APPLICATION FOR MEMBERSHIP

ABN 79 116 837 819

APPLICANT DETAILS

Required

BUSINESS DETAILS

Manufacturer
Training Company
Association
Installer
Distributor
End User
Confined Space
Partner
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:

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
Breathing Apparatus
Gas Detection/Analysis
Other Confined Space Equipment
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:

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: