Online Form - Rowan Block Management

Contractor Form

1. Company name

2. Address

3. Main contact name

4. Phone number

5. Email address

6. Trade/Service provided

7. List any relevant qualifications

8. VAT number (if registered)

9. Bank account name

10. Bank sort code

11. Bank account number

12. Please upload your public liability insurance certificate. If you’re using your smartphone and need to locate the document, please check your email inbox (you may need to search for your insurance provider), open it and confirm it is your current full Public Liability Insurance certificate (usually a 1–2 page PDF), then download or save it to your phone (e.g. ‘Files’ or ‘Downloads’) and select it from there when uploading to this form. If you have any difficulty uploading the PDF, you can alternatively upload a clear screenshot or photo of the full certificate (if it is a single page).

13. Do you comply with all the required Health & Safety regulations? (Yes / No)

14. Construction contractors only: For smaller jobs lasting less than 8-9 hours, do you produce a brief, site-specific risk/method record (e.g. one page in a diary or even a voice note on your phone), and for longer jobs, will you provide a Construction Phase Plan as required by law? An app such as the CDM Wizard (https://www.citb.co.uk/about-citb/partnerships-and-initiatives/construction-design-and-management-regulations-2015/cdm-wizard) can be used to do so in as quickly as 5 minutes and you can also use the app to email any plans to us.

15. Construction contractors only: Please confirm you will ensure any legally required welfare facilities are in place for your jobs? For more information visit https://www.hse.gov.uk/construction/healthrisks/welfare/index.htm

16. Non-construction contractors only (cleaners, gardeners, window cleaners, etc.): I confirm that I assess risks and follow safe work procedures for my tasks.

17. I confirm that no Enforcement or Prohibition Notices have been received within the last five years?

18. I confirm all staff/subcontractors are competent and appropriately trained.

Signature