specification? Yes No
II. Tools and Equipment
1) Principle Machine Tools:      
Description By Type Quantity Size – Capacity
                 
2) Principal Metal Forming and Cutting Equipment:      
Description By Type Quantity Size – Capacity
                 

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

3) Testing Equipment:      

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

Type Test Number Description Capacity Calibration

Hydrostatic                        
Pneumatic                        
Helium Leak                        
Halogen Leak                        
Tensile                  
Bend                  
Impact                        
Hardness                        
Chemical Alloy Analyzer                        
Chemical Laboratory                        
Mechanical Laboratory                        
4) Other Principal Equipment:      
III. Special Processes
1) Welding Equipment and Personnel:      
Process No. of Machines Number of Qualified Welders
ASME IX AWS OTHER
Shield Metal ARC                        
Gas Tungsten ARC                        
Gas Metal ARC                        
Flux Cored ARC                  
Submerged ARC                        
Electro Slag                        
Plasma ARC                        
Electron ARC                        
2) Metals and Alloys normally welded:      
3) Melting and Heat Treating Furnaces:      
Automatic or Manual
Furnace Type Maximum Capacity Recorder Controller
Temp
                             
                       
                             
4) Non-destructive Examinations (NDE)      

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

a) NDE performed by the Supplier: All Partial None N/A

b) NDE Subcontractor: Name Location
                 
Method Procedure Designation *ID* Rev. Date
Day-Alpha Month-
Year

MT – Prod                        

MT – Coil                        
MT – Yoke                        
PT – Solvent Removable                        
PT – Post Emulsifying                        
UT – Angle Beam                        
UT – Straight Beam                        
RT – X Ray                        
RT – Gamma Ray                        
ET – Eddy Current                        
VT – Visual                        
*ID* = Enter “S” for Supplier and “S/C” for Subcontractor
c) NDE Personnel Qualifications and Testing Equipment:      

Personnel Qualifications
SNT-TC-1A Level
Method 1 2 3 Description of Test Equipment
MT      
PT      
UT      
RT      
ET      
VT      

SECTION VIII – ENVIRONMENT SAFETY & HEALTH (ESH)

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

Current 2nd Year 3rd Year

Year
a) Number of fatalities:
b) Number of “Lost – Time” injuries and illness cases:
c) Number of days away from work for injury or illness:
d) Number of cases with restricted work activity:
e) Number of cases without lost workdays:
f) “Lost Workday Injury and Illness Rate” (LWDIIR):
g) Total Recordable Case Rate (TRCR):
3) Total hours worked by all employees for the last 3 years:
4) Have you received any regulatory citations in the last 3 years? YES NO
 If YES, list and describe them:      
5) Describe in detail all procedures currently in place at facility/facilities to protect the safety and health of
visitors. If there is more than one facility, describe the procedures at each: P.P.E. is provided for visitors
Supplier Com-      
ments:
6) Describe any orientation training that is provided to visitors who visit facilities regarding the hazards and
safety requirements:
Supplier Com-
ments:
7) Describe how safety of visitors and vendors at facilities where work is subcontracted and being completed:
Supplier Com-
ments:
8) Is a full time safety professional employed at each of the facilities? If so, list name and title. If not, who
is responsible for safety at the facilities?
Supplier Com-
ments:
9) Describe Company policy and process regarding the actions to be taken by a visitor who identifies a haz-
ard or unsafe condition:
Supplier Com-
ments:

SECTION IX – QUALITY ASSURANCE /QUALITY CONTROL DATA

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 Royal Commission for Jubail and Yanbu JUBAIL MANAGEMENT PROCEDURE
Royal Commission in Jubail ATTACHMENT 020102G

Supplier PreQualification Questionnaire

1) QA/QC Program is required by the procurement documents: YES NO

2) QA/QC Program Manual(s):      
Title Issue - Revision Date
No. (Day – Alpha Month – Year)

                 

3) QA/QC Program complies with the following Codes and Standards:      
ISO 9001 Other:      

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