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Section 1 - General Details

1a - Applicant Details

1b - Company Details

NOTE: Does your business operate out of more than 1 location, if so please provide details on headed paper and submit with your application.

1c - Workforce

NOTE: Please provide evidence of the system you use to assess your contractors competency.

Section 2 - Insurances

2a - Public Liability Insurance

2b - Employers Liability Insurance

2c - Public Indemnity Insurance

2d - Product Liability Insurance

NOTE: Please provide evidence of your current insurance policies

Section 3 - Financial Information

3a - Turnover

Please provide your financial information for the last three (completed) years

3b - Funding Capacity

Section 4 - Health & Safety

4a - Health & Safety Policy

4b - Occupational Health Checks

4c - Health & Safety Advice

4d - Health & Safety Communications

NOTE: If you have answered yes to the above please provide details

4e - Accidents & Notices (Exempt If SSIP Accreditation Held)

NOTE: If you have answered yes to any of the above please provide details
Harness Check RecordsRPE Maintenance RecordsSite Inspection RecordsSite Inspection RecordsPAT Testing Records (every 3 months)HAVS Assessments / Monitoring RecordsTool Box TalksPUWER RecordsVehicle Maintenance / Check Records

Section 5 - Training & Qualification

5a - Training Matrix & Records

5b - Business Accreditations & Associations

CHASSMASArchillesSafe ContractorAcclaimSafemark
NOTE: Please provide certification of any SSIP memberships held
ICATSFSB MemberCoRCConstructionLineBuilders ProfileEUSR
NOTE: Please provide certification of any memberships held

5c - Operative & Contractor Training

NOTE: Please provide evidence of any qualifications as above
CSCS / ICATS / Industry EquivalentLUCASPASMAAsbestos Awareness TrainingHand Arm Vibration Awareness (HAVS)EUSRIPAFWorking at Height TrainingCOSHH TrainingFace Fit Training (RPE)

Section 6 - Services

6a - On Site Services

6b - In House Services

Section 7 - Competence & Quality

7a - Competence

7b - Management & Quality Accreditations

NOTE: Please provide certification of any accreditations held

7c - Project Reference 1

7d - Project Reference 2

Section 8 - Environmental

Section 9 - Declaration

I declare that the information provided is correct at the time of signing the declaration.

I confirm that any significant changes to the information provided will be communicated to VeriTrade as soon as practicable. I confirm that we will cease works if any changes to our position means we cannot carry out works in accordance with Statutory or VeriTrade’s minimum requirements.

Agreement:

By signing this document with an electronic signature, I agree that my electronic signature is the legally binding equivalent to my handwritten signature.

Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

General Data Protection Regulation (GDPR) controls how your personal information is used by VeriTrade

Everyone responsible for using data has to follow strict rules called ‘data protection principles’. They must make sure the information is:

  • Used fairly and lawfully
  • Used for limited, specifically stated purposes
  • Used in a way that is adequate, relevant and not excessive accurate
  • Kept for no longer than is absolutely necessary
  • Handled according to people’s data protection rights
  • Kept safe and secure
  • Not transferred outside the UK without adequate protection

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