ENTER APPRENTICE NAME HERE

INTERVIEW DETAILS

• DATE AND TIME

  Date

• APPRENTICE NAME

• APPRENTICE CONTACT

• FIELD OFFICER

• HOST NAME

• LOCATION / SITE
  Address

• HOST CONTACT

APPRENTICE LEAVE ACCRUALS (hours)

HASTHER BEEN OFF THE THE JOB TIME SINCE THE LAST VISIT? (WEEKS)

• ANNUAL LEAVE

• RDO'S

SUPERVISOR FEEDBACK

• SKILL LEVEL

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• JOB KNOWLEDGE

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• PUNCTUALITY

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• INTEREST IN THE TRADE

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• INITIATIVE

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• SPEECH MANNER

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• SOCIABILITY

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• APPEARANCE

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• OH&S AWARENESS

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• DO YOU REQUIRE MORE APPRENTICES?

  YES

  NO

• ANTICIPATED COMPLETION DATE

  Date

• SUPERVISOR COMMENT:

• SUPERVISOR SIGNATURE:

  Sign

EPROFILE DATA

• YEAR. LEVEL

  Select FIRST YEAR SECOND YEAR THIRD YEAR FORTH YEAR

  • FIRST YEAR
  • SECOND YEAR
  • THIRD YEAR
  • FORTH YEAR

• UPCOMING CHANGE OF YEAR

  Date

• NOMINAL COMPLETION DATE

  Date

• OUTSTANDING CARDS (awaiting submission)

• OUTSTANDING CARDS (awaiting verification)

• EPROFILE REPORT

  Media

• EPROFILE. REPORT COMMENTS

WORK HISTORY

• CPR / SWITCH BOARD RESCUE

• WORKING AT HEIGHTS

• ELEVATED WORK PLATFORM

DOMESTIC

• CONSTRUCTION

• SERVICE

• HOUSES / UNITS

• RELOCATABLE DWELLINGS

• ROUGH INS

• FIT OFFS

• SOLAR

• AIR CONDITIONING

• DATA

• OTHER

• TAP HERE TO ENTER OTHER WORK TYPE

COMMERCIAL

• CONSTRUCTION

• SERVICE

• HIGH RISE OFFICE

• SHOPPING CENTRE

• HOSPITAL /UNI / SCHOOL

• WAREHOUSES

• BUILDING SWITCH BOARDS

• AIR CONDITIONING

• DATA

• OTHER

• TAP HERE TO ENTER OTHER WORK TYPE

INDUSTRIAL

• CONSTRUCTION

• SERVICE

• TUNNELS

• MINES

• FACTORIES

• Rail

• AIR CONDITIONING

• BUILDING SWITCH BOARDS

• DATA

• OTHER

• TAP HERE TO ENTER OTHER WORK TYPE

WORK EXPERIENCE SUMMARY

• DOMESTIC

• COMMERCIAL

• INDUSTRIAL

OFF THE JOB TIME SINCE LAST VISIT (weeks)

SELECT TYPE OF OFF THE JOB TIME

• TYPE OF OFF THE JOB TIME

  Select LEAVE NO HOST COLLEGE

  • LEAVE
  • NO HOST
  • COLLEGE

• WEEKS

  Select 1 2 3 4 5 6 7 8 1 BOOK

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 1 BOOK

• IS THE WORKSITE A SAFE WORKING ENVIRONMENT?

  Yes

  No

  N/A

SITE SAFETY AND TRAINING

• IS THE SITE FREE FROM ANY OBVIOUS FAULTS, DEFECTS OR HAZARDS?

  Yes

  No

  N/A

• APPROPRIATE TRAINING PROVIDED TO OPERATE EQUIPMENT?

  Yes

  No

  N/A

• DOES APPRENTICE UNDERTAKE RISK ASSESSMENTS?

  Yes

  No

  N/A

• TOOL BOX MEETINGS?

  Yes

  No

  N/A

• WORK SITES HAVE BEEN FREE OF ANY RECENT ACCIDENT / INCIDENT?

  Yes

  No

  N/A

• DOES THE APPRENTICE REPORT HAZARDS / INCIDENTS?

  Yes

  No

  N/A

• TOOL BOX TALKS?

  Yes

  No

  N/A

• ANY RECENT ACCIDENT / INCIDENT?

  Yes

  No

  N/A

• DOES THE APPRENTICE REPORT HAZARDS / INCIDENTS?

  Yes

  No

  N/A

• IS THE APPRENTICE AWARE OF SICK / LEAVE POLICIES?

  Yes

  No

  N/A

• IS THE APPRENTICE SATISFIED WITH THEIR TRAINING SO FAR?

  Yes

  No

  N/A

• COMMENT:

EQUIPMENT / TOOLS / PPE

• LADDERS

  GOOD

  POOR

• SCAFFOLD

  GOOD

  POOR

• POWER TOOLS

  GOOD

  POOR

• EXTENSION LEADS

  GOOD

  POOR

• TEST EQUIPMENT

  GOOD

  POOR

• HAND TOOLS.

  Yes

  No

  N/A

• BOOTS / PPE

  GOOD

  POOR

• UNIFORM

  GOOD

  POOR

• COMMENT:

APPRENTICE FEEDBACK

• ELECTROGROUPS OVERALL SERVICE

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• PAYROLL SERVICE

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• HOST EMPLOYER

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• WH&S SUPPORT

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• RTO TRAINING QUALITY

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• ADEQUATE ON THE JOB TRAINING

  POOR

  FAIR

  AVERAGE

  VERY GOOD

  EXCELLENT

• APPRENTICE COMMENT:

WH&S INFO

• DOES THE APPRENTICE KNOW HOW TO ACCESS THE WH&S ACT, REGULATIONS & CODES OF PRACTICE?

  Yes

  No

  N/A

• DOES THE APPRENTICE KNOW HOW TO ACCESS THE ELECTRICAL SAFETY ACT 2002, REGULATIONS AND CODES OF PRACTICE?

  Yes

  No

  N/A

• DOES THE APPRENTICE POSSESS A COPY OF AS3000:2007 WIRING RULES?

  Yes

  No

  N/A

• DOES THE APPRENTICE POSSESS A COPY OF AS3008 CABLE SELECTION GUIDE?

  Yes

  No

  N/A

• HAS THE APPRENTICE BEEN GIVEN INFORMATION ON THE LATEST SAFETY ALERT ISSUED BY THE E.S.O.?

  Yes

  No

  N/A

PPE ISSUED

DOES THE APPRENTICE REQUIRE PPE?

• SELECT PPE

  Select SAFETY GLASSES CLEAR SAFETY GLASSES TINTED NYLON GLOVES RIGGERS GLOVES EAR PLUGS EAR MUFFS HARD HAT SUN BRIM GOGGLES SUNSCREEN TIME SHEETS ENVELOPES HI VIS SHIRTS TROUSERS

  • SAFETY GLASSES CLEAR
  • SAFETY GLASSES TINTED
  • NYLON GLOVES
  • RIGGERS GLOVES
  • EAR PLUGS
  • EAR MUFFS
  • HARD HAT
  • SUN BRIM
  • GOGGLES
  • SUNSCREEN
  • TIME SHEETS
  • ENVELOPES
  • HI VIS SHIRTS
  • TROUSERS

• QUANTITY

  Select 1 2 3 4 5 6 7 8 1 BOOK

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 1 BOOK

• APPRENTICE SIGNATURE

  Sign

• FIELD OFFICER SIGNATURE

  Sign