External companies with different activity than the UB (1/4)

Remember to complete the entire procedure, which consists of 4 steps :

Step 1
Step 2
Step 3
Step 4

For this first step , Declaration of the company’s responsibility for compliance in the field of occupational risk prevention, you must fill in the following form.

NOTE: This form is valid for 2 years as long as there are no substantial changes to be notified.

If the “Company Declaration” is still in force, and it is only necessary to report the incorporation of new employees to the UB facilities, please fill in the following section.

Form

    Fields marked with an asterisk (*) are compulsory.

    Company and legal representative details

    As the legal representative of the aforementioned Institution/Organisation/Company, accredits by means of this document the fulfilment of the legal requirements specified in Royal Decree 171/2004, of 30 January, which implements article 24 of Law 31/1995, of 8 November, on the prevention of occupational hazards, in terms of the Coordination of Business Activities.

    I hereby certify that:

    The institution/organisation/company has the following preventive measures in place

    Prevention Service (PS)

    YesNo

    YesNo

    YesNo

    Specialities of the PS

    YesNo

    YesNo

    YesNo

    YesNo

    Details of the external prevention service

    SafetyIndustrial HygieneErgonomics and PsychosociologyHealth monitoring

    YesNo

    SafetyIndustrial HygieneErgonomics and PsychosociologyHealth monitoring

    Details of the person designated as interlocutor with the UB

    It has arranged coverage for accidents at work and occupational illnesses with

    Data concerning Faculty/Centre/Workspace and activity to be carried out

    Data on risk prevention

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNoNA

    YesNoNA

    YesNoNA

    YesNoNA

    YesNoNA

    YesNoNA

    YesNoNA

    YesNo

    YesNo

    In case of application

    YesNoNA

    YesNoNA

    YesNoNA

    YesNoNA

    Working staff

    To communicate your staff, you have two options: attach a file with the list of the staff or specify it in the following form.

    Prior to the start of the work, the company will be able to document all the regulatory requirements in terms of PRL included in the current company declaration to the UNIVERSITAT DE BARCELONA. The company undertakes to update it in the event of any changes.

    Right to information concerning the processing of personal data
    (1) The responsible for the processing of your data is the General Secretary of the University of Barcelona. (2) The purpose of the processing is to manage the prevention of occupational hazards. (3) You have the right to access your data, rectify them, delete them, oppose their processing, request their portability and the limitation of processing, in certain circumstances. (4) You may consult detailed information on the above-mentioned treatments.

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