Multiassistance – Inspection Report

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							Multiassistance: Trade Professional Application Form

This questionnaire enables you to demonstrate that your company has both the resource and capability to carry
out works effectively. It also gives you the opportunity to identify the geographical locations for which you wish
to be considered.

Network Management overview
Multiassistance bases its network management on one overriding philosophy – The network must be
motivated to perform.

There are three simple rules:

        1. Provide a sustainable value, volume and variety of work.
        2. Prompt & regular payment – Multiassistance, with the support of clients, provides the best
           payment terms in this sector.
        3. Reduce bureaucracy – Multiassistance has taken the paperwork out of the builders’ hands
           and does it for them.

In addition, Multiassistance has developed a number of unique tools to monitor and manage its network.

The partnership approach also includes regular management reviews, systematic demand and capacity
planning, performance rating and rewarding service excellence and transparency in all of our dealings.

The trade professional Extranet is an internet-based tool that allows trade professionals to input
information directly into Multiassistance’s operating system.

        1.   Improved communication with the network
        2.   On-line, real time job management
        3.   Efficient and effective job authorisation
        4.   Effective and efficient invoicing process
        5.   Reduced duplication of data entry
        6.   No set-up costs for supply chain
        7.   Greater control through on-line auditing capability
        8.   Reduced job lifecycle

Next Step
If you are interested in joining Multiassistance’s Network of Trade
Professionals, the first step is to comprehensively complete this application
form. Please note: We will only accept applications submitted electronically
to the address below.

Please complete this form and return to:
Multiassistance Ltd
9A Alton House Office Park
Gatehouse Way
Aylesbury
Bucks
HP19 8XU
Phone: 0844 875 2451
Fax: 01296 678 124
E-mail as attachment to jorge.gonzalo@multiassistance.com




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                                                   Page 1 of 9
Trade Professional Application Form

Section 1: Company Details
                 Company Name:
                          Address:

                        Postcode:
             Company Reg No
                (If Applicable):
     Year Company Established:
Financial Information: - please provide summary financial information for the last three years. Copies of your
statutory accounts for the last three years will support your application and should be included.
               Company Turnover:
                (Last financial year)
                   Company Profit:
                (Last financial year)
               Company Turnover:
             (Last financial year - 1)
                   Company Profit:
             (Last financial year - 1)
               Company Turnover:
            (Last financial year - 2 )
                   Company Profit:
            (Last financial year - 2 )
                   VAT Registered:       Yes                                     No
                      VAT Reg No:
Key personnel – please provide details of the key people in your organisation, including name, qualifications,
and contact details to include office & mobile telephone & e-mail:
              Managing Director:

       Finance Director/Manager:

   Operations Director/Manager:

        Health & Safety Manager:

   Other Managers/Supervisors:

               Web Site Address:

    Number of PAYE employees:

                 24hr Availability:     Yes                                     No
Is your Company computerised:           Yes                                     No
   Do you have a digital camera:        Yes                                     No
 Do you have storage facilities?:       Yes                                     No
Have you or any other person in
      your employment worked            Yes                                     No
               previously on the
      Multiassistance Network?
       If yes please give details
             including dates etc.




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Trade Professional Application Form


Section 2: Contact Details
                 st
              1 Contact Name:
               nd
             2        Contact Name:
                 rd
              3 Contact Name:
       Contact E-mail Address:
       Contact E-mail Address:
       Contact E-mail Address:
           Telephone Numbers:
                             Office:
                            Mobile:
                               Fax:
   Emergency Contact Number:
         Preferred contact type:
        Preferred contact times:       A.M.                        P.M.


Section 3: References (2 Number required)
                             Name:

                           Address:

            Telephone Number:

                             Name:

                           Address:

            Telephone Number:



Section 4: Bank Details
(Bank details will be requested separately after successful application and interview)
                      Account Name:

                 Bank Sort Code:

              Account Number:

                      Name of Bank:

                      Bank Address:




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Trade Professional Application Form

Section 5: Trade Professional Capacity and Geographical Coverage

Postcode coverage: Please list the postcodes you would like to receive work in.

Important Note: If only the primary Postcode is listed (E.g. YO) this will be interpreted that you wish
to receive work in the entire Postcode area. Secondary postcodes are YO1, YO2 for example.

       Primary                                                        Secondary
Example YO


  AB       Aberdeen          NE        Newcastle-upon-Tyne
  AL       St Albans         NG        Nottingham                                       KW

  B        Birmingham        NN        Northampton
  BA       Bath              NP        Newport
  BB       Blackburn         NR        Norwich                    I
  BD       Bradford          OL        Oldham                     V

  BH       Bournemouth       OX        Oxford
                                                                                                                      AB
  BL       Bolton            PA        Paisley
  BN       Brighton          PE        Peterborough
  BR       Bromley           PH        Perth
  BS       Bristol           PL        Plymouth                                PH
                                                                                                           DD
  BT       Belfast           PO        Portsmouth                PA
  CA       Carlisle          PR        Preston
  CB       Cambridge         RG        Reading                                                    K
                                                                                                  Y
                                                                           F
  CF
  CH
  CM
  CO
           Cardiff
           Chester
           Chelmsford
           Colchester
                             RH
                             RM
                             S
                             SA
                                       Redhill
                                       Romford
                                       Sheffield
                                       Swansea
                                                                       G
                                                                           K


                                                                                    1
                                                                                    M
                                                                                                  E
                                                                                                  H
                                                                                                                      T
                                                                                                                      D
                                                                       K            L
  CR       Croydon           SG        Stevenage                       A                                                                    NE
  CT       Canterbury        SL        Slough                              DG
  CV       Coventry          SM        Sutton
                                                                                                                                                                   SR
  CW       Crewe             SN        Swindon                                                            CA
                                                                                                                                                      D
                                                                                                                                                      H
  DA       Dartford          SO        Southampton
  DD       Dundee            SP        Salisbury                                                                                             D
                                                                                                                                             L
                                                                                                                                                                   TS

  DE       Derby             SR        Sunderland                                                                         L
  DG       Dumfries          SS        Southend                                                                           A
                                                                                                                                        BD
                                                                                                                                                      H                      Y
                                                                                                                                                      G                      O
  DH       Durham            ST        Stoke-on-Trent                                                                          BB
  DL       Darlington        SY        Shrewsbury                                             F
                                                                                              Y
                                                                                                                  PR                                          LS                            H
                                                                                                                                                                                            U
                                                                                                                                             H
  DN       Doncaster         TA        Taunton                                                                                 BL
                                                                                                                                    O
                                                                                                                                    L
                                                                                                                                             X H               W
                                                                                                                  W                            D               F
  DT       Dorset            TD        Galashiels                                                             L   N
                                                                                                                  W
                                                                                                                                    M
                                                                                                                                        SK                S
                                                                                                                                                                             DN

  DY       Dudley            TF        Telford                                                                    A
                                                                                                                                                              S

  EH       Edinburgh         TN        Tonbridge                                                          C               C                                                                 LI
                                                                                    L                     H               W                                                 NG
  EN       Enfield           TQ        Torquay                                      L                                               ST                    DE

  EX       Exeter            TR        Truro                                                                               T
                                                                                                                                    ST
                                                                                                                                             WS
  FK       Falkirk           TS        Teeside                                               SY
                                                                                                                           F                                            L                           PE                                    NR
                                                                                                                                                                        E
  FY       Blackpool         TW        Twickenham                                                                              W
                                                                                                                               V
                                                                                                                                                  B

  G        Glasgow           UB        Uxbridge                                                                                     D
                                                                                                                                    Y                                        NN                                                       I
  GL       Gloucester        WA        Warrington                                        L                                              W
                                                                                                                                                                                                                 CB                   P
                                                                                         D                                              R
  GU       Guildford         WD        Watford                                                                    H
                                                                                                                  R                                                O
                                                                                                                                                                                      M
                                                                                                                                                                                      K              SG                          CO
                                                                      SA
  HA       Hatfield          WF        Wakefield                                                                                         G
                                                                                                                                                                   X                    L
                                                                                                                                                                                        U     A                       C
  HD       Huddersfield      WN        Wigan                                                          NP                                 L                         OX                 HP
                                                                                                                                                                                             W
                                                                                                                                                                                              L            R
                                                                                                                                                                                                           MI
                                                                                                                                                                                                                      M
                                                                                        CF                                                                                                   D                              SS
  HG       Harrogate         WR        Worcester                                                                                                 SN                              UB    SL   TN       LONDO
                                                                                                                                                                                                     N
                                                                                                                                                                                                             G
                                                                                                                                                                                                                 R
                                                                                                                                                                                                                 M
  HP       Hemel Hempstead   WS        Walsall                                                                        BS                                                RG
                                                                                                                                                                                                K     CR
                                                                                                                                                                                                           BR      DA
                                                                                                                                                                                                                             M
                                                                                                                                                                                                T     r                                   C
  HR       Hereford          WV        Wolverhampton                                                                           BA                                                     GU
                                                                                                                                                                                                                             E            T
                                                                                                                                                                                                 R
  HU       Hull              YO        York                                                           T
                                                                                                      A
                                                                                                                                                 SP                SO                            H
                                                                                                                                                                                                                        T
                                                                                                                                                                                                                        N
  HX       Halifax                                                              E
                                                                                X                                                                BH
                                                                                                                                                                                  PO                  BN
                                                                                                                               D
  IG       Ilford                                                                                                              T

  IP       Ipswich           Central London                           PL
                                                                                    T
  IV       Inverness         N                                                      Q

  KA       Kilmarnock        NE                              T
                                                             R
  KT       Kingston          NW
  KY       Kirkaldy          SE
  KW       ??                SW
  LA       Lancaster         E
  LD       Llandovery        EC
  LE       Leicester         WC
  L        Liverpool
  LL       Llandudno
  LN       Lincoln
  LS       Leeds
  LU       Luton
  M        Manchester
  ME       Medway
  MK       Milton Keynes
  ML       Motherwell




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Trade Professional Application Form

Trade Capacity:
Please tick the check box if you have the available trades and indicate the desired number of jobs you
have the capacity to handle at any one time per trade.
Overall Capacity:
In addition please indicate the total number of jobs you wish to receive and handle at any one time.
Standard Re-Instatement Insurance Repairs
                               Trade
          Trade                           Check box         Limits (Number of Jobs at any one time)
                               Code
Important Note: General Builder trade code includes – General building, Brickwork, Carpentry & Joinery,
Plastering, Painting & Decorating, Associated Plumbing, Associated electrical works and Stripping out
          General Builder:      00a
                  Plumber:      01a
                    Roofer:     20a
  Corgi Registered Fitter:      21a
       NICEIC Electrician:      02a
Installations
                               Trade                                                 Limits (Number of
          Trade                           Check Box No. of Fitting Teams
                               Code                                                  Jobs at any one time)
     Kitchen Installations:     24a
  Bathroom Installations:       88a
   Bedroom Installations:       90a
            Conservatory
             Installations:
                                89a
 Based on the above how
many installation surveys
 could you undertake per
                    week?
Emergency response Repairs (24/7)
                               Trade
          Trade                           Check box         Limits (Number of Jobs at any one time)
                               Code
          General Builder:      00a
                  Plumber:      01a
                Electrician:    02a
                Carpenter:      06a
                    Glazer:     07a
                Locksmith:      08a
                Bricklayer:     10a
      Painter & Decorator:      11a
                  Plasterer:    12a
                    Roofer:     20a
  Corgi Registered Fitter:      21a
       Drainage Engineer:       22a
                     Other:




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Trade Professional Application Form



Section 6: Compliance

In order to ensure that our network of Trade Professionals comply with relevant legislation and are
appropriately indemnified; please provide copies of the following certificates and business
competences.

