JLL Contractor Health, Safety & Environment Contractor Screening 2016 (v2.

2 17112016) Saturday, December 30, 1899

Introduction - Please Read Carefully Before Completing the Questionnaire

Contractor review is a key step in the JLL health and safety EHS management system. It provides vital feedback on EHS systems and procedures by identifying the areas where strengths and weaknesses lie.

Collectively the data provides a very useful indication of how well JLL Contractors are performing in their management of health, safety & environment, and allows us to focus our strategy on those areas where opportunities exist for
improvement and to share good practices.

This screening questionnaire addresses key elements of an effective health & safety and environment management system together with specific questions that address the JLL Health and Safety Standards. The questions are
accessed by clicking on the green subject tabs found along the bottom of this spreadsheet.

You will need to provide the required documentation and / or other reference material.

The information you supply in this screening form will be reviewed by one of JLL's EHS Managers. Depending on the information there will be one of 2 outcomes:

1) The JLL EHS Manager will automatically approve the request to become a JLL approved supplier, or
2) You will be required to submit a more detailed response before a decision will be taken by the EHS Manager.
Failure to provide adequate information will delay the approval process and may lead to your approval being declined.
Working evidence of the process, such as completed documentation, will be looked on more favourably than blank documents or procedures describing the process

The first information set can be accessed by clicking the tab marked "Your Details".
 PLEASE COMPLETE YOUR DETAILS
Company Name
Date Completed (DD/MM/YY)
Completed by
Job Title
Phone
Mail
Web page
Full description of services to be provided
Number of employees in your organisation

If you have subscribed to JLL's Avetta

(formerly PICS) contractor approval scheme,
please provide your reference number.

Please enter your Company's name in the relevant box above

Please enter the date the the questionnaire was completed in the relevant box above
Please enter your name in the relevant box above
Please enter your job title in the relevant box above
Please enter your phone number in the relevant box above
Please enter your email address in the relevant box above
Please enter your web page in the relevant box above
Please enter the description of your services in the relevant box above
Please enter the number of employees in your organisation in the relevant box above
 High Risk Activities
Please select all of the activities that will be undertaken as part of your p
Activities Yes/No
Will you only be providing supply of goods, professional services (e.g.
1 HR, Consulting, Courier, Designer, Architect) or other services which No Please complete all remaining
won't involve 'contract work' (you will not enter the Site) at any site?
2 Working at Height Yes Please attach a copy of your W
3 HV electrical Work No
4 LV Electrical works No
5 Hot Works or use flammable materials No
6 Pressure Systems work No
7 Driving No
8 Gas Works No
9 F-Gas works No
10 Confined space operations No
11 Lone Working No
12 Food preparation No
13 Excavation No
14 Demolition No
15 Asbestos works No
16 Crane work/mechanical lifting No
17 Off site waste disposal/recycling No
18 Handling firearms No

19 Use of chemicals or processes producing hazardous fumes, dusts, etc. No

20 Manual Handling No
21 Packaging and or transport of dangerous goods by road, rail, air. No
22 Other No
23 Will you sub-contract any of these activities? No

OTHER INFORMATION
 Saturday, December 30, 1899

dertaken as part of your provision of services.

Evidence Required

Please complete all remaining sections of this questionnaire

Please attach a copy of your Work at Height policy/procedures

ORMATION
 Statistical Information Saturday, December 30, 1899

Q Please provide details on the following for the past 3 years

(include subcontractor data where available).
Accident data collated by JLL is in line with the US OSHA Statistics.

Please refer to the red indicator in the corner of cells in column B before completing.
Even if you have no accidents, the worked hours in question 7 (row 10) must be completed.

2022 2023 2024

1 Number of First Aid Cases 0.00 0.00 0.00
2 Number of Medical Treatment Cases 0.00 0.00 0.00
3 Number of Restricted Work Cases 0.00 0.00 0.00
4 Number of Lost Day Cases 0.00 0.00 0.00
5 Number of Fatalities 0.00 0.00 0.00
6 Number of Days Lost 0.00 0.00 0.00
7 Number of hours worked - REQUIRED 135000 170400 207000
8 RECORDABLE INCIDENT RATE 0.00 0.00 0.00
9 SEVERITY RATE 0.00 0.00 0.00
10 Number of environmental incidents reported to the local/national authorities 0.00 0.00 0.00
11 Number of Enforcement Actions 0.00 0.00 0.00
 Health and Safety Questions
Please answer ALL questions. Any 'No' answer must be explained in the sec
Activities Yes/No
1 Do you have a health and safety policy? Yes Please submit a copy of
2 Do you have access to competent health and safety advice? Yes Please provide details o
Do you have an annual health and safety plan describing what you would like to Yes Please submit a copy of
3 achieve in the current year?

Do you set and track annual objectives and targets/key performance indicators Please submit a copy of
4 (KPI's) for health and safety? These should include both reactive and proactive Yes year
indicators.

Do you have a health and safety management system accredited to BS OHSAS No

5 18001, ISO 45001 or a similar standard?

Do you have systems and procedures in place to ensure that all employees are Yes Please attach a copy of y
6 competent through knowledge, training, ability and education? and individual)

Do you have systems and procedures in place to ensure that communications about Yes Please attach a copy of y
7 health and safety matters occur at all levels in the organisation? your submission.

Do you have systems and procedures in place to ensure that employees at all levels No
8 in the organisation participate in health and safety?

9 Do you have risk assessments relating to all major activities you will be delivering? Yes Please submit evidence

Do you have documented Safe Systems of Work for high risk activities including lock Yes Please submit evidence
10 out tag out, permits to work, authorising personnel, etc.

Do you have processes and procedures for monitoring and checking the health of
11 your employees? This includes legally required health surveillance and other healthy No
lifestyle initiatives.

Do you have procedures in place to assess health and safety performance of new Please submit evidence
12 contractors as well as monitoring and checking processes of contractors during the Yes monitoring and auditing
lifetime of the contract?

Do you have documented procedures for preparation for and action to be taken Yes Please attach a copy of y
13 following a variety of emergency situations?
Do you have procedures in place for reporting and monitoring accidents, Yes Please provide evidence
14 investigations and trend analysis?
Do you have a programme of internal auditing to ensure that the health and safety Yes Please submit evidence
15 programme is being delivered at all levels?
Do you have regular management review meetings to discuss the health and safety Yes Please provide evidence
16 management system and your performance?
Does your organization publicly report your health and safety commitments, targets, No
17 and/or achievements?

FOR ALL QUESTIONS ANSWERED 'NO' OR ADDITIONAL INFORMATION PLEASE

Number Explanation/Additional information
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
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tions Saturday, December 30, 1899

xplained in the section at the bottom of this page.

Evidence Required
Please submit a copy of your Health and Safety Policy
Please provide details of your competent support below

Please submit a copy of your Health and Safety plan for the current year

Please submit a copy of your Health and Safety objectives and targets/KPI's for the current
year

Please attach a copy of your policy / procedures, certifications and accrediations (company
and individual)

Please attach a copy of your communications policy/procedures and/or evidence to support

your submission.

Please submit evidence of your completed risk assessments.

Please submit evidence of your processes and procedures.

Please submit evidence of your processes and procedures for contractor vetting,
monitoring and auditing.

Please attach a copy of your emergency preparedness and response policy/procedure.

Please provide evidence of accident reporting, investigations and trend analysis.

Please submit evidence of your audit programme and samples of completed audits.

Please provide evidence of management reviews having taken place.

NFORMATION PLEASE ENTER DETAILS BELOW

itional information
 Environmental Management and Sustainability Questi
Please answer ALL questions. Any 'No' answer must be explained in the sec
Activities Yes/No
1 Do you have environmental management policies? Yes Please submit a copy of a
Do you have an annual environmental management plan describing what you No
2 would like to achieve in the current year?
Do you set and track annual objectives and targets/key performance indicators No
3 (KPI's) for environmental management?
Do you have an environmental/energy management system accredited to No
4 ISO14001/ISO50001 or a similar standard?

Do you have systems and procedures in place to ensure that all employees have
5 suitable environmental awareness and competence for tasks which may impact on No
the environment?

Is your organization affiliated with or participating in industry groups that have a

6 sustainability-related focus, such as the World Business Council for Sustainable No
Development (WBCSD), or regional green business organizations?

Do you have systems and procedures in place to ensure that communications Yes Please attach a copy of yo
7 about environmental matters occur at all levels in the organisation? your submission.

Do you have systems and procedures in place to ensure that employees at all
8 levels in the organisation participate in environmental management and No
sustainability initiatives?

Do you have environmental risk assessments ( identification of environmental Yes Please submit evidence o
9 aspects and impacts) relating to all major activities you will be delivering?

Do you have documented procedures for activities which pose a high risk to the
10 environment e.g. waste management, substance handling and storage, spill No
response, etc.

Does your organization provide products and/or services that are able to help JLL
11 and our clients reduce environmental impacts cost effectively and/or which would No
support JLL sustainability goals?

Does your organisation operate a sustainable procurement policy (e.g. purchase

from local suppliers, purchasing recycled materials, use of environmentally friendly No
12 packaging, purchase of products carrying European Ecolabel Certification,
equipment with EU Energy labels, Energy star rated IT equipment)?

Do you have procedures in place to assess environmental management and

13 sustainability performance of new contractors as well as monitoring and checking No
processes of contractors during the lifetime of the contract?

Do you have documented procedures for preparation for and action to be taken No
14 following a variety of emergency situations which may impact on the environment?
Do you have a programme of internal auditing to ensure that the environmental Yes Please submit evidence o
15 programme is being delivered at all levels?
Do you have regular management review meetings to discuss the environmental Yes Please provide evidence o
16 management system and your performance?
Does your organization publicly report your environmental and sustainability No
17 commitments, targets, and/or achievements?
 Does your Company minimise the impact of travel throughout the lifetime of the No
18 contract? ( optimizing operations / using low emitting vehicles)

FOR ALL QUESTIONS ANSWERED 'NO' PLEASE EXPLAIN YOUR RESP

Number Explanation
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2
3
4
5
6
7
8
9
10
11
12
13
14
15
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ainability Questions Saturday, December 30, 1899

explained in the section at the bottom of this page.

Evidence Required
Please submit a copy of any environmental, energy and sustainability policies you have

Please attach a copy of your communications policy/procedures and/or evidence to support

your submission.

Please submit evidence of your completed risk assessments.

Please submit evidence of your audit programme and samples of completed audits.

Please provide evidence of management reviews having taken place.

SE EXPLAIN YOUR RESPONSE BELOW
lanation
JLL Contractor Health, Safety & Environment Contractor Review Saturday, December 30, 1899

Thank You for Completing the JLL EHS Contractor Vetting Questionnaire.

Before uploading to DAB, please ensure the following:

1. That each question has been answered correctly.

2. That relevant documentation has been attached and referenced to support each answer.

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