Please can you confirm the following before completing the application form
A - I confirm I have Right to work in the UK
B – I confirm I will provide this documentation with me prior to commencement of work
C – I give SM Global consent to share my details to find suitable positions
D – I confirm I am completing the below form myself
E - I authorise Staffing Match to retain my personal details for work finding activities.
F - I understand I can opt out anytime of being contacted by emailing info@staffingmatch.co.uk
I agree to all of the above terms – please state yes if you agree:
Name
Date
What consultant have you spoken to
What job have you applied for
Is this a general registration (you haven’t spoken to a Staffing Match Consultant or applied for a Job).
Applicant Name
I authorise SM Global to contact my former employers, educational establishment, government agencies and personal referees forverification of the information provided I confirm that the information I have given on this form is, to the best of my knowledge andbelief complete and accurate, and accept that any misrepresentation of the above may lead to refusal of any work offered by SMGlobal BANK DETAILS – PLEASE PAY MY WAGES INTO THE FOLLOWING ACCOUNT. N.B. WAGES MAY ONLY BE PAIDINTO OWN OR PERSONAL JOINT ACCOUNT
YOUR PRESENT CIRCUMSTANCES (Please tick the box which applies to you)
This is my first job since last 6 April and I have not been receiving taxable Jobseeker's Allowance, Employment and SupportAllowance or taxable Incapacity Benefit or a state or occupational pension
A
This is now my only job, but since last 6 April I have had another job, or have received taxable Jobseeker's Allowance,Employment and Support Allowance or Incapacity Benefit. I do not receive a state or occupational pension
B
I have another job or receive a state or occupational pension.
C
STUDENT LOANS (ADVANCED IN UK) If you left a course of Higher Education before last 6 April and received your firstStudent Loan instalment on or after 1 September 1998 and you have not fully repaid your Student Loan, enter ‘X’ in box Das well as either A,B or C above. (If you are required to repay your Student Loan through your bank or building societyaccount do not enter an ‘X’ in box D)
D
I confirm that the information I have given on this form is, to the best of my knowledge and belief complete and accurate, and acceptthat any misrepresentation of the above may lead to refusal of any work offered by SM Global Questions for insurance purposes
Please Tick
Please provide details of incidents if any
I confirm that the information I have given on this form is, to the best of my knowledge and belief completeand accurate, and accept that any misrepresentation of the above may lead to refusal of any work offered bySM Global HOME ADDRESS – 5 YEARS HISTORY REQUIRED
FULL HOME ADDRESS INCLUDING POST CODE
MONTH YEARFROM/TO
PREVIOUS EMPLOYMENT/NON EMPLOYMENT HISTORY – 5 YEARS HISTORY REQUIRED
COMPANY/AGENCY/EDUCATION/OTHER – DATE ORDER(OLDEST FIRST)
JOBTITLE/STUDENT
FROM MONTH/YEAR
TOMONTH/YEAR
CONTACT DETAILS NAME ANDADDRESS
IF THERE ARE GAPS IN YOUR EMPLOYMENT HISTORY PLEASE COMPLETE BELOW
Dates of gaps inemployment in dateorder
WHAT WERE YOU DOING DURINGTHIS TIME
HOW WERE YOU SUPPORTED
WHAT EVIDENCE DO YOU HAVE TOSUPPORT THIS?
PLEASE PROVIDE DETAILS OF YOUR NOMINATED REFEREE WHO WILL BE ABLE TO VERIFY THE ABOVE – this person can not be arelation/colleague or live at the same address
Name of Referee
Relationship to you
Address
Email address
Telephone number
I authorise SM Global to contact my former employers, educational establishment, government agencies and personal forverification of the information provided I confirm that the information I have given on this form is, to the best of my knowledge andrefereesbelief complete and accurate, and accept that any misrepresentation of the above may lead to refusal of any work offered by SMGlobal Please insert the dates the following categories were attained?
