Employee New Starter Form

Personal Details

Name(Required)

Prefix First Last

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Home Phone Number

Mobile Phone Number(Required)

Email Address(Required)

Date of Birth(Required)

National Insurance Number(Required)

Job Title(Required)

Start Date(Required)

Do you have the right to work in the UK?(Required)

Yes

No

Passport Number(Required)

Nationality(Required)

Driving Licence Number

Details of any previous motoring accidents

Details of any motoring convictions or endorsements

Bank Details

Bank Name(Required)

Bank Account Name(Required)

Bank Sort Code(Required)

Bank Account Number(Required)

Driving Licence Declaration

On signing this form, I give authority for the company to do an online check of my driving licence at any time and if I receive any points, endorsements or convictions I will notify you immediately.

Signature(Required)

Date(Required)

PPE

SRC Group use a Third-Party supplier, Arco, for all PPE (Personal Protective Equipment) requirements. In order to request additional PPE, we need to issue your personal email address to Arco. By signing this declaration, you confirm you consent to SRC Group passing your details to Arco.

Signature(Required)

Date(Required)

Working Time Directive

This Agreement is made between Sewells Reservoir Construction Limited (“the Company”) and (“the Employee”) The Working Time Regulations 1998 provide that the average working week, including overtime, shall not exceed 48 hours. The Company and the Worker agree that this limit shall not apply to the Worker. This Agreement will remain in force indefinitely. The Worker, or the Company, may terminate this Agreement at any time by giving not less than three months’ written notice to the other.

Signed for and on behalf of the company

Position

Signed by the employee(Required)

Date(Required)

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In Case of Emergency

Please ensure you provide us with details of who to contact in case of emergency.

Name(Required)

Relationship(Required)

Mobile Number(Required)

Home Number

Work Number

Consent Given by Next of Kin to Hold Details?(Required)

Yes

No

Personal Health Declaration

Please complete to enable us to monitor and determine relevant risk assessments.Have you ever suffered from:

Epilepsy/Blackout/Fainting(Required)

Yes

No

Please give details(Required)

High/Low Blood Pressure(Required)

Yes

No

Please give details(Required)

Heart Disease(Required)

Yes

No

Please give details(Required)

Chest Pains/Palpitations(Required)

Yes

No

Please give details(Required)

Asthma(Required)

Yes

No

Please give details(Required)

Diabetes(Required)

Yes

No

Please give details(Required)

Back/Neck Pain(Required)

Yes

No

Please give details(Required)

Arthritis/Gout(Required)

Yes

No

Please give details(Required)

Hernia(Required)

Yes

No

Please give details(Required)

Psychiatric Illness(Required)

Yes

No

Please give details(Required)

Eye Disease/Poor Eyesight(Required)

Yes

No

Please give details(Required)

Ear Disease/Deafness(Required)

Yes

No

Please give details(Required)

Have you ever worked in an industry with high noise levels?(Required)

Yes

No

Please give details(Required)

Eczezma/Dermatitis/Skin Problems(Required)

Yes

No

Please give details(Required)

Allergies(Required)

Yes

No

Please give details(Required)

Migraines/Frequent Headaches(Required)

Yes

No

Please give details(Required)

Joint Pain(Required)

Yes

No

Please give details(Required)

Regular Medication(Required)

Yes

No

Please give details(Required)

Serious Accident(Required)

Yes

No

Please give details(Required)

Other Long Term Illness(Required)

Yes

No

Please give details(Required)

Do you consider yourself disabled?(Required)

Yes

No

Please give details(Required)

Employment Declaration

I, the undersigned, have read, understood and completed this form and all information provided by me is true and correct. I understand that any discrepancies may affect my terms of employment. I give my consent for this information to be held in my personnel file in accordance with the Data Protection Act 1998 and GDPR 2018.

Signature(Required)

Date(Required)

Name(Required)

First Last

Equality & Diversity Monitoring Data

Gender(Required)

Male

Female

Prefer not to say

Is the gender you identify with the same as your sex registered at birth?(Required)

Yes

No

Prefer not to say

If the gender you identify with is not the same as your sex registered at birth, please specify below (if you would prefer not to say, please leave this blank):

Age(Required)