Important Note: Up to date copies of all insurance and regulatory certificates must be held at
Multiassistance to continue to receive work.


  Insurance details              Expiry Date             Limit of Cover          Copy Provided Y/N
       Public Liability:
       (Min £5 million)
    Employers Liability:
       (Min £5 million)

Professional Indemnity:

  Contractors All Risks:



      Certificate            Registration Number          Expiry Date            Copy Provided Y/N

     CORGI Registered:

     NICEIC Registered:

   Registered Domestic
                Installer
 (Part P Building Regs):
    (Part N – Scotland):

               CIS Cert:

HSE Asbestos Licence:

      Health and Safety
             Statement:

                    Other:

Section 7: Quality Control Procedures
 What Quality Control procedures
                   do you apply?




Section 8: Staff Development & Training
  Has your company achieved the
      Investors in People Award?
     What process do you have in
 place for auditing the skill levels
         of your staff and at what
    frequency is this undertaken?
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   How do you support continued
          personal development?
            How do you check the
Trade Professional Application Form



Section 9: Any Other Information
     Please indicate your other Key
                             Clients:
   (I.e. Property Solutions, Sergon,
             MFI, B&Q, Moben etc?)

   Please use this space to provide
       any additional information in
        support of your application:

NOTE: If your application is unsuccessful or fails to meet our criteria for direct recruitment, Multiassistance may wish to hand on your
application to one of our existing Network Trade Professionals who may wish to use your services for sub-contracting. In order to comply
with the Data Protection Act 1998 we need your permission to do so.
   Do you agree to Multiassistance
   handing on your application to a
         third party for recruitment
                                                 Yes/No (please delete accordingly)
                          purposes?




Statement – This form has been completed by:

                       Name & Position:

                                Signature:

                                     Dated:




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Trade Professional Application Form




Multiassistance:
Trade Professional Health & Safety Assessment Questionnaire



Section 10: Responsibility and Competency
     Who is responsible for health & safety in your
                                            Company?
  Has any other competent person been appointed
                                             to assist?
   If yes, is it an internal or external appointment?
          Please give name (and address if external),
                    experience and/or qualifications:
  If no, please give experience and/or qualifications
                          of the responsible person:
     Who is responsible for health & safety on sites?
     What is their experience and/or qualifications?
       What is your major source of health & safety
                                       information?
 Do you belong to any business association which
  offers health & safety advice and/or information?



Section 11: Organisation & arrangements
      Score
   If you employ 5 or more people, please supply a
   copy of your health and safety policy statement,
                  organisation and arrangements?
  What arrangements do you make for carrying out
                            site risk assessments?
       Do you carry out safety inspections on site?

   If no, how do you ensure that work is carried out
                                 safely and legally?
                         If yes, who carries the out?

       Do you have examples of inspection records
                        available for inspection?
                    Do you engage subcontractors?

   If yes, how do you assess their ability to comply
            with your health & safety requirements?


Section 12: Information & Training                              Score
    Are your employees and subcontractors issued
      with general safety information and /or safety
         method statements for their work activity?



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Trade Professional Application Form

               Do you carry out induction training?
    Do your employees undergo any other health &
         safety training? If yes please summarise.


Section 13: Accident Reporting                            Score
                    Do you keep an accident book?
                               How is it monitored?
      How do you ensure that accidents on site are
                                       recorded?
       Do you keep records of reports made under
                                        RIDDOR?


Section 14: Performance                                   Score
  Have you had any of the following within the last
                                         three years?
Legal action taken against you for contravention of
                                 a safety regulation?
        A civil claim for damages as the result of an
                                            accident?
An improvement notice or prohibition notice issued
                                by a HSE Inspector?
  A reportable incident or occurrence for which no
                legal action was taken by any party?
    If Yes to any, please give details and measures
                      taken to prevent reoccurrence.




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