Shuttleworth Proms 2022 – H&S Submission

Shuttleworth Proms 2022 - H&S Submission

- Step 1 of 6

Registered Company Name

Trading Name (if different to above)

Contact Name *

First

Last

Phone Number

Email *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Onsite Contact

Onsite Contact Name *

First

Last

Phone

Mobile Number

Please upload copies of insurance certificates or Brokers letters valid for the duration of the event.

Public Liability - Sum Insured *

Public Liability Expiry Date *

Public Liability Insurance - File Upload

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Employers Liability - Sum Insured

Employers Liability - Expiry Date

Employers Liability Insurance - File Upload

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Professional Indemnity - Sum Insured

Professional Indemnity - Expiry Date

Professional Indemnity Insurance - File Upload

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Contractor Health & Safety Documentation
A suitable and sufficient Health & Safety Policy Statement detailing the organisation’s overall policy on health and safety and its organisation and arrangements for implementation, in relation to its work on Shuttleworth Proms. The policy should be signed and dated.

Health & Safety Policy / Health & Safety Statement - File Upload

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Method Statement & Supporting Risk Assessment
Specific to the intended activities to be undertaken at Shuttleworth Proms. Generic risk assessments and method statements are acceptable provided that they are accompanied with an email/letter confirming that they are relevant to the specific works to be undertaken, otherwise specific documentation will be required. Risk Assessments should also include your management of Covid-19 risks.

Method Statement - File Upload

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Risk Assessment - File Upload

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Technical Data
For temporary structures and/or installations on site, such information may include:

Fire retardancy details for marquees and fabrics used on site test certificates must be to BS or EN standards
Plans and structural calculations for temporary structures, or summary details of the compliance to current design standards
Limitations in respect of load carrying capacities
Safety procedures and design limits in respect of wind loading and/or a weather management plan
Electrical safety data / PAT certificates for all electrical equipment
Copies of certification relating to the examination of lifting equipment
COSHH safety data
Waste Carrier Licences
ADIPS Certificate

Technical Data - File Upload

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Competence Certificates
General - Certificates or other documentary evidence attesting to the competence of the contractor for their specific area of works to be undertaken on site (e.g. details of membership of trade associations / documentation attesting to the competence of employees).

Individuals – Copies of certificates or licenses demonstrating competence of individual operatives on site will be required in respect of plant operators, e.g. forklift/ MEWP operatives and first-aiders.

Competence - File Upload

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Nominated Site Safety Contact *

Phone *

GDPR Statement *

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