Consultants/ Designers Questionnaire Regarding Competence and Resourcing Questionnaire Assessment

This questionnaire is required to be processed by Senior Management to review the competency of Consultant/ Designers for inclusion on the Companys Approved List if compliant with requirements. This questionnaire has been formulated in accordance with the CDM 2007 Regulations, Appendix 4, which has been agreed by Industry and the HSEs core criteria.

1. Consultant Designers Details

Consultant/ Designers Name Address

Tel. No. Type of Consultant/ Designers

Fax No.

E-mail

2. Health, Safety and Quality

Do you operate a Quality Management System Is the system currently registered by a third party certification body i.e. ISO:9000 If yes, please state:-. Registration Number Do you have a Health and Safety Policy If yes, can you please confirm you have sent a copy to HSES Group

3. The Construction (Design and Management) Regulations 2007

Do you have copies of the following documents :(i) Construction (Design and Management) Regulations 2007

(ii) Designing for Health and Safety in Construction (HSE)

(iii) A Guide to Managing Health and Safety in Construction (HSE),

(iv) Approved Code of Practice - Managing Construction for Health and Safety (HSE)

Have the administration and technical personnel involved on all your projects read these documents and/ or have access to them for reference If you have answered no to any of the documents listed above, will you now obtain and read them Will the administration and technical personnel follow all the applicable Health and Safety Regulations and relevant recommendations in the document in above Comply with the Designers duties and Requirements in the Construction (Design and Management) Regulations 2007 4. Declaration. This declaration must be signed by a Senior Manager or Safety Advisor. I confirm to the
best of my knowledge that the information provided in this Questionnaire is true and accurate.

Name Signature

Position Date

Note: Consultant/ Designers who receive approval status may be required to additional Project Specific
information in accordance with the CDM 2007 Regulations.

17. Approval Status (Not to be completed by Contractors) Approved Action required or comments Not Approved

Date