Pool Safety Inspectors - Quotation Request

 

Please fill out the following form. Once completed, click the Submit button and a formal quote will be presented promptly.

This form is for Pool Safety Inspectors only. If your business includes other activities, you need to complete one of our other forms which can cater for your multiple activities. Click here for access to other forms: Other Occupations

Standards of conduct and professionalism

In undertaking pool safety inspection functions and related functions, an inspector must always:

  • perform pool safety inspection functions in the public interest
  • maintain satisfactory levels of competence
  • comply with legislative requirements
  • not perform pool safety inspection functions where there is potential for a conflict of interest, except for carrying out minor repairs prescribed under regulation
  • not perform pool safety inspection functions beyond their level of competence or outside their area of expertise
  • maintain confidentiality
  • abide by professional, moral and ethical standards expected by the community
  • take all reasonable steps to obtain all relevant facts
  • clearly document reasons for decisions.

If you need advice, please call Liability Brokers: 1300 881 779

If you have spoken to a broker in our office, note their name here so that this quote can be processed by them as they will know something about you already.

Brokers Name:

Client Details

Insured Name

Trading Name

ABN No.(if known)

Full Address

Email Address

Website Address

Phone No. *

Professional Duties

This policy is designed for Pool Safety Inspections Only:

However, the inspector can also, if agreed with the pool owner, carry out specified minor repairs (such as adjusting or replacing a latch or striker and removing climbable objects). If you elect to carry out minor repairs, an extra premium will be charged

Select category:


Note: the type of policy issued will depend on this answer

Qualifications

Individuals applying to the PSC for a pool safety inspector licence must have a certificate of competency from an eligible course provider. They must also have passed the departments pool safety inspector test.

Do you have the applicable qualifications?
Yes    No

Quote Required

Professional Indemnity (cover required):

Public Liability (cover required):

 

Underwriting questions

Number of people in the business  

What is your annual fee income?    

State the percentage of Your activities (based on income) applicable to each State

 ACT  NSW  NT  QLD  SA  TAS  VIC  WA
% % % % % % % %

 

Contractors

Do you employ contractors, sub-contractors?
Yes    No

If you answered ""Yes"", what duties do they perform?

 

Insured's History

Have any claims been made against You or Your business or any prior business or has any fact or circumstance been notified to insurers that has the potential to give rise to such a claim?
Yes    No

Is anyone in the business aware of any CIRCUMSTANCES which may give rise to a claim against this business?
Yes    No

Have you (or any person receiving cover under this policy) ever been subject to disciplinary proceedings or actions for misconduct in a professional respect?
Yes    No

Have you (or any person receiving cover under this policy) ever:

  • Had insurance cancelled or declined by an Insurer?
  • Had a renewal refused or claim rejected by an Insurer?
  • Had any special conditions imposed?
  • Suffered a loss whether insured or not (last 5 years only)?
  • Been involved in a company that has been declared bankrupt or insolvent?
  • Been liable for any civil offence or pecuniary penalty?
  • Been charged or convicted for any criminal offence?
  • Been charged or convicted for fraud, theft or dishonesty?
Yes    No

 

COVID19 Compliance

Has the Company endeavoured to comply with all advice, regulations, restrictions & guidelines issued by the Australian Government Department of Health in response to COVID-19, or any other similar advice, regulations, restrictions and guidelines issued by government health bodies in any other territory or jurisdiction in which the insured operates?

Yes    No


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Declaration

By submitting this Declaration, the Applicant acknowledges:

  • they are authorised by each of the other Applicants to make this Declaration,
  • the contents of the Declaration are true and complete,
  • they are under a continuing obligation to immediately inform the Insurer of any change in the particulars or statements contained in this Declaration or in the accompanying documents up until the contract is entered into,
  • they must abide by the Queensland Governments Code of Conduct for swimming pool safety inspectors (refer top of this form for details)

Name of person making this declaration:

 

 

Duty of Disclosure - What you must tell us
Under the Insurance Contracts Act 1984 (the Act), you have a Duty of Disclosure. You are required before you enter into, renew, vary, extend or reinstate your Policy, to tell us everything you know and that a reasonable person in the circumstances could be expected to know, is a matter that is relevant to our decision whether to insure you, and anyone else to be insured under the Policy, and if so, on what terms.

  • You do not have to tell us about any matter
  • that diminishes the risk
  • that is of common knowledge
  • that we know or should know in the ordinary course of our business as an insurer, or
  • which we indicate we do not want to know.
  • If you do not tell us
If you do not comply with your Duty of Disclosure we may reduce or refuse to pay a claim or cancel your Policy. If your non-disclosure is fraudulent we may treat this Policy as never having worked.

Claims Made Policy
This declaration is for a claims made and notified Policy of insurance. This means that the Policy covers you for claims made against you and notified to the insurer during the period of cover. This Policy does not provide cover in relation to:

  • claims made after the expiry of the period of cover even though the event giving rise to the claim may have occurred during the period of cover;
  • claims notified or arising out of facts or circumstances notified (or which ought reasonably to have been notified) under any previous Policy;
  • claims made, threatened or intimated against you prior to the commencement of the period of cover;
  • facts or circumstances of which you first became aware prior to the period of cover, and which you knew or ought reasonably to have known had the potential to give rise to a claim under this Policy;
  • claims arising out of circumstances noted on the Proposal form for the current period of cover or on any previous Proposal form.
Where you give notice in writing to the insurer or any facts that might give rise to a claim against you as soon as reasonably practicable after you become aware of those facts but before the expire of the period of cover, you may have rights under Section 40(3) of the Insurance Contracts Act 1984 to be indemnified in respect of any claim subsequently made against you arising from those facts notwithstanding that the claim is made after the expiry of the period of cover. Any such rights arise under the legislation only. The terms of the Policy and the effect of the Policy is that you are not covered for claims made against you after the expiry of the period of cover.