Developed in association with the HSE

Signing Up To the GLASS Charter

Please complete the following form in full and press SUBMIT

Company
Type of Member
Address 1
Address 2
Address 3
City
County
Post Code
Country
Company Details
No. of Sites
No. of Employees
Website
Sector
Activity
Nominated Director Details
Title
First Name
Surname
Job Title
E-mail (for Nominated Director)  
Direct Telephone Number
Direct Fax Number
Mobile Number

I hereby DECLARE our commitment to the GLASS Charter in line with the Government's
 Revitalising Health & Safety strategy, that is, by contributing to the reduction of working days
 lost through accidents and ill health in the Glass Industry by 30% by 2010. As a sign of this
 commitment I hereby SIGN up our organisation to participate in the GLASS Charter Industry