ATC Risk Management

5 Wheatcroft Business Park

Landmere Lane

Edwalton

Nottingham

NG12 4DG

NVQ Pre-registration Form

Please complete and return this form along with a copy of your CV and job description by fax on 0115 921 5352, by e-mail to: , or by post to the address above.

Booking for (qualification title): / Course fees: / £ + vat at the prevailing rate

Part 1 – Company Details

Company name: / Address:
Telephone number:
Fax number:

Part 2- Candidate Personal Details – all sections must be completed for awarding body registration

Candidate name: / Home Address:
Job title:
Date of birth:
Preferred contact telephone number:
Preferred contact email address:


Part 3 – Payment / Authorisation Details

SPECIAL/ADDITIONAL INSTRUCTIONS:
Payment of the full qualification fees is due in full before registration with the awarding body.
Upon receipt of this booking form the candidate will be contacted by one of our NVQ assessors to undertake an initial assessment – this is to ensure that you are able to collect the required evidence and complete the qualification. Registrations with the Awarding Body will not take place until this initial assessment has been completed.
Accounts name: / Billing Address:
(if different from above)
Telephone number:
Email address:
Purchase Order Number:
Please tick here to pay by cheque – you will be sent an invoice by post to the billing address / Please tick here to pay by credit/debit card – you will be sent an e-mail to the billing e-mail address containing a link to a secure online payment processing web site
Booking authorised by (signature): / Position:
For ATC Risk Management use only:
(initial assessment completed – assessor name/date)


1. DEFINITIONS AND INTERPRETATION

1.1 The parties are defined as ‘the supplier’, which is ATC Risk Management Services Limited, and the ‘the company’ as defined on page 1 of this agreement is ‘the client’.

1.2 This agreement shall be subject to the laws of England and Wales to the exclusive jurisdiction of whose courts the parties hereby submit.

2. TOTAL BOOKING VALUE

Prices do not include value added tax, which will be added to the total invoice amount at the current rate or any charges for hotel accommodation/conference facilities.

3. PAYMENT TERMS

NVQ programmes must be paid in full before registration and commencement of the programme.

4. CHANGES TO ORIGINAL ORDER

There will be no charge if a substitute person from your organisation wishes to replace the original candidate but this must be notified to the supplier prior to candidate registration with the awarding body.

5. CANCELLATIONS

Cancellations made after candidate registration with the awarding body will incur the full fee.

6. TERMINATION

The client may terminate this Agreement immediately by notice in writing if the supplier shall:-

6.1 be in breach of any of the terms of this Agreement which in the case of a breach capable of remedy is not remedied by the supplier within 10 days of receipt by the supplier of a notice from the client specifying the breach and requiring its remedy.

6.2 be incompetent, guilty of gross misconduct and/or any serious or persistent negligence in respect of his/her obligations hereunder.

6.3 fail or refuse after written warning to carry out the duties reasonably and properly required of him/her hereunder.

7. FORCE MAJEURE

Neither party shall be liable in damages or have the right to terminate this Agreement for any delay or default in performing hereunder if such delay or default is caused by conditions beyond its control including, but not limited to Acts of God, Government restrictions (including the denial or cancellation of any export or other necessary licence), wars, insurrections and/or any other cause beyond the reasonable control of the party whose performance is affected.

8. DELEGATE ACCOMMODATION

8.1 All delegate accommodation costs, in their entirety, are the responsibility of the delegate or client company and must be settled on departure from the hotel, unless prior credit facilities have been arranged with the hotel.

8.2 In the event of cancellation, the hotel’s Terms & Conditions of Business apply. You may be liable for cancellation charges if you do not give sufficient notice.

9. TEAM BUILDING EVENTS

For all team building and leadership development programmes where ‘team building activities’ are part of the programme it is the client’s responsibility to provide suitable insurance for its delegates.

