PART A

APPLICATION TO BECOME A NEBOSH

ACCREDITED COURSE PROVIDER
This form should be read in conjunction with the criteria for Part A
accreditation set out in Appendix 5 of the Course Provider Handbook.
No organisation will gain accreditation as a new course provider unless this
Part A application is accompanied by a Part B application for accreditation to
run at least one NEBOSH qualification.

Course provider information

1.1

Course provider contact details

Course Provider Name:

Main Address:

Post Code:
Company Registration Number
Company VAT Registration Number
(if applicable)
Telephone Number:
Fax Number:
Email Address:
Web Address:
1.2

Course provider individual contacts

Person dealing with accreditation application

Title:
Surname:
Forename:
Date of Birth:
Job title:

Part A accreditation form July 2013

Title:
Business telephone:
Mobile telephone:
Email address:
Employment status with provider:

Employee

Consultant/Selfemployed

NEBOSH Communications Coordinator (Role defined in the NEBOSH

accreditation criteria)
Title:
Surname:
Forename:
Date of Birth:
Job title:
Business telephone:
Mobile telephone:
Email address:
Employment status with provider:

Employee

Consultant/Selfemployed

Head of course provider (Role defined in the NEBOSH accreditation criteria)

Title:
Surname:
Forename:
Date of Birth:
Job title:
Business telephone:
Mobile telephone:
Email address:

Part A accreditation form July 2013

Marketing contact (Role defined in the NEBOSH accreditation criteria)

Title:
Surname:
Forename:
Date of Birth:
Job title:
Business telephone:
Mobile telephone:
Email address:
Employment status with provider:

Employee

Consultant/Selfemployed

Business Development contact (Role defined in the NEBOSH accreditation

criteria)
Title:
Surname:
Forename:
Date of Birth:
Job title:
Business telephone:
Mobile telephone:
Email address:
Employment status with provider:

Employee

Consultant/Selfemployed

Finance Contact (Role defined in the NEBOSH accreditation criteria)

Title:
Surname:
Forename:

Part A accreditation form July 2013

Date of Birth:
Job title:
Business telephone:
Mobile telephone:
Email address:
Employment status with provider:

Employee

Consultant/Selfemployed

Online registrar (Role defined in the NEBOSH accreditation criteria)

Title:
Surname:
Forename:
Date of Birth:
Job title:
Business telephone:
Mobile telephone:
Email address:
Employment status with provider:

1.3

Employee

Consultant/Selfemployed

Type of course provider

Please tick the relevant box(es) below to indicate what type of organisation
you are:
FE College
University or other higher education institute
Private training provider
Independent College
Employer
Highly Trusted Sponsor
Part A accreditation form July 2013

Other (please specify)

1.4

Do you have a quality assurance programme?

For example ISO / BSI, Scottish Quality Management System (SQMA), Total
Quality Management (TQM).
Yes
No
1.5

Ongoing quality assurance programmes

If you have ticked Yes in 1.4, please state the organisation(s), agency(ies) or
quality assurance initiative(s) concerned and indicate the date of the last
inspection (if applicable).
Quality assurance organisation /
agency / initiative

Course provider requirements

2.1

Policy and Procedure Statements

2.1.1

Course providers operating in the UK

Date of last inspection

Please tick the boxes below to confirm that you have in place
arrangements/documentation to comply with minimum legal requirements.
Please also indicate the date of the most recent version.
You must include copies of the following documents with your application
Health and safety policy
Date:
Equality policy
Date:
Data Protection Policy
Date:
Employer and public liability insurance certificate
Date:

Part A accreditation form July 2013

Will ensure that all course provider policies are current.

2.1.2

Course providers operating overseas

You must comply with the legal requirements of the country(s) in which you are
based.
I declare that I will comply with legislation on health and safety, equal
opportunities and data protection.
2.2

Course provider Agreement and Declaration

Please tick the boxes below to demonstrate that the course provider agrees to
comply with the course provider requirements.
2.2.1

Course provider requirements relating to candidates

I declare that the course provider:

will have documented procedures for handling candidate disputes and will
supply if requested.
will have procedures for appeals against the course providers internal
assessment decisions and will supply if requested.
2.2.2

Course provider requirements relating to its obligations to NEBOSH

I declare that the course provider:

complies with all relevant legal, regulatory criteria and codes of practice as
directed by NEBOSH.
will ensure that all course provider contacts are kept up to date .
2.2.3

Course provider requirements relating to staff and resources

I declare that the course provider:

will have adequate systems and resources in place e.g. appropriate
venues, audio-visual equipment and materials to support the delivery of
the qualification.
(where applicable) has documented quality assured and audited
procedures in place to ensure the proper conduct of examinations
including the security and confidentiality of assessment materials and
records, including examination question papers, examination scripts,
Part A accreditation form July 2013

records of marking, and assessment reports before, during and after the
assessment has taken place, in accordance with the NEBOSH Instruction
for conducting examinations (see Appendix 8).
has documented quality assured and audited procedures in place for
record keeping, and that responsibilities for the management of the
records is clearly and appropriately allocated.
has documented quality assured and audited procedures in place for the
maintenance of course materials, and that responsibilities for the
maintenance of the materials is clearly and appropriately allocated.
has effective communications systems in place both internally and with
NEBOSH and agrees to inform NEBOSH immediately should any
changes occur to the information supplied in this application.
has effective systems and procedures in place to ensure examinations are
registered in time.
has effective communications systems in place with candidates.
2.2.4

Course provider agreement to the terms and conditions set out

Please note that NEBOSH reserves the right to view all materials detailed within
this application either during the application process or during a post-approval
monitoring.
I [insert name of head
of course provider] declare that this course provider agrees to adhere to the
procedures and policies of NEBOSH, including those set out in the Course
Provider Accreditation Agreement, in respect of this application and accept that
if the course provider defaults on the commitments made in this application it
may lead to the removal of its accredited status.
I confirm that the course provider understands that if this application is accepted
it will form part of the contract between the course provider and NEBOSH.
I declare that I am authorised by the above course provider to supply the
information given above and, at the date of signing, the information provided is a
true and accurate record to the best of my knowledge.
Signature
Position
Date
Part A accreditation form July 2013

Please ensure all parts of the form have been completed, including all
contact details, all Agreement and Declaration tick boxes and that the form
has been signed and dated.
Please ensure that you include with the application:

A copy of each policy (as specified in Section 2.1.1)

Electronic applications: a SINGLE copy of the completed form and all the
accompanying
attachments
is
required.
This
should
be
sent
to accreditation@nebosh.org.uk whereupon an electronic confirmation of receipt
will be returned within 3 working days.
Paper based applications: please submit SINGLE copy of the completed form
and its attachments to: Accreditation Department, NEBOSH, Dominus Way,
Meridian Business Park, Leicester LE19 1QW whereupon a letter of confirmation
of receipt will be forwarded.
Please retain a copy of the application and all attachments for your own
records.

Part A accreditation form July 2013