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application for corporate membershipSSIP DEEMED TO SATISFY – ADDITIONAL PD ADVISER / CDM ADVISER ROLES
Your Organisation’s name
Address
Date this information supplied
Name of an APS Incorporated/Certified member in your practice who will undergo the telephone assessment
Office or work phone
Mobile phone:
APS Corporate Number (if applicable)
Number of Employees (UK)
How many additional UK operational offices do you have?
Services to be assessed by APS PD Adviser CDM Adviser
Name of SSIP Member Scheme
CDM Scope(s) assessed by SSIP Member Scheme & verifiable on SSIP Portal Principal Designer Designer
Assessment Expiry date
Web-based Evidence ink ie Dropbox, We Transfer etc For evidence only – please send form separately by email
Page | 1 Revised: June 2019
ASSESSMENT PRICING STRUCTURE (does not include annual membership subscription, which will become due upon completion of a successful initial assessment. All annual subscription renewal requests are sent separately).CORPORATE PRACTICE MEMBER - SSIP Deem to Satisfy (DTS) arrangements – additional non-statutory PD Adviser / CDM Adviser rolesNumbers of technical staff 1-10 11-40 41-100 101 - 500 501+Assessment Fee – evidence for PD Adviser / CDM AdviserIncludes reviewing any branch offices
£250 £350 £350 £400 £400
Assessment Fee – evidence for CDM Adviser ONLY £150 £250 £250 £300 £300Note*An additional fee of £100 for assessing changed circumstances – i.e. businesses that have restructured e.g. change of Directors/Partners and/or technical staff; changes to policies, systems and required training etc.
PAYMENT – NB APS does not issue invoices therefore no Purchase Order Numbers can be usedAmount: Please refer to
table above£
If you choose to pay by Internet Banking our account details that you will need to quote are: Sort Code: 83-51-00 Account No: 00216436
Reference: (New members: Company name / Existing members: Membership number)
OR:Pay by Card by completing the fields below:
Card No:
Start Date (MM/YY): / Expiry Date: (MM/YY): / Security Code: Issue No (Switch)
Card Holder Name:
Billing Address:
Cardholder Signature:
DECLARATIONI declare that:
The information provided is true and accurate;
I accept that APS reserve the right to confirm such information; Any relevant information to demonstrate compliance requested by APS will be made available during the assessment process;
As a Corporate Member, we will ensure all employees who are APS Members will abide by APS Rules and Code of Conduct, and the company will contribute an amount not exceeding £1 to the Company’s assets in the event of its dissolution or winding up of the Company in accordance with the Memorandum of Association of the Company; and
I will accept that the decision on my application is based on the information provided during the assessment by me and that the decision is final. Registration and the issuing of my registration certificate are dependent upon payment of both the assessment fee (non-refundable) and the annual subscription fee.
Signature:
Date:
Page | 2 Revised: June 2019
INSTRUCTIONS
PART 1 - to be completed by all Applicants.Nos 3, 5(a) & 5(b) - tick only the scopes to be assessed and include relevant evidence.PART 2 – for PD Adviser applicantsPART 3 – for CDM adviser applicants
If you are applying for multiple roles you must provide different, and recent, practical project evidence for each Part
GUIDANCE FOR APPLICANTSFor each line of the application form, you are asked to provide documentary evidence and/or a brief supporting statement. Your statements and explanations can be added in the “Notes” column. Please return the application form as a Word document to [email protected] We insist on a standardised approach to providing documentary evidence. This is intended to make the process easier for both applicant and assessor. We appreciate the time associated with collating this evidence and welcome the use of routine business documentation, wherever possible.A standardised approach to file sharing and supporting notes will assist your assessor, making the application process more efficient for all parties.In all cases:
Documents can be provided in any standard file format (docx, pdf, jpg etc.) All file names must be short – particularly evidence file names which should be shortened to the smallest possible size Unless an entire document is required, please use screen grabs or snipping tools etc to provide the relevant sections using a note on the form to explain what the extract is
(including page number/paragraph numbers, where relevant), unless this is self-explanatory. If you are providing an entire document, please add a note to the application form that clearly explains where the relevant information can be found. Please do not embed files into the application form All supporting documentary evidence should be uploaded to a cloud-base file sharing system (e.g. Dropbox or similar). An evidence link should be included at the end of Page 1 of this application – please do not add the form itself to the Dropbox folder It is the applicant’s responsibility to make sure that the evidence is accessible and can be easily navigated.
The following conventions should be used. Provide distinct, clearly named folders for each section of the form Use the numbering system provided on the application form as the file name for each piece of evidence – this will ensure file names are short and easy to match If the same evidence is to be used in more than one section, please copy to the appropriate folder and rename accordingly.
Applications will not be progressed unless (a) they include a link to supporting evidence and (b) evidence is easy to navigate/interpret
Page | 3 Revised: June 2019
PD Adviser CDM Adviser
PART 1PART 2PART 3
PART 1 – ALL applicants to complete
Page | 4 Revised: June 2019
Page | 5 Revised: June 2019
FOR APS USE ONLY
FileName
SSIP Core Criteria Reference
Standards to be achieved Evidence to demonstrate compliance Applicant comments
Assessor Comments
2 (c) N/A PII Cover Please attach a copy of your current Professional Indemnity Insurance
3 SSIP 3 Competent adviceYour organisation, and your employees, must have ready access to competent health and safety advice, preferably from within your own organisation.The adviser must be able to provide general health and safety advice, and also (from the same source or elsewhere) advice relating to sector specific (non-construction) or construction health and safety issues.
Provide full details of the person(s) you have available to provide competent health & safety advice on design and/or construction matters (in-house or external) in each category below to match your routine work-based risk profile in the office and on site.Provide an example of advice given and action taken from the last 12 months
PD Adviser
CDM Adviser
4 (d) N/A Evidence of resource planning Provide an example of how you calculate the resources required for the roles you undertake.(This might be using the APS Resource Estimator programme or other calculations or breakdown of the man hours required to complete the project)
5 (a) SSIP 5 Identification of all relevant personnel providing PD Adviser / CDM Adviser services as applicable
Provide a list or table of the personnel who carry out all or part of the services to deliver CDM services including relevant qualifications and memberships, indicating whether in-house staff, sub-contracted or consultant staff.
PD Adviser
CDM Adviser
5 (b) N/A Demonstration of appropriate recording of CDM activity Provide an example of a project that demonstrates how you record your activities:
PD Adviser
CDM Adviser
5 (c) N/A Archive Procedure for archiving CDM services
5 (d) N/A Observance of professional codes of conduct Describe how you ensure that your practice follows the APS Code of Conduct (and/or other professional codes of conduct)?
9 SSIP 9 Sub-contracting / consulting arrangements if applicableYou should have arrangements in place for appointing competent sub-contractors/consultants.You should be able to demonstrate how you ensure that sub-contractors/consultants will also have arrangements
Identify which of the following services are sub-contracted and provide a summary of the arrangements in place for appointing competent sub-contractors/consultants, including the level of input from the sub-consultant and how you
-----END OF PART 1-----
Please now complete PART 2 for PD Adviser and/or PART 3 for CDM Adviser
PART 2 - Complete if being assessed for: PD AdviserFOR APS USE ONLY
FileName
SSIP Core Criteria Reference
Standards to be achieved Evidence to demonstrate compliance Applicant comments Assessor Comments
13 PDA (a)
SSIP 11/13 Ensuring co-operation and co-ordination of design work within the design team and with other Designers/Contractors
Provide a statement on how you achieve co-operation and co-ordination in the context of the CDM Regulations
13 PDA (b)
SSIP 11/13 Co-ordinating with the Principal DesignerProvide a statement on how you coordinate with the Principal Designer
Provide an example of a recent design decision or change that met a specific requirement of the “Workplace” Regulations
13 PD (c)
N/A Cooperation, coordination and communication between or with Designers during the pre-construction phase particularly when the pre-construction phase continues into the construction phase
Provide documentary example(s) of your role in a project that shows how this has been achieved)
Page | 6 Revised: June 2019
13 PDA (d)
SSIP 12/13 Meeting the requirements of the “Workplace, Health, Safety and Welfare) Regulations 1992”
Provide an example of a recent design decision or change that met a specific requirement of the “Workplace” Regulations
13 PDA (e)
N/A Design procedures that evidence the capacity to produce and review designs and respond to the CDM duties of “Design Risk Management”
Provide an example of a project record, an internal procedure or project log that demonstrates (where applicable) your response to Designer duties to eliminate hazards or to reduce the risks (from the last two years).
13 PDA (f)
N/A Capacity to generate pre-construction information as a consequence of design
Provide an example of information that was generated in response to a health or safety issue arising from a design decision with a significant risk that could not be eliminated or reduced.
13 PDA (f)
N/A Design changes and health & safety coordination
Outline your procedures for ensuring design changes properly incorporate, or respond to, relevant health & safety risks
14 PDA (a)
N/A Evidence of CDM activities adding value to a project
Provide an example of how the organisation’s role in a team has added value or cost benefit to a project
14 PDA (b)
N/A Demonstration of how the practice obtains, collates and issues pre-construction Information
Provide a project example of a form or methodology you use to manage and monitor pre-construction information, including assisting the Client/Designers with existing and required or additional pre-construction Information
14 PDA (c)
N/A Demonstration of advice and assistance provided to client
Provide an email, meeting note or letter to demonstrate you doing this
14 PDA (d)
N/A Evidence of liaison with principal contractor regarding the supply of pre-construction Information during the construction phase and evidence of how this has assisted the principal contractor to develop the construction phase plans
Provide evidence of liaison you have undertaken
14 PDA (e)
N/A Content and format of health & safety File
Provide a contents page for preparing a completed project that demonstrates the file structure. (Please do no t send a copy of a complete health & safety File).
Page | 7 Revised: June 2019
14 PDA (f)
N/A Procedures that evidence the capacity to produce and review designs and respond to the CDM duties of “design risk management”
Provide an example of a project record, an internal procedure or project log that demonstrates your response to Designer duties to eliminate hazards and to reduce the risks.
14 PDA (g)
N/A Design changes and Health & safety co-ordination
Outline your procedures for ensuring design changes properly incorporate, or respond to, relevant Health & safety risks
14 PDA (g)
N/A Ensuring that the Client is provided with the health & safety file
Provide a sample advice note or procedure in relation to securing the completed health & safety file
-----END OF PART 2-----
RETURN TO TOP
PART 3 – Complete if being assessed for APS CDM AdviserFOR APS USE ONLY
FileName
SSIP Core Criteria Reference
Standards to be achieved Evidence to demonstrate compliance(from the last 2 years)
Applicant Comments Assessor Comments
1 SSIP 11 Co-operation, co-ordination and communication between Designers. Assessing that the Principal Designer is doing this..
Provide documentary example(s) of your role in a project that shows how this has been achieved
2 SSIP 11 Design changes and Health & safety co-ordination
Outline your procedures for ensuring design changes properly incorporate, or respond to, relevant Health & safety risks and the Client’s management arrangements
3 SSIP 12 Evidence of advice to the Client regarding welfare requirements
Provide sample emails, meeting notes or letters to demonstrate you doing this
4 N/A Evidence of CDM activities adding Provide an example of how your role in a team
Page | 8 Revised: June 2019
value to a project has added value or cost benefit to a project.
5 N/A Demonstration of initial advice and assistance provided to Client
Provide an email, meeting note or letter to demonstrate you doing this
6 N/A Evidence of establishing Client brief and project management arrangements, including notification
Provide sample emails, meeting notes or letters to demonstrate you doing this
7 N/A Evidence of advising the Client on programme and resourcing issues
Provide sample emails, meeting notes or letters to demonstrate you doing this
8 N/A Evidence of advising Client on appointment of capable Principal Designers, Designers, Principal Contractors and Contractors.
Provide sample emails, meeting notes or letters to demonstrate you doing this
9 N/A Demonstration of how the organisation obtains and collates Pre-Construction Information from the Client
Provide a project example of a form or methodology you use to collate Pre-Construction Information, including assisting the Client with information they have about the project, and advising on additional information to be sourced.
10 N/A Demonstration of how the organisation assesses whether the Principal Designer is collating and making available Pre-Construction Information
Provide a project example of a form or methodology you use to manage and monitor Pre-Construction Information, including assisting the Client with information they have about the project.
11 N/A Evidence of advice to the Client regarding Design Risk Management. Assessing that the Principal Designer is ensuring that appropriate Design Risk Management is being undertaken
proportionate advice relating to the size and type of their project and the performance of DesignersProvide sample emails, meeting notes or letters to demonstrate you doing this
Page | 9 Revised: June 2019
12 N/A Evidence of advice to the Client regarding Construction Phase Plans
Provide an example of how you advise a Client to ensure that a Construction Phase Plan is drawn up before any work starts on site and has necessary arrangements managing the identified risks.
13 N/A Ensuring that the Client is provided with the Health & safety File
Provide a sample advice note or procedure in relation to securing the completed Health & safety File.
----- END OF PART 3 -----
RETURN TO TOP
application for corporate membershipSSIP DEEMED TO SATISFY – ADDITIONAL PD ADVISER / CDM ADVISER ROLES
ASSESSMENT RECORD – FOR APS USE ONLY
Name of Applicant Name of Assessor
Stage in Assessment Date Stage completed
Notes/comments Number of Minor non-conformances
1 Practice Information passed to Assessor Number of Major non-conformances
Page | 10 Revised: June 2019
2.1 Review of submitted material by Assessor Pre-qualification assessment satisfactory? Yes / No *
2.2 Further information requestedIf applicable Action(s) required before
recommended for Registered Practice status?
Yes / No *
2.3 Further information receivedIf applicable Can the non-conformances be dealt
with at the next annual verification? Yes / No *
3 Email or phone contact to arrange Assessment interview Verified by Reviewer Assessor Yes / No *
4 Agreed date for Assessment interview Date verified by Reviewer Assessor
5 Results of Interview marked-up on this Feedback Form?
* Delete as appropriate
Assessor Comments (only if required):
Reviewer Comments (only if required):
Date assessment signed off: Date outcome issued to applicant:
RETURN TO TOP
Page | 11 Revised: June 2019