Prior to the commencement of any project on a %The_Company% site this form must be completed, signed and the criteria as stated below must be met. I/we will abide by and follow any health and safety management initiatives implemented by %The_Company% whilst working on the site.
When working on another site (e.g., %The_Company% is doing contract work), the Contractor/Sub-Contractor must be inducted to that site by the site Manager/Controller, so that they are made aware of any specific site risks.
Definition of:
“The Contractor” is to include any of the contractor’s workers, sub-contractors or their subsequent workers.
“%The_Company%” being management, supervisor or a nominated representative.
| Site | |||||||||||
| 1. Submission to Dynamic Scaffolding Ltd of your health and safety policy (reviewed and updated within 2 years) and/or any further relevant documentation showing risk controls, task analysis, licences, certificates, etc. required. | |||||||||||
| 2. Submission to Dynamic Scaffolding Ltd of your pandemic policy and any supporting documentation in regard to working at the pandemic level that you may be under. | |||||||||||
| 3. The contractor will participate in the induction process of the site and be made aware of the risks of the site, emergency procedures and the personal protective equipment staff are required to wear. | |||||||||||
| 4. Any sub-contractors (or subsequent sub-contractor’s workers) contracted to you have provided the appropriate documentation (as per point 1) and are to be inducted and will comply with the conditions noted in this document. | |||||||||||
| 5. Any plant/equipment that you bring onto Dynamic Scaffolding Ltd’s site will meet safety and compliance requirements, be correctly maintained, and be suitable for the purpose it is to be used for and may be inspected upon request. | |||||||||||
| 6. The contractor understands their obligations under the Health and Safety at Work Act (2015) and will comply with their duties under the Act. | |||||||||||
| 7. Prior to commencement of work, the contractor will advise Dynamic Scaffolding Ltd of any risks which may be created during the contract (Task Analysis and Risk Assessment Controls). If unexpected risks are created Dynamic Scaffolding Ltd will be informed immediately, so appropriate actions can be taken, and documentation amended. | |||||||||||
| 8. The contractor will not undertake any tasks or duties that will adversely affect the safety of themselves or others, and work may be suspended if Dynamic Scaffolding Ltd is not satisfied that all reasonably practicable steps are being taken. | |||||||||||
| 9. Dynamic Scaffolding Ltd will audit the contractor’s health and safety performance periodically during the contract using the review form on page 5.6 | |||||||||||
| 10. The contractor will monitor, audit and report on Health and Safety issues relevant to the work involved and on Environmental Matters specifically. This will be provided to Dynamic Scaffolding Ltd weekly. | |||||||||||
| 11. The contractor understands their obligations to report any serious incidents involving themselves or their subcontractors to WorkSafe NZ as well as Dynamic Scaffolding Ltd. | |||||||||||
| 12. The contractor will report to Dynamic Scaffolding Ltd immediately if any incidents occur and will cooperate with all requirements for them, during any investigation. | |||||||||||
| 13. The contractor will advise Dynamic Scaffolding Ltd of any other emergency procedures identified and will comply with any existing site requirements. | |||||||||||
| 14. The contractor may be required to provide a “Task Analysis” or “Job Safety Analysis” for all jobs they are going to carry out, as requested by Dynamic Scaffolding Ltd or the Site Manager, and the contractor will adhere to them. | |||||||||||
| 15. The contract is for the period of the job to be done, commencing from the date the acknowledgement is signed unless stated otherwise. Or for the term of the contract of working on external sites for Dynamic Scaffolding Ltd | |||||||||||
| 16. The contractor will ensure any subcontractor they use while working for Dynamic Scaffolding Ltd will comply with all requirements in this acknowledgement and will have undergone their own induction/acknowledgement process. | |||||||||||
| Contractor | Company | %The_Company% | |||||||||
| Name | Name | ||||||||||
| Date | Date | ||||||||||
| Signed | Signed | ||||||||||