title:
Not Selected
Mr
Mrs
Miss
Ms
forename:
surname:
employment status:
Not Selected
Employed
Self-employed
Unemployed
Student
Volunteering
do you have the right to work in the UK?:
Yes
No
do you have a full driving license?:
Yes
No
driving endorsements (if any):
Not Selected
0
3
6
>6
are you able to travel internationally if required?:
Yes
No
BPSS:
The role you are applying for requires a Baseline Personal Security Standard check to be carried out. This includes a Disclosure and Barring Service (DBS) check which will detail any unspent criminal convictions.
Please be aware, if you are shortlisted for interview, you will be required to complete a Criminal Record Declaration form to enable us to assess your suitability for the role.
have you previously applied to Nicholsons?:
Yes
No
if so, what date:
if so, which role:
address details:
house name/no.:
street:
town:
county:
country:
postcode:
phone/email details:
home:
mobile:
email:
previous employment 1: (most recent)
company:
are you still employed by this company:
Yes
No
start date:
end date:
position type:
Not Selected
H&S/E Administrator
H&S/E Assistant
H&S/E Coordinator
H&S/E Advisor/Officer
Other
position title:
reporting to:
main duties:
annual salary (£pa):
+av bonus (£pa):
holidays (#days):
reason for leaving:
previous employment 2: (2nd most recent)
company:
start date:
end date:
position type:
Not Selected
H&S/E Administrator
H&S/E Assistant
H&S/E Coordinator
H&S/E Advisor/Officer
Other
position title:
reporting to:
main duties:
reason for leaving:
previous employment 3: (3rd most recent)
company:
start date:
end date:
position type:
Not Selected
H&S/E Administrator
H&S/E Assistant
H&S/E Coordinator
H&S/E Advisor/Officer
Other
position title:
reporting to:
main duties:
reason for leaving:
education and professional qualifications:
highest level:
Not Selected
GCSE
A Level
Diploma
Foundation Degree
HNC
HND
BTec
NVQ
Degree
subject and grade:
highest HSE qualification:
Not Selected
None
NCRQ Level 6 Cert
IOSH Cert
H&S Level 7 NVQ
NEBOSH Cert
sector experience:
Aerospace:
Not Selected
None
0-1year
1-4year
4+ years
Automotive:
Not Selected
None
0-1year
1-4year
4+ years
Defence:
Not Selected
None
0-1year
1-4year
4+ years
Medical:
Not Selected
None
0-1year
1-4year
4+ years
other
(please
specify):
relevant skills/experience:
In previous roles (please specify company, depth of expertise etc.)...
1. To what extent have you been involved in the management of ISO14001?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of a process change you implemented to support the standard.
2. To what extent have you been involved in the management of ISO45001?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of a process change you implemented to support the standard.
3. To what extent have you been involved with coordinating Site Security providers?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of an improvement you made to reduce security risk.
4.To what extent have you been involved in the management of REACH Compliance?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of how you demonstrated REACh compliance to an interested party.
5. To what extent have you been involved in the management of Hazardous Waste?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of how you ensured safe storage or transport of Hazardous Waste.
6. To what extent have you been involved in the management of Third Party Compliance Providers (e.g. Occupational Health, Fire Safety, Health & Safety Legal Consultants)?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of how you have used a third party organisation to complement in-house expertise.
7. To what extent have you been involved in Risk Assessments?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Describe how you have ensured adequate risk assessment coverage of site operations.
8.To what extent have you been involved in the support and planning for Emergency Response and Disaster Recovery?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of how you have planned for an emergency situation.
9. To what extent have you been involved in the coordination of internal audits?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of how you have scheduled audits alongside other business priorities.
10. To what extent have you been involved in the coordination of external audits?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of how you have adequately addressed an identified non-conformance.
11.To what extent have you been involved in the management of Contractors (e.g. induction, hosting and assessment)?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of a challenging activity which required coordination of multiple contractors.
12. To what extent have you been involved in the collection, review and reporting of data for Key Performance Indicators and tracking metrics?
task frequency
level of responsibility
area expertise
Not Selected
Never
Rarely
Occasionally
Regularly
Not Selected
None
Process participant
Partially responsible
Full ownership
Not Selected
None
Some
Competent
Expert
Please provide an example of data that you have used to support health and safety or environmental compliance and what impact it had.
training:
Coaching and Mentoring:
Yes
No
Trained Auditor:
Yes
No
other (please specify):
Yes
No
further information:
desired salary (£pa):
desired holidays (#days):
further information:
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