Third party Validation Nominated Form – Mynesight Training

Registered Training Organisation in Mackay & Wollongong

mynesight@mynesight.com.au

Confirm the Learner's Details

Confirm the learner's details who has selected you as their referrer and provide the appropriate answers for the questions below.

Learner Name

First Name Last Name

This field is hidden when viewing the form

Learner Email

This field is hidden when viewing the form

Learner nominated Person's Name

First Last

This field is hidden when viewing the form

Learner nominated Person's Company Name

This field is hidden when viewing the form

Learner nominated Person's Position

This field is hidden when viewing the form

Learner nominated Person's Phone

This field is hidden when viewing the form

Learner nominated Person's Email

Complete the workplace verification of skills

Answer each question below honestly based on your direct supervision or experience with the learner applying supervisory skills in the workplace.

How long have you supervised or worked with this person?(Required)

Has the learner shown the ability to lead or supervise others safely(Required)

Yes

No

Not Applicable

How well does the learner plan and use risk management in their daily work? (Examples: spotting hazards, checking risk levels, and deciding what risks are unacceptable.)(Required)

How well does the learner put risk controls in place and keep them working? (This includes choosing the right controls, getting resources, checking documents, and helping improve processes.)(Required)

How well does the learner plan and carry out safety or health investigations? (This includes setting goals, collecting evidence, interviewing people, and keeping the process fair and accurate.)(Required)

How well does the learner analyse information and report on investigation outcomes? (Includes identifying causes and contributing factors, drawing conclusions, developing corrective actions, and preparing clear and concise written reports.)(Required)

How well does the learner share information and communicate at work? (This includes toolbox talks, verbal and written communication, shift handovers, radio or email communication, and making sure instructions are understood.)(Required)

How well does the learner work with others and follow workplace rules to keep work safe and efficient? (This includes listening, teamwork, joining meetings, solving conflicts, and following site policies and documents.)(Required)

Sign off on the Verification.

Now that you have provided the verification information, provide us with your Legal Name, current workplace / position, a company Email address and sign below.

Legal Name(Required)

First Last

Company / Position(Required)

Phone

Email(Required)

Signature(Required)

MyneSight © 2023 All Rights Resevered.
RTO: 31900 ABN: 79 130 961 714

P: 1300 447 020
E: mynesight@mynesight.com.au (General)
E: accounts@mynesight.com.au (Accounts)

FACILITY LOCATIONS:

MACKAY, QLD
10 Elvin Street, Paget QLD 4740

WOLLONGONG, NSW
1/38 Investigator Drive, Unanderra, NSW, 2526

DOWNLOAD STUDENT HANDBOOK HERE