Vendor Registration PDF New - PDF Templates

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Monday, March 3, 2025

Vendor Registration Form

Section 1: Vendor Details

Business Name (Legal Name)

DWJ Civil

Trading Name (Known as)

DWJ Civil

Reason for Completing Form

New Vendor

Associated with Camco (SA) Pty Ltd since (year)

Vendor Type

Service Provider

Business Type

Company

Is the business South Australian owned?

Yes

Are you registered for GST?

Yes

ABN

91682180187

Business Address (Street Address)

15 dover st

malvern, SA, 5061

General Phone Number

0403457959

General Email

davidjoseland@dwjcivil.com

Website

Postal Address (if different)

Name	Position	Years in Role/Industry	Details
David Joseland	Owner Operator	10	grader operator

Section 2: Purchase Order & Remittance Advic

Please note that the address and contact details provided under “Purchase Order and Remittance Advice” will be where Camco (SA) Pty Ltd email/fax purchase orders to.

Sales Contact Person

David Joseland

Sales Contact Phone Number (if different from main phone number)

Sales Email Address (if different from main email address)

Section 3: Bank Details for EFT Payment

EFT is the preferred method of payment. Please complete the banking details section below.

Signature - Bank Details

Section 4: Trade Capabilities

Trade Capabilities - Please select which trades you wish to submit quotes for

Plant & Equipment Hire

Aluminum

Bricklaying

Carpentry & Joinery

Ceilings & Linings

Cladding

Consultant

Concrete

Demolition

Electrical

Fire Services & Sy

stems

Fit Out

Floor Coverings

Labour Hire

Landscaping & Playgrounds

Mechanical

Metalwork

Painting

Plasterer

Plant & Equipment Hire

Grader

Roadworks

Roofing

Site Works / Excavation

Structural Steel

Tiling

Testing

Windows

Miscellaneous

Section 5: Health & Safety, Environment and Quality Performance (Subcontractors Only)

Injury & Incident Data

Please provide th

e following for t

he current year t

o date and the pr

evious two years,

include all empl

oyee, contractor

& sub-contractor

figures where pos

sible.

	2023	2022	2021
Work relate d fatalitie s	0	0	0
Lost time i njuries	0	0	0
Medically t reated case s	00	0	0
Total Envir onmental in cidents	0	0	0
Total statu tory notice s (i.e. pro hibition or improvemen ts)	0	0	0

Does your company employ a full time safety manager?

Safety Manager's Details

Safety Manager's Email

Safety Manager's Mobile Number

Does your company have a documented Safety Management System?

Does your company have personnel trained in First Aid?

Yes

Does your company conduct safety inductions for all employees?

Does your company have a documented hazard ID and risk control process?

Do you have SWMS for all high-risk tasks?

Does your company maintain a register of all training given to employees?

N/A

Does the register show when the validity of training expires?

N/A

Do you have Verification of Competency (VOC) records for all operators of plant?

N/A

Have all employees

been given the re

quired safety trai

ning relevant for

their role?

Yes

Does your company conduct safety or toolbox meetings?

N/A

Do you maintain a plant and equipment register for all equipment you intend to use / contract to Camco (SA) Pty Ltd?

Yes

Are up to date maintenance log books available for each item of plant?

Yes

Does each item of plant have a plant risk assessment? (if yes, please supply copy in file upload section below)

Yes

Does each item of plant have a Safe Operating Procedure (SOP)? (if yes, please supply copy in file upload section below)

Are prestart checklists completed daily for each item of plant?

Yes

Do you have a register / records to verify maintenance and compliance of equipment brought to site?

Yes

Section 6: Mandatory Documents (Subcontractors Only)

This section must be completed by sub-contractors working on Camco (SA) Pty Ltd sites with accompanying copies of current Public Liability Insurance Certificate of Currency and Return to Work SA or personal insurance.

Please tick and supply a copy in file upload section below of the relevant documents for each (mandatory):

Certificate of Currency for Public Liability Insurance

Return to Work SA Registration Certificate (or Personal Insurance for Sole Traders)

Section 7: Other Documents (Subcontractors Only)

Please tick and supply a copy in file upload section below of the documents for each, where relevant:

Professional Indemnity Insurance

Plant Risk Assessments

Vehicle / Plant Insurance

Staff Credentials - Please select any relevant credentials for your staff and supply a copy in file upload section below, if applicable:

Tickets, Training

& Inductions - Ple

ase select any rel

evant tickets and

training for your

staff and supply a

copy in file uplo

ad section below,

if applicable:

White

Card

Drivers L

icenses

Operator

Tickets

Please add any relevant information or notes here:

Section 8: Camco (SA) Pty Ltd's Policies

Please indicate below that you have read and agree to the conduct identified in Camco's policies

I agree

Section 9: Terms & Conditions

ABN

A valid ABN must be provided. If your ABN is registered under a Trust or Company, you should also provide the Name that appears on the Australian Business Register as your Business Name. Note by providing an ABN, you are stating that you are the legal holder of this ABN and are entitled to trade under this registration. If you do not quote an ABN on your invoice Camco (SA) Pty Ltd may be required to withhold 47% from your payment.

Contact Details

Note the address and contact details provided under “Purchase Order and Remittance Advice” will be where Camco (SA) Pty Ltd email/fax purchase orders to.

Mandatory Documents

The provision of the following valid documents is mandatory for all sub-contractors working at Camco (SA) Pty Ltd sites:

Certificate of Currency for Public Liability Insurance
Return to Work SA Registration Certificate (or Personal Insurance for Sole Traders)

Payment Terms

Invoices for goods or services supplied are paid by Camco (SA) Pty Ltd 30 days from end of month. To ensure payment the vendor must submit an appropriate invoice with a valid purchase order number by the 5th working day of the following month.

Signature - Terms & Conditions

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Why complete this form?

To register as a vendor to Camco (SA) Pty Ltd
Enable Camco (SA) Pty Ltd to classify your business by the goods or services that you supply and to allow for future purchase transactions with your business.
Assist Camco (SA) Pty Ltd to provide timely payment of your account.

This form must be completed and signed by an authorised officer of the Vendor.

Is the business South Australian owned?

Yes

Accounts Email Address (if different from main/sales email address)

Safety, Quality & Environmental Management

Safety Training & Competence

Vehicles, Plant & Equpiment

Please upload any of the following documents below:

Mandatory *

· Certificate of Currency for Public Liability Insurance

· Return to Work SA Registration Certificate (or Personal Insurance for Sole Traders)

If Applicable

· Safety Documents - ISO Certificates, SWMS, SOP’s Risk Assessments, Maintenance Records

· Other Documents - Trade Licences, Cards, Tickets, Certificates, Clearances, Inductions, Subcontractor Agreements, Company Policies, Org Chart, CV’s

Note: Please be assured that any private and confidential information provided will be handled and stored in accordance with our company privacy policy. Your trust is important to us, and we are committed to maintaining the security and confidentiality of your information. For more details, please refer to our privacy policy (POL-HR-010).

Thank you.

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