Qualification Questionnaire Non-GBS Specialized Scaffolding Contractors

Contractors are cautioned to read each question carefully. Some of the questions may contain several
parts and therefore, require several responses. The questions must be answered in the same order as
asked, using the enclosed forms where applicable. Failure to provide any of the requested information,
or providing the information in a format other than directed, may result in your Qualification
Questionnaire not being evaluated. Please be advised that all information provided herein is subject to
verification. Also, contractors are advised to ensure that all information submitted is accurate and does
not include any misrepresentation of contractor qualifications. Such situation can have a serious
negative impact on contractors chances of being considered for future SAUDI ARAMCO work in
general.

Qualification Questionnaire
For
Non-GBS Specialized Scaffolding Contractors

Note: Per GI 8.001, para. 3.3, only Specialized Scaffolding Contractors are permitted to design and
erect special scaffolds and scaffolds over 12.2 meters (40 ft.) tall. Specialized Scaffolding
Contractors may be on the SAUDI ARAMCO General Bid Slate (GBS) for Scaffolding Services if they
offer scaffolding services to others (GBS Specialized Scaffolding Contractors), or not on the GBS if
they do not offer scaffolding services to others (Non-GBS Specialized Scaffolding Contractors). This
questionnaire must be completed by those SAUDI ARAMCO contractors who: (1) are seeking to
qualify as a Non-GBS Specialized Scaffolding Contractor for the purposes of GI 8.001, (2) do not want
to offer scaffolding services to others, and (3) have a separate scaffolding division/unit. Qualified Non-
GBS Specialized Scaffolding Contractors (not on the General Bid Slate) are permitted to design and
erect special scaffolds and scaffolds over 12.2 meters (40 ft.) tall for their own use only, using their
own personnel and materials.

Date Submitted: ______________________________________________________

Contractor's Name: Nasser S. Al-Hajri Corporation

______________________________________________________
______________________________________________________

Contractor's Address: 495 P.O. Box

Name of Representative:
Title of Representative:
Representative's Phone Number:
Representative's Fax Number:
Representative's Email Address:
SAUDI ARAMCO Contractor #:
* Commercial Registration #:
______________________________________________________
Dhahran Airport 31932
______________________________________________________
Saudi Arabia
______________________________________________________
______________________________________________________
Mr. Unni Krishnan
Business Director
+966 53 67 4444
______________________________________________________
+966 38 14 4441
______________________________________________________
unni@alhajricorporation.com
______________________________________________________
19882
______________________________________________________
CR # 2060006231
______________________________________________________
Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

1.0 WORK EXPERIENCE (EXHIBIT A1) (EXHIBIT A2)

1.1 SCAFFOLD PLAN REVIEW & EVALUATION (EXHIBIT A1)

On Exhibit Form A1, provide at least TWO (2) scaffold plans, including drawings and
structural calculations, for EACH of the following 5 types of scaffolds (submit at least 10
scaffold plans):
1. Birdcage Scaffolds over 12.2 meters (40 feet) tall
2. Independent Run Scaffolds over 12.2 meters (40 feet) tall
3. Underhung Scaffolds over 30 m2 (320 ft2) total platform area
4. Scaffolds over 38 meters (125 feet) tall for a slender vessel or stack
5. Other Types of Special Scaffolds (see GI 8.001 for definition of Special Scaffold).
All 10 scaffold plans must be either actual scaffold plans from your past contracts with an
oil/gas, chemical, or other industrial company (within Saudi Arabia), or your own unique sample
scaffold plans that have been locally prepared specifically for this evaluation. All (actual or
sample) scaffold plans shall demonstrate your companys current design and engineering
capabilities (have been prepared by currently available in-house and/or contracted personnel that
your company will use for future jobs) and shall have been completed within the past 12
months. All drawings and structural calculations shall be prepared (or reviewed and
approved/signed) by structural engineer(s) employed by a Saudi Aramco approved General
Engineering Services (GES) consultant.
Scaffold plans shall be complete (submit signed SA Form 9613 Scaffold Plan Completeness
Checklist with each plan) and include structural calculations and drawings (on at least size
C paper - 14 x 20 inches).
Submit two (2) paper hardcopies of each scaffold plan (drawings and calculations) and all other
required documentation (Exhibits). Each scaffold plan and Exhibit shall also be submitted as a
PDF file on a CD-ROM. All scaffold plans and Exhibits shall be clearly organized and
labeled.
Scaffold plans shall be in full accordance with the requirements of the latest revision of the
SAUDI ARAMCO Scaffold Safety Handbook (SSH), including the latest version of
Addendum #2.

