Client Health & Safety Questionnaire

Client Health & Safety Questionnaire
This questionnaire relates to the supply of Temporary and Permanent workers to Office Workplaces Only.

When a client uses agency placed workers, both the client and the agency have a shared duty to look after the health and safety of those workers.

Under the Health & Safety at Work Act clients before the start of the placement must give the agency all information about any risks which might affect the worker an any measures taken to control such risks.

The Agency must ensure that the workers receive this information and both parties must ensure that they have understood the risks identified and the steps taken by the client to control them.
1. If there are any health or safety risks attached to the role to be carried out by workers supplied by Superb People and what steps you have taken to control them?
2. That all workers supplied by Superb People will receive appropriate H&S briefing/induction including Fire Evacuation procedures.*

YESNO
3. You will conduct appropriate training and assessment for workers supplied by Superb People using DSE/VDU equipment.*

YESNO
4. You will carry out Expectant / New Mother risk assessments where required on workers supplied by Superb People.*

YESNO
Name*

First NameLast Name
Signature*

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