Contractor Registration Form

J&R Earthworks – Complete all required fields

Contractor Registration Form

J&R Earthworks – paper completion copy

Please complete all required fields and attach copies of licences, insurance certificates and supporting documents where applicable.

Contractor Information
Bank Details
Driver's Licence

Please provide a copy of front and back of licence (upload below)

Insurances

Please provide a copy where indicated YES

Insurance Type
YesNoN/A
Work cover
Public Liability
Product Liability
Motor vehicle/plant
Professional indemnity (if applicable)
Other
Management System Questionnaire
Occupational Health & Safety (if yes please provide copies)
YesNoN/A
Do you have third party certification or equivalent to ISO45001?
Do you have a health and safety policy?
Environment (if yes please provide a copy)
YesNoN/A
Do you have third Party certification or equivalent to ISO45001?
Do you have an environmental management plan and sustainability policy?
Quality (if yes please provide a copy)
YesNoN/A
Do you have third Party certification or equivalent to ISO9001?
Do you have a quality policy?
Other (if yes please provide a copy)
YesNoN/A
Do you have any other certificates or insurances required that are not listed for the work that you do with J&R Earthworks that are not listed?
Risk Management
Risk Management (if yes please provide a copy)
YesNoN/A
Do you have a SWMS or JSEA for all activities you will undertake for J&R Earthworks?
Has a plant risk assessment been completed for your plant equipment for all work carried out and associated with J&R Earthworks?
Do you have Pre-start and maintenance checklists for all your mobile plants and vehicles?
Do you workers and or subcontractors have the appropriate PPE and other equipment to undertake their activities safely?
Do you workers and Subcontractors have the required tickets, licences, qualifications competencies to undertake the activities they are conducting for J&R Earthworks?
If you have answered no to any of the above questions, do you agree to adopt and follow the respective procedures and processes and systems that J&R Earthworks have in place?
Supporting Documents

Upload copies of licences, insurance certificates, etc.

Additional Notes
Sign-off