1108 · 2012. 3. 5. · " als"- means aus loadshifting "the student" - the...

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AUS-LOAD5HIFTING CALS) PTY LTD

Driver Training andAssessing Services

4 Purcell RoadLondonderry NSW 2753Mobile: O414 287 O51

Fax: O2 4574 2938www.ausloadshifting.com.au

ACN 151 349 745ABN 53 151 349 745

RTO: 91544

1108Notice of Successfully Completion of Course NSC 1

Completed by

Date of birth: -

Contact number:

Completion date:

Student Number- T/iEKL

This notice of successful completion is valid for 60 days from dateof issue.This notice verifies the person named above has successfullycompleted the above course. This course/s are a nationallyrecognised course that has been delivered by a registered trainingorganisation approved by the Australian Skills Quality Authority.

Your Statement of Attainment will be mailed to you within the next30 days from Aus Loadshifting,(ALS) Pty Ltd- RTO 91

Assessors Signature

Date

Applicants Signature

Date

WISE DRIVING SCHOOLS 9721-0688

Fax: 02-9721-0688Mob: 0411704 407

2 Whi taker StreetYennora NSW2161

Trading under the RTO banner ALS_91544

Applicant booking/enrolment Form:

30496QLD Course in Operating Loadshifting Equipment

Name of applicant

Address:

Telephone:

Date of Birth

Company Name:

Date:

Emergency contact person:

Emergency contact number:

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Course/s I am attending;

A

u

OHSCER202A

OHSCER203A

OHSCER204A

OHSCER205A

Operate a front end loader/backhoe

Operate a front end loader

Operate a front end loader (skid steer type)

Operate an excavator

RTO_91544_Applicant form 3096Qld_l 6092011Page 1 of5

InitialsGen 1

Can you provide a 100 points of identification, chosen from the approved NSW Workcover listedon page 5 of this form, this identification must be presented at the time of enrolment, atAssessment and when submitting your Competent paperwork to the post office. Only originaldocuments can be used. YES or NO

This signed form acknowledges that you understand a cancellation fee will apply in the case of:• Attending an assessment without the correct identification• Cancelling an assessment without giving 48 hours prior notice• Not wearing appropriate safety gear

<* Have you, within the last 21 days, been issued with an Assessment Summary (AS) by anaccredited assessor for the HRW licence class/es to which this application applies?

NO Yes (if you ticked yes provide details.)

Have you' ever been issued with a Notice of Satisfactory Assessment (NSA) by an accreditedassessor for an HRW licence class/es to which the application applies?

Yes (if you ticked yes provide details.)

Has any^HRW licence or equivalent HRW licence class held by you been suspended orcancejled by any Australian certifying authority within the last five years?


Have yoi/attended RTO 91544 for any other Licenses or certificate/s of attainment in thepast 5/years.


RTO_91544_Applicant form 3 096Qld _16092011Pa2-e2of5

InitialsGen 1

The program of study:

The 30496QLD Course in Operating Loadshifting will comprise of 3 days duration. 2 daystraining with the 3rd day for assessment.

• Training Days will be split between the theory and driver training- you will be requiredto learn all areas of the Loadshifting Equipment of your choose and driving skillsneeded to pass your assessment.

• Assessment day - you will be requested to do a performance driving assessment anda theory test comprising of various amount of questions depending on the units ofcompetencies. The theory assessment can be completed oral or written.

<* Training and assessment support services:Aus Loadshifting recognizes that not all people learn in the same manner, and that with anamount of "reasonable adjustment" students who may not learn best with traditional learningand assessment methods will still achieve good results.

Reasonable adjustment may be offered to students with a disability or learning difficultyaccording to the nature of the disability or difficulty. Reasonable adjustments are-made toensure that the student is not presented with artificial barriers to demonstrating achievement inthe program of study. Reasonable adjustments may include the use of adaptive technology,educational support, and alternative methods of assessment such as oral assessment.

Please contact Aus Loadshifting facilitator if you would like to discuss our support services.

)v\i{'-t fVMMifK* .'inii v<%« ^* STUDENT INDEMNITY AGREEMENT '

IN CONSIDERATION of the Organiser permitting me to participate in the training course Iagree with it as follows:

1. I UNDERSTAND that participating in any type of training or course or activity may beDANGEROUS and I voluntarily ACCEPT the risk of damage consequent upon or arising frommy entry as a student, and the use of the Organiser's facilities.

2. I WILL NOT SUE the Organisers for any negligence, tort, breach of contractual or any otherlegal or equitable rights howsoever caused, and this indemnity will extend to and include anydamage arising from my competing in training and from my use of the Organiser's facilitiesand I INDEMNIFY the Organisers in respect of the same.

3. I WILL abide by the Rules and Regulations of the Organiser's as to the training and to theuse of the Organiser's facilities and the directions of the Organiser's officials including theright to terminate or cancel my training and the use of the Organiser's facilities at any timeand for any reason.

4. THE PERSONAL INFORMATION I have supplied to the Organiser regarding myqualifications, experience and any other matter associated with the training is true andcorrect and I have READ AND UNDERSTOOD all of the clauses of this agreement beforesigning the same and before my use of the Organiser's facilities or before any competition.

5. IN THIS AGREEMENT the following words shall respectively mean:" ALS"- means Aus Loadshifting"The Student" - the person named as such on this application form on this paper over thepage.

RTO_9 1 544_Applicant form 3 096Qld _1 60920 1 1 Initials _Pare 3 of 5 Gen 1

"the Organiser" - ALS (any campus or organisation associated with a ALS school orcompany), ALS and any teachers, lecturers, instructors, directors, officers, managers,advisors, employees, agents, licensees, sub-contractors, subsidiaries, holding companies,associates and assignees, or any person associated with the company in any way; theCompetition venue, company in control of the venue or any company or person authorisingthe use of the competition venue, its directors, officers, managers, advisors, employees,agents, licensees, sub-contractors, subsidiaries, holding companies, associates and assigneesor any person or company associated with the company or person in any way."The Organiser's facilities" - the land and buildings associated with any training or anypart of the training, weigh-in, media conference, accommodation or training venue."use of the Organiser's facilities" - the use by the student or his attempted use of theOrganiser's facilities whether such use or access is in breach of this agreement or theOrganiser's Rules and Regulations or authorised or otherwise and whether intended to be soused or not."damage" - all loss or damage, costs or expenses, whether direct or indirect flowing fromany legal liability, claim, demand, right of action, proceedings or judgment of whatevernature and whether arising at law or in equity and whether suffered to the person orproperty of the Organiser, the Student, or any other person or corporation and whetherarising out of or consequent upon the negligence of the Organiser, the Student or otherwise."Rules and Regulations" - the Rules and Regulations are the Rules and Regulationsrelating to any Training which are available from the Organiser, and include all amendmentsor alterations to the Rules and Regulations made from time to time.

6. Deemed not yet competent: it is the applicant's responsibility to make sure they are fullyprepared to pass their assessment. ALS will provide all the necessary criteria to pass theassessment. If you feel ypu are unabl to pass thjs assessment please talk to your facilitatorprior to the day of assessment. If you are deemed not yet competent you will be charge are-assessment fee after 21 days of your last assessment.

7. Deemed Competent: It is the responsibility of the applicant on completion of a successfulassessment. Applicants must pay a WorkCover licence fee of $65.00. This needs to be atyour local post office before your interim License provided by the assessor expires within 60days of assessment.

8. Log Book: The logbook issued at time of enrolment is valid for 60 days from date of issue.An extension of 90 days will be granted, if at the time of assessment you were deemed notyet competent.

9. RPL: Some units of competencies may allow a candidate to do an assessment based onthere prior learning. If you have completed any other licences, please talk to your facilitatoror the assessor to see if you qualify for an RPL assessment.

10. This applicant booking form: the form remains the property of Aus Loadshifting. Wouldyou like a copy sent to your address? yes / no

/ have read and understood the Student Indemnity Agreement (above).

•> I am fully aware that the Candidate's handbook, terms and conditions are listedAt www.ausloadshifting.coVn.au

•> If I am unable to access thi)f website I can request a copy of all terms and conditions from0414 287051

SIGN A TURE:

DATE:

RTO_91544_Applicant form 3096Qld _16092011 InitialsPage 4 of 5 Gen_l

Occupational Health and Safety (OHS) Regulation 2001ABN 77 682 742 966

EVIDENCE OF IDENTITY

On 1 September 2009 WorkCover revised the evidence of identity (EO1) requirements for participants attending generalinduction training under the National Coda of Practice for induction for Construction Work (National Code) in NSW.These changes supersede the EOI requirements that were introduced on 1 July 2008.

This information sheet is designed to assist course participants in meeting the requirements and in completing the newEO1 form for Registered Training Organisations (RTO) approved by WorkCover prior to delivering general induction trainingor undertaking assessment for RPL.

Effective! September 20O9 participants attending general induction training or being assessed for RPL are required toprovide 10O points EOI to a WorkCover approved Registered Training Organisation's delegate (Nominated Trainer) prior tothe training being conducted. The EOt presented is to be recorded on the WorkCover Evidence of identity form (CIC-EOII).

The acceptable documents are listed in the table below and contain both primary and secondary documents. You canprovide only one (1) primary document with secondary documents to form 100 points. Alternatively, you can provide acombination of secondary documents to form 10O points. The combination of documents must contain a date of birth,current residential address, photograph and signature. Please bring original evidence of identity documents with you.Certified copes will not be accepted.

The table below outlines the acceptable evidence of identity and points value allocated.

EVIDENCE OF IDENTITY (EOI) TABLE

Dx>cument Type

Primary Documents

Only use ONE primary document.

Secondary documents

Allowed to use a combination ofsecondary documents.

If you want to use credit and savingsaccount cards, these must be fromdifferent banks.

if you want to use more than oneutility bill, they must be fromdifferent utilities.

Document . - • • . - ; . . . . ,

Australian Birth Certificate or Birth Card issued by the Registrarof Births, Deaths and Marriages (minimum age 14 years)

Passport (Australian/Internationa!) that is current, or expiredwithin the last 2 years but not cancelled

Australian Citizenship Certificate

Current Australian Driver's Licence

Current Australian Learner Driver's Licence

Current Australian Boat Operator's Photo Licence

Current NSW Firearm's Licence

Current Australian issued NCOC Photo Licence (post 2006) orHigh Risk Work Licence

Current Australian State or Territory Proof of Age/Photo Card(eg NSW RTA issued

Australian Defence or Police photo identification card

Department of Veterans Affairs card

Centrelfn^ card

Property (council) rates notice

Property lease agreement

A Utility bill (eg water, electricity, gas)

Telephone account

Credit cards/savings accounts cards/bank statements

Medicare card

Motor vehicle registration or insurance documents

Points

70

70

70

40

4O

40

40

40

40

40

25

25

25

25

25

25

25

25

25

it is important that if you do not possess 100 points EOI, or meet the criteria listed under the special provisions (see below),that you may not be eligible to attend the training without prior approval from WorkCover, Please discuss with the WorkCoverapproved RTOs prior to enrolling or attending the training,

Gen 1Page 5 of 5

Plan work and Identify Site Hazards. Task 1For 30496QLD Course on operating Loadshifting Equipment

Trading under the RTO banner ALS 91544

Trainees Signature:

Course/s I am attending

Date: :X7

naa\\^\

OHSCER202A

OHSCER203A

OHSCER204A

OHSCER205A

Operate a front end loader/backhoe

Operate a front end loader

Operate a front end loader (skid steer type)

Operate an excavator

Trainers Signature:

mpetent or Not Yet Competent

Date: 9V

Comments:

RTO 91544_plan work_Task 1 Page 1 of 3 Gen 2

Use the image below to complete the JSA form on the next page.

A peace of machinery has been left onsite at Area B. You must move themachinery to Area A to an a waiting truck.Area C has uneven ground and after rain a machine could be easilybogged.

Things to consider:

1. Plan your job-Activity outcome (JSA column 1)2. Machinery - The conditions and the suitability (JSA column 2)3. Plan your route (JSA column 2)4. Identify Hazards - Dangers (JSA column 3)5. Control Hazards - (JSA column 4)


Job Safety Analysis Worksheet

Company Name:

Site Name:

Activity (Column 1):

Approved by:

PUT pry

A

JSA Number:

Date:

Permit to workrequired:

2.9-02. -2.0\,

Yes or No

Activity(Column 2)

Hazards(Column 3)

Risk Control Hazards(column 4) Who is Responsible?

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L.O/VOSHIFTHMODriver Training and Assessing Services

Trainers Name

Trainees Feedback Form- RTO 9154430496QLD Course in Operating Loadshifting

| [OHSCER202A Operate a front end loader/backhoe

| [OHSCER203A Operate a front end loader

| [OHSCER204A Operate a front end loader(skid steer type)

| |OHSCER205A Operate an excavator

Course Date:

Trainees Name (optional) Contact Number:

Aus Loadshifting is committed to continually improving training methods.As part of our process to ensure the quality of our training methods and materials , we wouldappreciate it, if you took the time to complete the following questionnaire.

••>»('••.- • • • . • % • *Course ;Contentn

The course was taught in a mannerI could understand?

I found the material interesting.

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Course Structure?

There was the right mix of practicaland Theory

The length of the course wasabout right

The aim of the course was clearlystated

The trainer was easy to understand

The trainer allowed enough time forquestions

I learnt what I came for.

would recommend this course to others

en

strongly

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enen

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enen

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enWhat would you like to see included in future editions of this course?

Additional Comments:

RTO 91544_Feedback GeneraM 609201 1 Page 1 of 1 Gen 3

WISE DRIVING SCHOOLa 9721-0688

Fax: 02-9721-0688Mob: 0411 704 407

2 Whi takerStreetYennora NSW 2161

Trading under the RTO banner ALS 91544

Training Logbook for: OHSCER204A- Operate a Front End Loader ofthe Skid Steer Type (LS)

Date of Issue:Note logbook is valid for 60 days from issue date and an extension of 90 days will be granted, if at thetime of assessment you were deemed not yet competent.

I I Applicant has been deemed competent in the knowledge component of theassessment instruments by the trainer and informed that the applicant must notdrive on the logbook with out the supervision of a suitably qualified person withintheir workplace. Training school signoff

Trainee- Student Id: _(issued at time of enrolment)

Training School Trainer

RTO 91544 16092011 Page 1 of 3 LS 1

Date:

Day 1

>1'0>|if

]

Day 2

5&OIH*

Competency Unit TypesOf Work Performance

Site inspection

Identify site hazards

Pre operation machinecheck

Machine running check

Dig trench

Backfill trench

Load movement

Simulated loading a truck

Level soil

Pick up block with 4 in 1bucket

Hand signals

Machine post op checks

Shut down checks

Theory

Site inspection

Identify site hazards

Pre operation machinecheck

Machine running check

Name Of Trainer /Supervisor

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Signature OfTrainer /

Supervisor?

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RTO 91544 16092011 Page 2 of 3 LS 1

Date:

n

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Competency Unit TypesOf Work Performance

Dig trench

Backfill trench

Load movement

Simulated loading a truck

Level soil

Hand signals

Machine post op checks

Shut down checks

Theory

Name Of Trainer /Supervisor

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Signature OfTrainer /

Supervisor

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RTO 91544 16092011 Page 3 of 3 LS 1

Trainer and Trainees Summary Sheet

3096QLD Course in Operating Loadshifting Equipment

Unit of Competency-OHSCER204A Operate a front end loader skid steer type (LS)

RTO Number: 91 544

Trainees Name:

Enrolment Number:

Knowledge Assessment:

PfM N/C e Ton rJ

Date:

Tick the box either Competent or Not Yet Competent

ElementTaskl

Task 2

Critical Questions andNon critical questionsFrom Loader skid steer typeAssessment InstrumentsCritical Questions onlyFrom Loader skid steer typeAssessment Instruments

TaskPractical review questions 1 to 34

Practical review questions 1 to 34

Competent

SNot Yet

Competent

Comments:

Performance Assessment: Tick the box either Competent or Not Yet Competent

ElementElement 1

Element 2

Element 3

Element 4

Plan Work

Conduct RoutineChecks on control & equipmentShift Load

Shut Down and SecureFront end loader of the skidsteer type

TaskPractical Review Task 1(JSAGen 2)Performance Review Task 2as per performance Workcover assessmentPerformance Review Task 3as per performance Workcover assessmentPerformance Review Task 4as per performance Workcover assessment

Competent

z/

/ ;/

Not YetCompetent

Comments:

Office Use

Name:

Certificate Number:

Signature:

Contact Number:

TraineeFeedback Provided^*, Yes / NoLog Book Issue Date^ _

Comments:

Trainees Signature:

Date:

RTO 91544_Summary of Evidence LS Page 1 of 1 LS 2

Trading under the RTO banner -91544OHSCER204A operate a front end loader of the skid steer type (LS)

Critical Questions -Task 2 Student Evidence of Learning- Task 4

Student Name:

Student Signature:

Date:

Applicant Competent or Not Yet CompetentL^

Trainers Signature and Date

Comments:

Conduct routine checks:Performance criteria 1.1.1 - (select 3 including 1 with a star)

1 What precautions must be taken when an inspection or work has to be performed under

a raised bucket or attachment?

Perfi

10

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or ma nee criteria 1.2.2What shall be provided to

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- (select 3 including two with a star)prevent persons falling into an excavation?

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RTO_91544_star_16092011Page 1 of 2

LS 3


Critical Questions -Task 2 Student Evidence of Learning- Task 4

12 What is the danger of loading a truck across a sloping surface? r

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Performance criteria 1.3.2 - (select 1)

21 What action would you take with damage and defects found on the machine? *t . Ton c\r\cc\t Load:


22 Is it permissible to hoist persons with the bucket of loadshifting equipment?


26 State the meaning of the hand signal for "stop1

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RTO 91544 star 16092011Page 2 of 2

LS 3

Trading under the RTO banner of - 91544OHSCER204A operate a front end loader of the skid steer type (LS)

Critical and Non Critical Questions-Task 2 Students Evidence of Learning

Student Name:

Student Signature:

Applicant C6mpetenjtx6r Not Yet Competent

Trainers Signature and Date

Comments:

Performance criteria 1.1.1 - (select 3 including 1 with a star)

1 What precautions must be taken when an inspection or work has to be performed under

a raised bucket or attachment?

c vo

2 Name three defects that you would look for when conducting a routine check on the

hydraulic system of the front-end loader of the skid steer type.

RTO_91544_all question 16092011Page 1 of 8

LS 4



Should loadshifting equipment be refuelled while the engine is running?

Explain your answer

4 Why should you not completely fill the hydraulic storage tank?

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5 What problem could be indicated by bubbles or milky engine oil in the sump?

6 When changing a battery which battery clamp should be removed first?

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7 What would you look for to ensure that the bucket of the front-end loader of the

skid steer type is securely attached to the machine?

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LS 4



Plan Work: Performance criteria 1.2.1 - (select 1)8 In build-up areas what checks should be made under the ground before excavation

commences?

To establish the location of existing underground services what would you refer to ?

Xto

Performance criteria 1.2.2 - (select 3 including two with a star)

10 What shall be provided to prevent persons falling into an excavation?

c

11 When should an operator wear ear protection?, I V. ,', ° ILkl rUL i Lt_. -A/> < cru C|

12 What is the danger of loading a truck across a sloping surface?


LS 4




13 Which is the safest route of travel, diagonally across or directly down the sloping

surface?

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14 For stability which direction and how should a rubber tyred skid steer loader be

driven up a steep ramp onto a truck?

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15 What would you be required to obtain from the relevant authority to operate a

machine in a hazardous working area?

7

16 What must be obtained to drive unregistered rubber tyred loadshifting equipment

along a public road


17 Why would you select a loader of a skid steer type instead of a conventional

front-end loader to work in small confined space?


LS 4



18 Name three operations which a clam type bucket (4 inl bucket) is designed to

perform?

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Check Controls and Equipment PerformancePerformance criteria 1.3.1 - (select 1)19 On the post start-up check you notice a bulge form in a hydraulic hose.

What action would you take?

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20 When should tests, checks and inspections be made by the operator on the

loadshifting equipment that is to be operated?

Performance criteria 1.3.2 - (select 1)21 What action would you take with damage and defects found on the machine?

r^

Shift Load:Performance criteria 2.1.1 - (select 1)22 Is it permissible to hoist persons with the bucket of loadshifting equipment?


LS 4




23 What is the approximate weight of a cubic metre of wet sand?

24 Of top soil or clay which is more cohesive and harder to excavate push and spread?

Performance criteria 2.1.3 __ (select 1)

25 Why should the seat belt be worn or the pull down bars be in place before operating

the machine?

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26 State the meaning of the hand signal for "stop":

Stop


27 If a hydraulic hose sprung a leak when a loaded bucket was raised,

what action would you take?

^


LS 4



28 If the machine contacted a live power line, which could not be released or the

power turned off, how would you dismount the machine?

LiA V

Shut Down Equipment: PerformancePerformance criteria 3.1.1 - (select 1)29 Name at least three (3) areas where you would not park a front-end loader of the

skid steer type.

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30 Before leaving the controls of the machine what should be done with all

hydraulically raised attachments?

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Performance criteria 3.1.3

31 What post-operational checks should be carried out by the operator on the

loadshifting equipment to prepare it ready to be reoperated?

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LS 4



Secure Site: Performance criteria 3.2.132 What shall be provided when a front-end loader of the skid steer type has to be

parked on or protrudes onto an access way?

C

33 For what reason should the keys be removed from the ignition of the machine?

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34 Before leaving the site what must be provided to restrict access to the site?

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LS 4


Performance - Students evidence of learning- Task 3

Student Name: "Ton

Student Signature and date:

Applicant is deemed:

Trainers Signature and date:

Comments:

Conduct Routine Checks:

1 Conducts routine checks on front end loader of the skid steer type-All elements must be checked

I x^ I Checks Liquid levels- Fuel, Hydraulic oil, engine oil, battery and Coolant/"

I /1Checks Structure for defects- Damage or broken pins, loose nuts, bolts and couplings

Checks attachments for defects- Damage,bucket for missing, worn or loose teethHoses, fitting, hydraulic rams for oil leaksConnections for missing pins or keepersGrease holes and grease pinsChecks attachments for security

Plan Work and Check Equipment:

2 Inspects Site and Plans Work:

I Identifies hazards- Powerlines, Phone Lines, Service drains and abstractions

. [Access and path of movement is indicated- to work area, for loads

I / [Appropriate equipment for the task- equipment is appropriate for the task

3 Conducts Pre-operational and post start-up checks in accordance withmanufactures specification/operators manual

I mounts correctly and adjust seat

Jih neutral and gauges checked

[holding brake and foot brake

engine start and warm up allowed

warning devices and attachment movement

steering and clear to travel

RTO 91544_ performance 16092011 Page 1 of 2 LS 5


Performance - Students evidence of learning- Task 3

Shift Load:

4 Drives to the work area:^raises attachments smoothly [~2selects appropriate route.x -ensure direction is clear to travel | ^Xftravel at safe speed

5 Backfills trench and loads truck:

I xfuses sufficient revs and speed | ^avoids excessive wheel spin

I / \s with bucket low F^Jminimises spillage and ground damage

proaches truck or trench safely | X l smoothly raises and dumps load

repositions bucket ready for reload | /S \s stockpile and working surface

6 Spread soil and level surface:

I J^preads soil with bucket blade | ^levels surface with bucket blade/ / /'

I J^aves soil for natural compaction | ^maintains level surface to work form

7 Picks up and moves material in the bucket

| J icks up material other then soil | x^fca rrjes material in bucket other then soil

X V fT

I yfcompetently shifts material | Xlequipment operated at a safe speed/ /

I yjinstructions and signals are interpreted and complied with

Shut Down Equipment and Secure Site:

8 Shuts down equipment and secures site:

\/ [Parks equipment- parks in a suitable area and attachments lower to the ground

I /fshuts down equipment- controls in neutral, applies hand brake, moves controls tos release pressure and idles to stop. Locks ignition

/'pst operational checks- minor service, perform checks and report any damage

Avoids hazards- parks away from danger areas and removes keys

RTO 91544_ performance 16092011 Page 2 of 2 LS_5

STUDENT NAME:

CONTENT LIST OF THE STUDENTS FOLDER OF EVIDENCE

All these forms must be completed and returned, this is evidence of learningwhich will qualify you for the unit of competency for:OHSCER204A Operate a front end loader of the skid steer type (LS) .Trading under the RTO banner of - 91544

(Tick the appropriate box)

Documents

1

2

3

4

5

6

7

8

9

Content list

Applicant Booking/ Enrolment Form

Training Logbook

Plan work and Identify Site Hazards - Task 1

Knowledge- critical and non critical questions- Task 2

Performance- Task 3

Knowledge - critical questions- Task 4

Summary Sheet

Feedback

Form Id

LS 6

Gen 1

LS 1

Gen 2

LS 4

LS 5

LS 3

LS 2

Gen 3

CompletedNot YetCompleted

£

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'/'//

j

Comments:

Sign off by both the Trainer and Applicants\s name: 'TMK/CJf *TWA>

' Signature: 1

•v\ ,M^,Date:

I the trainer have observed and supervised the applicant in both theory and perfomeance elementsrequired to gain competentcy in OHSCER204A Operate a front endjeader of the skid steer type (LS)

I the trainer deem the applicant: Coi petent jjp-Wot Yet Competentto racgfid-Wthe Formative assessment.

Feedback provide by applicant: YesD NoD Other

RTO 91544 Content list 16092011 Page 1 of 1 LS 6

ORAL /.WRITTEN ASSESSMENT

NAME: Pr/icg I he.<.fz.cjth*r DATE:.

; ^ ' • ' • ' • • ( ': /3' § ^ )L FINISH TIME: / 7 START TIME:

SIGNATURE:

KNOWLEDGE CJ/ N Y C UNIT N O T ACHIEVD 1 2 3

Summative Assessment for RTO 91544

OHSCER204A Operate A Front End LoaderSkid Steer Type (LS)

Front End Loader of the Skid Steer Type

Test A

June 1995

THERE ARE SOME VERY IMPORTANT QUESTIONS MARKED WITH A SHADED BOX THAT YOUMUST GET' RIGHT

THIS TEST IS MADE UP OF 5 PAGES. PLEASE NOTIFY YOUR ASSESSOR IF YOUR TESTIS NOT COMPLETE.

RTO 91544_13102011 Page 1 of 6 LS_12

Conduct routine checks:Performance criteria 1.1.1What precautions must be taken when an inspection or work has to be performed under araised bucket or attachment? . /

btAC-Kje-£ ijB

Name three defects that you would look for when conducting a routine check on thehydraulic system of the front-end loader of the skid steer type.

O -2)

Should loadshifting equipment be refuelled while the engine is running?Explain your answer

xri

\e criteria 1.1.2

What would you look for to ensure that the bucket of the front-end loader of the skid steertype is securely attached to the machine?

Plan Work: Performance criteria 1.2.1

In build-up areas what checks should be made under the ground before excavationcommences?

fL^cX. frof tocrvuevU^eC , \_ U<i >es , etcis.' 0

aod

RTO 91544 13102011 Page 2 of 6 LS 12

10

11

12

13

15


What shall be provided to prevent persons falling into an excavation?

><? <y*- Q

When should an operator wear ear protection?

What is the danger of loading a truck across a sloping surface?


Which is the safest route of travel, diagonally across or directly down the sloping surface?

i


What would you be required to obtain from the relevant authority to operate a machine ina hazardous working area?

RTO 91544 13102011 Page 3 of 6 LS 12

17

19

21

22

23


Why would you select a loader of a skid steer type instead of a conventional front-endloader to work in small confined space? p

{•£ g± eg M 1 C i c; e v

Check Controls and Equipment Performance criteria 1.3.1

On the post start-up check you notice a bulge form in a hydraulic hose.What action would you take?

Performance criteria 1.3.2What action would you take with damage and defects found on the machine? D

Tix$

ov 4

Shift Load:Performance criteria 2.1.1

Is it permissible to hoist persons with the bucket of loadshifting equipment?


What is the approximate weight of a cubic metre of wet sand?

RTO 91544 13102011 Page 4 of 6 LS 12

25

26


Why should the seat belt be worn or the pull down bars be in place before operatingthe machine?

To


State the meaning of the hand signal for "stop":

27

29

31


If a hydraulic hose sprung a leak when a loaded bucket was raised,what action would you take?

pr

Shut Down Equipment: Performance criteria 3.1.1

Name at least three (3) areas where you would not park a front-end loader of theskid steer type.

\ <3vi€isK<vr>c|$ \Ac


What post-operational checks should be carried out by the operator on the loadshifting [""Iequipment to prepare it ready to be reoperated? /

Oil

RTO 91544 13102011 Page 5 of 6 LS 12

32

Secure Site: Performance criteria 3.2.1

What shall be provided when a front-end loader of the skid steer type has to be parked onor protrudes onto an access way?

Pvz^vW uoXdhV, ^xWeovdtfi , Uokfcr anjp^ c\-0

RTO 91544 13102011 Page 6 of 6 LS 12

NAME: fr/'nce / h c f DATE:

V- FINISH TIME: I 5 & /START TIME:

SIGNATURE: IlA.f r

PERFORMANCE /C,/ N Y C UNIT N O T ACHIEVED 1 2 3

Summative Assessment for RTO 91544

Loadshifting Equipment

OHSCER204A - Operate A Front EndLoader Skid Steer Type (LS)

August 2011

RTO 91544_02112011 Page 1 of 6 LS_20

Unit 1: Conducted Routine Checks ^ "

1. Conduct routine checks on Front End **Loader of the Skid Steer Type (Demonstrated at least 7 elements)

Complete walk around machine

Load chart

Check underneath machine for any water or oil leaks/

Tyre condition and pressure or track condition / tension/

Fuel

Oil levels in slew motor (if applicable)

r~-~~^r |—Tl|

LJ hydraulic oil level l£J coolant

Air pre-cleaner El air filter / indicator

Battery Security, water level and cleanliness

2. Visual checks of structure/ attachment for defects(demonstrated at least 6 elements)

Attachments for condition, damage and security

Structural damage

Gd Calling objects protective structure (FOPS)

Roll-over protective structure (ROPS)

Any loose nuts, bolts and couplings

Ijj Bucket for any damage, missing, worn or loose teeth

0 Cutting blades CJ/Grease fittings and grease pins

Hoses, fitting and hydraulic rams for oil leaks

Connections for security of pins or keeper plates

RTO 91544_02112011 Page 2 of 6 LS 20

Plan Work and Check Equipment

3. Inspect site and plan work: All hazards are identified whereAplicable (demonstrated at least 8 elements)

01 trees 3 ovG3 Powerlines 01 trees 3 overhead services

Bridges obstructions personnel in the area

Surrounding buildings Qaangerous materials

J Other equipment in the area iS^recently filled trenches

Q^ Underground services

4. Conducts pre-operational start-up checks in accordance with >^manufacturer's specifications/ operating manual:(demonstrated at least 10 elements)

£j Window clean Qmounts correctly . Qadjust seat

td Fasten seat belt J2 park brake on (2 gauges

^/Transmission in neutral £j start engine Scheck steering

Movement attachments JZl clear for travel

Warning devices/ warning light/ horn Q\Foot brake moving forward and reverse

Parking brake moving forward and reverse

5. Plans route and controls hazards: All hazards are identifiedand controlled (demonstrated at least 2 elements)

Z\oFor loads being moved

Traffic control considered

Appropriate PPE for the job and site requirements: e.g Steel cap shoes,high visible clothing and hard hat

RTO 91544_02112011 Page 3 of 6 LS_20

Unit 2: Shift Load

6. Drives to the work area : (demonstrated at least 4 elements)

Select correct controls tJ raises attachments smoothly

S3 Ensures travel direction clear of personnel and obstacles

•L3 Travels at safe speed

Gj Carries bucket at safe travelling height and crowed back

7. Spread Soil, Level Surface and Moves Material in the Bucket:(demonstrated at least 3 elements)

£d Spreads soil with bucket blade 01 level surface with bucket blade

Leaves soil for natural compaction Of picks up material

Carries material in bucket

8. Operates Front End Loader of the Skid Steer Type: *>3fBackfills Trench, Loads Truck and Communications.(demonstrated at least 20 elements)

(3 Checks control movements

n/ - ' 1*1 'L-T Completes task in logical sequence LJ Moves load safely

/ *-CJ Crowds bucket to fill - - Q picks up material

Of Competently shift material Q e^uipmentjDperated at a safe speed

- '"I 7J£es appropriate path of travel Q ,exnsures direction of travel clear

LJ Uses sufficient revs Q /Moves load safely

[j M'fnimises spillage and ground damage Q smoothly raises and dumps load

Q Has the truck positioned for easy loading LJ Loads placed to ensure stability

RTO 91544_02112011 Page 4 of 6 LS_20

El Approaches truck (or trench) correctly LTmaintains stockpile and working surface

Repositions bucket ready for reload lowers load to designated location

Personnel and plant clear of operating radius / area

9. Consolidates and levels surface(demonstrated at least 3 elements)

La Consolidates fill with skid steer

1 1 Excess fill for natural compaction

10. Identifies the following signals:(demonstrated at least 6 elements)

levels surface with bucket blade

maintain level surface to work from

Stop - hand

Travel and traverse

oom up - hand boom down - hand

Unit 3: Shuts Down Equipment and Secures Site:11. Shuts down equipment and secures site:

^(demonstrated at least 7 elements)

rks equipment in a suitable location away from danger areas

UJ Neutralises controls

teeth/ cutting edge of bucket on ground'

applies parking brake

Q^ Idles down, shuts down and locks ignition Cj moves controls to release pressure

3i RerrApplies safety lock - LiJ dismounts correctly Removes the key - \O 91544_02112011

Page 5 of 6 LS20

Formative assessment summary

Knowledge AssessmentOperationalArea Unit

1

2

3

Number ofCritical

questionsrequired

4

3

0

Number ofCritical

achieved

£/10

Number ofnon-criticalRequired

7

2

2

Number ofnon-criticalachieved

73

1^

UnitCompetentNot yet competent

1 .^

- 2^^

3/

Performance AssessmentOperationalArea Unit

1

2

3

Numberrequired

4

6

1

Number achieved

£/

UnitCompetentNot yet competent

1

—

2^ S

^3>^

Applicant is deemed: Incompetent / Q not yet competent

Name of Assessor

Assessors Signature

Date

Assessors Comments and Feedback

Name of Applicant

jytA

Arnica nts Big-nature

Date

RTO 91544 02112011 Page 6 of 6 LS 20

Assessment Booking Form-Assessors Name: . . . . . .Holqer Irmisch

Assessment Date: 29-02-2012Assessors A/N: 263334 Contact Number: 0414287051

Site Persons Name: Thomas Ng Site Contact Number: °2 9721 3588

Start Time: 10.00 Finish Time: 13.07

Site Address: j^itaker ^ ^^

1

2

3

4

5

6

7

8

9

10

Surname

Thekethill

Thekethill

Given Names

Prince John

Prince John

Class

LS

LE

Knowledge

Written

Written

Performance

yes

yes

NSA AS NSC number

nsc1108

nsc1108

Office Use:

Inv:

Certificates:

Data base:

ApplicantC= Competent

NYC= Not Yet Competent

Y

Y

Faxed WorkCover yes(n/j

s/'sCP^

Comments from submission