ASCP Confererence & Exhibition 2021 Exhibitor Risk Assesment & Insurance Check Company: As an exhibitor, it is your responsibility under the Managementof Health and Safety at Work Regulations 1999, to ensure that a suitable risk assesment is completed prior to setting up. Failure to do so could result in delays or ultimately closure of the st and. Please complete the questions below. Does the set up or exhibition include any of the following? Please select box Working electrical appliances Yes ☐ No ☐ If yes, have all electronic items being utilised undergone a visual inspection and PAT test? (PAT Test certificates/stickers should be available on electrical items) Yes ☐ No ☐ Manual Handling Yes ☐ No ☐ Working at a height Yes ☐ No ☐ Flammable or explosive substances Yes ☐ No ☐ Sharp objects or weapons Yes ☐ No ☐ Demonstrations Yes ☐ No ☐ Working machinery Yes ☐ No ☐ Any additional hazard not identified above Yes ☐ No ☐ Please State: Please note: this is not an exhaustive list. You are responsible for identifying any aspect of your stand which could present a hazard. All exhibitors must be fully insured, please complete the table below: Cover Limit of Indemnity Policy Number Insurer Expiry Date Public Liability Employers Liabillity (If applicable) I believe the responses stated in this document are true and I will have a Risk Assessment available upon request; I understand that any falsified responses or failure to provide evidence may result in delays or closure of the stand. Signed: Name: Position: Date: Please also include the following document(s) • A r isk assessment for your stand (and demo vehicle if applicable) • A copy of your organisation’s COVID risk assessment for attending live events Return this form and completed risk assessments to stuschick@corgitechnical.com