Register For Work - Trackforce Recruitment

Personal Details
Name*
First Last
Date of Birth*
N I Number*
Sentinel Number*
Driving License*
- Yes
- No
Upload Driving License*
Max. file size: 512 MB.
Your date of birth is required as a form of identification and we may need to undertake age-related medicals, risk assessment etc.
Permanent Address
Address*
Street Address Address Line 2 City County Postal Code
Telephone Number*
Mobile Number
Email Address*
Emergency Contact Details
Name*
First Last
Address*
Street Address Address Line 2 City County Postal Code
Relationship*
Contact Number (Home)
Contact Number (Mobile)*

Education, Qualifications and Employment History
Please provide details of your education and qualifications.

Secondary Education*

Secondary School	From:	To:	Exam taken	Result

Further Education

Further Education Provider	From:	To:	Exam taken	Result

Other Qualifications

Employment History*

Comany Name	Job Title	From:	To:

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Disability
A person has a disability if he or she has a physical or mental impairment; the impairment has an adverse effect on his/her ability to carry out day to day activities; the effect is substantial or the effect is long term. For further information, please see: The Disability Discrimination Act 1995 and the Disability (Employment) Regulations 1996.
Do you consider yourself to be disabled?*
- Yes
- No
Please give details

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References
Please provide contact details of at least two referees. One of the referees should be your line manager/supervisor from your present or most recent job or assignment (or study course if no job held). Please note: references will be sought before you start an assignment.
Tick here if you do not want us to contact your current employer:
- Do not contact
Reference One
Company Name*
Contact Name*
Job Title*
Contact Number*
Relationship with contact (manager etc.)*
Position Held*
Date From*
Date To*
Reference Two
Company Name*
Contact Name*
Job Title*
Contact Number*
Relationship with contact (manager etc.)*
Position Held*
Date From*
Date To*

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Criminal Conviction(s)
Please declare whether you have any unspent criminal convictions, including a driving ban. If declared, please give details of the offence(s) and sentence(s) on a separate sheet of paper. The company will comply fully with the requirements of the Rehabilitation of Offenders and Data Protection Acts.
Do you have any unspent criminal convictions (including current driving ban)?*
- Yes
- No
If Yes, please give details below. The information provided may be disclosed to a client in the event you being potentially offered an assignment. Failure to disclose this information will result in the termination of any assignment.
Conviction Details

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Supporting Information
To enable us to process your application and to comply with legislation, please enclose legible colour photocopies/scanned copies of the following:
- Qualification/Training/Competency Certificates/cards in colour
- Medical & Alcohol and Drugs Certificates (if applicable) in colour
- Valid Passport or Work Visa & Permit in colour including front cover of passport
- Or – full birth certificate (showing a place for both parent’s names)
- Any other relevant supporting documents required to support your application
- Supporting documentation relating to your pay status
Supporting Documents*
Drop files here or
Max. file size: 10 MB.
Mailshots
- Upon your registration, you will automatically be included to receive SMS messages and mailshots from Trackforce Recruitment Limited. This information will relate directly to your work. Please tick here if you do not want to receive information from us.
NB: those who are under sponsorship will still receive: monthly briefings and updates and any other information required for Network Rail and LUL Workers.
For more information on how we store and process your information, please see our Private Policy Statement
Declaration*
- I confirm that all the information I have provided in this registration pack, is correct, and I will inform Trackforce Recruitment Limited of any changes in writing. I also confirm that I give Trackforce Recruitment Limited permission to verify any qualifications, accreditations, references, etc. that I have disclosed. I confirm that I have read and understood the policies and induction pack.

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Medical Self Certification
Access to Trackforce Recruitment Ltd work sites where full Medical Examination is not required
Alertness and reasonable physical fitness are essential for duties, which may interact with moving trains. It is therefore important to be accurate with your answers to this questionnaire, although trivial matters should be ignored (e.g. transient dizziness while gardening two years ago). When you declare NO you are accepting a degree of responsibility for your safety.
1. Do you wear contact lenses or glasses?*
- Yes
- No
2. Do you suffer from Epilepsy or any other fits?*
- Yes
- No
3. Have you ever had Blackouts, recurrent dizziness or any condition, which may cause sudden collapse or incapacity?*
- Yes
- No
4. Do you get discomfort or pain in the chest or shortness of breath?*
- Yes
- No
5. Do you have difficulty in moving rapidly over short distances?*
- Yes
- No
6. Would you have difficulty looking over either shoulder?*
- Yes
- No
7. Do you have difficulty with your eyesight (simple problems needing glasses need not be included)?*
- Yes
- No
8. Do you have Diabetes needing Insulin?*
- Yes
- No
9. Do you have difficulty in correctly identifying colours?*
- Yes
- No
10. Do you have difficulty hearing?*
- Yes
- No
11. Would you have difficulty working in out-door or open spaces?*
- Yes
- No
13. Would you have difficulty in working at height?*
- Yes
- No
14. Do you suffer any stomach or intestinal disorders?*
- Yes
- No
15. Do you suffer from any condition that causes difficulties sleeping?*
- Yes
- No
16. Do you suffer from chronic chest disorders, especially if night time symptoms are troublesome?*
- Yes
- No
17. Do you suffer from any medical condition requiring medication to a strict timetable?*
- Yes
- No
18. Do you suffer from any other health factors that might affect fitness at work?*
- Yes
- No
19. Are you taking any medication that is giving you dizziness or drowsiness?*
- Yes
- No
20. Have used drugs of abuse within the last 12 months?*
- Yes
- No
21. Have you had any alcohol – related illness during the last 12 months?*
- Yes
- No

