Form EHSS-1

UNIVERSITY OF ST ANDREWS

CONTRACTORS WORKING ON UNIVERSITY PREMISES -

ARRANGEMNTS FOR HEALTH AND SAFETY

 

The work described in Part 1b is to be undertaken by Contractor's personnel. To secure the health and safety at work of Contractor's employees and to ensure that Contractor's activities do not endanger University staff, this form should be completed as follows:

Part 1 - By Director of Estates and Buildings

Part 2 - By Responsible School/Unit Officer for Building/Area Affected

Part 3 & 4 - By Contractor

PART 1

(a) SCHOOL/UNIT and LOCATION OF WORK:

(b) DESCRIPTION OF WORK:

(c) AREA(S) AFFECTED BY CONTRACTORS OPERATIONS:

(d) EXPECTED/ACTUAL DATE OF COMMENCEMENT OF WORK:

(e) ESTIMATED DURATION OF WORK:

(f) HOURS OF WORK (DAILY):

(g) NAME OF CONTRACTOR:

(h) CONTACT (NAME AND POSITION):

(i) Contractors have been given the information in part 2 and have been 
handed the University Code of Safety Practice for Contract Operations

………………………………………………………………..Signed for the University

PART 2 - SCHOOL/UNIT - KNOWN HAZARDS

(a) SIGNIFICANT HAZARDS PARTICULAR TO THIS SCHOOL/UNIT:

(b) SIGNIFICANT HAZARDS IN THE AREA OF CONTRACT WORK:

(d) TIMES AT WHICH ACCESS TO SCHOOL/UNIT/AREA IS PROHIBITED/RESTRICTED:

(e) SPECIAL NOTES:

(i) INDICATE ANY SPECIAL HAZARDS AND THEIR LOCATION TO WHICH THE CONTRACTORS ATTENTION MUST BE DRAWN:

(II) ANY NEW SPECIAL HAZARD ARISING DURING THE COURSE OF WORK WILL BE NOTIFIED AT ONCE TO ESTATES AND BUILDINGS OFFICE. 
(TEL: 463999).

SIGNED RESPONSIBLE SCHOOL/UNIT OFFICER

PART 3 - CONTRCTOR'S ACCEPTANCE

NOTICE HAS BEEN RECEIVED OF THE CONDITIONS AND CIRCUMSTANCES AFFECTING HEALTH AND SAFETY DESCRIBED IN PART 2. THESE HAVE BEEN COMMUNICATED TO OUR EMPLOYEES, AND TO THE SUB-CONTRACTORS, IF ANY, WHO WILL CARRY OUT THE WORK.

THE WORK WILL CAUSE THE FOLLOWING OPERATIONAL HAZARDS:
(Enter NONE if appropriate)

SPECIAL NOTE: ANY NEW HAZARD ARISING DURING THE COURSE OF THE WORK WILL BE NOTIFIED AT ONCE TO ESTATES AND BUILDINGS OFFFICE (TEL; 463999).

SIGNATURE ................................................................................................................

POSITION ................................................................................................................

DATE ................................................................................................................

PART 4 - SERVICES REQUIRED

INDICATE SERVICE(S) WHICH WILL BE REQUIRED BY TICKING APPROPRIATE BOX. IF SERVICE WILL BE REQUIRED FOR DURATION OF CONTRACT, MARK "D.O.C." 

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