ATC Risk Management

5 Wheatcroft Business Park

Landmere Lane
Edwalton
Nottingham
NG12 4DG
NVQ Pre-registration Form

Please complete this form and return along with a copy of your CV and job description, by fax on 0115 921 5352,
by e-mail to: sales@atcrisk.co.uk, or by post to the address above.
Booking for Course + vat at the prevailing rate
(qualification title): fees:

Part 1 Company Details

Company name: Address:

Telephone number:

Fax number:

Part 2- Candidate Personal Details all sections must be completed for awarding body registration

Candidate name: Home

Address:
Job title:

Date of birth:

Preferred contact
telephone number:
Preferred contact
email address:
Part 3 Payment / Authorisation Details

SPECIAL/ADDITIONAL INSTRUCTIONS:
Payment of the full qualification fees is due in full before registration with the awarding body.
Upon receipt of this booking form the candidate will be contacted by one of our NVQ assessors to undertake an initial assessment this
is to ensure that you are able to collect the required evidence and complete the qualification. Registrations with the Awarding Body will
not take place until this initial assessment has been completed.

Accounts name: Billing

Address:
(if different
Telephone number:
from above)

Email address:

Purchase Order
Number:

Please tick here to pay by cheque you will be sent an Please tick here to pay by credit/debit card you will be
invoice by post to the billing address sent an e-mail to the billing e-mail address containing a link
to a secure online payment processing web site

Booking authorised by Position:

(signature):

For ATC Risk Management use only:

(initial assessment completed assessor name/date)
1. DEFINITIONS AND INTERPRETATION
1.1 The parties are defined as the supplier, which is ATC Risk Management Services Limited, and the the company as defined on page 1
of this agreement is the client.

1.2 This agreement shall be subject to the laws of England and Wales to the exclusive jurisdiction of whose courts the parties hereby
submit.

2. TOTAL BOOKING VALUE

Prices do not include value added tax, which will be added to the total invoice amount at the current rate or any charges for hotel
accommodation/conference facilities.

3. PAYMENT TERMS
NVQ programmes must be paid in full before registration and commencement of the programme.

4. CHANGES TO ORIGINAL ORDER

There will be no charge if a substitute person from your organisation wishes to replace the original candidate but this must be notified to
the supplier prior to candidate registration with the awarding body.

5. CANCELLATIONS
Cancellations made after candidate registration with the awarding body will incur the full fee.

6. TERMINATION
The client may terminate this Agreement immediately by notice in writing if the supplier shall:-

6.1 be in breach of any of the terms of this Agreement which in the case of a breach capable of remedy is not remedied by the supplier
within 10 days of receipt by the supplier of a notice from the client specifying the breach and requiring its remedy.

6.2 be incompetent, guilty of gross misconduct and/or any serious or persistent negligence in respect of his/her obligations hereunder.

6.3 fail or refuse after written warning to carry out the duties reasonably and properly required of him/her hereunder.

7. FORCE MAJEURE
Neither party shall be liable in damages or have the right to terminate this Agreement for any delay or default in performing hereunder if
such delay or default is caused by conditions beyond its control including, but not limited to Acts of God, Government restrictions (including
the denial or cancellation of any export or other necessary licence), wars, insurrections and/or any other cause beyond the reasonable
control of the party whose performance is affected.

8. DELEGATE ACCOMMODATION
8.1 All delegate accommodation costs, in their entirety, are the responsibility of the delegate or client company and must be settled on
departure from the hotel, unless prior credit facilities have been arranged with the hotel.

8.2 In the event of cancellation, the hotels Terms & Conditions of Business apply. You may be liable for cancellation charges if you do not
give sufficient notice.

9. TEAM BUILDING EVENTS

For all team building and leadership development programmes where team building activities are part of the programme it is the clients
responsibility to provide suitable insurance for its delegates.

10. NOTICES
Any notice required by this Agreement to be given by either party to the other shall be in writing and shall be served by sending the same
by registered post or recorded delivery to the last known address of the other party and shall be deemed to have been served on the day
following posting. Any receipt issued by the postal authorities shall be conclusive evidence of the fact and a date of posting of any such
notice.
NVQ in Occupational Health and Safety Practice Initial Assessment
(In accordance with Awarding Body guidelines this form should be completed by the candidate and initial assessor prior to acceptance on the programme)

Below is the list of units that Candidates must complete in order to achieve the qualification. There are eleven mandatory units and six
elective units of which unit 611 must be completed to gain IOSH technical membership. Each Candidate must be able to generate work
based evidence to show their competency against each of the units. Work based evidence can be from normal routine activities, or from
Candidate
Name:
Award: Level 5 NVQ Diploma in Occupational Health and Safety Practice
Initial Assessor:
Date:
additional or temporary responsibilities (such as a secondment, project, temporary additional responsibilities, etc). Evidence can take the form of
work products (i.e. completed forms, policies), observations, witness statements, etc.

