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Employee Register Form
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Employee Register Form
Employee Register Form
Employee Details
*
Surname:
Aboriginal
*
Yes
No
*
First Name:
Torres Strait Islander
*
Yes
No
Address:
*
Street Address
Suburb
State
Postcode
Contact Details:
Company Details
Address:
*
Street Address
Suburb
State
Postcode
Office Contact Details:
Qualifications
Drivers Licence
Approx date attended
Tickets attained
Yes
No
Contractors Licence Card
Approx date attended
Tickets attained
Yes
No
White Card
Approx date attended
Tickets attained
Yes
No
Industry Induction Card
Approx date attended
Tickets attained
Yes
No
Trade Certificate
Approx date attended
Tickets attained
Yes
No
First Aid Certificate
Approx date attended
Tickets attained
Yes
No
Working at Heights
Approx date attended
Tickets attained
Yes
No
Manual Handling
Approx date attended
Tickets attained
Yes
No
WH&S Supervisors List
Approx date attended
Tickets attained
Yes
No
HSR Rep
Approx date attended
Tickets attained
Yes
No
Elevated work platform Card
Approx date attended
Tickets attained
Yes
No
Boom lift plus 11m
Approx date attended
Tickets attained
Yes
No
Scaffold Erection
Approx date attended
Tickets attained
Yes
No
Welding
Approx date attended
Tickets attained
Yes
No
Fire extinguisher Training
Approx date attended
Tickets attained
Yes
No
Fork Lift Licence
Approx date attended
Tickets attained
Yes
No
RTW Training
Approx date attended
Tickets attained
Yes
No
WH&S Consultation
Approx date attended
Tickets attained
Yes
No
Confined Spaces
Approx date attended
Tickets attained
Yes
No
Explosive Power Tools
Approx date attended
Tickets attained
Yes
No
Other, please describe:
Approx date attended
Tickets attained
Yes
No
Completed by:
Name
Signature
Date
MM
DD
YYYY
review (to be completed by the procurement officer and based on above assessment outcomes)
Provider approved?
Yes
No
Reviewed by:
Positon:
Signature
Date
MM
DD
YYYY
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