Home > Renewals > Renewal Form

NCCA - Health & Safety Compliance Declaration

To simplify your future renewal process, we would like your help with this years Health & Safety declaration. By providing the information below you will make it easier for yourself in future, and help us better understand the information you may need from us too.

This declaration should be completed by the company Owner or a Director/Senior Partner with overall responsibility for Health and Safety. Below references to 'employees' are also relevant to Owner-Operators and Partners.

On behalf of this member company, you declare that your general statement of policy is:

  1. To provide adequate control of the Health & Safety risks arising from work activities, to ensure as far as is reasonably practical, the health, safety and welfare of our employees and other people who could be affected.
  2. To consult with our employees on matters affecting their health and safety
  3. To provide and maintain, safe plant and equipment
  4. To ensure safe handling and use of substances
  5. To provide information, instruction and supervision for employees
  6. To ensure all employees are competent to do their tasks and to provide adequate training
  7. To prevent accidents and cases of work-related ill health
  8. To maintain safe and healthy working conditions

You also declare that the company has implemented a Health and Safety Management System (in writing if required, indicated below)

Please select the one statement below which applies:

Health & Safety Declaration:

Please confirm how many carpet / flooring / upholstery cleaning technicians (including yourself / the owner) are currently employed by the company: *
Membership No. / Account reference: *
Company: *
Name: *
Position: *
E-mail address: *

By submitting this renewal you confirm that the above information is correct and accept responsibility for this company in regard to the agreed terms.

* = required
Design: Richard Wolfstrome  •  Webmaster: AnnWebCom
Copyright © 2000-2017 The NCCA  •  all rights reserved