Health and safety arrangements
KD-HSA-RO-001
Health and Safety Responsibilities and Organisation
The organisation behind the policy: each role in the business with the health and safety duties it owns, the deputy, the competent adviser under MHSWR 1999 reg 7, and how responsibilities are communicated — the arrangement an SSIP assessor reads straight after the policy.
2 pages · 48 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 2 — click to enlarge
Read all 2 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- HSWA 1974 s.2(3)
- MHSWR 1999 reg 5
- MHSWR 1999 reg 7
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
More in Health and safety arrangements
21 documents
