World Patient Safety (US) 2026 - Health and Safety - Pipe & Drape and Start Up Pods Form

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Exhibiting Name* This field is required.(Your company name)
2
Your First Name and Last Name* This field is required.
First Name
Last Name
3
Your Email Address* This field is required.
example@example.com
4
Booth Number* This field is required.
5
Name of Person Responsible For Health and Safety* This field is required.This is the person who will be on site that we can liaise with on any Health and Safety issues
First Name
Last Name
6
Email Of Person Responsible For Health and Safety* This field is required.
example@example.com
7
Cell (Mobile) Number of Person Responsible For Health and Safety* This field is required.Please provide country code with number
Please enter a valid phone number.
8
Risk Assessment* This field is required.You maybe required to provide your risk assessment on site.
We have undertaken a suitable and sufficient Risk Assessment for the show.
9
Event Regulations* This field is required.Please login to your Exhibitor manual for full regulations
We agree to abide by the regulations set out in the Exhibitor Manual
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If you are intending to build walls within your Pipe and Drape stand, please confirm what you will be building: Note, we do not require information on pop ups and graphics.* This field is required.(If you have a Start-Up Pod please type not applicable below)
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If you are exhibiting or demonstrating a large piece of equipment or machinery, including a vehicle on your stand please provide details* This field is required.(you must ensure your insurance covers any on site activity)
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Insurance Checklist* This field is required.If you have not ticked all the boxes please provide details below so we can check your insurance is sufficient
You have taken out adequate Commercial General Liability Insurance (Public Liability Insurance) to cover your activities on-site and hold a current certificate
Your minimum Third Party Liability cover is $2million
The name on your Insurance is the same as your Exhibiting/ Company Name
Your insurance includes Trade Events
Your insurance is in date throughout the build, open period and breakdown of the event.
Your insurance covers the country the exhibition/event is held in
Other
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Upload Your Insurance Certificate Here* This field is required.
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I understand that ticking this box constitutes a legal signature confirming that I acknowledge and agree to the information in this form* This field is required.
I acknowledge and accept
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