Your details are already registered with this agency, you will need to contact the agency direct to re-register your details.
1. I, hereby give my consent to the Company to process the following information:


Personal data

  • Name
  • Date of birth
  • Contact details, including telephone number, email address and postal address
  • Experience, training and qualifications
  • CV
  • National insurance number


Sensitive personal data

  • Disability/health condition relevant to the role
  • Criminal conviction



I consent to the Company processing the above personal data for the following purposes:

  • For the Company to process and store my data on a computerised database in order to provide me with work-finding services.
  • For the Company to process with or share my personal data to client/s in order to provide me with work-finding services
  • For the Company to send service communications in order to provide me with work- finding services
  • For the Company to send me marketing communications in order to provide me with work-finding services


The consent I give to the Company will last for 12 months.

I am aware that I have the right to withdraw my consent at any time by informing the Company that I wish to do so.


Signed by candidate / temporary worker:


2. Date:
In line with that and the new GDPR regulations, please find a copy of our data privacy policy on our website at www.cotswoldtalentsolutions.co.uk/policies

1. Do you require corrective lenses to drive?

Have you ever suffered from any of the following?
2. Any pain in your back, neck or shoulders when moving or lifting?
3. If yes, provide details
4. Fits, epilepsy, fainting, dizziness, blackouts, repeated attacks of sudden disabling giddiness?
5. If yes, provide details
6. Any type of brain injury, severe head injury involving inpatient treatment or brain tumour?
7. If yes, provide details
8. Disorders of the nervous system?
9. If yes, provide details
10. Headaches?
11. If yes, provide details
12. Psychiatric illness, stress, depression, anxiety or mental ill health?
13. If yes, provide details
14. Do you have a cardiac pacemaker or implanted cardiac defibrillator (ICD)?
15. If yes, provide details
16. Disease of the heart or circulation, angina, palpitations, chest pain, swollen ankles, leg cramps or had a heart
17. If yes, provide details
18. Any form of stroke, including TIAs (Transient Ischaemic Attacks), stroke with any symptoms lasting longer than a
month, recurrent mini strokes?
19. If yes, provide details
20. High blood pressure
21. If yes, provide details
22. Do you suffer from any joint problems, limited mobility, restricted use of arms, hands, legs, neck, any persistent limb
problems?
23. If yes, provide details
24. Do you have diabetes? If yes, is it controlled by insulin or tablets?
25. If yes, provide details
26. Hernia or Rupture?
27. If yes, provide details
28. Ear disease or deafness, ear ache or ringing in ears?
29. If yes, provide details
30. Eye disorders including colour blindness, total loss of site in one eye, any condition affecting both or the remaining
eye?
31. If yes, provide details
32. Do you have any eyesight defects other than those corrected by glasses?
33. If yes, provide details
34. Any conditions affecting your visual field? (the surrounding area you can see while looking directly ahead)
35. If yes, provide details
36. Are you taking any drugs or medication?
37. If yes, provide details
38. Do you, or have you ever, taken or been dependent upon drugs or alcohol, if so when and what substance?
39. If yes, provide details
40. Do you currently suffer, of have you ever suffered, from Sleep Apnoea or any other sleeping disorder or condition that
effects your sleep?
41. If yes, provide details
42. Narcolepsy or any other chronic (long-term) neurological condition?
43. If yes, provide details
44. A serious problem with memory or episodes of confusion?
45. If yes, provide details
46. Parkinson’s Disease?
47. If yes, provide details
48. Severe Learning Disability?
49. If yes, provide details
50. Have you ever left a job for medical reasons, if so please inform us of reasons?
51. If yes, provide details
52. Have you had a spell of absence of at least two weeks in the past two years?
53. If yes, provide details
54. Do you drink alcohol?
55. If yes, provide details
56. Do you smoke? If so – how many a day?
57. If yes, provide details

Health Assessment for Night Workers


Under the Working Time Regulations if you become a night worker, you are entitled to a free health assessment to ensure that you
are suited to working at night.

If you wish to have a free health assessment, please complete Parts 1, 2 and 3 of this form.


If you do not wish to have a free health assessment, please complete Part 3 only.

All information provided will be kept confidential.

Part 1

Have you ever suffered from any of the following health conditions?

1. Diabetes where treatment with insulin injections is required on a strict timetable.
2. Any heart or circulatory disorder affecting your physical stamina.
3. Any stomach or intestinal disorder such as ulcers, or conditions where the timing of a meal is particularly important.
4. Any medical condition that affects your sleep.
5. Any chronic chest disorder where night-time symptoms are troublesome.
6. Any medical condition requiring regular medication on a strict timetable.
7. Any other health factors that might affect fitness for work

If you have answered “Yes” to any of the above you may be asked to see a doctor or nurse for further assessment.

Please provide the name and address of your family doctor.

8. Doctors Name:
9. Address:

I confirm that I have completed the medical questionnaire above accurately and to the best of my knowledge.

I confirm that, in
the event there is a change to my medical status,
I will make Cotswold Talent Solutions aware before undertaking any further work.

10. Name:
11. Date:
12. Signature:

WHAT YOU NEED TO KNOW

Manual Handling Operations Regulations 1992


These regulations (revised in 1998 and updated in 2004) places duties upon the employer to ensure that employees avoid
hazardous manual handling operations so far as reasonably practicable. Employers should asses unavoidable manual handling
operations and take steps to reduce the risk of injury from such operations as is reasonable practicable.

