World Patient Safety Congress Europe 2026 - Shell Scheme Health and Safety Form

1

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

Stand 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

Mobile Number for Person Responsible for Health and Safety* This field is required.

Include Country Code and Area Code where applicable

7

Email Of Person Responsible For Health and Safety* This field is required.

example@example.com

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

10

If you are intending to build walls within the shell scheme stand and require any alterations to the system (i.e. removal of fascia) please provide details here: Note, we do not require information on popups and graphics.* This field is required.

11

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)

12

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 Third Party Liability Insurance (Public Liability Insurance) to cover your activities on-site and hold a current certificate

Your minimum Third Party Liability cover is Euro 2 million

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

13

Upload Your Insurance Certificate Here* This field is required.

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Max. file size: 10.6MB

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14

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