Exclusively Cleaning Proposal Page 4

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Do you supply/sell proprietary branded janitorial or cleaning products?
Yes
No
If Yes, please provide full details below:
£
Estimated turnover for the next 12 months:
Describe the products and their main uses:
Do you manufacture or supply any ‘own branded’ janitorial or cleaning products?
Yes
No
If Yes, please provide full details below:
£
Estimated turnover for the next 12 months:
Describe the products and their main uses:
Do you undertake or are you likely to undertake any work:
Outside England, Scotland, Wales, the Channel Island or the Isle of Man?
Yes
No
At, on or in docks, harbours, railways, offshore gas or oil installations, chemical or petrochemical works, oil or
gas refineries, oil or gas storage facilities, airports or airfields, collieries, mines, quarries, power stations, or any
Yes
No
installation where nuclear processing is undertaken?
On or in blast furnaces, chimney shafts, steeples, towers, hospital operating theatres, or clean room
Yes
No
environments?
On or in aircraft or watercraft?
Yes
No
Offshore?
Yes
No
Involving the use of heat away from your own premises, e.g. hot air guns, blow lamps, blow torches, welding
Yes
No
or flame cutting equipment, grinding wheels, angle grinders, disc cutters or gas space heaters?
Involving the removal of clinical waste, sharps or needles?
Yes
No
Involving the cleaning of surgical instruments, surgical clothing, or electrical or mechanical medical equipment?
Yes
No
Involving the cleaning of kitchen canopies, extraction equipment, ducting or grease traps?
Yes
No
Involving stone cleaning, tank or boiler cleaning, or shot or sandblasting?
Yes
No
Involving the use of pressure washing equipment at a pressure greater than 10,000 psi, or the use of
Yes
No
drying/dehumidifying equipment?
Involving the cleaning of computers?
Yes
No
If you have answered Yes to any questions above, please provide full details below:
4
COM237 Nov 2014

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