NEW SHEQ Form 2024 - skylinegreen.co.uk

This questionnaire is designed to help Skyline Green Ltd assess the Health, Safety, Quality & Environmental standards that their sub-contractors are working to. All current sub-contractors, and sub-contractors that wish to be on Skyline Green’s preferred contractor list must complete this questionnaire in full and submit it along with the required supporting documents. It may be necessary to split a large email with attachments into multiple smaller emails to ensure they are not rejected by the email server. If you have any questions relating to the completion of this form, please contact Skyline Green Ltd, for advice and support.

Sub-Contractor Information & General Requirements

You must fully complete the form and promptly upload any required documents. Failure to do so will result in the inability to commence work. It may significantly impact the approval of your staff or subcontractors based on their training and adherence to health and safety protocols.

Name of Sub-Contractor:

Trading Address:

Contact Number:

Contact Email:

Nature of Business

Identify the total number of personnel directly employed:

Identify the total number that are field operatives:

Trading As

Provide full commercial insurance details, copies required, and to ensure that the Company are provided with a copy of any future renewals as they fall. It is the sub-contractor’s responsibility to maintain adequate insurance cover at all times for the type and scope of work being undertaken for the company.

Upload documents

PROVIDE TWO REFERENCES

Organisation:

Contact Name:

Tel No.

Type of work

SECOND REFERENCE

Organisation:

Contact Name

Tel No.

Type of work

Bank Name

Account Number

Sort Code

Company Reg Number

UTR Number

VAT Number

NI Number

Contractor Health & Safety Questionnaire

SSIP' Certification

CHAS

SMAS

SafeContractor

Acclaim

Constriclion Line

Are you a registered waste carrier?

If yes, please detail waste carrier’s licence number:

Do you have an Environmental Policy?

Environmental Policy?

Other: Please Specify

Trade Association Certificates:

Who in your company has ultimate responsibility for health and safety?

Who will be responsible for health and safety at the work site?

Do you employ more than 5 people (self-employed / Labour only sub contractors)?

H&S Policy

If Written: Please provide a copy

Provide documents

Is the policy signed by the Managing Director (or equivalent) and dated?

How are the contents of the policy brought to the attention of your employees?

When the policy was last updated? (Must be within the last 12-months)

Do you agree to comply with Skyline Green Ltd, Health, Safety and Environmental rules for sub-contractors?

Yes No

Do you agree to act on issues raised by Skyline Green Ltd site management, or Skyline Green Ltd Health & Safety Manager in relation to your works and / or operatives?

Yes No

Do you have suitable and sufficient Risk Assessments / Method Statements specific to your work on site? Provide Example "

Yes No

Do you commit to ensuring all operatives attend site induction before starting work?

Yes No

Do you commit to ensuring your own personnel are inducted into the safe system of work prior to starting work on site?

Yes No

Do you have access to competent health and safety advice either internally or through and external adviser? Give details.

Yes No

Give Details :

Have managers and supervisors who are to oversee the work received Health & Safety Training?

Yes No

Can the details of the management / supervisors competency's be provided for copy upon request ?

Yes No

Have the operatives who are to undertake the work been trained in the work they are to do? Professional/trade training needs to be appropriate to the work being quoted for

Yes No

Have all operatives who undertake work have a valid CSCS card or equivalent for their individual trade?

Yes No

Can the details ofall operative competency's be provided for copy upon request ?

Yes No

Do you employ other contractors

Yes No

If yes, what arrangements do you have in place to ensure Contractors are competent

Do you keep records of accidents for 5 years?

Yes No

How many RIDDOR reportable accidents have you had in the last 5 years? Please attach details of the individual accidents

Yes No

Have you had any prohibition/improvement notices issued to you by an enforcing officer (HSE/Local authority)? Give details

Yes No

Has your organisation ever been prosecuted for a health and safety offence? Give details

Yes No

Have you has a county court judgement against you in the last 5 years?

Yes No

Have you been involved in any formal disputes in the last 5 years?

Yes No

Acceptance / Signature - I declare the information provided within this questionnaire to be accurate and true.

Signature of Director

Print Name of Director

Date

SEND THE BELOW SUPPORTING DOCUMENTS

Upload documents

Employers Liability Insurance

Yes No

Public Liability Insurance

Yes No

Professional Indemnity Insurance

Yes No

SSIP Certification

Yes No

Trade Association Certificates

Yes No

Health and Safety Policy

Yes No

Example of Risk & Method Statement

Yes No

FURTHER ACTION