This form is to be used for new notifications only. If you are wishing to update a previously submitted notification, this should be done by email quoting the case reference number and indicating the amendments required. Emails must be sent to: online@hseni.gov.uk
About You
Title:
[choose]
Firstname:
Surname:
 
Job Title:
Telephone:
Email:
 
Site Address - if multiple, enter primary site details below and further addresses in the Description field.
Date of notification:
Postcode:    
If you don't live in Northern Ireland, or you can't find your address, enter your address below.
Property:
Street:  
Locality:
Town:  
County:
Description of the project and the construction work it includes:
 
Client
Name:  
Postcode:    
If you don't live in Northern Ireland, or you can't find your address, enter your address below.
Property:
Street:  
Locality:
Town:  
County:
Telephone:
Email:
 
Principal Designer
Name:  
Postcode:    
If you don't live in Northern Ireland, or you can't find your address, enter your address below.
Property:
Street:  
Locality:
Town:  
County:
Telephone:
Email:
 
Principal Contractor
Name:  
Postcode:    
If you don't live in Northern Ireland, or you can't find your address, enter your address below.
Property:
Street:  
Locality:
Town:  
County:
Telephone:
Email:
 
Project
What is the time allowed by the client to the principal contractor referred to in regulation 4(1) for the construction work?:
 
Please give your estimates for the following?
Planned Commencement Date:
Duration (weeks - insert number only):   
Max no. of people carrying out construction work on site at any one time:   
The number of contractors expected to work on site:   
Provide names, addresses and contact details of any designers or contractors already appointed: