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APPLICATION FOR MEMBERSHIP
ABN 79 116 837 819
APPLICANT DETAILS
Required
Company/Association
Individual Name:
Address:
Phone:
Website:
Company Nominee:
Title:
Telephone:
Email:
Date of Application:
BUSINESS DETAILS
Approximate annual turnover in
Working at Height activities:
Approximate number of employees in
Working at Height activities:
Membership Class
-- Please select --
Full Member
Associate Member
Affiliate Member
Requested Membership Category:
Manufacturer
Training Company
Association
Installer
Distributor
End User
Note:
Full Member - multiple categories are included in subscription. Associate Members - one category but can subscribe to other categories
SUPPORTING INFORMATION
Please provide information on the following:
Any Corporate Profile information
Statement of scope of business's
involvement in height safety market
Statement on views on industry training
Statement on views on use of equipment
to Australian and International standards
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APPLICATION FOR MEMBERSHIP
ABN 79 116 837 819
CATEGORY APPLICATION
Manufacturer
Full Line
Part Line
Australian Fall Protection Manufacturing Capability
Products:
Full Body Harnesses
Anchor Points
Shock Absorbing Lanyards
Static Lifeline Systems
Quality Standards:
ISO 9000
ISO 9001/2/3/
Other (specify below)
Compliance Certification:
Product Certification Licence No.
SAI Global
Global Mark
Benchmark
Other (specify below)
Certified Testing Capability:
Dynamic Drop Testing Capability
Static Test Capability
Installer
Anchors
Life Lines
Walkways
Scaffold
Product Certification Standard:
Manufacturer Accreditation:
Installation Staff Certification:
AQTF
IRATA
ARAA
Confirm all staff have Height Safety Operator Certification to AS1891
Quality Procedure Documentation:
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APPLICATION FOR MEMBERSHIP
ABN 79 116 837 819
CATEGORY APPLICATION
Height Safety Training Organisation
Height Safety
RTO
Confined Space
Scope:
Certification Body:
Units of Competency:
Trainer Competency Criteria:
Training Facility Equipment
Certification:
Approximate number of direct trainers
participants / course
Average number of courses / year
hours / course
Height Safety Equipment Distributor
PPE
Anchors
Walkways
Sale of height safety equipment
outside AS1891:
Yes
No
Details:
Staff Height Safety Training:
Height Safety Manufacturers
Represented:
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