Tick the skills and business areas in which you have experience and would like to work:-
I confirm that the information I have given on this form is, to the best of my knowledge and belief completeand accurate, and accept that any misrepresentation of the above may lead to refusal of any work offered bySM Global 1. Declaration (all Drivers to Sign) 48-hour Limitation Waiver (Domestic Rules – Van drivers to complete) The Working Time Regulations 1998 (the regulation) require the company to limit your averageweekly working time to 48 hours, unless you agree with the company that the limit shall not applyto you.
The Company wishes to have an agreement with you. It proposes an agreement (which willapply until terminated by notice) on the basis that:
a. The 48 hours on weekly working time will not apply to you. b. You may terminate the agreement (so that the 48-hour time limit would apply to you) bygiving the person at the Company, to whom you usually report, 4 weeks written notice Under the regulations, the company must keep records relating to your working time. This is thecase whether you reach an agreement with the company about waiving working time limits.
If you accept the company’s proposal, please sign below this document will then be the recordof agreement between you and the company.
Health and Safety Declaration Whilst working for Staffing Match I will (a) not use any machinery unless experienced and able,(b) not work on dangerous machinery (e.g. meat slicer) unless 18+ of age and supervised orexperienced in the use of machinery.
I will ensure that at all times I will take every precaution to (a) avoid injury to myself and others,(b) prevent damage to any equipment/machinery.
I understand my responsibilities with regards to health and safety at work and have receivedStaffing Match’s Health & Safety Policy.
Confidentiality Declaration I will not at any time divulge to any person, nor use for my own or any other person’s benefit, anyconfidential information in relation to the client or company or in relation to any of theiremployees, business affairs, transactions or finances which I may acquire during the currently ofmy agreement with the company under the terms.
Rehabilitation of Offenders Act 1974 Declaration I declare that I have no previous/current nor pending criminal convictions other than thosespent under the Rehabilitation of Offenders Act 1974.
Personal Declaration I confirm that the information given on my application is correct and there is nothing further,about which I am aware, that should be taken into account when offering me work. Should thesituation change whilst I am either, (a) engaged in a temporary assignment by Staffing Match(b) in between assignment for Staffing Match, I will immediately notify the relevant StaffingMatch Branch. I understand that, should any information prove inaccurate, my assignment maybe terminated.
I hereby authorise Staffing Match to seek references and I understand the information may beused to assist with my application for work. I also authorise Staffing Match to forward myCurriculum Vitae to Hirers to assist with my application for work.
I agree that information given on my application may be used for registration purpose under theData Protection Act.
I also agree that should ‘stop and search’ be used on a client’s premises, I shall comply withinstructions.
I confirm the terms of these declarations and agree to be bound by them
As part of any recruitment process, the organisation collects and processes personal datarelating to job applicants. The organisation is committed to being transparent about how itcollects and uses that data and to meeting its data protection obligations.
Please review our privacy notice for information on your rights to erasure and process yourpersonal data at http://www.staffingmatch.co.uk/privacy-policy/
Driver’s Declaration
I hereby acknowledge that, before taking over any vehicle, it is my responsibility to carry out allresponsibilities laid on the driver under The Motor Vehicles (Construction and Use) Regulations andRoad Vehicles Regulations, and in addition shall be responsible for all daily and/or weekly cheeksto ensure the vehicle is road worthy at all times.
I undertake to inform Staffing Match of any incidents which may occur in the future, which mayresult in prosecution, or the impairment of my driving efficiency.
I understand that licence checks will be completed every 3 months, if during this period I have aconviction/points I will immediately inform Staffing Match. I understand my failure to do so mayresult in the client’s insurance being null and void.
I herby undertake to inform Staffing Match of the number of hours I have worked etc. Should I atanytime work as a driver on my own behalf, or on behalf of any person, firm or company, atbetween or during period(s) of driving that I might do as a result of an introduction by StaffingMatch.
I acknowledge that it is my responsibility to ensure that a Tachograph is issued to me by the clientthat I ensure that it is returned to Staffing Match after 29 days, failure to do so may result in mytermination from any assignments. I acknowledge that I use my Digital Tachograph that I willdownload the information on to the client’s database at the end of each shift, failure to do so mayresult in my termination from any assignments.
I will contact Staffing Match immediately should I have any queries.
Workforce Agreement This agreement is made on the Day of 2021.
