Whitehaven Coal Contractor Owner Appointment Form (WHC-FRM-Contractor Owner)
Name of Appointee: Contractor Owner as listed on WHC-FRM-Contractor Engagement
Name of Contracting Company: Must be listed and match company registered in the system
This appointment applies at the following WHC Site(s) / Department(s): Site(s) must be ticked
WHC Contractor Owner:must complete name, signature and date.
Appointed By: Sign off must be completed by a Mine Operator or Delegate (Mine Site) or Relevant Manager (Off Site) associated with the relevant site/s ticked as per the Approved Authorisers list
The latest version of this form is issue 4.0. The next previous version can also be accepted.
Issue date to be recorded as Date of document approval by WHC
Expiry date must align with the Primary Contracting Company’s WHC-FRM-Contractor Engagement – [SITE] form expiry
Contracting Company: must be listed and match registered company in the system
Contractor Representative Name: must be listed (not applicable for Class A)
WHC Contractor Owner Name: must be listed
Site(s): must be ticked. Click HEREfor a list of sites;
Scope of work: must be completed
Classification Result: must be indicated and responses to questions circled
Sub-contractors: must be completed
WHC HSE Document Review Acknowledgement: if classification is B or C the appropriate box must be indicated (not required for Class A)
Contractor Representative (System Acknowledgement): must be completed
WHC Contractor Owner (System Approval): must be completed
Approvals to Engage Company for NEW FORM (Version 6.0 OR 7.0): A Mine Operator or Delegate (Mine Site) or Relevant Manager (Off Site) associated with each site indicated on page 1 must sign off. These approvers must be on the Approved Authorisers list.
List of authorised approvers per site can be found HERE
The latest version of this form is issue 7.0. The next previous version can also be accepted.
Issue date to be recorded as Date of document approval by WHC