Supply Chain Manager Registration Form

Please Note: All questions marked with a * are required and need to be completed in order to proceed
General Information
Password: Minimum of 6 Characters *
User Name: *
Company Name: *
Trading Name: *
Address1: *
Address2: *
Address3:
Address4: *
PostCode: *
Tel No: *
Fax No:
Email: *
WebSite:
Company Reg No: *
VAT Registration Number: *
Unique Tax Reference Number: *

Operations

Scope Of Work:

Please select ONE or MORE of the descriptions in the
drop down box to allow us to classify your scope of work.

If you need to reset you selects please select "Clear List" from
the dropdown box.

If you select "Other Specialist" please fill in the other box.

*

Other:

What is your Company's preferred order range Min:£ | Max: £
If there is a design element required as part of your contract is this provided in house:

Preferred Operating Areas:
Derbyshire: Nottinghamshire:
Leicestershire: South Yorkshire:
Lincolnshire: West Midlands:
Northamptonshire: Other:
 
Level of Service: *
Total number of staff & directly employed operatives: *
What % of your work do you subcontract %

Insurances
Please state what insurances you have: Level of Cover Expires Please Attach PDF
Public Liability £
Products Liability £
Employers Liability £
Contractors "All Risk" £
Professional Indemnity £

Recognition & Competence
Training
Do you operate a documented training programme to ensure the competence of your staff:
If so does the training programme cover:  
Acheiving CSCS / CPCS or other Affiliated Scheme:
IPAF for the use of MEWPs
PASMA for the erection of Tower Scaffolds
Toolbox Talks
Health & Safety Inductions / Training
Other (please state)

Safety, Health, Enviromental & Quality
Do you have a regular updated Health & Safety policy (Evidence Required):
Do you have an environmental policy (Evidence Required):
Do you operate a documented Environmental Management System (EMS):
Does your EMS comply ISO 14001:
Health & Safety advisor details: Name:
Tel No:
Qualifications
Person Responsible for Health and Safety within your organisation: Name: *
Position:
Tel No :
Do you offer standard certificates of conformaty:
Do you have an After Care Manager to deal with problems after handover:
Do you conduct Risk Assessments & Method Statements:
How do you communicate your MS & RA to your workforce:
How do you manage your responsibilities under CDM and H&S regulations:
Do you have any UKAS Accreditation:
ISO 9001 Quality System If no are you seeking accreditation:
ISO 14001 Environmental System: If no are you seeking accreditation:
OHSAS 18001 Safety System If no are you seeking accreditation:
If you do not have any UKAS Accreditation do you operate a formal Management System
Will you ensure that your Employees comply with HBC Site Safety Rules:
CHAS Member or any other Health & Safety Advisory Organisation:
CHAS Registration Number

Do you have Procedures for Reporting & Investigating Accidents, Dangerous Occurrences
or Occupational Illness (Evidence Required):

RIDDOR Disclosure

Please provide details of your companies Accidents / RIDDOR's and any Enforcement Notices / Prosecutions received over the last three years
(this is to include any Sub-contractors)
Type Year Number  
+

Equal Opportunities
Do you have an equal opportunities policy:
Do you have a disabled persons policy:

Financial
What is your Anticipated Turnover for the Forthcoming Year (Numerical Value Only Please) £
Who are your Major Clients
Who are your major suppliers:

References
Title of Project:
Company Name: *
Address1: *
Address2: *
Address3:
Address4:
Address5: *
Post Code: *
Commencement Date: *
Completion Date:
Approximate Value of the Works Package: £

Title of Project:
Company Name: *
Address1: *
Address2: *
Address3:
Address4:
Address5: *
Post Code: *
Commencement Date:
Completion Date:
Approximate Value of the Works Package: £

IMPORTANT

Where we indicate ‘Evidence Required’ to support your application we will contact you
with our specific requirement. Please do not send any documentation until
you receive our acknowledgement