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LICENCE TO ERECT, ALTER AND DISMANTLE SCAFFOLDING Intermediate levelCPCCLSF3001A This course specifies the outcomes required to erect, alter and dismantle scaffolding at the intermediate level which includes use and operation of cantilevered crane-loading platforms, cantilevered and spurred scaffolds, barrow ramps and sloping platforms. The course also includes perimeter safety screens, shutters, mast climbers and tube and coupler scaffolds (including tube and coupler covered ways and gantries) and consists of theory and practical training, which requires participants to complete reading tasks, written assessments and calculations.
REQUIREMENTS• Participants must wear steel capped safety footwear
during training and assessment• Must provide 100 points of identification and be a
minimum of 18 years of age• English language skills sufficient to understand both
written and verbal instruction• Basic numeracy skills• Ablility to work at heights
CONTENTS
CERTIFICATIONOn successful completion participants will be issued with a Statement of Attainment (CPCCLSF3001A) Licence to erect, alter and dismantle scaffolding - intermediate level.
LICENCE APPLICATIONSuccessful participants are required to lodge an application for a High Risk Work Licence with ACT Office of Regulatory Services within 60 days from the issue date of the Statement of Attainment.
FURTHER ENQUIRIES: Cecilee Miller Ph: (02) 6280 9119 or (02) 6175 5957Fax: (02) 6280 9118 Email: [email protected]
REGISTRATION: Fax or Email this form 14 days prior to the courseFax: (02) 6280 9118 Email: [email protected]
Cancellation Policy: If we receive your cancellation a minimum of 5 working days prior to the event you are entitled to a full refund. Registrations cancelled less than 5 working days prior to the commencement of the training being delivered or failure to notify of non-attendance will result in the full training fee being charged.
Substitutions will be accepted. MBA Group Training reserves the right to cancel any training initiative or to postpone it to an alternative date. All registered participants affected by such postponement will receive a full refund or be offered the opportunity to transfer to the next available training course.
DATE TIME VENUE COST
See below for all dates8.00am – 3.00pm over three days (Morning tea and a light lunch will be provided) Master Builders Skills Centre, 1 Iron Knob Street, Fyshwick, 2609$1650* (Payment is required seven (7) days prior to the course) *Cost does not cover the application fee for a High Risk Work Licence.
Up to 70% of the course cost may be refundable to eligible applicants through the ACT Building and Construction Industry Training Fund. MBA Group Training will apply for this refund on your behalf on successful completion of the course.
2016 dates for Licence to Erect, Alter and Dismantle Scaffolding Intermediate level
Available on request
HIGH RISK WORK LICENCETraining provided by Southern Training Organisation
RTO: 91378
• Mast climbers• Cantilevered crane loading and catch
platforms• Sloping working platforms and barrow
ramps• Cantilevered and spurred scaffolds• Force diagrams• Scaffolding members• Drawing tube-and-coupler-scaffold plans• Tube-and-coupler scaffolding circular
structures• Scaffold inspection
REGISTRATION EMAIL: [email protected] FAX: 02 6280-9118, PH: 02 6280-9119
Name of course: ___________________________________________________________________________________________________
Date of course: ____________________________________________________________________________________________________
CLIENT DETAILS – please note: all details must be completed
USI ___________________________________Gender____________________________
Surname___________________________ First Name _____________________________ Middle Name___________________________ (As per ID)
Residential address ________________________________________________________________________________________________
State ___________________Post Code_______________
Postal address (if different from residential) ____________________________________________________________________________
City / Town of birth:____________________________ Country of Birth: _________________________________ Date of Birth: ____ /____ /____
Contact number: ___________________________________Email address ___________________________________________________
Preferred contact method: □ Email □SMS □Phone call Position/Job/Occupation ________________________________________
Are you Aboriginal or Torres Strait Islander? □ No □Aboriginal □Torres Strait Islander (Please tick)
What language is spoken at home? ______________________ First language (if not English): ____________________________________
Proficiency in English: □ Well □ Not Well □ Not at all
Do you consider that you have a disability, impairment or long term condition? □ No □ Yes (Please specify)
□ Vision □Hearing □Physical □ Medical □ Mental Illness □ Other (Please specify) ______________________________________
Do you need any assistance with the following? □ Reading □Writing □Numeracy
Highest School level achieved ______Year Completed ______ Prior education/Prior Qualification/s_______________________________
Employment status - Employed Full time Y/N - Employed Part time Y/N - Unemployed seeking full time work Y/N - Unemployed seeking part time work Y/N
Self employed - Y/N - An Employer Y/N – Full time student Y/N – Part time student Y/N
EMPLOYER DETAILS - If employed please enter employer details below
Employer Name ___________________________________________________________________________________________________
Employer Postal Address ____________________________________________________________________________________________
Employer Phone: _______________________________ Employer ACN/ABN __________________________________________________
Employer Email address:_______________________________________________________Purchase Order No. _____________________
PAYMENT DETAILS
Person/Company responsible for payment of course - (TFA refund cheque will be made payable to this person/company if eligible)
_________________________________________________________________________________________________________________
□Cheque □ Cash □ Invoice (if an account holder)
Credit Card - □ Visa □ Mastercard Cardholders Name: _________________________________________________________________
Signature________________________________________________________
Card Number □□□□-□□□□-□□□□-□□□□ Expiry Date ____ /____
(Amount deducted will be member or non-member rate as determined by Master Builders for the enrolled training)
USI (UNIQUE STUDENT IDENTIFICATION) INFORMATION
All students must obtain a USI prior to training, you can do this at www.usi.gov.au/create-your-USI/Pages/default.aspx. MBAGT can apply on your behalf if you provide a copy of one of the following: Birth certificate, Certificate of Registration by Descent, Citizenship Certificate (Australian), Drivers Licence, (Australian), ImmiCard, Medi-care Card, Passport (Australian), Visa (Non-Australian passport) and a signed copy of the USI Privacy Notice available at www.mba.org.au/training.
POLICIES
Grievance and appeals Policy: A copy of MBA Group Training Grievance and Appeals Policy is available on request.Assurance Scheme: A copy of MBA Group Training Assurance Scheme is found on the MBA website (www.mba.org.au/training).Cancellation Policy: Please refer to information sheet.