Recitals
1. Staffing Match is in the business of the supply of Temporary Workers. 2. The working Time Road Transport Regulations that became effective on the 5th April2005 and effects the manner in which mobile workers and the Company togetherconduct the operation. 3. Staffing Match and the representative of the workforce in a workforce agreementhave agreed on the behalf of the workforce to adopt the flexibility provided by theregulations in respect of both the Night Work Limitations and reference periods forcalculating the 48 hour weekly working time. Provisions
1. Definitions Location: SM Global Consultancy Ltd Trading as Staffing Match (OperatingNationwide) Bradeys Business Centre Central Way North Feltham Trading Estate Feltham TW14 0XQRegulations: Shall mean Road Transport Working Time Regulations 2005.Mobile workers: Shall mean Night workers as defined by the regulations and allmobile workers services being utilized by Staffing Match.
2. Scope of Agreement This agreement is made pursuant to regulation 4 (2) (extend night work limit) and 4 (3)(set fixed calendar reference periods) 0r 4 (4) (extend reference periods to amaximum of 26 weeks ).
3. Term of Agreement This agreement shall remain in force for a period of 5 years effective from the dateindicated above
4. Operative Provision
a. Agreement The parties acknowledge and agree that the regulations will impact onthe manner in which the operation is conducted. The parties believe thatit is the benefit of both the Company and the employees for certainprovisions of the regulations to be extended or modified.
b. Night Work Limit The worker will work beyond the 10 Hour work limit stated in the regulationsbut only to the extent where this would not be in breach of the regulationor EU Drivers Hours Regulations 561/06.
c. Reference Period For the purpose of calculating the 48 Hour average the referenceperiod shall be successive 17 weeks reference period.
The first day of a 17 week reference period will begin at 00.00 hours onMonday. The reference periods that will apply to mobile workers for2020/2021 will be:
i. 7th December 2020 – 4th April 2021 ii. 5th May 2021 – 1st August 2021 iii. 2nd August 2021 – 5th December 2021
This pattern of fixed reference periods will continue until thisworkforce agreement expires.
5. Avoidance of Doubt For the avoidance of doubt, the parties acknowledge and agree that save asspecifically set out above, the provisions of the regulations shall be in full forceand effect.
Signed for and upon behalf of Temporary Worker
Date
Dear Colleague,
Drug and Alcohol Testing
Health and Safety is on the Staffing Match agenda and we are making various changesto improve the Health and Safety of all employees. We are implementing random and“for cause” testing, ie.in the event of an accident, we can further improve the Healthand Safety of SM Global workers and other road users, and potentially reduce thenumber of accidents that can occur. Drug and Alcohol testing is common practice inboth the warehousing and logistics industry we operate in, and therefore SM Globalwould like to align itself with other retailers in this sector.
Who will be Tested ?
Any Staffing Match employee / Sub Contractor can be tested ; no employee group isexempt from testing. Any approach to testing will be completed with a fair andconsistent approach.
Who will be doing the testing ?
A third party testing company will be utilized to conduct the tests, either on randomdates across all shifts or in the event of an accident, and carry out random testing ortesting on the employee where there is concern that the use of drugs / Alcohol may be arisk. The Drug testing will seek evidence of examples of a wide range of Drugs includingprescribed drugs. The results of the tests are available instantly (Alcohol) and withinfifteen minutes (drugs), and then can be taken into account in any subsequent accidentinvestigation and potential disciplinary action as per your employee handbook. Forconsistency across the group, and given that we have drivers who operate intoScotland, we will be testing at the Scottish limit of 50mg per litre.
What is defined as an Accident ?
An Accident is defined as any incident that causes damage or harm, Which could be; adriver being involved in an accident in the yard or on the highway where the police arenot involved, a forklift driver in the warehouse damaging the racking, or a member of theoffice team falling down the stairs. This list is not exhaustive.
When will this be happening ?
This will take place with immediate effect. If you take any medication then please let amember of the Staffing Match team know so this can be noted on your file.Should you have any concerns or wish to discuss the contents of this letter, pleasecontact a member of Staffing Match.
Yours Sincerely
SM Global Consultancy Ltd