Prequalification Questionnair

PRE-QUALIFICATION
QUESTIONNAIRE
FOR
JAZAN SEWAGE AND TREATED WASTE
WATER HAULING SERVICE
Contents:
1. Information for Contractors.
2. Declaration.
3. Pre-qualification questionnaire.
4. Safety pre-qualification questionnaire.
Pre-Qualification Questionnaire
Sewage and Treated Waste Water Hauling
Services
INFORMATION FOR CONTRACTORS

The Saudi Arabian Oil Company (Saudi Aramco) hereby solicits pre-qualification for the work
described below. A copy of contractors Saudi Arabian Government valid commercial registration
certificate or ministerial license permitting contractor to perform the type of work to be
accomplished under this contract must be on file with the Contracting Department at the time of
commercial bid opening.
Title: SEWAGE AND TREATED WASTE WATER HAULING SERVICES.
Location of Work:
Jazan Economic City and surrounding areas
Brief Description of Work:

The anticipated Scope of the Work for which this prequalification applies is as follows:
The EPC CONTRACTORs Temporary Camp Facilities (TCF) area requires the disposal of raw
sewage from six (6) septic tanks located within this area, the haulage CONTRACTOR is to
collect, transport and dispose of the waste at the Central Sanitary Treatment Plant or a
designated point in the Sewer Network. CONTRACTOR is required to empty the septic/holding
tanks at the work locations on a daily basis around the clock 24 hours a day, and to ensure
all septic/holding tanks are kept below maximum levels at all times to prevent a Spillage or
Overflow, and deliver treated waste water to designated locations.
Saudi Aramco: Confidential
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Pre-qualification Requirements:
Interested contractors that can demonstrate successful and verifiable contract experience and
capabilities in this type of work are requested to complete the related Pre-qualification
Questionnaire and submit all required forms, information and documentations as follow:
Print one (1) original copy of these documents;
Stamp and sign each printed page; and
Submit the one (1) original hardcopy documents along with three (3) USB flash drives in one
sealed envelope.
Original submitted file must be tabulated according to the number of Exhibits mentioned in
this Pre-qualification questionnaire.
All softcopy of the required forms, information and documentations must be sorted in USB by
the number of Exhibits mentioned in the Pre-qualification questionnaire.
The softcopy (on USB) must be in Adobe Acrobat (Acrobat Writer for text and Acrobat Distiller
for graphics). The USB must be properly labeled with Company/ Establishment name and logo.
Contractor shall ensure there are no discrepancies between the USB flash drive and Original
Hardcopy presented in the printed pages. Should SAUDI ARAMCO find any discrepancies, the
printed pages shall control.
The sealed envelope must be clearly marked as follows:
Name of Company:
Saudi Aramco Vendor No.:
(If available)
Commercial Registration No.:
Subject:
Prequalification Questionnaire for SEWAGE AND

TREATED WASTE WATER HAULING SERVICES
Attention:
Contractors Pre-qualification, Joint Venture Unit
To be considered, contractor must have sufficient specialized experience in this type of work
and adequate numbers of qualified manpower and equipment.
A Saudi Aramco Prequalification Evaluation Team (PET) will evaluate all submittals fairly and in
accordance with the applicable evaluation criteria. This will include verification of contractor
information and visits to contractor work sites (if necessary). Contractors that will be qualified by
Saudi Aramco and are deemed suitable for the work, will be notified and will be included in the
Bid Slate. Contractors that do not receive such notification may request a formal debriefing in
accordance with Saudi Aramco Contracting Department standard procedures.
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DECLARATION
Contractor shall complete and submit the below language without
modification or alteration, on the Contractors own letterhead. The letter
shall be signed, as appropriate, by an authorized Contractors
representative and included with this questionnaire submitted by
Contractor:
Manager
Contracting Department
Saudi Arabian Oil Company
Box 1500
Dhahran, Saudi Arabia
We hereby certify that we have carefully reviewed the accuracy of all
statements/ figures submitted by us in this Prequalification questionnaire
submittal. We further certify that our submittal is fully in accordance with the
directions and guidelines outlined by Saudi Aramco in this questionnaire
without exception or alteration. We understand that any false or misleading
information or fraudulent supporting documentation may result in the
disqualification of our companys submittal under any Bid Slate without the
opportunity to appeal.
Signed on behalf of Bidder by:
Signatory: Officer of Company
Company Name:
Name:
Company Stamp:
Title:
Telephone:
E-mail:
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PRE-QUALIFICATION QUESTIONNAIRE
1. GENERAL PRE-QUALIFICATION REQUIREMENTS
1.1. The information requested in this Questionnaire shall be submitted by each contractor.
1.2. All information requested shall be provided completely and explicitly responding to each and every item
specified under each evaluation category listed below.
1.3. The attached forms shall be used as instructed. Continuation sheets of the attached forms may be used to
provide the information requested, if necessary. All information requested in the forms must be provided.
1.4. Responses to each evaluation category must clearly and specifically reference the item(s) or sub-item(s) for
which the response is given. The responding contractor or sub-contractor name must appear on each page
of all required forms submitted.
1.5. Include a cross reference table with the submittal, which specifically identifies each item and its
corresponding response(s).
Failure to submit responses in strict compliance with all the requirements specified in this
questionnaire may be cause for disqualification.
1.6. All sealed envelope and USBs should be mailed or brought in person to the following address:
Contracting Department
Northa Park II,Bldg. 3301
Wing A. Cubicle 1009
Dhahran, Saudi Arabia
Attention:
Telephone:
E-mail:
SUBJECT:
Saudi Aramco office

+966-13-874-1044
MANAL.BUKANNAN@ARAMCO.COM
Prequalification Questionnaire for Sewage and Treated Waste Water
Hauling Services
No other copies whatsoever shall be sent to any person in or out of Saudi Aramco.
Any questions that arise prior to the submittal date should be sent for clarification to the above e-mail
address.
1.7. Responses not received before the mentioned deadline and in the manner specified above, for any reason,
will not be evaluated. Company brochures and/ or catalogs will not be accepted as prequalification
submittals. However, it may be submitted by Contractors as extra information only.
1.8. Possession of a license and/or commercial registration in Saudi Arabia is not a pre-requisite for a contractor
being placed on a Saudi Aramco Bid Slate. However, Saudi Aramco will award contracts for work being
performed in Saudi Arabia only to those contractors who, by the bid opening date, are properly licensed
and/ or commercially registered by the Saudi Arab Government Authorities and are registered with Saudi
Aramco in the Electronic Contracting Network (ECN).
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CONFIDENTIAL
PRE-QUALIFICATION QUESTIONNAIRE
Date submitted:
___________________________________________
Contractor's name:
___________________________________________
Vendor No with Saudi Aramco:
___________________________________________
Contractor's address:
___________________________________________
___________________________________________
___________________________________________
Contractor's Contact Person(s):
___________________________________________
___________________________________________
Commercial Registration No.:

(See 1.8 below)
___________________________________________
Telephone No(s): area code:
___________________________________________
Fax No(s): area code:
___________________________________________
E-mail address(es):
___________________________________________
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2. EVALUATION CATEGORIES
Saudi Aramco will evaluate each contractor. This evaluation will assess technical
capabilities to determine suitability for performing this type of work.
Contractors Pre-Qualification Proposals will be primarily evaluated as the following:
Relevant Experience as it relates to Cargo Hauling Services.

Quality, capability, organization of management and work force
Previous performances
The Pre-Qualification Evaluation Categories delineated in Items 2.1 through 2.10 below are
not necessarily listed in order of importance. Under each category there are items and subitems. These either define the information being requested in the category or list statements
requiring specific responses.
2.1.
WORK EXPERIENCE (EXHIBIT A)

Provide information about your companys Hauling or other transportation Services
Contracts, in the past 10 years, with an oil, chemical, petrochemical or transportation
company. These contracts must be hauling or transportation contracts Services
awarded to your company as a primary contractor or sub-contractor.
The following types of previous contracts may be submitted, in decreasing order of
preference:
1. Hauling or Transportation Services Contracts with SAUDI ARAMCO.
2. Hauling or Transportation Services Contracts inside/ outside the Kingdom of

Saudi Arabia.
3. Contractors shall complete all the applicable information requested under Exhibit
A.
2.2.
COMPANY ORGANIZATION / MANAGEMENT (EXHIBIT B)

2.2.1. On Exhibit B, provide an Organization Chart (in hierarchical management
format) that as a minimum:
a)
Identifies the various functional departments within your

company.
b) Provides the names of personnel currently holding department

management through executive management positions.
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2.2.2. The Organization Chart must also clearly identify the Hauling/ Transportation
Manager who will be responsible for overseeing Saudi Aramco Hauling/
Transportation Services Contracts.
2.2.3. Show the direct lines of interaction between this individual and your
company's department/ executive management personnel as requested
under Paragraph 2.3.1 below.
2.3.
KEY PERSONNEL (EXHIBIT C)

2.3.1. Provide resumes/ CVs for each of the key positions listed below as requested
in Exhibit C.
a)
Contractor Operation Manager (with 10 years experience).
b)
Contractor Safety Officer (with 5 years experience).
c)
Contractor Maintenance Supervisor (with 5 years experience).
d)
Contractor Operation Supervisor (with 5 years experience).
e)
Contractor Traffic Controlman (with 2 years experience).
f)
Contractor Dispatcher (with 2 years experience).
2.3.2. Each of these key personnel must be available for work on Saudi Aramco
contracts. Resumes must show educational qualification, as well as the
number of years of work experience with corresponding work experience
certificates from previous companies they worked with (preferably more than
2 years) and locations for all Hauling or Transportation -related positions held
to-date. Resumes for positions not requested by this Pre-qualification
Questionnaire will not be considered.
2.3.3. Please note that some of the key personnel identified above may be referred
to by several different titles within the business community. In order to receive
credit, be sure that your resumes clearly identify the candidates by the
positions requested under this Prequalification Questionnaire.
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2.4.
MANPOWER RESOURCES (EXHIBIT D)

2.4.1. Under Exhibit D, provide the number of available personnel under each skill
level.
a)
b)
c)
d)
e)
f)
g)
Contractor Operation Manager.

Contractor Safety Officer.
Contractor Maintenance Supervisor.
Contractor Operation Supervisor.
Contractor Traffic Controlman.
Contractor Dispatcher.
Contractor Drivers.
2.4.1.1.
Contractor is required to submit a copy of the valid license for

each named Driver.
Your drivers will not be evaluated if you fail to provide the
requested supporting documentation or the interview revealed
insufficient knowledge and experience. In turn, this may have an
adverse impact on your company's overall evaluation.
Contractor shall presently employ, or demonstrate the capacity to employ (Block

VISAs), a large enough manpower with the required capabilities to perform the work
as required by Saudi Aramco.
2.5.
EQUIPMENT (EXHIBIT E)
2.5.1. Complete Exhibit E by listing all the major equipment owned by your
company. Equipment listed must be in good operating condition and is
subject to verification by Saudi Aramco site visits.
2.5.2. Contractor is required to submit as attachment to Exhibit E a copy of each
truck head registration booklet (ESTEMARA).
If a site visit is conducted and Saudi Aramco determines that the listed
equipment are either unavailable, or is in a non-operational condition, your
company will be eliminated from future considerations.
2.6.
ACCOMMODATIONS (EXHIBIT F)
2.6.1. List all accommodations specification as shown on Exhibit F,
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2.6.2. Briefly describe how your company proposes to provide accommodations
when performing Contracts at various work locations Kingdom Wide. Your
description should indicate that you have taken into consideration such
elements as transportation, catering, medical coverage, recreation, and
Health Sanitary codes, etc.
2.7.
WORKSHOPS (EXHIBIT G)
Contractor should provide the details of the following list that your company provides
for its equipment.
2.7.1.
2.7.2.
2.7.3.
2.7.4.
2.7.5.
Tire Tires shop

Mechanical shop
Spare parts shop
Yard facility
Road services
If a site visit is conducted and SAUDI ARAMCO determines that the

workshops are either nonexistent, or not in compliance, your company will be
eliminated from further consideration.
2.8.
SAUDIZATION (EXHIBIT H)
2.8.1. What is the percentage of the Saudi Arab workforce in your company?
2.8.2. Provide copy of latest valid labor office certificate of Royal Decree 50.
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EXHIBITS TABLE OF CONTENTS
EXHIBITS
TITLE
WORK EXPERIENCE.
COMPANY ORGANIZATION /MANAGEMENT.
KEY PERSONNEL.
MANPOWER RESOURCES.
EQUIPMENT
ACCOMMODATIONS.
WORKSHOPS.
SAUDIZATION.
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Sewage and Treated Waste Water
Hauling Services
EXHIBIT "A"
HAULING AND TRANSPORTATION SERVICES RELATED EXPERIENCE

(Contractor may insert more than 10 items in below table)
Contract No.
Contract Title
Prime
Contractor or
Subcontractor
Brief Work Description
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Value
($ MM)
Contract
Duration
(Year)
Client Name/ Contact Person Info.

Business e-mail/ phone no.
Sewage and Treated Waste Water
Hauling Services
ORGANIZATION CHART
(in hierarchical management format)
EXHIBIT "B"
COMPANY ORGANIZATION/ MANAGEMENT
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Sewage and Treated Waste Water Hauling Services

EXHIBIT "C"
RESUMES OF KEY PERSONNEL
(Contractor may submit resumes in different layout)

Name:
Nationality:
Job Title:
Years with the company:
Current Location:
Contact Phone #:
EDUCATION
Name & Location of SchoolType & Date of Degree /Certification
_________________________________
WORK EXPERIENCE
(BEGIN WITH MOST RECENT)
Company:
From:
To:
From:
To:
From:
To:
Location:
Position Held:
Brief Description of Responsibilities:
Company:
Location:
Position Held:
Company:
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Location:
Position Held:
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EXHIBIT "D"
MANPOWER RESOURCES
NUMBER OF PERSONNEL AVAILABLE FOR EACH SKILL LEVEL
Skill Level
Number
Employed
Operation Manager
Safety Officer
Maintenance Supervisor
Operation Supervisor
Traffic Controlman
Dispatcher
Drivers
The contractor shall presently employ, or demonstrate the capacity to employ, a workforce with the
required capabilities to perform the work as required by SAUDI ARAMCO.
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EXHIBIT E
EQUIPMENTS
Contractor should submit a list of the following Equipment types & the year model pf the powered
equipment as follows:
1
2
36,000 liter sewage vacuum truck

Tanker trucks for hauling treated
water
Year
Total Number
2004 and older

2005 -2006
2007 -2008
2009 -2010
2011 -2012
2013 -2014
2014 or newer
The contractor should submit a list of all available number of all trucks available, Model,
and Manufacturer Brand.
POWERED & NON-POWERED EQUIPMENT
Type
Model
Number
36,000 liter sewage

vacuum truck
Tanker trucks for hauling
treated water
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Manufacturer Brand
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EXHIBIT "F"
ACCOMMODATIONS
1.
List information regarding housing for workers listed on Exhibit "G".

* Type
(Villa, Trailer, etc.)
# of Occupants
by Room
Location
Owned or
Leased
Food Svcs.
Available
(Yes or No)
* Describe the type of housing facilities provided to your workers, for example: villas, trailers, portables, etc.
2.
Provide a brief description of how your company proposes to furnish accommodations for its
employees working on Saudi Aramco's contracts. Be sure to address areas such as:
transportation, catering, medical coverage, recreation, and Health Sanitary codes, etc.
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EXHIBIT "G"
WORKSHOPS
LOCATION
OWNED
(Yes or No)
SIZE
(square
meters)
Tire Tires shop

Mechanical shop
Spare parts shop
Yard facility
Road services
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NO. OF
LABORS
CONDITION
(EXCLLENT, GOOD
or POOR)
EQUIPED WITH
SAFETY
MATERIALS
(Yes or No)
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EXHIBIT "H
SAUDIZATION
1. Provide the percentage of Saudi Arab workforce in your company.
2. Provide copy of latest valid labor office certificate of Royal Decree 50.
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Contractor Pre-Qualification Safety Evaluation

Inquiry and Submittal Contents
Provide the following evidence to assist Saudi Aramco in evaluating the effectiveness of your
companys safety program. Evidence includes both: (1) written statements of what your
company intends to do (e.g., in your corporate safety program), and (2) samples of recent afterthe-fact actual records (at least 5 records over a time period of at least six months) to verify
proper implementation (e.g., signed attendance sheets, meeting minutes, training records,
certificates, completed checklists).
Written programs are to specify: (1) the responsibilities of involved personnel, (2) minimum
requirements/procedures for successful implementation of the program, (3) training on the
program to be provided to personnel responsible for implementing the program, and (4)
recordkeeping (documentation/forms to be maintained).
All submitted documents and records are to be in English and be submitted in the order
listed below, with tabs clearly separating each section.
WORK EXPERIENCE Submit your companys: (1) full name, (2) mail address, (3)
commercial registration number, (4) Saudi Aramco vendor number, and (5) list of specific work
disciplines/crafts for which your company is seeking to be approved to perform contractual work
within Saudi Aramco (e.g., civil, mechanical, HVAC, electrical), including evidence of your
companys past experience performing this type of work.
I. SAFETY PROGRAM ELEMENTS

A. Line Accountability
Provide at least the following evidence of your company managements safety commitment,
safety reporting relationships within the company, and specific management and employee
responsibilities regarding safety:
1. Written statement of your company managements safety commitment (e.g., safety policy
statement) that is signed by your companys top management (e.g., CEO, Owner).
2. Organizational chart, etc., that clearly defines the safety reporting relationships (1) within
your company and (2) between your companys field operations and Saudi Aramco.
3. Clear and complete definition of safety responsibilities for your companys (1) senior
management, (2) project managers, (3) supervisors/foremen, and (4) employees.
4. Official written statement that every employee has the right to (1) stop his own work and
to (2) stop the work of others due to unsafe conditions or acts.
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B. Employee Safety Orientation
Provide evidence that your employees receive an appropriate company safety orientation:
1. Written new employee safety orientation program, which specifies the: (1) responsibilities
of involved personnel, (2) minimum requirements/procedures for successful
implementation of the program, (3) training on the program to be provided to personnel
responsible for implementing the program, and (4) recordkeeping (documentation/forms
to be maintained).
2. List of topics covered by your new employee safety orientation program, which are
applicable to the hazards of your companys operations and the employees type of work.
3. Recent records (at least 5) to verify proper implementation of your companys safety
orientation program (e.g., signed attendance sheets, employee training records).
C. Training/Certification
Provide at least the following evidence that your companys employees receive safety
training, job skills/craft competency training, and required certifications:
1. Written safety training program that includes: (1) a description of the basic safety training
courses (e.g., first aid, fire safety, hazard recognition, confined space safety, H 2S safety,
driving safety) provided to your companys employees, (2) how these safety training
courses are delivered (e.g., in-house, third-party), and (3) which of these courses are
required for each type of job (e.g., documented in a safety training matrix or safety
training plan).
2. Recent records (at least 5) to verify proper implementation of your companys safety
training program (e.g., signed attendance sheets, employee training records).
3. Written job skills/craft competency training program that includes: (1) a description of the
specific job skills/craft training courses required for each type of job (e.g., HVAC
technician, plumber, pipefitter, scaffolder, welder) that are specific to their work for Saudi
Aramco, (2) how these job skills/craft training courses are delivered (e.g., in-house
and/or third-party), and (3) refresher training frequency.
4. Recent records (at least 5) to verify proper implementation of your companys job
skills/craft training program (e.g., signed attendance sheets, employee training records).
5. List of jobs performed by your companys employees that require Saudi Aramcoapproved certification (e.g., scaffold supervisor/inspector, crane/heavy equipment
operator, rigger, welder).
6. Sample copies of valid and current certificates earned by your companys personnel for
each type of job that requires certification.
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D. Behavioral Compliance
Provide at least the following evidence of how your employee compliance with safety rules
and regulations is achieved, including your companys performance appraisal, safety
incentive/recognition, and disciplinary action programs:
1. Written employee and supervisory performance appraisal program (specifying
responsibilities, requirements/procedures, training, and recordkeeping) that includes
safety performance.
2. Recent records to verify that employee and supervisory performance appraisals, which
include safety performance, are conducted.
3. Written safety incentive/recognition program to encourage and improve safe work
performance (e.g., a safety suggestion program).
4. Recent records to verify proper implementation of your safety incentive/recognition
program.
5. Written employee disciplinary action program that includes safety issues.
6. Recent records to verify proper implementation of your employee disciplinary action
program, including safety-related disciplinary actions.
E. Safety Meetings
Provide at least the following evidence that periodic safety communication meetings (e.g.,
weekly safety meetings) are conducted, and that safety is an agenda item at regular internal
contractor management meetings:
1. Written program (specifying responsibilities, requirements/procedures, training, and
recordkeeping) for periodic (e.g., weekly) safety communication meetings.
2. Recent records that periodic (e.g., weekly) safety communication meetings are held,
including safety topics discussed and meeting frequency.
recordkeeping) for brief pre-job (toolbox) craft safety meetings to address job-specific
safety issues prior to beginning a different work activity.
4. Recent records to verify that safety is an agenda item at your regular internal company
management meetings.
F. Safety Inspections
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Provide at least the following evidence that periodic safety inspections of job sites by
contractor site management, on-site supervisors, and employees are conducted, findings
documented, and corrective actions taken:
recordkeeping) for conducting planned and documented job site safety inspections by
contractor site management, on-site supervisors, and employees.
2. Recent records to verify that job site safety inspections are (1) conducted by contractor
site management, on-site supervisors, and employees (e.g., completed checklists), and
(2) corrective actions have been taken.
recordkeeping) for ongoing safety inspections of tools and equipment.
4. Recent records to verify that (1) ongoing safety inspections of tools and equipment are
conducted (e.g., completed checklists), and (2) corrective actions have been taken.
G. Incident Reporting & Investigation
Provide at least the following evidence (including actual completed incident report forms) of
established procedures for injury/incident/near-miss reporting, root cause analysis, and
follow-up of recommendations:
recordkeeping) for reporting and investigating incidents, as per Saudi Aramco General
Instructions (GIs) 6.001, 6.007, 6.024.
2. Written scope of your companys incident reporting program (e.g., does it include
reporting of injuries/illnesses, near-misses, and root cause analysis of incidents as
described in GI 6.003).
3. Recent records to verify that: (1) incidents are being reported in your company, (2)
specific and closed-ended recommendations (with estimated completion date and
responsible party identified) have been developed as a result of your companys incident
investigations, and (3) corrective actions have been taken.
4. Recent records to verify that your company provides a monthly incident/injury statistical
summary to your clients/customers (e.g., to Saudi Aramco proponent organizations as
per GI 6.007).
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II. JOB-SPECIFIC SAFETY APPROACH

Provide the following information to assist Saudi Aramco in evaluating your companys
procedures that specifically address the following for each separate job.
A. Hazards Understood
Provide at least the following evidence of your companys procedures to identify and
mitigate safety and health hazards your employees may encounter while performing
contracted work:
recordkeeping) for identifying, evaluating, and controlling workplace hazards (e.g.,
Hazard Identification Plan [HIP], Job Safety Analysis [JSA]).
2. Recent records from previous jobs to verify that your company has actually implemented
procedures to (1) identify, (2) evaluate, and (3) control workplace hazards.
B. Personal Protective Equipment (PPE)
Provide at least the following evidence of your companys procedures for assessing PPE
needs, the specified quality/standards (e.g., ANSI) of each type of PPE purchased, and
employee training in the proper use of PPE:
1. Written personal protective equipment (PPE) program (specifying responsibilities,
requirements/procedures, training, and recordkeeping), as well as a list of the specified
standards (e.g., ANSI #) for each type of PPE purchased by your company.
2. Records (e.g., purchase orders/invoices, copies of PPE labels/markings, manufacturers
literature) that each type of PPE purchased by your company actually meets the above
specified standards (e.g., ANSI #).
3. Records that PPE needs assessments are conducted for non-standard issue PPE (e.g.,
other than hardhats, safety glasses, hearing protection, and safety shoes).
4. Recent records (e.g., signed attendance sheets with topics covered) that training is
provided for your employees on the proper use of PPE.
C. Emergency Response Procedures
Provide the following, including sample(s) of your companys Emergency Response Plan(s),
which identify and address credible emergencies, resources, and training/drills, as well as
emergency medical capabilities (e.g., clinic/hospital arrangements, certified nurse,
ambulance, first aid supplies).
1. Samples of previously prepared Emergency Response Plan(s), which identify and
address all credible emergencies, emergency response resources, training/drills, etc.
2. Written emergency reporting procedure(s) for your company.
3. Written procedure(s) that specifies the first aid and/or medical supplies to be available
on-site for the type of work to be performed.
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4. Sample records to verify that your company has certified First Aiders, Saudi Arab
Ministry of Health (MOH) certified medical personnel, and ambulance(s) available in
accordance with Saudi Arab Government requirements.
5. Copies of contractual agreements that your company has made with local health care
provider(s) to provide emergency and inpatient medical treatment for your companys
employees.
6. Copies of contractual agreements that your company has made to provide full, private,
medical insurance coverage (including emergency and in-patient medical treatment) for
your companys employees.
7. Recent records (e.g., signed attendance sheets with topics) showing that your
companys employees receive emergency response training.
8. Sample records that identify exit routes and assembly areas where head counts are to
be performed for contractor-occupied facilities.
D. Subcontractor Management
Provide evidence of your companys procedures for selecting subcontractors who have an
effective safety program, and for monitoring their job site performance to ensure compliance
with safety requirements.
1. If subcontractors are used or likely to be used, provide your companys written program
(specifying responsibilities, requirements/procedures, training, and recordkeeping) for
selecting subcontractors that have an effective safety program.
2. If subcontractors are used or likely to be used, provide records to verify that your
company selects subcontractors that have an effective safety program.
3. If subcontractors are used or likely to be used, provide your companys written program
(specifying responsibilities, requirements/procedures, training, and recordkeeping) that
describes how your company monitors your subcontractors job site safety performance
to ensure compliance with safety requirements.
4. If subcontractors are used or likely to be used, provide records (e.g., site inspection
records, audits, checklists) from past jobs to verify that your company monitors your
subcontractors job site performance to ensure compliance with safety requirements.
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III. PERSONNEL QUALIFICATIONS

Provide the following information for your companys employees who have specific
management, supervisory, and/or safety responsibilities and authority.
A. Management/Supervision
1. Provide evidence (e.g., company statement/policy, CEO/Owner letter) that your companys
(1) management and (2) supervision are explicitly expected to perform an active role in
managing and promoting safety within your company.
2. Provide evidence (e.g., job descriptions, list of responsibilities) that each of the
management/supervisory positions shown on your companys organization chart (see item IA2 above) have clearly defined and specific safety responsibilities.
3. Provide sample records of continuing safety management/leadership training completed by
your companys (1) management and (2) supervision.
B. Safety Personnel
1. Provide job descriptions, which include defined responsibilities and minimum qualifications
(e.g., required safety experience, education, training, certifications), for your companys (1)
safety manager/professional(s) and (2) field/site safety officers/supervisors.
2. Provide evidence that your company has at least one designated safety manager or other
safety professional with the primary responsibility for administering your companys overall
safety program.
3. For your companys safety manager/professional(s), provide evidence (e.g., resume/CV)
detailing his:
number of years of safety-related experience,
number of years of oil and gas industry experience,
number of years of construction/maintenance project experience,
university/college degree(s), and
internationally recognized professional safety certification (e.g., copy of CSP, CHST,
OHST, IOSH certificate).
IV.
INJURY REPORTING AND RECORDKEEPING

Page 27 of 28
Services
Provide the following in-Kingdom employee on-job injury (including injuries from motor
vehicle accidents) and occupational illness data for the past three years and year-to-date
(also provide your companys official record from the Saudi Arab Government General
Organization for Social Insurance [GOSI], if applicable):
YTD
Manhours Worked
1st YR
2nd YR3rd YR
___________ __________ __________ __________
First Aid Injury/Illness (FAI) Cases
_____
_____
_____
_____
Medical Treatment Cases (MTC)
_____
_____
_____
_____
Lost Time Injury/Illness (LTI) Cases
_____
_____
_____
_____
On-Job Fatalities
_____
_____
_____
_____
For definitions of FAI, MTC and LTI, see Saudi Aramco General Instruction (GI) 6.007,
Reporting of Contractor On-Job Injuries / Occupational Illnesses.
Page 28 of 28

Prequalification Questionnair

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PRE-QUALIFICATION

Sewage and Treated Waste Water Hauling

INFORMATION FOR CONTRACTORS

Jazan Economic City and surrounding areas

Brief Description of Work:

Saudi Aramco: Confidential

Sewage and Treated Waste Water Hauling