Apply for a Permit to Work at Chantry Waters

Contractors may not work on an aspect of the premises which they are not qualified and competent to do so. In order that we can verify your competency and issue a permit to work, please fill in the form below.

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Name

Company

Phone Number

Trade

Area or Apartment Number of Proposed Works

Start Date of Proposed Works (YYYY-MM-DD)

Description of Proposed Works

Professional Trade Body Memberships and Registration Numbers
(e.g. GasSafe, NICEIC, etc.)

Relevant Trade and Health and Safety Qualifications
with Date of Certification & Issuing Body

The Date and Training Provider for your Most Recent Fire Safety Training

Public Liability Insurance Underwriter and Cover Level

Please list any significant hazards that your works may bring into the premises.

Please list any Hazardous Substances that will be used during your works.

Please write a brief summary of the significant findings your
Risk Assessment, including any additional controls you plan to put in place.

Do you plan to carry out Hot Works at the premises?(required)

Yes No

Are all Portable Electrical Appliances and Tools which will be used on site
subjected to regular Portable Appliance Testing (PAT) in line with the
guidance of HGS107?(required)

Yes No