<insert your organisation logo here>

Contractor Information Form

Please complete this form. The information you provide is added to our contractor management system which allows us to meet our safety and security obligations under law.

Information we collect

We collect contractor information like Name, Organisation you work for, your Position Title, Mobile Number, Email, Phone, Driver’s License and Qualifications.

How we use information we collect

We use this information to ensure we can comply with health and safety regulations and to maintain site security. As a responsible organisation committed to the health and safety and security of staff, contractors, and visitors the information we collect from you helps us to control who is authorised to be on site, what limitations have been placed on your access, and when your rights to be on site expire.

Information Sharing and Confidentiality

Unless for the reasons detailed below, your information is not shared with any 3rd party and at all times remains confidential.

We will share personal information with companies, organizations or individuals outside of our own organisation if we have a good-faith belief that access, use, preservation or disclosure of the information is reasonably necessary to:

  1. meet any applicable law, regulation, legal process or enforceable governmental request.
  2. enforce applicable Terms of Service, including investigation of potential violations
  3. detect, prevent, or otherwise address fraud, security or technical issues.
  4. protect against harm to the rights, property or safety of our organisation, our users or the public as required or permitted by law.

Completing this form:

You must ensure all information is accurate and complete.

After completing this form please return to:

insert return details>

Date: ______

Your Details

Your Employers Legal Name:______

(e.g. ABC Plumbing Limited)

Your First Name:______

Your Last Name (Surname): ______

Position / Title:______

(e.g. Service Technician)

Contact Details

Mobile | Cell Phone Number:

Office Number:

Email Address:______

Identification:

ID Type (Drivers etc…) ______

ID Number:______

Issue Date:_____/_____/_____Expiry Date:_____/_____/_____

Qualifications

List your current Certified Qualifications:

Qualification Name / Level Gained / Date Passed (Approx if not Known)
(Example) Certified Electrician / Master Electrician / Oct 2001

______

Office Use Only

Induction Complete:_____/_____/_____Valid Until:_____/_____/_____

Inducted By:______

Photo Reference: ______

ID Card Issued:______ID Card Number: ______

Location Rights:______

______

Processed: ______

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