Clone of Contractor H&S Questionnaire 2020

Contractor's Health & Safety Questionnaire and Production Schedule
The Festival of British Eventing (FoBE/the Event) is required by the Health and Safety at Work Act etc., 1974 and associated legislation to comply so far as is reasonably practicable with all applicable legislation. This extends to the employment of contractors who also have similar health and safety responsibilities.

The Event must ensure that products associated with the Event shall be safe and fit for their intended use and shall comply with all relevant statutes, regulations, directives and codes in force. Before employing any contractor to provide services for FoBE the following information will be required.

Please complete this form to the best of your knowledge. The more information we are given in advance the better prepared we can be for your arrival, minimising delays for your transport, crew and construction phase.

PLEASE NOTE: This form must be filled in in one sitting. Filling half the form in and then returning to it will result in any previously inputted information being lost.
CONTRACTOR INFORMATION
Company name *

Address *

Address line 1
Address line 2
Town/city	County
Postcode	Country

Pre event contact name *
Pre event contact number *
Pre event contact email *
On event contact name *
On event contact number *
MUST be a mobile number
Health and safety advisor name *
Health and safety advisor number *
Health and safety advisor email *
Is the company a member of a trade/professional association?
If yes, please give details
If you are a tentage provider, please provide your MUTA membership number
Those contractors who employ more than five persons (permenant or temporary) are required to submit copies of the following documents, as required by the Health and Safety at Work Act etc., 1974.
Health and safety policy

Browse Files

Cancel of
Activity risk assessment

Browse Files
Must be bespoke for FoBE Cancel of
BUILD & BREAK SCHEDULE
Build start date *

Month Day Year
Date Date Picker Icon
Build complete date *

Month Day Year
Date Date Picker Icon
Break start date *

Month Day Year
Date Date Picker Icon
Break complete date *

Month Day Year
Date Date Picker Icon
Please upload a detailed build/production schedule which describes your activities for each day you are on site. Please include delivery information (size, ETA, etc.). The point of this exercise is to outline activities and tasks that may impact others on site directly or indirectly.

Browse Files

Cancel of
INSURANCE INFORMATION

For the following insurance types, please state the level of cover it is limited to and the renewal date. Confirmation of cover must also be uploaded.
Public and/or product liability *
Input £ amount limited to
Renewal date *

Month Day Year
Date Date Picker Icon
Upload confirmation of cover

Browse Files

Cancel of
Contractor's all risk *
Input £ amount limited to
Renewal date *

Month Day Year
Date Date Picker Icon
Upload confirmation of cover

Browse Files

Cancel of
Employer's liability *
Input £ amount limited to
Renewal date *

Month Day Year
Date Date Picker Icon
Upload confirmation of cover

Browse Files

Cancel of
Professional indemnity *
Input £ amount limited to
Renewal date *

Month Day Year
Date Date Picker Icon
Upload confirmation of cover

Browse Files

Cancel of
Plant/equipment
Input £ amount limited to
Renewal date

Month Day Year
Date Date Picker Icon
Upload confirmation of cover

Browse Files

Cancel of
Does your insurance cover your staff whilst driving around a public event site? *

Yes No
Have you noted that FoBE will not be responsible for any loss or damage to your equipment unless you have specifically agreed that the Event will cover items within its insurance and that you have provided specific details of such items before 21st July 2019? Further, that any claims for damage or loss will only be accepted if such damage/loss has been identified before the removal of said equipment/end of the Event and a claim form has been completed and countersigned by the Event Director or Site Manager? *

Yes No
HEALTH AND SAFETY AT WORK DOCUMENTATION
Do you have a published health and safety policy which clearly informs us how you set about managing the requirements of legislation? *

Yes No
Do you compile and make available design/installation risk assessments? *

Yes No
Do you provide health and safety training for your employees and temporary employees? *

Yes No
Has training of your employees been carried out relating to specific tasks and risks? *

Yes No
Do you intend to subcontract any of the tasks at this event? If yes, copies of completed documentation must be supplied to FoBE below. *

Yes No
If you answered 'yes' to the previous question, please upload appropriate documentation here.

Browse Files

Cancel of
Do you carry out regular refresher training for your staff to ensure they are up to date with current health and safety requirements? *

Yes No
Do you provide a nominated supervisory level person to be on site throughout the time you are engaged in your contracted tasks? *

Yes No
Do you have arrangements for the translation of safety instructions and methods of work where employees are not of the same nationality? *

Yes No
Can you further assure us that no language barrier exists between your supervisor, your staff and ourselves? *

Yes No
Do you have arrangements for translation of information and methods of work into English for work to be completed on site? *

Yes No
Do you have an up to date, HSE approved, accident book? *

Yes No
Do you investigate accidents and check safety? *

Yes No
Do you have first aid arrangements in place? *

Yes No
Do you have instructions in place to ensure your employees are aware of the required action in the case of an accident requiring the need for medical attention whilst working on site at FoBE? This is most important when on-site first aid facilities are not available e.g. before and after the Event. *

Yes No
Do you have the facilities to issue a statutory handover/installation certificate should one be required? *

Yes No
Have you had any reportable injuries to employees/non-employees or dangerous occurrences reportable under the RIDDOR regulations in the past five years (for non-UK based companies, incidents which have had to be reported to your government authorities)? *

Yes No
Have you been subject of any investigation or enforcement action by any enforcement authority in the past five years? *

Yes No
If you answered 'yes' to the previous question, please supply details here
ENVIRONMENT & SUSTAINABILITY
Does your company have an environment and sustainability policy? *

Yes No
If you answered 'yes' to the previous question, please upload a copy of your policy here

Browse Files

Cancel of
PLANT, EQUIPMENT & VEHICLE MAINTENANCE INSPECTIONS
Do you have a written system for plant preventative maintenance and statutory inspections? *

Yes No
If you answered 'yes' to the previous question, please provide example inspection forms that will be used at FoBE

Browse Files

Cancel of

Please list details of plant/equipment you intend to use and the names of those trained/holding current Certificate of Training and Competence to operate it. This applies only to items or plant such as chainsaws, loaders, FLT’s and other similar types of equipment, not step ladders, hammers etc.

	Type of plant	Employee 1	Employee 2	Employee 3
Plant 1
Plant 2
Plant 3
Plant 4
Plant 5

Please upload training certification here

Browse Files

Cancel of
PASSES REQUIRED FOR ON SITE PERSONNEL & VEHICLES

PRE EVENT: Please include date/s, number of staff, and number of vehicles required (inc. registration if possible)

	No. staff on site	No. vehicles on site	Registration numbers
Pre event date 1
Pre event date 2
Pre event date 3
Pre event date 4
Pre event date 5
Pre event date 6
Pre event date 7
Pre event date 8
Pre event date 9

ON EVENT: Please include number of staff and number of vehicles required (inc. registration if possible)
Number of staff on site for all three event days *
Number of vehicles onsite for all three event days *
Friday 2nd August - number of staff on site *
Friday 2nd August - number of vehicles on site *
Saturday 3rd August - number of staff on site *
Saturday 3rd August - number of vehicles on site *
Sunday 4th August - number of staff on site *
Sunday 4th August - number of vehicles on site *
Will your team be staying on site? *

Yes No
If your team are staying on site, what dates will they be on site from and to?
Type of on site accommodation
Eg. tent/caravan
Number of units
Eg. 2 x caravan
TERMS & CONDITIONS
I confirm that the company I represent understands and accepts the site rules and guidelines which accompany this form and will comply with the requirements for health and safety at FoBE

Yes No
We understand that the acceptance FoBE's order indicates our acceptance of the Event’s terms and conditions. We understand that any changes to the original order require acceptance by the Event in advance of these being made and must be confirmed in writing. No requests for additional costs can be accepted or paid unless accompanied by an order amendment. *

Yes No
We are happy for our contact details to be used as appropriate whilst acting as a contractor for FoBE pre, during and post event *

Yes No
Name
Position within company
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

Contractor's Health & Safety Questionnaire and Production Schedule