Application For A Winding Engine Driver'S Certificate Of Competency - Western Australia Department Of Mines And Petroleum Page 2

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4. Payment details
Cheques and money orders should be made payable to: Department of Mines and Petroleum
..................................................................................................................................................................................................................
Application for a Certificate of Competency
Complete this section if paying by credit card
Card number
Expiry date
/
Card type (please tick)
Mastercard
Visa
Cardholder’s name
Amount
Signature
Phone number of card holder
Date
/
/
5. Checklist
(please tick the boxes to ensure your submission is complete)
The Mines Safety and Inspection Regulations 1995 [rr. 2.27(2) and 2.28(2)] requires the applicant to submit the following documentation.
Evidence of attaining minimum age of 21 years (e.g. passport or driver’s licence)
Character reference
Evidence of medical fitness (e.g. Winding Engine Driver’s Health Certificate)
Application fee
Evidence of assisting under the supervision of a qualified person*:
– knowledge of ancillary equipment normally associated with winding engines
– carrying out the duties of a platman, skipman, or set rider, including shaft maintenance and shaft repairs for not less than 12 hours
per week over a period of not less than 6 weeks
For Class I applicants
– driving an electric winding engine fitted with dead weight power operated brakes or multi-spring applied unit brakes. Operated by
an electric motor not less than 75 kW for a period of not less than 300 hours at the rate of not less than 12 hours and not more
than 40 hours per week
For Class II applicants
– driving a winding engine driven by a power source having a power input of not more than 75 kW and not less than 25 kW for a
period of not less than 300 hours at the rate of not less than 12 hours and not more than 40 hours a week
* letters of experience must be provided and signed off by a responsible officer of the company in which experience has been gained using
company letterhead. It should include precise details of the types of duties and dates associated with each.
Experience records in the form of Statutory Declaration may be acceptable only in the original experience document from a mine cannot be
obtained. Inquiries, if conducted, to establish accuracy of experience given in the form of a Statutory Declaration may cause delays in the
finalisation of a decision on your application.
WED REV 1

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