APPLICATION FORM FOR AN ASSOCIATE COMPANY
COMPLIANCE VISIT (INSPECTED COMPANY)
Company Name: _________________________________________ _____
Membership No: _______________________
Contact Name: _________________________________
Position: ____________________________________________
Tel No: ________________________________________
E-mail: _____________________________________________
Address: ____________________________________________________________________________________________
____________________________________________________________
STATUS:
Limited Co. □
Partnership □
Sole Trader □
Other □
Post Code: ____________________________
State: ________________________________________
RANGE OF SERVICES OFFERED AS A COMPANY (AT THE TIME OF THIS APPLICATION)
Manned Guarding
Mobile Patrols
Keyholding & Alarm Response
Door Supervision
YES/NO
YES/NO
YES/NO
YES/NO
General Purpose Dog Handling
Drug Detection Dog Handling
Explosive Detection Dog Handling
Other Dog Detection Work
Type of Application:
YES/NO
Renewal:
Initial:
YES/NO
YES/NO
YES/NO
YES/NO
YES/NO
ACCREDITATIONS (IF ANSWERING YES PLEASE ATTACH CURRENT CERTIFICATE)
Are you an Approved SIA Contractor?
YES/NO
If yes Inspectorate: ______________________
Have you been inspected to BS 8517?
YES/NO
If yes Inspectorate: ______________________
Do you hold any other industry accreditations?
YES/NO
Other: _________________________________
Do you hold Insurance in accordance with BS 8517?
YES/NO
Expiry Date: _____/_____/_____
OPERATIONAL INFORMATION (AT TIME OF APPLICATION)
PAYE
CONTRACT
SUBCONTRACT
How many Security Officers do you deploy?
______
______
______
How many Dog Handlers do you deploy?
______
______
______
How many Security Dogs (GP) do you deploy?
______
______
______
How many Security Dogs (Detection) do you deploy?
______
______
______
How many Dog Vehicles do you operate?
______
______
______
FINANCIAL INFORMATION (AT THE TIME OF THIS APPLICATION)
Company Turn Over – Year End _____/_____/_____
Has
Has
Has
Has
Has
Has
£_____________
the Company had any County Court Judgements (CCJ’s) made against it?
the Company ever been taken to an Employment Tribunal?
the Company ever been placed into Administration or receivership?
any Director/Official of the Company ever been made bankrupt?
any Director/official been an official of a Company put into administration?
the Company or any Director/official have any of the above pending?
YES/NO
YES/NO
YES/NO
YES/NO
YES/NO
YES/NO
OFFICIALS: List all Directors and/or Senior Managers/Officials of the business
Full Name
DOB
SIA Licence No.
Position & Time with Company
SEPTEMBER 2014
ADMINISTRATION (SECTION 4)
All Company administration records including canine and training records must be available to the Inspector at the following
address on the day of inspection.
Address: where Company administration and records will be inspected:
______________________________________________________________________________________________________
___________________________________________________
Post Code: ___________________________________
KENNELLING (SECTION 5)
If dogs are not housed in Company kennels but housed at handler’s home, then the Inspector may require a home visit, if
insufficient welfare records are available.
Address: where Company Kennels can be inspected:
______________________________________________________________________________________________________
___________________________________________________
Post Code: ___________________________________
DOG WELFARE, EQUIPMENT & CLOTHING (SECTION 6 & 7)
At the time of inspection the Inspector will be required to inspect a Security Dog Team and vehicle, this can be either where the
Company administration records are to be inspected or at an assignment.
TRAINING (SECTION 8)
Training venue will not be inspected on day of visit but may be subject to future inspection as part of the Trainers approval.
Address: where Company or contracted training takes place:
______________________________________________________________________________________________________
___________________________________________________
Post Code: __________________________________
Name of Trainer undertaking security dog handling training for Company: ___________________________________________
OPERATIONAL (SECTION 9 & 10)
At the time of inspection the Inspector will also inspect assignment instructions, perimeter signage etc., together with
transportation and on-site kennelling and welfare arrangements
Address of Assignment: where operational deployment can be inspected:
______________________________________________________________________________________________________
___________________________________________________
Post Code: __________________________________
DECLARATION
We hereby certify that the information provided within this application is correct to the best of our knowledge and any
documentation forwarded as evidence is a true and accurate record.
We agree to support the aims and objectives of the Association and act at all times in an ethical manner consistent to protect
and enhance the image and reputation of NASDU and its Members.
We confirm we have read and understand the requirements contained in BS 8517 to which we shall be inspected against and
confirm where applicable we operate in accordance with BS 8517.
Signed (on behalf of the Company): ___________________________
Date: ____/____/____
Name (in block capitals): ____________________________________
Position: ______________________________
SEPTEMBER 2014