Construction Health and Safety Professions Registration Documents

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SECTION A Personal Particulars of Applicant

SECTION B Category of Registration Being Applied For

SECTION C Educational Qualifications

SECTION D Other Professional Qualifications / Registration with Professional Institutions

SECTION E Practical Experience in Construction Health and Safety

SECTION F Details of Current Employment

SECTION G Declaration

SECTION H Documents to be submitted with this Application Form

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SECTION A: PERSONAL PARTICULARS OF APPLICANT

Type of Identification (Mark with X) RSA ID-Document Foreign ID-Document Identification No.: Country of Issue Title (Mark with X) Prof Dr Mr Mrs Ms Rev Gender (Mark with X) Male Female Ethnic Group Black White Indian Coloured Other (Strictly for statistical purposes only) Surname Initials and First Name Date of Birth Day Month Year E-mail Address Telephone No. Cell No. Fax No. Postal Address Physical Address Province Address where communications must be sent (Mark with X) Postal Address Physical Address

Postal Code

Postal Code

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SECTION B: CATEGORY OF REGISTRATION BEING APPLIED FOR

Category of Registration being applied for (Mark with X, only one Category) Category Professional Construction Health and Safety Agent Construction Health and Safety Manager Construction Health and Safety Officer State whether any previous application(s) had been refused, and if so, when and reasons for refusal

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SECTION C: EDUCATIONAL QUALIFICATIONS

Names and address of Tertiary / University / Training Institution

Qualifications Obtained Year of Graduation

Note Attach certified copies of above qualification certificates

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SECTION D: PROFESSIONAL QUALIFICATIONS / REGISTRATION WITH PROFESSIONAL INSTITUTIONS

D1 - Names and address of Association / Institution Registration / Membership Year of Membership

D2 - Evidence of Continuous Professional Development (CPD)

Note Attach certified copies of above qualification, registration or membership certificates

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SECTION E: PRACTICAL EXPERIENCE IN THE FIELD OF CONSTRUCTION HEALTH AND SAFETY

Do you consider yourself to have obtained the necessary and relevant 2 - 5 years of practical experience in the field of Yes Construction Health and Safety (Mark with X) Not Necessary

If yes, attach documentary evidence of practical experience as prescribed below (Mark with X if attached) 1 List of projects worked on in the last 2 - 4 years in the format as per Annexure A1 of this Application Form 2 Project Report as prescribed in Annexure A2 of this Application Form

Are you currently engaged in the field of Yes Construction Health and Safety? No

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SECTION F: DETAILS OF CURRENT EMPLOYMENT

Name of Employer Address of Employer Tel No. Fax No. Job Title Outline of Job Description Name of Supervisor

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SECTION G: DECLARATION

I, the applicant, hereby declare that: a. I am not disqualified in terms of Section 19 (3) of the Project and Construction Management Professions Act from being

registered in the category applied for b. I am not subject to suspension from registration by any other professional body c. I have read and understood the Registration Policy and guidelines and have no objections to it. d. All the particulars and documents submitted are in every respect true and correct and have been lawfully obtained, and I

have no objection to the verification of the authenticity of the documents.

e. I will abide by the Code of Conduct for registered persons. Signature of Applicant Date

No Faxed or E-mailed Applications will be accepted.

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SECTION H: DOCUMENTS TO BE SUBMITTED WITH THIS APPLICATION FORM

Please submit the following documents with this Application Form (Mark with X) 1. Completed Application Form

2. Certified copy of Identification Document

3. Certified copies of relevant certificates

4. List of Projects involved in (in format prescribed below)

5. Project Report

6. Curriculum Vitae

7. Payment of Application Fee

Cheque Postal Order Bank Deposit Slip Electronic Payment Slip Bank Payment by EFT (Old Mutual)

SACPCMP Bank Account Details Name of Bank: NEDBANK Account Name: SACPCMP Branch Name: CENTRAL BUSINESS Branch Code: 128405 Account No. 1284064557 Fax: (011) 318 3405

For Office Use

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CURRICULUM VITAE/ RESUME

CONTACT DETAILS

Full Name

Permanent address

Mobile number

Telephone number (landline)

E-mail address

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PERSONAL DETAILS

Date of birth

Place of birth

Citizenship

Identity Number

Gender

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EDUCATIONAL QUALIFICATIONS

The academic details have to be in a tabulated format with respect to the degrees or diplomas that

you would have attained. The latest degree or diploma should be listed first, followed by the attained

qualification/s and henceforth going backwards. The tabulation must also include the following:

Most recent Qualification:

Date qualification attained(month and year)

Name of Institution

Details of qualification

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PROFESSIONAL AFFILIATIONS AND AWARDS

In this section you are required to include membership of professional bodies that you are registered

with, year of being registered and class of registration with the latest being first. If given any award

that is of a professional nature, you should also detail what the award was on, by which institution

and on what year it was.

Professional Body Registrations:

Name of Professional Body Class of Registration Year Registered

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PROFESSIONAL DEVELOPMENT

In this section you must list what you acquired as part of your Continuing Professional Development

with the latest being listed first and so on. Show the year, place and details of the training/

certification you acquired.

Certificate Details Place Year Obtained

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CAREER HISTORY/ WORK EXPERIENCE

Work experience plays an important role in the assessment of your application hence the need for

this to be well presented in the curriculum vitae/ resume in chronological sequence. You should begin

with putting the name of the organisation you worked for, location (city and country) , list the most

recent first, the duration you held the post and the title of your position. After this, you should in

bulleted format narrate the responsibilities and achievements in the position you held. You are also

required to include as part of your CV submittal the project organogram that will clearly depict the

position you held and this must be for the last four years.

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Current/Most Recent:

Name of Organisation

Country

City

Month and year started

Month and year ended

Position held

Responsibilities (duties) and achievements

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CONTACTABLE REFEREES

In this section you should include the name of the person you worked under, the position he/she held

and full contact details. You should ensure that these are names of people who know you well and

you are urged to inform them that you are placing their names as reference as Council reserves the

right to call them for verification purposes.

Name of Referee

Position Held

Contact details

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NOTE

a) In the case of foreign qualifications, there must be a SAQA evaluation provided b) Certified copies (NO OLDER THAN 3 MONTHS) of identification document, relevant

qualification certificates and professional registration must be provided c) Council reserves the right to verify any information provided and to initiate any action it

deems appropriate for any incorrect information.

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Project profile (list of projects) involving Construction Health and Safety which you have completed or currently in progress during the last 4 years for Pr. CHSM and Pr. CHSA; 2 – 4 for CHSO.

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Name of project MEDUPI

Type and description of project Civils, earthworks for dirty water dam at

Medupi Power Station

Geographic location of project Lephelale

Name of client and position andcontact details of client representative

Eskom:Joe Bloggs, Eskom Project

Manager. 082 123 4567 joe.bloggs@

eskom.co.za

List of participating organisations ABC Consulting Engineers, XYZ linings

and ABC Principal Contractors and DEF

Sub contractors

Year project started and yearcompleted (or planned completed date)

2010 - 2012

Original planned completion date Jan 2013

Actual completion date March 2013

Percentage of practical completion 100%

Total value of project R 50 M

Percentage participation of yourorganisation in the project

50% JV with DEF Principal Contractors

Your specific role in the project Health & Safety Officer

Was the project successfullycompleted?

Minor works still continuing, major works

completed Jan 2013

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Provide two reports of 1500 words each. One detailing what successes that you

achieved on your project and how youachieved them.

The other must detail the challenges / frustrations or failures that you experienced on your project and how you handled these.

Both reports must demonstrate your technical competence as well as your understanding of Construction Health and Safety Planning, Implementation and Management.

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You must demonstrate your competence based on the Scope of Services for the category in which you are applying

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My selected project demonstrating the

successes I achieved on the project and how

I achieved them

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Ensure you have two separate reports◦ one based on success ◦ another on your challenges.

Both reports must cover ALL of the nine knowledge areas –by leaving one out you are throwing away marks.

Use the 9 knowledge areas as headings, start with a brief overview of your understanding of that discipline

Back this up with practical examples from your experience. You can write the A2 report using examples from all the

projects you outlines in the A1 report. Don’t simply copy and paste information into the report,

this will significantly disadvantage your application. Make sure you read and understand the scope of service

before writing your A2 report, this guides you in the deliverable / expectations of your knowledge.

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Don’t be afraid to tell the assessor your experience is limited, but do show that you understand the basics.

No one expects a safety office to have had a lot of experience in this field but show you understand the basic issues.

Use examples of success and challenges to show you’re understating eg: Success: ‘I identified that the cheaper gloves being bought were not lasting as long as a slightly more expensive glove, I engaged with the procurement department to buy the better glove. This saved time and money as well as allowing for better protection.’

Challenge: ‘having a centralised buying department meant there was a long turnaround time for my orders, sometimes resulting in work stoppages waiting for PPE deliveries’.

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Remember the assessors don’t know who you are or what you have done, you need to show them through the A2 report.

Anyone can also google the knowledge area and copy it in their own words

Use practical examples from your experience to show the assessor your experience and show case your challenges or successes.

Bear in mind that the industry is small, don’t make things up or over sell yourself as one of the assessors could pick up on this and bar your registration.

Ensure that you write your report giving Construction Health and Safety experiences in line with the registration criteria chosen.

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How does it work in your organisation?

Can you explain the processes? E.g. Identify need, motivate, procure, implement and manage.

Can you properly motivate a certain product e.g. PPE?

PPE – price vs. quality vs. service life

PPE – do you understand the limitations of certain items? Motivate

How do you manage “emergency purchases?

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It is not expected that Safety Officers be well versed in Cost or Procurement Management, however it is important to show an understanding. Eg, Success: ‘Where ever possible I use no cost or low cost practical solutions to safety management, for example on a remote project I timed my PPE orders with the delivery of materials, saving time and delivery costs’. Challenge: ‘safety is seen as a grudge cost or not enough care taken in looking after PPE’,

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Examples of other points to consider:

More people assigned to a project for production = increase safety costs that were not considered;

Implement a return policy for new PPE to ensure PPE is monitored;

Local suppliers on remote projects cutting down delivery and turnaround times;

Finding a balance between saving costs and good safety practices;

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Do you understand what is meant by Cost Management ?

Can you help with the compilation and maintenance of a HSE budget?

Explain that good record keeping could assist with Cost Management – certain Registers for example.

Explain how Risk Assessment has a direct bearing on Cost Management.

Explain how the size and complexity of the Project will affect Cost Management.

What is the future role of the Client? (Construction Regulations 2014)

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This should be a comprehensive section that covers all of your knowledge and understanding. Give an overview and back it up with examples. Eg, ‘I am actively involved in the identification of hazards and ensure that I attend all tool box talks to ensure they are done correctly’. Successes: ‘I managed to influence a work method procedure through identifying a hazard that could be avoided by doing the task differently.’ Challenge: ‘chasing production meant that I wasn’t alerted to new staff entering the project and some staff did not attend a task specific hazard analysis review.’

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Examples of other points to consider:

Three levels of Hazard Identification: Baseline, Task Specific, Daily;

Managing multiple teams on the same project – Subbies;

Ensuring everyone is aware of and up to speed on all Hazards for the project;

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Explain that it is a team effort – not individual achievement

Demonstrate competence in the system used by your organisation.

Demonstrate understanding of the 4 T`s (Tolerate, Treat, Transfer or Terminate). Give examples from Projects that you worked on.

How do you compile your Method Statements?

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Another area that needs to be comprehensive, this is fundamental to the process and is what most safety officers deal with on a day to day basis. Eg: Success ‘for a high risk task I was able to identify a solution to minimise risks, this was accepted by the site manager and helped reduce the injury frequency rate from...to...’. Challenge: ‘I battled between managing risk and achieving the site manager’s production targets’.

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Examples of other points to consider:

Levels of Risk Management: Engineer, transfer, avoid, PPE;

Severity vs frequency – residual risks;

Lack of personal appreciation for safety;

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If you have “transferred” a Risk – how do you follow through? (Subcontractors)

How is Risk managed by your Organisation ?

How do you effectively communicate Risk Management?

Do you continuously revise and review/monitor?

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This section also needs a lot of attention, begin with a good overview of your understanding in terms of accident / incident investigation and then reinforce this with practical examples. Eg Successes: ‘lessons learnt were distributed through the company to avoid repeat incidents’, Challenges: ‘Incorrect witness reports because the team didn’t want to get into trouble.’

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Other points to consider:

WCA Forms;

Sec 24 reporting;

Step by step in the event of an incident – first aid, hospital, WCA, report, interview witnesses, follow up medical, investigation, outcomes, mitigation measures, close out, lessons learnt;

Human error vs management failure.

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What are the characteristics of an efficient Investigator? (Training, Common Sense, Experience etc.)

What systems do you have in place?

Are they effective? How do you know this?

How do you compile an incident/accident report?

Do you regularly look at the organisation`s statistics, to see whether you are on par?

Are you aware of new trends and changes in risk? Examples

How do you ensure that the Team is proactive and focussed on prevention?

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Outline the core legislation and regulations that form part of day to day compliance, touch on major points that have been challenging or successful:

OSH Act Construction Regulations COID Act General Safety Regulations Driven Machinery Regulations. Successes: ‘Never receiving an audit finding for

administration’. Challenges: ‘projects on mining infrastructure and having to adjust to the differing appointments’.

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Examples of other points to consider:

Appointment structures;

Municipal by laws;

Legal audits;

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Constitution of the Republic of South Africa

OHS Act and Regulations

Labour Relations Act

National Environmental Management Act

Waste Act

Bargaining Council for the Civil Engineering Industry

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Are these aspects always getting the attention that they deserve? Expand.

Employee Welfare – how do you manage AIDS, NIHL, TB etc?

Do you have a monitoring system? Entry/exit medicals? Are you conscious of the conditions under which people

are working, re. exposure to asbestos or silicosis for example?

Do you have a system for managing compulsory medical examinations? (Construction Regulations 2014)

Are you aware of the various impacts that Construction has on the Environment and how to manage that?

Do you understand the workings of an Environmental Impact Assessment?

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Examples of other points to consider:

Health:◦ Medical surveillance

◦ Working conditions (dust, asbestos, cold, wet, etc)

◦ Exit medicals

Hygiene◦ Hygiene studies (done vs not done vs control

measures);

◦ Employee facilities (eating areas, showers, toilets)

◦ Wellness

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Environmental Management◦ Waste management

◦ Spills (oil, concrete, etc)

◦ Fauna and flora

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How does your organisation communicate?

Is it effective? How do you know?

How do you utilize technology? (Two way radio, SMS, What's Up, E-mail)

How effective is your communication with external entities?

How do you manage barriers created by language or culture effectively? Does your workforce really understand the SHERQ culture of your organisation?

Do you use incentives in your organisation, in order to improve the SHERQ culture ?

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Consider using communication between you and:◦ Site Management

◦ Site staff

◦ Client

◦ Line Managers

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Examples of other points to consider:◦ SHE Committee meetings;

◦ Site safety notice boards

◦ Communication throughout company of lessons learnt

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Examples of other points to consider:

Emergency drills;

Emergency contact numbers

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Explain your system or plan in brief. Does it work effectively? How do you know

this? Has everyone been made aware? Is emergency information available and fully

up to date? (Putting 10111 on a sign as the number for the Police, shows you have not done your homework)

Has your system been utilized in real life? Do you practise it at all?

How do you continuously improve on it?

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