Moolarben Coal Operations Contractor Approval Form

Moolarben Coal Operations Contractor Approval Form - CHPP

Please complete all mandatory fields in 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*
Please enter a valid phone number.
Requester Email*
example@example.com
Date of Request*

DayMonthYear
Date
Reason for Induction*
Inductee Details

Select a role for each area the inductee will be working in
Full Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Occupation*
Contractor Category*
WHSE Number*
What role will the inductee be carrying out on site - CHPP?*

Moolarben -CHPP- Abrasive Blaster & Industrial PainterMoolarben -CHPP- Administration AssistantMoolarben -CHPP- Auto ElectricianMoolarben -CHPP- Beltman/SplicerMoolarben -CHPP- BoilermakerMoolarben -CHPP- Cable/Joiner/Layer/RepairerMoolarben -CHPP- CarpenterMoolarben -CHPP- Civil EngineerMoolarben -CHPP- CleanerMoolarben -CHPP- Cleaner High PressureMoolarben -CHPP- Computer Systems AnalystMoolarben -CHPP- Confined Space WorkMoolarben -CHPP- DoggerMoolarben -CHPP- DrillerMoolarben -CHPP- Fire TechnicianMoolarben -CHPP- ForemanMoolarben -CHPP- Forklift OperatorMoolarben -CHPP- Fuel Delivery DriverMoolarben -CHPP- GardenerMoolarben -CHPP- Gas FitterMoolarben -CHPP- GeologistMoolarben -CHPP- GlazierMoolarben -CHPP- Hydraulic Hose TechnicianMoolarben -CHPP- Instrument TechnicianMoolarben -CHPP- LabourerMoolarben -CHPP- Leading HandMoolarben -CHPP- Light Vehicle MechanicMoolarben -CHPP- LinesmanMoolarben -CHPP- LocksmithMoolarben -CHPP- Lubrication TechnicianMoolarben -CHPP- ManagerMoolarben -CHPP- Mining EngineerMoolarben -CHPP- NDT TechnicianMoolarben -CHPP- Non Slew Crane OperatorMoolarben -CHPP- PainterMoolarben -CHPP- Plant OperatorMoolarben -CHPP- PlumberMoolarben -CHPP- Poly Pipe WelderMoolarben -CHPP- Purchasing OfficerMoolarben -CHPP- Refrigeration MechanicMoolarben -CHPP- RiggerMoolarben -CHPP- Safety OfficerMoolarben -CHPP- ScaffolderMoolarben -CHPP- Security OfficerMoolarben -CHPP- Sign WriterMoolarben -CHPP- Slewing Crane OperatorMoolarben -CHPP- Store OfficerMoolarben -CHPP- SuperintendentMoolarben -CHPP- SupervisorMoolarben -CHPP- SurveyorMoolarben -CHPP- Surveyors AssistantMoolarben -CHPP- Trades AssistantMoolarben -CHPP- Trainer/AssessorMoolarben -CHPP- Transport OperatorMoolarben -CHPP- Tyre FitterMoolarben -CHPP- Water Treatment AdvisorMoolarben -CHPP- WelderMoolarben -CHPP- Welding SupervisorMoolarben -CHPP- WHS Consultant
What relevant qualifications does the inductee have for the nominated site role?*
What experience does the inductee have to perform the planned tasks on site for the nominated role? *
MANDATORY REQUIREMENT - Please upload a copy of the Letter of Competency (LOC) for the above applicant.*

Acceptable file formats are pdf, doc, docx, xls, rtf, or zip. Maximum file size in 500Kb
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Please upload any supporting documentation for the applicant mentioned above (e.g Trade papers, diplomas, SOA's)

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IMPORTANT NOTE: This approval is only for the person named to attend the Moolarben Induction. ALL requirements under the persons selected job role must be met through the Avetta Contractor Booking Portal before induction authorisation will be considered
Acknowledgement

I acknowledge the above statement and have attached all required supporting documentation to this application.
Should be Empty:

Moolarben Coal Operations Contractor Approval Form - CHPP

Site Contact Details

Company Details

Inductee Details

IMPORTANT NOTE: This approval is only for the person named to attend the Moolarben Induction. ALL requirements under the persons selected job role must be met through the Avetta Contractor Booking Portal before induction authorisation will be considered