Supplier, OH&S and Quality Questionnaire

Section 1 - Company Details

(If owner driver, also stipulate this here):
(See Guidance Form)
(See Guidance Form)
(See Guidance Form)

Section 2 - Finance Contact Details

(if different)

2.6 - Payment Terms: 30 Days end of month – Written agreement with the MFM Managing Director must be obtained outside of this standard agreement.

2.14 - Please provide any Factoring Company details (if applicable:

Section 3 - POD Retrieval

3.1 - For UK & Irish Hauliers, can PODs be returned to MFM within 48 hours?
3.2 - For European hauliers, can PODs be returned in 7 days?

3.4 - Please provide POD contact details below:

Section 4 - Quality Management Systems

4.1 - Has the company got an accredited Quality Management System?

If yes, please identify the:

4.2 - Where applicable, does the company have a written Quality Policy Statement?

Section 5 - Complaints Procedure

5.1 - Do you have a procedure for dealing with complaints?

5.2 - Please provide details of who complaints should be forwarded to:

Section 6 - Environmental Management Systems

6.1 - Has the company got an accredited environmental management system?

If yes, please identify the:

6.2 - Where Applicable, does the company have a written Environmental Policy Statement?
6.3 - Does the company hold a Waste Carrier Licence?

If yes, please detail:

If YES for questions 6.1 and 6.2 please provide copies when returning this questionnaire

6.4 - Do you have documented procedures for your processes that can impact on the environment?
6.5 - Do you check the Environmental credentials of your suppliers/sub-contractors?
6.6 - Have pollution incidents been caused by your operations in the past year?
6.7 - Are there written procedures for corrective actions dealing with environmental incidents/ Accidents?
6.8 - Does the company intend to apply for an approved Environmental Management System?
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Max. file size: 50 MB.

    Section 7 - Health and Safety Management

    7.1 - Do you operate an approved OH&S Management system?
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    Max. file size: 50 MB.

      7.4 - Management Representative details;

      If you do not operate an approved OH&S Management System, please complete the questions below

      7.5 - Do you carry out Risk Assessments in accordance with the Management of Health and Safety at Work Regulations 1999?
      7.6 - Do you have written safe working procedures for your business?
      7.7 - Are there written procedures for corrective actions dealing with Incidents / Accidents
      7.8 - Have any enforcement notices been issued or legal proceedings taken against you by either the HSE or the EA in the past 3 years
      7.9 - Does the company intend to apply for an approved OH&S Management System?

      If YES...

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      Max. file size: 50 MB.

        Section 8 - Operator Licensing Requirements

        8.1 - Do you hold a valid Operator’s Licence
        8.4 - Are you a member of FORS?

        8.5 - If YES...

        8.6 - Are you a member of the DVSA Earned Recognition scheme?
        8.7 - Are you DVS Registered?
        8.8 - Have you been subject to any Public Inquiries in the past 3 years?
        8.9 - Have you been subject to a DVSA investigation in the past 3 years?

        8.10 - If YES to 8.8 or 8.9

        8.11 - Do your drivers only park in secure parking areas where overnight stays are required?

        Section 9 - Security

        9.1 - Do you have an operational CCTV system in place?
        9.2 - Do you store images of CCTV and /or video surveillance at your premises?
        9.4 - Is there access control with an intercom and/or security gate system?
        9.5 - If yes to 9.4, is the security gate maintained to ensure it remains functional and safe?
        9.6 - Is the facility well lit?
        9.7 - Does the site have loading docks?
        9.8 - If yes to 9.7, is the loading dock ever left open and unattended
        (During breaks for example)
        9.9 - Do you have site security guards that look after the site when closed?
        9.10 - Do you maintain a container / trailer / vehicle seal record?
        9.11 - Do you have a written procedure to deal with evidence of seal tampering?
        9.12 - Are all your vehicles tracked?
        9.13 - Do you carry out pre-employment checks on prospective employees?
        9.14 - Do you intend on further sub-contracting out our work?

        Please check that you have attached (where appropriate)

        Drop files here or
        Max. file size: 50 MB.
          Quality Management System certificate, Quality Policy & Scope
          Environmental Management System certificate, Environmental Policy & Scope
          Health and Safety Management System certificate, Health and Safety Policy and Scope
          Operator licence details
          Goods in Transit Insurance cover
          Employers / Public liability Certificate
          CMR Insurance
          Motor Vehicle Insurance

          Completed By

          Guidance on Completing Form

          Vehicle Types
          26tn Rigids C/S with Taillift
          18tn Rigids C/S with Taillift
          18tn Rigids Flat bed
          12tn Rigids C/S with Taillift
          12tn Rigid Flat bed
          7.5tn Rigids with Taillift
          7.5tn Rigids
          Luton Vans
          SWB
          MWB
          LWB
          XLWB


          Trailer types
          Standard Curtainsiders
          Standard Curtainsiders with Taillift
          High Curtainside Trailer > 2.9m
          Double Deck Curtainsiders
          Low Loaders
          20ft Containers
          40ft Containers
          Double Deck Fridge Trailer
          Flatbeds
          Step Frames
          Skeletal trailer
          Moffett
          Hiab
          Box
          High cube Trailer > 2.9m
          Fridges
          Tankers


          FORS / ER
          Gold
          Silver
          Bronze
          DVS Registered
          Earned Recognition Member


          Types of work able to do
          Haz Loads/ ADR
          Traction work
          Container Movements
          Weekend
          Nights

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          Customers