Title Page
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Document No.
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Prepared On:
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Please click 'Start Audit' to begin the Audit
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Prepared By
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Apprentice Name
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Contact Number
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Apprentice Emp #
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Apprenticeship year
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Completion Date
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Weeks
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Apprentice photograph
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EGT Host Employer
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Host contact number
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Site Address
Competency: (1 Poor - 5 Excellent)
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Install Support / Protection
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Install / Terminate LV Cables
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Test Apparatus / Circuits
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Fault Find Electrical
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Install Apparatus
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Apply OHS Practices In The Workplace Documents Risks & Hazards
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Service / Fabricate / Repair Apparatus
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Install & Connect Cables To Telecommunication Services
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Electives (Comments...)
Personal rating: (1 Poor - 5 Excellent)
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Attitude
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Dependability
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Comprehension
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Initiative
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Attendance
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Punctuality
Work sector.
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Air Con Installations
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Commercial (Construction/Fit Out)
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Maintenance
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Data / Communications
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Existing Housing (Maintenance, Renovations, Rewire)
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Housing New
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Industrial New (Construction)
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Solar (Communications and Domestic)
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Switchboards
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Other:
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Supervising Worker's Comments: (Comments required or state general supervision)
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Supervisor's Signature:
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Supervisor's EW number:
INFORMATION FOR OFFICE INPUT
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***Enter type of visit***
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***Safety Alert Number/s***
- SA01 - Safety Alert Shock
- SA02 - Safety Alert Ride on Machinery
- SA03 - Safety Alert Shocks
- SA04 - Safety Alert Knives
- SA05 - Electric Shocks/Reporting November 07
- SA06 - Electric Shocks
- SA07 - Code of Practice Safe Working on Low Voltage
- SA08 - Circuit breaker lock out tool issued
- SA09 - Safety alert Electric Shocks
- SA10 - Electric Shocks
- SA11 - Reporting accidents incidents
- SA12 - Neutral Shocks
- SA14 - General Supervision
- SA15 - Drugs and Alcohol Random Testing
- SA16 - Safety Alert Construction High Risk
- SA17 - Fatigue Management
- SA18 - Swine Flu information only
- SA19 - Isolation Procedure
- SA20 - Risk assessment and isolation
- SA21 - Voltsticks
- SA22 - Medical centre locations
- SA23 - Departure of P.Laycock
- SA24 - Electric Shock
- SA25 - Electric Shock
- SA26 - Electric Shock PV Solar Panel
- SA27 - Electric Shock
- SA28 - Fire from Solar Panel
- SA29 - Fall from ladder
- SA30 - Mandatory Injury Reporting
- SA31 - Close Call - Isolation Failure
- SA32 - Working at Heights Breach
- SA33 - Hazards of Neutral Conductors
- SA34 - Electric Shock
- SA35 - New Uniform Policy - Effective June 2011
- SA36 - Close call Incident - Crane Lifts
- SA37 - Heat Stress
- SA38 - Working at Heights
- SA39 - Recent Increase in Electrical Incidents
- SA40 - Working from Heights
- SA41 - Some Tools Are Irreplaceable
- SA42 - Electric Shock
- SA43 - Hand Safety
- SA44 - Increase in Electrical Incidents
- SA45 - High Voltage Work
- SA46 - Exposure to Asbestos
- SA47 - Manual Handling Incident
- SA48 - Hand Injury
- SA49 - Cable Pull Incident
- SA50 - Lacerations
- SA51 - Injury Reporting Requirements
- SA52 - Safety Footwear
- SA53 - Electric Shock
- SA54 - Uniform and Gloves
- SA55 - Isolation Procedure & Testing Circuits after Isolation
- SA56 - Hand Safety
- SA57 - Think B4U Work - Keep Your Hands Safe
- SA58 - Solar Panel Installation Safety
- SA59 - Heat Stress
- SA60 - Electric Shock
- SA61 - Think B4U Work - Keep Your Hands Safe
- SA62 - Electrical Discharge
- SA63 - Hazard Identification and Risk Assessment
- SA64 - incorrect Isolation Practice and Poor Supervision
- SA65 - THINK B4U WORK - Prevent Soft Tissue Injuries
- SA66 - Preventing Electrical Incidents 10 Golden Steps
- SA67 - Apprentice falls through roof
- SA68 - Wear the correct gloves
- SA69 - Spider bites
- SA70
- SA71
- SA72
- QTRSA1 - Working from Heights
- QTRSA2 - Some Tools Are Irreplaceable
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Hand Rating.
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***Questionnaires: Probation Post Induction/Change to 2nd Year***
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****Warning issued****
- Verbal
- Written
- First and Final
- Final written
- No warning required
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Please enter details of warning:
Workplace health and safety.
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Has apprentice received host employer induction?
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Has the apprentice attended site specific inductions?
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Are JSAS or SWMS used on site?
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Does the apprentice participate in isolation testing and tagging?
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Does the apprentice understand the accident/incident reporting process?
Host Employer
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Condition of Site.
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Other
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Supervision type.
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Adequate to task and year?
General
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Is apprentice using RAC daily for every job?
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New RAC book requested:
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Is apprentice uniform OK? (Long and long).
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Is there job specific PPE available?
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Is the PPE appropriate to task?
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College status ok?
- Competencies Pending
- eProfiling
- Holds
- Re-enrols
- Profile21
- Q-Tracker
- Skills-Tracker
- Absenteeism not OK
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Enter comments:
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Enter comments, and details regarding absenteeism:
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Enter OJT Day
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Enter COY date
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Annual leave detail
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RDO detail
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Previous disciplinary action
- Verbal
- Written
- First and Final
- Final written
- No warning required
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Previous Disciplinary Notes
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Issues for entry.
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Apprentice feedback.
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Apprentice signature.
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Field officer comments.
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Field officer signature.
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PPE Order form required?
Apprentice PPE Order Form
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Apprentice Name
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Contact Number
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Apprentice Emp #
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Apprenticeship year
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Prepared By
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Date
Items (please leave blank for 0)
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Earmuffs - ProChoice Viper (PSEMVIP)<br>(To Be Given Put For Emergency Purposes Only)
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Ear Plugs ProChoice Uncorded (PSEPOU) - (sets)
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Respirator ProChoice Disposable P2 Valved (PSPC321)
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Glasses Safety ProChoice - Tsunami Clear (PS1600TWW)
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Glasses Safety ProChoice - Tsunami Smoke (PS1602TWW)
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Glove Clip ASI Interlock (ASILGC)
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Gloves - Pro Choice Arax Cut 5 Glove<br>Wear & tear basis<br>(Available from EGT Office or Field Officer)
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Goggles Safety - ProChoice Scope II - Clear (PS3700)<br>(To Be Given Out For Emergency Purposes Only)
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Hard Hat ProChoice 6Pt Vented EGT Logo (PSHH6VBLEGT)
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Sweat Band FOR HARD HAT
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Brim With Flap FOR HARD HAT (HS3018)
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Hat Wide Brim WITH FLAP (HS4055) - Size: 59cm x 61cm<br>
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Hat Wide Brim NO FLAP (HS4250) - Size: 59cm x 61cm
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Sunscreen ProChoice SPF30+ 125Gsm Tube (PSSS125)
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Tag Safety "Danger" 125mm * 75mm (PSSTD12575)
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Tag "Out of Service" (STC12575)
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Apprentice Signature
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Comments: