1/10 pioneer ave, tuggerah nsw 2259 · a. print and complete all applicable sections of the...

© Go Train Industry Pty. Ltd.

RISI Registration Pack - Version 3 Last modified 29 Aug 2013

1/10 Pioneer Ave, Tuggerah NSW 2259

Phone: +61 2 43554595

Fax: +61 2 43554595

Web: www.gotrainrail.com.au

Email: [email protected]



RAIL INDUSTRY SAFETY INDUCTION (RISI) THIS IS A Transport NSW (Formerly RAILCORP) APPROVED COURSE In this registration pack you will find information about how to register, enrol and participate in our RISI course. Please read all pages very carefully and follow all the steps as they are described.

FOLLOW THESE 4 STEPS TO ENROL IN THE RISI COURSE: 1. Obtain a ‘Fit for Duty’ Category 3 medical certificate Log on to the internet and navigate your way to our website here: www.gotrainrail.com.au a. Locate the RISI course pages, and read the information about your Medical Requirements

i. If you already have a Current (within the last 5 years) Category 3 Medical Certificate proceed to Step 2

b. If you need to undertake a Category 3 Medical examination: i. Download the Category 3 Medical form ii. Book an appointment for a Category 3 Medical Assessment with ONLY a NSW Transport-

Approved Health Professional iii. Attend the appointment - Your Doctor will complete with you your Medical Form, take a blood

sample and send it for analysis iv. Your Doctor will provide you with a Health Assessment Report based on the test results

If you are assessed as ‘Fit for duty’ in the Health Assessment Report, proceed to Step 2. IF YOU ARE ASSESSED AS ‘NOT FIT FOR DUTY’ YOU ARE NOT PERMITTED TO UNDERGO THE TRAINING 2. Pay for and Register for the course a. From the RISI pages on the website www.gotrainrail.com.au b. Follow and read our Terms and Conditions of enrolment; ensure that you understand our Refund

Policy before you register for this course c. Click on the ‘Buy Now’ button, and select your preferred course date and location on the Calendar

i. Purchase the course via your Credit Card, or using your PayPal account ii. You will receive an automatic email confirming your Registration booking

PAYMENT IS REQUIRED IN ADVANCE FOR ALL COURSE REGISTRATIONS, unless under prior arrangement. We do not accept any payments on the day of training.

For group bookings please email your request to [email protected] , or call 02 4355 4595 and we will organise an invoice for you after we receive all enrolment forms and medical certificates. We may also be able to arrange training at your venue if you can meet minimum requirements.

3. Submit your paperwork a. Print and complete all applicable sections of the Enrolment Form on pages 10-12 of this Registration

Pack b. Scan both the Enrolment Form and your ‘Fit for Duty’ Medical Assessment. c. Email both documents as attachments to [email protected]

ALL PAPERWORK MUST BE SUBMITTED AT LEAST 2 BUSINESS DAYS PRIOR TO YOUR COURSE DATE. If you do not submit your paperwork on time you will not be permitted to attend the course on your nominated date. 4. Registration Conformation If your paperwork is correctly completed we will contact you by email or by phone to confirm your Registration. Until you receive this confirmation you are not considered to be registered in the course and should not attend on your chosen course date.

http://rms.gotrainrto.com/

http://rms.gotrainrto.com/?page_id=15

http://rms.gotrainrto.com/?page_id=15



COURSE PARTICIPATION and TRAINING On the date of Training you should aim to arrive at least 15 minutes prior to your start time. If you are more than 30 minutes late for your class you will not be allowed to participate – you will in these cases be re-booked into the next available class. When you attend you MUST bring with you the following items: Your printed copy of this Registration Pack including your signed Enrolment Form The ‘Fit for Duty’ Medical Certificate from your Doctor 100 points of Identification You also are requested wear closed-toe shoes and appropriate clothing. Personal Protective Equipment is not required unless otherwise instructed. If you do not have all of the above items on your possession when you arrive for training you will not be permitted to enter the class under any circumstances. Completion of Enrolment Paperwork Your class will begin with your Trainer requesting that you: a. Sign the Attendance Register b. Complete the Rail Safety Worker (RSW) Card Application Form c. Complete the 100 Point ID Form with you and sign the Identification Confirmation d. Attempt a short Language, Literacy and Numeracy Assessment, to ensure you are capable of

understanding the course materials. All students must be able to speak, read and write fluently in English. An interpreter or assistance from other students is not permitted.

COURSE OUTCOMES Upon successful completion of this RISI Course you will be awarded: A nationally accredited Statement of Attainment certificate for the unit - TLIF2080C Safely access the

rail corridor. A Rail Safety Worker ID card issued by Transport NSW

CATEGORY 3 HEALTH ASSESSMENT INFORMATION A Category 3 health assessment includes tests for: Vision Hearing Mobility Drug & Alcohol Authorised Doctors The health assessment must be completed by a Transport NSW- approved doctor/health care centre. A list of Approved Health Providers is accessible through the RailSafe web site > Resource Library > Contractors > Contractors Health Assessments and Drug & Alcohol Information > List of authorised health service providers.



Transport NSW - RISI CARD ISSUE INFORMATION What are the benefits of the RISI ID card? Transport NSW produce the RISI Identification (ID) cards that will enable successful trainees (workers) to access the rail corridor for work purposes. This also includes station platforms. Before working in the rail system, a worker must be able to produce their RISI ID card as well as their Work Safely in the Construction Industry card (white card or equivalent) to the Worksite Protection Officer. If the worker cannot produce both cards for any reason whatsoever, they will not be allowed to work. RSW worker cards are issued by RailCorp and distributed by GoTrain Industry. How long does it take to get a RISI ID card? It takes approximately 10-15 business days for you to receive your RISI ID card from Transport NSW, who have determined that the following steps must take place for them to issue a card: The training course must be paid for The worker has completed a Category 3 Health Assessment and has been classed ‘fit for duty’ The successful medical classification has been provided to GoTrain Industry The worker has attended RISI training; produced 100 points of identification (ID) at the start of the

course (including completed ID form, copies and originals); and has passed the practical and written test at the completion of training as provided by Transport NSW

If an error has been made filling out the ID form, it could result in having to wait an additional 10-15 business days to receive the RISI ID card. Please do not call GoTrain Industry during the 10 to 15-day process as we cannot provide status updates on the RISI ID cards. This is because the process is conducted by Transport NSW, not GoTrain Industry. After the above is completed the cards will posted to you at the address you nominate on your enrolment form. The diagram below depicts the process outlined above.

The length of time the card is valid for will depend on a number of requirements. The trainer will explain this during the training. Remember: You cannot enter the rail corridor without the certificate of competency (RISI ID card) and the Work Safely in the Construction Industry card (white card or equivalent). Note: Your RISI card/s will be placed in a regular postal envelope that cannot be tracked. GoTrain Industry takes no responsibility for cards lost in transit with Australia Post. Lost cards will be charged at $132 directly by Transport NSW to you.

Complete RISI Send

Process Return

RISI Card

Documents -

Receive Medical Documents to Documents to

Training Approximately 3 Posted

and ID Transport NSW GoTrain

Weeks

Form Name: TfNSW RSW Card Application & 100 Point Identification

Form Number: TQTMS-FO-84

Effective Date: 22/07/13 Version: 1.0

© State of NSW through Transport for NSW UNCONTROLLED WHEN PRINTED Page 1 of 4

IMPORTANT: If you wish to attend the Accessing the Rail Corridor (RISI) course, DO NOT use this form. Please complete the Course Enrolment Form - Non Employees. Completed forms and attachments should be sent to [email protected] or RSW Cards, PO Box 202, Petersham NSW 2049.

Contractor Details

Name: Date of Birth:

Address: Postcode:

Phone Number: Email:

Do you hold a current or expired TfNSW RSW card? Yes No

Is this application for an Engineering Authority?

Yes, please specify discipline (Tick ONLY one option) Note - If you are applying for Engineering Authority for the FIRST time you must complete this form. If you have completed this form for a previous Engineering Authority you do NOT need to fill this form in again. You do not need to complete this form if you are Level 3 (working under supervision).

Civil Electrical Geotechnical

Rollingstock Signals & Control Systems Stations & Buildings

Surveying Telecommunications Track

No

Company Details – if applicable

Company Name:

Address: Postcode:

Please indicate preferred method of card distribution by ticking a box:

Card to be collected Mail

Address for TfNSW card to be sent to:

Postcode:

Residency Status

Visa information is collected by Transport for New South Wales under the Migration Amendment (Reform of Employer Sanctions) Act 2013. Information collected will be checked via the VEVO system to confirm an applicant’s right to work in Australia. Please Note: If information collected identifies a person not entitled to be in Australia, the Commonwealth may use the information to locate the affected person.

Please indicate your residency status (tick one):

Australian Citizen

Permanent Resident* Visa No. Expiry Date:

Temporary Resident with working rights* Visa No. Expiry Date:

Temporary Resident without working rights

Bridging Visa* Type of Bridging Visa: A B C Are you able to work? Yes No Expiry Date ____________

* Note: certified copy of visa & passport to be submitted with this form

http://railsafe.org.au/trim/contractors-rail-safety-worker-cards?RecordNumber=D2013%2F77976

mailto:[email protected]





Questionnaire Tick box for

response

1. Have you ever been an employee of Transport for NSW, Sydney Trains, NSW Trains, RailCorp, State Rail Authority or Rail Infrastructure Corporation? Yes No

If Yes, please provide details below:

Employee no. (if available):

2. In the last 5 years have you recorded a positive drug test at any workplace or at a work-related health assessment? Yes No


Times recorded a positive reading

When Where What was the substance detected?

First

Second 3. In the last 5 years have you recorded a positive alcohol test at any workplace or at a

work-related health assessment? Yes No


Was the reading considered: Times recorded a positive reading

When Where What was the

reading? Low Range

Mid Range

High Range

First

Second

4. In the last 3 years have you recorded a positive test for drugs or alcohol leading to a conviction under any law? Yes No


Drugs When

What was the result?

Alcohol When

What was the result?

5. If you answered Yes at Question 2, 3 or 4, did you inform the assessing doctor of the previous positive test(s) at your recent contractor health assessment? Yes No

6. Have you previously been issued with a track safety authority, track safety awareness (TSA), rail industry safety induction card (RISI) or rail safety worker (RSW) card? Yes No


Card Number (if available):





Card Acceptance Agreement

On receipt of this card, I the Card Holder hereby undertake to:-

Ensure that all information on the card including the name and photo is accurate

Sign the back of the card immediately upon receipt of the card if the information is accurate

Ensure all health conditions required under the card will be adhered to

Comply with all work procedures and requirements set by TfNSW including all requirements relating to fatigue, drug and alcohol, health and fitness

Carry the card with me whenever on or about the track

Notify TfNSW of any changes which may affect the accuracy of the matters attested to in the card

Physically destroy my previously issued card

Return this card to TfNSW if requested to do so by TfNSW and acknowledges that this card remains the property of TfNSW at all times.

I agree to the card acceptance agreement above, state that the documents presented are originals or certified copies, that this is my true identity, and that all information supplied is accurate.

Signature:

Date:

Checklist for applicants/card holders A minimum of 100 points of identification provided, using both primary and secondary document categories

All documents provided are originals that have been sighted by a RTO representative, or copies certified by a JP or equivalent

You have completed all sections of this form and signed the form





100 POINT IDENTIFICATION FORM & QUALITY CHECK FORM

You can only use ONE primary document You must include ONE form of photo ID

You must include ONE form of photo ID Your current or expired RSW card cannot be used as proof of identity

To enrol in training:

Provide 70 points of ID (see below). If your primary document doesn't have a photo, you must also provide a secondary document with your photo.

Attending training:

When you attend training, you must bring the documents you provided for enrolment AND;

At least 30 points of secondary documents

Copies of your ID can be certified as true and correct copies of the originals by a:

Approved TfNSW RTO Representative Justice of the Peace Accounting professional (CPA or equivalent)

Legal practitioner Police employee Agent of Australia Post with two or more years continuous service

Primary Documents (certified copy or original to be provided)

Points Document Type Original sighted/copy

certified

Birth Certificate

Citizen Certificate

70 You can only use ONE

primary document

Current Passport

Expired passport which has not been cancelled and was current within the preceding 2 years

Current Driver’s licence issued by an Australian State or Territory

Office Use Only Document no:

NSW Photo Card or Proof of Age Card issued by the RTA

Secondary Documents (document to be sighted and recorded) Points Document Type Original sighted

Licence or permit issued under a law of the Commonwealth, a State or Territory Government

Identification card issued to a public employee

40 Must have a

photograph and a name Identification card issued by the Commonwealth or a State or Territory Government as evidence of

entitlement to a financial benefit

An identification card issued to a student at a tertiary education institution

A mortgage or other instrument of security held by a financial body

Council rates notice

35 Must have a name and

address

Land Titles Office record

Marriage Certificate

Credit card

Foreign Driver’s Licence

WorkCover Licence / Certificate

Medicare card (signature not required)

Membership to a Registered Club

NRMA Membership


signature

EFTPOS card

Document from your current employer or previous employer within the last 2 years

Records of a public utility—phone, water, gas, or electricity bill

Records of a financial institution

A record held under a law other than a law relating to land titles

Lease/rent agreement


address

Rent receipt from a licensed real estate agent

Record of a primary, secondary or tertiary education institution attended within the last 10 years 25 Must have a name and

date of birth Record of professional or trade association of which you are a member

100 Points of Identification confirmation

Name:

Signature: Date:

Company: Phone Number:



RISI ENROLMENT FORM INSTRUCTIONS: Do not complete this RISI Enrolment Form until you have:

o A current ’Fit for Duty’ Medical Certificate o Booked and paid for your course online at our website www.gotrainrail.com.au

Use BLOCK LETTERS. All fields MUST be completed. Scan then Email the completed Form to [email protected], at least 2 days prior to training with your Medical Certificate.

o You may also Fax your documents to 02 4355 4597

STUDENT DETAILS Go Train has an obligation as a Registered Training Organisation to ensure that all students are provided full and accurate information at the time of enrolment and that their personal information is protected under Privacy Legislation. In order for us to comply with these requirements, please complete the following form.

Surname: First Name:

Title: (Mr/Mrs/Miss) Gender: Female Male Date of Birth:

/ /

Email Address:

Phone Number:

Residential Address*:

Suburb: State: Postcode:

What country were you born in?

Do you identify as an indigenous person? (please tick)

Yes No If you answered yes please indicate whether you identify as:

Aboriginal Torres Strait Both

* If you wish for your RISI ID Card to be posted to a different address than your Residential address, please provide the details:

Street Address:


COURSE DETAILS

Unit Code & Name: TLIF2080C Safely Access the rail corridor

Course Name: Rail Industry Safety Induction (RISI)

Course Location: Tuggerah Homebush: Other: ________________________________

Course date: / / 20

EMPLOYER DETAILS (if applicable)

Employer Name: Supervisor Name:

Address:


Employer Email



RISI ENROLMENT FORM

STATISTICAL INFORMATION – To be completed by all students

This information is imputed into our Student Management System software and reported to the relevant Government Training and Regulatory authorities for research, statistical analysis, program evaluation and development, post-completion surveys and internal management purposes. Please answer to the best of your ability.

Are you still attending secondary school? (tick one)

Yes No If you answered yes, what school are you attending?

What is your highest COMPLETED school level? (tick one)

Completed Year 12 Completed Year 11 Completed Year 10

Completed Year 9 Completed Year 8 & below

What year did you complete your highest level? (E.g. – 2009)

Are you currently employed? (tick one)

Yes No

If you answered yes, what status? (tick one)

Full-time employee Part-time employee Employer

Unemployed seeking full-time work Unemployed – seeking part-time work Not employed – not seeking

employment

Employed – unpaid worker in a family

Self-employed – not employing others business

What language, other than English is spoken at home?

How well do you speak English? (tick one)

Very Well Well

Not Well Not at all

Do you consider yourself to have a permanent disability, impairment or long term condition?

Yes No

If you answered YES, then please indicate the areas. (You may indicate more than one area)

Acquired Brain Injury Hearing/Deaf Intellectual Other

Learning Mental Illness Physical Vision Medical

Condition

Have you SUCCESSFULLY completed any of the following qualifications? Yes No

If you answered YES, then please indicate the qualifications you hold. (You may indicate more than one)

Bachelor Degree or Higher Degree

Advanced Diploma or Associate Degree

Diploma

Certificate IV (or Advanced Certificate/Technician)

Certificate III (or Trade Certificate) Certificate II

Certificate I Certificates other than above

Of the following categories, which BEST describes your main reason for undertaking this course? (Tick one box)

To get a job To develop my existing business To start my own business To try for a different career To get a better job or promotion

It was a requirement for my job I wanted extra skills for my job To get into another course of study For personal interest or self-development Other reasons



RISI ENROLMENT FORM

STUDENT DECLARATION & PRIVACY STATEMENT

I, ……………………………………………………………………….................................. declare that: (Student’s Name) I have read all of the pre-enrolment information on the Go Train Website ( http://www.gotrain.com.au ), including the

pathways available to me for training and assessment. I have read all of the Student Information pages (http://rms.gotrainrto.com ) ; I understand the roles and

responsibilities as the student and that of the trainer / assessor and where applicable my employer, I hereby agree to abide by the Registered Training Organisation (RTO) policies and procedures relating to fees,

charges and regulations of the organisation. I declare that the information supplied on this form is correct and complete. Privacy The Federal Government requires all training institutions to collect statistics to help with future educational planning.

Your personal details will remain confidential and will be identified in any national collection. By signing this declaration you consent to Go Train Industry obtaining your personal information and agree that

personal information collected by Go Train Industry will be: o Used by Go Train Industry for research, statistical analysis, program evaluation and internal management

purposes. o Used by government departments for audit, verification, research, statistical analysis, program evaluation, post-

completion surveys and internal management purposes. o I understand that the outcomes of this enrolment/course of study will be reported to the State or Federal

Government for funding purposes. I am employed at the employer listed below and worked at least 1 hour in the previous 2 weeks before making this declaration Organisation / Employer Name …………………………………………………………………………….. Date commenced with current Employer ………………………………………………………………….. I also declare that (Please tick one of the following responses):

I am either an Australian Citizen; or A permanent Australian resident; or Humanitarian Refugee; or Other and

I work and live in …………………………….................................................. (State/Territory) If under the age of 18, this form must be signed by a parent/guardian to complete this enrolment. This includes consent for the student to have access to the internet.

Student Signature: Date:

Parent / Guardian Signature:

Date:

Parent / Guardian Name: