Watkins Approved Contractor Questionnaire

Individual Approved Contractor Questionnaire
Welcome to the Watkins Approved Contractor Questionnaire. We thank you for your time in completing the following and ask that you answer each question honestly.

Should you have any questions regarding the contents of what is expected of you, please discuss them with your Project Engineer or Project Co-ordinator.

1. Main Contact Details
Name*
Address*

Street Address

Street Address Line 2

CityCounty

Postcode
Phone Number

Area CodePhone Number
Mobile Number*
Mobile Number*

Area CodePhone Number
Email Address*
Date of Birth*

DayMonthYear
Date
Start Date*

DayMonthYear
Date
National Insurance Number*
National Insurance Number*
Passport Country/Number*
Passport Country/ Number*
Do you have the right to work in the UK?*

YesNo
If yes, please provide evidence (passport, visa/working permit)*

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Emergency Contact Details
Name*

First NameLast Name
Relationship to you*
Phone Number*

Area CodePhone Number

Bank Account Details
Name of Bank*
Account Name*
Account Number*
Sort Code*

2. Sub Contractor Details
CIS Registered Name*
Unique Taxpayer Reference (UTR)*
VAT Number
Company Reg No.

3. Insurance Questionnaire
As a sub contractor working for C Watkins Plumbing, it is a condition of your contract with us that you hold a minimum of £2M Public Liability insurance. And if you have directly employed or sub contract persons working for you, then you are also required to hold £10M Employers Liability insurance.

It is important to check that the insurance you hold covers you for all the work you are likely to be doing on a Watkins site. Therefore, please ensure:
- Your business description accurately reflects the work you are primarily doing. In most cases a 'Plumbing or Electrical contractor'
- It has a minimum of £2M Public Liability cover.
- There are no restrictions to the height or floor you work on.

Recommended Insurance:

We recommend using the Broker 'James Hallam Ltd' who offer comprehensive insurance at a very competitive rate to sub contractor's working for C Watkins Plumbing Ltd. For example Plumbing / Mechanical sub contractor's PL cover for residential work usually ranges between £250 and £400 per year (depending on your exact circumstances) and for Electrical contractors is usually £90 per year. And this insurance will cover you for work on other sites not just Watkins.

Plus you can insure your tools to the value of £2500 for around £30 extra per year. So why risk not doing it.
Call James Hallam Ltd on: 01245 204565.
Note: Watkins M&E Group Ltd is a plumbing, heating, mechanical, and electrical services contractor specializing in new build residential housing and high rise developments.

NB: This form must be completed by an Insurance Company or Broker. This is to certify that the following Insurance Policies are in full force and effect. The said Insurance Companies agree that in the event of any change being made to the policies which affects the interest of Watkins M&E Group Ltd, or in the event said Policies are cancelled, written notice will be given to Watkins M&E Group Ltd as detailed above.
I confirm I agree to the above.

Employers / Public Liability Insurance

Please provide evidence of employer's liability, public liability, and if design is involved, professional indemnity insurances including a copy of certification, statement of fact and full conditions:
Name of Insurer*
Policy Number*
Expiry Date*

DayMonthYear
Date
Limit of indemnity*

Insurance Continued.
Do you have Contracts Works insurance?*

YesNo

Contracts Works Insurance
Name of Insurer*
Policy Number*
Expiry Date*

DayMonthYear
Date
Limit of Indemnity*

Insurance Continued.
Do you have Professional Indemnity insurance?*

YesNo

Professional Indemnity Insurance
Name of Insurer*
Policy Number*
Expiry Date*

DayMonthYear
Date
Limit of Indemnity*

Insurance Cont.
Do you have Public Product Insurance?*

YesNo

Public Product Insurance
Name of Insurer*
Policy Number*
Expiry Date*

DayMonthYear
Date
Limit of Indemnity*

Insurance Evidence
Please upload all of your Insurance Certificate documents and Policy Schedule documents / Statement of Facts*

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NOTE: Project SPECIFIC “project instructions” will be issued ON A JOB BY JOB BASIS.

4. Previous Contract - 1

Please supply details of previous contracts you have completed within the last 3 years:
Client / Builder*
Date Started*

DayMonthYear
Date
Job Title*
Type of Work*
Would you like to add in additional works?*

YesNo

Previous Contracts - 2
Client / Builder*
Date Started*

DayMonthYear
Date
Job Title*
Type of Work*
Would you like to add in additional works?*

YesNo

Previous Contracts - 3
Client / Builder*
Date Started*

DayMonthYear
Date
Job Title*
Type of Work*

5. Health & Safety
Are you a member of any scheme listed under the SSIP such as CHAS, SafeContractor or Construction Line?*

YesNo

Health & Safety - SSIP
Scheme Name*
Valid Until*

DayMonthYear
Date
Certificate / Membership No.*
Copy of Certificate Attached*

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Health & Safety Questionnaire
Have you had any notifiable accidents/incidents in the last 3 years?*

YesNo
If yes, please upload evidence - RIDDOR records*

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6. Sub Contractor Competence

Please provide details of all and any relevant qualifications, certifications or cards held.
Do you have valid copies of CSCS, ECS, JIB card details?*

YesNo
If yes, please upload here*

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Evidence of Training
Have you completed relevant training including: SMSTS, SSSTS, IPAF, PASMA, Abrasive Wheels, Face Fit, Nail Gun, etc. as stated in the Watkins Standard Sub Contractor Requirements ref 4.2 - page 7?*

YesNo

Training Name*
Valid Until*

DayMonthYear
Date
Certificate / Membership No.*
Copy of Certificate Attached*

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Do you have additional training you would like to include?*

YesNo

Training Name*
Valid Until*

DayMonthYear
Date
Certificate / Membership No.*
Copy of Certificate Attached*

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Rows	Issued
Hard Hat (Watkins Energy Logo) Cost - £10.85
High Visibility Vest (Watkins Energy Logo) Cost - £4.00
Gloves (Standard)
Gloves (Neoprene)
Safety Glasses (impact resistant) Cost - £2.70
Goggles Cost - £4.00
Ear plugs
Ear defenders £3.00
Polo shirt Cost - £5.80
Sweatshirt Cost - £8.50

6. Self-Billing Agreement
Watkins operate self-billing agreements with sub-contractors as part of a process to simplify documentation and payments.

You can read our sell-billing agreement below.
Watkins agrees:
1. To issue self-billed invoices/payment certificates for all supplies made to them by the self-biller (sub-contractor) until 12 months from the date of signature of this agreement.
2. To complete self-billed invoices/payment certificates showing the subcontractor’s name, address and VAT registration number, together with all the other details which constitute a full VAT invoice.
3. To make a new self-billing agreement if their VAT registration number changes.
4. To comply with domestic reverse charge rules applicable from 1st March 2021 and ensure the appropriate notes are added to the self-bill invoice and credit note.
The self-billee (subcontractor) agrees:
1. To accept the invoices raised by Watkins on their behalf until 12 months from the date of this agreement.
2. Not to raise sales invoices for supplies made to the customer (Watkins).
3. Notify Watkins immediately if they change their VAT registration, cease to be VAT registered, change their company name or sell their business or part of their business.
Signed by*

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Print name:*
On behalf of:*
Job title:*
Agreement start date:*

DayMonthYear
Date
Please Note the Fortnightly Subcontractors Payment Run Dates:

7. Site Handbook

Please download and read our Site Handbook.
I confirm I have downloaded, read and agree to the Site Handbook and will work to its standards.

8. H&S Policy

Please download and read our Standard Sub-Contractor Requirements document.
I confirm I have downloaded, read and agree to the H&S Policy document.

9. Gas Work
Are you completing gas work?*

YesNo

Gas Work
If yes, please download the attached and email to gas@watkins.co.uk.

Rows	Details
27. If you answered yes to any of the questions, please supply very brief details:
28. Have you ever had any other serious illness? If yes, please give brief details etc:

Declaration

This section must be completed by your company's proprietor, Director, partner, or equivalent person. I hereby declare that all information provided as part of this approval is accurate to the best of my knowledge, and I agree that the cost of any training I or my operatives undertake with Watkins Academy can be deducted from my application for payment.
Name*
Position*
Signed*

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Date*

DayMonthYear
Date
Watkins is committed to protecting your privacy and security. Following GDPR regulations, will only contact you when required and may use biometric conduction systems on site. You can read our Privacy Policy here.
Should be Empty:

Rows	Yes	No
1. Circulatory problems such as varicose veins
2 Circulatory problems such as varicose veins, phlebitis, thrombosis:
3. Heart problems such as angina, high blood pressure, heart attack?
4. Chest problems such as asthma?
5. Diabetes?
6. Epilepsy or fainting attacks?
7. Skin disorders?
8. Recent operation or fracture?
9. Any current medication?
10. Back trouble, arthritis and rheumatism?
11. Injury to bones, joints, tendons, including wrist tendons?
12. A claim for industrial injury etc.?
13. Have you worked in an industry with high noise levels?
14. Any other significant health problems (eyes, hearing, hepatitis, Reynaud’s
15. Disease, skin, stress, Weil ’s Disease or VWF)?
16. Do you have any physical or mental impairment that could be classed as a disability under the equality act 2010?
17. Are you able to carry out strenuous physical work including climbing ladders, working from scaffolding, bending, lifting and carrying?
18. Have you ever had to give up any previous job for medical reasons?
19. Have you been off work continuously for more than a month during the last five years?
20. Have you ever had any operations requiring hospital admission for five or more days
21. Is your eyesight normal (with glasses if worn)?
22. Is your hearing normal?
23. Have you ever had any of the following?
Diabetes
Tuberculosis
Angina
Any other heart trouble
Raised blood pressure
Peptic, gastric or duodenal ulcer
Indigestion for more than one week
Back trouble, lumbago, sciatica, “Slipped disc”
Epilepsy, recurring blackout or fits
24. Do you regularly take tablets or medicine?
If so what do you take? (add information at the bottom)
25. Have you ever had any of the following during the last five years?
Bronchitis, asthma, pneumonia
Dermatitis, eczema or any other skin condition
26. Do you suffer from any of the following:
Migraine or severe recurring headaches
Anxiety, depression or any other nervous complaint
Fainting attacks or giddiness
Ear trouble, discharging or infected ears
Kidney Trouble or urinary infection
Fainting attacks or giddiness

Individual Approved Contractor Questionnaire

1. Main Contact Details

Emergency Contact Details

Bank Account Details

2. Sub Contractor Details

3. Insurance Questionnaire

Recommended Insurance:

Employers / Public Liability Insurance

Employers / Public Liability Insurance

Insurance Continued.

Contracts Works Insurance

Insurance Continued.

Professional Indemnity Insurance

Insurance Cont.

Public Product Insurance

Insurance Evidence

4. Previous Contract - 1

Previous Contracts - 2

Previous Contracts - 3

5. Health & Safety

Health & Safety - SSIP

Health & Safety Questionnaire

6. Sub Contractor Competence

Evidence of Training

Personal Protective Equipment

6. Self-Billing Agreement

Please Note the Fortnightly Subcontractors Payment Run Dates:

7. Site Handbook

8. H&S Policy

9. Gas Work

Gas Work

10. Medical Questionnaire

Declaration