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Rev.

1
Specialty Materials

Supplier Pre-Qualification Survey


Instructions to supplier:
Fill in name, location, date, fill out form completely, and provide all attachments requested.
Supplier Name
Location
Date

M/s Sharda Engineers & Constructions


Mumbai

This form contains the following information per the outline below:

I. Required Attachments
II. Contact Information
III. Type of Organization
IV. Financial Information
V. Personnel
VI. Fabrication Experience and Customer List
VII. Capabilities and Subcontracted Work
VIII. Health, Safety & Environmental Management

Issued: 05/06/11

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I. REQUIRED ATTACHMENTS
(Double click mouse to make a check mark to confirm attachment was provided)
1.

2.

3.

4.

Financial
a.

Current Audited Balance Sheet

b.

Income Statement

c.

Dun and Bradstreet Report

Fabrication Experience
a.

Current Projects

b.

Major Projects during last 3 years

c.

Backlog Work List for next 3 years

d.

Fabrication References

e.

Company Brochures

Quality / Certifications
a.

Shop Certifications

b.

QA/QC Organization Chart

c.

Quality Manual

d.

Index of Quality Control Procedures

Health, Safety & Environmental


a.
b.

5.

Health, Safety and Environmental Manual (table of contents only)


Local National HSE Certificate

c.

Annual Safety Goals and Objectives

d.

Safety Orientation for On-site Visitors

e.

Accident Reporting and Investigation procedure

f.

OSHA 300A logs or equivalent

General
a.

Overall Organization Chart

b.

List of Other Fabrication Locations

c.

List of Testing, NDE, and Measuring Equipment

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II. CONTACT INFORMATION


A. Company Name/Corporate Mailing Address:
Name of Company

M/s Sharda Engineers & Constructions

Main Contact Person

Mr. Rohidas Khatate

Address

, Sarvodnaya Krupa.

Position

Managing Director

Janatanagar west , Lane No - 4


Sangamner -422605

Email

info@shardaec.com,

Website

http://projects.shardaec.com

Phone Number

09822508823

Fax Number

Has your company name changed in the last three years?

YES

NO

If Yes, provide previous company name:

B. Shop Physical Address (enter additional facility locations as attachment, using format below)
Name of Company

M/s Sharda Engineers & Constructions

Main Shop Contact

Mr. Abhijit Khatate

Address

Survey No 47/01, Plot No- 45


Sangamner MIDC, Dist - Ahmednagar

Email

shardaec2007@gmail.com

Phone Number

07588025606

Position

Director

Fax Number

C. Employees - Primary Contact Names (for english indicate proficiency to speak, read, and/or write)
Position

Name

English
proficiency

Phone

Email
Address

Plant
Manager
Engineering
Manager

Mr. Amol
Khatate

Best

07588025604

shardaec2007
@gmail.com

Production
Manager
HSE Manager

Mr.Datta Hase.

Best

Years
with
company

Years
Experience

QC Manager
Welding
Engineer
Material
Control
Issued: 05/06/11
Manager

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III. TYPE OF ORGANIZATION


Organized Date:
State/Province:
Fed. Employer Identification No.:

A. Company Officials
B.

Name

Position and Function

Mr. Rohidas Khatate

Managing Director

Mr. Amol Khatate

Engineering Manager

Years with company

Sales Manager

Years under Present Management: ________________________________________________


C. Related Division/Parent Company & Subsidiaries:

D. Labor Affiliation
Union Shop:

YES

NO

National Agreements:

Non-Union Shop:

YES

NO

If yes, which trades?

YES

NO

Name of Union:
Contract duration:
Contract Expiration:
Have you been involved in a strike in the last five years?
If Yes, what was the duration of the strike?
Comments:

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IV. FINANCIAL INFORMATION


A. Attach a copy of current audited balance sheet and income statement.
B. Annual Fabrication Volume (Indicate approximate number of man-hours of fabrication labor for last three years,
as well as fabrication revenue and net worth.)

YEAR

GROSS
REVENUE

MATERIAL
COSTS

%
INDUSTRIAL

%
COMMERCIAL

NET
WORTH

FABRICATION
MAN-HOURS

$
$
$
C. Largest Contract Completed To Date $ __________________ Man-hours ___________________
Location/Description/Duration (Provide from-to dates):

________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
D. Dun & Bradstreet Rating: ____________________ (Please attach a copy of your latest D & B report)
E. What Is Your Companys Primary Industry or Sic Code? ________________________________
F. Banking Information
Name of Bank/Account

Credit Line
YES

NO

YES

NO

YES

NO

Amount

Taken Up

Contact Name
/Phone Number

G. External Auditors or Other Financial Reference:

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H. Major Material Supply House/Credit References


Name of Supplier

Address

Contact Name/Title

Phone Number

Email Address

I. Bonding Capacity
Total
Available
Bonding Company Normally Used
Bonding Rate %

J. Past Performance
(If the answer to any of the below questions is yes, please attach details.)

1. Have you at any time failed to complete a contract?

YES

NO

2. Are there any judgments, claims or suits pending or outstanding against you?

YES

NO

3. Are you now or have you ever been involved in any bankruptcy or reorganization
proceedings?

YES

NO

4. Have any of the officers ever been involved in any bankruptcy or


reorganization proceedings?

YES

NO

5. Have you ever or are you currently working at a Honeywell Inc. facility?

YES

NO

6. Have you ever had litigation brought against you by an owner or principal?

YES

NO

7. Are there any judgments, claims or suits, especially related to health, safety, or
environmental incidents pending or outstanding against your company?

YES

NO

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V.

PERSONNEL

(Indicate the number of shop employees total, and in each position)

A. Shop Personnel
Total Shop Manpower
Discipline

Number of Permanent Workers

Code Qualified Welders

AWS:
ASME:
Other (specify):

Average Years
Experience

Number of Contract
Workers

Machinists
Fitters
Others (specify):

B. Quality Control Personnel


QC Manager reports to whom:

Average Years Experience

Number of permanent Quality


Control personnel:
Number of permanent Certified
Welding Inspectors:
Certified welding in accordance with: AWS:

CSWIP:

Other (specify):

Number of permanent Certified


NDE Technicians:
Certified NDE in accordance with: ASNT:
Number of LEVEL I qualified:
RT:
UT:
UT TOFD:
MT:
PT:

Other (specify):

Number of LEVEL II qualified:


RT:
UT:
UT TOFD:
MT:
PT:

Number of LEVEL III qualified:


RT:
UT:
UT TOFD:
MT:
PT:

C. Management Personnel
Would a dedicated Project Manager be assigned to each UOP contract?

YES

NO

Average Years
Experience

Total number of Project Managers on staff:


Number of Procurement personnel on staff:
Number of Shop Supervisors on staff:
Scheduling software programs used:

D. Engineering Personnel
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Does the company have permanent engineering staff?

YES

NO

YES

NO

Average Years
Experience

Number of permanent Engineers


(by discipline):
Number of permanent Welding Engineers:
Number of permanent Designers
(by discipline):
Number of permanent Draftsmen:
Is computer aided design used for Design work (CAD)?
What CAD programs are used:
What computer program(s) are used for
Engineering calculations?

