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Contractors Safety Assessment - Form (1)

Contractors Knowledge Base


This form is to be fully completed by all contractors wishing to tender for business with << enter company name >>. The purpose of this form is to ensure full compliance with the requirements of the Health and Safety at Work Act etc 1974, the Construction, (Design and Management) Regulations 2015 and all relevant current statutory requirements placed upon the workplace.

Project Details

Name of contractor




Tel no


Fax no


Contact name


Project tendered for


Administration details

Do you have a health & safety policy document?
(if yes attach a copy).

No / Yes, copy attached

Do you have employers liability insurance?

No / Yes

Do you have public liability insurance
(if yes, to what amount)

No / Yes, £ ___________

Who is responsible for health & safety in your company?