10. NOTICES

Any notice required by this Agreement to be given by either party to the other shall be in writing and shall be served by sending the same by registered post or recorded delivery to the last known address of the other party and shall be deemed to have been served on the day following posting. Any receipt issued by the postal authorities shall be conclusive evidence of the fact and a date of posting of any such notice.

NVQ in Occupational Health and Safety Practice – Initial Assessment

(In accordance with Awarding Body guidelines this form should be completed by the Candidate prior to acceptance onto the programme)

O P

Candidate Name:
Award: / Level 3 in Occupational Health and Safety Practice
Date:

Below is the list of units that Candidates must complete in order to achieve the qualification. There are five mandatory units and two optional units – at this stage you do not have to choose your optional units. Each Candidate must be able to generate work based evidence to show their competency against each of the units, and this Initial Assessment is to help both the Candidate and the Assessor ensure that this is possible. Work based evidence can be from normal routine activities, or from additional or temporary responsibilities (such as a secondment, project, temporary additional responsibilities, etc). Evidence can take the form of work products (i.e. completed forms, policies), observations, witness statements, etc.

Each Candidate should complete this form which will be returned to their Assessor before formal acceptance onto the programme – to complete this form you will need to confirm that you can meet the evidence requirements. The evidence requirements listed are not exhaustive – they are merely guidance as to the types of evidence required for that unit. If you have any questions, please contact your Assessor for guidance.

Unit / Title / Evidence Requirements
(suggested evidence – this list is not exhaustive and is for guidance only) / For completion by the candidate –
Please tick to indicate that you can generate the required evidence /
/ Mandatory units /
601 / Make sure your own actions reduce risks to health and safety / Evidence showing how the candidate works safely themselves such as identifying and following safe systems of work, permits to work, training, reporting safety problems etc.
602 / Develop procedures to safety control work operations / Evidence showing the candidate can develop safe work procedures such as consulting staff and developing safe systems of work, safe work procedures, developing and delivering inductions, training or toolbox talks, etc.
603 / Monitor procedures to safely control work operations / Evidence showing the candidate can monitor safety performance in the workplace such as workplace inspections, audits, safety tours, reviewing safety performance, etc.
604 / Promote a healthy and safe culture in the workplace / Evidence showing the candidate can promote a safe working culture including promotional campaigns, involvement ins safety committees, behavioural safety schemes, organisation and delivery of training, etc.
606 / Conduct a health and safety risk assessment of a workplace / Risk assessment, including; identification of health and safety risks, evaluation of risk, identification and implementation of risk control measures and recording and communicating findings, etc.
Optional units – choice of two
605 / Investigate and evaluate health and safety incidents and complaints in the workplace / Evidence showing the candidate involved in investigating and resolving health and safety complaints, and investigating and reporting on accidents and incidents which could include reporting and liaison with the enforcing authorities.
607 / Make sure your own actions within the workplace aim to protect the environment / Evidence showing the work of the candidate does not increase risk to the environment, such as identifying and rectifying environmental risks, developing and following environmental management procedures, etc.
608 / Review health and safety procedures in workplaces / Evidence of the candidate preparing, undertaking and reporting on a review of health and safety within the workplace, for example an audit or management review.
609 / Supervise the health, safety and welfare of a learner in the workplace / Evidence of the candidate supervising learners in the workplace to include identification and control of risks, inductions, supervision and support to the leaner.
- / Assessment Language / For international candidates – please note that in order to comply with Awarding Body requirements all evidence submitted for assessment must be in English.

Candidate Registration Details (additional personal details)

Name
Date of birth
Home Address
Preferred telephone
Preferred e-mail
Ethnicity (highlight selected choice) / White – British
White – Irish
White – Other
Asian - Indian
Asian - Pakistani
Asian - Bangladeshi
Asian - Any other Asian background
Chinese
Any other: / Mixed - White and black Caribbean
Mixed - White and black African
Mixed - White and Asian
Mixed - Any other mixed background
Black or black British – Caribbean
Black or black British - African
Black or black British - Any other black background
Please sign and date to confirm that you are able to generate the required evidence to complete this qualification. / Signed / Dated