Establish if the lift be avoided or if you can use a mechanical aid to lift or move the load. If not:

1. Assess the load


Ensure you know what you are lifting, where it is to go and its weight.
Be aware of awkward shapes or unbalanced loads.


2. Personal Limitations

Know the limit of your own ability. Ask for help if needed. 


3. Stance
If

lifting alone face the direction of travel. Stand over the load, feet shoulder width apart and one slightly in front of the other.
Bend your knees whilst keeping your back straight.


4. Proper Grip


Ensure you have a firm grip of the load, using the palms of your hands and the roots of the fingers. Never lift with the finger tips!


5. Body Position

Keep your arms close to your body, ensuring your legs take the weight of the loads and not your arms. Tuck your chin to your
chest, thus helps keep the back straight.


6. Lifting

Use your legs to lift both your upper body and the load, ensuring you keep your back straight and the load close to your body.


7. Moving


Keep the load close to your body. Without twisting the trunk, use your legs to move the load.


8. Co-ordinated Lifting


If the load is unsafe to be lifted by one person, co-ordinate the lift with a colleague, ensuring the above techniques are followed.

1. Name:
2. Date:
3. Signature

1. 48 HOUR OPT OUT AGREEMENT

For use with Terms of Engagement of Temporary Workers

2. Name:
1. DEFINITIONS


1.1 In this agreement the following definitions apply:

-
“Assignment” means the period during which the worker is engaged to render services to the client;


“Client” means the person, firm or corporate body engaging the services of the worker;

Employment Business” Cotswold Talent Solutions,  Office 6, BSS House, Cheney Manor Ind Estate, Swindon, SN2 2PJ

“Temporary Worker” means [name];


“Working Week” means an average of 48 hours each week calculated over a 17-week reference period.


1.2 References to the singular include the plural and references to the masculine include the feminine and vice versa.

1.3 The headings contained in this Agreement are for convenience only and do not affect their interpretation.


2. RESTRICTION

2.1 The Working Time Regulations 1998 provide that the temporary worker shall not work on an assignment with the client in
excess of the working week unless s/he agrees in writing that this limit should not apply.


3. CONSENT

3.1 The temporary worker hereby agrees that the working week limit shall not apply to the assignment.


4. WITHDRAWAL OF CONSENT

4.1 The temporary worker may end this agreement by giving the employment business 3 months notice in writing.

4.2 For the avoidance of doubt, any notice bringing this agreement to an end shall not be construed as termination by the
temporary worker of an assignment with a client.

4.3 Upon the expiry of the notice period set out in clause 4.1 the working week limit shall apply with immediate effect.


5. THE LAW
5.1

These terms are governed by the law of England & Wales and are subject to the exclusive jurisdiction of the Court of England &
Wales.

3. Signed by the Temporary Worker 
4. Date

1. Permission to work in the UK


Do you have immigration permission to work in the UK?

2. Criminal Convictions


Do you have any unspent convictions?

3. If yes, please provide the offence dates, dates of
conviction/caution, offence types.
Health and Disability



The following questions on health and disability are asked in order to find out your needs in terms of reasonable adjustments to
access our recruitment service and to find out your needs in order to perform the job or position sought.

4. Do you have any health issues or a disability relevant to the position or role you seek?
5. If yes, please specify

1. Due to the nature of some of our roles including working in close proximity vulnerable people, we need you to confirm
you have never been charged with a sexual offence; are not a convicted sex offender and are not, and have never been,
subject to a Sexual Risk Order or a Child Abduction Warning Notice:
2. I declare that there are no other cases currently being investigated against me alleging that I have committed a sexual
offence of any kind:
3.

We want you to have a positive experience working with us. We do not want you to feel harassed, discriminated against, bullied or
coerced. At no time should you be asked for gifts or money for work with us.

This confidential questionnaire will help us to monitor your experience and take action where necessary.

You may complete the questionnaire anonymously or you can enter your personal details – this is your choice.

You should return the questionnaire in the stamped addressed envelope provided. Any matters raised will be dealt with
confidentially.

1. Your name (Optional)
2. Your place of work (Optional)
3. Your email (Optional)
Recruitment 
4. Did you have to pay anyone in the labour provider to get a job?
5. Comment
6. Did you have to pay anyone at the sites you work at to get a job?
7. Comment
8. Did you have to pay anyone else to help you get a job with the labour provider?
9. Comment
10. Do you have to pay anyone in the labour provider to get regular work?
11. Comment
12. Do you have to pay anyone at the sites you work at to get regular work?
13. Comment
14. Do you have to pay anyone else to get regular work?
15. Comment
16. Are you required to occupy, or pay for, specific accommodation, in order to get regular work?
17. Comment
18. Are you required to pay for any other services or provide favours in order to get work or access to particular shifts?
19. Comment
20. Have your original ID papers been withheld by anyone in LP?
21. Comment
22. Do you feel that you can leave LP of your own free will without suffering any penalty or detriment?
23. Comment
24. Do you feel that you can leave LP of your own free will without suffering any penalty or detriment?
25. Comment

Treatment at work
26. Have you been subject to verbal or physical abuse by anyone in LP?

By this we mean things like being shouted or sworn
at, being pushed, kicked or having things thrown at you?

27. Comment
28. Have you been bullied or harassed by anyone in LP?
29. Comment
30. Have you been subject to verbal or physical abuse, threats, sexual or other harassment by anyone at our clients?
31. Comment
32. Have you been treated unfairly because of your race, colour, religion, nationality, sex, pregnancy, disability or age?
33. Comment
34. Have you been bullied by anyone at the sites you work at?
35. Comment
36. Has anyone in the labour provider threatened you? For example to limit the amount of work they give you or not to
offer you any more work?
37. Comment
38. Have you ever been forced to work long hours, overtime or on any days when you didn’t want to by anyone in the
labour provider?
39. Comment
40. Have you ever been forced to work long hours, overtime or on any days when you didn’t want to be at the sites you
work at?
41. Comment
42. Have you ever been forced to work when you didn’t want to by anyone in the labour provider?
43. Comment
44. Do you feel free to refuse overtime?
45. Comment
46. Are you able to take the legal minimum rest between shifts if you wish to?
47. Comment
48. Are you able to take the legal minimum rest days if you wish to?
49. Comment
50. Are you able to book and take holidays in accordance with any reasonable rules in place?
51. Comment
52. Have you been asked to undertake hazardous work, or other work without appropriate safety training or equipment?
53. Comment
54. Have you been prevented from joining a trade union or been penalised for doing so?
55. Comment

Pay
56. Do you owe money to anyone in the labour provider such that you feel you cannot leave of your own free will?
57. Comment
58. Has anyone in the labour provider loaned you money that you have to repay?
59. Comment
60. Has anyone in our client loaned you money that you have to repay?
61. Comment
62. Have you been withheld pay for work you have performed?
63. Comment
64. Are you paid correctly for the hours you work?
65. Comment
66. Are you paid correctly for your holidays?
67. Comment
68. Have you had any money unfairly deducted from your wages?
69. Comment
70. Are you free to open and be paid into the bank account of your choice?
71. Comment
72. Are you in control of your own bank account and able to deposit and take out money as you wish?
73. Comment

Accommodation and Travel
74. Are you in control of your own bank account and able to deposit and take out money as you wish?
75. Comment
76. Do you rent your accommodation from anyone who works for or who is linked to the labour provider?
77. Comment
78. Do you rent your accommodation from anyone who works for or who is linked to our client?
79. Comment
80. Are you threatened by your landlord for unpaid rent?
81. Comment
82. Is your accommodation safe and well maintained?
83. Comment
84. Are you or have you been threatened with immediate eviction?
85. Comment
86. Can you leave your accommodation if you wish with reasonable notice and no financial penalty?
87. Comment
88. Are you free and able to return home to your country of origin when you wish?
89. Comment
90. Are you free to buy and prepare food of your choice?
91. Comment

Raising Problems
92. Would you raise a complaint to the labour provider? If not, why?
93. Comment
94. Do you feel your complaints are dealt with properly?
95. Comment
96. Do you know how to raise a confidential complaint? *
97. Comment

Most complaints can be resolved verbally with your [Employer/Labour Provider] Representative.


If your complaint has not been resolved to your satisfaction then put it in writing to your Contract Manager.

If you are still not satisfied or your matter is sensitive or confidential then contact: the [Employer/Labour Provider] Helpline on
01793 380 381 by emailing mike@cotswoldtalentsolutions.co.uk or by writing to [Employer/Labour Provider] Helpline at Cotswold Talent Solutions, Office 6, BSS House, Cheney Manor Ind Estate, Swindon, SN2 2PJ.



1. TERMS OF ENGAGEMENT FOR AGENCY WORKERS (CONTRACT FOR SERVICES)

Employment Business’ name: Cotswold Talent Solutions Ltd, a company registered in England & Wales with registered number 14850242

and having its registered office at Office 6, BSS House, Cheney Manor Ind Estate, Swindon, SN2 2PJ

Employment Business’ address: Office 6, BSS House, Cheney Manor Ind Estate, Swindon, SN2 2PJ Agency Worker’s
name (“you”)"

1. Your Name:
2. 2. Agency Worker’s address:
3. 1. DEFINITIONS AND INTERPRETATION


“Actual Rate of Pay”


means, unless and until the Agency Worker have completed the Qualifying Period, the rate of pay which will be paid for each hour worked during an Assignment (to the nearest quarter hour) weekly in arrears, subject to Deductions and any Agreed Deductions, as set out in the relevant Assignment Details Form;



“Actual QP Rate of Pay”

means the rate of pay which will be paid to the Agency Worker if and when the Agency Worker completes the Qualifying Period. Such rate will be paid for each hour worked during an Assignment (to the nearest quarter hour) weekly in arrears, subject to Deductions and any Agreed Deductions, as set out in any variation to the relevant Assignment Details Form;



“AETR”

means the European Agreement Concerning the Work of Crews of Vehicles Engaged in International Road Transport of 1 July 1970;



“Agency Worker”


means the temporary worker named in this agreement, herein “you”, supplied by the Employment Business to provide services to the Hirer;


“Agreed Deductions”


means any deductions the Agency Worker has agreed can be made from their pay;


“Assignment”


means assignment services to be performed by the Agency Worker for the Hirer for a period of time during which the Agency Worker is supplied by the Employment Business to work temporarily for and under the supervision and direction of the Hirer;



“Assignment Details Form”

means written confirmation of the assignment details to be given to the Agency Worker upon acceptance of the Assignment;


“AWR”

means the Agency Workers Regulations 2010;


“Calendar Week”

means any period of 7 days starting with the same day as the first day of the First Assignment;


“Conduct Regulations”

means the Conduct of Employment Agencies and Employment Businesses Regulations 2003


Confidential Information”

means any and all confidential commercial, financial, marketing, technical or other information or data of whatever nature relating to the Hirer or Employment Business or their business or affairs (including but not limited to these Terms, data, records, reports, agreements, software, programs, specifications, know- how, trade secrets and other information concerning the
Assignment) in any form or medium whether disclosed or granted access to whether in writing, orally or by any other means, provided to the Agency Worker or any third party in relation to the Assignment by the Hirer or the Employment Business or by a third party on behalf of the Hirer whether before or after the date of these Terms together with any reproductions of such information in any form or medium or any part(s) of such information;



“Control”

means (a) the legal or beneficial ownership, directly or indirectly, of more than 50% of the issued share capital or similar right of ownership; or (b) the power to direct or cause the direction of the affairs and/or general management of the company, partnership, statutory body or other entity in question, whether through the ownership of voting capital, by contract or otherwise, and “Controls” and “Controlled” shall be construed accordingly;


“Data Protection Laws”


means the Data Protection Act 1998, the General Data Protection Regulation (EU 2016/679) and any applicable statutory or regulatory provisions in force from time to time relating to the protection and transfer of personal data;


“Deductions”
means any deductions which the Employment Business may be required by law to make and in particular in respect of PAYE pursuant to Sections 44-47 of the Income Tax (Earnings and Pensions) Act 2003 and Class 1 National Insurance Contributions;


“Emoluments”


means any pay in addition to the Actual QP Rate of Pay;



“Employment Business”

Cotswold Talent Solutions, Office 6, BSS House, Cheney Manor Ind Estate, Swindon, SN2 2PJ



“Engagement”

means the engagement (including the Agency Worker’s acceptance of the Hirer’s offer), employment or use of the Agency Worker by the Hirer or any third party to whom the Agency Worker has been introduced by the Hirer, on a permanent or temporary basis, whether under a contract of service or for services, and/or through a company of which the Agency Worker is an officer, employee
or other representative, an agency, license, franchise or partnership arrangement, or any other engagement; and“Engage”, “Engages” and “Engaged” shall be construed accordingly;



“First Assignment”

means


(a) the relevant Assignment; or

(b) if, prior to the relevant Assignment:


i. the Agency Worker has worked in any assignment in the same role with the relevant Hirer as the role in which the Agency Worker works in the relevant Assignment; and


ii. the relevant Qualifying Period commenced in any such assignment, that assignment (an assignment being (for the purpose of this defined term) a period of time during which the Agency Worker is supplied by one or more Temporary Work Agencies to the relevant Hirer to work temporarily for and under the supervision and direction of the relevant Hirer);



“Hirer”

means the person, firm or corporate body together with any subsidiary or associated person, firm or corporate body (as the case may be) to whom the Agency Worker is supplied or introduced;


“Hirer’s Group”


means (a) any individual, company, partnership, statutory body or other entity which from time to time Controls the Hirer, including (but not limited to) as a holding company as defined in section 1159 of the Companies Act 2006; and (b) any company, partnership, statutory body or other entity which from time to time is Controlled by or is under common Control with the Hirer, including (but not limited to) as a subsidiary or holding company as defined in section 1159 of the Companies Act 2006;


“Hourly Rate”

means the national minimum wage being the minimum gross rate of pay (subject to Deductions and any Agreed Deductions) that the Employment Business reasonably expects to achieve, for all hours worked by the Agency Worker;


“Leave Year”

means the period during which the Agency Worker accrues and may take statutory leave commencing on January 1st and runs until December 31st;


“Period of Extended Hire”

means any additional period that the Hirer wishes the Agency Worker to be supplied for beyond the duration of the original Assignment or series of assignments as an alternative to paying a Transfer Fee;


“Qualifying Period”

means 12 continuous Calendar Weeks during the whole or part of which the Agency Worker is supplied by one or more Temporary Work Agencies to the relevant Hirer to work temporarily for and under the supervision and direction of the relevant Hirer in the same role, and as further defined in the Schedule to these Terms;



“Relevant Period”

means the later of


(a) the period of 8 weeks commencing on the day after the last day on which the Agency Worker worked for the Hirer having been supplied by the Employment Business; o

(b) the period of 14 weeks commencing on the first day on which the Agency Worker worked for the Hirer having been supplied by Employment Business or 14 weeks from the first day of the most recent Assignment where there has been a break of more than 6 weeks (42 days) since any previous assignment; 


“Temporary Work Agency”

means as defined in the Schedule to these Terms;


“Terms”

means these terms of engagement (including the attached schedule) together with any applicable Assignment Details Form;


“Transfer Fee”

means the fee payable by the Hirer to the Employment Business in accordance with clause 3.7, as permitted by Regulation 10 of the Conduct Regulations;


“Type of Work”

means a position within the Driving Sector; and


“WTR”
means the Working Time Regulations 1998


1.2 Unless the context otherwise requires, references to the singular include the plural and references to the masculine include the feminine and vice versa.

1.3 The headings contained in these Terms are for convenience only and do not affect their interpretation.

1.4 Any reference, express or implied, to an enactment includes a reference to that enactment as from time to time amended, modified, extended, re-enacted, replaced or applied by or under any other enactment (whether before or after the date of these Terms) and all subordinate legislation made (before or after these Terms) under it from time to time.

2. The Contract


2.1 These Terms constitute the entire agreement between the Employment Business and the Agency Worker for the supply of services to the Hirer and they shall govern all Assignments undertaken by the Agency Worker. However, no contract shall exist between the Employment Business and the Agency Worker between Assignments. These Terms shall prevail over any other terms put forward by the Agency Worker.

In the event the Agency Worker is moving to this agreement from a previous agreement it is understood that this agreement supersedes any previous agreement;


2.2 During an Assignment the Agency Worker will be engaged on a contract for services by the Employment Business on these Terms. For the avoidance of doubt, the Agency Worker is not an employee of the Employment Business although the Employment Business is required to make the Deductions from the Agency Worker’s pay. These Terms shall not give rise to a contract of employment between the Employment Business and the Agency Worker, or the Agency Worker and the Hirer. The Agency Worker is supplied as a worker, and is entitled to certain statutory rights as such, but nothing in these Terms shall be construed as giving the Agency Worker rights in addition to those provided by statute except where expressly stated.

2.3 No variation or alteration to these Terms shall be valid unless the details of such variation are agreed between the Employment Business and the Agency Worker and set out in writing and a copy of the varied terms is given to the Agency Worker no later than 5 business days following the day on which the variation was made stating the date on or after which such varied terms shall apply.


2.4 The Employment Business shall act as an employment business (as defined in Section 13(3) of the Employment Agencies Act 1973 (as amended) when introducing or supplying the Agency Worker for Assignments with its Hirers.

3. Assignments and Information to be provided

3.1 The Employment Business will endeavour to obtain suitable Assignments for the Agency Worker to perform the agreed Type of Work. The Agency Worker shall not be obliged to accept any Assignment offered by the Employment Business.


3.2 The Agency Worker acknowledges that the nature of temporary work means that there may be periods when no suitable work is available and agrees that:

3.2.1 the suitability of the work to be offered shall be determined solely by the Employment Business; and

3.2.2 the Employment Business shall incur no liability to the Agency Worker should it fail to offer Assignments of the Type of Work or any other work to the Agency Worker.


3.3 At the same time as an Assignment is offered to the Agency Worker the Employment Business shall provide the Agency Worker with an Assignment Details Form setting out the following:


3.3.1 the identity of the Hirer, and if applicable the nature of their business;

3.3.2 the date the Assignment is to commence and the duration or likely duration of Assignment;

3.3.3 the Type of Work, location and hours during which the Agency Worker would be required to work;


3.3.4 the Hourly Rate that will be paid and any expenses payable by or to the Agency Worker;

3.3.5 any risks to health and safety known to the Hirer in relation to the Assignment and the steps the Hirer has taken to prevent or control such risks; and 3.3.6 what experience, training, qualifications and any authorisation required by law or a professional body the Hirer considers necessary or which are required by law to work in the Assignment.


3.4 Where such information is not given in paper form or by electronic means it shall be confirmed by such means by the end of the third business day (excluding Saturday, Sunday and any Public or Bank Holiday) following save where:


3.4.1 the Agency Worker is being offered an Assignment in the same position as one in which the Agency Worker has previously been supplied within the previous 5 business days and such information has already been given to the Agency Worker and remains unchanged; or

3.4.2 subject to clause


3.5, the Assignment is intended to last for 5 consecutive business days or less and such information has previously been given to the Agency Worker before and remains unchanged, the Employment Business needs only to provide written confirmation of the identity of the Hirer and the likely duration of the Assignment. 3.5 Where the provisions of clause 3.4.2 are met but the Assignment extends beyond the intended 5 consecutive business day period, the Employment Business shall provide such information set out in clause 3.3 to the Agency Worker in paper or electronic form within 8 days of the start of the Assignment.


3.6 For the purpose of calculating the average number of weekly hours worked by the Agency Worker on an Assignment for the purposes of the WTR, the start date for the relevant averaging period shall be the date on which the Agency Worker commences the first Assignment.


3.7 If, before or during an Assignment or during the Relevant Period, the Hirer wishes to Engage the Agency Worker directly or through another employment business, the Agency Worker acknowledges that the Employment Business will be entitled either to charge the Hirer a Transfer Fee or to agree a Period of Extended Hire with the Hirer at the end of which the Agency Worker may be Engaged directly by the Hirer or through another employment business without further charge to the Hirer. In addition the Employment Business will be entitled to charge a Transfer Fee to the Hirer if the Hirer introduces the Agency Worker to a third party (other than another employment business) who subsequently Engages the Agency Worker, directly or indirectly, before or during an Assignment or within the Relevant Period.


3.8 If the Agency Worker has completed the Qualifying Period on the start date of the relevant Assignment or following completion of the Qualifying Period during the relevant assignment, and if the Agency Worker is entitled to any terms and conditions relating to the duration of working time, night work, rest periods and/or rest breaks under the AWR which are different and preferential to rights and entitlements relating to the same under the WTR, any such terms and conditions will be as set out in the relevant Assignment Details Form or any variation to the relevant Assignment Details Form (as appropriate).

