Information

  • 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)

  • Location
  • Update this change on the database?

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

  • 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:

  • 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?

  • Site Address
  • Update this change on the database?

  • Is any other information above incorrect?

  • 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

Competency

  • Install Support / Protection

  • Install / Terminate LV Cables

  • Test Apparatus / Circuits

  • Fault Find Electrical

  • Install Apparatus

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

  • Service / Fabricate / Repair Apparatus

  • Install & Connect Cables To Telecommunication Services

  • Electives (Comments...)

Personal rating

  • Attitude

  • Dependability

  • Comprehension

  • Initiative

  • Attendance

  • Punctuality

Work sector.

  • Building and construction.

  • Housing. <br>Select Yes/No.

  • Commercial. <br>

  • Industrial.

  • Maintenance.

  • Manufacturing.

  • Other:

Percentage of work.

  • Percentage Of Work Electrical

  • Percentage Of Work Data

  • Percentage Of Work Other

  • Work being carried out.

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

  • Supervisor's Signature:

  • Supervisor's EW number:

INFORMATION FOR OFFICE INPUT

  • ***Enter type of visit***

  • ***Safety Alert Number/s***

  • ***Quarterly safety alert number***

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

  • ***RAC colour***

  • Rotation requested

  • ***Additional training requested***

  • ****Warning issued****

  • Please enter details of warning:

Workplace health and safety.

  • Has apprentice received host employer induction?

  • Has the apprentice attended site specific inductions?

  • Are JSAS or SWMS used on site?

  • Does the apprentice participate in isolation testing and tagging?

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

  • Is the PPE appropriate to task?

Host Employer

  • Ladder condition.

  • Condition of hand tools.

  • Condition of leads.

  • Condition of test equipment.

  • Condition of EWP.

  • Other

  • Supervision type.

  • Adequate to task and year?

General

  • Is PPE appropriate to task?

  • Is apprentice using RAC daily for every job?

  • New RAC book requested:

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

  • Is there job specific PPE available?

  • College status ok?

  • Enter comments:

  • College/TAFE Absenteeism OK?

  • Please enter details regarding absenteeism here:

  • COY OK?

  • COY date: ***COYdate***

    RDO detail: ***RDOdetail***

    Annual leave detail: ***AnnualLeave***

    Previous Disciplinary Action Info:
    ***PreviousDiscInfo***

  • Is any of the above information incorrect?

  • Fill in only the ones that are incorrect above

  • Enter COY date

  • Annual leave detail

  • RDO detail

  • Previous disciplinary action

  • Previous Disciplinary Notes

  • Issues for entry.

  • Apprentice feedback.

  • Apprentice signature.

  • Field officer comments.

  • Field officer signature.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.