Medication: prescribed and/or non-prescribed:

Start Date	Medication Name	Reason for taking	Dosage	Frequency	Side effects (Yes/No)	Prescribed (Yes/No)

Declaration*
- I declare that I have answered these questions to the best of my knowledge

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Hours of work policy
Trackforce Recruitment Ltd have accepted the Network Rail Policy on working time and as a consequence have now implemented our own policy for those staff and operatives, including sub-contractors who work or may work on the Network Rail Controlled Infrastructure.
1. Introduction
This statement sets out our policy in respect of any duties that may be impaired as a result of working excessive hours. We have taken into account Regulation 25 of the Rail and Other Guided Transport Systems (Safety) Regulations 2006. Provided that employees and sub-contractors adhere to the provisions of this policy, they will normally be able to demonstrate compliance with the Group Standard and Railway Regulations. It is important, therefore, that all persons concerned are made aware of this statement and become familiar with its contents.
2. Policy
We will take all reasonable steps to ensure that employees or contractors are made aware of the contents of this statement, together with the relevant sections of the Group Standard and the implications therein. Furthermore, as a responsible employer, we have in place procedures to prevent, insofar as it is reasonably practicable, an offence under Railway Regulations and a monitoring process to measure the progress of such procedure.
3. Requirements
It is a requirement of the company that the working time of employees and sub-contractors comply with the following limits.
3.1 Maximum Number of Turns of Duty
No more than 13 turns of duty to be worked in any 14-day period
3.2 Maximum Hours Worked
No more than 12 hours to be worked per turn of duty No more than 72 hours to be worked per week
3.3 Minimum Rest Periods
Minimum rest period of 12 hours between booking-off from a turn of duty to booking on for the next turn. In the case of employees working a regular shift pattern, which rotates or alternates on a weekly basis, the rest period at the weekly shift changeover may be reduced to not less than 8 hours.
4.Exceptional Circumstances
4.1 Exceeding working time limits
In emergency situations, to cover essential work only, and provided no alternative arrangements can be made, the limits shown in 3.1 to 3.3 may be exceeded if authorised by a nominated representative of the Company or Network Rail.
4.2 Records to be kept
The person authorising the variation must record the actual times worked, and the reason why such authority was given. This record must be monitored and subjected to audit.
5.Definitions
14-day period - Any 14 successive days, starting and ending on any day of the week Hours worked - Actual (not rostered) paid hours of work, inclusive of paid Travelling, walking time and paid meal breaks Week - In clause 3.2, refers to a pay bill week, i.e. Sunday to Saturday Emergency/Call-Out Situations - Circumstances which cannot be anticipated and which threatened serious disruption to the service, e.g. severe weather conditions such as fog, flooding or heavy snow, breakdowns, accidents or sudden illness to a key member of staff. Essential Work - Work necessary to avoid serious disruption to the service. 6. 48 Hour Opt Out: Working time Directive (WTD) Under the WTD you can opt out, which means by opting out you will be able to work more than 48 hours per week over an average of 17 weeks. If you do not wish to opt out, your hours will be check to ensure you do not work more than 48 hours per week over an average of 17 weeks. I agree that I wish to opt out of the WTD. If I change my mind, I agree to give Trackforce Recruitment Limited three months’ notice in writing to end this agreement.
I Wish to opt out of WTD
- This opt out will not supersede any client restrictions on working hours.
Acknowledgement*
- I have read and understand the Trackforce Recruitment Ltd Policy on Hours of Work.

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Step 1 of 11

Personal Details

Permanent Address

Emergency Contact Details

Education, Qualifications and Employment History

Disability

References

Reference One

Reference Two

Criminal Conviction(s)

Eligibility to work in the UK

Eligibility to work outside of the UK (if applicable)

Supporting Information

Medical Self Certification

Hand Arm Vibration Medical Questionnaire

Hours of work policy

1. Introduction

2. Policy

3. Requirements

3.1 Maximum Number of Turns of Duty

3.2 Maximum Hours Worked

3.3 Minimum Rest Periods

4.Exceptional Circumstances

4.1 Exceeding working time limits

4.2 Records to be kept

5.Definitions

Acknowledgements

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