Application Form To Be Type B Certifier Page 2

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2. DETAILS OF LICENCES/AUTHORISATIONS HELD
GUIDE FOR APPLICANTS
Are you (the applicant or persons employed by the applicant) the holder of a current
Q2
Please provide details of all
Queensland (or interstate/overseas) Gas Work Licence/Authorisation or have you
Queensland and
previously held a Licence or Authorisation?
interstate/overseas licences or
authorisations that the proposed
YES (QLD)
NO
OTHER
approving authority or anyone
employed by the approving
Licence/Authorisation Type: ________________________________
authority holds or has held
previously.
Licence/Authorisation Number: _____________________________
Q3
Approval will be given to
Period Held: _____________________________________________
approving authorities to approve
gas devices within one or more
Do you (the ‘approving authority’) intend to also undertaken gas work/ installations in
of three classes:
Queensland?
Indicate in unshaded boxes which
YES
NO
type of devices you wish to have
authority to approve. Note if you
want the ability to approve all types
If Yes do you intend to install gas devices that you approve under s733(2)?
of gas devices write S4, C4 and M.
YES
NO
Class S ‐ Class S allows for approval of
gas devices classified under that class.
All criteria (1‐7) must be met and the
3.
LEVEL OF WORK
device has to have a gas usage rate
<5000MJ/hr to be a Class S device.
I wish to undertake the following level of approval of type B devices (List desired class
For these devices the approving
type(s) and circle criteria)
authority may also install the device if
it holds the appropriate gas work
CLASS TYPE
CLASS S
CLASS C
CLASS M
authorisation.
(Simple Devices)
(Complex Devices)
(Major Projects)
Class C – Class C devices have gas
List Class type (eg
usage rates less than 50 GJ/hour and
S4, C4)
may meet one or more of the criteria.
Application/
Allow approving
Approving authority
Approving authority
Approving authorities approving Class
C devices may also hold a gas work
Restrictions
authority to also
must be independent
must be independent
authorisation and undertake
1
install devices
of installer
of installer.
installation work. However they
Gas usage rate
S1 <200 MJ/hr
C1 <5 GJ/hr
>50GJ/hr
cannot install devices that they
restriction)
approve under S733(2) unless the
S2 <500 MJ/hr
C2 <10 GJ/hr
installation is being undertaken by a
S3 <1000 MJ/hr
C3 <20 GJ/hr
separate business unit in the same
S4 <5000 MJ/hr)
C4 <50 GJ/hr
organisation (please provide
information requested in Question 4.6
Device Type Criteria (circle as appropriate)
if this is intended). Note for C4
1. Atmospheric
devices it is a requirement that the
Yes
Yes
Yes
Burners
approving authority must also sign off
on installed/constructed system
2. Forced/
Yes (up to
including commissioning.
Yes
Yes
Induced Draft
1000MJ/hr only)
Burners
Class M – Class M devices have gas
usage rates of > 50 GJ/hour
3. Liquid LPG
No
Yes
Yes
.Approving authorities approving Class
burners
M devices cannot install a Class M
4. Electronic
device that they have approved under
No
Yes
Yes
s733(2). The installation must be
Control Circuit
undertaken by a separate gas work
5. Explosion relief
authorisation holder not associated
No
Yes
Yes
to AS1375
with approving authority. However in
this case it is a requirement that the
6. Purge Volume
approving authority must also sign off
No
Yes
Yes
3
>10 m
on installed/constructed system
including commissioning).
7. Max Gas
200kpa
No limit
No limit
pressure
1
Note For Class C Devices, a separate
8. Unusual
business unit with a separate
No
Yes
Yes
2
appliances
management structure may be
considered to be independent if
approved by the Chief Inspector.
2
Note: An unusual appliance is a
Restrictions: (list restriction or type of devices if a restricted or specific certification approval is being
purpose built “once only” or rare
sought) Note more detail can be provided separately against Question 4.5:
configuration such as a theatrical
effect
________________________________________________________________  
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