Application Form - reactivedriving.com

Job Application Form

Online_Job_Application_Form

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Personal information

Job you are applying for:

Title

Sex [M / F]

Marital status

Date of Birth

Nationality

First Name

Last Name

Address

Address Line 1

Address Line 2

Town

County

Postcode

Country

Phone/Mobile

Email address

How years experience in the UK - (HGV-1 / HGV-2 / 7.5 tonne / Van)

More Information

What is the MAXIMUM number of drops you are able to do / have done PER DAY:

Maximum distance travelled:

Do you have your own maps or Sat Nav:

Are you registered disabled?

Do you have a work permit?

How will you travel to work?

Do you have a criminal record?

Do you have any pending convictions?

Do you have safety boots?

do you have a hi vis vest?

How far are you willing to travel for work?

How soon are you available to start work?

Please confirm your payroll Status (PAYE/LTD):

Right to work check code:

National Insurance Number:

How did you find out about us?

Have you had any motor accident claims in the last three years?

Yes

More Information

What work can you accept?

Full Time

Part Time

Temporary

Permanent

Weekends

What Shifts can you work?

12 Hour

Rotating Shifts

Days

Nights

Earlies

Lates

Weekends

Do you have experience in any of the following?

Manual Tachographs

Digital Tachographs

Box Vehicles

Flat Bed Vehicles

Tipper

Roping Sheeting

Containers

Hiab

Hydraulic Platform

Double Deckers

Moffett

Wagon & Drag / A Frame

Carrying Steel

Gliders

Cement Mixers

Shunting

Nights Out

ADR [Tanks]

Packages

Tankers

Refrigerated Vehicles

Food Delivery - RDC's

Food Delivery - Shops

Home Deliveries

Local Deliveries

Long Distance Deliveries

Curtain Siders

Mini-Buses / Coaches

Trunking

Trailer Swaps

Continental Work

Fork Lift Trucks

Tail Lifts

RoRo / Skips

Tramping

Are you physically fit?

Do you have any medical conditions?

Yes

If yes please give info:

Do you currently take any medication?

Yes

If yes please give info:

Do you have any appointments or holidays arranged within the next month which would result in time off during your working hours if a job was offered to you?

Yes

If yes please advise possible dates below for us to accommodate:

Eligibility to work in the UK

UK Legislation requires all candidates to provide appropriate evidence.

By what means are you eligible to work in the UK?

Type of Visa / Work permit

Expiry Date

Health and Safety for Day & Night Workers

In compliance with the working time regulations the purpose of this declaration is to assess your fitness to carry out work whilst in assignment for Reactive Recruitment Services Ltd.

Do you have any health concerns that may prevent you from working at night?

Do you have requirements to take medication on a strict timetable? [tablets / injections]

Any heart problems that could be aggravated by additional stress?

Stomach disorders where the timings of meals are important?

Medical conditions that prevent you sleeping throughout the day?

If you have answered Yes to any of the above please enter more specific details:

Do you hold any first aid qualifications?

Yes

If yes please give details:

In case of an emergency

Please provide someone we can contact below

Emergency contact name:

Emergency contact number:

Emergency contact address:

Relationship to you

Criminal Record and Security Checks

Are you currently under investigation and / or do you have an previous convictions including any cautions, reprimands, final warnings, bind-overs or any convictions from overseas that are not "protected" under the Rehabilitation of Offenders Act 1974 [exceptions] order 1975, as amended in 2013

Are you currently under investigation yes/no

Yes

If YES please give details:

Are you included in any list of of people barred from working with children or vulnerable adults?

Yes

If YES please give details:

Holiday Accrued Payment

Whilst working for Reactive Driving Recruitment, a temporary workers holiday entitlement at the standard 5.6 weeks per year [1st October - 30th September] will be paid as it is accrued. This will result in all temporary workers for Reactive being paid minimum of £10.65 per hour. This is made up of the national living wage plus 5.6 weeks holiday at 12.07%.

Name:

Date:

Manual Handling Guidance (Workplace Regulations 1992)

he Workplace Regulations 1992 define manual handling as any operation where a load is moved by bodily force: this includes picking up, putting down, carrying, supporting and pushing.

Every employee has a responsibility under the Health and Safety at Work Act 1974 to take reasonable care for their own health and safety and that of others who may be affected by their activities, and also to co-operate with their duties.

A: STOP AND THINK

Plan the lift. Where is the load to be placed? Use appropriate handling aids if possible. Do you need help with the load? Remove obstructions such as discarded wrapping material. For a long lift, such as floor to shoulder height, consider resting the load mid-way on a table or bench in order to change grip.

B: POSITION THE FEET

Feet apart, giving a balanced and stable base for lifting (unsuitable footwear make this difficult). Leaning leg as far forward as is comfortable

C: ADOPT A GOOD POSTURE

When lifting from a low level, bend the knees. But do not kneel or over flex the knees. Keep the back straight (tucking in the chin helps) lean forward a little over the load if necessary to get a good grip. Keep the shoulders level and facing the same direction if the hips.

D: GET A FIRM GRIP

Try to keep the arms within the boundary formed by the legs. The best position and type of grip depends on the circumstances and individual preference but it must be secure. A hook grip is less tiring than trying to keep the fingers straight. If you need to vary the grip as the lift proceeds, do it as smoothly as possible.

E: KEEP CLOSE TO THE LOAD

Keep the load close to the truck for as long as possible. Keep the heaviest side of the load next to the trunk. If a close approach to the load is not possible, slide it towards you before trying to lift. Don’t jerk - lift smoothly, keeping control of the load. Move the feet - Don’t twist the trunk when turning to the side.

F: PUT DOWN, THEN ADJUST

If precise positioning of the load is necessary, put it down first, then slide into the desired position.

By Signing this document i agree that i have read and understood all of the above:

Signature

Sign Here

Name:

Date:

Declaration

I confirm that the information provided on this form and within my CV, if applicable is both truthful and accurate. I have omitted no facts that could affect my future employment. I understand that any engagement entered into is subject to documentary evidence of my right to work in the UK, verification of any professional qualifications and subject to satisfactory references. I expressly consent to any sensitive data, disclosed as part of my application, being used in connection with the search of work, subject to the relevant data protection legislation. We will use the information you provide us in accordance with our privacy policy. It is important to note that your information may be processed outside of the European Economic Area. I will inform Reactive Driving Recruitment immediately of any circumstances that may affect ,my application for work, such as changes to health, subsequent pending prosecutions or convictions.

Use this section to upload additional documentation: National insurance slip proof / Passport / Birth certificate etc.

Additional documentation:

Choose File/S

Date / Time

First Name

Last Name

Signature

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