TRIDENT
Trades & Labour Hire & Recruitment Services
1/40 Brookes Street, Bowen Hills Qld 4006
Ph: (07) 3252 4545 Fax: (07) 3252 4525
Email:
CONSTRUCTION
EMPLOYMENT APPLICATION
Name: ______
Address: ______
Suburb: ______P’Code:______
Home Phone: ______Mobile: ______
Email: ______
D.O.B.: ______Blood Type: ______
Next of Kin: ______Contact No.: ______
Tax File Number: ______
Bank Details:
Bank: ______
Branch: ______B.S.B Number (branch no.):______
Account Number: ______
Account Name: ______
(PLEASE DO NOT WRITE SAVINGS OR CHEQUE ACCOUNT ETC)
Please provide the following:
Super Fund Name______& No.: ______
Redundancy Fund Name: ______& No.: ______
PLSL Fund Name: ______& No.: ______
Registered Job Seeker: Yes/No Job Seeker Number: ______
Trade Certificate: ______
Type of Work Preferred: ______
______
Do You Have: White/Blue Card: Yes / No
Steel Toe Boots: Yes / No
Helmet: Yes / No
Valid Tickets:
F/Aid
/ /Basic Rigger
/ /Crane
/ /Demolition
/Senior F/Aid
/ /Intermediate Rigger
/ /Hoist
/ /Asbestos Removal
/WHSO
/ /Advanced Rigger
/ /Scissor Lift
/ /______
/Rehab/Officer
/ /Basic Scaffolder
/ /Boom Lift
/ /______
/Traf/Control
/ /Intermediate Scaffolder
/ /ForkLift
/ /______
/Dogger
/ /Advanced Scaffolder
/ /Bobcat
/ /______
/Please attach a copy of your Safety Card (blue/white), current tickets &/or Trade Certificate.
Other Tickets & Work Experience: ______
______
______
______
What days are you available to work: (Please circle)
Mon Tues Wed Thurs Fri Sat Sun
Shift work: Yes / No Overtime: Yes / No
How far are you willing to travel for work?: ______
Own transport: Yes / No
Signature: ______Date: ______
WORK HISTORY SHEET
Please list your last 3 previous employers that are relevant to the position or industry that you are applying for. IF YOU ATTACH A RESUME THAT INCLUDES WORK HISTORY, PLEASE LEAVE THIS BLANK.
Company Name: ______
Company Contact & Number: ______
Start Date: ______Finish Date: ______
Position & Duties Performed: ______
______
______
Reason for leaving: ______
Company Name: ______
Company Contact & Number: ______
Start Date: ______Finish Date: ______
Position & Duties Performed: ______
______
______
Reason for leaving: ______
Company Name: ______
Company Contact & Number: ______
Start Date: ______Finish Date: ______
Position & Duties Performed: ______
______
______
Reason for leaving: ______
HEALTH AND SAFETY QUESTIONNAIRE
Trident Trades and Labour Hire is committed to complying with Workplace Health and Safety legislation. Our commitment goes further than satisfying the current legislation though. We genuinely want to ensure that every precaution is taken to minimize the risk of our employees being injured or in the unfortunate event of injury, providing the best possible information to the medical staff to assist the recovery process.
By answering the following questions accurately, you will help us with offering you the type of work that you may be able to perform and help limit your exposure to injury or aggravation of a pre-existing injury/condition. Please advise the consultant if you require any special assistance or equipment for mobility/interaction.
1. Have you ever had an Injury or are you currently suffering from an Injury which limits or interferes with your ability to safely and efficiently perform physical activites as listed in the Physical Duties Table below?
Yes / No
If yes, please state details: ______
______
2. Is there anything that you are aware of that may interfere with your ability to safely and efficiently perform activities as listed in the Physical Duties Table below? Yes / No
If yes, please state details: ______
______
3. Are you currently taking or are likely to take any medication/substance which may (or at some time in the future)
(i) Interfere with your ability to safely and efficiently perform your duties as listed in the Physical Duties Table below? Yes / No
(ii) Slow your reflexes, impair your judgment or cause drowsiness? Yes / No
If yes, how long will you be required to be taking or likely to take the medication/substance: ______
Physical Duties Table
If you chose yes for any of the questions above or have difficulty with any of these duties, please tick any or all activities that may be affected by the injury or any other condition that you may be aware of:
Standing and walking for long periods / Twisting or stretchingHeavy lifting, carrying, climbing or moving / Bending, crouching, kneeling or reaching
Repeated hand/wrist/elbow motion / Repetitive, machine/equipment operation
Work requiring concentration or at heights / Any other duties, please describe
Details of mobility restriction or injury
Please tick and provide details of any previous injury or restriction of mobility that you have experienced or are presently experiencing or to the best of your knowledge may experience in the future:
Neck/Shoulders/Back / Hernia/muscle tear / Heart issuesWrist/elbows/hands/fingers / Skin rashes/dermatitis / Hemophilia
Legs/knees/ankles/feet / Nose/throat issues / Eyes/hearing
Chest/asthma/bronchitis / Allergies/diabetes / Mental condition/stress
Epilepsy/blackout/fits/spasms / Arthritis/rheumatism / Illness/breakdown
Declaration
I understand the importance of providing the information as requested above and am aware that failure to disclose information that may help prevent injury or aggravate an existing injury or condition may lead to refusal or reduction of benefits for workers compensation entitlements.
SIGNED: ______DATED: ______
CONDITIONS OF EMPLOYMENT
1. You will be paid in accordance with our E.B.A / Award / As agreed.
2. Pay week will run Monday to Sunday.
3. Pays are banked by Tuesday and depending on your bank are available by C.O.B Wednesday of each week.
4. Your timesheet must be emailed/faxed through to the office by 12 noon Monday of each week (if you do not email/fax your times in your pay may be late). Please call the office to confirm receipt of your timesheet on Monday.
5. You must get each and every docket signed and dated each day and the order number must be on the docket.
6. Any equipment you are given from time to time must not be damaged or lost willfully.
7. Mobile phones are not to be used while you are working (unless for Trident business).
8. Drunkenness, theft, fighting, drug use and willful damage to property or persons during working hours will result in instant dismissal.
9. Your P.P.E once issued is your responsibility and will only be reissued on a fair wear and tear basis.
10. You will not seek employment direct with a Trident Client and if approached by a Trident Client to transfer on to their books you will notify Trident immediately.
11. All workers to work within company safety requirements stated within safety induction.
12. Trident induction booklets to be completed and signed by all employees.
SIGNED: ______DATED: ______
PLEASE ATTACH:
· Readable copy of your Safety Card (Blue/White)
· Readable copy of any Trade Certificate/s (if applicable)
· Readable copy of any current Tickets (if applicable)
· Copy of current Resume
· Copy of your Audio Test Results
Office Use Only
Copy of Drivers license and all relevant tickets taken / Relevant Tax, Super, etc forms completedTax file Number/Bank Details completed / H&S questionnaire completed and signed
Copy of resume/certificates/references attached / Union and Super details completed if member
Trident Safety Handbook completed / Entered into database
Copy given to SS / Copy given to MD