Unit Title Evidence Requirements For

Completion
MANDATORY by the
UNITS Candidate

Develop and This unit enables learners to develop the skills and understanding required for;
402 implement effective Evaluating health and safety information external to the organisation
communication Communicating relevant health and safety information
systems for health Ensuring that relevant health and safety information from their organisation is
and safety communicated to statutory and local authorities, relevant groups and individuals
information.

Evidence Requirements
Evidence must come from relevant sources internal and external to the
organisation.

Promote a positive This unit enables the learner to develop skills and knowledge in:
510 health and safety Advocating, developing and communicating a positive health and safety culture for
culture. the organisation
Working with key stakeholders in implementing a positive health and safety culture
Maintaining a positive health and safety culture in the organisation by encouraging
directors, senior, line, functional and technical managers and employee
 representatives to lead by example on health and safety matters

Develop and The aim of this unit is for learners to develop skills and knowledge in:
511 maintain individual Assessing the health and safety competence needs of their organisation
and organisational Assessing the health and safety competence needs of individuals in their
competence in organisation
health and safety. Ensuring that the identified health and safety competence needs of their
organisation are addressed by providing health and safety training

Evidence Requirements
The learner must produce evidence to demonstrate that all those in their
organisation have the required competencies for health and safety relevant to their
job role. This will be at differing levels of knowledge and understanding. Training
and information written or commissioned by the learner will be communicated
formally and informally to reflect this.

Control health and The aim of this unit is for learners to develop skills and knowledge in managing and
512 safety risks. implementing the risk assessment process for their organisation.

Evidence Requirements
The learner must provide evidence that they use various way to identify health and
safety hazards in their workplace e.g. walkabout, formal and informal inspection,
observation and interview etc
They must explain how they have evaluated the potential to cause harm, criteria
and measurements they need to consider and what records are kept.
They must provide a detailed risk assessment analysis, and explain why the
appropriate risk assessment techniques were used.
They must explain the necessity of the proposed improved control systems.
They must explain qualitative and quantitative analysis techniques.
They must explain the value or relevance in prioritising risk.
Records of identifying and evaluating hazards must be maintained and retained
which include discussions with appropriate people at all levels, both internal and
external.
Review and update of risk assessments.
Identify the gaps between current and proposed risk control measures.

Develop and This unit enables the learner to develop and implement health and safety proactive
513 implement performance monitoring systems and review and respond to health and safety
proactive proactive performance monitoring outcomes.
monitoring systems
for health and Evidence Requirements
safety. The learners must identify where changes need to be made by researching
information from:
Workplace data
Policies
Risk Assessments
Reviews
Minutes of meetings
Incident reports
Any other source including those externally generated to form the basis of proactive
monitoring

The learner must consider workplace environments and impact of changing

environmental conditions.
Develop and This unit involves:
514 implement reactive Developing and implementing health and safety reactive performance (loss event)
monitoring systems monitoring systems.
for health and Developing and implementing loss event investigation systems and procedures
safety. *investigating loss events.
Reviewing and responding to health and safety reactive performance monitoring
outcomes.

Evidence Requirements
The learner will demonstrate competence in developing and implementing reactive
monitoring systems and recommending actions to improve health and safety
performance.
The reporting system the learner produces must be understandable and accessible
by everyone at all levels in the organisation. Everyone should be able to report any
loss event or incident within a no-blame culture encouraging two way information
processes.
The learner must carry out the investigations which should be impartial and
conducted in a way that is sympathetic and focuses on the facts without
assumptions.
The learner must demonstrate will developed interview, training and communication
skills to enable them to inform people at all levels in the organisation of the
monitoring outcomes and present to interested parties.
 Develop and This unit enables the learner to develop skills and knowledge in planning and
515 implement health implementing emergency response systems and procedures and communicating
and safety emergency response information.
emergency
response systems Evidence Requirements
and procedures. The learner must be able to provide evidence that emergency equipment is
regularly maintained and tested and emergency response drills conducted,
evaluated and improvements made as a result
The learner must be able to identify all relevant local emergency services,
authorities and statutory reporting requirements in order to ensure that response to
any particular emergency in their organisation is received in the shortest possible
time.

516 Develop and This involves investigating the efficiency and cost-effectiveness of health and safety
implement health management systems and developing and implementing changes to improve
and safety review efficiency and cost effectiveness.
systems.

Develop and This unit is for managers with a role which involves preparing and implementing
517 implement a health health and safety audit systems. Evaluating compliance of the health and safety
and safety audit. management systems with the operational, technical, procedures and performance
standards specified by management and recommend improvements as
appropriate.

Evidence Requirements
For this unit the learner must carry out an audit of the health and safety systems
and processes in accordance with the agreed specification.
They must record the findings of the audit and prepare a written report containing
the results of the audit and any recommendations for change/improvement. They
must also present the report to senior management/stakeholders and advocate the
changes/improvements.
The learner will be observed by the assessor or someone that is occupationally
competent when conducting the audit in the organisation.

Behavioural safety This is aimed at anyone working in an organisation with a mature health and safety
518 in the workplace. management system, wishing to implement a behavioural safety programme in the
workplace.
 Evidence Requirements
Learners must identify behavioural traits in the organisation, develop and
implement policies to ensure that the behaviour and attitudes in the workplace
enhances health and safety.

Develop and This unit is for learners with senior responsibility for developing the health and
610 implement the safety policy for their organisation and managing its implementation. Learners need
health and safety to be able to develop, advocate, implement and work with key stakeholders.
policy.
Evidence Requirements
Learners must produce a policy where no policy exists.
Where a policy exists, a critical review must be taken of all aspects of the current
policy so that deficiencies are identified. Where no deficiencies are identified,
learners must investigate/gather evidence through QA with key stakeholders.

Unit Title Evidence Requirements For

Completion
ELECTIVE by the
UNITS Candidate

Influence This unit involves:

519 improvements in Keeping up to date with new health and safety legislation and best practice.
health and safety Reading and responding to health and safety literature in print and electronic form.
practice. Attending relevant health and safety groups and committees both internal and
external.
Influencing professional colleagues and others on health and safety matters.

Develop, This unit is for senior managers with role that involves establishing, implementing
520 implement and and/or reviewing an organisations health and safety strategy.
review the
organisations Evidence Requirements
health and safety Learners must demonstrate that they have assessed and responded to the external
strategy. factors impacting on the strategy and process. This must include PESTLE and
SWOT analysis and relevant health and safety legalisation and other legal
decisions for example case law and technical developments.
Learners must also evaluate and validate all internal and external information
gathered and assess its impact upon the organisations business plan having
 benchmarked against current best practice.
The learner must review the heath and change strategy and ensure robust systems
are in place to support the changes.

Contribute to This involves reviewing health and safety loss event investigation reports from a
521 health and safety legal point of view, identifying possible breaches of statutory and common law
legal actions. requirements and suggesting probable legal defences.
Evidence Requirements
This can be assessed through simulation.

Manage This unit is for managers who are responsible for management or supervision of
522 contractors to contractors in the workplace.
ensure compliance
with health and Evidence Requirements
safety. The learner must be observed on-site by the assessor or someone that is
occupationally competent when conducting the audit in the organisation.

Develop and This unit is for managers who have the responsibility for developing and
523 implement the implementing the health and safety induction process in the organisation, preparing
health and safety information and guidance.
induction process.

Professional This unit is to enable learners in health and safety practice to be able to evaluate
611 development and their personal competence continually, and reflects on skills or knowledge gaps. It
ethics in health and also enables learners to develop their ability to review ideas and practices critically
THIS UNIT safety and to carry out research to inform their practice.
management. Candidates wishing to gain IOSH graduate membership must complete this
MUST BE
unit and assessment.
COMPLETED TO
GAIN IOSH Evidence Requirements
GRADUATE Candidates must complete the set assessment tasks in assignment packs to gain
MEMBERSHIP IOSH Graduate membership recognition.
RECOGNITION.

Name

Date of birth
Home Address

Preferred telephone

Preferred e-mail

Particular assessment requirements

(special needs)

Ethnicity (highlight selected choice)
White British Mixed - White and black Caribbean
White Irish Mixed - White and black African
White Other Mixed - White and Asian
Mixed - Any other mixed background
Asian - Indian
Asian - Pakistani Black or Black British Caribbean
Asian - Bangladeshi Black or Black British - African
Asian - Any other Asian background Black or black British - Any other black
background

Chinese

Any other: