Application Form To Be Type B Certifier (Page 3 of 3) in pdf

4. DOCUMENTS REQUIRED TO BE SUBMITTED WITH APPLICATION

GUIDE FOR APPLICANTS

Please provide the listed

Required For

Requirements

supporting information with your

application.



4.1

Current Non‐Queensland Licences:

Supplied

Copies of any held.

Please label all attached

information with the relevant



4.2

Relevant gas/industrial competencies ‐ Training & Qualifications:

Supplied

question number and subject

Copies of any held for each person who will be involved

in/undertaking approvals. Evidence may include degrees, licences,

trade competency certificates and in house training records



Please read this declaration

4.3

Supplied

Experience: Detail the gas work experience that the applicant has

carefully before signing.

had with respect to design, construction, assessing and

installing/repairing of gas combustion devices. This should be

comprehensive (in CV style for each person who will be involved

in/undertaking approvals) and include the type of gas devices and

type of gas activities and the complexity of the activities. It should

clearly separate installation work from design/assessment work.



4.4

Knowledge of Legislation and Standards: Provide evidence of

Supplied

knowledge of relevant legislation and standards, including

mechanisms you have to ensure that you have the most current

information.



4.5

Types of devices likely to be approved: Detail the types of devices

Supplied

you wish to approve, including gas usage rates, PES systems, etc.

GENERAL PRIVACY

Approving authorities wishing to approve Class C devices that either:



4.6

Supplied

STATEMENT

a separate business unit of authority will install or

(where relevant)

whose organisation also undertakes installation work (other

The Information Privacy Act 2009 ensures that

than related to the approved devices), must:

the collection

, use, disclosure and storage



Provide full details of the organisational structure and

of personal information by government

agencies are lawful and appropriate.

relationship of the separate business units.

This standard also obliges agencies to



Demonstrate that the business units report to different

tell their clients why personal

management structure.

information is being collected and when



Demonstrate that there are appropriate quality assurance

it is being disclosed to third parties.

systems and internal audit procedures in place.



The Department of Natural Resources

Demonstrate how confidential design material provided to the

and Mines collects the information on

approving authority is to be kept at arms length from the

this form under the Petroleum and Gas

installation business unit.

(Production and Safety) Act 2004 (the

Act) to meet its obligations under that

5. ENDORSEMENT OF APPLICANT

Act, and to facilitate and regulate the

carrying out of responsible petroleum

activities and the development of a

safe, efficient and viable petroleum

I, the undersigned (and in the case of an organisation on behalf of any persons involved in or

and fuel gas and coal industries in

undertaking s733(2) approvals), declare that:

Queensland.

(a) The information and attachments provided in this application are true and correct in every way

(b) I have not had any prior convictions in relation to gas fitting/gas certification or

Information collected on this form,

approvals/plumbing/electrical fitting

may be disclosed to other Queensland

(c)

I had not had a gas fitting/plumbing/electrical fitting registration licence suspended or cancelled.

Government Agencies, where such

(d) I have not been refused or had cancelled any gas device certification/approval authorisation in

disclosure is necessary for the effective

another State

management of the petroleum and

(e) I have copies of all relevant legislation and standards as set out in the Type B Approving Authority

coal resources and the respective

Approval Process (web address)

industries in Queensland.

(f)

I will abide by the terms and conditions of the approval including the Type B Approving

Authorities Code of Conduct and Guidelines for making approvals process (web address)

Where information provided is

(g) I acknowledge that I may be required to undertake further training/assessment to maintain my

commercial in confidence, it will be

treated as confidential and disclosed

Approving Authority Status.

outside the agency unless the

Department is legally required to do

Applicant’s Signature

Date

so.

For more information on Information

Privacy, please contact the Privacy

Contact Officer on (07) 389 63705.

3 of 3

Application Form To Be Type B Certifier Page 3

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