Contractor approval form Click here to read the Dyson Farming contractor terms and conditions Contractor approval Company name(Required)Company address(Required) Street Address Address Line 2 City County / State / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Contact name(Required) First Last Phone(Required)Email(Required) Details of company activities(Required)Number of employees(Required)Details of appointed person within the company responsible for health and safety management(Required)Name and contact numberBussiness Sector(Required)Agricultural ServicesConstruction and TradesMotor TradeProperty and Real EstateRetail and WholesaleTransportation and LogisticsProfessional ServicesHealthcare and Life SciencesHospitality and LeisureEnergy and Natural ResourcesTechnology and TelecommunicationsFinancial ServicesFood and BeveragePublic BodyServices Offered Agricultural Engineering Equipment Supply Agricultural Contracting Equipment Maintenance Drainage Installation/Maintenance Environmental Scheme Consultancy Fertiliser Supplier Seed Supplier Other Services Offered Building Works Ground Works Machinery/Equipment Hire Equipment Maintenance Plumbing Electrician HVAC Painting and decorating Flooring Other Services Offered HGV Maintenance MOT Details of appointed person within the company responsible for contract management (construction only)Name and contact numberDetails of appointed person within the company responsible for health and safety advicePlease provide name, employee/consultant, safety qualifications heldPublic liability insurance(Required)Max. file size: 256 MB. Please upload your public liability insurance details hereEmployer's liability insuranceMax. file size: 256 MB. Please upload your employer's liability insurance certificate hereAre you a SSIP accredited contractor? If yes, please upload your certificate below.Max. file size: 256 MB. Health and safety policyMax. file size: 256 MB. If you employ 5 people or more, please upload a copy of your signed H&S policy or policy statement.Risk assessment(Required)Max. file size: 256 MB. Please upload a site or task specific risk assessment for recent work, or work to be completed for Dyson Farming.Manual handling training Drop files here or Select files Max. file size: 256 MB. Please upload evidence that your employees complete certificated manual handling training.Working at height training Drop files here or Select files Max. file size: 256 MB. Please upload evidence that relevant employees complete certificate working at height training.Other training evidence Drop files here or Select files Max. file size: 256 MB. Please upload evidence of other relevant training, such as telehandler, scissor lift etc.COSHH risk assessment Drop files here or Select files Max. file size: 256 MB. Please upload an example of a COSHH risk assessment if you are using hazardous substances on site.Construction only: Construction phase plan Drop files here or Select files Max. file size: 256 MB. Please upload evidence of a recently completed construction phase plan.Please note that failure to provide appropriate documents may result in your application to work for Dyson Farming being declined.Please provide details of previous work / contracts similar to that you propose to carry out for Dyson Farming(Required)Does your company belong to any professional or trade bodies? If yes please give details.How will you monitor and communicate health and safety with your staff when working on Dyson Farming sites(Required)How many accidents has your company had in the last 3 years? How many were RIDDOR reportable?(Required)How do you investigate accidents and incidents?(Required)Has your company been issued with any improvement or prohibition notices, or legal proceedings from the H&S enforcing authorities? If yes, please give details.(Required)What welfare arrangements will be in place?(Required)Terms and conditions(Required) Yes I agree to the Dyson Farming contractor terms and conditions.Name(Required) First Last
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