4. Agency Worker’s Obligations

4.1 The Agency Worker is not obliged to accept any Assignment offered by the Employment Business but if the Agency Worker does accept an Assignment, during every Assignment and afterwards where appropriate, s/he will:


4.1.1 co-operate with the Hirer’s reasonable instructions and accept the direction, supervision and control of any responsible person in the Hirer’s organisation;

4.1.2 observe any relevant rules and regulations of the Hirer’s establishment (including normal hours of work) to which attention has been drawn or which the Agency Worker might reasonably be expected to ascertain;

4.1.3 take all reasonable steps to safeguard his or her own health and safety and that of any other person who may be present or be affected by his or her actions on the Assignment and comply with the Health and Safety policies and procedures of the Hirer;


4.1.4 not engage in any conduct detrimental to the interests of the Employment Business and/ or Hirer which includes any conduct which could bring the Employment Business and/or the Hirer into disrepute and/or which results in the loss of custom or business by either the Employment Business or the Hirer;

4.1.5 not commit any act or omission constituting unlawful discrimination against or harassment of any member of the Employment Business’ or the Hirer’s staff;

4.1.6 not at any time divulge to any person, nor use for his or her own or any other person’s benefit, any Confidential Information relating to the Hirer’s or the Employment Business’ employees, business affairs, transactions or finances;

4.1.7 on completion of the Assignment or at any time when requested by the Hirer or the Employment Business, return to the Hirer or where appropriate, to the Employment Business, any Hirer property or items provided to the Agency Worker in connection with or for the purpose of the Assignment, including, but not limited to any equipment, materials, documents, swipe cards or ID cards,
uniforms, personal protective equipment or clothing.


4.2 If the Agency Worker accepts any Assignment offered by the Employment Business, as soon as possible prior to the commencement of each such Assignment and during each Assignment (as appropriate) and at any time at the Employment Business’ request, the Agency Worker undertakes to:


4.2.1 inform the Employment Business of any Calendar Weeks prior to the date of commencement of the relevant Assignment and/or during the relevant Assignment in which the Agency Worker has worked in the same or a similar role with the relevant Hirer via any third party and which the Agency Worker believes count or may count toward the Qualifying Period;

4.2.2 provide the Employment Business with all the details of such work, including (without limitation) details of where, when and the period(s) during which such work was undertaken and any other details requested by the Employment Business; and

4.2.3 inform the Employment Business if, s/he has prior to the date of commencement of the relevant Assignment and/or during the relevant Assignment carried out work which could be deemed to count toward the Qualifying Period for the relevant Assignment in accordance with Regulation 9 of the AWR because s/he has:


4.2.3.1 completed two or more assignments with the Hirer;

4.2.3.2 completed at least one assignment with the Hirer and one or more earlier assignments with any member of the Hirer’s Group; and/or

4.2.3.3 worked in more than two roles during an assignment with the Hirer and on at least two occasions worked in a role that was not the same role as the previous role.



4.3 If the Agency Worker is unable for any reason to attend work during the course of an Assignment s/he should inform the Employment Business within 1 hour of the commencement of the assignment or shift. In the event that it is not possible to inform the Employment Business within these timescales, the Agency Worker should alternatively inform the Hirer and then the
Employment Business as soon as possible.


4.4 If, either before or during the course of an Assignment, the Agency Worker becomes aware of any reason why s/he may not be suitable for an Assignment, s/he shall notify the Employment Business without delay.


4.5 The Agency Worker acknowledges that any breach of his/her obligations set out in this clause may cause the Employment Business to suffer loss and that the Employment Business reserves the right to recover such losses from the Agency Worker.

5. Timesheets


5.1 At the end of each week of an Assignment (or at the end of the Assignment where it is for a period of 1 week or less or is completed before the end of a week) the Agency Worker shall deliver to the Employment Business a timesheet duly completed to indicate the number of hours worked during the preceding week (or such lesser period) and signed by an authorised representative of the Hirer.


5.2 Subject to clause

5.3 the Employment Business shall pay the Agency Worker for all hours worked regardless of whether the Employment Business has received payment from the Hirer for those hours. 5.3 Where the Agency Worker fails to submit a properly authenticated timesheet the Employment Business shall, in a timely fashion, conduct further investigations into the hours claimed by the Agency Worker and the reasons that the Hirer has refused to sign a timesheet in respect of those hours. This may delay any payment due to the Agency Worker. The Employment Business shall make no payment to the Agency Worker for hours not worked.

5.4 For the avoidance of doubt and for the purposes of the WTR, the Agency Worker’s working time shall only consist of those periods during which s/he is carrying out activities or duties for the Hirer as part of the Assignment. Time spent travelling to the Hirer’s premises (apart from time spent travelling between two or more premises of the Hirer), lunch breaks and other rest breaks shall not count as part of the Agency Worker’s working time for these purposes. This clause 5.4 is subject to any variation set out in the relevant Assignment Details Form or any variation to the relevant Assignment Details Form which the Employment Business may make for the purpose of compliance with the AWR.

