WBS Enquiry Form

• Document No.

• Enquiry Form

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Prepared for

• What are your main reasons for deciding to implement a safety system within your company?

  To comply with the law

  To protect the company and staff

  Other, please specify

• How are you managing safety at present?

  In House

  Basic System

  Not Managed

• What level of services are you interested in?

  Business Safety

  Business Safety Plus

  Business Safety Excel

Business Details

• Do you have a safety policy?

  Yes - reviewed yearly

  Yes - no recent review

  No

• How many staff do you have?

  0 - 4

  5 - 25

  25 +

• What is the nature of your business?

  Construction

  Retail

  Education

  Other, please specify

Training

• Have you carried any training recently?

  Yes

  No

  N/A

• CITB Recommended Courses (numbers?)

  Select SSSTS SMSTS Directors Responsibilities CSCS Safety Awareness Other, Please specify

  • SSSTS
  • SMSTS
  • Directors Responsibilities
  • CSCS Safety Awareness
  • Other, Please specify

• Nebosh Recommended (numbers?)

  Select Certificate Diploma

  • Certificate
  • Diploma

• IOSH Recommended (numbers?)

  Select Working Safely Supervising Safely Managing Safely

  • Working Safely
  • Supervising Safely
  • Managing Safely

• Workplace Courses

  Forklift Training

  Manual Handling

  Emergency First Aid

  Working at Height

  Fire Warden

Safety Management

• Do you have Risk Assessments in place?

  Yes

  No

  N/A

• Last Review Date

  Date

• Do you have COSHH assessments in place?

  Yes

  No

  N/A

• Last Review Date

  Date

• Do you have a Fire Risk Assessment for your premises?

  Yes

  No

  N/A

• Last Review Date

  Date

CDM 2015 Compliance

• Do you work under CDM Regulations?

  Yes

  No

  N/A

• Can we offer you a site or workplace inspection to provide a snapshot of your current levels of safety?

  Yes

  No

  N/A

• Please provide an email that we can forward this report to.