Standard Stall Application - Winton Carnival

Applicant details
Health and safety
Risk assessment
Declaration

Phone

About you

Name of applicant (or organisation) *

Description/type of organisation *

Contact address *

Contact name 1 *

Contact name 2 *

Telephone number *

Mobile telephone (during the event) *

Email address *

Number of 3m x 3m pitches required *

Number of staff on your stand during the event *

Please list all products/services to be exhibited or sold *

Please list the names of staff *

Health and safety

Please provide details of type of stand/structure/trailer *

Please supply registration numbers, makes and models of all vehicles you wish to take on to your pitch *

Person with overall responsibility for health and safety on your pitch *

Mobile telephone number of this person *

Please confirm that you will provide hand sanitiser at your stall. *

Yes No

Please supply details of all equipment which you wish to bring onto site *

equipment checked

Please confirm all equipment has been tested and serviced in accordance with relevant regulations, and current certificates will be available for inspection on the day

Will your staff or the public have access to potientially hazardous equipment or parts of it? *

Yes No

Will your stand involve the use of moving equipment? *

Yes No

Name of your public liability insurance provider *

Please attach a copy of your current public liability insurance certificate *

Amount of coverage *

Expiry date *

Have you or your organisation ever been prosecuted, or have any notices been serviced by any Local Authority Environmental Health Department or the Health and Safety Executive? *

Yes No

Have you suffered any RIDDOR-reportable accidents as a result of your company or business operations in the last five years? *

Yes No

Please give details of how your equipment will be secured to your pitch *

Will you be using flammable equipment/liquids/gas? *

Yes No

Will any persons under the age of 18 be working for you? *

Yes No

Will you be bringing a generator onto site? *

Yes No

Will a contractor be delivering, erecting or dismantling your equipment? *

Yes No

Risk assessment

What is a risk assessment, and why do you have to complete one?

A risk assessment allows you to consider whether or not you have taken the correct precautions to protect yourself, your staff, participants, the general public and/or any property belonging to those parties from any harm as a result of your activities.

What you have to do

You will need to assess all of your activities and complete the following steps:

Identify any hazards/risks.
Identify who might be at risk.
Evaluate hazards/risks and what you wil do to minimise these.
Record your findings.

List of generic risks/hazards: health and safety management

Please tick the options below that will apply during the event. On the risk assessment you will need to identify what the risk is and what you will do to reduce it.

Generic risks and hazards

Access

Animals

Children or young people

COSHH (hazardous, caustic/toxic substances and flammable materials)

Crowds, the general public

Environmental/waste disposal (liquids or solids)

Electricity (e.g. generators, ground cables, portable tools above 110V)

Emergency evacuation and procedures (e.g. fire)

Equipment (e.g. gazebo, folding tables, guy ropes, sharp edges)

Explosives/pyrotechnics/fireworks

Food preparation/hygiene and food allergies

Flying (e.g. aircraft, balloons, parachutes)

Lifting equipent (e.g. fork lift truck)

Manual handling

Risk of infection

Slip, trips and falls

Special effects (e.g. lasers/strobe effects, snow, smoke, dry ice, rain)

Stunts or special props/tools

Special needs (e.g. the elderly, disabled)

Vehicles on site

Water (e.g. work in or nearby)

Weapons (including archery)

Any other risk

Any other identifiable risk

Hazards and risk

Please complete the assessment below for any areas you have identified above. You will need to state who is at risk (i.e. what groups of people would be affected). You will need to state what control measures you will use or put in place to minimise the risk.

Alternatively, or if you need additional space, you may attach a risk assessment document here.

Hazard

Main risks identified and why relevant

Who is at risk?

Means of minimising risk

Hazard1

main risks1

who at risk 1

means of minimising 1

Hazard2

main risks2

who at risk 2

means of minimising 2

Hazard3

main risks3

who at risk 3

means of minimising 3

Hazard4

main risks4

who at risk 4

means of minimising 4

Hazard5

main risks5

who at risk 5

means of minimising 5

Declaration

This application is made subject to the terms and conditions. By typing your details below, you are electronically signing this form and confirming that you are duly authorised to sign and accept all of the terms and conditions on behalf of your organisation.

We will contact you to obtain payment once we have processed your application.

Child protection *

I confirm that all staff who may work with children or vulnerable adults hold valid enhanced disclosure checks undertaken by the Disclosure and Barring Service, and that details will be available for inspection on the day.

Payment *

I confirm that, if successful, my application will be paid for in full upon request.

Signed *

Date *

Your position within the organisation *