1.2 PREVIOUS APPLICABLE SCAFFOLDING WORK EXPERIENCE (EXHIBIT A2)

On Exhibit Form A2, provide contractual information for your companys last four (4)
completed contracts that included Applicable Contract Work, within the past 5 years,
preferably with an oil/gas, chemical, or other industrial company.

Applicable Contract Work is defined as design, erection, inspection, and dismantling of

Special Scaffolds (as defined in GI 8.001) and/or scaffolds over 12.2 meters (40 feet) tall.

The Applicable Contract Work must be described in detail, including scope and monetary
value of Applicable Contract Work, contract date, size and type of scaffolds erected, design
criteria, quantity and type of materials used, inspection and tagging requirements, etc. These
contracts, awarded to your company as a primary contractor or subcontractor, shall include
Applicable Contract Work as part of the work scope.
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Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

The following types of previous contracts may be submitted, in decreasing order of preference:
1. Contracts with SAUDI ARAMCO.
2. Contracts inside the Kingdom of Saudi Arabia, but for oil/gas, chemical or other
industrial companies other than SAUDI ARAMCO.
3. Contracts for oil/gas, chemical or other industrial companies outside the Kingdom of
Saudi Arabia.
4. Other types of contracts.
Contractors shall complete all the applicable information requested under Exhibit Form "A2".
Use a separate sheet for each contract (4 min.).

2.0 HUMAN RESOURCES (EXHIBIT "B1") / (EXHIBIT "B2") / (EXHIBIT "B3")

2.1 COMPANY ORGANIZATION / MANAGEMENT (EXHIBIT "B1")
On Exhibit Form "B1", 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 positions from department through executive
management, (c) designates key scaffolding personnel, and (d) delineates reporting lines of
authority and their responsibilities. The Organization Chart must designate a single
division/unit that is responsible for all of your companys scaffolding work, show a direct
line of authority from that division/unit head (provide his name) to senior management, and show
the interaction between this individual and the key personnel identified Paragraph 2.2 below.

2.2 KEY PERSONNEL (EXHIBIT "B2")

Under Exhibit Form "B2", provide the required number of resumes for each key position listed
below:
Contract Manager (at least 1 each)
Structural Engineers (at least 2 each)
SAUDI ARAMCO Certified Scaffold Inspectors (at least 4 each)
SAUDI ARAMCO Certified Scaffold Supervisors I (at least 8 each)
Each of these key personnel must be available for work on SAUDI ARAMCO contracts.
Resumes must show educational background, as well as the number of years of work experience
(preferably more than 5 years) and locations for all scaffold-related positions held to-date. A total
of at least fifteen (15) resumes shall be provided as required. Resumes for positions not requested
by this Pre-qualification Questionnaire will not be given consideration. 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 Pre-qualification Questionnaire.

Provide evidence that your Organization currently and directly employs an adequate number of
Scaffold Supervisors I and Inspectors that are certified by SAUDI ARAMCO in accordance with
GI 8.001 (see minimum numbers stated above). Submit photocopies of the front and back of
their SAUDI ARAMCO Scaffold Supervisor I or Inspector certification ID cards.

December 6, 2010 Page 3 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

In addition to submittal of resumes, the PET may interview each of your Organizations
Structural Engineers (2 min.) who are available for work on SAUDI ARAMCO contracts, to
verify whether they have sufficient knowledge and experience for the design of Special Scaffolds
(as defined in GI 8.001). Please ensure current telephone numbers are provided so interviews can
be arranged.

2.3 MANPOWER RESOURCES (EXHIBIT "B3")

On Exhibit Form B3, provide the total number of personnel from your scaffolding division/unit
in each skill level classification that are or can be made available for work on SAUDI ARAMCO
contracts. Of this total, indicate how many are currently in-Kingdom (Saudi Arabia) and how
many of these are currently working full-time on other contracts. Also, provide estimated
number of personnel available (per year) for the next 4 years. The Contractor shall presently
employ, or demonstrate the capacity to employ, a large enough scaffolding workforce with the
required experience and capability to perform the work as required by SAUDI ARAMCO.

