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DP World Admin
New Vendor Request form
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" indicates required fields
Date of Request
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Site Requesting new supplier
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Name of person requesting new supplier
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Job Title
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To be completed
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Supply only
Consultant
Contractor
Who will be managing the contractor at site
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Enter Type of Risk factor from the Risk Table
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Select from Dropdown
Principal Contractor
Transport Operator
Category 4 High Risk
Category 3 Moderate Risk
Category 2 - Low Risk
Select the Work Field from the Risk Factor
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Principal Contractor – Construction project over $250,000 value
Select the Work Field from the Risk Factor
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Transport of Goods on Australian Roads
Select the Work Field from the Risk Factor
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Abrasive blasting
Asbestos Removal work
Commercial Diving
Confined Space Work (entering or rescue in a confined space)
Construction work (including High Risk Construction Work and large road surface repairs)
Container Repairs (on Site)
Demolition Work (of a structure)
Dismantling Plant and Equipment
Electrical work (HV, LV or Live)
Hazardous chemical / Dangerous Goods handling
Hazardous waste disposal /treatment/ transportation
Mooring - Vessel
Rail Operations / Services
Roofing Work
Scaffolding (erection, dismantling)
Trenching/ excavation (Depth greater than 1.5m)
Select the Work Field from the Risk Factor
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Cleaning Commercial (operational areas)
Communications Equipment Service / Install
Container Wrapping (on site)
Delivery of Fuels/Oil in bulk
Equipment Hire/Rental
Fabrication and Machinery refurbishment
Fire Services and Equipment Inspection
First Aid / Paramedics services on site
Gate / Fencing / Door install / maintenance
Heating Ventilation and Air Conditioning (HVAC) Services
High pressure water Jetting
IT Installation / Cabling
Landscaping, Plants and Gardening
Mechanical Services
Painting & Surface Finishing Services
Pest Control
Plumbing Work
Road Resurfacing (small projects under 2m² Max)
Service, Maintenance or Assembling of mobile equipment / Vehicles
Service, Maintenance or Assembling of Fixed Equipment or Plant
Supply & Install of fixed equipment (e.g. racking)
Waste services (not including the transport/ handling of hazardous chemicals/ dangerous goods)
Welding/Hot Work
Vacuum Truck Services
Select the Work Field from the Risk Factor
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Catering Food & Beverage
Cleaning Office/domestic (nonoperational areas)
Consulting Work only (including Marine Surveying) - no operational work involved
Consumables / Materials delivery to site
Inspection and Testing Services only
IT services (not including install work)
Labour Hire Provider / Agency
Laundry and Linen Services
Medical and Laboratory Services (incl. AOD testing)
Security Services
Training Provider / Training Services
Utility Location Services (nondestructive)
Brief Description of supplier
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Reason for new supplier
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Is this supplier to replace a current supplier
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Yes
No
If yes, who is the current Supplier and reason for changing suppliers
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Attach Rates for current Supplier if applicable
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Yes
No
Rates for current Supplier Attachment
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Max. file size: 5 MB.
Attach the schedule of rates for New supplier / contractor
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Yes
No
Schedule of rates for New supplier / contractor Attachment
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Max. file size: 5 MB.
Is the supplier required for Project work only (1 Off)
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Yes
No
Is there a signed agreement
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Yes
No
Approximate spend per Month
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Approximate spend per Year
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Has the procurement team been involved with sourcing of the supplier
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Yes
No
If No, enter the reason
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Was this Supplier was used prior to Supplier Setup
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Yes
No
If Yes, provide the reason the Supplier was used prior to the Supplier Setup Procedure.
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Company Name
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Company ABN#
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Company contact
Name
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Email
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Phone Number
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Position
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Purchase order contact if different
Name
Email
Phone Number
Position
Is there any known Conflict of Interest of employees and Supplier
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Yes
No
Have any of the suppliers’ contractors / employees worked for DP World or Silk Logistics- Past or present
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Yes
No
Has the supplier been Notified & Agreed to the Minimum Requirements as below:
All Suppliers
Minimum Payment terms 30 Days
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Yes
No
Public Liability $20M
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Yes
No
Professional Indemnity Dependent on type of works (As required - $5M)
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Yes
No
Work Cover Insurance required
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Yes
No
Personal Injury Insurance (Sole Trader)
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Yes
No
MSIC card requirement with Access Card - for more than "1" site visit per year
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Yes
No
Rapid - Registration, Inductions, Sign in and Out of Rapid at each site visit
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Yes
No
If No to above you are required to inform the supplier of the minimum requirements prior to submitting this form and receive confirmation this has been accepted
Has the supplier agreed to minimum requirements
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Yes
No
Name Of Department Manager to Sign off
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Name Of Senior Director to sign off if spend over $50k per annum
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