KEEPSAFE ROOF-RAIL

      "YOU'RE ON THE JOB - KEEP SAFE"

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Please confirm any current competencies you hold by selecting the appropriate competencies

	General Induction (White Card)			QLD Drivers Lic
	LR Truck Lic			MR Truck Lic
	HR Truck Lic or Better			Safe Work @ Heights
	Scissor Lift Ticket			E.W.P 11m & Under
	E.W.P Over 11m			Scaffold Ticket
	Riggers Ticket			Fork Lift Ticket
	First Aid

Please list any other competencies you have completed:

Please provide details of any previous experience related to installing edge protection:

Please provide details of any previous building industry experience:

Please provide a brief description of your recent employment background:

Would you consider yourself a leader or a follower?

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Are you confident working at heights?

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Credit Applicatiion For Companies new
Credit Applicatiion Sole Traders Partnerships
Keepsafe Terms Of Trade new
Off Hire Policy new

Please return completed survey by one of the following options
Mail to – Po Box 3076 Nerang DC 4211
Fax to – 07 55279736
Email – troy@keepsafe.com.au
MMS Pic to - 0401075434


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