Mount Thorley Warkworth Induction Approval Form - Mechanical
Please complete all mandatory fields in a separate form for each Inductee
Site Contact Details
Site Contact
*
Vishant Bandodkar
Bryce Simpson
Site Contact Email
example@example.com
Company Details
Company Name
*
Requester Name
*
First Name
Last Name
Requester Position
*
Requester Phone Number
*
-
Area Code
Phone Number
Requester Email
*
example@example.com
Date of Request
*
-
Day
-
Month
Year
Date
Operation & Department
Department
*
Operations
CHPP
Maintenance
Other
If "Other" Please Specify
Inductee Details
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
Occupation
*
Contractor Category
Cat 1 (Managed)
Cat 3 (Serviced)
What role will the inductee be carrying out on the MTW site?
*
MTW - Confined
MTW - Heights
MTW - Technician - Fire
MTW - Technician - Hydraulic Hose
MTW - Tradesperson - Mechanical
MTW - Tradesperson - Fabricator Boilermaker
MTW – Tradesperson - HME Tyre Fitter
Will you be required to perform any of the below work activities while on site?
Working at Heights
Confined Space
Which current Health Assessment / Medical has your employee been medically assessed under?
Order 43
Order 45 A
Order 45 B
Order 45 C
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
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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
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Please upload the Qualified Mechanical Tradesperson nomination form (signed by tradesperson). Please copy and paste the link into a new tab of your browser to download the nomination form: https://www.yancoalcontractors.com.au/help-and-resources/
Browse Files
Multiple files need to be zipped together into a single file. Maximum file size is 5Mb
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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
Submit for Approval
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
*
Vishant Bandodkar
Bryce Simpson
Date of Approval / Rejection
-
Day
-
Month
Year
Date
Complete
Should be Empty: