Information
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Document No.
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Field Report for Employee
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Employee Number
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Conducted on
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Prepared by
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Location
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Apprentice Emp #
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Apprentice Name
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Apprentice photograph
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Contact number
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Site address.
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OJT Day.
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Apprenticeship year.
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EGT Host Employer.
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Weeks:
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Host contact number.
Competency
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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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Service / Fabricate / Repair Apparatus
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Apply OHS Practices In The Workplace<br>Documents Risks & Hazards
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Install & Connect Cables To Telecommunication Services
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Electives: Please Fill In Comments Here And Rate Below
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Electives: Please Rate Here And Fill In Comments Above
Personal rating
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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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Building and construction.
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Housing.<br>Select Yes/No.
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Commercial.<br>
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Industrial.
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Maintenance.
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Manufacturing.
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Other:
Percentage of work.
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Work being carried out.
- Air conditioning
- Security
- Switchboards
- Fire Services
- Wholesalers
- Other
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Supervising Worker's Comments: (Comments required or state general supervision)
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Supervisor's Name:
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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***
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***Quarterly safety alert number***
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***Questionnaires: Probation Post Induction/Change to 2nd Year***
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***RAC colour***
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Rotation requested
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***Additional training requested***
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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?
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Is the PPE appropriate to task?
Host Employer
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Ladder condition.
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Condition of hand tools.
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Condition of leads.
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Condition of test equipment.
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Condition of EWP.
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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 PPE appropriate to task?
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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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College status ok?
- Re-enrols
- Q-Tracker
- Competencies Pending
- Hold
- Skills trade
- E-Profiling
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Enter comments:
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College/TAFE Absenteeism OK?
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Please enter details regarding absenteeism here:
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COY OK?
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Enter COY date
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RDO detail
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Annual leave 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 name.
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Apprentice signature.
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Field officer comments.
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Field officer name.
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Field officer signature.
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Select date
