Medical Installer Licence Audit

• Conducted on

  Date

• Prepared by

• All installers are to hold the following licences. Should an Installer fail to retain any of the following licences they will be suspended from duty until such time as they can produce the required licences

Employee Full Name

Date and Time of Audit

• Select date

  Date

Drivers Licence

• Does the employee hold a valid drivers licence?

  Yes

  No

  N/A

• Please take a photo of both the front and back of the employees licence

  Media

National Police Check

• Does the empluyee hold a valid police check that is no more than three years old?

  Yes

  No

  N/A

• Please upload or take a picture of the police check

  Media

Working with Children Check

• Does the employee hold a valid Working with Children Check?

  Yes

  No

  N/A

• Please upload or take a photo of the Working withy Children Check

  Media

Acknowledgement

• I the manager/team leader hereby confirm the above information is true and correct

  Sign