Contractor Accreditation

Accreditation Number

CentrePort is commited to providing a safe workplace for everyone. Working together with all our contractors is an essential part of achieving this, which includes contractors working with other contractors and subcontractors. The Health and Safety at Work Act 2015 places certain obligations on everyone to ensure that we can all demonstrate that we have done everything reasonably practicable to demonstrate that we have done our due diligence and can provide sufficient evidence that everyone working on the port has been inducted, has the relevant training, has sufficient insurances in place, and that their health and safety systems are adequate and understood by all.

Please complete the accreditation and upload your documentation. After you have completed this, you will be taken to the CentrePort online induction. This induction will need to be completed by any person that is going to be entering the port to conduct work of any kind. I thank you in advance for taking the time to work with us in our quest to acheive zero harm and ensure that we can all go home safe at the end of the day. Please feel free to contact me at any time, should you have any questions on 022 314 3917.

Dan Barker GradDipOHSEMgt, GradNZISM, DipRiskMgt

Health and Safety Manager

Link to Health & Safety at Work Act 2015

Guide to Health & Safety at Work Act

Company Name *

Company Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

Contact Email *

What type of work will you be doing on the port? *

Other *

How many workers will you have on the port? *

Who in CentrePort has engaged your company? *

First Name Last Name

Do you have Public Liability Insurance? *

Yes No

Upload Public Liability Insurance *

Do you have equipment and plant insurance that covers portside work? *

Yes No

Upload equipment and plant insurance *

Do you have Professional Indemnity Insurance? *

Yes No

Upload Professional Indemnity Insurance *

Please select all relevant policies that your company has in place. *

Health and Safety Environmental Risk Management Driving Other N/A

Please upload policies *

Upload a File

Do you have a Health and Safety Management Plan? *

Yes No

Upload H&S Management Plan *

Safe Work Method Statements (SWMS) are a requirement before starting any job. Are you familiar with this type of risk assessment? *

Yes No

Training and assistance will be provided to ensure that you can complete the CentrePort SWMS

Does your company provide training and induction to all workers? *

Yes No

Upload evidence of training *

All high-risk work will be done under a permit system. Do you have at least one worker that has NZQA permit issuer/receiver training? *

Yes No

Upload training evidence, including name of worker *

Work that requires confined space, working at heights and Elevated Work Platform (EWP) will need to be completed by trained workers. Only NZQA qualifications will be accepted and the worker MUST have that qualification on them and produce it upon request from CentrePort.

Will you be conducting any work that requires the above? *

Yes No

Upload qualifications of worker completing the work *

Upload a File

Is your company accredited with any of the following? *

ISNetworld SiteWise ACC IMPAC Prequal Other N/A

Level of ACC Accreditation

Tertiary Secondary Primary

Other *

Is your company a member of any of the following? *

NZISM Site Safe None

By signing below you acknowledge your responsibilities, both under the Health and Safety at Work Act 2015, and under all regulations and requirements of CentrePort Wellington Limited.

Signature - please use your mouse to sign in the box. *

Contractor Accreditation

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