What is your process for disposing of (Specify) i.e. squirrels (if applicable) ACCIDENTS AND INCIDENTS PROVIDE LAST Do you record and investigate accidents / Yes No INCIDENT / incidents? ACCIDENT COPY Who is responsible and carries out accident Name: Position investigations within your company and what documentation is produced? How many Near Calls Number: Details: have been reported during the past 12 months? Has your company received any HSE, Environment Agency or SEPA enforcement notices and/or prosecutions, improvement or prohibition notices in Yes No the past years? If yes, provide details: EQUIPMENT AND PPE Pesticides/ Please select the types of equipment Sprayer Full PPE Rodenticides you will have available should you be successful Traps Chippers Other NB: Full PPE would include respirators, safety eyewear, Hi Vis, gloves, boots, hard had etc. Specify any other equipment not listed above: PROVIDE COPIES OF 6 Monthly How often do you COMPLETED undertake equipment inspections? Annual Random CHECK LISTS PROVIDE COPIES OF Do you use any lifting and lowering equipment e.g. ropes, CURRENT LOLER Yes No harnesses, lanyards etc? CERTIFICATION How do you issue and (Specify) PROVIDE COPY OF replace Personal COMPLETED Protective Equipment RECORD OF ISSUE (PPE) COMPANY ACCREDITATIONS
What is your process for disposing of i.e. squirrels (if applicable) (Specify) ACCIDENTS AND INCIDENTS Do you record and investigate accidents / incidents? Yes No PROVIDE LAST INCIDENT / ACCIDENT COPY Who is responsible and carries out accident investigations within your company and what documentation is produced? Name: Position How many Near Calls have been reported during the past 12 months? Number: Details: Has your company received any HSE, Environment Agency or SEPA enforcement notices and/or prosecutions, improvement or prohibition notices in the past years? Yes No If yes, provide details: EQUIPMENT AND PPE Please select the types of equipment you will have available should you be successful Sprayer Pesticides/ Rodenticides Full PPE Traps Chippers Other NB: Full PPE would include respirators, safety eyewear, Hi Vis, gloves, boots, hard had etc. Specify any other equipment not listed above: How often do you undertake equipment inspections? 6 Monthly PROVIDE COPIES OF COMPLETED CHECK LISTS Annual Random Do you use any lifting and lowering equipment e.g. ropes, harnesses, lanyards etc? Yes No PROVIDE COPIES OF CURRENT LOLER CERTIFICATION How do you issue and replace Personal Protective Equipment (PPE) (Specify) PROVIDE COPY OF COMPLETED RECORD OF ISSUE COMPANY ACCREDITATIONS
SF4-PQQ-Tier-4.docx