HS08 – Safety, Health and Environmental Agreement
Between the University of Cape Town and the Contractor / Vendor
Person responsible for this contract:
…….………………………………………………………...
Vendor Number:
………………………………………………………
WRITTEN AGREEMENT BETWEEN
The University of Cape Town
and
…………………………………………………………………………………
CONTRACTOR
AS ENVISAGED BY SECTION 37(2) OF THE OCCUPATIONAL HEALTH AND SAFETY ACT, NO 85 OF 1993, AS AMENDED.
I, ……………………………………………………………. representing ………………………………………………………………………..
(Insert first name and surname) (Insert Contractor Company Name)
do hereby acknowledge that our company is an employer in its own right with duties as prescribed in the Occupational Health and Safety Act No. 85 of 1993, as amended and I agree to ensure that all work will be performed, machinery and plant used in accordance with the provisions of the said Act. I further more agree to comply with all other relevant legislation while providing a service to the University of Cape Town.
I acknowledge having received the necessary induction / training regarding the rules and regulations of the University of Cape Town. I will ensure that all our staff and subcontractors are properly informed and adhere to all the rules and regulations and relevant legislation while on the University of Cape Town premises. I will liaise with the person responsible, should I, for whatever reason, not be able to complete the task /project or perform in terms of this agreement.
I undertake to immediately report the following to the University Safety Health & Environment Dept. via Email () or Fax (021 650 5028):-
i. Any accidents or incidences involving my staff or subcontractors whether considered minor or needing medical attention. These incidences/accidents shall be reported on an Annexure 1 Incident Report.
ii. Always inform the SHE Dept. of any existing and/or new projects that my staff or subcontractors will be undertaking in or on any University of Cape Town Campuses, Buildings and Premises.
My company is registered with the Compensation Commissioner for Occupational Injuries and Diseases as stipulated by the COID Act. My COIDA registration number is ………………………………………………………………………
(Insert registration number)
We/I also agree that the Contractor or Sub-contractor, by their signatures hereto, do unreservedly and irrevocably indemnify the University of Cape Town and hold it harmless against all the clause demands, actions, clauses of actions and suits at law, which may be made or instituted against it for:
§ Any death, injury or incident to the Contractor, Sub-contractor and /or their employees or any agent customer or visitor of the Contractor;
§ Any damage caused to property of the Contractor, Sub-contractor, and/or their employees or any agent customer or visitor of the Contractor, including any loss of such property from whatsoever, while on the premises;
§ Any claims resulting from non-compliance with legislation.
Signed on behalf of …………………………………………………………
Insert Contractor Company Name
Signature: …………………………………………………
Date: ………………………………………………….
Witness (Full name): ……………………………………………………….
Signed on behalf of University of Cape Town
Signature: ………………………………………………………
Date: ………………………………………………………
Witness (Full name): ………………………………………………..
PLEASE RETURN THE SIGNED DOCUMENT TO SAFETY, HEALTH & ENVIRONMENT DEPARTMENT
Revision no: 05 Doc. No: HS08
Reference:UCTSM-6
Approved by: Physical Risk Coordinating Committee Effective date: June 2015
Copyright reserved
23 December 2015 Page 2 of 3 HS08