PRE-TRAINING ASSESSMENT

CPCWHS1001 Prepare to Work Safely in the Construction Industry

    This pre training language, literacy and numeracy assessment is carried out to assess your capabilities. As an RTO, we always try to deliver the highest standard of service, and to do this, we need to ensure you have the knowledge to complete this training course.

    Instructions: Complete the following exercises to the best of your ability. You should try to complete all tasks and take your time and read each question carefully.

    This evaluation is not a test The information you provide about your writing and math skills will help us plan support throughout the program. This information is confidential and will not be used for any other purpose and will remain the property of Upskill Institute.

    Tell us about your reading, writing and numeracy skills.
    I can ...
    Write a SMS messageYesSometimesNo
    Check change when shoppingYesSometimesNo
    Read a TV guideYesSometimesNo
    Read an emailYesSometimesNo
    Read a mapYesSometimesNo
    Write a job applicationYesSometimesNo
    Calculate fractions, decimals and percentagesYesSometimesNo
    Write a work reportYesSometimesNo
    Read the prompts on an ATMYesSometimesNo
    Use a calculatorYesSometimesNo
    Read an account or billYesSometimesNo

    1. Look at the group of words below. Arrange these words in alphabetical order.

    sun - shop - stop - strong - some - spot

    1. 2. 3. 4. 5. 6.

    2. Tick each incorrectly spelt words:

    • 2-Mondey Mondey
    • 2-Bus Bus
    • 2-Pencil Pensil
    • 2-Shoes Shoes
    • 2-Food Food
    • 2-Phone Phone
    • 2-Clean Cleen
    • 2-House House
    • 2-Play Play
    • 2-Technical Tecnical

    3. Write a short paragraph about why you are interested in doing this course?

    4. How many grams in a kilogram? Tick the correct answer.

    1009001,0001,200

    5. If 10% of a number is 100, what is the number? Tick the correct answer.

    101001,00010,000

    6. One (1) metre (m) is equal to how many centimetres? Tick the correct answer.

    10,0001,00010010

    7. Calculate the heart beats per minute if a patient’s heart beats at 10 beats every 10 seconds. Tick the correct answer.

    2060100120

    8. What are two examples of a hazard on a construction site?

    9. What types of fire safety equipment are you familiar with?

    10. Why do you think safety is important when working on a construction site?

    11. Oral Discussion

    You will need to describe what you see in this picture to your assessor. The Assessor will record your response.

    EVIDENCE OF IDENTITY AND RECORD OF TRAINING FOR GENERAL CONSTRUCTION INDUCTION TRAINING UNDER THE WORK HEALTH AND SAFETY REGULATION 2017

    Instructions

    SafeWork NSW enters into agreements with Registered Training Organisations (RTOs) to deliver general construction induction training (GIT) in NSW under the WHS Regulation. RTOs are required to complete a 100 point evidence of identity (EOI) check for each participant immediately prior to commencing training.

    The applicant is required to show the RTO delegate original EOI documents that add up to at least 100 points. Within these documents the applicant must be able to show a photo, date of birth (minimum age 14 years), signature and current residential address. It is the RTO’s responsibility to ensure that the relevant sections of the EOI form are complete, and to verify the EOI documentation provided.

    Note: For inmates of a correctional centre an arrangement exists between SafeWork NSW and Corrective Services NSW to assist inmates in obtaining at least 100 points by accepting two additional forms of EOI. These are listed at the bottom of the EOI table in section 1.

    Other exceptions to the standard EOI requirements are covered by the special arrangements section of this form. Where special arrangements apply, the standard EOI table is not required to be completed, instead section 2 of this form should be filled out.

    The record of training (ROT) (last page of this form) is to be completed by applicants who have successfully completed GIT and provides the information required for the RTO to lodge an application for a GIT card on behalf of the applicant.

    This EOI/ROT form is to be retained by the RTO and may be called upon for review during an audit or in response to a complaint or compliance related issues.

    It is an offence under the Crimes Act 1900 (Crimes Act) and WHS Act to make false or misleading statements on this form, heavy penalties apply.

