Delivery Form Customer Details Customer Name * Quote Number * Site Contact * Mobile Number * Site Address * Covid 19 Health and Safety Rules 1. Lomax + Wood will carry out the delivery in line with current Public Health England guidelines and the Construction Leadership Council Site Operational Procedures * 2. Is there a person vulnerable to Covid-19 in the property or site? Yes No If yes please carefully consider if this work should be done at this point in time. Will you take measures to ensure the vulnerable person is isolated away from the delivery? Yes No 4. Confirm Yes to give us written consent to carry out the required delivery in accordance with government guidelines with respect to Covid 19 * If Yes the delivery will proceed Yes No 5. Confirm Yes if there is a risk of one of our employees contracting Covid-19 by entering and working in the property. * If yes the delivery will not proceed Yes No Site and Project Details 1. Do you have access for an articulated lorry? * Yes No 1b. If No, please state size or weight on vehicle in case of restrictions en-route: Please note we are not responsible for off-loading, please ensure sufficient manpower or forklifts are available. Failure to off load will result in an aborted delivery which will result in storage and additional delivery charges. Storage charges are 1% of the order value per week. The following vehicle types are available at an extra cost subject to availability. Tail lift; Moffett; Hi-Ab (Price on application) 2a Please state if you have any special delivery requirements * Specific vehicle size/type or special registrations such as FORS would be an additional cost. Yes No 2b If yes please specify 3. Are there any parking issues, access restrictions or road closures required to unload vehicle? * Yes No 3b. If Yes please state 4. What are the site opening hours and do you have any time restrictions for goods being delivered to site? * 5. Does your site have specific H&S rules or procedures (PPE)? * Yes No 5b Please state if yes
