TRANSFER DEFENCE FORCE LICENCES TO NATIONAL CIVIL WH&S LICENCES by OHSA Occupational Health Services Australia

Defence Forces Licences to National WH&S Licences

Transfers from Defence Forces Licenes to WH&S Licences Information Package

Necessary Documentation

Intro

Transition Tables

Part.1

Lodgement of Forms July 01 2008

Part.2

Enrolment Form

Part.3

Checklist

Part.4

Health. Safety. Training. Industry Leaders

Intro Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Necessary Documentation ll applications from persons applying for credit transfers must be accompanied by: • 100 point identity check/proof documentation supporting the clients’ competencies for their Earthmoving and Particular Crane &/or Licence to Perform High Risk work. This evidence must consist of: Defence Force qualifications: a) Original or copies of the operator’s Licence issued by the Defence Force, certified by a Justice of the Peace, Commissioner for Declarations or a staff member from OHSA. 2. Assessment To determine equivalence, reference should be made to the Translation Tables. Any qualification/s that fall outside the scope of the Translation Tables can be referred to OHSA for assessment/refusal. For an example of how to use the Translation Tables for Defence Force Licences see examples provided. 3. Principal Inspector (Licensing) Endorsement After all information has been received and a recommendation has been made by OHSA regarding the application for credit transfer, the application and supporting documentation will be scanned and emailed, attention to the Principal Inspector (Licensing) for final approval. The Principal Inspector will make a determination as to the accuracy of the assessment process and advise OHSA via return email within 10 working days. If you have questions or issues you would like to raise regarding the Translation Tables you should email your questions/concerns and any supporting documentation to info@ohsa.com.au attention to the Training Manager for action. 4. Applicant Not Eligible When an applicant is found to be ineligible for a credit transfer, OHSA will communicate this decision to the person applying for a credit transfer. 5. Credit Transfer for Earthmoving and Particular Crane (EPC) licence class Where an applicant has been deemed eligible to hold a particular certificate for an EPC licence class/es, a ‘G’ form (form 36) and Earthmoving and Particular Crane form (EPC Assessment Summary) will be completed. OHSA will complete sections A, B C & D of the Earthmoving and Particular Crane form (EPC Assessment Summary) and sections 1, 2, 3, 6 & 7 of the ‘G’ form (form 36). The applicant will complete section E of the Earthmoving and Particular Crane form (EPC Assessment Summary) and sections 4 & 5 of the ‘G’ form (form 36). Once completed, the forms and the prescribed fee will be forwarded to Workplace Health and Safety Queensland (WHSQ) by OHSA for processing. 6. Credit Transfer for High Risk Work Licence (HRWL) class Where the applicant has demonstrated eligibility to hold a HRWL, OHSA will complete sections A, B, C & D of a HRWL assessment summary and issue a statement of attainment. These documents will be given to the applicant. The applicant must complete section E of the HRWL assessment summary and take the documentation to an Australia Post outlet, with the prescribed fee & a passport size photo for submission.

> 1300 647 200

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables In Recognition of Qualifications and/or Experience Obtained in the Armed Services

Royal Australian Army, Navy or Air Force APRIL 2000 C VEHICLE LICENCE CODES LICENCE CODE

WHSQ TRANSLATION

Operator of a Dozer

Operator of an Excavator having an engine capacity of more than 2 litres

Operator of an Front-end Loader having an engine capacity of more than 2 litres

Operator of an Front-end Loader/Backhoe having an engine capacity of more than 2 litres

Operator of a Grader

Operator of a Road Roller having an engine capacity of more than 2 litres

Operator of a Skid Steer Loader having an engine capacity of more than 2 litres

DESCRIPTION OF EQUIPMENT

Operator of a Scraper

NIL

Operator of a Dump Truck & Dumpers (those classified as C vehicles)

C10

NIL

Operator of a Truck Mounted Ditching & Trenching Machines

C11

NIL

Operator of a Bitumen Distributor

C12

NIL

Operator of Paving Machines

C13

NIL

Operator of Stabilising Equipment

C14

NIL

Operator of a Truck Mounted Earth Auger

C15

NIL

Operator of Quarrying Equipment

C16

NIL

Reserved

C17

NIL

Operator of a Tractor Agricultural (multi-purpose) & nominated attachments

C18

NIL

Operator of Towed Compaction Equipment.

