ELEVATED WORK PLATFORM OPERATORS CARD - RIIHAN301D OPERATE ELEVATING WORK PLATFORM (UP TO 11M)

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1 ELEVATED WORK PLATFORM OPERATORS CARD - RIIHAN301D OPERATE ELEVATING WORK PLATFORM (UP TO 11M) INFORMATION SHEET Training provided by Southern Training Organisation The aim of this course is to provide participants with information, tuition and activities that will enable students to operate Scissor and Boom type lifts. DATE TIME VENUE COST See below for all dates 8.00am 3.00pm (Morning tea and a light lunch will be provided) Master Builders Skills Centre, 1 Iron Knob Street, Fyshwick, 2609 (Can be delivered at workplace) $285 (rate after rebate) $480 (Payment is required seven days prior to the course) Up to 70% of the course cost may be refundable to eligible applicants through the ACT Building and Construction Industry Training Fund (TFA). For eligible learners the TFA rebate is factored into the pricing structure. COURSE REQUIREMENTS Must provide 100 points of identification and be a minimum of 18 years of age Participants must wear steel capped safety footwear during training and assessment English language skills sufficient to understand both written and verbal instruction Basic numeracy skills Language, Literacy and Numeracy (LLN) assessment (attached) to be completed prior to confirmation of your enrolment CONTENT Hazard identification, risk assessment and controls Inspect, fit and use fall arrest harness Identify safe operating parameters Operation of EWP Pre and post operational checks Emergency procedures CERTIFICATION On successful completion of the course, participants will be issued with a Statement of Attainment for RIIHAN301D Operate elevating work platform. Participants will also receive an EWP Operators photo card with a 5 year expiry. FURTHER ENQUIRIES: Trisha Moore (02) Fax: (02) training@mba.org.au REGISTRATION: Fax or this form 14 days prior to the course Fax: (02) training@mba.org.au 2018 Dates for Elevated Work Platforms Operators Card Wed, 17th January Wed, 14th February Wed, 14th March Wed, 18th April Wed, 16th May Wed, 13th June Additional courses may be scheduled, please refer to our or contact MBA Group Training. 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. RTO: MBAGT Policies are available on our mba.org.au.

2 REGISTRATION FAX: , PH: 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 Suburb State Post Code Postal address (if different from residential) City / Town of birth: Country of Birth: Date of Birth: / / Contact number: address Preferred contact method: 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 Employed Part time Unemployed seeking full time work Unemployed seeking part time work Self employed An Employer Full time student Part time student Dietary requirements EMPLOYER DETAILS - If employed please enter employer details below: Employer Name Employer Postal Address Employer Phone: Employer ACN/ABN Employer 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 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, Medicare Card, Passport (Australian), Visa (Non-Australian passport) and a signed copy of the USI Privacy Notice available at POLICIES Access the MBA Group Training website at for further training information and to view our policies.

3 1 LANGUAGE, LITERACY AND NUMERACY (LLN) You are required to complete this LLN assessment and attach to your registration form prior to confirmation of your enrolment. 1. A box holds 15 lettuces. At the end of the day the farm crew had filled 86 boxes. How many lettuces is that in total? 2. Diesel costs $1.86 per litre. The tractor s fuel tank is empty. When full it holds 1200 litres. How much money would it cost to fill up the tractor with fuel? 3. The table below shows the average price of petrol per litre for the period July 2009 to June Read the information and then answer the questions that follow? Month Average price/litre August 2009 $1.15 September 2009 $1.13 October 2009 $1.18 November 2009 $1.20 December 2009 $1.22 January 2010 $1.26 February 2010 $1.23 March 2010 $1.24 April 2010 $1.23 May 2010 $1.27 June 2010 $1.30 a. In which month was the petrol price the lowest? b. In which two months was the price of petrol the same? c. In which month was the price of petrol the highest?

4 2 4. Use the information from the signs below to answer the questions that follow. Café Relaxo Café Cino Days open Monday-Friday Days open Tuesday-Sunday Days closed Saturday-Sunday Days closed Monday Hours open 8.00am 5.00 pm Hours open Tuesday Thursday 10.00am 7.00 pm Friday Sunday 11.00am pm a. What are the total hours that Café Relaxo is open in one full week? b. What are the total hours that Café Cino is open in one full week? 5. Use the information from the signs below to answer the questions that follow?

5 3 a. For your own safety, what important piece of information should you know? b. Where might you expect to see this Emergency Procedures notice? c. If you hear the evacuation alarm whoop whoop what do you do? d. Can you use the lift in an evacuation? e. If you received a bomb threat phone call, what information should you try to record? f. In this notice you are given the following advice about a bomb threat phone call Do not hang up after caller has finished. Why do you think you are given this advice? g. What is the name of the company that produced this notice? GENERAL INFORMATION ABOUT YOU 6. How do you like to learn or normally learn new things? 7. What do you hope to achieve from this training program? YOU AGREE THAT YOU COMPLETED THIS ASSESSMENT WITHOUT ASSISTANCE FROM OTHERS. Name: Signature: