Form 6a - Verification Of On The Job Experience
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12140 Hamilton Street
FORM 6A
Regina, Saskatchewan
Verification of
S4P 2E3
On The Job Experience
Tel (306) 787-2444
Toll Free 1-877-363-0536
Fax (306) 787-5105
PLEASE PRINT CLEARLY
Apprentice/Tradesperson
Social Insurance Number
Current Address
City
Postal Code
Phone Number
Employer (Firm Name)
Name and Certificate Number of Supervising Journeyperson
Address of Employer
City
Postal Code
Phone Number
Welder
Trade Time
Exposure
In Hours
Period of Employment
to
(DD/MM/YY)
(DD/MM/YY)
Type of Work
(please print)
Common Occupational Skills: maintaining tools and equipment; using access and
material handling equipment; performing safety-related activities, organizing work,
performing routine trade activities
Fabrication and Preparation of Components for Welding: performing layout,
fabricating components
Cutting and Gouging: using tools and equipment for non-thermal cutting and grinding;
using oxy-fuel gas cutting (OFC) process for cutting and gouging; using plasma arc
cutting (PAC) process for cutting and gouging; using air carbon arc cutting (CAC-A)
process for cutting and gouging
Welding Processes: welding using gas tungsten arc welding (GTAW) process, welding
using submerged arc welding (SAW) process
welding using the shielded metal arc process (Mandatory Experience Required)
welding using a wire feed process - MCAW, FCAW or GMAW (Mandatory
Experience Required)
Total Hours
I Certify The Above Hours Are Accurate
Date (DD/MM/YY)
Apprentice/Tradesperson (signature)
I Certify The Above Hours Are Accurate
Date (DD/MM/YY)
Employer Representative (signature)
Employer Representative (print name clearly)
For Commission Use Only
________________
_________________________
______________
Time Assessed:
Approved By:
Date:
(DD/MM/YY)
021015
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