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Document must be fully completed and signed in all signature blocks

Contracting company details must be displayed on form

Contracting company details must match registered company details in Onsite

Black and white or colour copy is accepted

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title	Appointment and Nomination Forms

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	whcappointmentforms
	whcappointmentforms

Certification	Certification Requirements	Upload Requirements	Examples
Whitehaven Coal

Contract

Contractor Owner Appointment Form

Document must be fully completed and signed by all required WHC personnel in all signature blocks

Contracting company details must be displayed on form

Contracting company details must match registered company details in Onsite

Black and white or colour copy is accepted

Contractor Company Supervisor Nomination 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

Expiration date as per Whitehaven Coal Contractor Engagement Form 1

Whitehaven Coal Contract Coordinator Appointment Form

Document must be fully completed and signed by all required WHC personnel in all signature blocks
Contracting company details must be displayed on form
Contracting company details must match registered company details in Onsite
Black and white or colour copy is accepted

Issue date to be recorded as Date of document approval by WHC
Expiration date as per Whitehaven Coal Contractor Engagement Form 1

Expiry date must align with the Primary Contracting Company’s WHC-FRM-Contractor Engagement – [SITE] form expiry

Pegasus staff click here for additional business rule information prior to completing file verification

Whitehaven Coal Contractor Coordinator Appointment Form (WHC-FRM-Contractor Coordinator)

Name of Appointee:Must be a WHC employee
Name of Contracting Company:must be listed and match registered company in the system
This appointment applies at the following WHC Site(s)/Department(s):Site(s) must be ticked
WHC Contract Coordinator: must complete name, signature and date.
Appointed By: WHC Contractor Owner must match the contracting company’s WHC-FRM-Contractor Engagement

The latest version of this form is issue 8.0. The next previous version can also be accepted.

Issue date to be recorded as Date of document

signature

approval by

contracting company

WHC

Expiration date as per Whitehaven Coal Contractor Engagement Form 1

Expiry date must align with the Primary Contracting Company’s WHC-FRM-Contractor Engagement – [SITE] form expiry

Pegasus staff click here for additional business rule information prior to completing file verification

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Black and white or colour copy is accepted

Whitehaven Coal Sub-contractor Engagement Form 5 (Subcontractor engaged by a primary contractor)

Forms are uploaded but not against a cert – need to be transferred to non-verified cert

Document must be fully completed and signed in all signature blocks by Contract owner, Contract coordinator and nominated contractor company supervisor. Names of people required to sign can be identified in the appropriate forms that must also be uploaded (see below)

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title	Contractor Engagement

Certification

Certification Requirements

Upload Requirements

Examples

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	contractorengagementform1
	contractorengagementform1

Whitehaven Coal

WHC-FRM-Contractor Engagement

Form 1

– [SITE]

Contracting

company details

Company: must be

displayed on formContracting company details must

listed and match registered company

details

in

Onsite

Black and white or colour copy is accepted

Issue date to be recorded as Date of document approval by WHC
Expiration to be recorded as Issue date plus duration of project (can be found in the responses to the questionnaire)

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SubContractorEngagementForm5

Contracting company details must be displayed on form
Contracting company details must match registered company details in Onsite
Black and white or colour copy is accepted
Document must be fully completed and signed in all signature blocks by Contract owner, Contract coordinator and nominated contractor company supervisor. Names of people required to sign can be identified in the appropriate forms that must also be uploaded (see below)

Issue date to be recorded as Date of document approval by WHC
Expiration date as per Whitehaven Coal Contractor Engagement Form 1

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Whitehaven Coal Sub-contractor Engagement Form 5 (Uploaded by primary contractor for subcontractors they engage)

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 HERE for 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 7.0 OR 8.0): 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 8.0. The next previous version can also be accepted.

Issue date to be recorded as Date of document approval by WHC

Expiration date as per Whitehaven Coal Contractor Engagement Form 1

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title	HSC Document

Anchorhscdocumenthscdocument

Certification	Certification Requirements	Upload Requirements	Examples
Whitehaven Coal HSC Document Form 2	Document must be fully completed and signed by all required WHC personnel If company has selected Narrabri as the site they are working at then all three signature bloclks must be signed. Contract owner / coordinator names can be identified in the appropriate forms that must also be uploaded (see below) If the company has selected only Open Cut site(s) then only the Open Cut signature block needs to be completed. Contracting company details must be displayed on form Contracting company details must match registered company details in Onsite Black and white or colour copy is accepted	Issue date to be recorded as Date of document approval by WHC Expiration date as per Whitehaven Coal Contractor Engagement Form 1

