Information
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Document No.
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Apprentice / Trainee
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Host employer
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Field Officer
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Conducted on
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Location
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I certify that I have been trained in the safe use of Plant and Equipment as listed YES below for the named Host Employer. I understand that I have not been trained to operate or use the items of Plant and Equipment as listed NO or N/A and that I will not operate or use these items until I have been trained by my Host Employer or Trade School Lecturer and assessed as being competent.
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Voltage Tester
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RCD Power Box
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Electric drill
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Cordless drill
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Hammer drill
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Circular saw
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Jig saw
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Reciprocal saw
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Compound Mitresaw
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Angle grinder 5 to 9 inch
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Bench grinder
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Router
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Clamp tester
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Electronic leak detector
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Electrical multi meter
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Air compressor
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Generator
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Battery charger
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Electric soldering iron
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Gas soldering iron
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Genie lifter
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Genie super lifter
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Ladder
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Elevated work platform (licensed)
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Scissor lift (licensed)
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Scaffolds
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ARC welder
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Drop saw
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Jack Hammer
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Safety harness
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Petrol chainsaw
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Electric chainsaw
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Forklift (licensed)
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Please acknowledge that the above items are only to be used if the apprentice / trainee has been show the correct operation and is competent using. Any item that the apprentice / trainee is not trained will not be used until the apprentice / trainee has been trained.
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Field Officer
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Apprentice / trainee
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I certify that the named Apprentice/Trainee has been trained and demonstrated his/her competence in the safe use of Plant and Equipment as listed YES. The Apprentice/Trainee will be instructed not to operate/use any of the Plant and Equipment items listed NO or N/A until they have been trained to do so.
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Host Employer/Representative