Authorised person request form

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Authorised person request form

To request approval for an Authorised Person (Electrical) or Authorised Person (Non-Electrical), please complete the form below.

All applicants must possess the required competencies outlined in the form below to work near our electricity network.

Once submitted, you'll receive a confirmation email that your form has been received by us and we'll process your request in around 7 business days.

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Fields marked with * must be filled in.

Contact Details

Title *

First name *

Last name

Company name

Company address

Suburb/Town

State

Postcode

ABN

Phone number Please enter as a 10 digit number with no spaces, eg 0738516000

Email address

Re-enter email address

Is this request for an Elecrical or Non-Electrical Authorised Person?

Electrical
Non-Electrical

Authorised Person (Electrical) Approval Request

I wish to formally apply for the following employees to become Authorised Persons (Electrical). They are all holders of a current Queensland Electrical Mechanic Licence as required under the Electricity Safety Regulation 2013.

Number of Employees to be approved

Full name of Employee 1

Electrical Mechanic Licence number for Employee 1

Full name of Employee 2

Electrical Mechanic Licence number for Employee 2

Full name of Employee 3

Electrical Mechanic Licence number for Employee 3

Full name of Employee 4

Electrical Mechanic Licence number for Employee 4

Full name of Employee 5

Electrical Mechanic Licence number for Employee 5

Full name of Employee 6

Electrical Mechanic Licence number for Employee 6

Full name of Employee 7

Electrical Mechanic Licence number for Employee 7

Full name of Employee 8

Electrical Mechanic Licence number for Employee 8

Full name of Employee 9

Electrical Mechanic Licence number for Employee 9

Full name of Employee 10

Electrical Mechanic Licence number for Employee 10

Employee skills and competencies

For your request to be successful, you must be able to demonstrate that all of the above employees have completed relevant training and have an appropriate level of technical knowledge and experience to operate equipment and vehicles.

You must tick all of the following to proceed, otherwise please email us on authorisedperson@energyq.com.au

1. Complying with the Electrical Safety Code of Practice 2010 for Working Near Overhead and Underground Electrical Lines and Electrical Safety Code of Practice 2013 for Managing Electrical Risks in the Workplace 2013 (safe system of work)

2. Identifying low voltage and high voltage electric lines (including ways of ascertaining the voltage present)

3. Distinguishing between insulated and uninsulated electric lines

4. Understanding the possible causes and risks of electric lines being damaged

5. Demonstrating the skills and knowledge necessary to implement a safe system of work

6. Demonstrating familiarity with the unsafe distances and exclusion zone requirements

7. Applying emergency procedures in the event of an incident

Company systems

For your request to be successful, you must confirm that the company has certain systems in place.

You must tick all of the following to proceed, otherwise please email us on authorisedperson@energyq.com.au

Systems are in place to monitor the ongoing competency and identification of persons authorised to work near electric lines, while complying with the requirements of the Electrical Safety Code of Practice 2010 for Working Near Overhead and Underground Electrical Lines and Electrical Safety Code of Practice 2013 for Managing Electrical Risks in the Workplace

Systems are in place to remove and replace LV service fuse/s both at the pillar and pole top for the isolation of a customer’s installation

Authorised Person (Non Electrical) Approval Request

I wish to formally apply for the following employees to become Authorised Persons (Non-Electrical) as required under the Electricity Safety Regulation 2013.

Number of Employees to be approved

Full name of Employee 1

Full name of Employee 2

Full name of Employee 3

Full name of Employee 4

Full name of Employee 5

Full name of Employee 6

Full name of Employee 7

Full name of Employee 8

Full name of Employee 9

Full name of Employee 10

Employee skills and competencies

For your request to be successful, you must be able to demonstrate that all of the above employees have completed relevant training and have an appropriate level of technical knowledge and experience to operate equipment and vehicles.

You must tick the following to proceed, otherwise please email us on authorisedperson@energyq.com.au

1. Complying with the Electrical Safety Code of Practice 2010 for Working Near Overhead and Underground Electrical Lines (safe system of work)

2. Identifying low voltage and high voltage electric lines (including ways of ascertaining the voltage present)

3. Distinguishing between insulated and uninsulated electric lines

4. Understanding the possible causes and risks of electric lines being damaged

5. Demonstrating the skills and knowledge necessary to implement a safe system of work

6. Demonstrating familiarity with the unsafe distances and exclusion zone requirements

7. Applying emergency procedures in the event of an incident

Company systems

For your request to be successful, you must confirm that the company has certain systems in place.
You must tick the following to proceed, otherwise please email us on authorisedperson@energyq.com.au

Systems are in place to monitor the ongoing competency and identification of persons authorised to work near electric lines, while complying with the requirements of the Electrical Safety Code of Practice 2010 for Working Near Overhead and Underground Electrical Lines

Terms and Conditions

Please acknowledge that:

Authorised Person approval when granted will only apply to working near electric lines and does not permit contact with electric lines.

Please acknowledge that:

This application does not guarantee approval and is subject to an assessment by Ergon Energy. I understand a letter of authorisation will be issued upon approval.

Please declare that:

All of the information provided in this application is true and correct to the best of my knowledge.

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