SSIP Registration Form

Fields marked with this icon must be filled in

Your Organisation

Assessment ID Number

This number will be on the email you received from us; e.g. 3221 (or sometimes ABC/3221-1 - either is fine)

If you don't have an assessment ID number, request one here or contact us for more information

Select your category

Please state the category you wish to be approved under corresponding to the role you will be fulfilling

State the name of your organisation

State the name of the person dealing with this questionnaire

Please provide a contact email address for the above person

Please state the SSIP Member you are registered with

Attached files

Please supply a copy of the certificate as verification of your registration with another SSIP Member.

If the certificate does not include your registration number then please enter this above.

Insurances

Provide a copy of your PLI and ELI insurance certificates and schedules

It is important that both insurances are submitted. Your broker will assist with any queries you may have.

Accidents/Prosecutions etc.

Under your current name, or any previous title, please give details of any HSE improvement or prohibition notices, and any prosecutions in the last five years

Attached files

Provide details of the number of RIDDOR accidents /incidents in the last 3 years

Attached files

Include details of any actions taken to prevent re-occurrence. Where available please confirm your injury incidence and frequency rates.

Important: if you save your submission, you will be able to return to it later provided you are using the same computer.
If you clear your internet history, then any saved submissions will be lost.

Register for mutual recognition from the Eurosafe UK CDM Competent Scheme for approval from another SSIP Member