Join #TeamEPH | Subcontractors

Looking for work in:*

Victoria

New South Wales

Queensland

Other

Entity Name:*

ABN:*

ACN:*

Company Director/s:*

Registration Contact:*

(For all Admin Enquiries)

Registration Contact Number:*

(For all Admin Enquiries)

Registration Email Address:*

(For all Admin Enquiries)

Are you the best contact for Daily Work Offers?*

Yes

Daily Work Communications

Contact Person:*

(For Daily Work Communication)

Contact Number:*

(For Daily Work Communication)

Email Address:*

(For Daily Work Communication)

BANK DETAILS

BSB:*

ACCOUNT NUMBER:*

Account Name:*

POSTAL ADDRESS

Street Number & Name:*

Suburb:*

State:*

Post Code:*

ACTUAL ADDRESS

Please choose:*

Same as Above

Different

Street Number & Name:*

Suburb:*

State:*

Postcode:*

INSURANCES

Please note: EPH require all pages of each policy. EPH must receive of copy of the certificate of currency for each policy. Tax Invoices will not be accepted.

WORK COVER or INCOME PROTECTION Policy Number:*

WORK COVER or INCOME PROTECTION Expiry Date:*

DD slash MM slash YYYY

Please upload a copy of your WORK COVER or INCOME PROTECTION:*

(Certificate of Currency)

Drop files here or

Max. file size: 256 MB.

PUBLIC LIABILITY Policy Number:*

PUBLIC LIABILITY Expiry Date:*

DD slash MM slash YYYY

Please upload a copy of your PUBLIC LIABILITY:*

(Certificate of Currency)

Drop files here or

Max. file size: 256 MB.

EQUIPMENT INSURANCE Policy Number:*

EQUIPMENT INSURANCE Expiry Date:*

DD slash MM slash YYYY

Please upload a copy of your EQUIPMENT INSURANCE:*

(Certificate of Currency)

Drop files here or

Max. file size: 256 MB.

NHVR MASS MANAGEMENT Policy Number:

NHVR MASS MANAGEMENT Expiry Date:

DD slash MM slash YYYY

Please upload a copy of your NHVR MASS MANAGEMENT Certification:

Drop files here or

Max. file size: 256 MB.

NHVR MAINTENANCE MANAGEMENT Policy Number:

NHVR MAINTENANCE MANAGEMENT Expiry Date:

DD slash MM slash YYYY

Please upload a copy of your NHVR MAINTENANCE MANAGEMENT Certification:

Drop files here or

Max. file size: 256 MB.

COMPANY CHECKLIST

Please verify the following terms of engagement:

Driver / Operator Compliance

All Drivers / Operators hold a valid construction induction card?*

Eg. Red / White Cards

Yes

All Operators of your equipment have been suitably trained and are competent to carry out the work?*

Yes

All Operators understand that they are required to attend work on time and be fit for duty?*

Yes

Drivers have been informed of their responsibility in chain of responsibility fatigue laws, work and rest hours?*

Yes

Equipment

All vehicles/equipment hold a valid risk assessment carried out by a certified independent assessor?*

Note: Risk assessments are valid for 12 months from the date of assessment

Yes

Pre-start daily checklists are carried out on all equipment prior to commencement or work and records maintained?*

Yes

All maintenance will be documented and records kept up to date for each piece of equipment?*

Yes

All equipment has an operational flashing beacon and reversing beeper?*

Yes

Regular maintenance is performed on your equipment in accordance with the manufacturers recommendations to ensure its safe operation?*

Yes

Hidden

Regular maintenance is performed on your equipment in accordance with the manufacturers recommendations to ensure its safe operation?

Yes

Requirements

Insurances are kept up to date and all renewed certificate of currency will be provided to EPH?*

Yes

All documentation such as risk assessment, licenses, permits etc that have an expiry will be kept up to date and maintained with EPH?*

Yes

EPH will be notified should you sell or purchase equipment in order to keep your account up to date?*

Yes

You understand that some jobs require a SWMS (Safe Work Methods Statement) and agree to provide this upon request.*

Yes

EPH will be provided with the Licenses and Cards for all new Operators / Drivers of your equipment?*

Yes

Hidden

EPH will be provided with the Licenses and Cards for all new Operators / Drivers of your equipment?

Yes

Acknowledgement:*

I understand the above requirements and acknowledge they are a minimum requirement when working with EPH

As at (date:)

DD slash MM slash YYYY

Your Company Info

Step 2 : Company Info

Daily Work Communications

BANK DETAILS

POSTAL ADDRESS

ACTUAL ADDRESS

INSURANCES

COMPANY CHECKLIST

Driver / Operator Compliance

Equipment

Requirements

Are you an owner-operator?
Join #TeamEph Today!

Your Company Info

Step 2 : Company Info

Daily Work Communications

BANK DETAILS

POSTAL ADDRESS

ACTUAL ADDRESS

INSURANCES

COMPANY CHECKLIST

Driver / Operator Compliance

Equipment

Requirements

Are you an owner-operator? Join #TeamEph Today!

Are you an owner-operator?
Join #TeamEph Today!