3.0 EQUIPMENT AND MATERIALS (Exhibit Form "C")

Complete Exhibit Form C. While not preferred, photographs or other documentation may be
submitted (preferably on CD-ROM), in lieu of actual samples of your scaffolding materials, whenever
requested. Also, provide written proof of the quantities and material specifications of all scaffold
materials available for use within SAUDI ARAMCO that are currently in your companys inventory
(i.e., copies of actual Purchase Orders, Invoices, Bill of Lading, etc).
3.1 Submit at least five (5) recent (within the last 2 years) scaffold tubing test reports (that include
yield strength, tensile strength, wall thickness, etc.) from BOTH the pipe manufacturer and an
independent mechanical testing laboratory for tube and coupler scaffold tubing and for each type
of system scaffold tubing to be used within SAUDI ARAMCO. Refer to SAUDI ARAMCO
Scaffold Safety Handbook (paragraph 9.7.2) for material and testing requirements.
3.2 Submit at least two (2) 1-foot long samples of embossed scaffold tubing from the inventory of
scaffold materials to be used. Refer to SAUDI ARAMCO Scaffold Safety Handbook (paragraph
9.7.2) for embossing requirements.
3.3 Submit at least two (2) sample right-angle (load bearing) scaffold couplers and at least two (2)
recent coupler test reports from an independent mechanical testing party showing the couplers
Safe Working Load (SWL) and that it meets coupler specifications and materials. Refer to
SAUDI ARAMCO Scaffold Safety Handbook (esp. paragraph 9.7.2) for coupler requirements -
including the specified markings on each coupler.
3.4 Submit one (1) sample of each type of miscellaneous scaffold accessories, such as ladder &
toeboard clamps, screwjacks, etc., to be used within SAUDI ARAMCO.
3.5 Submit one (1) sample of each system scaffolding component (standard, ledger, transom,
intermediate transom, etc.) to be used within SAUDI ARAMCO.
3.6 Submit at least two (2) copies of manufacturers technical data, test reports, and one (1) 1-foot
long sample of each type of scaffold platform unit (solid sawn wood plank, laminated veneer
lumber plank, fabricated plank, etc.) to be used within SAUDI ARAMCO. Refer to SAUDI
ARAMCO Scaffold Safety Handbook (esp. Paragraph 9.7.3) for platform unit requirements -
including the specified visible markings on planks.
December 6, 2010 Page 4 of 13
Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

3.7 Submit at least two (2) copies of manufacturers technical data and one (1) product sample of
each of the personal fall arrest system (PFAS) components (full-body harness, shock-absorbing
lanyard, self-retracting lifeline, etc.) to be used within SAUDI ARAMCO. Refer to SAUDI
ARAMCO Scaffold Safety Handbook and Construction Safety Manual for PFAS requirements
(including being labeled as meeting ANSI Z359.1 or equivalent standards).

4.0 SAFETY RECORDS AND PROGRAM (Exhibit Form D)

Note: Exhibit Form D has been deleted from this technical evaluation since a separate
pass/fail safety evaluation is now performed as per the Saudi Aramco Safety Management Guide
for Contractor Pre-Qualification Safety Evaluation.

5.0 QUALITY ASSURANCE / QUALITY CONTROL (Exhibit Form E)

5.1 Submit evidence and documentation of your organizations established scaffold training program
for scaffold supervisors, inspectors, and craftsmen (scaffolders), including numbers of
personnel who have recently completed this training. This training program can include use of
recognized outside training agencies.

5.2 Submit evidence (photocopies of scaffold tags, tagging procedure, etc.) that your organization
has past experiences using a Scaffold Tagging System (preferably SAUDI ARAMCOs).

5.3 Submit at least one (1) actual Hazard Identification Plan (HIP) for scaffold erection, alteration,
and dismantling (including PPE and hand tools to be used).

5.4 Submit written guidelines for documenting and communicating to SAUDI ARAMCO
representative any temporary manpower, transportation, or material shortages that could delay
the work.

5.5 Submit written plans for rectifying any temporary manpower, transportation, or material
shortages that are highlighted by SAUDI ARAMCO representative.

5.6 Submit evidence (i.e., copies of historical records of quality checks) that your organization
regularly conducts Internal Quality Assessment (QA) of scaffolding materials and has actually
repaired or removed deficient materials from service.

December 6, 2010 Page 5 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor
EXHIBIT FORM "A1"

SCAFFOLD PLANS AND DRAWINGS INCLUDING CALCULATIONS

(drawings on at least size C paper)

Birdcage Scaffolds over 12.2 meters (40 feet) tall -

(Note: indicate check mark [] below, if the complete scaffold plan and calculations are
attached)

Plan 1 Calculations 1 Plan 2 Calculations 2 Additional Information

Independent Run (Faade) Scaffolds over 12.2 meters (40 feet) tall -
(Note: indicate check mark [] below, if the complete scaffold plan and calculations are
attached)

Plan 1 Calculations 1 Plan 2 Calculations 2 Additional Information

Underhung Scaffolds over 30 m2 (320 ft2) total platform area -

(Note: indicate check mark [] below, if the complete scaffold plan and calculations are
attached)

Plan 1 Calculations 1 Plan 2 Calculations 2 Additional Information

Scaffolds over 38 meters (125 feet) tall for a slender vessel or stack -
(Note: indicate check mark [] below, if the complete scaffold plan and calculations are
attached)

Plan 1 Calculations 1 Plan 2 Calculations 2 Additional Information

Other Types of Special Scaffolds (see GI 8.001 for definition of Special Scaffold) -
(Note: indicate check mark [] below, if the complete scaffold plan and calculations are
attached)

Plan 1 Calculations 1 Plan 2 Calculations 2 Additional Information

December 6, 2010 Page 6 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

EXHIBIT FORM "A2"

CONTRACTOR APPLICABLE CONTRACT WORK CONTRACTS

(Copy this form as necessary and use a separate sheet for each contract.)

Client's Company Name:

Client's Company Address:

Name of Client's Representative:

Clients Representative's Phone No.:

Clients Representative's Fax No.:

Clients Representative's Email Address:

Contract No.: Contract Title:

Were you the Prime Contractor or a Subcontractor?

Date Scheduled Date

Awarded: Completion Date: Completed: ___________

If currently in progress, estimated:

Completion Date: Current % Complete: ___ %

Describe the contract's Applicable Contract Work: Description must include scope of
work, size and type of scaffolds erected, design criteria, quantity and type of materials used,
inspection and tagging requirements, etc. for Special Scaffolds (per GI 8.001) and/or scaffolds
over 12.2 m (40 ft) tall.

December 6, 2010 Page 7 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

EXHIBIT FORM "B1"

COMPANY ORGANIZATION / MANAGEMENT

ORGANIZATION CHART
(in hierarchical management format)

December 6, 2010 Page 8 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor
EXHIBIT FORM "B2"

RESUMES OF KEY PERSONNEL

PERSONAL DATA

Name: Nationality:
Job Title: Years with the company:
Current Location: Contact Phone #:

EDUCATION

Name & Location of School Type & Date of Degree / Certification

Technical School:

Undergraduate College: ___________________

Graduate College:

WORK EXPERIENCE (BEGIN WITH MOST RECENT)

Company: From: To:

Location:
Position Held:
Brief Description of Responsibilities:

Company: From: To:

Location:
Position Held:
Brief Description of Responsibilities:

Company: From: To:

Location:
Position Held:
Brief Description of Responsibilities:

December 6, 2010 Page 9 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

EXHIBIT FORM "B3"

NUMBER OF PERSONNEL AVAILABLE FOR EACH SKILL LEVEL

Estimated #
Currently
Skill Level Currently (per year)
Number Assigned To
"Engineers" In-Kingdom Available for
Employed IK Projects
(IK) Years 2004
and Contracts
thru 2007
Contract Manager

Structural Design Engineers

QA/QC and Safety Engineers

Estimated #
Currently
Skill Level Currently (per year)
Number Assigned To
"Craftsmen" In-Kingdom Available for
Employed IK Projects
(IK) Years 2004
and Contracts
thru 2007
Certified Scaffold Supervisors I*

Non-Certified Scaffold Supervisors

Certified Scaffold Inspectors *

Non-Certified Scaffold Inspectors

Scaffold Craftsmen

* Must be Certified by SAUDI ARAMCO. Attach copies of all SAUDI ARAMCO certificates.

The contractor shall presently employ, or demonstrate the capacity to employ, a workforce with the
required capabilities to perform the Applicable Contract Work as required by SAUDI ARAMCO.

December 6, 2010 Page 10 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

EXHIBIT FORM "C"

SCAFFOLDING MATERIALS QUESTIONNAIRE

For the following questions, answer the question by checking () either Yes or No.
Then, indicate with a check mark () if the requested information or samples are
attached. Do not leave any question unanswered.

