Job Application: Experienced Tunnel Workers

Title: Experienced Tunnel Workers

Fields marked with an asterisk (*) must be filled out before submitting.

First Name *
Surname *
Date of Birth (Optional)
Sex * Male
Female
Street Address *
Suburb *
State * QLD
VIC
SA
Postcode *
Home Phone
Mobile Phone *
Email Address *
Emergency Contact Name *
Emergency Contact Number *
Relationship *

Personal Details

Drivers Lic (Number)
Drivers Lic Class L/R
M/R
H/R
H/C
M/C
Transport Type Car
Public Transport
In case of an emergency, are there any special requirements we should be aware of (medical or other)?
In case of an emergency, any special requirements?
Construction Industry Card? * Yes
No
Member No *
Super Fund Member? * Yes
No
Member No *
Name of Super Fund? i.e. CBUSS *
Are you an Redundancy Fund Member? Yes
No
(eg. IncoLink, BERT etc)
Member No
Are you a Long Service Fund Member? Yes
No
(eg. CoInvest, BEWT etc)
Member No
Are you a citizen or permanent resident of Australia? * Yes
No
If NO, what is your Visa status (inc. Expiry Date)?
Travelling Yes
No
Departure Date

Employment History

Upload your Resume *

Health and Safety Declaration

What is your current state of health? *
When did you last have a medical check-up? Within the last
Do you suffer from any ailments / disorders that may make it harmful for you to work in certain environments? (eg. Dusty, strenuous, noisy, heights, organic vapours etc.)
Suffer from ailments/disorders that make it harmful for you to work? Yes
No
If yes, what precautions need to be taken or what tasks should be avoided?
If yes?
Do you take any drugs or medication (prescribed or non-prescribed) that may affect your ability to drive or use machinery?
Take drugs or medication that may affect your ability? Yes
No
If yes, what precautions need to be taken or what tasks should be avoided?
If yes?
Do you suffer from any ailment or disorder that may make it harmful for you to perform any particular physical task?
Suffer from ailment or disorder that make it harmful for you to perform? Yes
No
If yes, what precautions need to be taken or what tasks should be avoided?
If yes?
In your last position:
Last position: (a) What duties were you required to perform?
Last position: (b) What did these duties require you to physically perform?
Last position: (c) In carrying out these duties did you experience any difficulties or problems?
(eg. Aggravation of a previous injury)
Workers Compensation – Past History
Workers Compensation: Nature of Injury / Illness
Date/s Occurred
Was a medical certificate issued for a return to full duties for each of the above?
Medical certificate Yes
No
Do you have an outstanding WorkCover Claim still to be resolved? (If yes, we will need to discuss the accident / incident)
Outstanding WorkCover Claim * Yes
No
Is your vision or hearing impaired which may make it difficult for you to follow written instructions or hear warning alarms?
Vision or hearing impaired Yes
No
If yes, please detail what problems you have experienced and what precautions need to be taken to protect your wellbeing.
If yes?
Your employment, in addition to your trade (if relevant), may involve lifting, manual handling and physical duties as directed. Do you have a pre-existing injury or disability which may put you, or other persons, at risk whilst carrying out the job as intended?
Pre-existing injury or disability which may put you or other persons at risk? * Yes
No
If yes, give details

Experience and Tickets

Experience
Asphalt Worker under 3 mths
3 mths – 12 mths
12 mths +
Bricklayer under 3 mths
3 mths – 12 mths
12 mths +
Cabinet Maker/Joinery under 3 mths
3 mths – 12 mths
12 mths +
Carpenter-Fitout under 3 mths
3 mths – 12 mths
12 mths +
Carpenter-Formwork under 3 mths
3 mths – 12 mths
12 mths +
Carpenter-Framing under 3 mths
3 mths – 12 mths
12 mths +
Carpenter-Roofing under 3 mths
3 mths – 12 mths
12 mths +
Concrete Cutter under 3 mths
3 mths – 12 mths
12 mths +
Concrete Finisher under 3 mths
3 mths – 12 mths
12 mths +
Concrete Gang under 3 mths
3 mths – 12 mths
12 mths +
Concrete Screed under 3 mths
3 mths – 12 mths
12 mths +
Excavator-Batters under 3 mths
3 mths – 12 mths
12 mths +
Excavator-Bulk Earthworks under 3 mths
3 mths – 12 mths
12 mths +
Excavator-Trenching under 3 mths
3 mths – 12 mths
12 mths +
Final Trim-Grader under 3 mths
3 mths – 12 mths
12 mths +
Irrigation-Landscape under 3 mths
3 mths – 12 mths
12 mths +
Labourer-General under 3 mths
3 mths – 12 mths
12 mths +
Labourer-Skilled under 3 mths
3 mths – 12 mths
12 mths +
Landscaper-Hard under 3 mths
3 mths – 12 mths
12 mths +
Landscaper-Soft under 3 mths
3 mths – 12 mths
12 mths +
Painter under 3 mths
3 mths – 12 mths
12 mths +
Peggy under 3 mths
3 mths – 12 mths
12 mths +
Plasterer under 3 mths
3 mths – 12 mths
12 mths +
Plaster – Solid under 3 mths
3 mths – 12 mths
12 mths +
Roof Tiler under 3 mths
3 mths – 12 mths
12 mths +
Shop Fitter under 3 mths
3 mths – 12 mths
12 mths +
Steel Fixer under 3 mths
3 mths – 12 mths
12 mths +
Stringer under 3 mths
3 mths – 12 mths
12 mths +
Tiler under 3 mths
3 mths – 12 mths
12 mths +
Trades Assistant under 3 mths
3 mths – 12 mths
12 mths +
Tunneling under 3 mths
3 mths – 12 mths
12 mths +
Waterproofing/Membrane under 3 mths
3 mths – 12 mths
12 mths +
Tickets – All tickets must be presented at interview.
Alimak Yes
Asbestos Handling Yes
Backhoe Yes
Blasting / Explosives Yes
Bobcat / Skid Steer Yes
Compactor Yes
Confined Space Yes
Confined Space – Melb Water Yes
Dogman Yes
Dozer Yes
Dragline Yes
Dump Truck Yes
Electrical Spotter Yes
EWP Yes
Excavator Yes
Explosive Power Tools Yes
First Aid Level 1 Yes
First Aid Level 2 Yes
First Aid Level 3 Yes
Forklift Yes
Front End Loader Yes
Grader Yes
Haul Truck 120 – 200T Yes
Haul Truck 60 – 120T Yes
Heavy Combination Yes
Heavy Rigid Yes
Hoist Driver Yes
Hy Rail Level 4 Yes
Laser Level Yes
Laser Safety Yes
Light Rigid Yes
Medical Assessment Yes
Medium Rigid Yes
OH&S (5-day OHS Rep. course minimum) Yes
Operator Heavy Combination Yes
Operator Light Rigid Yes
Operator Medium Rigid Yes
Operator Heavy Rigid Yes
Construction Induction Card (Red Card) Yes
Rigger Yes
Road Sweeper Yes
Roller Yes
Scaffolder – Basic Yes
Scaffolder – Intermediate Yes
Scaffolder – Advanced Yes
Scraper Yes
Spotter Yes
Stewards Delegate Yes
Traffic Control Yes
Traffic Management Yes
Train Track Safety Level 1 Yes
Train Track Safety Level 2 Yes
Train Track Safety Level 3 Yes
Traxcavator Yes
Water Cart Yes
Winch Driver Yes
WP – over 11m Yes
QLD Coal Surface Generic Induction (within last 2 yrs) Yes
Additional information on Experience & Tickets

Referees

List a minimum of 2 previous supervisors, 1 of which MUST be from your previous employer, relevant to your Application.
Contact Person *
Company *
Position Held *
Phone *
Date Left *
Contact Person *
Company *
Position Held *
Phone *
Date Left *
Contact Person
Company
Position Held
Phone
Date Left
Privacy & Collection Statement * I have read and understood the Privacy & Collection Statement