Account Application
AFI Uplift

YOUR DETAILS

Please tick your preferred method of invoicing:
Email
Post
EDI e.g Coins-ETC, Tradex
Specify EDI Supplier:

Company Name: PLC: LTD: PARTNERSHIP: SOLE TRADER:

EMAIL - ACCOUNTS DEPARTMENT OTHER EMAIL
(Generic address prefered e.g. purchaseledger@mycompany.com) (If Applicable)

INVOICE ADDRESS 1 COMPANY REGISTRATION NUMBER
INVOICE ADDRESS 2 TELEPHONE
TOWN FAX
COUNTY POST CODE

BANK NAME AND ADDRESS
SORT CODE
ACCOUNT NUMBER
CREDIT LIMIT REQUESTED (£)

TRADE REFERENCE NAME AND ADDRESS
TELEPHONE
FAX
CONTACTS
PURCHASE LEDGER CONTACT NAME OF BUYER HEALTH & SAFETY MANAGER/CONTACT
PHONE
MOBILE MOBILE MOBILE
EMAIL EMAIL EMAIL

AFI-Uplift may wish to use the information above to inform you of future promotions. The data will not be disclosed to any organization that is
not associated with AFI. Please TICK this box if you do not wish to receive news of future promotions
AFI ALLRISK PLANT COVER PLAN

Aerial Platforms are expensive to repair or replace. Through Norwich Union we provide excellent cover against total loss including fire, theft and accidental damage. If you have your own Contractors Plant Insurance then please indicate below, please note that if you select this option we require a copy of your 'hired in plant' insurance policy to be sent with the return of the completed form.

Own 'Hired In Plant' Insurance then please tick here:

Alternatively, if you would like to take advantage of the AFI Damage Waiver Scheme then please tick here:

DISCLAIMER

This office utilises a third party credit reference agency for credit assessment purposes. In submitting a request for this office to open a credit account, you are hereby providing us with your consent to carry out any credit reference searches that we deem necessary to support your application. These searches will be taken for credit information purposes only and may be carried out on both your company and its principals. The credit reference agency may also keep a record of our enquiry, and share that information with other businesses that may also make enquires about the company and its principals. This does not affect your statutory rights. You are also agreeing to abide by the Terms and Conditions of this office, in the absence of any written authority, strictly from this office, to the contrary. Our payment terms are strictly nett monthly.

I confirm I have read and accept the CPA Model Conditions for the hiring of Plant (July 2011) as amended from time to time by ticking this box (when this form is returned by email):


Name Signed Date



CPA Model Conditions for the hiring of Plant (With effect from July 2011) apply
Copy available at www.afi-uplift.co.uk/downloads/TermsandConditions.pdf or on request.



* = Required Field


AFI ALL RISK DAMAGE WAIVER
  Damage Waiver AFI All Risk
Why Take ? Parts are expensive e.g. split tyre £375, foam filling £250, steering assembly damage £375 - £500. Most ‘Hired-in Plant’ insurance covers total loss and not accidental damage. You’re expected to return hire equipment in the condition in which it was received. AFI ALLRISK takes the worry out of using expensive equipment. Replacing a stolen platform can cost you over one hundred times its weekly hire rate. In the case of damage, replacement parts are often imported and very costly.
What Does It Cover ? Accidental damage caused by your operatives during normal (or agreed) working hours each working day within the UK during the hire period: also AFI's loss of hire income during downtime (Subject to exclusions listed below). Damage Waiver plus Accidental Loss, Destruction or Damage, for 24 hours each day within the UK during the hire period; also AFI's loss of hire income during downtime (Subject to exclusions listed below).
Is There An Excess ? There is no excess in the case of repairable accidental damage. In the case of total loss, up to a maximum of 10% of the new replacement value of the equipment, as detailed in the Terms and Conditions of Hire. None in the case of repairable accidental damage. £1,000 in the case of total loss.
What Are The Exclusions ? Third party claims, paint spillage and over-spray, damage caused by nonobservance of daily maintenance ¹, inadequate security ², use by untrained operators ³, or any gross negligence4. Theft by hirer, third party claims, paint spillage and over-spray, damage caused by non-observance of daily maintenance¹, inadequate security ², use by untrained operators³, and any gross negligence4.
What Does It Cost ? Only 10% of your hire charge, billed on the hire invoice. Only 20% of your hire charge, billed on the hire invoice.
How Do I Register ? Simply tick the box on the first page of the application form. You need to do nothing further; all accounts receive AFI ALLRISK unless you confirm that you have your own 'hired -in plant' insurance or tick the box on the first page of the application form.

Important

You will continue to be bound by the terms and conditions of the Construction Plant Hire Association’s Model Conditions for the Hiring of Plant (With effect from July 2011) as amended from time to time

Definitions

(1) Daily and weekly equipment checks on batteries etc.
(2) Safe Storing of the equipment when not in use
IPAF/CITB standards.
(3) Trained operators being

(4)Exclusions

(i) Damage resulting from negligence of hirer’s
operators/ Employees/sub-contractors (damage
waiver only)
(ii) Damage caused by over loading
(iii) Damage whilst using the machine other than for its
designed purpose
AFI ALLRISK & DAMAGE WAIVER
You will continue to be bound by the terms and conditions of the Construction Plant Hire Association’s Model Terms and Conditions of Hire (July 2011)
(1) Daily and weekly equipment checks on batteries etc.
(2) Safe Storing of the equipment when not in use
IPAF/CITB standards.
(3) Trained operators being defined as suitably qualified operators to
(iv) Damage by fire when hot work is being undertaken
(v) Damage due to corrosion by chemicals
(vi) Damage whilst it is on hire/loan to/ or used by any
other party
(vii) Wilful damage

We confirm that we have Insurance cover that protects us against loss or damage to the hired out plant and equipment. We will arrange for you to be given an interest in the relevant policy. Although you will not be a party to our Insurance policy and will not have any direct rights or action against our Insurer’s, our Insurer’s have nevertheless agreed with us that they will not exercise any subrogation rights that they may have against you to the extent that you have, as stipulated in the AFI ‘All Risks’ Plant Cover Plan, been given an interest in the policy by agreement with us.


TRAINING - OPERATOR TRAINING & FAMILARISATION: YOUR LEGAL OBLIGATIONS

It is the employer's responsibility to ensure that all operators using access equipment are adequately trained and familiarised to comply with current Health & Safety Legislation.

1. Training
Our IPAF and AFI Training courses include classroom theory, followed by a written test paper, together with practical sessions and assessment.

2. Familiarisation
Those who intend to use Mobile Elevating Working Platforms ("MEWP") with characteristics of weight, height, width, length or complexity which differ significantly to the training they have received should ensure that they receive a familiarisation to cover the differences. Machine specific familiarisation should follow on from basic training and cover: manufacturer's instructions and warnings, features of the specific model, control functions, safety devices and emergency lowering procedures. All of the above are to be found in the information supplied with the machine.

Familiarisation is available from AFI (subject to charge) or alternatively you may wish to consider having a qualified IPAF demonstrator(s) within your workforce to improve safety and ensure that operators are fully aware of different machine safety systems and emergency lowering procedures.

For further information Contact our Training division on 08707 871511 for details and costs

SAFETY HARNESSES

IPAF strongly recommends that a full body harness with adjustable lanyard (used to provide work restraint and adjusted to be as short as possible) is used when working from a Boom type MEWP. Contact our Training division on 08707 871511 for details and costs