Employee Details

Personal Details:
Do you identify as Indigenous or Torres Strait Islander?
Are you an Australian citizen?
If no,
- Are you a permanent resident?
- Do you have a Working Visa?
Skill Base & Experience

Complete the following table, indicating Y or N in the left hand column.

Please provide copies of all licences/tickets when you send your application in, as well as a current resume. We must have your White Card on file before beginning work.

Yes/ No Licenses/ Tickets Held
Drivers Licence Type and Number:
White Card/OHS/WHS Card Number:
Blue Card
Forklift
Elevated Work Platform
Confined Spaces
Asbestos Removal
First Aid
Working at Heights
WorkSafe Knowledge
Plant Operator - please specify
Rail
Technical Knowledge or Experience in. (example Concreting/Landscaping)
Others (please provide details)

OTHER INFORMATION / RELEVANT SKILLS:

WORKERS COMPENSATION:
Have you claimed or received Workers Compensation within the last 2 years?
If so what date to and from?
Are you currently receiving Workers Compensation?
×