Expression of Interest - REGISTRATION

To start the process of becoming a supplier to Albemarle in Australia, please fill out the form below. It is essential that potential suppliers carefully consider which areas they are qualified to supply.

You must nominate your preferred Albemarle supply areas which are defined as:

OPERATIONS

Select this option if your business:

  • Provides goods and services typically used in the ongoing operation, maintenance or support of a processing facility.
MAJOR & SUSTAINING CAPITAL

Select this option if your business:

  • Provides goods and services to make modifications to existing processing facilities/equipment (brown fields).
BOTH

Select this option if your business:

  • Provides goods and services typically used in both the categories of Operations and Major & Sustaining Capital.

Details of Your Organization

(Permanent & Contract Staff)
- last financial year in AUD (Australian Dollars)
(if different than Registered Business Address)

Contact Details

Business Activities You Can Provide to Albemarle


Are you electing to supply for operations, major supply, or both?

Describe the main business activities of your organization and what other goods and/or services do you offer that may be of benefit to Albemarle?

Did your Company perform work or conducted business with Amec / Wood during the Albemarle Lithium construction Project?
If Yes, please provide a description

Do you have experience to work with companies from mining industry?

Have you had any contracts terminated for poor performance in the last three years, or any contracts where damages have been claimed by the contracting authority?

Key Clients/References

Please provide at least 3 client contacts. *


(Client Name, Position and Contact Number)

Insurances

Management System Status

Please describe the systems you have in place, including any external certification or auditing processes.




Health, Safety & Environmental (HSE) Information


Is your business registered on the ISNetworld database?

Will your business agree to register with ISNetworld at no additional cost to Albemarle prior to commencing the Contract?

Does your Company have a full time HSE representative?

Did your company receive any Workplace Health and Safety prosecutions for the last 3 years?

Number of Fatalities recorded for the last 3years

Sustainability


Does your company implement sustainability practices into your organization?
If Yes, please provide details

Additional Supporting Comments

  • PARTICULAR CHARACTERISTICS MAKES YOUR BUSINESS SUITABLE TO SUPPLYING TO THE KEMERTON LITHIUM PROCESSING PLANT *
  • Details If your business meet the criteria to register/is registered on the Aboriginal Business Directory WA (www.abdwa.com.au)

Uploads

Other Optional Files

Form Completed By

If you experience technical difficulties in completing this form, please email kemertoncontracting@albemarle.com.