Information
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Document No.
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Apprentice Name:
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Conducted on
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Prepared by:
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Location
APPRENTICE AND HOST DETAILS
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APPRENTICE DETAILS?
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APPRENTICE CONTACT:
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HOST NAME AND CONTACT DETAILS:
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LOCATION / SITE:
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ADD MEDIA
APPRENTICE LEAVE ACCRUALS
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ANNUAL LEAVE (HRS)
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RDO (HRS)
SUPERVISOR FEEDBACK:
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SKILL LEVEL
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JOB KNOWLEDGE
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PUNCUALITY
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INTEREST IN THE TRADE
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INITITAVE
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SPEECH MANNER
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SOCIABILITY
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APPEARANCE
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OH&S AWARENESS
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DO YOU REQUIRE ANY MORE APPRENTICES?
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ANTICIPATED COMPLETION DATE?
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SUPERVISOR COMMENT:
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SUPERVISOR SIGNATURE
EPROFILE DATA
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YEAR LEVEL
- FIRST
- SECOND
- THIRD
- FOURTH
- FIFTH - DUAL TRADE
- SCHOOL BASED
- ADULT
- ON PROBATION
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IS THE APPRENTICE DOING A DUAL TRADE?
- NO
- INSTRUMENTATION
- OTHER
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WHAT IS THE ELECTIVE CHOSEN?
- COMMS
- PLC'S
- OTHER
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UPCOMING CHANGE OF YEAR
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NOMINAL COMPLETION DATE
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UPCOMING COLLEGE
Add College
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STAGE
- 1A
- 1B
- 2A
- 2B
- 3A
- 3B
- Capstone
- Resit
- Gap
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START DATE
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FINISH DATE
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COMMENT:
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LEVEL OF SUPERVISION INDICATED ON EPROFILE CARDS
- Direct
- General
- Broad
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EPROFILE REPORTS:
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EPROFILE REPORT COMMENTS:
WORK HISTORY - LICENCE & TICKETS
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CPR & SWITCHBOARD RESCUE
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WORKING AT HEIGHTS
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ELEVATED WORK PLATFORM
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COMMENT:
DOMESTIC
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CONSTRUCTION
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SERVICE
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HOUSES / UNITS
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ROUGH INS
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FIT OFFS
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AIR CONDITIONING
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SOLAR
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DATA
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OTHER
COMMERCIAL
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CONSTRUCTION
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SERVICE
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HIGH RISE
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HOSPITAL
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SHOPPING CENTRES
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UNIVERSITY / SCHOOL
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WAREHOUSE
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WIRING AND FITTING COMPONENTS IN SWITCH BOARDS
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AIR CONDITIONING
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SOLAR
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DATA
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OTHER
INDUSTRIAL
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CONSTRUCTION
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SERVICE
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TUNNELS
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MINES
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FACTORIES
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RAIL
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AIR CONDITIONING
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WIRING AND FITTING COMPONENTS IN SWITCH BOARDS
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DATA
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OTHER
WORK EXPERIENCE SUMMARY
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COMMENTS:
OFF THE JOB TIME
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OFF THE JOB TIME
off job time
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LEAVE TYPE
- COLLEGE
- ANNUAL LEAVE
- PERSONAL LEAVE
- STAND DOWN
- LWOP
- NO HOST
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NUMER OF WEEKS
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- > 12
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COMMENTS:
APPRENTICE FEEDBACK
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EGA's OVERALL PERFORMANCE
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PAYROLL SERVICE
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HOST EMPLOYER
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WH&S SUPPORT
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RTO TRAINING QUALITY
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ADEQUATE ON THE JOB TRAINING
SITE SAFETY AND TRAINING
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IS THE WORKSITE A SAFE WORKING ENVIRONMENT?
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IS THE WORKSITE FREE FROM OBVIOUS FAULTS, DEFECTS OR HAZARDS?
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IS APPROPRIATE TRAINING PROVIDED TO OPERATE EQUIPMENT?
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DOES THE APPRENTICE UNDERTAKE RISK ASSESSMENTS?
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ARE TOOLBOX TALKS HELD REGULARLY ON SITE?
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DOES THE APPRENTICE KNOW TO REPORT HAZARDS AND OR INCIDENTS?
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DOES THE APPRENTICE HAVE APPROPRIATE PPE FOR TASKS PERFORMED?
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IS THE APPRENTICE SATISFIED WITH THEIR TRAINING?
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COMMENT:
EQUIPMENT / TOOLS
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LADDERS
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SCAFFOLD
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POWER TOOLS
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EXTENSION LEADS
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TEST EQUIPMENT
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HAND TOOLS
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PPE / BOOTS
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UNIFORM
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COMMENTS:
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SUPPORTING MEDIA:
WH&S INFO
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DOES THE APPRENTICE KNOW HOW TO ACCESS THE WORKPLACE HEALTH AND SAFETY ACT 2011, REGULATIONS & CODES OF PRACTICE?
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DOES THE APPRENTICE KNOW HOW TO ACCESS THE ELECTRICAL SAFETY ACT 2002, REGULATIONS & CODES OF PRACTICE?
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HAS THE APPRENTICE BEEN INFORMED ABOUT SAFETY ALERTS ISSUED BY THE ELECTRICAL SAFETY OFFICE?
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DOES THE APPRENTICE POSESS A COPY OF AS 3000-2007 WIRING RULES?
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DOES THE APPRENTICE POSESS A COPY OF AS 3008 CABLE SELECTION GUIGDE?
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SAFETY TOPICS DISCUSSED:
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NOTES:
PPE / UNIFORMS
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PPE / UNIFORM ISUED
PPE
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ITEM
- Safety glasses (clear)
- Safety glasses (tinted)
- Nylon gloves
- Riggers gloves
- Ear plugs
- Ear muffs
- P2 masks
- Helmet
- Sun brim
- Sunscreen
- HI-VIS SHIRT S
- HI-VIS SHIRT M
- HI-VIS SHIRT L
- HI-VIS SHIRT XL
- HI-VIS SHIRT XXL
- TROUSERS 77
- TROUSERS 82
- TROUSERS 87
- TROUSERS 92
- TROUSERS 102
- TROUSERS 107
- JACKET S
- JACKET M
- JACKET L
- JACKET XL
- JACKET XXL
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QUANTITY
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- > 12
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COMMENT:
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APPRENTICE SIGNATURE:
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FIELD OFFICER / EGA REPRESENTATIVE SIGNATURE: