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titleCOVID-19 Self Assessment Form


CompetencyCompetency RequirementsUpload RequirementsExamples

Site.-.MACH COVID-19 Self Assessment Form


Click here to download a copy of the form

  • Only required for new inductees to Mach Energy
  • Must complete all sections of form
  • Question 1, if answered Yes to essential the time frame must be added


Questions

Can Accept

Send to site

1. Is your intended site visit essential?


Not essential

- please correspond with your main point of contact via phone or email


Essential

- can it be postponed to a later date? - what timeframe would the visit need to be carried out in?

YES

 

Timeframe = XXXX

NO

2. Do you currently have respiratory or flu like symptoms such as coughing, sore throat, fatigue or shortness of breath?

NO

YES

3. Do you currently have a fever?

NO

YES

4. Have you returned from overseas travel in the past 14 days?

NO

YES

5. In the last 14 days have you been in contact with a confirmed or potential case of Coronavirus (COVID-19)?

NO

YES


  • Issue date – Date of submission
  • Expiry date – Induction expiry date



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titleBengalla - Site Inductions


CompetencyCompetency RequirementsUpload RequirementsExamples
Anchor
bengallasiteinduction
bengallasiteinduction
Generic.Induction.Bengalla Site Induction (incl Restricted Lock Holder)
  • Name on qualification to match the person registered
  • Bengalla Site Induction (incl Restricted Lock Holder) or Coal & Allied Induction & Familiarisation or Bengalla Site Induction to be listed
  • Black and white or colour acceptable
  • Must be clearly scanned and legible
  • Issue date to be recorded
  • Duration = 2 years
  • Issue Date = Date of completion (Held on)
  • Expiry Date = Issue date + 2 years




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titleSedgman - Induction Booking Form

Anchor
inductionbookingforms
inductionbookingforms

CompetencyCompetency RequirementsUpload RequirementsExamples
Site.Induction.CHPP Induction and Authorisation Request Form
    • Inductee Information – All sections completed
    • Company Information  - All sections completed
    • Authorisations/Appointments Requested - tick appropriate box (Not mandatory to complete)
    • Must be approved by at least one Sedgman Operations representative as listed -  signature and date must be completed
    • Must upload the Sedgman CHPP Induction and Authorisation Request form
    • Inductee Details - Must complete all sections. Pegasus ID - optional | Vehicle Registration - optional
    • Competencies / Skills / Tasks / Activities to be Conducted On Site – Must be fully completed.
    • Site Access Pre-Approval Sign-Off – Must be signed by authorized Department Representative listed on form

  • Click HERE to download a copy the booking form
  • Note: Must be completed and signed by Sedgman Operations prior to uploading to the portal
  • Pegasus staff CLICK HERE for additional business rule information prior to file verification
  • Issue date - Date approved by  Sedgman



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titleThiess Mount Pleasant - Induction Booking Form

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inductionbookingforms
inductionbookingforms

CompetencyCompetency RequirementsUpload RequirementsUpload Requirements
Site.Induction.Thiess Operations Induction and Authorisation Request Form

Note - As of the 1st December ONLY version 5 will be accepted. 

  • Must upload the Mount Pleasant Induction and Authorisation Request form version 2.0 OR 3.0 OR 5.0
  • Inductee Details - Must complete all sections. Pegasus ID - optional | Vehicle Registration - optional
  • Competencies / Skills / Tasks / Activities to be Conducted On Site – Must be fully completed.
  • Site Access Pre-Approval Sign-Off – Must be signed by Department Manager

Please note: Project Manager / Delegate authorisation not required for induction booking

Note: If the worker is performing Electrical and/or Mechanical work on-site, they must also complete the Appointment form(s) and submit for approval with induction request.

Click HERE to download the approval form and/or the appointment form/s. 

Click HERE for a list of authorised approvers


Note : Any Trainee, or person that is in training and attending Mount Pleasant to undertake work, will need to comply with the PPE requirements of wearing a Blue Hard Hat so they are easily identifiable

NA





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titleThiess Mount Pleasant - Appointment Form

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Thiessappointmentform
Thiessappointmentform

Competency Competency RequirementsUpload RequirementsUpload Requirements

Mount Pleasant Mine Contractor Appointment Letter

Must be the Mount Pleasant Mechanical Appointment Letter – version 1.0

OR the 

Mount Pleasant Qualified Electrical Tradesperson Appointment Letter version 1.0

  • Name, position, Company must be completed
  • The appointee section - must print name, signature and date
  • Qualification must be provided that comply with the Mechanical Skills Matrix - version 8.2

Please Note: Statutory signatures are not required for booking the induction

Click HERE to download the appointment form/s. 

NOTE:

  • Any Trainee, or person that is in training and attending Mount Pleasant to undertake work, needs to be listed as a "Traders Assistant/Labourer" and their job role title is to include "Trainee".  
  • NA