Title Page
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Press next to complete the CMR New starter form.
CMR New Starter Form
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Full Name
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Mobile telephone number
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Email address
Personal Information (To be fully completed)
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Position/Trade/Skills
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What trade qualifications do you have?
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Full Postal address
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Date of birth
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Age
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Marital status
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National Insurance number
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UTR Number
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Public Liability Insurance
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Please attach a copy of the insurance.
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Insurance Company
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Limit of cover and expiry date
Bank Details
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Bank name
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Name on account
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Sort Code
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Account number
CSCS or Equivalent cards
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Do you have a CSCS or Equivalent card?
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Card registration number
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Colour
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Type of card
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Expiry date
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Please attach a copy of your card
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Do you have a CITV number?
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Please enter the number:
Training
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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
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Name
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Relationship
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Full postal address (if different from above)
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Contact number
H&S Questions
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Have you personally been involved in or had any<br>reportable accidents in the last three years?
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Please provide details of the accident
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Have you ever personally been prosecuted or served a<br>formal notice by the HSE?
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Please provide information of the prosecution/notice
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Are all of your tools fit for purposes and fully maintained<br>on a regular basis?
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Are all of your electrical tools and equipment fit for purposes, and fully<br>maintained and tested on a regular basis?
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Are all of your vehicles fit for purposes, insured and fully maintained on<br>a regular basis?
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Do you have health and safety assistance/support?
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Do you have a DBS assessment
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Do you have a health and safety (H&S) policy?
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Do you agree to adopt ours?
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Do you have your own risk assessments?
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Do you agree to adopt ours?
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Do you have your own safe working method statement?
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Do you agree to adopt ours?
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Do you know that you must wear appropriate PPE as required by the<br>tasks/hazards?
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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
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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
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Date
Press next to accept the CMR Company standards
Please take the time to read and understand the standard we expect as a minimum
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1. Sign in and out at the site register each day
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2. Work to CMR method statement and risk assessments specific to each site
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3. Respect others on site at all times
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4. Comply with minimum PPE requirements at all times
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5. Complete all work in line with CMR’s required quality standard (See Quality Checklist Sheet D010 copy provided)
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6. Waste to be kept to a minimum and offcuts to be re-used where necessary
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7. Not to waste mortar and only request what you are going to use
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8. The area which you are working is to be cleaned by you/your gang before moving onto the next area of work
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9. Your areas of completed work must be protected from weather by you/your gang
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10. Ensure the materials you are using are covered each day
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11. If any work has been incorrectly built by you/your gang, we expect this to be
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12. If you/your gang don’t adhere to standards 7 to 12 – CMR may pass on costs
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13. Measures, timesheets and invoices to be submitted to accounts by Monday 5pm Monday
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14. Where day works are required, this is to be agreed and signed off by the site invoices
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15. Where working on an hourly rate you agree to register and use Deputy the online timesheet App used by CMR
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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
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Signed:
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Date:
