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title	Appointment and Nomination Forms

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	whcappointmentforms
	whcappointmentforms

Contractor Company Supervisor Nomination Form

Details:

If you have not received a Contractor Company Supervisor Nomination Form and have WHC-FRM-Contractor Engagement form V6.0 please upload the WHC-FRM-Contractor Engagement form when requested for this document.

Contractor company: must be displayed on form and must match registered company details in system.

P/L / Pty LTD / Pty Limited can be accepted in any of these forms if also listed as the name in the system

Aust / Australia can be accepted in any of these forms if also listed as the name in the system

Ttee (means trust) this is acceptable as long as the rest of the name matches

Contractor company supervisor: must be listed and match Form 1 and Form 2.

Site/Area: must be listed as per site required - Click HERE for a list of sites;
WHC Contractor Owner (class B & C): must be listed;
WHC Contract Coordinator(s): must be listed – at least one contract coordinator per site, the contract owner might or might not be the same for all sites listed
Approval (Site or Area): must have name printed, must be signed and dated. Name must match FORM 1 - Mine Operator or Delegate(Mine Site) or Relevant Manager (Off Site): Note; Version 2 - If the contract owner has signed in place of the Mine Operator or Delegate or Relevant Manager, this can be accepted.
Black and white or colour copy is accepted

The latest version of the Contractor Company Supervisor Nomination Form is issue 3.0 – version 2 and 3 can be accepted.

Version 2 accepted until the 30.09.2019

Issue date to be recorded as Date of document signature by contracting company
Expiration date as per Whitehaven Coal Contractor Engagement Form 1 - valid for 3 years

Pegasus staff click here for additional business rule information prior to completing file verification

Certification	Certification Requirements	Upload Requirements	Examples
Whitehaven Coal Contractor Owner Appointment Form (WHC-FRM-Contractor Owner)	Name of Appointee: Contractor Owner as listed on WHC-FRM-Contractor Engagement Name of Contracting Company: Must be listed and match company registered in onsitethe system This appointment applies at the following WHC Site(s) / Department(s): Site(s) must be ticked WHC Contractor Owner:must complete name, signature and date. Appointed By: Sign off must be completed by a Mine Operator or Delegate (Mine Site) or Relevant Manager (Off Site) associated with the relevant site/s ticked as per the Approved Authorisers list The latest version of this form is issue 4.0. The next previous version can also be accepted.	Issue date to be recorded as Date of document approval by WHC Expiry date must align with the Primary Contracting Company’s WHC-FRM-Contractor Engagement – [SITE] form expiry Pegasus staff click here for additional business rule information prior to completing file verification
Whitehaven Coal Contractor Coordinator Appointment Form (WHC-FRM-Contractor Coordinator)	Name of Appointee:Must be a WHC employee Name of Contracting Company:must be listed and match registered company in Onsitethe system This appointment applies at the following WHC Site(s)/Department(s):Site(s) must be ticked WHC Contract Coordinator: must complete name, signature and date. Appointed By: WHC Contractor Owner must match the contracting company’s WHC-FRM-Contractor Engagement The latest version of this form is issue 58.0 – . The next previous version may can also be accepted accepted.	Issue date to be recorded as Date of document approval by WHC Expiry date must align with the Primary Contracting Company’s WHC-FRM-Contractor Engagement – [SITE] form expiry Pegasus staff click here for additional business rule information prior to completing file verification	Image Removed
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title	Contractor Details

Subcontractor Details

Contracting company details must be displayed on form
Contracting company details must match registered company details in system

P/L / Pty LTD / Pty Limited can be accepted in any of these forms if also listed as the name in the system

Aust / Australia can be accepted in any of these forms if also listed as the name in the system

Ttee (means trust) this is acceptable as long as the rest of the name matches

Subcontractor Company details to be displayed
Black and white or colour copy is accepted

Certification

Certification Requirements

Upload Requirements

Examples

Head Contractor Details

Contracting company details must be displayed on form

Contracting company details must match registered company details in system

P/L / Pty LTD / Pty Limited can be accepted in any of these forms if also listed as the name in the system

Aust / Australia can be accepted in any of these forms if also listed as the name in the system

Ttee (means trust) this is acceptable as long as the rest of the name matches

Head contractor Company details to be displayed
Black and white or colour copy is accepted

Issue date to be recorded as the date of submission
Expiry date to be calculated as 6 months from Issue date

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subcontractorform

Issue date to be recorded as the date of submission
Expiry date to be calculated as 6 months from Issue date

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title	Contractor Engagement

Certification

Certification Requirements

Upload Requirements

Examples

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	contractorengagementform1
	contractorengagementform1

WHC-FRM-Contractor Engagement – [SITE]

Contracting Company: must be listed and match registered company in the system
Contractor Representative Name: must be listed (not applicable for Class A)
WHC Contractor Owner Name: must be listed
Site(s): must be ticked. Click HERE for a list of sites;

Scope of work: must be completed
Classification Result: must be indicated and responses to questions circled
Sub-contractors: must be completed
WHC HSE Document Review Acknowledgement: if classification is B or C the appropriate box must be indicated (not required for Class A)
Contractor Representative (System Acknowledgement): must be completed
WHC Contractor Owner (System Approval): must be completed

Approvals to Engage Company for OLD FORM (Version 5.0) - Form needs to be signed but does not need to be from approved authorisers list.
Approvals to Engage Company for NEW FORM (Version 67.0 OR 7 8.0): A Mine Operator or Delegate (Mine Site) or Relevant Manager (Off Site) associated with each site indicated on page 1 must sign off. These approvers must be on the Approved Authorisers list.
List of authorised approvers per site can be found HERE

The latest version of this form is issue 78.0 – issue 5.0 will be accepted providing that the Whitehaven Coal HSE Document Form 2 and Contractor Company Supervisor Nomination Form are uploaded with it (only the WHC-FRM-Contractor Engagement is required for Class A contractors).. The next previous version can also be accepted.

Issue date to be recorded as Date of document approval by WHC Mine Operator or Delegate or Relevant Manager
Expiry date is 3 years from the date of approval

Pegasus staff click here for additional business rule information prior to completing file verification

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	subcontractorengagementform5
	subcontractorengagementform5

WHC-FRM-Sub-contractor Engagement - [MAIN / FIRST / SECOND / THIRD / FOURTH / FIFTH / SIXTH / SEVENTH] - [DIRECT / SUB] - [SITE NAME]

IF submitted by a Primary Contracting Company:

Sub-contractor Company: must be listed and match a registered company in the system
Primary Contracting Company: must be listed and match registered company in the system
Primary Contractor Representative: must be listed
WHC Contractor Owner Name: must be listed
Site(s): must be ticked - Click HERE for a list of sites.
Scope of work: must be completed
Sub-contractor Management: must be completed
Primary Contractor Representative (Acknowledgement): must be completed
WHC Contractor Owner (Sub-contractor Approval): must be completed

The next previous version of the current form can be accepted.

IF submitted by a Subcontracting Company:

Sub-contractor Company: must be listed and match registered company in the system
Primary Contracting Company: must be listed and match a registered company in the system
Primary Contractor Representative: must be listed
WHC Contractor Owner Name: must be listed
Site(s): must be ticked - Click HERE for a list of sites.
Scope of work: must be completed
Sub-contractor Management: must be completed
Primary Contractor Representative (Acknowledgement): must be completed
WHC Contractor Owner (Sub-contractor Approval): must be completed

The latest version of this form is issue 56.0 – version 4.0 may also be accepted . The next previous version of the current form can be accepted.

Issue date to be recorded as Date of document approval by WHC Contractor Owner
Expiry date must align with the Primary Contracting Company’s WHC-FRM-Contractor Engagement – [SITE] form expiry

Pegasus staff click here for additional business rule information prior to completing file verification

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title	HSE Documentation

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	hsedocumentation
	hsedocumentation

WHC-FRM-Contractor HSEManagement Plan Review – (SITE NAME)

Only required for Class C
Form is valid for 3 years
Contracting Company name much match the name of the company in

Pegasus

the system
Form to be signed by WHC Contractor Owner, Department Manager and Mining Engineering Manager

Issue date to be recorded as date of document approval by WHC Contractor Owner
Expiry date to be recorded as 3 years from issue date

WHC-FRM-Contractor HSE Management Plan Review – Biodiversity Offsets

Only required for Class C
Form is valid for 3 years
Contracting Company name much match the name of the company in

Pegasus

the system
Form to be signed by WHC Contractor Owner, Department Manager and Mining Engineering Manager

Issue date to be recorded as date of document approval by WHC Contractor Owner
Expiry date to be recorded as 3 years from issue date

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Versions Compared

Old Version 107

New Version Current

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