6. Pay and Deductions

6.1 The Employment Business shall pay to the Agency Worker the Actual Rate of Pay unless and until the Agency Worker completes the Qualifying Period. The Actual Rate of Pay will be notified on a per Assignment basis and as set out in the relevant Assignment Details Form.


6.2 If the Agency Worker has completed the Qualifying Period on the start date of the relevant Assignment or following completion of the Qualifying Period during the relevant Assignment, the Employment Business shall pay to the Agency Worker:


6.2.1 the Actual QP Rate of Pay; and

6.2.2 the Emoluments (if any), which will be notified on a per Assignment basis and as set out in the relevant Assignment Details Form or any variation to the relevant Assignment Details Form.


6.3 Subject to any statutory entitlement under the relevant legislation referred to in clauses 7 (Annual leave) and 8 (Sickness absence) below and any other statutory entitlement, the Agency Worker is not entitled to receive payment from the Employment Business or the Hirer for time not spent on Assignment, whether in respect of holidays, illness or absence for any other reason unless otherwise agreed.


6.4 Subject to compliance with Regulation 12 of the Conduct Regulations the Employment Business reserves the right in its absolute discretion to deduct from the Agency Worker’s pay any sums which s/he may owe the Employment Business including, without limitation, any overpayments or loans made to the Agency Worker by the Employment Business or any losses suffered by the Employment Business as a result of his/her negligence or breach of either the Employment Business’s or the Hirer’s rules.

6.5 If the Employment Business provides any equipment or clothing to the Agency Worker to be used in the course of an Assignment with the Hirer, the Agency Worker must take reasonable care of the equipment or clothing. Furthermore the Agency Worker must return any equipment or clothing to the Employment Business upon termination of the Terms or within 3 days of a request from the Employment Business. In the event that the Agency Worker does not comply with the obligations set out in this clause, the Employment Business reserves the right to deduct the cost of replacement equipment or clothing from any sums owed to the Agency Worker. The question of whether the Agency Worker has taken reasonable care of the equipment or clothing will be solely assessed by the Employment Business’s reasonable judgement.

6.6 Payment will be made weekly in arrears directly into your bank account subject any deductions in respect of hours worked in the preceding week. You have no entitlement to pay in respect of any period when you are not on Assignment.

7. Annual Leave

7.1 The Agency Worker is entitled to paid annual leave according to the statutory minimum as provided by the WTR from time to time. The current statutory entitlement to paid annual leave under the WTR is 5.6 weeks. 

7.2 Entitlement to payment for leave under clause 7.1 accrues in proportion to the amount of time worked by the Agency Worker on Assignment during the Leave Year.

7.3 Under the AWR, on completion of the Qualifying Period the Agency Worker may be entitled to paid and/or unpaid annual leave in addition to the Agency Worker’s entitlement to paid annual leave under the WTR and in accordance with clauses 7.1 and 7.2. If this is the case, any such entitlement(s), the date from which any such entitlement(s) will commence and how payment for such entitlement(s) accrues will be as set out in the relevant Assignment Details Form or any variation to the relevant Assignment Details Form.

7.4 All entitlement to leave must be taken during the course of the Leave Year in which it accrues and, save as may be set out in the relevant Assignment Details Form or any variation to the relevant Assignment Details Form, none may be carried forward to the next year. The Agency Worker is responsible for ensuring that all paid annual leave is requested and taken within the Leave Year.

7.5 If the Agency Worker wishes to take paid leave during the course of an Assignment s/he should notify the Employment Business of the dates of his/her intended absence giving notice of at least twice the length of the period of leave that s/he wishes to take. In certain circumstances the Employment Business may require the Agency Worker to take paid annual leave at specific times or notify the Agency Worker of periods when paid annual leave cannot be taken. Where the Agency Worker has given notice of a request to take paid annual leave in accordance with this clause, the Employment Business may give counter-notice to the Agency Worker to postpone or reduce the amount of leave that the Agency Worker wishes to take. In such circumstances the Employment Business will inform the Agency Worker in writing giving at least the same length of notice as the period of leave that it wishes to postpone or reduce it by.

7.6 Subject to clause 7.3, the amount of payment which the Agency Worker will receive in respect of periods of annual leave taken during the course of an Assignment will be calculated in accordance with and paid in proportion to the number of hours which the Agency Worker has worked on Assignment.

7.7 Subject to clause 7.3, in the course of any Assignment during the first Leave Year, the Agency Worker is entitled to request leave at the rate of one-twelfth of the Agency Worker’s total holiday entitlement in each month of the leave  year.

7.8 Save where this clause is amended by the Assignment Details Form, where a bank holiday or other public holiday falls during an Assignment and the Agency Worker does not work on that day, then subject to the Agency Worker having accrued entitlement to payment for leave in accordance with clause 7.2 or clause 7.3 (if applicable), the Agency Worker may, upon giving the notice in clause 7.5, take a bank holiday or other public holiday as part of his/her paid annual leave entitlement.

8. Sickness Absence


8.1 The Agency Worker may be eligible for Statutory Sick Pay provided that s/he meets the relevant statutory criteria.

8.2 The Agency Worker is required to provide the Employment Business with evidence of incapacity to work which may be by way of a self-certificate for the first 7 days of incapacity and a doctor’s certificate thereafter.

8.3 For the purposes of the Statutory Sick Pay scheme there is one qualifying day per week during the course of an Assignment and that qualifying day shall be the Wednesday in every week.

8.4 In the event that the Agency Worker submits a Statement of Fitness for Work (“the Statement”) or similar medical evidence, which indicates that the Agency Worker may, subject to certain conditions, be fit to work/return to work, the Employment Business will in its absolute discretion determine whether the Agency Worker will be (a) placed in a new Assignment or (b) permitted to continue in an ongoing Assignment. In making such determination the Employment Business may consult with the Hirer and the Agency Worker as appropriate to assess whether the conditions identified in the Statement or similar documentation can be satisfied for the duration of the Assignment.

8.5 Where clause 8.4 applies, the Agency Worker’s placement in a new Assignment or continuation in an ongoing Assignment may be subject to the Agency Worker agreeing to a variation of the Terms or the assignment details set out in the Assignment Details Form to accommodate any conditions identified in the Statement or other similar medical evidence as is appropriate.

9. Termination

9.1 Any of the Employment Business, the Agency Worker or the Hirer may terminate the Agency Worker’s Assignment at any time without prior notice or liability.

9.2 The Agency Worker acknowledges that the continuation of an Assignment is subject to and conditioned by the continuation of the contract entered into between the Employment Business and the Hirer. In the event that the contract between the Employment Business and the Hirer is terminated for any reason the Assignment shall cease with immediate effect without liability to the Agency Worker (save for payment for hours worked by the Agency Worker up to the date of termination of the Assignment).

9.3 If the Agency Worker does not inform the Hirer or the Employment Business that they are unable to attend work during the course of an Assignment (as required in clause 4.3) this will be treated as termination of the Assignment by the Agency Worker in accordance with clause 9.1, unless the Agency Worker can show that exceptional circumstances prevented him or her from complying with clause 4.3.

9.4 If the Agency Worker is absent during the course of an Assignment and the Assignment has not been otherwise terminated under clauses 9.1 or 9.3 above the Employment Business will be entitled to terminate the Assignment in accordance with clause 9.1 if the work to which the Agency Worker was assigned is no longer available.

9.5 If the Agency Worker does not report to the Employment Business to notify his/her availability for work for a period of 8 weeks, the Employment Business will forward his/her P45 to his/her last known address.

10. Intellectual Property Rights


The Agency Worker acknowledges that all copyright, trademarks, patents and other intellectual property rights deriving from services carried out by him/her for the Hirer during the Assignment shall belong to the Hirer
Accordingly the Agency Worker shall execute all such documents and do all such acts as the Employment Business shall from time

to time require in order to give effect to its rights pursuant to this clause.

11. Confidentiality


11.1 In order to protect the confidentiality and trade secrets of any Hirer and the Employment Business and without prejudice to every other duty to keep secret all information given to it or gained in confidence the Agency Worker agrees as follows:


11.1.1 not at any time, whether during or after an Assignment (unless expressly so authorised by the Hirer or the Employment Business as a necessary part of the performance of its duties) to disclose to any person or to make use of any of the trade secrets or the Confidential Information of the Hirer or the Employment Business with the exception of information already in the public domain;

11.1.2 to deliver up to the Hirer or the Employment Business (as directed) at the end of each Assignment all documents and other materials belonging to the Hirer (and all copies) which are in its possession including documents and other materials created by him/her during the course of the Assignment; and

11.1.3 not at any time to make any copy, abstract, summary or précis of the whole or any part of any document or other material belonging to the Hirer except when required to do so in the course of its duties under an Assignment in which event any such item shall belong to the Hirer or the Employment Business as appropriate.

12. Data Protection

The Agency Worker acknowledges that the Employment Business must process personal data about him/her in order to properly fulfill its obligations under these Terms and a otherwise required by law in relation to his/her engagement in accordance with the Data Protection Laws. Such as processing will principally be for personnel, administrative and payroll purposes.


13. Severability


If any of the provisions of these Terms shall be determined by any competent authority to be unenforceable to any extent, such provision shall, to that extent, be severed from the remaining Terms, which shall continue to be valid to the fullest extent permitted by applicable laws.


14. Notices

All notices which are required to be given in accordance with these Terms shall be in writing and may be delivered personally or by first class prepaid post to the registered office of the party upon whom the notice is to be served or any other address that the party has notified the other party in writing, including by email or facsimile transmission. Any such notice shall be deemed to have been served: if by hand when delivered; if by first class post 48 hours following posting; and if by email or facsimile transmission, when that email or facsimile is sent.


15. Governing Law and Jurisdiction


These Terms are governed by the law of England & Wales and are subject to the exclusive jurisdiction of the Courts of England & Wales

3. Agency Worker’s Signature
4. Agency Worker’s Name
5. Date

Reference Request 1
1. Company Name
2. Manager or supervisor's Name
3. Manager or Supervisor's Email address or phone number

Reference Request 1
4. Company Name
5. Manager or supervisor's Name
6. Manager or Supervisor's Email address or phone number

I understand that BE Recruitment Ltd will ask DVLA for my driver record information periodically. I understand that the DVLA will
disclose to BE Recruitment Ltd all relevant information held in the computerised register of drivers maintained by the DVLA.


This includes personal details , driving entitlements, valid endorsements and disqualifications (if relevant) and photo images. This
declaration will expire when I stop driving in connection with BE Recruitment Ltd.

1. Date:
2. Signature: