dotsafety solutions pte ltd mom accredited training...

MOM Accredited Training Provider (ATP) and Approved bizSAFE Service Provider

Course registration form for:Height ( English / Bengali)Work-At- Course for Worker WEEKDAYS –

COURSE OBJECTIVE HEALTH AND FITNESS REQUIREMENT

The aim of the course is to provide course participants with the WAH knowledge so that they are carried out properly and safely. During the course, participants will learn about:

i) Work At Height Legislationii) Risk Assessment for Work At Heightiii) Ladders and Step Platformsiv) Personal Protection Equipment for Work At

Heightv) Principles of Fall Protectionvi) Fall Rescue and Suspension Traumavii) Practical lessons on harness fitting, harness

suspension, retractable fall arrestors, twinlanyards, ladder systems

viii) Fall prevention plan and emergencypreparedness

The course will require physical activity that is more

than the usual of what you may encounter in normal daily workplace.

AVANTA has the right to exclude any trainee from training at any stage, for the safety of the trainee.

COURSE DETAIL

Course Duration

1 full day

(7.5 hours including 1.5 hours of assessment)

Modes of Assessment

· MCQ

Passing Criteria: 60% for Written Exam and 100% for Practical

Course Attendance Record: 100% attendance

DotSafety Solutions PTE LTD

Course Fees Language : English

Course Date :

: ........................................................ (Contact us)

Course Time : Day 1 : 9.00 AM – 5.30 PM

Venue : 3, Soon Lee Street, #01-04, Pioneer Junction, Singapore 627606

1) PARTICULARS OF COMPANY AND CONTACT PERSON(This portion MUST be completed for company sponsored course, leave blank if otherwise)

Company Name :

Mailing Address :

Name : Tel :

Designation : Fax :

Email

Company Chop :

S.N Name (As reflect in the NRIC / S PASS / WP NRIC / S PASS / WP Nationality Date of Birth

Authorized Signature :

: Mobile :

Level 3

Head office: 3, Soon Lee Street, # 01-05, Pioneer Junction, Singapore 627606 Tel: +65 6710 4934 Fax: +65 6659 6929 Email: [email protected]

of 2 ATP Forms/WAH/Rev 1 -Jan 17web: www.dotsafety.com.sg

FOR OFFICIAL USE ONLY

Supporting Documents : Copy of NRIC/FIN Copy of highest qualification

Payment Collected : No

Yes Date: Mode: Cash / Cheque _____________

Course Confirmation : No

Yes Date: Mode: Email / Self Collect

Verified by / Date :

COURSE REGISTRATION AND PROCEDURES

· Course registration shall be applied at least 3 days in advance. Registration is based on a first-come-first-served basis. To confirm the registration, payment of the course fees must be made before the commencement date. DotSafety Solutions Pte. Ltd. (DotSafety) reserves the right to decline a trainee from attending the class at its sole discretion.

· Certificate/card shall be issued within 1 month from the course completion date. For WDA courses, SOA shall be ready within 3 months from the assessment completion date as per WDA’s T&Cs. No certificate/card will be issued unless full payment is received by DotSafety before the course ends. An email notification will be sent once the certificate/card is ready for collection. Uncollected certificate/card within 3 months from the date of email notification will be destroyed. An administrative charge apply to re-printing of replacement certificate/card at $20/-. (Police report is required for lost certificate/card case.)

· Trainee is reminded to attend class punctually. Full course fees will still be imposed if the trainee does not attend the class without prior notice.

· Notice of replacement or withdrawal must be made in writing to DotSafety subjected to the following: 1. No *administrative charge if notice of replacement reaches DotSafety at least 3 working days before the

course commencement date. Replacement of trainee is allowed only once. 2. 90% refund of course fees if notice of withdrawal reaches DotSafety at least 2 weeks before the course

commencement date. 3. 75% refund of course fees if notice of withdrawal reaches DotSafety less than 2 weeks but more than 3

working days before the course commencement date. 4. No refund of course fees if notice of withdrawal reaches DotSafety 2 working days or less before the course

commencement date.

All requests are subjected to the discretion and approval of DotSafety.

· Reschedule or change of course is allowed once only and is subjected to the availability of the course. An *administrative charge is applicable if the request is made 2 working days or less before the course commencement date.

· DotSafety reserves the rights to cancel the course or change the course dates. Refund of full course fees is applicable if the class is cancelled by DotSafety.

*Administrative charge: 10% of the course fees or S$30/- (whichever is higher)

By submitting this form, you hereby agree to DotSafety’s privacy policies. A copy of the privacy statement is available on our website at http://dotsafety.com.sg/

Below refund policies are made available to trainees via DotSafety’s website, online registration forms and hard/soft copy registration forms.

Level 3

we are here

Head office: 3, Soon Lee Street, # 01-05, Pioneer Junction, Singapore 627606 Tel: +65 6710 4934 Fax: +65 6659 6929 Email: [email protected]

of 2 ATP Forms/WAH/Rev 1 -Jan 17web: www.dotsafety.com.sg