E. Electrical and Instrumentation Personnel


Does the company have permanent Electrical and Instrumentation staff?
Discipline

Electrical Technicians

Instrument Technicians

Number of Permanent
Workers

Average years of
experience

YES

NO

Number of Contract Workers

Total:

Total:

IEC trained:

IEC trained:

NEC trained:

NEC trained:

Certified (specify):

Certified (specify):

Total:

Total:

Certified (specify):

Certified (specify):

F. English Language Capabilities (please indicate good, fair, or none in each category)
Please list names under each department
in addition to those in II.C.
Management

Position

Read

Write

Speak

Engineering
QA/QC

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VI. FABRICATION EXPERIENCE & CUSTOMER LIST


(Describe or list the information as requested)
Typical
Products
Manufactured

Mechanical - Coded pressure vessels, Columns & Towers, Reactor


vessels, Heat Exchangers, Coolers, Fixed cone roof storage tanks,
Civil Pedestal / Mounded Storage Bullets (LPG/Propane),
Underground storage vessels, In-plant piping and cross country
piping etc.

% of work:

Civil :- Earthworks, Residential , Commercial Buildings , Stadiums ,


Civil for Mounded Bullets.
Typical
Services
Performed

Engineering:
Field
Services:
Other:

Industries
Served

Oil Refining:

BPCL, HPCL, MRPL

Offshore:
Chemical:
Other:

List of Codes
experienced
with

National and International Standards such as IS, BS, ASME, TEMA and API etc.

Major
Customers
Plant
Capacity

% export:
Normal man hours per
month

Peak man hours per


month

Work days per week

Work days per week

Number of workers

Number of workers

Number of shifts and


hours per shift

Number of shifts and


hours per shift

Attach Lists for the following, label as Fabrication Experience:


(items A and B should include Project and customer location, project description, subcontracted work, contract value, project
duration)
A. Projects completed- Previous 3 years
B. Current Projects
C. Backlog Work List Next 3 years (include barchart showing percent of manpower taken up)

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D. Fabrication References (include contact name(s), address, phone number & e-mail address)
E. Company Brochure (attach)

VII. CAPABILITIES AND SUBCONTRACTED WORK


A. Facilities (double click for yes or no box)
Supplier Size Information (list dimensions in standard units for your location)
Total Area under roof
Climate controlled area

YES

NO

Total usable area outside

Fabrication area

Storage area

Fabrication area

Storage area

Fabrication area

Storage area

Work performed outdoors


(describe)
Largest door size material can
move through

Largest equipment size transportable


by road

(indicate width and height)

(indicate length, diameter or width


and height, and weight)

Production area information (indicate specifics about each production bay where requested below)
Number of
Production
Bays

Bay Number

Separate Bay for Non-carbon


steel work
Testing facility information
Radiography viewing room at
the fabrication shop
Bend testing for welder
qualification
Painting facility information
Capability to blast and paint
at shop location
Issued: 05/06/11

Length x width

YES

Number
of Cranes

Crane size

Type of Crane

Height under hook

If so, please indicate


which Bay(s) described
above

NO

(indicate capabilities to perform at the shop with suppliers own equipment)


YES

NO

YES

NO

Protected bunker for


radiography

YES

NO

Tensile and charpy testing for


weld procedure qualification

YES

NO

(provide information where indicated)


YES
NO

Describe any
limitations
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Blast Area:

Painting Area:

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Indoors

Indoors

Dimensions

Dimensions

Outdoors

Outdoors

Dimensions

Dimensions

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B. Type of Work (right click to check mark where applicable)


What type of work does supplier
typically perform?

Design

Fabricate

Supplier Comments

(if needed)

Pressure Vessels
Drums
Towers
Heat Exchangers
Shell & Tube
Hairpin
Thermal
Skids

(also what applies below)

Modules

(also what applies below)

Pipe Spools
Pipe Bending
Structures
Platforms, ladders, handrails
Electrical
Cable tray
Conduit
Heat tracing
Instrumentation:
Control Panels:
Refractory:

C. Materials- (please indicate the materials with which supplier has experience with)
Carbon steel

Clad steel

High Nickel

Titanium

Low temp carbon

Austenitic stainless

Hastelloy

10-14 US standard
gauge sheet

Chrome- moly

Duplex stainless

Aluminum

Perforated sheets

Other (describe)

D. Equipment (provide equipment and limitation where requested)


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Metal Processing Equipment

List any limitations

Cutting - Plate
Cutting- Pipe
Cutting- Sheet metal
Punching- Sheet metal
Forming - Sheet metal
Bending- Pipe
Beveling
Drilling
Machining
Head Forming

Maximum
diameter &
thickness

Cold condition:

Hot condition:

Shell Rolling

Maximum
thickness and
width

Cold condition:

Hot condition:

Welding Equipment
Process

Quantity

Max. capacity

Process

GTAW

GMAW- pulse

SMAW

SAW- boom type

FCAW

SAW- propelled

GMAW- spray

Other

Quantity

Max. capacity

Heat Treating Furnace


Permanent facility or temporary:

Fired by gas or electric:

Automatic Control or Manual:

Size and weight limits:

Maximum Temperature:

Method of Loading:

In use since:

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E. Quality Control
Supplier is qualified or certified to which of the following? Please attach proof of certification.
ISO 9001:
AD Merkblatt:
ASME Sect. VIII :
BS 5500:
GB:
IBR:
PED:

YES

NO

Category:

Expiration:

YES

NO

Stamps or
class:

Expiration:

YES

NO

Stamps or
class:

Expiration:

YES

NO

Stamps or
class:

Expiration:

YES

NO

Stamps or
class:

Expiration:

YES

NO

Stamps or
class:

Expiration:

YES

NO

Stamps or
class:

Expiration:

List other certifications:


Electrical installation certifications:
Is there a supplier QA manual?

YES

NO (If Yes, please attach Quality Manual)

Qualified welding procedures in place?


Applicable Code

Weld Process

Materials

Qualification Range

Does supplier perform?: (Check YES if performed by permanent personnel, check NO if subcontracted)
Dye Penetrant:

YES

NO

Ultrasonic (conventional):

YES

NO

Radiography (Gamma-ray):

YES

NO

Ultrasonic (TOFD):

YES

NO

Hardness Testing:

YES

NO

Magnetic Particle:

YES

NO

Positive Material Identification:

YES

NO

YES

NO

Ferrite testing:

YES

NO

Carbon Detection:
Hydrostatic Testing:

Issued: 05/06/11

YES

NO

Max. Pressure:

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Pneumatic Testing:

YES

NO

Max. Pressure:

E. Work Subcontracted

Description

Check ,
if YES

Distance
from
shop

Subcontractors production schedule


monitored in progress by supplier?

Subcontractors work inspected in


progress by supplier?

(yes or no, explain)

(yes or no, explain)

Engineering

YES
NO

YES
NO

Detailed Design

YES
NO

YES
NO

Fabrication (specify)

YES
NO

YES
NO

Pipe Bending

YES
NO

YES
NO

Head Forming

YES
NO

YES
NO

Plate Rolling

YES
NO

YES
NO

Refractory

YES
NO

YES
NO

Heat Treatment

YES
NO

YES
NO

Blasting & Painting

YES
NO

YES
NO

Galvanizing

YES
NO

YES
NO

Electrical

YES
NO

YES
NO

Instrumentation

YES
NO

YES
NO

Insulation

YES
NO

YES
NO

Nondestructive Testing

YES
NO

YES
NO

Shipping Preparation

YES
NO

YES
NO

F. Transportation
TYPE

Name

Distance from shop

Maximum size

Maximum Weight

Nearest Barge Terminal:


Nearest Ocean Terminal:
Nearest Air Cargo Terminal:
Nearest Rail Terminal:
Does supplier have rail into plant?

Issued: 05/06/11

YES

NO

Does Supplier have water access?

YES

NO

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VIII. HEALTH, SAFETY, AND ENVIRONMENTAL (HSE) MANAGEMENT


A. Injury and Illness Performance (Write in last four years & year to
date [YTD]. Attach for subcontractors)

3 yrs
ago

2 yrs
ago

Last
year

YTD

1. Number of Fatalities
2. Number of Injuries w/Lost Workdays (including restricted work)
3. Number of Injuries w/Days Away From Work
4. Number of Injuries Without Lost Workdays
5. Total Number of Injuries (#2 + #4)
6. Number of Work Hours (provided in 000s, i.e. 50,000 = 50)
7.

Provide the organizations EMR (Experience Modification Rate


monies paid out by insurance company)

8. Provide Injury/Illness logs required by government agencies for


past 4 years.
Supplier Comments:

B. Organization & Management Commitment


1. Does the organization have a written HSE Manual? (If yes, please attach table of
contents.)

YES

NO

YES

NO

YES

NO

2. Does the organization establish annual HSE goals and objectives? (If yes, please
attach documentation.)

3. How many HSE professionals are employed full-time by the organization?


4. What certifications do the full time HSE
professionals have? (specify)
5. If the organization does not have full-time HSE
professional(s) on staff, which positions in the
organization are appointed and accountable for HSE
related matters? (describe)
6. What HSE training do HSE appointees receive?
7. What percentage of HSE related activities are conducted in the shop or yard by
HSE appointees?
8. Does the organization hire an HSE consultant?
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9. What certifications are required for the HSE


consultant ? (specify)
10. Does Corporate/Senior Management perform HSE audits?

YES

NO

YES

NO

YES

NO

1. Does the HSE program include written work practices and procedures (such as lock
out/tag out, confined space entry, fall protection, etc.)

YES

NO

2. Has your organization implemented any new HSE programs in the last year?
(Provide details in comments section.)

YES

NO

1. Is there a process for recognizing, reporting, tracking, and correcting unsafe


conditions/workplace hazards?

YES

NO

2. Does the organization conduct and keep records of Safety compliance inspections
and maintenance work for operating equipment owned by the organization?

YES

NO

3. Does the organization verify Safety inspection certifications on rented or leased


equipment?

YES

NO

YES

NO

11. Does the organization have a process for evaluating the HSE performance of
subcontractors prior to hire?
12. Does the organization have a policy limiting excessive work hours per day/week,
or overtime, for shop personnel?
Supplier Comments:

C. Programs and Communication

Supplier Comments:

D. Hazard Identification and Investigations

Supplier Comments:

E. Inspections/Audits/Examinations
1. How frequently does supervision/management
perform HSE inspections of the worksite?
(describe)
2. Do you have an emergency medical/first aid program?
3. What is medical emergency response time from the nearest medical facility?
(indicate in hours and/or minutes, as applicable)

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4. Do you have an exposure monitoring program in place?


(ie., exposures which may cause adverse health affects)
5. Have you had any final findings of violation from an Occupational Safety and
Health organization or an Environmental Agency within the last three years
regardless of whether they were contested or dropped?

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

Supplier Comments:

F. Training & Indoctrination


1. Does the organization have a written HazCom program?
(ie., communication regarding hazardous material in the workplace)
2. Does the organization require new employees to attend HSE training?
3. Does the organization provide HSE Orientation onsite for visitors? (If yes, please
attach documentation)
4. Does the organization require employees to attend HSE refresher training?
5. What personal protective equipment is normally
required at the worksite? (list items)
6. Does the organization maintain a record of all employee HSE training?
7. Does the organization have a drug and alcohol policy?
8. Does the organization require physical fitness testing for shop workers?
9. Does the organization require testing of shop workers for respiratory duty (if
applicable)?
Supplier Comments:

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IX. CERTIFICATION
I hereby certify that all information provided herein is correct.
_________________________________________________________
(Company Name)

____________________________________________________
Authorized Company Representative

(Signature)

________________________________________________________
Authorized Company Representative
(Printed)

____________________________________________________
(Title)

____________________________________________________
(Date)

Please include attachments requested on page 2.


RETURN COMPLETED FORM TO:
HONEYWELL INTERNATIONAL INC.
Attn:

Issued: 05/06/11

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