MTW Induction Approval Form

Mount Thorley Warkworth Induction Approval Form

Please complete all mandatory fields in a separate form for each Inductee
Site Contact Details
Site Contact*
Site Contact Email
example@example.com
Company Details
Company Name*
Requester Name*

First NameLast Name
Requester Position*
Requester Phone Number*

Area CodePhone Number
Requester Email*
example@example.com
Date of Request*

DayMonthYear
Date
Operation & Department
Department*

OperationsCHPPMaintenanceOther
If "Other" Please Specify
Inductee Details
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Occupation*
Contractor Category

Cat 1 (Managed)Cat 3 (Serviced)
What role will the inductee be carrying out on the MTW site? (You can select multiple roles by holding down the ctrl key and making another selection)*
What qualifications has the inductee obtained relevant to completing the planned tasks for the nominated role?*
What experience has the inductee gained to perform the above listed tasks for the nominated role?*
MANDATORY REQUIREMENT - Please upload a copy of the Letter of Competency for the Applicant above

Browse Files
Acceptable file formats are pdf, doc, docx, xls, xlsx, rtf or zip. Maximum file size is 500Kb Cancelof
Please upload any supporting documentation for the applicant mentioned above (e.g. trade papers)

Browse Files
Multiple files need to be zipped together into a single file. Maximum file size is 5Mb Cancelof
IMPORTANT NOTE: This approval is only for the person named above to attend the Yancoal induction for the Mount Thorley Warkworth site. ALL requirements under the persons selected job role must be met through the Pegasus Booking Portal before induction authorisation will be considered.
I acknowledge the above statement and have attached all required supporting documentation to this application
Approvals
Approver Password
Approval / Reject

I, the undersigned as the authorised Yancoal representative for the above-named person confirm that all requirements have been met and approve this application.I, the undersigned as the authorised Yancoal representative for the above-named person confirm that all requirements have NOT been met and reject this application.
If Rejected Please State Reason
Approver*
Date of Approval / Rejection

DayMonthYear
Date
Should be Empty:

Mount Thorley Warkworth Induction Approval Form

Site Contact Details

Company Details

Operation & Department

Inductee Details

Approvals