Shuttleworth – Trader H&S Form

Shuttleworth - Trader H&S Form

- 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

Please upload copies of your H&S Policy/Statement of Intent, your Risk Assessments (including Fire Risk Assessment) & accompanying Method Statements for the specific tasks, which your organisation will be routinely carrying out at our event site. You may be asked to provide further risk assessments at a later date if you are required to carry out any non routine work not covered in your general risk assessment.

Risk Assessments & Method Statements should be specific to this event and the work you are contracted to undertake.

All Risk Assessments & Method Statements must be dated and signed.

Please include COVID-19 in your Risk Assessment - if this is a separate document, please provide copies of both Risk Assessments.

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

Click or drag files to this area to upload. You can upload up to 20 files.

Method Statement - File Upload

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Risk Assessment - File Upload

Click or drag files to this area to upload. You can upload up to 10 files.

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

Click or drag files to this area to upload. You can upload up to 20 files.

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

Click or drag a file to this area to upload.

Nominated Site Safety Contact *

Phone *

GDPR Statement *

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