# REQUIREMENT Yes No Mark []

Do your Companys scaffold tubing specifications and materials meet the

requirements of SAUDI ARAMCO Scaffold Safety Handbook? Submit at least five
1 (5) recent scaffold tubing test reports (that include yield strength, tensile
strength, wall thickness, etc) from BOTH the pipe manufacturer and independent
mechanical testing for tube & coupler scaffold tubing and for each type of system
scaffold tubing your Company uses. Provide proof of total quantity of acceptable
tube & coupler scaffold tubing available for use within SAUDI ARAMCO.

Does your Company use embossed scaffold tubing meeting the requirements of
2
SAUDI ARAMCO Scaffold Safety Handbook? Submit at least two (2) 1-foot long
samples of your embossed scaffold tubing. Provide proof of total quantity of
embossed tube & coupler scaffold tubing available for use within SAUDI
ARAMCO.

Do your Companys scaffold coupler specifications and materials meet SAUDI

ARAMCO Scaffold Safety Handbook requirements, including the specified markings
3 on every coupler? Submit at least two (2) right-angle (load bearing) couplers
and at least two (2) recent coupler test reports showing Safe Working Loads
(SWL), other test findings, etc. (Two separate independent Test Labs to be used).
Provide proof of total quantity of acceptable scaffold couplers available for use
within SAUDI ARAMCO.

Do your Companys miscellaneous scaffold accessories (ladder & toeboard clamps,

4
screwjacks, etc.) meet SAUDI ARAMCO Scaffold Safety Handbook requirements?
Submit at least one (1) sample of each scaffold accessory.

Do your Companys system scaffolding (e.g., cup-locking, captive wedge, rosette)

5 components (standards, ledgers, transoms, intermediate transoms, etc.) conform
to the requirements of SAUDI ARAMCOs Scaffold Safety Handbook (including
markings)? Submit at least one (1) sample of each system scaffold
component. Provide proof of type(s) and quantities of system scaffolding
available for use within SAUDI ARAMCO.

Do your Companys scaffold individual platform units (solid sawn wood planks,
6 laminated veneer lumber planks, fabricated metal planks, etc.) conform to the
requirements of SAUDI ARAMCOs Scaffold Safety Handbook, including markings?
Submit at least two (2) copies of manufacturers technical data, test
reports, and one (1) 1-foot long sample of each type of scaffold platform
unit used by your Company. Provide proof of total quantity of acceptable
scaffold platform units available for use within SAUDI ARAMCO (SA).

Do your Companys personal fall arrest system (PFAS) components (full-body

harnesses, shock-absorbing lanyards, self-retracting lifelines, etc.) meet the
7 requirements of SAUDI ARAMCO Scaffold Safety Handbook and Construction Safety
Manual (CSM), including being labeled as meeting ANSI Z359.1 or equivalent
standards (5,000 lb. capacity)? Submit at least two (2) copies of
manufacturers technical data and one (1) product sample of each of the
personal fall arrest system (PFAS) components. Provide proof of total
quantity of acceptable PFAS components available for use within SA.
December 6, 2010 Page 11 of 13
Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

EXHIBIT FORM "D"

SAFETY

DELETED

December 6, 2010 Page 12 of 13

Qualification Questionnaire Non-GBS Specialized Scaffolding Contractor

EXHIBIT FORM "E"

QUALITY ASSURANCE / QUALITY CONTROL QUESTIONNAIRE

Answer the question by checking () either Yes or No. Then, indicate with a check
mark () if the requested information is attached. Do not leave any question unanswered.

No. REQUIREMENTS Yes No Mark []

Does your organization have an established Scaffold Training Program for your
1
scaffold supervisors, inspectors, and craftsmen? Submit documentation.

Does your organization have experience with a Scaffold Tagging System

2
(preferably SAUDI ARAMCOs)? Submit evidence that a scaffold tagging system
was used.

Does your organization use a Hazard Identification Plan (HIP) for scaffold
3
erection, alteration, and dismantling (including PPE and hand tools to be used)?
Submit evidence or photocopies of past HIPs.

Does your organization have written guidelines to document and communicate

4 to SAUDI ARAMCO representative any temporary manpower, transportation, or
material shortages that could delay the work? Submit copy of written
guidelines.

Does your organization have written plans for rectifying any temporary
5 manpower, transportation, or material shortages, which are highlighted by SAUDI
ARAMCO representative? Submit copy of written plans.

Does your organization conduct Regular Internal Quality Assessment (QA) of

6 scaffolding materials and components and remove deficient materials and
components from service? Submit records that continuous quality checks of
materials are done and substandard materials and components have actually
been repaired or discarded.

December 6, 2010 Page 13 of 13