Upload
others
View
3
Download
0
Embed Size (px)
Citation preview
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 1 of 19
Licence to Conduct High Risk Work – Forklift Truck
» FORKLIFT LICENCE
Information Package for Applicants
CONTACT TRANSTRAIN: TEL 1300 665 170 FOR MORE INFORMATION
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 2 of 19
VERSION DETAILS
Version number and Date Description and Status
Version 8, July 2015
Version 9, January 2016 Document updated to include version detail section
Code of practice removed – generic version to be printed separately and
supplied with this document.
Enrolment form adjusted to reflect current generic version, with addition
of HRW details
Formatting updated
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 3 of 19
What is in this Information Package
VERSION DETAILS ........................................................................................... 2
DESCRIPTION OF CLASS .................................................................................. 4
TASMANIAN LAW AND LICENCE TO CONDUCT HIGH RISK WORK ................... 4
REQUIREMENT TO BE LICENCED ..................................................................... 4
DUTY TO ENSURE DIRECT SUPERVISION ......................................................... 4
PCBU TO OBTAIN (AND KEEP) WRITTEN EVIDENCE OF LICENCE ...................... 5
TRANSTRAIN PATHWAYS TO THE LICENCE ..................................................... 5
WORKPLACE RESOURCE CHECKLIST ............................................................... 6
PATHWAY CHECKLIST ..................................................................................... 7
ELIGIBILITY CHECKLIST - SUMMARY ............................................................... 8
Recognition of Prior Learning ........................................................................................ 9
Workplace Based Pathway: ........................................................................................... 9
Combined – Workplace Learning, Off Job Assessment ................................................. 10
DETAIL OF THE TRAINING AND ASSESSMENT PROCESS ................................ 11
ENROLMENT ............................................................................................................... 11
COMPLETE REQUIRED TRAINING ................................................................................. 11
COMPLETE SELF ASSESSMENT AND SUPERVISOR ASSESSMENT .................................... 11
COMPLETE FORMATIVE ASSESSMENTS ........................................................................ 11
COMPLETE NATIONAL HIGH RISK WORK LICENCE ASSESSMENT ................................... 11
IF YOU ARE NOT SUCCESSFUL ...................................................................................... 12
APPLY FOR LICENCE TO BE ISSUED ............................................................................... 12
RENEWAL OF LICENCE TO CONDUCT HIGH RISK WORK ................................ 12
APPLICATION WITHIN THE LICENCE PERIOD ................................................................. 12
APPLICATION ONCE LICENCE HAS EXPIRED, BUT LESS THAN 12 MONTHS ..................... 12
LICENCE EXPIRED MORE THAN 12 MONTHS ................................................................. 12
VERIFICATION / VALIDATION OF COMPETENCY ........................................... 13
MORE INFORMATION .................................................................................. 13
ENROLMENT FORM ...................................................................................... 15
EVIDENCE OF IDENTITY – TRAINER TO CONFIRM AND NOTE DETAILS ........... 18
WORKPLACE RESOURCE CHECKLIST ............................................................. 19
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 4 of 19
DESCRIPTION OF CLASS The Licence to Conduct High Risk Work – Forklift – permits use of a forklift truck other than an order-
picking forklift truck.
TASMANIAN LAW AND LICENCE TO CONDUCT HIGH RISK WORK The Tasmanian Workplace Health and Safety Regulations 2012 specify the classes of high risk work
and the conditions under which a person may conduct high risk work.
The Regulations specify the mandatory training that must be undertaken, through a Registered
Training Organisation and against a Unit of Competency, before a person may attempt the Licence to
Conduct High Risk Work assessment. Alternatively, an applicant may provide evidence that this
training has occurred and request recognition of their prior learning.
Assessment Instruments are now established and are the same across Australia. Workplace
Standards Tasmania is responsible for Accrediting and Registering Assessors who may conduct the
assessments, under arrangements with Registered Training Organisations.
In establishing our current Licence to Conduct High Risk Work training and assessment practices
TransTrain has worked closely with Workplace Standards Tasmania.
A copy of the Regulations is available at www.thelaw.tas.gov.au and an extract, specific to Licence to
Conduct High Risk Work, is available from TransTrain.
REQUIREMENT TO BE LICENCED Under the law in Tasmania effective from 1/1/2013, if you do not hold a current licence to conduct
high risk work (or a valid Assessment Summary Interim Licence), then you cannot conduct high risk
work, unless you are enrolled and have completed introductory training and are working under the
supervision of a licenced operator.
It is no longer legal for an unlicensed person to be supervised by a licensed person in
conducting a class of high risk work, UNLESS the unlicensed person is ALSO formally
enrolled with a Registered Training Organisation AND completing training for the specified
national unit of competency.
The penalty for individuals is up to $3600, and up to $18,000 for a body corporate.
DUTY TO ENSURE DIRECT SUPERVISION Regulation 84 specifies the duty of a Person Conducting Business or Undertaking (PCBU) to provide
direct supervision. A PCBU must ensure that a person supervising the work of a person carrying out
high risk work whilst undergoing a formal program of training through a RTO provides direct
supervision unless:
a) The nature or circumstances of a particular task make direct supervision impracticable or
unnecessary; and
b) The reduced level of supervision will not place the health or safety of the supervised person
or any other person at risk.
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 5 of 19
PCBU TO OBTAIN (AND KEEP) WRITTEN EVIDENCE OF LICENCE Regulation 85 specifies that a PCBU must not direct or allow a worker to carry out high risk work for
which a high risk work licence is required unless the person sees written evidence provided by the
worker that the worker has the relevant high risk work licence. The regulation also specifies that the
PCBU must see written evidence that any person supervising a person conducting high risk work
under a training program holds the relevant high risk work licence for that class of work.
This written evidence must be kept by the PCBU for at least one year after the high risk work is
carried out, and for at least one year after the last occasion on which the worker performs the
supervision work.
The penalty for individuals is up to $1200, and up to $6000 for a body corporate.
TRANSTRAIN PATHWAYS TO THE LICENCE You must be aged at least 18 years before you can apply for a Licence to Conduct High Risk Work. If
you are less than 18 years of age, please contact TransTrain to discuss options.
TransTrain offers four pathway options for applicants wanting to achieve a Licence to Conduct High
Risk Work.
Your pathway will depend on:
Your previous qualifications / licences held
Your access to a workplace with resources available to support the training
Your access to a workplace with resources available to support the assessment
The pathways are:
1. Recognition of Prior Learning Pathway – you must have an expired certificate of competency or forklift licence, OR a Statement of Attainment issued by a Registered Training Organisation (RTO), for the unit of competency TLILIC2001A or equivalent, to be eligible for RPL through TransTrain
2. Workplace Based Pathway – where you have access to suitable resources, including a licenced operator to provide you with direct supervision
3. Off Job Pathway – where TransTrain provides suitable resources and a qualified trainer and registered assessor
4. Combined Pathway – which provides options to meet specific situations – for example, where there is a forklift and licenced operator to provide supervision in the workplace, but all of the resources specified in the licence assessment are not available in the workplace. In this case, initial training can be conducted by TransTrain in the workplace, you can gain skills and knowledge by operating the forklift under supervision of a licenced operator in the workplace, and attend a TransTrain facility for the assessment phase.
TransTrain has a checklist available to help you work out what the most suitable pathway is for you –
refer to the next page.
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 6 of 19
WORKPLACE RESOURCE CHECKLIST Use this checklist to determine if your workplace is a suitable environment and has the required
resources for the forklift training and assessment.
Criteria
Criteria required for the training phase
Hazard controls, both site and task specific.
A forklift that complies with AS2359 – may be electric, LP gas, petrol or diesel powered
An operator to supervise the learner, who holds the Licence to Conduct High Risk Work (Forklift) and who will work through a series of activities with the learner
Criteria required for the assessment phase
Hazard controls, both site and task specific.
A forklift that complies with AS2359 – may be electric, LP gas, petrol or diesel powered
The working zone for the forklift assessment must not be less than 400 square meters.
Shelving and or racking(where applicable, for the purposes of forklift assessment, shelving and racking can be taken to mean a flat stable area for the placement of loads suitable for the industry being worked in) which will allow the applicant to demonstrate the following lifts:
o Lift one: low level (floor level)
o Lift two: medium level (should not be performed at less than 25% of machine’s height capacity.
o Lift three: high level (should not be performed at less than 75% of machine’s height capacity.
Suitable obstacles to allow the forklift to maneuver through a chicane.
Three varied loads suitable for the forklift weighing at least 50% of the rated capacity of the forklift
Appropriate communication systems, for example fixed channel radio and/or whistles
A suitable space (with table and chairs) where the knowledge assessment can be conducted without interruption
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 7 of 19
PATHWAY CHECKLIST Criteria Yes /
No Outcome
Age - are you aged more than18 years? You are eligible to participate in the service
Prior Learning – do you have one of the following: Expired Forklift Licence / Certificate of
Competency Statement of Attainment issued by a RTO for
the unit of competency TLILIC2001A Licence to Operate a Forklift Truck
If so, you will be required to complete a self assessment checklist, provide referees who can confirm your current skills and knowledge, and participate in an interview with the Assessor. You must participate in the assessment phase, which includes a confirmation of your current skills and knowledge, prior to the full Licence to Conduct High Risk Work Assessment.
Make application for RPL on the TransTrain Licence to Conduct High Risk Work Enrolment and RPL Application Form.
You must participate in a full program of training and assessment
Learning Environment – do you have access to a workplace with:
Hazard Controls, both site and task specific A forklift that complies with AS2359 – may be
electric, LP gas, petrol or diesel powered A licenced operator who will supervise you
while operating the forklift and support you in on job learning and assessment activities
Appropriate communication systems, for example fixed channel radio and/or whistles
You may participate in a Workplace Based pathway for the learning phase of the program
Join a scheduled program where TransTrain provides the necessary resources
Assessment Environment – do you have access to a workplace with:
Hazard Controls, both site and task specific A forklift that complies with AS2359 – may be
electric, LP gas, petrol or diesel powered A working zone for the forklift assessment of
not less than 400 square meters Shelving and or racking(where applicable, for
the purposes of forklift assessment, shelving and racking can be taken to mean a flat stable area for the placement of loads suitable for the industry being worked in) which will allow the applicant to demonstrate a low, mid and high level lift?
Suitable obstacles to allow the forklift to maneuver through a chicane.
Three varied loads suitable for the forklift weighing at least 50% of the rated capacity of the forklift
Appropriate communication systems, for example fixed channel radio and/or whistles
The assessments for this program can be conducted in your workplace, using your resources
Join a scheduled program where TransTrain provides the necessary resources. Note that if you have access to resources in the workplace that are suitable for the learning phase, you may wish to join the program for the assessment phase only.
Please talk with TransTrain about any of these aspects. In many cases we can attend your workplace
to confirm the suitability of resources.
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 8 of 19
ELIGIBILITY CHECKLIST - SUMMARY
CHECK YOUR AGE You must be at least 18 years old to make application for a forklift licence in Tasmania. If you are less than 18 years of age, please contact TransTrain.
MORE THAN 18 YEARS of age You are eligible for a Training and Assessment service with TransTrain
LESS THAN 18 YEARS of age You are not eligible for a service with TransTrain
CHECK YOUR ELIGIBILITY FOR RPL If you have an expired forklift licence / certificate of competency, or a Statement of Attainment from a Registered Training Organisation for the unit TLLILIC2001A Licence to operate a forklift truck, you may apply for advanced entry to the training. This is known as Recognition of Prior Learning, or RPL. You must still complete the assessment aspects of the course, but your training time may be reduced on the basis of prior training. TransTrain has developed a RPL Application Form that you must use to apply for RPL. Following review of your RPL application and interview with you, TransTrain may require that you complete some training to fill gaps before proceeding to the assessment stages.
PRIOR TRAINING / LICENCE You are eligible to apply for RPL / advanced entry to the training and assessment service. Complete the Licence to Conduct High Risk Work Enrolment and RPL Assessment Form.
NO PRIOR TRAINING / LICENCE You are not eligible for any RPL. You must complete a training program with TransTrain before entering the assessment.
CHECK YOUR ACCESS TO WORKPLACE TRAINING Do you have a workplace, with hazard controls and a suitable forklift, appropriate communication systems and a person who is a licenced operator who will provide you with direct supervision whilst you gain skills and knowledge operating the forklift?
WORKPLACE AND RESOURCES AVAILABLE You are eligible for a workplace based pathway for your training.
NO WORKPLACE WITH RESOURCES TransTrain offers “off the job” options.
CHECK YOUR ACCESS TO WORKPLACE ASSESSMENT Do you have a workplace with hazard controls, minimum of 400 square meters, a range of loads, an operational forklift to standards AS2359, racking / shelving, appropriate communication systems available in your workplace for the assessment?
OPTIONS Use TransTrain’s Checklist to see if you have the resources to do the assessment in your workplace. If not, TransTrain offers an off the job assessment option.
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 9 of 19
Recognition of Prior Learning Available where you hold an expired Forklift Licence or Certificate of Competency, or have a
Statement of Attainment from a Registered Training Organisation for the unit of competency
TLILIC2001A Licence to conduct high risk work
Where you have one of the above listed documents demonstrating your previous training,
you can apply to have Recognition of Prior Learning applied to your training program.
If you apply to have your current competency recognized, you must provide documentation that
demonstrates that you have completed the content of the course that you are seeking recognition
for.
TransTrain will provide you with a Self Assessment Checklist and follow this up with an Interview.
The RPL Pathway includes an assessment phase for both knowledge and practical demonstration of
your skills. This service can be conducted in your workplace where suitable resources are available,
or in a facility where resources are provided by TransTrain.
RPL is granted against the training aspect. As a minimum, Applicants must still complete the
TransTrain Formative Assessment and the High Risk Work Licence Assessment.
Workplace Based Pathway: Available where all resources specified for the training and the National High Risk Work Licence
Assessment are available in the workplace, including licenced operator(s) to provide supervision.
The process:
PRE-PROGRAM
Contact us and book your service. We will provide our Code of Practice, a Pre-program Information
Package and an Enrolment form. We will ask you to use a checklist to confirm that you have the
resources available in the workplace. This is your responsibility – we will check the resources against
this checklist as part of the first stage of service.
STAGE 1: INTRODUCTORY TRAINING & WORKPLACE CHECK
(UP TO 4 HOURS)
TransTrain attends your workplace to:
Confirm that the resources are available
Complete any outstanding details from the Enrolment with you
Conduct introductory and safety training in operating the forklift
Meet with the Licenced Operator who will Supervise you operating the forklift
Provide you with a Log Book to complete when you operate the forklift under supervision
STAGE 2: WORKPLACE LEARNING
(UP TO 3 MONTHS)
You operate the forklift, under the supervision of a licenced operator for the purpose of gaining
experience, skills and knowledge. You must keep a log of all times you operate the forklift, who
supervised you and what you did while operating the forklift. TransTrain will contact you at the 2
month point to check on your progress and to make a booking for your assessment.
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 10 of 19
STAGE 3: ASSESSMENT PHASE
(UP TO 5 HOURS)
TransTrain attends your workplace and meets with you and your Supervising Operator. TransTrain
conducts a formative assessment (practical and knowledge aspects) to decide if you are ready to
attempt the Licence to Conduct High Risk Work Assessment. If you are successful, you proceed to
the Licence to Conduct High Risk Work Assessment.
If you are successful, you will be issued with an Assessment Summary Interim Licence which is valid
for 60 days – you must make application for your licence during this 60 days.
If you are not successful in the formative assessment, you may not proceed to the Licence to
Conduct High Risk Work Assessment. If you are not successful in assessments, TransTrain will meet
with you and your Supervising Operator to discuss options which may include further time on the
job to gain skills and knowledge, off job training and reassessment.
Off Job Pathway
Suitable where you require TransTrain to provide the facility and resources.
This program is offered over three days (may be reduced to two days for 2 or less
participants).
The final day includes the TransTrain formative assessment and the National Assessment for Licence
(knowledge questions, calculations assessment and practical assessment).
Combined – Workplace Learning, Off Job Assessment Suitable where resources suitable for training are available in the workplace but not the resources
required for the Licence to Conduct High Risk Work Assessment.
The process:
PRE-PROGRAM
Contact us and book your service. We will provide our Code of Practice, a Pre-program Information
Package and an Enrolment form. We will ask you to complete a checklist to confirm that you have
the resources available in the workplace.
STAGE 1: INTRODUCTORY TRAINING & WORKPLACE CHECK
(UP TO 4 HOURS)
TransTrain attends your workplace to:
Confirm that the resources are available
Complete the Enrolment with you
Conduct introductory and safety training in operating the forklift
Meet with the Licenced Operator who will Supervise you operating the forklift
Provide you with a Log Book to complete when you operate the forklift under supervision
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 11 of 19
STAGE 2: WORKPLACE LEARNING
(UP TO 3 MONTHS)
You operate the forklift, under the supervision of a licenced operator for the purpose of gaining skills
and knowledge. You complete the activities in the Activity Book provided by TransTrain and keep a
log of all times you operate the forklift, who supervised you and what you did while operating the
forklift.
STAGE 3: ASSESSMENT PHASE
(JOIN TRANSTRAIN OFF JOB PROGRAM FOR FINAL DAY)
Join a TransTrain scheduled program for the final day to complete your Assessment activities.
DETAIL OF THE TRAINING AND ASSESSMENT PROCESS
ENROLMENT
Provide evidence of identity and confirm eligibility for the licence
Complete TransTrain Enrolment Form to relevant unit of competency
If applicable, make application for recognition of prior learning based on previous
experience – must provide documentary evidence, complete a self assessment and interview
COMPLETE REQUIRED TRAINING
TransTrain provides introductory, safety training on enrolment for all classes of high risk work.
Depending on the circumstance, you may then complete specified activity in the workplace under
supervision of a licenced operator, or may complete further structured training in a facility provided
by TransTrain. All time in training is recorded in an Operator Log Book. .
COMPLETE SELF ASSESSMENT AND SUPERVISOR ASSESSMENT
Operator and Supervisor (if workplace pathway) or Trainer (if off job pathway) complete a statement
to confirm the operator’s readiness for final assessments.
COMPLETE FORMATIVE ASSESSMENTS
TransTrain conducts a formative assessment to confirm readiness for the final Licence to Conduct
High Risk Work Assessment.
COMPLETE NATIONAL HIGH RISK WORK LICENCE ASSESSMENT
The National Assessment Instruments (AIs) for Licence to Conduct High Risk Work are used for the
final assessment. These are confidential and may only be disclosed once you have been deemed
ready to participate in the assessment.
There are generally three parts to these assessments – a knowledge component, a calculations
assessment and a practical demonstration. Each part can be conducted separately, within a
specified timeframe.
When you have been successful in all parts of the assessment you will be issued with an Assessment
Summary Interim Licence which is valid for 60 days – you must make application for your licence
during this 60 days. This provides an interim licence and is also the evidence needed to apply for the
Licence to Conduct High Risk Work.
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 12 of 19
The satisfactory assessment also triggers the Registered Training Organisation to generate a
Statement of Attainment for the relevant national unit of competency.
IF YOU ARE NOT SUCCESSFUL If you are not successful in the TransTrain Formative assessment, you may not proceed to the
Licence to Conduct High Risk Work Assessment. TransTrain will negotiate a training plan and re-
assessment opportunity for you.
If you are not successful in the Licence to Conduct High Risk Work assessment, you may not
participate in a re-assessment within 21 days of you unsuccessful assessment, however if you were
successful with some sections of the assessment, these remain valid for 60 days and you do not
need to repeat these.
If you are not successful in assessments, TransTrain will meet with you and your Supervising
Operator to discuss options which may include further time on the job to gain skills and knowledge,
off job training and reassessment. Additional services including re-assessment will be at additional
cost.
APPLY FOR LICENCE TO BE ISSUED
You apply through Service Tasmania for the issue of a Licence to Conduct High Risk Work for the
specified class.
RENEWAL OF LICENCE TO CONDUCT HIGH RISK WORK
Licences issued under the new regulations have a 5 year expiry (Regulation 92). The process to
renew a licence is set out in Subdivision 4 of the Regulation.
APPLICATION WITHIN THE LICENCE PERIOD
The person must make application, before the expiry of the licence, including a declaration that he
or she has maintained competency to carry out the high risk work. The regulator may require that
the person complete any relevant training or reassessment for example if the regulator is concerned
about the original quality of training and or assessment, or if there is evidence that the person has
conducted high risk work incompetently (Regulation 95).
APPLICATION ONCE LICENCE HAS EXPIRED, BUT LESS THAN 12 MONTHS
If the High Risk Work Licence (NOT a previous Certificate of Competency) has expired, the applicant
has a 12 month window in which to make application for renewal of the licence, but may not
conduct high risk work relating to that expired licence.
LICENCE EXPIRED MORE THAN 12 MONTHS
After a High Risk Work Licence (NOT a previous Certificate of Competency) has been expired more
than 12 months, the applicant is deemed a new applicant and must undergo the standard process of
licence application through enrolment and assessment with a Registered Training Organisation.
Your expired licence may provide evidence of RPL and shorten the training phase of your program.
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 13 of 19
VERIFICATION / VALIDATION OF COMPETENCY
TransTrain is also available to conduct Verification, or Validation, of Competency (VOC), to confirm
operator current skills and knowledge. Operators must have a current Licence to Conduct High Risk
Work for this class to be eligible for the VOC assessment.
MORE INFORMATION
Additional information is available at the following links:
Workplace Standards Tasmania – High Risk Work Licensing
TRANZnet - includes a search function to find assessors for specific functions across Australia and
New Zealand
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 14 of 19
Page left blank
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 15 of 19
ENROLMENT FORM
Please complete your details on the Enrolment Form
From the Enrolment form, the rest of this document will be completed and returned to TransTrain as required by your trainer / assessor. Do not complete the “RPL” section unless you are seeking recognition of prior learning Information requested on this enrolment form is for national database and tracking purposes and assists in ongoing qualification issuance as required. All data is confidential and is not forwarded to any other party with the sole exception of the national statistical database to inform future federal funding in Vocational. Support and advice can be provided by your TransTrain Trainer / Assessor to help complete the enrolment form.
1 YOUR PERSONAL DETAILS
Unique Student Identifier (USI) # OR: complete permission for TransTrain to apply
Title Mr Mrs Miss Ms Dr Other
Surname (Family Name)
Former Surname (if applicable)
Given Name (First name)
Other Names (Middle names)
Your date of birth / /
City / Town of Birth
Your gender Male Female
Name of Emergency Contact
Phone # for Emergency Contact
2 YOUR ADDRESS
Street no and name
Town/Suburb
State Postcode -
Residential
Postal address if
different from above
Telephone (Home) Telephone (Work)
Fax Mobile
3 YOUR SERVICE DETAILS
Name of Qualification or
Unit(s) of Competency
TLILIC2001A – Licence to operate a forklift truck
.
What evidence do you have for RPL
(MUST tick one + provide original) Expired Licence / Certificate of Competency
Statement of Attainment for TLILIC2001A Licence to operate a forklift
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 16 of 19
4 YOUR WORKPLACE
Business Name .
Contact Name .
Address .
Town/Suburb .
Telephone . Email .
5 ABOUT YOU
Are you of Aboriginal or Torres Strait Islander
origin?
No, Neither Aboriginal nor Torres Strait Islander
(For persons of both Aboriginal AND Torres
Strait Islander origin, mark both “Yes” boxes)
Yes, Aboriginal
Yes, Torres Strait Islander
In which country were you born? Australia
Other – please specify
Are you still attending secondary school? No Yes
What is your highest
COMPLETED school level?
Completed year 12
Completed year 11
Completed year 10
Completed year 9 or
equivalent
Completed year 8 or lower
did not go to school
In which YEAR did you complete that school
level?
Have you completed any of the following qualifications? If YES, then tick ANY applicable boxes.
Certificate I
Certificate II
Certificate III (or Trade Certificate)
Certificate IV (or Advance Certificate / Technician)
Diploma (or Associate Diploma)
Advanced Diploma or Associate Degree
Bachelor Degree or Higher Degree
Certificates other than the above
Of the following categories, which BEST describes your current employment status? (Tick ONE box only.)
Full-time employee Employer Unemployed – seeking full-time work
Part-time employee Employed – unpaid worker
in a family business
Unemployed – seeking part-time
work
Self employed – not employing others Not employed – not seeking
employment
How well do you speak English? Very well Well Not well Not at all
Do you speak a language other that English at
home? (If more than one language, indicate the
one that is spoken most often.)
No, English only (Go to the next section)
Other – please specify
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 17 of 19
6 DISABILITY OR SPECIFIC LEARNING NEEDS – LET US KNOW HOW WE CAN SUPPORT YOU BEST
Do you consider yourself to have a disability, impairment or long-term condition?
No Yes please indicate the areas of disability, impairment or long-term condition. You may indicate more than
one area.
Physical Medical condition Vision Hearing/Deaf
Learning Mental Illness Intellectual Acquired Brain Impairment
other
Do you have any specific learning needs that we should be aware of to support you in this program?
No Yes please advise us before your program so that we can discuss with you including exploring options for
reasonable adjustment.
7 STUDY REASON
Of the following categories, which BEST describes your MAIN REASON for undertaking this program? (Tick ONE box only)
To get a job To get a better job or
promotion
For personal interest / self development
To develop my existing business It was a requirement of my job Other reasons:
To start my own business I wanted extra skills for my job
To try for a different career To get into another course of
study
8 DECLARATION
1. I understand that information contained in these forms may be provided to State and Commonwealth agencies and research organisations and I consent to that occurring. I certify that all details provided on these forms are correct.
2. Where this program has been organized by / paid for by my employer, job agency, insurer or other third party, I understand and agree that the results of my training will be advised to this third party
3. I have received TransTrain’s Code of Practice
4. I have been advised the unit/s of competency I have enrolled for / my training plan
5. I agree with the assessment procedure identified, which may include asking others in my workplace to contribute to my assessment
6. I am not affected by alcohol, drugs or fatigue and I understand that I must not conduct high risk work if affected by drugs or alcohol
7. I am fit to participate in this training and assessment program
8. I understand that I must not conduct this class of High Risk Work unless under supervision of an operator who is licenced to conduct high risk work and only after it is confirmed that I have participated introductory and safety training
9. I give permission to TransTrain to locate an existing USI (unique Student Identifier). If you do not give TransTrain permission to locate your existing USI please discuss with your trainer and tick here
I give permission to TransTrain to send me newsletters and courses, including special offers
Your Signature Date:
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 18 of 19
DEPARTMENT OF EDUCATION: PERSONAL INFORMATION PROTECTION STATEMENT
1. Personal information is collected from you for the purpose of obtaining and verifying student related details. It is used by the Department of Education for the planning, provision and reporting of educational and vocational training programs as authorised by the Education Act 1994 and the Skilling Australia’s Workforce Act 2005 and related State and Commonwealth Acts and Regulations.
2. Your personal information will be used for the primary purpose for which it is collected, and will be disclosed to The National Centre for Vocational Education Research (NCVER), government and other authorised agencies for the purposes stated above.
3. Personal information will be managed in accordance with the Personal Information Protection Act 2004 and may be accessed by the individual to whom it relates on request to Principal.
4. You can obtain a copy of the department's Personal Information Protection Policy on request.
EVIDENCE OF IDENTITY – TRAINER TO CONFIRM AND NOTE DETAILS Tasmanian Evidence Of Identity (EOI) Use only Evidence of Identity Documents that are listed below. If the applicant provides an alternative document, please check with TransTrain before accepting. EVIDENCE OF IDENTITY – note that applicants will be required to present this at Service Tasmania A person must provide a minimum of three original documents (not photocopies) - EITHER one document from category A plus two documents from category B OR two documents from Category A plus one document from Category B (One or more must show the signature, date of birth and current residential address - additional evidence documentation may be required).
3 DOCUMENTS – at least 1 from Category A
Pro
vid
e 1
fro
m A
an
d 2
fro
m B
Or
2 f
rom
A a
nd
1 f
rom
B
Category A – Evidence of Existence
Australian Birth Certificate (not an extract or commemorative certificate)
Australian Citizenship Papers
Australian Passport (expired up to 2 years)
Department of Immigration & Citizenship - travel documents, including a visa
Department of Immigration & Citizenship - Certificate of Residence status
Australian Firearm Licence
Overseas Passport (expired up to 2 years if accompanied by a current Australian Visa)
Australian Photo Driver Licence (can be expired up to 2 years)
Tasmanian Government Personal Information Card (displaying full name)
Category B – Evidence of Use of Identity
Medicare Card
Plastic Bank or Credit Card, with signature
Student Identity Card with photo issued by an Australian educational institution
Department of Veterans' Affairs / Centrelink Pensioner Concession card
Births, Deaths & Marriages Change of Name Registration / Marriage Certificate (not a church or celebrant document) or Deed Poll.
Need Help? If you require assistance with providing Evidence of Identity documents then please call us on 1300 798 398 or call the (DIER) Transport Enquiry Service on 1300 851 225
Evidence of Identity Documents as stated above have been sighted and verified by TransTrain
Trainer
NAME OF TRAINER
SIGNATURE OF TRAINER
DATE
SP HRW | HRW - Forklift Info and Enrolment Pack | V2.0 | Mar-16 Page 19 of 19
WORKPLACE RESOURCE CHECKLIST Use this checklist to determine if your workplace is a suitable environment and has the required resources for the relevant class of Licence to Conduct High Risk Work training and assessment.
NAME OF WORKPLACE
ADDRESS OF WORKPLACE (PHYSICAL)
MACHINE TYPE
SERIAL NUMBER
Trainer to confirm that the following aspects are present in the workplace: Criteria
Criteria required for the training phase
Hazard controls, both site and task specific.
A forklift that complies with AS2359 – may be electric, LP gas, petrol or diesel powered
An operator to supervise the learner, who holds the Licence to Conduct High Risk Work (Forklift) and who will work through a series of activities with the learner
Criteria required for the assessment phase
Hazard controls, both site and task specific.
A forklift that complies with AS2359 – may be electric, LP gas, petrol or diesel powered
The working zone for the forklift assessment must not be less than 400 square meters***
Shelving and or racking(where applicable, for the purposes of forklift assessment, shelving and racking can be taken to mean a flat stable area for the placement of loads suitable for the industry being worked in) which will allow the applicant to demonstrate the following lifts:
o Lift one: low level (floor level)
o Lift two: medium level (should not be performed at less than 25% of machine’s height capacity.
o Lift three: high level (should not be performed at less than 75% of machine’s height capacity.
Suitable obstacles to allow the forklift to maneuver through a chicane.
Three varied loads suitable for the forklift weighing at least 50% of the rated capacity of the forklift
Appropriate communication systems, for example fixed channel radio and/or whistles
A suitable space (with table and chairs) where the knowledge assessment can be conducted without interruption
NOTES *** if working zone is less than 400 meters, note here and discuss with TransTrain
NAME OF TRAINER
SIGNATURE OF TRAINER
DATE