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- Is the risk address the same as the correspondence address?*
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Format: 00000 000000.
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- Date of birth*
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- From what date is cover required?*
- Is a joint policy required?*
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- Date of birth*
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- Are any other activities carried out?*
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- Do you own or lease the premises?*
- If lease, do you have a written contract in place with the landlord to stipulate who is responsible for fences/hedges etc?
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- Are you approved by any of the following?*
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- Are there any shows held on site attended by the general public?*
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- If you need cover for a single show, please state the date:
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- Are there any shows held on site open to existing livery clients only?*
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- If you need cover for a single show, please state the date:
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- Do you hire out any of your facilities? (e.g. ménage)*
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- Do you arrange pony camps?*
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- Do you provide accommodation for individuals attending the camps?
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- Is overnight stabling provided for horses/ponies attending the camps?
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- Are there livestock kept at the premises? (sheep, cattle etc.)*
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- Do you offer any hacking or trekking?*
- Do you operate hacks/treks off the road?
- Do you operate hacks/treks on the road?
- Do you operate hacks/treks at the beach?
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- Are all hacks/treks accompanied by a qualified member of staff?
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- Do you have documented risk assessments in place for your various routes for hacking/trekking?
- Do you provide accommodation for students, employees, riding school guests?*
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- Are meals provided?
- Do any of the paddocks have a public right of way running through them?*
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- Are the paths fenced off preventing the public from accessing any horses?
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- Are paths adequately signposted to make members of the public aware of any grazing horses?
- Do you require Care, Custody and Control cover for any third party horse in your care?*
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- Please select the maximum amount of cover below (a maximum limit of £100,000 applies in insurance year):
- Do you ask all new clients to complete a questionnaire form?*
- Do you capture and keep records of their riding experience and ability and details of any medical conditions that could be aggravated by riding which you need to be aware of?*
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- Have you assessed and documented the suitability of horses in relation to the abilities of riders? (i.e. novice, intermediate, advanced)*
- Are horses under 4-6 years of age used for riding instruction?*
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- Are novices permitted to ride any animal under 6 years?*
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- Do you hold a valid licence?*
- Are you aware of your obligations under the Health & Safety Act 1974? (see www.hse.gov.uk)*
- Do you have a current DBS Check?*
- Do you have an Accident Report book?*
- Is it updated if an accident arises?
- Are your electrical installations checked and maintained in accordance with current Health & Safety regulations?*
- Do you have a written Health & Safety policy with risk assessments in place?*
- Are your risk assessments reviewed regularly?*
- Have full risk assessments of the horses/ponies been carried out, with written records kept?*
- Have any of the horses/ponies ever shown any signs of abnormal behaviour? (for example but not limited to: kicking, biting, bucking, bolting etc.)*
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- Do you have any employees (paid or voluntary)?*
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- Do all persons engaged in riding instruction or leading/accompanying hacks/treks hold a suitable BHS or ABRS qualification or similar standard/experience?
- Do you have written staff induction/training records?
- Do you have documented risk assessments in place for general activities within the stable environment, including the handling of hazardous substances?
- Do you have documented risk assessments in place for working with or near horses?
- Have you communicated all risk assessments to your staff?
- Will you provide Personal Protective Equipment (PPE) for your employees? ?
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- Will the PPE be checked regularly with written records of the checks kept?
- Do you ensure you have sufficient qualified first aid staff available at all times?
- Has any insurer in respect of any of the risks to which this proposal refers, declined to insure you, cancelled or refused to renew your insurance or imposed special terms?*
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- Have there been any losses suffered, or events occurred which might have resulted in a claim, whether or not claimed for, during the last five years, in respect of any of the activities for which cover is required?*
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- Have you or any of your officers, business partners or directors, ever been convicted of any criminal offence other than a driving offence or have any non-motoring prosecutions pending? You only need tell us about any convictions that are unspent under the Rehabilitation of Offenders Act 1974.*
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- Have you or any of your officers, business partners or directors, ever been declaredbankrupt or insolvent?*
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- Have you or any of your officers, business partners or directors, ever been investigated or convicted under the Fraud Act 2006, or equivalent legislation?*
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- How would you prefer to be contacted by Cliverton?*
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- Would you like to receive news and updates from Cliverton?*
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- Should be Empty: