Destination Star Trek – Massive Events Ltd

Contractor Name *

Destination Star Trek 2021 - Health & Safety Declarations. The DEADLINE FOR SUBMISSION is: 5 November 2021 Failure to complete this form and provide any required information may delay entry.

Senior Contact *

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Phone

Email *

Contractor Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Event Specific Information

On site contact *

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Last

This person may be the same as the senior contact above, if not state who is going to be present on site in a senior capacity.

Checkboxes

Work at height or rigging suspended services
Catering - other than pre-packed ambient food/drinks
Use of lifting equipment
Use of plant (forklift, MEWPS etc)
Distribution of electricity supplies
Building temporary structures/stands/shell scheme erection
Loading/unloading of vehicles
Operation of fairground rides/simulator/mobile hospitality units

Supporting File Uploads

Click or drag files to this area to upload. You can upload up to 5 files.

Please upload, for our records, the appropriate risk assessment and method statement for the works you are undertaking at the event. Include any plans/drawings/diagrams as required and the current public liability insurances that the company/contractor holds for these works.

Contractor's declarations:

We will notify or brief all our staff and sub-contractors (if any) in matters relating to Health and Safety and comply with site rules and emergency procedures. We are satisfied that our staff and sub-contractors have suitable training, they are experienced and competent enough to undertake the work. We will supervise our staff appropriately and notify all parties as to potential hazards. *

Agree

If you cannot agree to this contact us now.

We will check that our staff, and any sub-contractors, only use equipment fit for purpose and that such equipment has passed any required safety checks (inc daily checks or periodic inspections/maintenance). We will ensure all such equipment is safe to use onsite. *

Agree

If you cannot agree to this contact us now.

Add your name to the text box below to state that you (the contractor) agree a) to comply with the rules and regulations on site and b) to take responsibility for all the answers and statements you have provided above. *

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