MAJAN CONSTRUCTION COMPANY LIMITED K1

PREQUALIFICATION QUESTIONNAIRE

INTRODUCTION
As part of our continued quality improvement process, we are reviewing and updating the database for all
our suppliers and subcontractors. To enroll your organization as a supplier or subcontractor to Majan
Construction Company you will be required to be registered on our database. These include Health, Safety
and the Environment (HSE) and Quality criteria which are key to the way in which we conduct our business.

This evaluation form provides us with a performance assessment tool that can be used to measure your
capabilities against our QHSE, operational, technical and commercial needs and expectations.

Please take the time to fill out the required parts of this questionnaire fully and attach any relevant
documentation that will aid your submission.

A1: COMPANY INFORMATION

1. Vendor Name AL RAI MEDICAL COMPLEX

2. Postal Address 4500 King Fahad Bin Abdulaziz Rd. Badr District,
Dammam

3. Postcode 32265
4. Country KINGDOM OF SAUDI ARABIA
5. Telephone Number 0138228111
6. Fax Number 0138221188
7. Contact Person JABER GHAZI A. ALBAQAMI
8. Contact Email Address remotclinic@alraimedical.net

9. Contact Position Chief Executive Officer

10. Number of Employees 170

11. Products and Services being Remote Area Clinics Supplies & Health Care Provider
applied for

12. Type of ownership Private

13. Company Registration No. 2050026855

14. Vat Registration No. 300420376800003

15. Is your company registered with Yes

ARAMCO

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MAJAN CONSTRUCTION COMPANY LIMITED K1
PREQUALIFICATION QUESTIONNAIRE

A1: COMPANY INFORMATION

16. Company Website www.alraimedical.net

17. Parent Company (if Applicable) NOT APPLICABLE

A2: SUPPORTING DOCUMENTS REQUIRED (PLEASE PROVIDE)

Trade License copy / Insurance Details /

Company Profile / Client List /
Organisation Chart / Key Staff list /

B: TECHNICAL & COMMERCIAL

1 How many years of experience your 31 YEARS IN MEDICAL COMPLEX OPERATIONS
company has in the similar business?
LESS THAN 1 YEAR FOR REMOTE AREA CLINICS
2 Highest value of the order executed in the To follow
current year?
3 Provide the annual turnover for last two To follow
years.

C QUALITY ASSURANCE
1 Does your company operate an approved ISO Not Available
9001 Quality Management System?
(if yes, please attach copy of certificate)
2 Does your Company have a Quality Policy Yes, available, a recent copy has been attached
Statement signed off by senior
management?
(If yes, please attach a recent copy)
3 Does your company have a formal quality Yes
management system?
4 Does your company have a quality manual? Yes
5 Does the company have formal written Yes
procedures?
6 Does the company have formal Quality audit Yes
schedule?
7 Is there a system for dealing with customer Yes
complaints?
8 Are inspection & test records maintained
for:
Yes
1. Goods Inwards Inspection

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MAJAN CONSTRUCTION COMPANY LIMITED K1
PREQUALIFICATION QUESTIONNAIRE

2. In-Process Inspection Yes, Available

3. Final Inspection Test Yes, available
Yes, available Copy of supporting
documentation shall be available on request

D HEALTH, SAFETY & ENVIRONMENT

1 Does your company have ISO 14001 or EMAS Not available
(Environmental Accreditation)?
(if yes, please attach copy of certificate)
Does
1 your company have ISO 45001 Not available
Accreditation?
2
(if yes, please attach copy of certificate)
3 Does your Company have a HSE Policy YES, available and recent copy has been
Statement signed off by senior
management?
attached, please refer to:
(If yes, please attach a recent copy). ARMC-RAC-FMS-HSE-001 HSE Policy
4 Do you have a Company HSE Manual, (or Yes, a copy of supporting documentation
Operations Manual with relevant HSE
sections), which describes in detail your
shall be available on request
Company Approved Safe Working Practices
relating to your work activities?
(If yes, will a copy of supporting documentation
be available on request?)
5 Do you maintain records of your Yes, attached. Please refer to the file:
incidents/accidents and safety
performance? ARMC-RAC-FMS-HSE-R-001- Records of
(If yes, please submit your HSE statistics for the Incidents/Accidents and Safety Performance
last three years.) HSE Statistics
6 Has your company received any award for Not available
Health & Safety Performance Achievement?
(Please attach copy of Evidences)
7 Do you have a documented Environmental YES, available on-request
Management System?

Declaration: I hereby declare that the details furnished above are true and correct to the best of my
knowledge and belief and I undertake to inform you of any changes therein, immediately.

Authorised Signature: Company Stamp Date:

FORM K1a TO BE USED TO ASSESS THE OVERALL EVALUATION STATUS.

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