Contractors

1 Company Details

Company Name

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

2A. How many office staff do you employ?

2B. How many site operatives do you employ?

3. H&S Policy

Yes

Do you have a company Health, Safety and Environmental Policy detailing the company’s organisation and arrangements for its implementation? (please attach a copy)

4. Insurance

Public Liability (£5 Million minimum)

Employers Liability (£5 Million minimum)

Motor Vehicle Insurance (if applicable)

Do you have appropriate insurance policies in place? (attach current certificates below)

5. ISO45001

Yes

Do you currently hold ISO 45001 accreditation or other SSIP certificate? If yes, please attach a copy of your certificate(s). If you hold ISO 45001 accreditation or other SSIP certificate, you only need to answer sections 1-4 and 19-20 of this questionnaire.

6. Health & Safety Representative

First Last Job Title

Please provide the name of the person within the company who is responsible for the Health and Safety of your organisation. (please provide training / experience details)

7. Health & Safety Advisor

First Last Company

Do you contract someone to provide competent health and safety advice? (please provide contact details / training / experience details)

8. Training

Yes

Have employees, including managers and supervisors received appropriate Health and Safety training? (please provide training details and provide a selection of example certification)

9. Operative Training

Yes

Do your operatives who will be employed on site hold relevant skills, knowledge and experience? (please provide training / experience details and example certification)

10. Accident Reporting

Yes

Do you have an accident / incident / dangerous occurrence reporting procedure?

11. RIDDOR

Yes

Have you reported any RIDDOR reportable events to the HSE in the last 3 years? (Please attach details below)

12. Improvement Notices

Yes

Have you received any improvement or prohibition notices from enforcing authorities or been subject to prosecution in the last 3 years? (Please attach details below)

13. Auditing

Yes

Do you have a procedure to audit, monitor and review your operations? (Please attach details below)

14. Equipment Testing

Electrical Testing Certification

Lifting Equipment Testing Certification

Other

Please provide electrical testing records, lifting equipment certification documentation and monitoring documentation. (Please attach current certificates below)

15. Subcontractors

Do you employ subcontractors, if so how do you assess their organisational capability? (Please detail)

16. Risk Assessments

Yes

Do you have a procedure for identifying hazards and assessing risk? (Please attach a horse trials specific risk assessment below)

17. Method Statements

Yes

Do you provide operatives undertaking work with job specific method statements and instructions? (if applicable attach a horse trials specific method statement below)

18. Controlled Waste

Yes

Do you carry controlled waste and if so are you registered with the relevant regulatory authority? (Please attach a copy of certification below where relevant)

Name

First Last

Date

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Contractors

Contractor Health & Safety

1 Company Details

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