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Submit a General Application

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Contact Information
* Surname:
* Forename:
* Address 1:
Address 2:
* Town or City:
* County:
* Postcode:
* Mobile Number:
* Email:
Attachments
Resume:
Supported formats: Word, PDF, RTF, Text, and HTML.
  - or Upload from:
 
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
General Information
Please provide as much information as possible (including supporting documents) when submitting your application. This will ensure speedy processing of your application.

Personal Details:

* N.I. Number:
* Date of Birth:

Your date of birth is required as a form of identification and we may need to undertake age-related medicals, risk assessments etc.

Sentinel Card Number:
* Driving Licence:
Yes   No

Emergency Contact Details: (Next of Kin)

* Name:
* Address:
* Relationship:
Contact Number: (Home)
* Contact Number: (Mobile)

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
If you have answered yes, please give details

Eligibility to Work in the UK:

Under the Immigration Act 2003 we are obliged to check your eligibility to work in the UK. Before you start an assignment with us you must produce documents proving eligibility to work in the UK.

* Are you a UK citizen?
Yes   No
If NO, are you a national of an EU/ EAA member country?:
Yes   No

If NO to both the above questions, please select the statement below that applies to you:

I require a permit in order to take employment in the UK::
Yes   No
I hold other immigration documentation endorsed to work in the UK::
Yes   No

If YES to the above- copies of the documents must be sent to Head Office in Bridlington.

Criminal Convictions:

Please declare whether you have any unspent criminal convictions, including a driving ban. If declared, please give details of the offence(s) and sentences(s) in the space provided. Seaton Rail will comply fully with the requirements of the Rehabilitation of Offenders and Data Protection Acts.

* Do you have any unspent criminal convictions (including a driving ban)?
Yes   No
If YES please provide details here: (Information provided may be disclosed to a client in the event you being potentially offered an assignment.

References:

Please provide contact details of at least two referees, One of the referees should be your Line Manager/ Supervisor from you 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.

* Company Name:
* Contact Name:
* Job Title:
* Position Held:
* Date From:
* Date To:
* Telephone Number:
* Email Address:
* Company Name:
* Contact Name:
* Job Title:
* Position Held:
* Date From:
* Date To:
* Telephone Number:
* Email Address:
Protection Staff
Please provide as much information as possible (including supporting documents) when submitting your application. This will ensure speedy processing of your application.

Self Cert Medical Declaration:

In order to comply with particular health and safety requirements, it is important that you declare any medical conditions or concerns that you have that may affect your ability to perform particulars roles in a safe manner. Please select the appropriate answer:

* 1. Do you have Diabetes?
Yes   No
* 2. Do you suffer from Epilepsy or any other type of fits?
Yes   No
* 3. Have you ever suffered from black-outs, recurrent dizziness or any condition which may cause sudden collapse?
Yes   No
* 4. Do you have any discomfort or pain in your chest or shortness of breath?
Yes   No
* 5. Do you have difficulty in moving rapidly over short distances, including on slopes and rough ground?
Yes   No
* 6. Would you have difficulty in looking over your shoulder?
Yes   No
* 7. Would you have difficulty working outdoors or in open areas?
Yes   No
* 8. Would you have difficulty in working in confined spaces?
Yes   No
* 9. Would you have difficulty in working at heights?
Yes   No
* 10. Do you have difficulty with your eye sight?
Yes   No
* 11. Do you have difficulties in correctly identifying colours?
Yes   No
* 12. Do you have difficulties with hearing?
Yes   No
* 13. Do you wear contact lenses or glasses?
Yes   No
* 14. Have you had any alcohol or drug related problems or illnesses within the last 12 months?
Yes   No
* 15. Have you ever suffered from Hand Arm Vibration?
Yes   No

Hand Arm Vibration Medical Assessment:

The purpose of this questionnaire is to routinely monitor you use of powered tools (air, petrol or electrically powered), to ensure that everyday work is not adversely affecting your health.

* 1. How many days a week do you use powered tools?
Never
1
2-3
4-5
6
* 2. How many hours per day do you use powered tools?
Never
1
2-3
4-5
>6
* 3. Do you operate powered tools in confined spaces?
Never
Rarely
Often
Always
* 4. What PPE do you regularly use when operating power tools?
None
Gloves
Other

Night Working Medical Assessment:

The purpose of this questionnaire is to ensure that the extra conditions of working at night is not adversely affecting your health.

* 1. Do you suffer any stomach or intestinal disorders?
Yes
No
* 2. Do you suffer from any condition that causes difficulties in sleeping?
Yes
No
* 3. Do you suffer from chronic chest disorders, especially if night time symptoms are troublesome?
Yes
No
* 4. Do you suffer from any medical condition requiring medication to a strict timetable?
Yes
No
* 5. Do you suffer from any other health factors that might affect fitness at work?
Yes
No

Sentinel Competencies:

* Select your current Sentinel Track Safety Competencies;
PTS AC
DCCR
Track Induction
Lookout/ Site Warden
IWA
Handsignaller
Level Crossing Attendant
Points Operator
COSS
Conductor Rail Permit (CRP)
Overhead Line Permit (OLP)
Protection Controller
Engineering Supervisor
SSoW Planner
Machine Controller
Crane Controller
Possession Support

Non Sentinel Competencies:

Please select your current Non Sentinel Competencies;
Hand Trolley Controller
Hand Back Engineer
First Aid at Work (Full)
Emergency First Aid
C.A.T. Scanner
Small Tools Certificate (Hand)
Fire Awareness

Safety Critical Skills and Experience:

* What experience do you have as acting as a Lookout?
None, I do not hold the Lookout competency
6 to 12 months
12 to 18 months
18 to 24 months
Over two years experience
* How often do you undertake Lookout Duties?
Never, I do not hold the Lookout competency
Not very often, a few times a year
Quite often, on a monthly basis
Often, on a weekly basis
Only undertake Site Warden duties
* How often do you undertake COSS Duties?
Never, I do not hold the COSS competency
Not very often, a few times a year
Quite often, on a monthly basis
Often, on a weekly basis
* Do you have experience as a COSS in the following protection methods and procedures
I do not hold the COSS competency
Line Blockages with Signal Protection only
Line Blockages with additional protection
Working in an Engineering Supervisors worksite
Working alone (as an IWA)
Working with ATWS
Working with TOWS
Working with LOWS
Working with Unassisted Lookout protection
Setting up an maintaining a Fenced worksite
Working Site Warden Warning with adjacent open lines (Separated)
Working in a Possession with the Line Clear Verification process (LCV)
Working with trolleys and or skates in a Line Blockage
Working with trolleys and or skates in a possession
Possession of a Siding/ acting as PICOS
* How often do you undertake Engineering Supervisor (ES) Duties?
Never, I do not hold the ES competency
Not very often, a few times a year
Quite often, on a monthly basis
Often, on a weekly basis
* Do you have experience as an ES in the following;
None, I do not hold the ES competency
Setting up a worksite with Marker Board protection
Controlling movements of Engineering Trains
Worksites with multiple train and OTM/ OTP movements
Never control movements, work only in worksites with no Engineering trains or OTP/OTM
Setting up worksites without Marker Board protection (Minor works only)

Railway Infrastructure Skills and Experience:

CIVILS: Please select the relevant boxes below;
Drainage
Screw Fast
Location Bases
Concreting
Troughing
UTX's
Fencing
Concrete Pumping
Cable Pulling
Signal Bases
RRAP Installations
Concrete Finishing
Platform Works
Coping Stones (Replace & Repair)
REB Installations
Foundations
Raft Foundations
Pointing
New Access Points
Picks
Strip Foundations
Pip Laying
FIN
Sledge Hammer
Block Work
De-Vegetation
Shovels
Lump Hammers
Bridge Works
Authorised Access Points
Forks
Breaking Bar

P-way Skills and Experience:

Please select the relevant boxes below;
Plain Line Renewals/ Relays
Sleeping Changing (Concrete)
Changing Base Plates
Forks
Stressing
Sleeping Changing (Wooden)
Changing Nylons
Keying Hammers
S&C Build Up
Sleeper Changing (Metal)
Changing Clips
Breaking Bars
S&C Installation
Boxing In Renewals
De-stressing/ Re-stressing
Heel Bars
Twist Faults
Boxing In Tamping
Sluing & Re-Aligning
Fast Clip Inserters
Lifting and Packing
IBJ Installation
Pan Jacks
Fast Clip Extractors
Wet Bedding
Fish Plates
Duff Jacks
Pandrol Extractors
Slab Track
Re- Railing
Shovels
Pandrol Insertors
Kango Packing
3rd Rail Grease Pots
Fish Plate Spanner
Spike Extractor
Stone Drops
Patrolling
Fish Plate Runner
Torque Wrench

PPE Details:

* Hi Vis Vest:
Small
Medium
Large
X- Large
XX- Large
XXX- Large
* Jacket:
Small
Medium
Large
X- Large
XX- Large
XXX- Large
* Over Trousers:
Small
Medium
Large
X- Large
XX- Large
XXX- Large
* Cargo Trousers: (Waist Size)
* Cargo Trousers: (Length)
31"
33"
35"
* Boots: (Size)
5
6
7
8
9
10
11
12
13
* Do you own a full Lookout Kit?
Yes
No
* Do you own a Possession Limit Board (Stop Board) ?
Yes
No
If YES how many boards do you own?
* Do you own an ES Marker Board?
Yes
No
IF YES how many boards do you own?

Payment Options:

Please select from one of the following 3 options.

1. Limited Company

For Limited Company contractors only.  
Please complete the Company's name and bank details and attach the supporting information requested below. Do not complete your own personal bank details in this section.

Name of Limited Company:
Bank Name:
Bank Address:
Account Number:
Sort Code:

Please note: If you choose to change your Limited Company while on assignment you will incur a £25.00 admin fee each time, you must also give at least one week's notice in writing to change.

Supporting Documents to be attached;
1. Certificate of Incorporation
2. VAT Registration Certificate (if applicable)
3. Blank copy/ sample of your Invoice

If the work that you are or will be performing falls under the CIS Scheme, please provide us with your UTR Number below.

Your UTR Number:

Agency Workers Regulations (AWR)
(Genuinely self- employed) : (Own Limited Company only)

If you are in business on your own account, and fall outside of IR35 Legislation, you may be deemed 'genuinely self- employed' and therefore will be considered outside the scope of the AWR. If you are unclear what the Regulations provide for or whether you are in business on your own account, you should seek independent legal advice to ascertain your position. There is no exemption for limited company contractors within the AWR, so it is necessary for us to establish your employment status before you provide your services. If your employment status changes at any time, you must inform us immediately.  
In pursuant of the Agency Worker Regulations 2011, it is declared that:  
1. You have assessed or have taken advice on your employment status;  
2. Your intention is that you are genuinely self- employed and in business on your own account;  
3. You are out of scope of the regulations; and  
4. You have no intention of claiming to be an agency worker for the purpose of gaining equal treatment under the Agency Worker Regulations.  
By signing below, you are confirming that you are 'genuinely self- employed'.  
If you are not an officer/ director of your own limited company then you are unable to sign below.

Print Name (This will form an electronic signature)
(Director/ Officer)

Employment Agencies & Employment Business Regulations (EAA)

If you are a limited company contractor, the EAA Regulations allow you to 'opt-out'. Whilst the regulations have been conceived to ensure greater legislative protection for workers, there may be issues, which conflict with the spirit of the IR35 rules. The ability for you to 'opt- out', gives you the choice to remain contracting in the same way as prior to the Regulations. Opting out of the regulations will habe benefits if you decide that you want to be considered self- employed. This will mean you will not be afforded the same protection as that of our PAYE workers but does bring you a step closer to being seen as genuinely self- employed and therefore could be viewed as outside the scope of IR35 rules. It will also give you flexibility in negotiating your contract terms. If you wish to opt- out, you will need to opt- out before your contract starts.

Please select one of the following;
I wish to Opt Out of the Conduct of the EAA
I do not wish to Opt Out of the Conduct of the EAA

2. Umbrella Company

Name of Umbrella Company:
Bank Name:
Bank Address:
Account Number:
Sort Code:
Supporting Documents to be attached;  

1. Certificate of Incorporation  
2. Insurance Documents  
3. VAT Registration Certificate

Please Note: If you choose to change your Umbrella Company while on assignment you will incur a £25.00 admin fee each time, you must also give a week's notice in writing.

3. PAYE

Please enter your own personal bank details (if you are using another bank account that is not yours, you will need to provide a letter instructing Seaton Rail to pay your wages into this bank account).

Name:
Account Holder:
Bank Name:
Bank Address:
Account Number:
Sort Code:

Agency Worker Regulations (AWR)

Under the AWR all PAYE Contractors are deemed in scope of the regulations and you are accepting all assignments from us under a Contract For Services.  
Seaton Rail Limited will pay you having deducted tax and NI in full.  

If you feel our understanding, as detailed above, is incorrect and your tax status is not PAYE and you consider yourself outside of the scope of the regulations, please contact the Compliance Team on 01262 608313 for clarification.

THE FOLLOWING SECTIONS TO BE COMPLETED BY ALL CONTRACTORS:

To enable us to process your application and to comply with legislation, please attach legible colour scanned copies of the following;

1. Qualifications/ Certificates/ Competency Certificates;
2. Valid Passport or Work Visa & Permit (in colour);
3. OR - Full Birth Certificate (showing a place for both parent names)
4. Any other relevant supporting documents required to support your application;
5. Supporting documentation relating to your pay status.

Where supporting documents are not attached to this application copies should be posted or can be emailed at a later date.

Mailshots and SMS Messages:

Upon your registration, you will automatically be included to receive SMS messages and mailshots form Seaton Rail.  
This information will relate directly to your work.

* Do you wish to receive SMS messages and mailshots
Yes
No

Workers under sponsorship will still receive monthly briefings & updates and any other information required for Network Rail workers.

48 Hour Opt Out: Working Time Directive (WTD)

Under the WTD you are able to opt out, which means by opting out you will be able to work more than 48 hours over an average of 17 weeks. If you do not wish to opt out, your hours will be checked to ensure you do not work more than 48 hours over an average 17 weeks.  

I agree that I wish to opt out of the WTD. If I change my mind, I agree to give Seaton Rail Limited three months notice in writing to end this agreement.

* Please select one of the following;
I wish to Opt Out of the WTD
I do not wish to Opt Out of the WTD

This Opt Out will not supersede any Client restrictions on working hours.

DECLARATION:

I confirm that all the information I have provided in this registration pack, including bank details, is correct, and I will inform Seaton Rail Limited of any changes in writing. I also confirm that I give Seaton Rail Limited permission to verify any qualifications, accreditations, references, etc. that I have disclosed. I confirm that I have reviewed, read and understand the Induction Pack.

I also confirm that upon the starting of an assignment with Seaton Rail I have agreed to either the Agreement for Services (PAYE) or the Limited Company Contractor Terms & Conditions.

* Print Name: (This will form an electronic signature)
* Date of Application:

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