Title Page

  • Conducted on

  • Prepared by

  • Location

Employee qualifications and certificates

  • Employee Name

Employee current Qualifications

  • Please upload Photos of all requrered licences and qualifications

  • Vehicle Licence

  • BSA Licence

  • Construction Industry

  • C’ Class

  • LR’ Class

  • MR’ Class

  • HR’ Class

  • HC’ Class

  • MC’ Class

  • Microsoft Word

  • Microsoft Excel

  • Microsoft Outlook

  • Microsoft Project

  • Microsoft Powerpoint

  • Navision 2013

Formal Qualifications

  • Cert III in L’scape Construction

  • Cert IV in L’scape Construction

  • Cert III in Horticulture

  • Cert IV in Horticulture

  • Diploma in Horticulture

  • Cert IV in Irrigation

  • Cert III in Project Management

  • Cert IV in Project Management

  • Cert IV Training & Assessment

  • Other

Machines & VOCs

  • Backhoe Front‐End Loader (LB)

  • LB VOC

  • Concrete Pump (PB)

  • PB VOC

  • Excavator (LE)

  • LE VOC

  • Fork lift (LF)

  • LF VOC

  • Front‐End Loader (LL)

  • LL VOC

  • Mobile Crane

  • Mobile Crane VOC

  • Road Roller (LR)

  • LR VOC

  • Skid Steer Loader (LS)

  • LS VOC

  • Other

Safety

  • CPR

  • Apply first aid

  • H&S Representative

  • Monitor Safe W’place (Super.)

  • Other

  • Construction Safety Card

  • ACDC Licence

  • Chainsaw Licence

  • Chemical Operator Accred

Elevated Work Platform (WP)

  • Qualification leve;

MUTCD Level 1

  • expiry date

MUTCD Level 2

  • expiry date

Working at Heights

  • Qualification level

  • Expiry date

Acknowledgement forms

Employee Handbook

  • I acknowledge that I have been provided with a copy of the Lush Green employee handbook and have fully read and understand it

OH&S

  • Workers must perform all duties in a manner that ensures the health and safety of themselves and others in the workplace

  • Being affected by illegal drugs or smoking on the premises may result in termination of a workers engagement

  • Breaches of health and safety policies (such as physical and verbal assault, bullying or harassment) will not be tolerated from any workers, and may result in the termination of a workers employment

  • You must comply with company policy in regards to PPE. This includes long pants, long sleeve shirts, protective footwear, hats, safety glasses and any other PPE as directed by management

  • If you identifie a hazard in the workplace, you don’t have a responsibility to do anything

  • All accidents, incidents and near misses must be reported to management

  • You don’t have to follow workplace rules if you don’t think they are inporntant

  • Poor housekeeping( untidy workplace) dose not have an affect health and safety

  • I acknowledge that I have been provided with a full copy of the Lush Green Health and Safety Handbook and that I have read and understand it. I agree to comply with the policies and procedures applicable to me contained within the Lush Green Health and Safety Handbook to the best of my ability and to comply with all policies and procedures when attending all lush green sites and other workplaces

Company policy

  • I acknowledge that if negligence or intentional damage is evident that I may be responsible for any damage, loss or liability incurred by lush green

  • I acknowledge that I have read and fully understand the Lush Green property and vehicle policy as outlined in the Lush Green employee handbook or my employment contract.

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.