EVENT NAME 2024 – occupational health and safety coordination

The occupational health and safety coordination is based on the production regulations, which can be downloaded by the LINK below. Please read this and the additional mentioned documents carefully and submit the necessary information in the following form until the specified deadline.

Deadline: 24 hours before entering production

Alternativ you can also submit the information via email to event@support-factory.net or by personally delivering to the occupational health and safety coordination by the specified deadline.

Gender note: For better readybility, the generic masculine ist used in this paper. Unless otherwise indicated, the designations used in this work refer to all genders.

HERE you find the Link to the Production Regulation - Occupational health and safety
Please read before filling out the following form!

Company informations

Operating as... *

Contractor
Subcontractor
Artist
Partner
Others

Please explain "others" here:

Please name your client here:

Company name *

Responsible (authorized to sign) *

Vorname

Nachname

E-Mail *

E-Mail-Adresse

E-Mail bestätigen

Occupational Data

Which department do you belong to? rigging, stage, logistic... *

Do you work with subcontractors, who are also on site? *

Please note the obligation to coordinate occupational health and safety and to instruct the subcontractor in accordance with Section 6 DGUV regulation 1 / Section 13 (3) of the Ordinance on Industrial Safety and Health.

When are you on site? *

for set-up
event day
for dismantling
outside these times

Datum

first day

last day

Do you use trucks, mobile elevation platforms or forklifts on site? *

Yes
No
to be defined

HERE you find the Link to the guideline for operating industrial trucks.

Please specify, what you will use...

forklift
mobile elevation platform
cherry picker

Please think about the "driving authorization" according to section 7 DGUV regulation 68. If there are any further questions about this topic, please contact the occupational health and safety coordination.

Do you use vehicles (golf carts, bicycles, trucks, cars) on site? *

Yes
No
to be defined

Please specify which vehicles from the production fleet you will use...

golf cart
bicycle
others

HERE you find the Link to the guideline for operating golf carts and gators.

HERE you find the Link to the guideline for operating bicycles and cargo-bikes.

Please use the linked form if you are using a vehicle from the production fleet.

Please enter "others" here:

In which area will you be working on?

at none of the listed areas? Please indicate the area...

Who is your contact person for occupational health and safety issues in your company?
The announced person must comply with the requirements of the production regulation and be on site during the entire time. In addition they are obliged to complete the h&s online-briefing, to obtain the corresponding certificate and to present this to the occupational health and safety coordination before starting work.

Contact person for occoupational health and safety issues *

Vorname

Nachname

E-Mail *

E-Mail-Adresse

E-Mail bestätigen

mobile *

Confirmation

Hereby I as the responsible confirm, that... *

the production regulations and the "occupational h&s online-briefing" have been understood and the requirements are observed in our work.

contact person *

the announced contact person is qualified and authorized according to the specifications in the production regulations.

risk assessment *

all necessary risk assessments for the activities to be carried out have been prepared.

instruction / briefing *

instructions for employees and, if necessary, briefing for subcontractors commissioned by us are carried out and documented before the work begins.

qualification *

all necessary employee qualifications are available and documented.

operating industrial trucks *

the guideline for operating industrial trucks have been unterstood and the requirements are observed in our work.

DATA PROTECTION NOTICE
The personal data given here will be processed on our website in accordance with our data protection notice. The processing within the scope of the production of Celebrate at the gate 2023 takes place on the basis of section 6 (1) lit. c) GDPR, as part of our order for occupational health and safety coordination by BfS Berlin feiert Silvester GmbH as responsible for the further data processing.

Individual Captcha *

Save and continue later

Your form entry has been saved and a unique link has been created that you can access to continue on this form.

Enter your email address to receive the link by email. Alternatively, you can copy and save the link below.

Please note that this link is not meant to be shared and will expire in 30 days. Your form entry will then be deleted.

Link kopieren

E-Mail *