Worker Self - Registration

Your details are already registered with this agency, you will need to contact the agency direct to re-register your details.

1. Please enter your full name *

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 and postal address
Experience, training and qualifications
CV
NI number
Driving related documentation, licence, cpc, digi cards

Sensitive personal data

Disability, Health questionnaire
Criminal convictions

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

For the Company to provide me with work-finding services.
For the Company to process with or transfer my personal data to their clients in order to provide me with work-finding services.
For the Company to process my data on a computerized database in order to provide me with work-finding services.
For the Company to process my data using automated decision-making processes

I also consent to the Company processing my personal data with third parties for the purposes of internal/external audits and investigations carried out on the Company to ensure that the Company is complying with all relevant laws and obligations.

The consent I give to the Company will last for the length of my employment with Red Rhino Resourcing.

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.

2. Signed by Candidate/Temporary Worker *

Clear

Red Rhino Resourcing is committed to supporting the principle of equal opportunities and operates a robust Equality and Diversity Policy. To help us to monitor the effectiveness of this policy, we request you to fill out this form. This form will be detached and kept separate to your application, and the information held herein will be kept securely and used for analysis purposes only.

MONITORING ETHNICITY

Ethnic origin is not about nationality, place of birth or citizenship. It is about colour and broad ethnic groups. UK citizens can belong to any of the groups indicated.

1. How would you describe your ethnic origin? *

2. Which age category do you fall into? *

Disability - A disabled person is defined in law as someone who has an impairment that has a substantial and long-term effect on a person’s ability to carry out normal day-to-day activities.

3. Do you consider yourself to have a disability or long-term health condition?

4. Gender

The information provided in this document is STRICTLY CONFIDENTIAL

1. Please enter your full name *

2. Do you have any physical or mental impairment that could be classed as a disability under the Equality Act 2010? *

3. If yes, please provide details

4. Are there any medical reasons why you should not do shift work? *

5. If yes, please provide details

6. Are you able to carry out strenuous physical work including bending, lifting and carrying? *

7. If no, please provide details

8. Do you regularly take tablets or medicine? If so, what do you take? *

9. If yes, please provide details

10. Do you have any medical health conditions? *

11. Candidate Declaration

I confirm that all the answers given above are true to the best of my knowledge. I understand that failure to give relevant information and to withhold such information could be considered sufficient grounds for the termination of my temporary assignment. By signing this I give consent under the Data Protection Act 1998 & General Data Protection Regulation (GDPR) 2018 for Red Rhino Resourcing to disclose or forward (if necessary) my Post Offer Medical Questionnaire to any respective clients for Health & Safety purposes. I declare that as a professional driver if my state of health changes in a way that affects my ability to drive or the validity of my current Driver’s Licence, I will inform Red Rhino Resourcing and the DVLA immediately.

Clear

1. Under Working Time Regulations, workers must be offered a free health assessment before they become a night worker and on a regular basis after that. This assessment is carried out in the form of this questionnaire and, where necessary, a medical assessment.

Red Rhino Resourcing Ltd is committed to providing a safe and healthy working environment for all Flexible Workers and those affected by our activities. The purpose of this health questionnaire is to make sure that you are suited to working at night.

All the information you provide will be kept confidential.

Please enter your full name

2. Date of Birth *

3. Have you had any medical problems in the past which have prevented you from working at night? *

4. Do you have any disability affecting mobility which will cause difficulties in arranging night work? *

5. Do you have any recurrent or continuing sleep disturbance requiring medical advice? *

6. Do you have any other health problems which affects your fitness for night work? *

7. Are you taking any medication to a strict timescale? *

8. If you have answered 'yes' to any of the above questions, you may be asked to see a healthcare professional to confirm if you are fit to work in the role.

Do you have any other medical condidtion not mentioned above, or is there is anything further that you would like to bring to our attention?

9. I sign to confirm that all of the above is true to the best of my knowledge. *

Clear

Reference contact details

Reference 1

1. Company Name (who you worked for) *

2. Job title (your job title at the company) *

3. Start Date (what date did you start your position?) *

4. End Date (when did your position end?) *

5. Reason for leaving job? *

6. Reference contact name *

7. Reference position in company *

8. Reference contact number *

9. Reference email address *

Reference contact details

Reference 2

10. Company Name (who you worked for)

11. Job title (your job title at the company)

12. Start Date (what date did you start your position?)

13. End Date (when did your position end?)

14. Reason for leaving job?

15. Reference contact name

16. Reference position in company

17. Reference contact number

18. Reference email address

Introduction

The company has a zero-tolerance approach to employees and other Relevant Individuals who demonstrate improper conduct with regard to drugs and alcohol.

Please read the policy below, as failure to adhere will result in disciplinary action and could lead to dismissal.

All Employees Must;

Not come to work under the Influence or attempt to drive or operate any machinery at work if they believe they may be under the influence;
Not be in possession of illegal drugs and alcohol whilst coming onto the company premises and/or the premises of its clients
Inform their local line manager if taking prescribed or approved drugs before commencing their work.
Check with their GP or pharmacist as to whether any prescription or over-the counter medication may impair their ability to perform their duties and make the required notification pursuant to this Policy;
Give notice (prior to the day of testing or prior to a request to undergo a test) to their manager / HR Representative if they believe they have a problem related to drugs or alcohol. In such instances, the worker will be offered support, counselling and rehabilitation;
Undergo testing for drugs and alcohol as described in this Policy. Refusal to undergo testing will result in disciplinary action and could lead to dismissal;

The Company Has Certified Staff Who May Test All Employees and other Relevant Individuals for Alcohol and Drugs

When testing can be carried out;

After an accident.
With cause testing – ‘When there is a reason to believe’.
At the request of a client
On a regular random basis for all employees and contractors.

If you are unclear on any of the above please inform your line manager.

1. Please sign below to confirm that you understand the above policy, will adhere to the content and consent to being tested in accordance with its provisions.

Clear

THIS AGREEMENT DOES NOT APPLY TO HGV DRIVERS. IF YOU ARE A HGV DRIVER PLEASE LEAVE THIS FORM BLANK

WTD 48 Hour Opt-Out Agreement

1. Please enter you full name *

The Working Time Regulations (1998) state that an employee cannot be expected to work in excess of 48 hours per week, on average.

By signing this form, you opt-out of the 48-hour limit on working time as stated in the Working Time Regulations, on the understanding that if you work over 48 hours per week it is your choice to do so.

You understand that in the event that you wish the 48-hour limit to apply to your employment in the future you will be required to notify Red Rhino Resourcing in writing.

I understand that by opting out of the 48-hour limit on working time, I may still work in excess of 48 hours per week on average but this is my choice to do so.

If I wish the 48-hour limit to apply to my employment in the future I am required to notify Red Rhino Resourcing in writing.

2. Signing this agreement will allow you to work over 48 hours per week on average (if you wish to do so). If you chose not to sign this agreement you cannot work more than 48 hours per week, therefore limiting assignments that will be available to you.

Please sign below

Clear

1. Do you have any unspent criminal convictions? *

2. If yes, please provide details.

3. I confirm that the details provided above are correct. I accept that it is my responsibility to advise you of any changes in these details. *

Clear