    Privacy compliance statement

    Information that you voluntarily provide in this form is collected and retained by the RTO for the purpose of conducting GIT and, if deemed competent, making an application to SafeWork NSW on your behalf.

    SafeWork NSW intends to use and disclose the information (including any personal information) you have provided in the following ways:

    1. to exercise its functions under the Work Health and Safety Act 2011, including to administer, monitor and enforce compliance with that Act
    2. to record your information on a licence register, parts of which will be published online
    3. to disclose your information to other state, territory and the Commonwealth regulatory authorities
    4. to educate about work health and safety and contribute to external research about work health and safety
    5. as otherwise required or permitted by law, including for the purpose of prosecution.

    SafeWork NSW has a Privacy Management Plan which provides more detailed information about who SafeWork NSW is, how to contact SafeWork NSW, and how SafeWork NSW manages personal and health information in line with NSW privacy laws. A copy of the Privacy Management Plan is available at www.safework.nsw.gov.au.

    The Privacy Management Plan provides detailed information about how you may access or amend personal information held about you by SafeWork NSW.

    IMPORTANT

    You must complete the evidence of identity check for this course. Please select one of the below.

    100 Points IdentityYou must show documents that add up to at least 100 points. Within these you must show a photo, date of birth (minimum age 14 years), signature and current residential address.
    Special ArrangementsSpecial arrangements apply for the following groups:
    • Aboriginal and Torres Strait Islanders
    • School sector
    • Overseas persons recently arrived in Australia (for less than six weeks)

    Choose 1 of the options below to proceed

    100 Points Identity CheckSpecial Arrangements

    SECTION 1. EOI TABLE

    This section must be completed prior to the commencement of training. Mark the appropriate boxes.

    Please complete the applicable evidence of identity details in the shaded box below (please print in BLOCK LETTERS only)

    Participant Name:

    Primary (only use one primary document)

    Australian Birth Certificate Australian Birth Certificate/card (minimum 14 years) issued by the Registrar of Births Deaths and Marriages 70 PointsNumber: State:
    Passport Australian or international passport (current or expired within last two years, but not cancelled) 70 PointsNumber: Country:
    Australian Citizenship Certificate Australian Citizenship Certificate 70 PointsNumber:

    Secondary

    Each of these ID is equal to 40 Points
    Driver Licence Current Australian state or territory driver’s licence or learner driver licence/permitNumber: State:
    Boat Operators Licence Current Australian state or territory boat operators photo licence (eg personal watercraft driving licence)Number: State:
    NSW Firearms Licence Current NSW firearms photo licenceNumber:
    High Risk Work Licence Current Australian issued high risk work licenceNumber: State:
    Photo Card Current Australian state/territory proof of age or photo card (eg a NSW RMS issued photo card)Number: State:
    Australian Police Or Dep of Defence Card Australian Police or Dept of Defence card (with photo)Number:

    The following documents are worth 25 points (please tick box for type of EOI being used and record points value)

    • Veterans Card Department Veterans Affairs card
    • Property Lease Agreement Property lease agreement
    • Motor Vehicle Registration Current motor vehicle registration
    • Medicare Card Current Medicare card
    • Centrelink Card Current Centrelink card
    • Home Insurance Papers Home insurance papers
    • Motor Vehicle Insurance Motor vehicle insurance papers
    • Property/Council Rate Notice Property (council) rates notice issued in the last three (3) months
    • Utility Bills Utility bills issued in the last three (3) months
    • Telephone Account Telephone account issued in the last three (3) months
    • Bank Cards / Statement Credit/Savings cards/Bank statements (1)
    • Bank Cards / Statement 2 Credit/Savings cards/Bank statements (2)

    Training in a correctional facility

    • Correctional centre inmate MIN photo card Correctional centre inmate MIN photo card 40 points
    • Letter of verification from the Department of Corrective Services Letter of verification from the Department of Corrective Services 25 points
    • Correctional centre inmate MIN card Correctional centre inmate MIN card 5 points
    Correctional centre name and location

    SECTION 2. EOI SPECIAL ARRANGEMENTS

    This section is only to be completed prior to the commencement of training if special arrangements are utilised.

    Special arrangements apply for participants in the following groups:

    • Aboriginal and Torres Strait Islanders (part A).
    • School sector (part B).
    • Overseas persons recently arrived in Australia (for less than six weeks) (part C).

    In addition, special exception to the EOI requirements may apply to ‘persons at risk’. Such exception will be dealt with on a case-by-case basis by contacting SafeWork NSW on 13 10 50.

    All EOI documentation provided under special arrangements must be original. The RTO must ensure the appropriate part is filled out and that the participant details and declarations in Section 3 of this form are completed.

    Participant Name:

    EOI-PA Part A- ABORGINAL AND TORRES STRAIT ISLANDERS (points system does not apply)

    Authorised referees for Aboriginal and Torres Strait Islanders include:
    • Chairperson, secretary or CEO of an incorporated Indigenous organisation (including land councils, community councils, housing organisations etc).
    • Community development employment projects coordinator.
    • School principal.
    • School counsellor.
    • Minister of religion.
    • Treating health professional or manager in Aboriginal medical services.
    • Centrelink staff, Centrelink agent or other government employee of at least five years.
    • Please attach two written statements on organisational/company letterhead verifying the person’s identification:
      Name of referee (1) Contact number Organisation
      Name of referee (2) Contact number Organisation

    EOI-PB Part B- SECONDARY SCHOOL SECTOR - EOI DOCUMENTATION (points system does not apply)

    EOI-PB1 The identity of the student has been verified by sighting any one of the original documents listed below:
    EOI-PB1 Australian Birth Certificate Australian Birth Certificate/card (minimum 14 years) issued by the Registrar of Births Deaths and MarriagesNumber: State:
    EOI-PB1 Australian Citizenship Australian Citizenship CertificateNumber:
    EOI-PB1 Australian Driver Licence Current Australian driver’s licence or learner driver’s licenceNumber: State:
    International travel documents including a current passport or a passport which has expired within the last two years, but has not been cancelled. Please state type of travel document (for example – where a passport is used, include passport number and the country of issue and check the expiry date).
    EOI-PB2 The identity of the student has been verified by sighting a written statement on school letterhead confirming the student’s name and date of birth. Name of school and location Name and title of school official Date of statement
    EOI-PB3 The identity of the student has been verified by sighting a student ID card that contains the school crest/seal, photo, student’s name and date of birth.

    EOI-PC Part C- OVERSEAS PERSONS RECENTLY ARRIVED IN AUSTRALIA LESS THAN SIX WEEKS. (points system does not apply)

    Only use this section when the person has been in Australia for less than six weeks and is not ordinarily a resident of Australia.
    1. The identity of the person has been verified by sighting one of the following overseas travel documents.
    Passport Number Country Expiry date Date of arrival
    1. Other international documents of identity that have the same characteristics as a passport for example – diplomatic documents and documents issued to refugees.
    Document type and number
    2. One of the following EOI documents (Australian or overseas). Please tick the appropriate box.
    EOI-PC2 Driver Licence Current driver’s licenceNumber: Country:
    EOI-PC2 Bank Account Card Credit/Savings account cardName of institution: Expiry date:

    SECTION 3. PARTICIPANT DETAILS AND DECLARATION

    This section is to be completed prior to the commencement of training Title: Family/Surname: Given Name: Other names: Date of birth: (DD/MM/YYYY) Mobile number: Email: STREET ADDRESS (MUST NOT BE A PO BOX)
    Unit number/Street number/Property number (include Lot or DP number if applicable) Street Name: Suburb: State: Postcode:
    POSTAL ADDRESS Same as street address S1 Same-Address
    Unit number/Street number/Property number (include Lot or DP/PO Box/GPO Box/Private Bag/Locked Bag) Street Name: Suburb: State: Postcode:

    PARTICIPANT DECLARATION

    I declare that the details contained on this form are true and correct. The EOI details were provided to the RTO prior to attending GIT under the WHS Regulation.

    Participant’s signature: Please enter your full name in the space provided. By doing so, you acknowledge that this will serve as your electronic signature for this document. Date It is an offence under the Crimes Act 1900 (Crimes Act) and WHS Regulation to make false or misleading statements in this application.