Contractors Assessment | Nicholson Lettings

First name

Last name

Email

Address

VAT ID

Company name

Company website address

Please provide bank details for payment – Name of account, sort code, account number

Is each member of your organisation aware of their responsibilities under the Construction Design and Management Regulations 2015?

Yes

No

If no, please provide details

Please provide information on all prohibition, improvement or other enforcement notices issued against your company within the past five years *

Please provide number of fatalities/major accidents over the last four years *

Please provide total of RIDDOR Reportable Accidents/Incidents over the last four years *

Please provide number of prosecutions over the last four years *

Please provide the number of improvement notices served on your company in the last four years

Please provide the number of prohibition notices served on your company in the last four years

Please provide the number of environmental incidents in the last four years

Please provide details of any prosecution against your company, or individuals employed by your company, for breaches of health and safety legislation within the past five years

Please confirm the past 3 years’ health and safety training within your organisation, including asbestos

Outline your organisational procedures for disseminating up to date developments on health and safety issues

Please provide the names and qualifications of internal safety advisers and/or external safety consultants, including specialist resources, used by your organisation

Are there safety representatives appointed within your workforce?

Yes

No

Do you have a safety committee for consultation purposes?

Yes

No

Do you currently undertake risk assessments/method statements as part of your duties under the management of health and safety at work regulations?

Yes

No

Does your organisation currently undertake a post-contract reviews of health and safety management?

Yes

No

Outline your organisation structure, for the co-ordination of health and safety information between yourselves and the principal contractor

How do you ensure sub-contractors are competent?

Can you confirm that all relevant method statements and risk assessments will be presented for review prior to commencement of any works on site?

Yes

No

Please provide the name and position of the person completing this form

File upload

Current H&S policy statement

At least 3 sample risk assessments

Current H&S policy statement

An outline of your management structure regarding H&S responsibilities together with the name of the most senior Director responsible for safety and the signatory on your H&S policy

Up to date insurance certifications (PLI/ELI)