• Prepared By

  • Apprentice Name

  • Contact Number

  • Apprentice Emp #

  • Apprenticeship year

  • Completion Date

  • Weeks

  • Apprentice photograph

  • EGT Host Employer

  • Host contact number

  • Site Address

Competency: (1 Poor - 5 Excellent)

  • Install Support / Protection

  • Install / Terminate LV Cables

  • Test Apparatus / Circuits

  • Fault Find Electrical

  • Install Apparatus

  • Apply OHS Practices In The Workplace Documents Risks & Hazards

  • Service / Fabricate / Repair Apparatus

  • Install & Connect Cables To Telecommunication Services

  • Electives (Comments...)

Personal rating: (1 Poor - 5 Excellent)

  • Attitude

  • Dependability

  • Comprehension

  • Initiative

  • Attendance

  • Punctuality

Work sector.

  • Air Con Installations

  • Commercial (Construction/Fit Out)

  • Maintenance

  • Data / Communications

  • Existing Housing (Maintenance, Renovations, Rewire)

  • Housing New

  • Industrial New (Construction)

  • Solar (Communications and Domestic)

  • Switchboards

  • Other:

  • Supervising Worker's Comments: (Comments required or state general supervision)

  • Supervisor's Signature:

  • Supervisor's EW number:


  • ***Enter type of visit***

  • ***Safety Alert Number/s***

  • Hand Rating.

  • ***Questionnaires: Probation Post Induction/Change to 2nd Year***

  • ****Warning issued****

  • Please enter details of warning:

Workplace health and safety.

  • Has apprentice received host employer induction?

  • Has the apprentice attended site specific inductions?

  • Are JSAS or SWMS used on site?

  • Does the apprentice participate in isolation testing and tagging?

  • Does the apprentice understand the accident/incident reporting process?

Host Employer

  • Condition of Site.

  • Other

  • Supervision type.

  • Adequate to task and year?


  • Is apprentice using RAC daily for every job?

  • New RAC book requested:

  • Is apprentice uniform OK? (Long and long).

  • Is there job specific PPE available?

  • Is the PPE appropriate to task?

  • College status ok?

  • Enter comments:

  • Enter comments, and details regarding absenteeism:

  • Enter OJT Day

  • Enter COY date

  • Annual leave detail

  • RDO detail

  • Previous disciplinary action

  • Previous Disciplinary Notes

  • Issues for entry.

  • Apprentice feedback.

  • Apprentice signature.

  • Field officer comments.

  • Field officer signature.

  • PPE Order form required?

Apprentice PPE Order Form

  • Apprentice Name

  • Contact Number

  • Apprentice Emp #

  • Apprenticeship year

  • Prepared By

  • Date

Items (please leave blank for 0)

  • Earmuffs - ProChoice Viper (PSEMVIP)
    (To Be Given Put For Emergency Purposes Only)

  • Ear Plugs ProChoice Uncorded (PSEPOU) - (sets)

  • Respirator ProChoice Disposable P2 Valved (PSPC321)

  • Glasses Safety ProChoice - Tsunami Clear (PS1600TWW)

  • Glasses Safety ProChoice - Tsunami Smoke (PS1602TWW)

  • Glove Clip ASI Interlock (ASILGC)

  • Gloves - Pro Choice Arax Cut 5 Glove
    Wear & tear basis
    (Available from EGT Office or Field Officer)

  • Goggles Safety - ProChoice Scope II - Clear (PS3700)
    (To Be Given Out For Emergency Purposes Only)

  • Hard Hat ProChoice 6Pt Vented EGT Logo (PSHH6VBLEGT)

  • Sweat Band FOR HARD HAT

  • Brim With Flap FOR HARD HAT (HS3018)

  • Hat Wide Brim WITH FLAP (HS4055) - Size: 59cm x 61cm

  • Hat Wide Brim NO FLAP (HS4250) - Size: 59cm x 61cm

  • Sunscreen ProChoice SPF30+ 125Gsm Tube (PSSS125)

  • Tag Safety "Danger" 125mm * 75mm (PSSTD12575)

  • Tag "Out of Service" (STC12575)

  • Apprentice Signature

  • Comments:

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