Mount Pleasant Induction and Authorisation Request

Mount Pleasant Induction and Authorisation Request
Company Details
Company / Employer
Company Contact

First NameLast Name
Company Contact Email
Approval/Rejection will be sent to this email address
Company Contact Phone Number

Area CodePhone Number
Worker Details
Full Name

First NameLast Name
Pegasus ID
Date of Birth

DayMonthYear
Email
example@example.com
Phone Number

Area CodePhone Number
Vehicle Registration Number
Work Details
Workers Job Title
In which area of the Thiess Operation will this worker be working?
Minimum Induction Requirements (please acknowledge these requirements by ticking in the checkboxes)
*Mechanical and Electrical roles require separate appointment - refer to MPO Maintenance Skills Matrix for appointment /authorisation requirements
Competencies / Skills / Tasks / Activities to be conducted on site Please detail competencies / skills / tasks / activities to be conducted on site by the Inductee - evidence of training and experience must be provided with all evidence current and legible
Will you be performing Electrical and/or Mechanical work on-site?
International Trade Recognition
Work to be Performed
Work Start Date

DayMonthYear
Please ensure the relevant Appointment form(s) is submitted with your induction request. Mechanical Appointment Letter Electrical Appointment Letter
Approver Password
Site Access Pre-Approval Sign-Off
Authoriser
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

Company Details