LICENCE TO OPERATE A FORKLIFT TRUCK TLILIC2001A HIGH RISK WORK LICENCE Training provided by Southern Training Organisation The Forklift Training Course is designed to provide participants with the ability to operate a forklift safely and equip them with the knowledge and confidence to apply for a High Risk Work Licence (HRWL). The course consists of theory and practical training, and requires participants to complete reading tasks, written assessments and calculations. DATE TIME VENUE COST See below for dates 8.00am 4.00pm Over three days (Morning tea and a light lunch will be provided) Master Builders Skills Centre, 1 Iron Knob Street, Fyshwick, 2609 $220* (rate after rebate) $740* (Payment is required seven days prior to the course) * Cost does not cover the application fee for a High Risk Work Licence 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. REQUIREMENTS Participants must wear steel capped, safety footwear during training and assessment Participants must provide 100 points of identification and be a minimum of 18 years of age 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 Compliance with WHS licensing legislation Identify hazards associated with the operation of the forklift truck and implement effective hazard controls Conduct pre-start-up, post operational and shutdown checks, moving loads and shut down and secure checks of the forklift truck according to procedures Operate the forklift truck and move loads safely CERTIFICATION On successful completion of this course, participants will be issued with a Statement of Attainment for TLILIC2001A Licence to operate a forklift truck. LICENCE APPLICATION Successful participants are required to lodge an application for a High Risk Work Licence with Access Canberra within 60 days from the issue date of the Statement of Attainment. FURTHER ENQUIRIES: Cecilee Miller Ph: (02) 6175 5900 Fax: (02) 6280 9118 Email: cmiller@mba.org.au REGISTRATION: Fax or Email this form 14 days prior to the course Fax: (02) 6280 9118 Email: training@mba.org.au 2017 dates for Licence to Operate a Forklift Truck Wed, 18th - Fri, 20th January Wed, 15th - Fri, 17th February Wed, 8th - Fri, 10th March Wed, 19th - Fri, 21st April Wed, 10th - Fri 12th May Wed, 14th - Fri, 16th June Additional courses may be scheduled, please refer to our website @www.mba.org.au 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: 91378 MBAGT Policies are available on our website @ mba.org.au.
REGISTRATION EMAIL: training@mba.org.au FAX: 02 6280-9118, PH: 02 6175-5900 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: Email address Preferred contact method: Email 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 Email 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 www.usi.gov.au/create-your-usi/pages/default.aspx. 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 www.mba.org.au/training. POLICIES Access the MBA Group Training website at www.mba.org.au/training for further training information and to view our policies.
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 2010. 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?
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 11.00 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?
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: