New Wilkie Energy Induction Approval Form

New Wilkie Energy Induction Approval Form
Company Details
Company*
As it appears in the Australian Business Register
Company Administrator*

First NameLast Name
Company Administrator Email Address *
example@example.com
Company Administrator Phone Number*

Area CodePhone Number
Worker Details
Worker's Name*

First NameLast Name
Worker's Date of Birth*

DayMonthYear
Date
Worker's Onsite ID number
Please include the workers onsite ID number, if known
Has the worker previously completed a New Wilkie Energy Induction?*

YesNo
Approximately when was the last time the worker worked at New Wilkie Energy?*

DayMonthYear
Date
Worker's Email Address*
example@example.com
Worker's Phone Number*

Area CodePhone Number
Worker's Physical Address*

Street Address

Street Address Line 2

Suburb / TownState

Post Code
Role Selection
What will be the worker's job position/title?*

Administrators / StaffBoilermakerCarpenterContractor ElectricianCrane OperatorMechanical FitterMobile plant operatorOpen Cut Examiner (OCE)Shift ElectricianRigger/DoggerTrades AssistantTyre FitterOther
If "Other", please specify
Site Contact Details
Site Contact*
Acknowledgement of Additional Requirements
I understand that I am required to complete a Medical Declaration Form for this employee.*

I acknowledge
The Medical Declaration Form is located here
Site Contact Email
example@example.com
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