Cotswold Outdoor

Form 3 of 3

Next Step (Form 3)
Assignment Details Form
Details of the Employee and Hirer
Forename(s)*
Surname*
Address
Street Address Line 2 City / Town County Postcode Country
Name of the Hirer*
Nature of the Hirer’s business*
Name of Hirer’s contact to report to on arrival*
Reception – Shauna Carolan (Contract Manager)
Assignment Details
Likely duration of the Assignment*
Calendar weeks already accrued towards the Qualifying Period for the purposes of Regulations 7 and 8 of the Agency Workers Regulations 2010*
The type of work*
Location of work*
Hours of work*
Hours of work are below and vary on which shift you are working Sunday to Thursday – 05.45 – 14.00 Sunday to Wednesday – 12:30 – 22:30 Monday to Friday – 05:45 – 14:00 Monday to Friday – 08:30 – 16:30 Monday to Friday – 14:15 – 22:30 Wednesday to Saturday – 12:30 – 22:30
The experience, training, qualifications and any authorisation necessary or required by law or a professional body*
Previous Warehouse experience
Any known health and safety risks and the steps the hirer has taken to reduce the risks*
Safety Shoes & High visibility jackets are required to be work on site at all time. Online Health & Safety course must be completed prior to starting. Risk Assessments have been undertaken for all tasks
Collective Facilities
Hirer’s collective facilities available*
On-site Parking, Canteen, Vending Machines
Pay
Any expenses payable*
Actual Rate of Pay*
£8.91 per hour
Intervals of Payment*
Annual Leave
Number of additional [paid/unpaid] annual leave days payable on completion of QP*
Contacts
Your Recruitment Consultant contact details*
Shauna Carolan s.carolan@siamogroup.com – 07503 575652
Signature*
Forename(s)*
Surname*
Date*
Sharepoint Email
Branch Number
Client/Site Name

Need assistance?
Call 0116 233 4404

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Cotswold Outdoor

Assignment Details Form

Details of the Employee and Hirer

Assignment Details

Collective Facilities

Pay

Annual Leave

Contacts

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