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Please complete this form giving as much detail as possible about yourself, along with the Ecclesiastical Risk Services (ERS) Ltd products and services you are interested in.

Customer Details

Organisation Name:
Address:
Postcode:
Telephone Number:
Fax Number:
Email:
Contact Name:
Position:
Type of Business:
No of Staff:
No of Sites:
If multi-sited, please list postcodes of each premesis below:

ERS Products and Services

Please select from the lists below, which ERS products or services you are interested in. If you are interested in more than one please make multiple selections. If non of the existing categories meet your requirements please give details under 'other'

Consultancy and Business Advice

LRH01 Health and Safety Audit  
LRH02 Safety Management System Audit  
LRH03 Risk Assessment Support  
LRF01 Fire Risk Assessment and Management  
FRB01 Business Continuity Management  
FRB02 Business Continuity Audit  
LRH04 Health and Safety Inspection  
LRH06 On Site Consultancy Support  
LRH08 Health and Safety Toolkit  
ELS01 Employment Law Services  
LRA01 Asbestos Management and Removal  
LRL01 Legionella Management  
LRF02 Fire Systems Troubleshooting  
ENV01 Environmental Management  
ORR01 2:1 Driver Training  
ORR02 1:1 Driver Training  
LRG2 Boiler Inspection  
FRE01 Electrical Fixed Wiring Inspection  
FRP01 Portable Electrical Appliance Testing  
LRHS02 Occupational Health  
LRHS03 Occupational Hygiene  

Training

LRH09 General Health and Safety Training  
LRH10 Risk Assessment Training / Coaching  
FRF11 Fire Safety / Fire Extinguishers  
LRM21 Manual Handling and Back Care  
LRM22 Manual Handling of Service Users  
LRF06 Food Safety and Hygiene  
LRH02 Chemical Awareness / COSHH  
ELS10 POVA  
FRB03 Business Continuity Management  
LRD2 Display Screen Equipment  
LRH11 Lone Working  
LRH12 One to One Coaching  
ELS03 Employment Law and HR Issues  
LRH13 Investigating Accidents and Defensive Docs  
LRB1 Risk Assessment for Babtism Pools  
LRT1 Training Record Keeping  
Other (Please Give Details):

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