ABOUT YOUR ORGANISATION

Company name

Full name

Full name of the person submitting the information to Atlas Certification Limited.

Email

Contact telephone number

Contact telephone number for the person that we should contact if we have any queries relating to the submitted information.

ISO 45001 Certification Number

If you are not yet certified please insert ‘N/A’.

SSIP Categories

Please select the applicable SSIP Categories that apply to your activities of your organisation.

SSIP Core Criteria 1 – Policy

Health and Safety Policy

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Please upload a copy of your Health and Safety Policy in PDF or Word format.

Who has ultimate responsibility for occupational health and safety?

Please insert the person’s full name

Job title

The job title of the person with ultimate responsibility for occupational health and safety.

SSIP Core Criteria 2 – Arrangements

Accident reporting process

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Please upload a copy of your accident reporting process or procedure. File formats: .docx or pdf

Training and supervision

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Please upload a copy of your training and supervision process or procedure. You may upload several documents if necessary. File formats: .docx or pdf

Communications

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Please upload a copy of your communications process or procedure. File formats: .docx or pdf

Monitoring occupational health and safety

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Please upload a copy of your process or procedure for the monitoring of occupational health and safety. File formats: .docx or pdf

Risk assessment

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Please upload a copy of your process or procedure for risk assessment. File formats: .docx or pdf

organisation's Principal Number

Do you have a process for Occupational Health?

Yes
No

Occupational health

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Please upload a copy of your process or procedure for occupational health monitoring. File formats: .docx or pdf

Drugs and Alcohol

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Please upload a copy of your process or procedure for drugs and alcohol. File formats: .docx or pdf

Wellbeing, mental health and fatigue

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Please upload a copy of your process or procedure for well being, mental health and fatigue. You may upload up to 5 documents if necessary. File formats: .docx or pdf

Behavioural management

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Please upload a copy of your process or procedure for behavioural management and safety. File formats: .docx or pdf

Additional notes about Arrangements

If you have any additional information relating Arrangements, please insert it here. If not, please insert ‘None’.

SSIP Core Criteria 3 – Competent advice

Source of occupational health and safety advice

Online subscription
In-house competent person
External consultant
Other

Please indicate how the organisation sources competent advice to ensure it complies with occupational health and safety legislation.

Online subscription

Please provide details about the online source used to obtain competent advice about occupational health and safety. Also describe how this is used and communicated within your organisation.

In-house competent person

Please provide the full name and job title of the internal person with the competence to provide occupational health and safety advice. Also provide details of their qualifications, for example: NEBOSH, IOSH, etc.

External consultant

Please provide the full name and company name (if applicable) of the consultant with the competence to provide occupational health and safety advice. Also provide details of their qualifications, for example: NEBOSH, IOSH, etc.

Other method of sourcing advice

Please describe the method by which the organisation sources competent advice relating to occupational health and safety. Include details about the organisation has validated this approach.

SSIP Core Criteria 4 – Training and Information

Training matrix (or similar)

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Please upload a copy of a training matrix or a sample screenshot showing how the status or planned and actual (including refresher) training is recorded. File formats: .docx or .pdf .xlsx. Our auditor will contact you to request sample copies of certificates or other competence records.

SSIP Core Criteria 5 – Individual qualifications and experience

Trade specific qualifications or industry body memberships

Please describe the requirements based on your organisation’s activities that may require specific qualifications or industry body memberships. Also include any details where these requirements may be outsourced to a consultant or similar.

Professional qualifications / professional institutions

Please provide details of any requirements for members of the organisation to hold professional qualifications or to be members of professional institutions. Please give examples. The auditor may contact you for further evidence if necessary.

Number of CSCS card holders

Sample CSCS cards

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Please provide 3 samples of active CSCS cards showing front and back portions. File formats: .pdf .jpg

Number of SMSTS card holders

Sample SMSTS card

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Please provide one sample of an active SMSTS card showing front and back portions. File formats: .pdf .jpg

Designer qualifications

Please describe your organisation’s requirements for the qualifications of Designers such as Higher National Diploma, Bachelor degree or Masters, etc. Please include examples.

Professional institutions / memberships

Please describe any professional institutions or memberships such as RIBA, ICE, APS, RiAS, CIAT, ARB, InstructE, etc.

Principal Designer qualifications

Please describe the relevant qualifications that must be held by Principal Designers within your organisation, for example: NEBOSH Construction, NVQ in Occupational Health and Safety, NCRQ in Applied Health and Safety, etc. Please give examples.

Professional institutions / memberships

Please describe any professional institutions or memberships such as APS or ICE, etc.

Continued improvement and development

Please describe your organisation’s process for the continued improvement and development of professionally qualified staff. Please give examples.

SSIP Core Criteria 6 – Monitoring audit and review

Internal audit process

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Please upload a copy of your internal audit process/procedure. File format: .docs .pdf

Internal audit programme or schedule

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Please upload a copy of your internal audit programme or schedule. File format: .docs .pdf

Internal audit record

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Please provide a recently completed internal audit record which focussed on occupational health and safety controls. File format: .docs .pdf

SSIP Core Criteria 7 – Workforce involvement

Consultation with workers

Please describe how the organisation consults with its workers on matters relating to occupational health and safety, for example: H&S meetings, H&S committees, appointment of H&S representatives. Please give examples.

SSIP Core Criteria 8 – Accident reporting/investigation and enforcements

Has there been any accidents in the last 12 months?

Yes
No

This relates to reportable and non-reportable accidents.

Number of reportable accidents

RIDDOR reportable accidents.

Number of non-reportable accidents

Accident details

Please provide the details of the latest 2 accidents (including any RIDDOR reportable accidents if applicable) including the nature of the accident and details of follow-up actions to prevent reoccurrence.

Accident statistics

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Please upload a copy of your organisation’s accident statistics for the last 3-years showing incidence rates, major injuries, over seven-day injuries, RIDDOR reportable and dangerous occurrences. File format: .docx .xlsx .pdf

Enforcements

Yes
No

Have your organisation had any HSE Enforcements in the last 5 years?

Details of enforcements

Please provide details about enforcements by the HSE and the associated corrective action. What is the current status of the enforcement?

SSIP Core Criteria 9 – Sub-contracting / consulting procedures (if applicable)

Does your organisation use contractors, sub-contractors or consultants?

Yes
No

Please upload your procedure or process which sets out the criteria for the appointment and monitoring of performance for contractors, sub-contractors and consultants.

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Please upload evidence of two examples showing the appointment and monitoring of contractors, sub-contractors or consultants.

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SSIP Core Criteria 10 – Risk Assessment

How many workers are under your organisation's control?

This includes directly employed workers and labour-only sub-contractors.

Please describe your arrangements for risk assessment and safe systems of work.

Please upload your procedure or process which defines your organisation's criteria for risk assessment and safe systems of work

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Please upload a risk assessment and safe system of work based on a recently completed project

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As a Principal Contractor please upload a recent Construction Phase Plan

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The Construction Phase Plan should be within the last year.

SSIP Core Criteria 11 – Co-operating with others and co-ordinating your work with other parties

Statement confirming liaison with other dutyholders

Evidence

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Evidence could include sample risk assessments, procedural arrangements, and/or project team meeting notes. Evidence of how the organisation co-ordinates its work with other interested parties.

SSIP Core Criteria 12 – Welfare provision

Statement confirming how access to welfare facilities are provided.

Evidence of welfare facilities

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Evidence of compliance to Schedule 2 of the CDM 2015 Regulations.

SSIP Core Criteria 13 – Hazard elimination and risk control

Evidence of how you communicate with clients and make sure the client is aware of their duties

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Referring to duties under CDM 2015.

Evidence of co-operation and co-ordination of design work within the design team and with other designers/contractors.

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Referring to duties under CDM 2015.

Evidence of risks arising whilst using the building as a workplace, i.e. maintenance and cleaning.

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Referring to duties under CDM 2015 and Health, Safety and Welfare Regulations.

SSIP Core Criteria 14 – Principal Designer duties

Statement about Principal Designer duties

You should have in place and implement, arrangements for meeting your duties under CDM 2015.

Evidence of how a Health & Safety File is prepared and handed over

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Evidence showing how you prepare and handover the Health & Safety file and the procedure the organisation has in place to ensure post project reviews are completed.

SSIP Core Criteria 15 – Principal Contractor duties

Statement about Principal Contractor duties

Statement about the arrangements in place for site safety inductions.

Statement about Principal Contractor duties

Arrangements in place to provide the Principal Designer with information for the H&S file.

Statement about Principal Contractor duties

Arrangements in place to ensure that the building fire safety information is handed over to the Responsible Person(s) no later than the date of completion of the work, or the date of the occupation of the building, whichever is earliest.

Statement about Principal Contractor duties

Arrangements to ensure a site-specific emergency plan is in place prior to the commencement of works.

Statement about Principal Contractor duties

Arrangements in place to ensure that the Client is aware of their duties before commencing work.

Upload evidence to support the above statements

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SSIP Core Criteria 16 – Supplementary alignment with Common Assessment Standard

Fleet operations/management scheme

Yes
No

Is your organisation a member of any fleet operations/management scheme? Q80 of the CAS. (not holding membership is not a fail)

Upload a copy of the current certificate.

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CONFIRMATION AND SUBMISSION

Other information

Please provide any other information or instructions that we may need to know about when evaluating your SSIP evidence submission.

Accuracy of information

Confirmed

Please confirm that the information, documents and records are accurate and valid.

Atlas Certification Limited Privacy Notice

Acknowledged

Please confirm that you have read the Atlas Certification Limited Privacy Notice (see link below)

Signature

Clear Signature