Supplier registration form

Company name

Trading name

Company ABN

Contact first name

Contact surname

Job title

Contact email

Username

If you are creating multiple records, please use a unique username per application.

Password

Company website

Company logo

Company address line 1

Company address line 2

City

State

Postcode

Region

Are you a current ATEC member?

Yes

Would you like ATEC to send you some information on membership?

Yes

Great! You'll hear from us via email, and feel free to check out our website to discover how ATEC membership can help grow your business.

Visit the ATEC website

Please select a registration type from the below options

ATEC member supplier

Non member supplier

Public liability policy provider

Public liability policy expiry date

Policy territorial limits

Public liability value ($AUD 10m minimum)

Public liability insurance policy

Does your business comply with all local, state and national laws, rules and regulations relevant to your business?

Yes

Please upload any relevant licences and/or certifications relevant to your business compliance

Examples might include specific licences for your type of business eg national parks, public passenger vehicles etc

Do you have a current valid activity audit(s) in place for your business?

Has your audit(s) been conducted by Sanderson Phillips?

Do you wish to complete a health & safety audit by Sanderson Phillips?

Yes

Do you consent to ATEC providing your details to Sanderson Phillips to commence the audit process?

I acknowledge that my Health & Safety Checklist record will NOT include any reference to a completed H&S audit

Alternate audit provider

Alternate audit expiry date

Alternate audit provider evidence/supporting documentation

Even though you have an existing audit, would you still like to proceed with an audit from Sanderson Phillips?

Yes

If your business does not comply with relevant local, state or federal laws, rules & regulations then you are ineligible to participate in ATEC's Health & Safety Checklist program.

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Your declaration

By registering for ATEC's Health & Safety Checklist, you agree to the terms and conditions of participation. Please read the terms at the link below and acknowledge by ticking the box. If you have fees to pay, you will be redirected to the cart to finalise your registration.

I have read and accept the Terms of Use and Privacy Policy.

Email address

Supplier Application form

Your declaration

IMPORTANT