Title Page
-
Press next to complete the CMR New starter form.
CMR New Starter Form
-
Full Name
-
Mobile telephone number
-
Email address
Personal Information (To be fully completed)
-
Position/Trade/Skills
-
What trade qualifications do you have?
-
Full Postal address
-
Date of birth
-
Age
-
Marital status
-
National Insurance number
-
UTR Number
-
Public Liability Insurance
-
Please attach a copy of the insurance.
-
Insurance Company
-
Limit of cover and expiry date
CSCS or Equivalent cards
-
Do you have a CSCS or Equivalent card?
-
Card registration number
-
Colour
-
Type of card
-
Expiry date
-
Please attach a copy of your card
-
Do you have a CITV number?
-
Please enter the number:
Training
-
Are you trained on any of the following (Select all that apply)
- IPAF MEWPS
- PASMA Mobile Towers
- First aid
- General H&S
- Method Statements
- Risk Assesments
- Ladders
- Manual Handling
- Asbestos
- Generator
- Disk Cutter
- Confined Spaces
- Working at height
- COSHH Assessments
Next of Kin details
-
Name
-
Relationship
-
Full postal address (if different from above)
-
Contact number
H&S Questions
-
Have you personally been involved in or had any<br>reportable accidents in the last three years?
-
Please provide details of the accident
-
Have you ever personally been prosecuted or served a<br>formal notice by the HSE?
-
Please provide information of the prosecution/notice
-
Are all of your tools fit for purposes and fully maintained<br>on a regular basis?
-
Are all of your electrical tools and equipment fit for purposes, and fully<br>maintained and tested on a regular basis?
-
Are all of your vehicles fit for purposes, insured and fully maintained on<br>a regular basis?
-
Do you have health and safety assistance/support?
-
Do you have a DBS assessment
-
Do you have a health and safety (H&S) policy?
-
Do you agree to adopt ours?
-
Do you have your own risk assessments?
-
Do you agree to adopt ours?
-
Do you have your own safe working method statement?
-
Do you agree to adopt ours?
-
Do you know that you must wear appropriate PPE as required by the<br>tasks/hazards?
-
What PPE will you provide?
- Hard Hat
- Safety Boots
- Hi-Viz Jacket
- Eye Protection
- Ear Protection
- Respiratory protection
- Safety Harness
- Gloves
Declaration of truth and understanding
-
To the best of my knowledge and understanding the information supplied by me on this form is both true and accurate.
I fully understand my responsibilities and my legal duties regarding Health & Safety, and will endeavour to abide by the organisations H&S Policy and all site
rules as governed by the Principal Contractor/Site Manager. I will so far as reasonably practicable abide by your companies H&S Policy, Method Statements
and Risk Assessments, unless I provide my own (if I do provide my own they will be suitable, appropriate and applicable to the tasks we will undertake. -
Signed by
-
Date
Press next to accept the CMR Company standards
Please take the time to read and understand the standard we expect as a minimum
-
1. Sign in and out at the site register each day
-
2. Work to CMR method statement and risk assessments specific to each site
-
3. Respect others on site at all times
-
4. Comply with minimum PPE requirements at all times
-
5. Complete all work in line with CMR’s required quality standard (See Quality Checklist Sheet D010 copy provided)
-
6. Waste to be kept to a minimum and offcuts to be re-used where necessary
-
7. Not to waste mortar and only request what you are going to use
-
8. The area which you are working is to be cleaned by you/your gang before moving onto the next area of work
-
9. Your areas of completed work must be protected from weather by you/your gang
-
10. Ensure the materials you are using are covered each day
-
11. If any work has been incorrectly built by you/your gang, we expect this to be
-
12. If you/your gang don’t adhere to standards 7 to 12 – CMR may pass on costs
-
13. Measures, timesheets and invoices to be submitted to accounts by Monday 5pm Monday
-
14. Where day works are required, this is to be agreed and signed off by the site invoices
-
15. Where working on an hourly rate you agree to register and use Deputy the online timesheet App used by CMR
-
16. Must have a Public Liability insurance policy with a minimum cover of £2m (CMR can assist with arranging this if required)
I have read and understood the CMR Standards
-
Signed:
-
Date:
