NHBC Safemark Cmpetency Accreditatin Service Appintment frm and registratin pack (including dcument checklist) This frm appints Santia Accreditatin t carry ut NHBC Safemark Cmpetency Accreditatin fr yur cmpany: 1. Infrmatin abut yu (the client) Cmpany name: Cntact name: Cmpany address: Twn: Cunty: Pstcde: Telephne number: Mbile number: Fax number: Email address: 2. Schedule f services Service ref Descriptin Tick service required Rate (exc. VAT) Inc. VAT @ 20% HS20 Safemark Cmpetency Accreditatin 245.00 294.00 Please tick yur preferred payment ptin: Cheque (made payable t Santia Accreditatin) Credit/debit card (please call 0292 085 5600) 3. Agreement The client agrees t emply NHBC Services Ltd t prvide the service(s) utlined in Sectin 2. Full terms and cnditins regarding the supply f Safemark accreditatin (administered by Santia Accreditatin) are available n request by pst frm: Safemark Scheme, Santia Huse, Parc Nantgarw, Cardiff CF15 7QX, r by email frm nhbc.accreditatin@santia.c.uk. Signed fr client: Full name: Psitin in cmpany: Date: 4. NHBC appintment ID (t be cmpleted by NHBC) page 1 J179a 07/15
Guidance in the use and cmpletin f the registratin pack Fr yur cnvenience, the dcument is clur cded t ensure that yu can easily access the guidance yu need and nly answer thse questins relevant t yur peratins. The clur cding wrks as fllws: Relevant t: Cntractr and principal cntractr: Relevant guidance and questins have a BLUE stripe n the right-hand side and cntains the letters. Principal Designer (): A principal designer s rle is t plan, manage and mnitr the c-rdinatin f the pre-cnstructin phase, including any preparatry wrk carried ut fr the prject. Please nte that this rle cannt be applied fr unless yu are als applying fr accreditatin as a designer. Relevant guidance and questins have a PURPLE stripe n the right-hand side and cntains the letters. Designers: (including thse businesses invlved in architecture, civil engineering, structural engineering, building services engineering r building surveys) Relevant guidance and questins have an ORANGE stripe n the right-hand side and cntains the letters. Where prvisin f evidence is required, the dcument includes a tick bx t assist yu in ensuring that yu have respnded t all relevant questins. Where ther supprting infrmatin is required n the dcument, this has been kept t a minimum, with space prvided fr written cmments if required. If yu require mre space than is available in the supprting infrmatin sectins, please use a separate sheet f paper with yur cmpany name and the cre criteria number clearly marked n the tp f each page. Befre yu send yur submissin, yu shuld carefully ensure that all written evidence requested is enclsed, alng with payment f any fees. Please nly prvide the evidence requested t supprt the questins relevant t yur business area. If further evidence is needed by the assessr, we will write t yu and explain what we require. Please nte: Yu shuld nly enclse cpies f yur dcumentatin and certificatins, as we are unable t return riginals. Once yu have cmpleted the applicatin frm, please return t Safemark Scheme, Santia Huse, Parc Nantgarw, Cardiff CF15 7QX, email nhbc.accreditatin@santia.c.uk r call 0292 085 5600. page 2
Safemark registratin pack PLEASE REFER TO THE SAFEMARK GUIDANCE DOCUMENT FOR ANY FURTHER CLARIFICATION REQUIRED ON QUESTIONS IN THIS REGISTRATION PACK. EITHER COMPLETE THE FORM ONLINE, PRINT OFF AND SEND, OR PRINT OUT AND COMPLETE IN BLACK INK. A Cmpany type please tick Applicatin fr registratin as: please tick A1 Limited cmpany A4 Cntractr/develper A2 Sle trader A5 Principal designer A3 Other (i.e. LLP) A6 Designer A7 Principal cntractr B Number f emplyees B1 Directrs and management B3 Tradesmen and peratives (including sub-cntractrs and self-emplyed peratives) B2 Administratin B4 Ttal number f emplyees C Cmpany details C1 Cmpany registratin number C2 Type f wrk yur business undertakes C3 List membership f trade rganisatins Organisatin Member n. Expiry date Please include cpies f membership certificatin C4 Details f membership f ther SSiP rganisatins Organisatin Member n. Expiry date Please include cpies f membership certificatin Declaratin t be cmpleted by a senir directr f the cmpany As the directr respnsible fr health and safety, I cnfirm that the infrmatin prvided with this applicatin pack is a true and accurate reflectin f my cmpany health and safety system. I understand that if any misleading r false infrmatin is submitted, this may result in the cancellatin f my registratin with Safemark. Signed fr client: Full name: Psitin in cmpany: Date: page 3
1.0 Cre criteria 1 & 2: Health and safety plicy rganisatin and arrangements 1.1 Please enclse a cpy f yur cmpany s latest health and safety plicy statement. Enclsed? Yes N 2.1 Please enclse a cpy f yur cmpany s latest health and safety arrangements, cvering (where applicable) asbests, health surveillance, wrk equipment, manual handling, hazardus substances, wrking at height, first aid, fire precautins, prtable electrical equipment, etc. Enclsed? Yes N 2.2 Hw d yu cmmunicate yur health and safety arrangements t yur wrkfrce? Please prvide details, including evidence f briefings/inductins. INTERNAL USE ONLY When was the health and safety plicy dcument last reviewed? Has the managing directr r equivalent signed the health and safety plicy statement? Des the health and safety plicy say wh is respnsible fr aspects f health and safety in the rganisatin? Are the arrangements clearly set ut? Are the arrangements relevant t the type and size f wrk carried ut? Are the duties under CDM 2015 clearly set ut in the arrangements dcument? Date Yes N Yes N Yes N Yes N Yes N page 4
3.0 Cre criteria 3: Cmpetent health and safety advice 3.1 D yu have access t cmpetent health and safety advice? Yes N If n, cntinue t cre criteria 4 3.2 Please include details f yur health and safety advisr and their qualificatins and relevant experience. Please include full details, a cpy f CV, qualificatins, etc. If nt, please explain why. 3.3 Please enclse evidence f appintment f yur health and safety advisr. Enclsed? Yes N 3.4 Please enclse a recent example f the type f advice received. Enclsed? Yes N 3.5 Explain hw yur emplyees access the health and safety advisr. 3.6 Des yur health and safety advisr prvide general health and safety advice? Yes N 3.7 Des yur health and safety advisr prvide cnstructin-related health and safety advice? Yes N page 5
4.0 Cre criteria 4: Health and safety training and infrmatin 4.1 Please enclse a cpy r sample f yur cmpany s health and safety training recrds. Enclsed? Yes N If n, please explain why nt. If yes, prvide examples f training recrds/matrix r register maintained by management r HR. 4.2 D yu prvide refresher training r have a cntinual prfessinal develpment (C) scheme fr yur staff at apprpriate levels in yur rganisatin? Yes N 4.3 D yur staff, bth ffice and site-based, receive a health and safety inductin? Yes N Prvide details f the inductin prcess and evidence f attendance. E.g. signed inductin register/sheet, recrds f emplyee inductins, certificates. page 6
5.0 Cre criteria 5: Individual qualificatins and experience 5.1 Please enclse example cpies f applicable qualificatins held by key members f yur staff such as: A Directrs r equivalent Yes N B Site-based staff Yes N C Plant peratrs Yes N D Health and safety advisrs Yes N If n, prvide details and evidence f the experience and cmpetencies that enable them t carry ut their duties. 5.2 Cntractrs nly A Hw many f yur site-based staff have taken the CITB CnstructinSkills tuch screen test (CSCS) r equivalent? Evidence enclsed? Yes N Please prvide evidence f abve-mentined training and qualificatins. B C Hw many f yur site managers/supervisrs have received specific training, such as the CITB Site Management Safety Training Scheme? Hw many f yur prfessinally qualified staff are full members f an institutin? E.g. trade-specific and NVQ certificates. D Hw many first aid trained staff d yu emply? Evidence enclsed? Yes N Please prvide evidence f abve-mentined training and qualificatins. page 7
5.3 Principal designers nly A Hw many f yur staff take the CITB CnstructinSkills tuch screen test r equivalent? If nne, please explain what arrangements yu make fr ensuring health and safety cmpetence. B Hw many f yur staff hld frmal health and safety qualificatins? E.g. NEBOSH Cnstructin Certificates. C Hw many f yur prfessinally qualified staff are full members f an institutin? If nne, please explain what arrangements yu make fr ensuring cntinuing prfessinal cmpetence. D E Hw many f yur staff carry ut regular cntinual prfessinal develpment (C) frm either prfessinal institutin membership r supplied by yurself? NB. Usually included n cmpany training matrix (register). Please prvide evidence that Principal Designers have experience f managing cnstructin prject safety. Please prvide evidence. 5.4 Designers nly A B Hw many f yur staff take the CITB CnstructinSkills tuch screen test r equivalent? Evidence enclsed? Yes N Hw many f yur prfessinally qualified staff are full members f an institutin? E.g. ICE Cnstructin H&S Register, NEBOSH Cnstructin Certificate, APS Design Register. page 8
6.0 Cre criteria 6: Health and safety mnitring, audit and review 6.1 Please enclse evidence f regular mnitring f health and safety. Evidence enclsed? Yes N If yu d nt have this evidence as requested, please explain hw yu mnitr health and safety in yur rganisatin. Please enclse examples f site inspectins, review f prcedures, plicy changes, etc. 6.2 Please enclse evidence f hw ften a review f yur health and safety prcedures takes place and by whm. Evidence enclsed? Yes N If nt enclsed, please prvide details belw. Please prvide a cpy f latest review/amendment page and any assciated crrespndence. 6.3 Are yur health and safety systems and prcedures frmally audited by an external bdy? Yes N If yes, prvide details f wh carried ut the last audit and a cpy f the latest audit reprt. page 9
7.0 Cre criteria 7: Wrkfrce invlvement 7.1 Please enclse details and evidence f hw yu cnsult with yur wrkfrce n health and safety matters. Please explain hw yu cnsult with yur wrkfrce n health and safety matters. E.g. recrds f H&S meetings/cmmittees/n-site briefings. 7.2 D yu hld regular health and safety meetings with yur staff? Yes N If yes, please enclse example minutes frm meetings. Evidence enclsed? Yes N 7.3 Have safety representatives been appinted (trade unin r therwise)? Yes N If yes, please prvide details. page 10
8.0 Cre criteria 8: Accident reprting and enfrcement actin 8.1 Please prvide details f any accidents that have resulted in fatalities, RIDDOR (Reprting f Injuries, Diseases and Dangerus Occurrences Regulatins) reprtable specified injuries/ver-seven-day injuries t cmply with RIDDOR 2013, accidents, incidences f ill health and dangerus ccurrences, in the last three years? Cmplete details belw. Year Fatalities Specified injuries/ Over-seven-day Reprtable ill health Dangerus ccurences 8.2 Please prvide brief details f the last tw accidents and their utcmes and any preventative measures implemented. Accident 1 Accident 2 NB. N persnal infrmatin shuld be included 8.3 Please prvide details f any enfrcement actin taken against yu in the last five years by either the Health and Safety Executive r lcal authrity? Details f enfrcement actin. 8.4 If yu have cmpleted 8.3, have the matters raised in the enfrcement actin been satisfactrily reslved? Yes N Please prvide details. page 11
9.0 Cre criteria 9: Sub-cntracting/cnsulting prcedures 9.1 A D yu use sub-cntractrs r cnsultants? Yes N B D yu assess the cmpetence f yur sub-cntractrs r cnsultants? Yes N If yes, please enclse a sample f a recent cntractr r cnsultant assessment. Evidence enclsed? Yes N 9.2 Hw d yu mnitr cntractr perfrmance? Please prvide details. E.g. site inspectin reprts, custmer satisfactin surveys. 9.3 D yu allw yur cntractrs t appint sub-cntractrs fr wrk that they carry ut fr yu? Yes N Prvide details f hw yu ensure that yur cntractrs have arrangements in place fr appinting cmpetent sub-cntractrs and apprpriate examples. 9.4 D yu carry ut cmpetency reviews n any design cnsultants that yu appint? Yes N Prvide details f hw yu carry this ut and a recent example f a review. page 12
10.0 Cre criteria 10: Hazard eliminatin and risk cntrl 10.1 Please prvide details f prcesses in place t ensure c-peratin and c-rdinatin between yur design team, ther designers and cnsultants. Please prvide details and relevant examples. 10.2 Please prvide details f hw yu ensure that yu meet yur duties under Regulatin 9 f CDM 2015. Please prvide details and a recent example. 10.3 Please prvide details f hw risk has been reduced thrugh design. Evidence enclsed? Yes N Please prvide details and recent evidence. 10.4 Please prvide details r a cpy f yur prcess t manage changes t design. Evidence enclsed? Yes N Please prvide details and recent evidence. page 13
11.0 Cre criteria 11: Risk assessment leading t a safe system f wrk 11.1 Please enclse examples f specific risk assessments relevant t the wrk yu carry ut. Enclsed? Yes N Prvide actual cpies f risk assessments used n recent prjects. If nt enclsed, detail belw hw yu identify and manage health and safety risk fr yur wrk. 11.2 Please enclse examples f any methd statements/safe systems f wrk relevant t the wrk yu carry ut. Enclsed? Yes N Prvide actual cpies f methd statements develped and used n recent prjects. If nt enclsed, detail belw hw yu ensure a safe system is carried ut. 11.3 Have ccupatinal health issues been identified with suitable cntrl measures implemented? Yes N If n, please detail hw yu identify and cntrl ccupatinal health risk and the measures taken t prtect yur wrkfrce and thers that may be affected. E.g. cpy f recent COSHH assessment, manual handling, nise and vibratin assessments. 11.4 Please prvide a recent example f a cmpleted cnstructin phase health and safety plan. Please prvide details and a recent example (please refer t CITB CDM Wizzard App and HSE Busy Builder Leaflet (CIS80) fr advice n the cntent). page 14
12.0 Cre criteria 12: C-perating with thers and c-rdinating yur wrk with ther cntractrs 12.1 Please include details f hw yu c-perate and c-rdinate with thers ver health and safety matters. Please prvide details and recent examples. E.g. cpy f recent H&S meeting minutes/site meeting minutes, risk assessments, practive arrangements. 12.2 Please include details f hw yu invlve yur wrkfrce in carrying ut risk assessments and methd statements. Please prvide details and recent examples. E.g. methd statement, risk assessments, inductins, briefing register. 13.0 Cre criteria 13: Welfare prvisin 13.1 Please prvide details f hw yu ensure that apprpriate welfare facilities are prvided befre peple start wrk n site. Please prvide details and a recent example. E.g. cntracts with welfare facility prviders, details f welfare facilities prvided n previus prjects. 13.2 Des yur health and safety plicy include a cmmitment t prvide welfare facilities befre peple start wrk n site? Yes N If n, please prvide details. If yes, prvide details f where this infrmatin can be fund. page 15
14.0 Cre criteria 14: Principal designer s duties 14.1 Please prvide evidence that yu ensure that the client is aware f their duties. Please prvide details. 14.2 Please prvide evidence t demnstrate hw yu assist the client in identifying, btaining and cllating pre-cnstructin infrmatin. Please prvide details. 14.3 A Please prvide evidence n hw yu c-rdinate with designers Please prvide details. 14.3 B Please prvide evidence f hw yu versee design decisins Please prvide details. 14.3 C Please prvide evidence f hw yu cmmunicate with the client. Please prvide details. page 16
14.4 A Please prvide evidence f hw yu prepare the pre-cnstructin infrmatin fr a prject Please prvide details. 14.4 B Please prvide evidence f cmmunicatin with the principal cntractr Please prvide details. 14.5 Please prvide evidence f hw yu prepare and handver the health and safety file. Please prvide details. page 17
Safemark assessment checklist full registratin pack T minimise delay in yur assessment, please enclse the fllwing attachments with yur applicatin. All dcuments listed shuld be up t date and fully cmpleted (blank and generic dcuments can nt be accepted as suitable evidence). Please send cpies, nt riginal dcuments, as all dcuments will be scanned and destryed. Please tick against each attachment fr yur recrds. Cmpleted appintment frm Crrect payment including VAT Cmpleted registratin pack Cpies f membership certificate(s) Signed and dated H&S plicy statement f Intent H&S plicy rganisatin and respnsibilities H&S plicy arrangements Example risk assessments (please send cpies f jb-specific assessments, nt generic dcuments) Example methd statements (please send cpies f jb-specific assessments, nt generic dcuments) Example COSHH, manual handling, nise & vibratin assessments (please send cpies f jb-specific assessments, nt generic dcuments) Evidence f appintment f qualificatins f cmpetent H&S advice Examples f advice given Cmpany training recrds/matrix/register Inductin/briefing sheet examples,tl bx table registers Examples f qualificatins, e.g. CSCS, S/NVQ, NEBOSH, CITB site management, first aid certificates Examples f site inspectin reprts, plicy review dcuments H&S audit reprts Example recrds f H&S meetings/cmmittee minutes Accident reprts and enfrcement details if applicable Sub-cntractr assessment prcedure and assessment frms Welfare facilities details, etc. Have yu remembered t sign and date the appintment frm and registratin pack? Once yu have cmpleted the appintment frm, please return t Safemark Scheme, Santia Huse, Parc Nantgarw, Cardiff CF15 7QX, email nhbc.accreditatin@santia.c.uk, r call 0292 085 5600. page 18