LGV1 Fitter Application for Employment

Please note: Any field marked with a * must be completed before the form can be submitted.

If at the end you click to submit and you do not see a confirmation message then a field is not completed and will be highlighted with a red frame on the form.

PERSONAL PARTICULARS

Surname *

Forename(s) *

Postal Address *

Email Address

Home Telephone Number

Mobile Telephone Number *

National Insurance Number *

Date of Birth *

Day

Month

Year

Marital Status

No of Children

Height *

Weight *

Do you have the legal right to live and work in the UK? NOTE: If invited for interview you will need to bring original documents (See link for list: https://www.gov.uk/government/publications/right-to-work-checklist) in order for us to copy to prove your right to work. *

Yes

No

HEALTH DETAILS

Are you in good general health? *

Yes

No

Do you meet DVLA health standards for driving, including hearing and eye sight ? *

Yes

No

Do you suffer from asthma ? *

Yes

No

Have you now, or ever had, any physical mobility impairment ? (specifically, we are seeking to clarify your capability to undertake the physical requirements of our work, including, for example, the repeated access, ascent and descent of vehicle steps and tank ladders on multiple occasions throughout the working day). *

Yes

No

Have you had medical attention in the last 5 years ? *

Yes

No

Are you required to take regular medication ? *

Yes

No

Are you allergic to penicillin (or any other medication (please list)) *

Yes

No

Are there other health matters an employer should be aware of ? List any DVLA notifiable conditions. See https://www.gov.uk/health-conditions-and-driving for details. *

If yes to any medical questions then please give details below

How much absence from work did you have last year ? *

How many years of fitting experience do you have

List your experience with different manufacturers of trucks

How many years of experience have you had working on Tankers

List any Hazardous Chemicals that you are used to working around :

Note any additional comments and/or details of experience below : (i.e. Experience with pumps or compressors, welding, etc)

OTHER DETAILS

Are you a good timekeeper ? *

Yes

No

Are you applying to work night-shift ? *

Yes

No

Our fitters normally work on a rolling week shift pattern. Please state you preference from the options below *

List any experience of working shifts, or unusual work patterns

List any supplementary details that may assist your application : i.e. relevant training / certificates

PREVIOUS EMPLOYMENT

Job 1 - Company Name

Job 1 - Contact Name

Job 1 - Contact Title

Job 1 - Is the above contact a referee

Yes

No

Job 1 - Start Date (most recent)

Day

Month

Year

Job 1 - Job Description

Job 1 - Leave Date

Day

Month

Year

Job 1 - Reason For Leaving

Job 2 - Company Name

Job 2 - Contact Name

Job 2 - Contact Title

Job 2 - Is the above contact a referee

Yes

No

Job 2 - Start Date

Day

Month

Year

Job 2 - Job Description

Job 2 - Leave Date

Day

Month

Year

Job 2 - Reason For Leaving

Job 3 - Company Name

Job 3 - Contact Name

Job 3 - Job Title

Job 3 - Is the above contact a referee

Yes

No

Job 3 - Start Date

Day

Month

Year

Job 3 - Job Description

Job 3 - Leave Date

Day

Month

Year

Job 3 - Reason For Leaving

LICENCE PARTICULARS (Complete where LGV held, not mandatory for application)

If you do not hold HGV or ADR, scroll to bottom and click submit.

Driving Licence Number

Car Driving Licence Valid From

Day

Month

Year

Car Driving Licence Valid To

Day

Month

Year

HGV Driving Licence Valid From

Day

Month

Year

HGV Driving Licence Valid To

Day

Month

Year

List & date any endorsements

List any details of pending convictions

List any details of Accidents in the past 3 years

May we have your permission to go online and check the licence details which the DVLA hold for you ? You can do this yourself and give us a current, valid Check Code - visit https://www.gov.uk/view-driving-licence

Yes

No

If you answered ‘No’, please supply a valid checkcode

ADR TRAINING (If held, not mandatory for application)

ADR Licence Valid From

Day

Month

Year

ADR Licence Valid To

Day

Month

Year

ADR Classes – Tanks

ADR Classes – Other Than Tanks

CPC TRAINING (If applicable for LGV licence holders, not mandatory for application)

CPC Licence Valid From

Day

Month

Year

CPC Licence Valid To

Day

Month

Year

CPC Course Titles

CPC Hours toward next renewal held

CPC Hrs uploaded

Yes

No