Suppliers form – Mid-West Services UK Ltd

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Become a Supplier

we provide tailored workforce and recruitment solutions for both employers and job seekers, ensuring access to the best opportunities in the market.

Register your interest

Fill in the form below to indicate your interest to become a supplier

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GENERAL COMPANY INFORMATION

Company trading name: *

Office Address: *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Telephone: *

Fax:

Email: *

Name of person/department enquiries to be sent to *

Certificate no: *

VAT No.

DUNS no:

Private/public company ? *

Year incorporated: *

Company registration number: *

Approximate turnover(£): *

Do you have a parent Company?

If yes provide details: *

Do you belong to another Trade Association? If so, which one?

State total number of employees

No. of Directors: *

No. of office staff: *

No. of managers: *

No. of staff: *

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EMPLOYERS LIABILITY INSURACE

Insurer: *

Policy Number: *

Limit of Indemnity: *

Expiry Date: *

PUBLIC/PRODUCTS LIABILITY INSURANCE

Insurer: *

Policy Number: *

Limit of Indemnity: *

Expiry Date: *

CONTRACTORS RISK LIABILITY INSURANCE

Insurer: *

Policy Number: *

Limit of Indemnity: *

Expiry Date: *

PROFESSIONAL INDEMNITY INSURANCE

Insurer: *

Policy Number: *

Limit of Indemnity: *

Expiry Date: *

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ENVIRONMENTAL SYSTEMS

Do you have ISO 14001 accreditation?

Yes
No

If yes, please state:

Accreditation Body: *

Certificate of Registration Number: *

Date Registered: *

Date of last 2 audits: *

NOTE: If answer to the above is Yes, please enclose a list or matrix of contents of your Environmental Manual with this questionnaire and Certificate of Registration and go to last question.

Do you have a documented Environmental System? *

Yes
No

Do you have an Environmental Manual? *

Yes
No

If yes, please enclose a list or matrix of contents with this questionnaire

If yes, please enclose a list or matrix of contents with this questionnaire

Do you have a person within your organisation responsible for Environmental Systems? *

Yes
No

Name: *

Title: *

Is your Environmental System audited?

Yes
No

Internally

Yes
No

Externally

Yes
No

If yes, please state by whom and dates:

Please state here clients that you have had to satisfy in order to meet their quality requirements:

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REFERENCES

Bank *

Name *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Sort Code: *

Account No. *

Two Trade References:

1 Company Trading Name: *

2 Company Trading Name: *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Please supply details of at least three previous completed projects. Details to include, where applicable; name and location of the project; type of product; client or employer, commencement date and value or project, contract period and brief description of contract type. (Please continue on an additional page if required). *

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CONTRACTORS HEALTH & SAFETY INFORMATION

SITE EMPLOYEES/SUB-CONTRACTORS (if applicable) State how you assess the safety, health & environment competence of your Site Staff/Sub-Contractors:

SAFE SYSTEMS OF WORK AND MONITORING Provide details of your procedures or examples of system(s) if work, including risk assessments, COSHH assessments, safety method statements, etc. which you give/communicate to your employees and sub- contractors: *

How do you communicate the information above to employees and sub-contractors? Provide details of your monitoring arrangements (checks, inspections, audits, etc) to ensure that the above are carried out during the contract period:

Give details of safety record over last 3 years:

Year *

Lost Time Accidents *

Frequency Rate *

No. of Notifiable Accidents *

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Email *

QUICK LINKS

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AFFILIATES & ACCREDITATION

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BUSINESS HOURS

Monday – Friday 9.00am – 8.00pm
Saturday – 10.00am – 6.00pm
Sunday – Closed
Bank Holidays – Office is Closed

SOCIAL LINKS

MID-WEST SERVICES (UK) LTD

3rd Floor, 415 High Street, Stratford,
London,
E15 4QZ
United Kingdom
020 33705950
info@midwestservices.co.uk

OUR LOCATIONS

© 2024 Mid-West Services UK Ltd. All Rights Reserved.

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