Health and Safety / Risk Assessment Form

Health & Safety / Risk Assessment Form
Before your start you will need:

Public Liability Insurance Details

Food Hygiene & Safety Certificates (where applicable)

Risk Assessments - if you have your own. (If not, they can be completed as part of this form)
Please complete all sections
PART 1 - Your Information
Company Name or Trading As: *
Enter as letter or number format only - do not use /, - etc
Area of Show *
Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
Town	County
Post Code	Country

Phone Number *

- Area Code Phone Number
Mobile Number *
E-mail *
Full Description of Stand and Items Sold *
Include type of covering - Gazebo, Marquee, etc
Will somebody be sleeping on your pitch overnight? *

Yes No

PART 3 - Risk Assessment
Do you have your own Risk Assessments? *

Yes No - Please continue and complete
Please upload your Risk Assessments *

Confirmation
Please confirm you will have Public Liability Insurance for the period of the Show and that you agree to abide by the terms and conditions of Heckington Show *

Yes
Thank you
Should be Empty: