Field Officer Report - EGT v4 - dev - V3

• Document No.

• Field Report for Employee: ***EmpName***
  Employee Number: ***EmpNo***
  Prepared by: ***PreparedBy***
  Site Address:
  ***FRLocation***

• Is the above address incorrect? (Leave blank if correct)

  Yes
• Location
  Address

• Update this change on the database?

• Is any other information above incorrect? (Leave blank if correct)

  Yes

• Fill in only the ones that are incorrect above

• Field Report for employee

• Employee Number

• Prepared by

• Update these changes on the database?

• Prepared On:

  Date

• Field Report for Employee: ***EmpName***
  
  Employee Number: ***EmpNo***
  
  Contact Number: ***EmpMobile***
  
  Site Address:
  ***FRLocation***
  
  Apprenticeship Year: ***AppYear***
  
  EGT Host Employer: ***HostName***
  Weeks: ***PlaceWeeks***
  
  Host contact number: ***HostContactNumber***
  
  OJT Day: ***OJTDay***

• Is the above address incorrect?

  Off

  On
• Site Address
  Address

• Update this change on the database?

• Is any other information above incorrect?

  Off

  On

• Fill in only the ones that are incorrect above

• Apprentice Emp #

• Apprentice Name

• Contact Number

• Apprenticeship year

• EGT Host Employer

• Weeks

• Host contact number

• OJT Day

• Update these changes on the database?

• Apprentice photograph

  Media

Competency

• Install Support / Protection

  1

  2

  3

  4

  5

• Install / Terminate LV Cables

  1

  2

  3

  4

  5

• Test Apparatus / Circuits

  1

  2

  3

  4

  5

• Fault Find Electrical

  1

  2

  3

  4

  5

• Install Apparatus

  1

  2

  3

  4

  5

• Apply OHS Practices In The Workplace <br>Documents Risks & Hazards

  1

  2

  3

  4

  5

• Service / Fabricate / Repair Apparatus

  1

  2

  3

  4

  5

• Install & Connect Cables To Telecommunication Services

  1

  2

  3

  4

  5

• Electives (Comments...)

  1

  2

  3

  4

  5

Personal rating

• Attitude

  1

  2

  3

  4

  5

• Dependability

  1

  2

  3

  4

  5

• Comprehension

  1

  2

  3

  4

  5

• Initiative

  1

  2

  3

  4

  5

• Attendance

  1

  2

  3

  4

  5

• Punctuality

  1

  2

  3

  4

  5

Work sector.

• Building and construction.

  Yes

  No

  N/A

• Housing. <br>Select Yes/No.

  Yes

  No

  N/A

• Commercial. <br>

  Yes

  No

  N/A

• Industrial.

  Yes

  No

  N/A

• Maintenance.

  Yes

  No

  N/A

• Manufacturing.

  Yes

  No

  N/A

• Other:

Percentage of work.

• Percentage Of Work Electrical

• Percentage Of Work Data

• Percentage Of Work Other

• Work being carried out.

  Select Air conditioning Security Switchboards Fire Services Wholesalers Other

  • Air conditioning
  • Security
  • Switchboards
  • Fire Services
  • Wholesalers
  • Other

• Supervising Worker's Comments: (Comments required or state general supervision)

• Supervisor's Signature:

  Sign

• Supervisor's EW number:

INFORMATION FOR OFFICE INPUT

• ***Enter type of visit***

  Site visit

  Welfare visit

  Telephone contact

  RTO visit

• ***Safety Alert Number/s***

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

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• ***Quarterly safety alert number***

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100

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• ***Questionnaires: Probation Post Induction/Change to 2nd Year***

  post induction questionnaire

  change to second year questionnaire

• ***RAC colour***

  Red

  Blue

  Yellow

  Green

• Rotation requested

  Yes

  No

  Apprentice to advise EGT host employer

  Field Officer to advise Operations Officer (placements)

  Outside Metro Area requested

• ***Additional training requested***

• ****Warning issued****

  Select Verbal Written First and Final Final written No warning required

  • Verbal
  • Written
  • First and Final
  • Final written
  • No warning required

• Please enter details of warning:

Workplace health and safety.

• Has apprentice received host employer induction?

  Yes

  No

  N/A

• Has the apprentice attended site specific inductions?

  Yes

  No

  N/A

• Are JSAS or SWMS used on site?

  Yes

  No

  N/A

• Does the apprentice participate in isolation testing and tagging?

  Yes

  No

  N/A

• Does the apprentice understand the accident/incident reporting process?

  Yes

  No

  N/A

• Is the PPE appropriate to task?

  Yes

  No

  N/A

Host Employer

• Ladder condition.

  Safe

  At Risk

  N/A

• Condition of hand tools.

  Safe

  At Risk

  N/A

• Condition of leads.

  Safe

  At Risk

  N/A

• Condition of test equipment.

  Safe

  At Risk

  N/A

• Condition of EWP.

  Safe

  At Risk

  N/A

• Other

• Supervision type.

  General

  Direct

• Adequate to task and year?

  Yes

  No

  N/A

General

• Is PPE appropriate to task?

  Yes

  No

• Is apprentice using RAC daily for every job?

  Yes

  No

  N/A

• New RAC book requested:

  Yes

  No

  N/A

• Is apprentice uniform OK? (Long and long).

  Yes

  No

  N/A

• Is there job specific PPE available?

  Yes

  No

  N/A

• College status ok?

  Select Re-enrols Q-Tracker Competencies Pending Hold Skills trade E-Profiling

  • Re-enrols
  • Q-Tracker
  • Competencies Pending
  • Hold
  • Skills trade
  • E-Profiling

• Enter comments:

• College/TAFE Absenteeism OK?

  Yes

  No

• Please enter details regarding absenteeism here:

• COY OK?

  Yes

  No

  N/A

• COY date: ***COYdate***
  
  RDO detail: ***RDOdetail***
  
  Annual leave detail: ***AnnualLeave***
  
  Previous Disciplinary Action Info:
  ***PreviousDiscInfo***

• Is any of the above information incorrect?

  Off

  On

• Fill in only the ones that are incorrect above

• Enter COY date

• Annual leave detail

• RDO detail

• Previous disciplinary action

  Select Verbal Written First and Final Final written No warning required

  • Verbal
  • Written
  • First and Final
  • Final written
  • No warning required

• Previous Disciplinary Notes

• Issues for entry.

• Apprentice feedback.

• Apprentice signature.

  Sign

• Field officer comments.

• Field officer signature.

  Sign