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Italy Contractor H&S / ITP Questionnaire
Q1.Legal name, registered office, tax code/VAT number and CCIAA/REA registration details
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Supporting Documents
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Q2.Named contact for this submission and named H&S contact
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Q3.Describe the exact work/services, equipment used, proposed dates, locations and estimated duration.
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Q4.Number and roles of personnel expected on site, including self-employed workers.
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Q5.Will any subcontractor or self-employed worker be used?
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A
No
B
Yes
Q6.Upload current CCIAA company registration extract showing activities consistent with the proposed work.
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Q7.Provide current DURC details/evidence, or explain why DURC is not applicable.
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A
Applicable
B
N/A
Q8.Confirm you possess the organisation, labour, equipment and technical capability required for the proposed work. Give brief supporting details.
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A
Yes
B
No
Q9.Provide relevant experience from comparable occupied buildings and details of any required trade authorisations
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Q10.List the equipment, plant, work equipment and PPE to be used and confirm legal conformity, inspection and maintenance.
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Q11.Identify the employer, RSPP, competent doctor (where required), RLS/RLST and site supervisor/preposto relevant to the work.
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Q12.Upload or provide evidence of the risk assessment/self-certification permitted by law and applicable H&S arrangements.
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Q13.Provide workforce training, competence, medical fitness and authorisation records relevant to the tasks.
Workforce Training
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Competence
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Medical Fitness and authorisation records
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Q14.Provide current public/civil liability and workers/accident insurance evidence applicable to the work.
Public/civil liability document
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Workers/accident insurance document
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Q15.List any improvement, suspension or prohibition notices, serious H&S breaches or work-related fatalities in the last five years, with corrective action.
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A
N/A
B
Applicable
Q16.Select all applicable activities
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Electrical Isolation
Hot Work
Work at Height
Lifting
Confined Space
Excavation
Demolition
Asbestos Disturbance
Chemicals
Gas/Refrigerants
Fire Systems
Water Hygiene
Other High Risk Work
Q17.Provide task risk assessments and safe working method/procedure documents for the proposed scope.
Risk Assessments
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Safe working method/procedure documents
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Q18.List hazardous substances and upload current safety data sheets.
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Safety data sheets
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Q19.Describe required isolations, access restrictions, deliveries, storage, waste removal and emergency arrangements.
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Q20.Identify risks your work may create for residents, employees, visitors or other contractors, and proposed controls.
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Q21.Identify information you require about the property or other activities to work safely.
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Q22.Confirm incidents, near misses, changes of personnel/scope and new hazards will be reported immediately.
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Confirm
Q23.Does the scope include construction or civil-engineering work, including construction, maintenance, repair, demolition, renovation, installation or dismantling activities potentially within Annex X?
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A
Yes
B
No
C
Unsure
Q24.Will more than one contractor or self-employed party be present at any stage, including sequentially?
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A
Yes
B
No
C
Unsure
Q25.Will you act as principal contractor/impresa affidataria or engage executing contractors?
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Yes
B
No
C
Unsure
Q26.If operating in a temporary or mobile construction site, provide Patente a Crediti details and current status, or the legal exemption and evidence relied upon.
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N/A
B
Applicable
Q27.Provide SOA classification evidence if relied upon as an exemption.
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Q28.Upload the documents required from undertakings/self-employed workers under Annex XVII that apply to your role and scope
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Q29.Confirm you will provide a POS where legally required and comply with the PSC and site coordination arrangements.
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Yes
B
No
Q30.Confirm the information and evidence are complete, accurate and current and that material changes will be notified before work continues.
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A
Yes
B
No
Q31.Confirm workers and subcontractors will follow site rules, coordination measures, permits and emergency arrangements.
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A
Yes
B
No
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Signature
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Submit