CertificationCertification RequirementsUpload RequirementsExamples

Head Contractor Details

Contracting company details must be displayed on form
Contracting company details must match registered company details in Onsite
Head contractor Company details to be displayed
Black and white or colour copy is accepted

Issue date to be recorded as the date of submission
Expiry date to be calculated as 6 months from Issue date

AnchorsubcontractorformsubcontractorformSubcontractor Details

Contracting company details must be displayed on form
Contracting company details must match registered company details in Onsite
Subcontractor Company details to be displayed
Black and white or colour copy is accepted

Issue date to be recorded as the date of submission
Expiry date to be calculated as 6 months from Issue date

Anchorhandcdocform2handcdocform2Whitehaven Coal H&C Document Form 2

Contracting company details must be displayed on form

Contracting company details must match registered company details in Onsite

Whitehaven Coal H&C Document Form 2 to be completed and uploaded

Black and white or colour copy is accepted

Mine Operator or Delegate or Relevant Manager
Expiry date is 3 years from the date of approval

Pegasus staff click here for additional business rule information prior to completing file verification

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	subcontractorengagementform5
	subcontractorengagementform5

WHC-FRM-Sub-contractor Engagement - [MAIN / FIRST / SECOND / THIRD / FOURTH / FIFTH / SIXTH / SEVENTH] - [DIRECT / SUB] - [SITE NAME]

IF submitted by a Primary Contracting Company:

Sub-contractor Company: must be listed and match a registered company in the system
Primary Contracting Company: must be listed and match registered company in the system
Primary Contractor Representative: must be listed
WHC Contractor Owner Name: must be listed
Site(s): must be ticked - Click HERE for a list of sites.
Scope of work: must be completed
Sub-contractor Management: must be completed
Primary Contractor Representative (Acknowledgement): must be completed
WHC Contractor Owner (Sub-contractor Approval): must be completed

The next previous version of the current form can be accepted.

IF submitted by a Subcontracting Company:

Sub-contractor Company: must be listed and match registered company in the system
Primary Contracting Company: must be listed and match a registered company in the system
Primary Contractor Representative: must be listed
WHC Contractor Owner Name: must be listed
Site(s): must be ticked - Click HERE for a list of sites.
Scope of work: must be completed
Sub-contractor Management: must be completed
Primary Contractor Representative (Acknowledgement): must be completed
WHC Contractor Owner (Sub-contractor Approval): must be completed

The latest version of this form is issue 6.0. The next previous version of the current form can be accepted.

Issue date to be recorded as Date of document approval by WHC Contractor Owner

Expiration date as per Whitehaven Coal Contractor Engagement Form 1

AnchorClassBContractorHSEPlanClassBContractorHSEPlanWhitehaven Coal Class B Contractor HSE Plan

Contracting company details must be displayed on form

Contracting company details must match registered company details in Onsite

Whitehaven Coal Class B Contractor HSE Plan to be completed and uploaded

Expiry date must align with the Primary Contracting Company’s WHC-FRM-Contractor Engagement – [SITE] form expiry

Pegasus staff click here for additional business rule information prior to completing file verification

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title	HSE Documentation

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	hsedocumentation
	hsedocumentation

WHC-FRM-Contractor HSEManagement Plan Review – (SITE NAME)

Only required for Class C
Form is valid for 3 years
Contracting Company name much match the name of the company in the system
Form to be signed by WHC Contractor Owner, Department Manager and Mining Engineering Manager

Issue date to be recorded as

Date

date of document approval by WHC Contractor Owner

Expiration

Expiry date

as per Whitehaven Coal Contractor Engagement Form 1

to be recorded as 3 years from issue date

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System.Contractor Management.

WHC-FRM-Contractor HSE

Documents Form 2

Contracting company details must be displayed on form

Contracting company details must match registered company details in Onsite

HSE Documents Form 2 to be completed and uploaded

Black and white or colour copy is accepted

Management Plan Review – Biodiversity Offsets

Only required for Class C
Form is valid for 3 years
Contracting Company name much match the name of the company in the system
Form to be signed by WHC Contractor Owner, Department Manager and Mining Engineering Manager

Issue date to be recorded as

Date

date of document approval by WHC

Image RemovedWhitehaven Coal Authority to Undertake Induction

Contracting company details must be displayed on form
Contracting company details must match registered company details in Onsite
Authority to undertake Induction form to be completed and uploaded
Black and white or colour copy is accepted

Issue

Contractor Owner
Expiry date to be recorded as

Date of document approval by WHC

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3 years from issue date

Versions Compared

Old Version 14

New Version Current

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