Approved Chimney Sweep Direct Entry Online Form Version 1.5 Step 1 of 9 - Start 0% There are Two Routes to Registration Direct Entry - experienced sweep with relevant HETAS qualification Affiliated membership through a Recognised Association (RA) with relevant HETAS qualification Please apply with our RA form Please select why you are filling in this form* I wish to join the HETAS Approved Chimney Sweep Scheme I wish to add an additional sweep Do you have an active Competent Person Scheme or Approved Servicing registration* Yes No HETAS Registration Number*Please input your HETAS Business registration number. e.g. 1234 N.B. You can add more sweeps to your business by returning to this page later and filling in a shortened version of this form. Business DetailsBusiness / Trading Name* Responsible Person*Please make sure this is the same main contact with HETAS who has previously been named the "Responsible Person". Responsible Person* Position in the Company* Business AddressAddress Line 1*Address Line 1 * Address Line 2 Address Line 2 City*City * CountyCounty Postcode **Postcode * CountryCountryEnglandWalesScotlandNorthern IrelandROITelephone*MobileEmail* Website Business type* Sole Trader Partnership LTD Local Authority Sweep DetailsName* First Last Sweep Address is the same as the business address?* Yes No Sweep AddressAddress Line 1*Address Line 1 * Address Line 2 Address Line 2 City*City * CountyCounty Postcode **Postcode * CountryCountryEnglandWalesScotlandNorthern IrelandROIMain contact number*Landline or mobile*Please select *LandlineMobileMobile (optional)Landline (optional) Email* NI number*NI number requested for the purpose of training verification. HETAS Training Courses Completed* H003 Full Scope/Defined Scope/Refresher H005 Direct Entry/Refresher H009 Service and Maintenance Sweeping Qualifications and Training NVQ2 Chimney Sweeping Rotary Power Sweeping or Rodtech Power Sweeping course, or equivalent training certificate Chimney CCTV Survey training certificate Other Please specifyPlease type in your other courses you have achieved. NVQ2 Certificate Number Power Sweeping Certificate Number Chimney CCTV Survey Training Certificate Number Method of Sweeping*Knowledge of manual sweeping practice and process is a mandatory part of the Scheme. Where power sweeping is predominantly used, this can be discussed and/or demonstrated as part of on-site assessment. Manual Power Sweeping Association Membership Number (If Applicable) The National Association of Chimney Sweeps (NACS) The Guild of Master Chimney Sweeps Ltd (GMCS) The Association of Professional and Independent Chimney Sweeps Ltd (APICS) Sweep Safe Ltd (SSL) The National Association of Chimney Sweeps (NACS) The Guild of Master Chimney Sweeps Ltd (GMCS) The Association of Professional and Independent Chimney Sweeps Ltd (APICS) Sweep Safe Ltd (SSL) ID Photo*For your ID cards, we need one photo of each sweep. It should be passport type, against a white background. We can accept photos taken on a smartphone. Drop files here or Select files Accepted file types: jpg, jpeg, png, Max. file size: 44 MB, Max. files: 1. Section 3 - Sweep HistoryPlease use this section to supply information regarding your last 4 sweeps:If you are unable to provide this information then please click on "Save and Continue Later" button so you can come back to this later.HiddenSweep OneJob Location* Sweeping Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Employer/Customer* Flue/Chimney Type* Sweeping Method / Additional Comments*Job Location* Sweeping Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Employer/Customer* Flue/Chimney Type* Sweeping Method / Additional Comments*Job Location* Sweeping Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Employer/Customer* Flue/Chimney Type* Sweeping Method / Additional Comments*Job Location* Sweeping Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Employer/Customer* Flue/Chimney Type* Sweeping Method / Additional Comments*Approx. number of Manual Sweeps undertaken:Approx. number of Power Sweeps undertaken:Confirm customer's permission* I confirm that I have customer’s permission to provide HETAS with the above records of chimney sweeping work, for the purposes of assessing my HETAS Approved Chimney Sweep application. * Section 4 - Supporting Documentation/EvidenceImages of Sweeping Equipment (i.e. power sweeping kit, manual brushes, vacuum)*Please upload IMAGES of your sweeping equipment. (.jpg/.jpeg and .png file types only) Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 44 MB. Images of a prepared area (sheeting etc) at two separate sweeps*Please upload IMAGES of of a prepared area at two separate sweeping locations. (.jpg/.jpeg and .png file types only) Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 44 MB. Images of the inside of your vehicle to demonstrate transportation facilities*Please upload IMAGES of inside of your vehicle that you use to transport your tools. (.jpg/.jpeg and .png file types only) Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 44 MB. Images or videos of different stages of a sweep in progress*Please upload IMAGES/VIDEOS of different stages of a sweep in progress. Drop files here or Select files Max. file size: 44 MB. A copy of your waste carriers’ licence (if applicable)Please upload a copy of your waste carriers’ licence.Max. file size: 44 MB.A copy of your Sweeping Certificate issued to consumers (if applicable)Please upload a copy of your Sweeping Certificate issued to consumersMax. file size: 44 MB.A report of your CCTV competences (if applicable)If applying for CCTV competences, please submit a completed report of your findingsMax. file size: 44 MB.Images evidence of your PPE used*Please upload IMAGES as evidence of your PPE used Click for more information on PPE evidence Mandatory items; please evidence in detail FFP3 rated mask/respirator Gloves, suitable for method of sweeping Other examples of PPE could include: Long sleeve top, trousers (no shorts) or boiler suit Safety shoes/boots Knee pads or cushion Eye and ear protection when required Hard hat/bump caps First aid kit and eye wash Appropriate site work PPE (such as Hi-Visibility Jacket) Barrier cream is recommend on hands, wrists and exposed areas of skin reapplied as necessary during the day. CLICK TO CLOSE Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 44 MB. * I can confirm I educate my consumers on environmentally responsible burning Section 5 - Public Liability Insurance (PLI)Provide details of your Chimney Sweeping PLI cover below (at least £2 million). The policy wording must specifically include chimney sweeping.*Provide details of your Chimney Sweeping PLI cover below (at least £2 million). The policy wording must specifically include chimney sweeping. Drop files here or Select files Max. file size: 44 MB. Section 6 - Personal DataHETAS will handle personal data provided by Approved Chimney Sweeps and applicants in accordance with its Data Protection policy and the General Data Protection Regulation (GDPR). Data will be stored and used for the purposes of registration, consumer search function on HETAS website and for distribution of sector news and technical bulletins. For more information please see our Data Processing Annexe I give permission for HETAS to use my data in accordance of the above statement: *I can unsubscribe from marketing communications at any time by contacting info@hetas.co.uk*I give permission for HETAS to use my data in accordance of the above statement: *I can unsubscribe from marketing communications at any time by contacting info@hetas.co.uk Yes No I give permission for HETAS Insurance Services (Marsh Commercial) to contact me to receive information on trade insurance and risk:I can unsubscribe from marketing or change my preferences at any time by contacting HETAS Insurance at insurance@hetas.co.uk or on 0330 818 7621. (tick as many as applicable) Email Post Telephone For further details of how HETAS Insurance Services handle individuals’ personal information, and how those individuals may exercise their rights in respect of that information, please refer to the Marsh Commercial privacy notice at: www.marshcommercial.co.uk/info/privacy Section 7 - Registration Fees & PaymentActive CPS - ASRRegistration Annual Fee - one year @ £102.00 (£85.00 + £17.00 VAT) - business & 1st sweep Price: Non-HETAS Registration annual fee - one year (business and first sweep)Registration Annual Fee - one year @ £291.60 (£243.00 + £48.60 VAT) - business & 1st sweep Price: Additional SweepAdditional sweep @ £92.40 (£77.00 + £15.40 VAT) Price: Service & Maintenance Product FieldService & Maintenance*Dry only; Additional assessment and cost required for wet appliance maintenanceNoFor 1 Sweep @ £96.00Total (incl. VAT.)Total (incl. VAT) £ 0.00 Payment Type* PayPal/Card BACS You will be redirected once you have submitted the form to PayPal. On the PayPal payment page you can also input your card details.Once you have submitted the form please check your email for instructions.Once registered, pads of HETAS Certificates of Sweeping are available from us directly by calling 01684 278170 or you can register on our online shop at shop.hetas.co.ukYou have chosen to fill this form in for one sweep. To add an additional sweep please return to step one of this form and select "2 sweeps". Section 8 - DeclarationConfirm and understand HUSP*Please confirm you understand and will utilise the Hetas Unsafe Situations Procedure (HUSP) * I confirm that I understand and will utilise the HUSP Confirm you have read and understand the HETAS Sweeping Code*Tick box to confirm you have read and understand the HETAS Sweeping Code * View the HETAS Sweeping Code I confirm that I have read and understand the HETAS Sweeping Code Please tick here if there are any unspent convictions Please tick here if there are any unspent convictions for anyone applying to be registered. Or if any restrictions have been placed on individuals to be present in a premises with vulnerable adults or children * If you have ticked the box above, you will need to complete and return the Unspent Convictions Declaration Form to registration@hetas.co.uk. You can find government guidance here Please read, sign and date the following declarations. If you are both the Responsible Person and Chimney Sweep, you still need to sign both sections.I hereby confirm that all the information provided is accurate and that I have read and agree to abide by the Rules and Conditions of Registration including ensuring the appropriate use of the HETAS brand at all times.Full Name of Responsible Person* Signature of Responsible Person*Date* DD slash MM slash YYYY Full name of Sweep* Signature of Sweep*Date* DD slash MM slash YYYY Δ