Health & Safety Policy Creator

What is the name of the main contractor?*

This should be the name of the Franchisee or the main person in the business.

What are you trading as?*

What part of Select do you belong to?

Country*

Select the country you operate in.

Region*

Select your region.

What is your address?*

This should be your office address if you have one or your home address if you do not have an office. DO NOT use the Select office address.

What is your mobile phone number?*

If you do not have a mobile enter your home phone number.

List your employees (if you have any) & their mobile numbers

List in this format: John Smith, 021 123 456, Paul Brown, 0275 678 789 and so forth.

Have you completed the Select Training?*

You should not be doing this policy until you have completed the training. If you have not completed training stop completing this form and come back to it when you have finished your training.

Do you have your own Health & Safety Policy?*

You are creating your policy now, so answer yes.

Have you checked all of your equipment etc yearly?*

If you have only just started with Select then answer no.

Are you committed to taking all reasonable and practical steps to ensure safety?*

This covers: (1) Work carried out safely; (2) Tools, machines & equipment in good condition; (3) Controlling hazards in your work areas.

Do you understand the role of the Principal?*

The person or company that engaged you is the Principal. They are to provide information about their H&S policy, on-site hazards, accident reporting, emergency responses & inspection activities.

Choose the personal protective equipment you need in your business*

Choose as many items as are relevant. If need be add any extra items under “Other”.

Which of the following best describes the work you will be doing?*

Choose which type of work you do.

SelectCleaning — Machinery, tools, chemicals & substances

If you are a SelectCleaning Franchisee, choose all items used in your work. Add extras in “Other”.

SelectLawnMowing — Machinery, tools, chemicals & substances

If you are a SelectLawnMowing Franchisee, choose all items used in your business. Add extras in “Other”.

SelectValet — Machinery, tools, chemicals & substances

If you are a SelectValet Franchisee, choose all items used in your business. Add extras in “Other”.

Which of the following are accurate for your business?*

Choose as many as needed.

If provided by the Principal I will make sure I know & perform/react according to the Principal's emergency site plan & instructions I will negotiate & agree on an appropriate & practicable response plan with Principal when working alone and/or in isolation I will be aware of basic first aid & carry my own 1st aid kit When working on my own I will carry an operational mobile phone at all times I will ensure some other person has a copy of my daily schedule & an expected return time I will have in place a procedure for someone to contact emergency services if I do not return by a given time Other:

Meetings & Inspections*

I will… (Choose the items that are accurate for your business.)

Attend & participate in any planned Safety Meetings as & when requested Carry out Equipment & Workplace Conditions Inspections regularly & record results Report Substandard conditions/acts to site Controller/Principal

Accident Reporting, Recording & Investigation*

Choose the items that are accurate for your business.

Keep an accident / incident register Record all accidents & incidents (including near misses) in my own register & maintain the register Immediately report any serious harm accident, or potential serious harm situations, to Principal or the appropriate authorities Not tamper with an accident scene until cleared by an OSH inspector Investigate the accident & send the prescribed notification form to the appropriate government authority within 7 days of the accident happening Other:

Hazards & Controls

Below are some common hazards — choose as many as you think may apply to your work.

Email Address*

Enter the email address that we will send your Health & Safety Policy to.