HSE - The lead authority partnership scheme

Contact details Name of contact Position Telephone number Fax number Email address

Address Local authority Department Town Post code

Has a Safety Management Review (SMR) been conducted? Yes No

Are you interested in forming a user group? Yes No

Would you consider an additional LAPS? Yes No

Contact details Name of contact Position Telephone number Fax number Email address

Head Office Company name Post code

Registered office Company name Post code

Agreement signed? Yes No

Trading names Number of premises/outlets Nature of business/activity

Action Add new entry Amend existing entry

The lead authority partnership scheme