Please fill out all required fields.
Company
Company Representative
Contractor
- please choose - Shiloh Horticulture Brian D'Ath Partnership Dara Miah Hort Services Hope Horticulture
Number of Contractor Employees
Type of Work *
- please choose - Picking Compliance Audits Other General Maintenance Spraying Mowing Sweeping Mulching Pest Monitoring Technical Irrigation Wind Machine startup/Maintenance Pruning Thinning
Other work (Please Specify)
Orchard Location
- please choose - R1282 Te Aute Road Block 313 Te Aute Road Havelock North R1283 School Road Block 68 School Road Pakahu R1284 East Block 35 Tollemache Road East, Longlands Hastings R1285 Shed Block 18 Tolemache Road West, Longlands Hastings R1286 South Block 1370 Southland Road, Longlands Hastings All Orchards
Have you called to notify management of your location and to confirm what activities are to be undertaken? *
Date *
Set number of days to be on site from 8am to 5.30pm each day.
- please choose - 1 Day 2 Days 3 Days 4 Days 5 Days 6 Days 7 Days 8 Days 9 Days 10 Days
Entry Time
Exit Time
I Have read and understood the Health and Safety Policy and are aware of all hazards within the production site. *