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Scaffolders Public Liability Insurance Quotes
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Scaffolders Liability Insurance Quote Form

For UK Customers Only

Please insert your details here and one of our commercial advisers will contact you shortly with a scaffolders liability insurance quotation.

This form is designed for scaffolders public liability insurance quotes. Cover can also be extended to include scaffolders employers' liability insurance if you have your own direct employees or use labour only sub-contractors.

If you require any assistance to complete this form, please phone us on 01623 641386.

Personal/Company Details

Proposer's Full Name(s):
(enter sole trader's name or all partner's names if a partnership)
Contact Name:
(if different to proposer's name)
Limited Company Name:
(if operating as a limited company)
Trading Name/Trading As:
(if different to the above)
Trading Status:
Business Address:
Daytime Telephone Number:
Mobile Telephone Number:
*E-Mail Address:
*Please note that your email address will only be used to provide you with your quote and not for any other marketing purposes.
General Information

Have you, or any other partner or director
ever been convicted of or charged (but not yet tried)
with any criminal offences other than a motoring offence?
Yes     No
If yes, please provide details:
(e.g. type of conviction(s), date(s) of conviction(s),
details of any fines and/or length of custodial sentence(s))
Has any insurer ever refused renewal,
declined/cancelled cover or imposed any special terms?
Yes     No
If yes, please provide details:
(e.g. details of any insurance refused/
cancelled/special terms imposed, etc.)
Have you, or any other partner or director ever
been declared bankrupt or insolvent or been
subject to any County Court Judgements or IVA's?
Yes     No
If yes, please provide details:
(e.g. date(s) of bankruptcy/insolvency,
amount of bankruptcy/insolvency, date
discharged, circumstances, etc.)
Have you, or any other partner or director
ever been prosecuted or served a prohibition
order by the Health & Safety Executive?
Yes     No
If yes, please provide details:
(e.g. date of prosecution(s), details of offence(s), etc.)
Work Activities
Description of your work activities: help
(Please describe as fully as possible including a
percentage split if you carry out more than one work activity)
Do you erect any spectator stands?Yes     No
If yes, what percentage of
your turnover does this represent?
Do you undertake any propping or shoring work?Yes     No
If yes, please provide details of your most recent contract:
(i.e. type of contract and value of contract)
Do you issue a handover
certificate when the scaffolding is erected?
Yes     No
Type of Premises Worked On / Locations
Please state the percentage of work carried out at the following premises / locations:
Private dwelling houses and flats?%
Commercial buildings (e.g. shops, offices, etc.)?%
Industrial buildings (e.g. factories, etc.)?%
All other premises (state below if applicable)?
Percentage of work on 'New Builds' (if applicable):
(e.g. percentage work on new build houses, blocks of flats, etc., if applicable)
Is work carried out at any hazardous locations?
(including, but not limited to; offshore installations, demolition sites, ministry of defence properties, railways, motorways, bridges, viaducts, power stations, nuclear installations, oil, gas or petro-chemical refineries, airports, quarries, tunnels, wells or mines, blast furnaces, pylons, watercraft, ships, boats, hovercraft, docks, harbours, piers, wharves, dams (incl. coffer dams), towers, steeples or spires, etc.)
Yes     No
If yes, please state the type of locations
and the percentage of work at these locations:
Is any work undertaken outside of the U.K.?Yes     No
If yes, please provide details:
(i.e. area / country of work and
percentage of time working outside UK)
Professional Services
Do you provide professional services
for a fee such as advice/consultancy,
design, testing, inspection and certification?
Yes     No
Percentage of turnover relating to professional work:%
Trading Experience
How many years has the business been trading? year(s)
Number of years previous experience in this trade:
(A minimum of 3 years previous experience is required if you have 0 years trading)
Work At Height
Please state the maximum height worked: metres
Please confirm the approx. percentage of time working at the following heights:
Up to 10 metres:%
Up to 15 metres:%
Up to 20 metres:%
Over 20 metres:%
Do you or your employees use slings, cradles,
bosuns chairs, abseiling equipment or similar?
Yes     No
If yes, please provide details of equipment used:
Hazardous Materials
Do you work with asbestos, silica
or any other materials hazardous to health?
Yes     No
If yes, please provide details:
(i.e. type of hazardous materials and
percentage of your turnover for this type of work)
Trade Associations
Is the company a member of the
NASC, CITB or any other trade association?
(Discounts may be available if you are a member)
Yes     No Help?
If yes, please provide details of the trade association(s):
Health & Safety
Do you have a written Health & Safety policy in force?Yes     No
Do you carry out a full Health & Safety Risk
Assessment at the contract site before commencing work?
Yes     No
Are written Method Statements prepared for each contract?Yes     No
Is Health & Safety training given
to employees and is the training recorded?
Yes     No
Do you supply and enforce use of
Personal Protective Equipment (PPE) where required?
Yes     No
Claims History
Have you, or any other partner or director suffered any loss or had any claims made against you in the last 5 years?Yes     No
Claim 1.
Date of Loss:
Cause of Loss:
Circumstances of the Loss:
Total Cost of Loss (£'s):
(including any amounts paid or outstanding)
Status of Claim:Settled     Claim Still Pending
Do you wish to add another claim?Yes     No
Claim 2.
Date of Loss:
Cause of Loss:
Circumstances of the Loss:
Total Cost of Loss (£'s):
(including any amounts paid or outstanding)
Status of Claim:Settled     Claim Still Pending
Do you wish to add another claim?Yes     No
Regrettably we will be unable to provide a quotation if you have had more than 2 claims.

Details Of Liability Cover Required

Public Liability
Public Liability limit of indemnity required: help
 Manual Principals Non-Manual/
Clerical Principals
Number of Proprietors/Partners/Company Directors:No.No.
Annual Wages of Proprietors/Partners/Company Directors:  
Annual payments to Bona Fide Sub-Contractors (BFSC's):
(BFSC's are sub-contractors who supply their own scaffolding on site and hold their own insurance)

Estimated Turnover for forthcoming 12 months
Please confirm your estimated annual turnover:  help
If any part of the above turnover is for 'hire only' of
the scaffolding, please state the percentage below:
Scaffolding 'hire only' percentage of turnover (if applicable):%

Employers' Liability (Compulsory by Law if you employ direct employees or labour only sub-contractors)
Is Employers' Liability required?
(£10M standard limit of indemnity)
 Manual Workers Non-Manual/
Clerical Workers
Total number of employees/labour only sub-contractors:
(Do not include proprietors, partners and directors)
No. helpNo.
Annual wages of employees working at your own premises:  
Annual Wages of Employees Working Away on Site
Annual wages of employees working away and at height: 
Annual wages of employees working away at ground level: 
Annual wages of drivers: 
Annual wages of supervisors working at ground level: 
Annual payments to Labour Only Sub-Contractors (LOSC's):
(LOSC's are sub-contractors who supply only labour and not scaffolding on site)
Employers' Reference Number (Optional)
Employers' Reference Number (ERN) (if available): help?
(e.g. 123/AB12345)
Optional Covers
Legal Expenses Cover (Optional)
Is Commercial Legal Expenses cover required?
(100K cover for legal disputes, employment disputes, tax investigations, etc.)
Yes     No Help?
Legal Expenses Limit of Indemnity:
Has the business and/or its directors been
involved in any legal dispute, tax investigation
or any other court or tribunal action in the last 5 years?
Yes     No
Please provide details of the dispute including dates:
Professional Indemnity Cover (Optional)
Is Professional Indemnity cover required?
(Cover for any wrong advice, design, specification or certification)
Yes     No Help?
Professional Indemnity Limit of Indemnity:
Directors & Officers Cover (Optional)
Is Directors and Officers cover required?
(Cover for any 'wrongful act' of a director or officer of the company)
Yes     No help?
Please confirm the limit of indemnity required: 
Additional Information
Details of any additional information you
wish to disclose or any other cover required:
You are required to make a fair presentation of the risk to insurers which means that you are required to disclose every material circumstance which you know or ought to know relating to the risk to be insured. Materially important information is any information that could influence an insurer's decision to accept your risk including the cost of your insurance. Failure to comply with the duty of fair presentation could mean that your policy is void or that insurers are not liable to pay all or part of your claim(s). By submitting this quotation you are confirming that there are no other material facts to disclose other than those shown above.
Details Of Current / Previous Policies

Cover Start Date / Renewal Date:
Current Renewal Premium / Best Quote: 
This may help us to get you a better quote
Name of Current / Previous Insurer:
e.g. Aviva, AXA, Focus, IIGL, Kerry London, Thistle, etc.

Request Quotation

Please ensure that all the information you have provided is correct and that you have answered all the questions accurately then press the Request Scaffolders Liability Quotation button and we will contact you shortly with a quotation.

Estimated Quote Time: 0 - 3 working days