Information

Welfare Certificate Details

  • Property address

  • Bertram reference

  • Client Reference

  • Prepared by

Welfare details and agreement

Section to be completed by owner / occupier

As homeowner / occupier I give my permission for the staff of Bertram and their subcontractors to use the facilities indicated below -please answer yes, not or not applicable

  • Sanitary conveniences

  • Washing facilities

  • Drinking water

  • Rest facilities

  • Details of other welfare issues / facilities

  • Photo if applicable

  • Signature

  • Date

Section to be completed by Bertram

The signature below indicates that the "responsible person" identified accepts for Bertram that should any person under the control of Bertram or their subcontractor's misuse any of the facilities provided that person will be dismissed from site and any costs incurred may be charged to the company and that permission to use the facilities may be withdrawn.

  • Signature

  • Date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.