1) Recent work referee - Please include: Name, employer and contact number*

2) Gender?*

3) Recent work referee - Please include: Name, employer and contact number*

4) Do you possess a Certificate IV in OHS/WHS or other relevant qualification with a systems focus?Provide full details of your qualifications, when and where obtained.*

5) Do you possess a Certificate lV TAA?Provide full details of your qualifications, when and where obtained.*

6) Do you have a minimum five (5) years demonstrated relevant experience in similar organisations with both the systems development and field implementation aspects of Workplace Health & Safety management systems?Provide full details of your work experience including employers, dates and positions held.*

7) Do you possess a National Construction Induction Certificate (Whitecard)?Provide full details of your National Construction Induction Certificate (Whitecard) including expiry date.*

8) Do you possess high level interpersonal, written and communication skills?Provide details of your high level interpersonal skills and demonstrate by providing specific examples.*

9) Do you possess a demonstrated knowledge and experience developing, implementing, auditing and continuously improving a WHS management system?Provide full details of your knowledge and experience by providing specific examples of each.*

10) Do you possess demonstrated competency in the development and delivery of WHS training?Provide full details of your demonstrated competency in the development and delivery of WHS training giving specific examples of each.*

11) Do you possess demonstrated keyboard skills and computer literacy in information management & software program applications?Provide full details of your keyboarding skills, computer literacy in information management and your software program applications providing specific examples for each.*

12) Do you possess a Current Class C Drivers Licence?Provide details of licence class, expiry date and comment on your ability to drive a manual vehicle.*

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