C19

NIL

Reserved

C20

NIL

Reserved

1. Codes. Listed above are the C vehicle licence certificates 2. Vehicle model endorsements - the model of the machine on which the operator has been trained is to be placed in brackets after the cog, EG LL (LX120); LB (CASE 580E, CAT 933); LZ (CAT 933. TD15C); LG (CAT 130G); C14 (Proline) 3.Class limitation endorsements â&#x20AC;&#x201C; for special requirements when a licence is issued in respect to only one class of vehicle within a range of classes covered by a particular licence code, this

> www.ohsa.com.au

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables D VEHICLE LICENCE CODES LICENCE CODE

WHSQ TRANSLATION

Dogger

Rigger Basic

Rigger Intermediate

Rigger Advanced

Operator of a Tower Crane

Operator of a Derrick Crane

Operator of a Portal Boom Crane

Operator of a Bridge or Gantry Crane (other than operation by a remote conrol having not more than 3 powered operations)

Operator of a Vehicle Loading Crane with a capacity of 10 tonnes or more

Operator of a Non-Slewing Mobile Crane with a capacity of more than 3 tonnes

Operator of a Slewing Crane with a capacity of 20 tonnes or less

Operator of a Slewing Crane with a capacity of 60 tonnes or less

DESCRIPTION OF EQUIPMENT

Operator of a Slewing Crane with a capacity of 100 tonnes or less

Operator of a Slewing Crane with a capacity of 100 tonnes or more

Operator of a Materials Hoist with Cantilever Platform

Operator of a Materials or Personnel Hoist

Operator of a Boom-Type Elevating Work Platform with a boom length of 11 metres or more

Operator of a Mobile Truck Mounted Concrete Placing Boom with a knuckle boom capable of power operated slewing and luffing.

LBG

Operator of a Bridge or Gantry Crane - If a load more than 5 tonne is being lifted by remote control with no more than 3 powered operations

Operator of a Forklift Truck (other than a pedestrian operated Forklift Truck)

Operator of an Order Picking Forklift Truck.

1. Codes. Listed above are the D vehicle licence certificates 2. Vehicle model endorsements - the model of the machine on which the operator has been trained is to be placed in brackets after the cog, eg. LF (CASE W36). For Cranes, the type and load capacity of the crane is to be indicated, eg C2 (Tadanao AR200M 20 tonne). For elevated work platforms, the type and maximum height of the elevated work platform is to be indicated, eg WP (Davelco 11m).

> 1300 647 200

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables TRANSITION TABLES FOR ARMED SERVICES QUALIFICATIONS

(AFD) National Defence Force Licence (Commenced on 1 July 1997) ENDOR

WHSQ TRANSLATION

LICENCE CODE

DEFENCE QUALIFIER

Fork Lift Operator

Forklift A/C Maint.

Forklift Explosives

Forklift A/C Loading 80t

Forklift A/C Loading 2.5t

Forklift Rough Terrain

Forklift All Terrain

Tractor Loader Backhoe

Tractor Loader Backhoe +

LL, LB

Tractor Loader Backhoe +

Dozer Tracked

Grader Wheeled

Skid Steer Loader

Crane Rough Terrain 15t 4x4

Crane Half Slew 4.5t 4x2

Crane Tractor Mounted 4.5t 4x2

Crane Tractor Mounted 4.5t 4x4

CODE OR EQUIPMENT

Crane Tractor Mounted 4.5t 4x4

DESCRIPTION OF EQUIPMENT

Verification of loadshifting equipment used in crane mode or mobile crane certificate

> www.ohsa.com.au

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables TRANSITION TABLES FOR ARMED SERVICES QUALIFICATIONS

EQUIPMENT FROM ADF LICENCE (COMMENCED ON 01 JULY 1997) ARMY CODE

NAVY CODE

ADF CODE

WHSQ TRANSLATION

(D)FLOP

Fork Lift Operator

(L3)VEK

Forklift A/C Maint.

(L1)VDK

Forklift Explosives

(D)VEJ

Forklift A/C Loading 80t

(D)VEK

Forklift A/C Loading 2.5t

D9, D10, D11

(D)VEL

Forklift Rough Terrain

D9, D10, D11

(D)VEM

Forklift All Terrain

(C)VLF

Tractor Loader Backhoe

(C)VLF

LL,LB

(C)VLO

Dozer Tracked

(C)VLP

Grader Wheeled

C16

(C)VLS

Skid Steer Loader

C9, C10, C11

(D)VXB

Crane Rough Terrain 15t 4x4

(D)VXD

Crane Half Slew 4.5t 4x2

(D)VEX

Crane Tractor Mounted 4.5t 4x2

(D)VXF

Crane Tractor Mounted 4.5t 4x4

D1, D2, D3

RAAF CODE

DESCRIPTION OF EQUIPMENT

Tractor Loader Backhoe +

Verification of loadshifting equipment used in crane mode or mobile crane certificate

> 1300 647 200

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables LICENCE CODE

WHSQ TRANSLATION

LB, LL

Self propelled Scraper

Tracked Tractors, including backhoes

Self-propelled Grader

(Reserved) Self-propelled crane up to 10t

C5A

C2 OR C6

Self-propelled crane over to 10t

C5B

CB, LBG

Gantry cranes

DESCRIPTION OF EQUIPMENT Tractors, Front end loader/ backhoe

See Below

Tractor fitted with crane attachments Hydraulic excavator +

See Below

C7A

Cable operated excavator +

See Below

Self -propelled compaction equipment

C16

Skid steer loader

Verification of loadshifting equipment used in crane mode or mobile crane certificate. Verification of crane 60 tonne or over required for C6 to be issued D CODE

WHSQ TRANSLATION

On-pavement Fork lift up to 5t

On-pavement Fork lift over 5t

On-pavement Fork lift over 10t

(Reserved) Fork lift

CB, LBG

Rough Terrain fork-lift up to 3t

D10

Rough Terrain fork-lift 3t to 5t

D11

Rough Terrain fork-lift over 5t

D12

Self-propelled cranes

D13

Order picking truck

ARMY EQUIPMENT

NOTES

Gantry and pendant-controlled cranes

There are no equivalent certificates for Army codes A, B, F, G, M, P, Q, R, T. Required: Original or verified copy of Army C and D code operators licence; Original or verified copy of course report; and Completed application for RPL and prescribed fee. NB:It should be noted that most “course reports” have “not competent” to sling loads with excavator or backhoe” endorsed in the report column. Applicant must produce evidence of being authorised by the Army to operate C1 or C3 or C7 or C7A to hoist loads with slings or be the holder of a crane operators certificate for these certificates to be issued.

> www.ohsa.com.au

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables TRANSLATION OF ARMY C & D LICENCES (PRE 1993) TO WH&S CERTIFICATE

'C' CODE

WHSQ TRANSLATION

LB, LL

Self propelled Scraper

Tracked Tractors, including backhoes

Self-propelled Grader

(Reserved) Self-propelled crane up to 10t

C5A

Self-propelled crane over to 10t

C5B

CB, LBG

Hydraulic excavator +

See Below

C7A

Cable operated excavator +

See Below

Self -propelled compaction equipment

C16

Skid steer loader

ARMY EQUIPMENT AND OTHER REQUIREMENTS Tractors, Front end loader/ backhoe

NOTES See Below

Usually 45t crane

Gantry cranes Tractor fitted with crane attachments

Verification of loadshifting equipment used in crane mode or mobile crane certificate. D CODE

WHSQ TRANSLATION

On-pavement Fork lift up to 5t

On Pavement Fork lift over 5t up to 10t

On-pavement Fork lift over 10t

Off Pavement Fork lift up to 2.5t

Off Pavement Fork lift over 2.5t to 5t

Off Pavement Fork lift over 5t

ARMY EQUIPMENT

Rough Terrain fork-lift up to 2.5t

D10

Rough Terrain fork-lift 2.5t to 5t

D11

Rough Terrain fork-lift over 5t

NOTES

There are no equivalent certificates for Army codes A, B, F, G, M, P, Q, R, T. NB: It should be noted that most “course reports” have “not competent” to sling loads with excavator or backhoe” endorsed in the report column.

> 1300 647 200

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables

'RAAF CODE

WHSQ TRANSLATION

(D)VEJ

Forklift (A/C Loading)

(D)VEK

Forklift (A/C Loading)

(D)VEL

Forklift (Rough Terrain)

(D)VEM

Forklift (All Terrain)

(C)VLF

Tractor, dozer, backhoe/loader

(C)VLF

LB, LL

(C)VLM

RAAF EQUIPMENT AND OTHER REQUIREMENTS

NOTES

LOADSHIFTING EQUIPMENT

Tractor, dozer, backhoe/loader +

See Below

Excavator (Tracked) +

See Below

(C)VLO

Dozer (Tracked)

(C)VLP

Grader (Wheeled)

(C)VLS

Skid Steer Loader (Heavy)

(C)VLT

Skid Steer Loader (Light)

C16

Skid steer loader

Verification of loadshifting equipment used in crane mode or mobile crane certificate. CRANES

NOTES

(D)UXD

Crane 4.5t (Crane half slew)

(D)VXF

Crane 4.5t (Tractor mounted 4x4)

(D)VXB

On-pavement Fork lift over 10t

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Part 1 5 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables TRANSLATION TABLE FOR OTHER LICENCES PREVIOUSLY ISSUED BY RAAF LOADSHIFTING EQUIPMENT RAAF COURSE

WHSQ TRANSLATION

WL1, (D)VWA, (D)MHE

FLOP

Forklift 1.8t (W/House)

WL1, (D)VDC, (D)MHE

FLOP

Forklift 2t (W/House)

WL1, (D)VDC

FLOP

Forklift 2.7t (W/House)

AL2, WL1, (G)VEL, (D)VEL

FLOP

Forklift 5t (Rough Terrain)

AL2, (D)VEJ, (D) VEK

FLOP

Forklift 8t (A/C Load)

AL2, (G)VEJ

FLOP

Forklift 8t (Short Mast)

AL2, (D)VEM

FLOP

Forklift 4t or 8t (All Terrain)

560, (L9)

Forklift (Rough Terrain)

734. (L13)

Forklift (Electric stock picker)

736, (L15)

Forklift 300kg (Stacker Retrieve)

742, (L15)

Forklift (Electric stock picker)

748, (L1)

Forklift (Missile handling)

749, (L1)

Forklift 8.0t (Ams 4.5t)

751, (L1)

Forklift 2.7t (Explosives)

752, (L1)

Forklift 1.8t

753, (L1)

Forklift 2.7t

730, (L10)

Forklift 1.5 (Electric)

731, (L11)

Forklift 1.5t (Side loading)

740, (L12)

Forklift (Electric stock picker)

756, (L7)

Forklift 2.9t (Side loading)

757 (L3)

Forklift 4.1t (Short mast)

758, (L3)

Forklift (Aircraft maintenance)

J7, (D)VLF

Tractor, dozer, backhoe/loader

J7, (D)VLF

Tractor, dozer, backhoe/loader +

PREVIOUS RAAF CODES

RAAF EQUIPMENT & OTHER REQUIREMENTS

NOTES

See

VERIFICATION OF LOADSHIFTING EQUIPMENT USED IN CRANE MODE OR MOBILE CRANE CERTIFICATE. CRANES 708(K1), (D)VXD

HYDCRNOP

Crane 4.5t (Tractor light 4x2)

380(K2), (D)VXF

HYDCRNOP

Crane (Light, Half slew)

306(K3), (D)VXB

HYDCRNOP

Crane 10t (Full slew 6x6)

307(K5), (D)VXB

HYDCRNOP

Crane (Rough terrain)

384(K5), (D)VXB

HYDCRNOP

Crane 15t (Cross country 4x4)

718(K6), (D)VXF HYDCRNOP CN Crane (Strip clearance) NB. • G, D, J7, K5, L1 referees to the applicable licence code at that time;

• 560, 742 Etc referees to the applicable vehicle code at that time; • FLOP is a one week forklift operators certificate course for operators of 1.8t. 2.7t 5.0t and 8.0t forklifts; • HYDCRNOP is a two weeks course for 15 t cranes and all classes below this capacity.

> 1300 647 200

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables TRANSLATION OF NAVY LICENCE TO WH&S CERTIFICATE NAVY CODE

NAVY ENDORSEMENT

WHSQ TRANSLATION

NOTES

Cranes â&#x20AC;&#x201C; Pre 1993 C5

Self-propelled Cranes except Gantry Cranes up to 10t

C5A

Self-propelled Cranes except Gantry Cranes over to 10t

With With (With

CN C2

C2 or C6 to CO)

See See

Below Below

See

Below

Documentary evidence of the operation of a non-slewing crane with a capacity of more than 3 t. Documentary evidence of the type and size of crane operated : (C2 for crane up to and including 20t or C6 for cranes above 20t to and including 60t or C1for cranes above 60t and including 100t or CO for cranes over 100t.) CRANES AFTER 1993

WHSQ TRANSLATION

Self-propelled Cranes except Gantry Cranes

With With

Cranes to 6 tonne

Cranes to 10 tonne

With With

Cranes to 25 tonne

E10

Cranes to 50 tonne

With

D12

CN or C2 to CO

NOTES See See

Below Below

CN or C2 to CO

See See

Below Below

See

Below

WHSQ TRANSLATION

Forklifts up to 2.5 tonnes

Forklifts up to 5 tonnes

Forklifts up to 10 tonnes

Bulldozer

> www.ohsa.com.au

NOTES

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables TRANSLATION OF NAVY LICENCE TO WH&S CERTIFICATE Pressure Equipment LICENCE CODE

QUALIFICATION / EXPERIENCE

ISSUES

EDP No 10030

Marine Technical Prop

EDP No 13000

Auxiliary Machine Operation Certificate (AMOC)

TO, ES

Awarded to Marine Technical Personnel

Certificate in Marine Propulsion Operation (Steam)

TO, ES

Includes EDP No 13000

NIL

NOTES

EDP No 13010

Boiler Room Watch keeping Certificate

EDP No 13020

Engine Room Watch keeping Certificate

TO, ES

The Machinery Watch keepers Certificate (Steam)

BI, TO, ES

EDP No 13030

Machinery Charge Certificate (Steam)

BI, TO, ES

EDP No 13040

Throttle Watch keeping Certificate

TO, ES

EDP No 13540

Experience (Details of boilers and equipment listed on Qualification)

BI, TO, ES

EDP No 13550

Experience (Details of boilers and equipment listed on Qualification)

BI, TO, ES

EDP No 13560

Experience (Details of boilers and equipment listed on Qualification)

BI, TO, ES

EDP No 13570

Experience (Details of boilers and equipment listed on Qualification)

BI, TO, ES

EDP No 13780

Skill Grade 2 - Marine Technical Propulsion Branch

Craftsmanâ&#x20AC;&#x2122;s Certificate of Proficiency (Apprenticeship as Fitter & Turner)

Apprentice entry course

Operation and maintenance of machinery and equipment in steam powered ships Awarded to Marine Technical Personnel Awarded to Marine Technical Personnel Awarded to Marine Technical Personnel Awarded to Marine Technical Personnel Awarded to Marine Technical Personnel

NIL

Awarded to Marine Technical Personnel Issued on completion of Phase 2 Training

Above as per Training Record

Record of Training lists Qualification i.e. EDP No 13000 Etc.

Certificate in Marine Propulsion Maintenance

NIL

Advance Certificate in Marine Propulsion Maintenance

NIL

The Automatic Boiler Control Operation Course

NIL

The Marine Technical Phase One Course

NIL

Machinery Watchkeepers Trained to Operate Automatic Boiler Systems

> 1300 647 200

Part 1 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Transition Tables Australian Maritime Safety Authority Seagoing Qualifications from 11 July 1994. (Marine Orders Seagoing Qualifications Issue 4 Order No 7 of 1994) AMSA QUALIFICATION & REQUIREMENT

ISSUE

NOTES

Engineer Class 1 Certificate

BI, TO ES

Engineer Class 2 Certificate

BI, TO ES

Engineer Watch keeper Certificate (Steam)

With With

Engineer Class 3 Certificate

With With With With

TO ES BB OR BI OR TO OR ES

See See

Below Below

See See See See

Below Below Below Below

Marine Engine Driver Grade 1 Marine Engine Driver Grade 2 Marine Engine Driver Grade 3 Documentary evidence of the operation of a boiler with single fixed combustible air supply; or Documentary evidence of the operation of a boiler with super heaters or economisers or modulating combustion air supply or modulating heat source Documentary evidence of having operated a turbine with a power output of 500KW or more Documentary evidence of having operated reciprocating steam engine with piston greater than 250 millimetre Australian Transport Advisory Council Uniform Shipping Law Code From 1/1/1991 (Uniform Shipping Laws Code Section 2) AUSTRALIAN TRANSPORT ADVISORY COUNCIL QUALIFICATION

ISSUE

NOTES

Engineer Class 1 Certificate

BI, TO ES

Engineer Class 2 Certificate

BI, TO ES With With

Engineer Class 3 Certificate

With With With With

TO ES BB OR BI OR TO OR ES

See See

Below Below

See See See See

Below Below Below Below

> www.ohsa.com.au

Part 2 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Information to Applicants on the lodgement of forms from July 01 2008 NEW HIGH RISK WORK LICENCES From 01 July 2008 a new licensing regime commences for High Risk Work Licences. The following classes become classes for High Risk Work LICENCE CODE

CLASS

Basic boiler operator

Intermediate boiler operator

Adavanced boiler operator

Slewing mobile crane 20 tonnes or less

Slewing mobile crane 60 tonnes or less

Slewing mobile crane 100 tonnes or less

Slewing mobile crane over 100 tonnes

Bridge / Gantry crane

Derrick crane

Non-Slewing mobile crane greater than 3 tonnes

Portal boom crane

Tower crane

Vehicle loading crane - 10 m tonnes or more

Dogger

Reciprocating steam engine - piston diameter more than 250 mm

Materials hoist with cantilever platform

Materials or personnel hoist

Forklift truck - not pedestrian operated

Order picking truck

Basic rigger

Intermediate rigger

Advanced rigger

Basic scaffolder

Intermediate scaffolder

Advanced scaffolder

Work platform (boom 11m or more)

Self erecting tower crane

Truck concrete placing boom

Turbine with power output of 500 KW or more

> 1300 647 200

Part 2 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Information to Applicants on the lodgement of forms from July 01 2008 High Risk Work Licence applications need to be lodged by the applicant at an Australian Post Outlet. The High Risk Work Assessment Summary needs to be completed for these classes. In addition these applicants will require a Statement of Attainment. Applicants then attend an Australian Post outlet and complete a Form F1 Application. Applicants also require a passport quality photograph and 100 points of identification. The applicant will be provided with two Statements of Attainment as an original copy will be lodged with the Post Office.

Earthmoving and Particular Crane Certificates From 1 July 08 the licence classes regulated in Queensland that do not fall within the National Standard are to be called Earthmoving and Particular Crane Certificates (EPCs). The classes of work that will become EPCs are as follows:

LICENCE CODE

CLASS

Front-end loader backhoe (QLD > 2L engine capacity)

LBG

Bridge / Gantry, 3 power remote control load over 5 t

Excavator (QLD > 2L engine capacity)

Front-end loader (QLD > 2L engine capacity)

Scraper

Road roller (QLD > 2L engine capacity)

Grader

Skid steer loader (QLD > 2L engine capacity)

Dozer

OHSA will complete a 'G' form, an 'EPC' assessment summary and a Statement of Attainment and these documents are sent directly to DEIR

> www.ohsa.com.au

Part 3 Defence Forces Licences to National WH&S Licences

Competency and Proficiency

Enrolment Form ALL TRAINING

CREDIT TRANSFER FORM DEFENCE FORCES TO NATIONAL / WHSQ LICENCES

Phone: 1300 6472 00 Fax: 1300 8529 70 Email: info@ohsa.com.au RTO Registration No:31092

PO Box 336 Elanora Q 4221 ABN- 73 833 631 941

(Please complete all relevant parts of this form)

DATE

LIST COAL COMPETENCIES

100 POINT ID PROVIDED

(That you wish to Transfer to WH&S Tickets)

(List which ID supplied & Point value)

5. 6. 7. 8.

1. 2. 3. 4.

Family Name:

1. 2. 3.

/200

Point Value Point Value Point Value

Given Names:

Date of Birth:

Gender:

MALE:

FEMALE:

Residential Address: Post Code: Telephone No:

Mobile Phone:

Email Address:

Emergency Contact No:

Place of Birth:

Please indicate, tick (â&#x2C6;&#x161;), if any of the following conditions may hinder you from gaining this qualification. This information will assist our training staff to determine required support.

Employment Status

OTHER COUNTRY (please specify)

AUSTRALIA

(please circle)

Hearing Loss

Reading Difficulties

Impaired Vision

Learning Difficulties

Physical Disability

OTHER (please specify below)

Trainee's signature:

EMPLOYER / SELF EMPLOYED / EMPLOYEE / UNEMPLOYED

Current Occupation: (trade etc) Place of Work: (region)

PROJECT

Employer's Trading Name:

Phone No:

Address:

Post Code:

page 1 of 1

PAYMENT DETAILS CASH

CHEQUE

How did you find out about this course?

EFTPOS

(Completed at Registration)

COMPANY INVOICE

EMPLOYMENT SERVICE

NEWSPAPER

BUSINESS CARD

YELLOW PAGES

RADIO

FRIEND

OTHER

ACCOUNTS - Company invoice / receipts sent to ... (if different from above PLEASE PRINT) Postal Address: Contact Name:

Post Code:

Telephone No:

OFFICE USE ONLY

Trainee Enrolment No: Receipt No:

Black Coal enrolment Form

Invoice No:

> 1300 647 200

Part 4 Coal Competencies to National WH&SWH&S Licences Defence Forces Licences to National Licences

Competency and Proficiency

Defence ForcesLicences to National Civil WH&SLicences & 100 Point ID Process Checklist DEFENCE FORCES CHECKLIST The following points from each checklist must be completed before any Licences can be Transfered over to WH&S Licences

YOU WILL NEED TO MEET THE 100 POINT PROOF OF ID CRITERIA

POINTS

SUPPLIED YES / NO

Birth or Citizen Certificate (Only present one of)

70 Points

YES

Passport

70 Points

YES

Drivers Licence

40 Points

YES

ID Card issued to public employee

40 Points

YES

ID card issued by the Department of Social Security

40 Points

YES

Confirmation from employer

35 Points

YES

Debit / Credit Card (one per financial institution)

35 Points

YES

Store or Medicare Card

35 Points

YES

Club Membership Card

35 Points

YES

DEFENCE FORCES LICENCES TO NATIONAL CIVIL WH&S LICENCES (TICKETS) CHECKLIST

100 point identification

YES

Defence Forces certification

YES

Defence Forces certification endorsed

YES

Signed letter from authorising officer (optional)

YES

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Defence Forces Licences to National WH&S Licences

OHSA Occupational Health Services Australia Ph: 1300 647 200 Fax: 1300 852 970 Email: info@ohsa.com.au Web: www.ohsa.com.au Suite 32 8th Avenue Plaza 1176 Gold Coast Highway PALM BEACH QLD 4221 PO Box 336 ELANORA QLD 4221 AUSTRALIA