Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *Mobile Number *Email *Employment Terms *ACSG EmployeeSub ContractorPositon *DriverOn Site StaffAre you using your own vehicle or is ACSG providing you with a vehicle? *My OwnACSG Drivers License Details License Number *Expiry Date *Issuing StateNSWQLDSAWAACTNTDrivers License (Front and Back) * Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Medicare Card Medicare Card Number *Expiry Date *Issuing StateNSWQLDSAWAACTNTMedicare Card * Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Do you have a Workers Compensation Certificate? *YesNoWorkers Compensation Expiry Date/NumberWorkers Compensation File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Do you have Public Liability Insurance Certificate? *YesNoPublic and Products Liability $20 MillionExpiry Date/NumberPublic and Products Liability File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Do you have a Motor Vehicle insurance? *YesNoMotor VehicleExpiry Date/NumberMotor Vehicle File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Do you have a Marine/Carriers/Transit Certificate? *YesNoMarine/Carriers/TransitExpiry Date/NumberMarine/Carriers/Transit File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Do you have a Asbestos Liability Insurance? *YesNoAsbestos Liability Expiry Date/NumberAsbestos Liability File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Do you have a HNVAS Mass Certificate? *YesNoNHVAS MassExpiry Date/NumberNHVAS File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Do you have a HNVAS Maintenance Certificate? *YesNoNHVAS MaintenanceExpiry Date/NumberNHVAS Maintenance File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Do you have a HNVAS BFM Certificate? *YesNoNHVAS BFMExpiry Date/NumberNHVAS BFM File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Accreditations TruckSafeExpiry Date/NumberTruckSafe File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Other? Expiry Date/NumberOther File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 4 files. Safety Equipment Park Brake door alarm connected to the horn? *YesNoAudible reversing alarm on both truck and trailer *YesNoAmber flashing light on roof *YesNoBallrace turntables on semi-trailer end tippers *YesNoWelded or "collared" type (similar to BPW Type 480) tow-eye coupling only *YesNoWaterproof Tarps able to be operated remotely from the cab or ground level *YesNoUHF radio with 80 channels *YesNoTailgate lock position indicators clearly visible from the cab *YesNoSteel sheeted *YesNoVehicle meets Sydney Metro Specifications *YesNo Truck Details Truck Registration *Make *Model *Registration Papers * Drag & Drop Files, Choose Files to Upload You can upload up to 8 files. Trailer Details Trailer Registration *Make *Configuration *Quad DogSuper DogQuinn DogModel *Registration Papers * Drag & Drop Files, Choose Files to Upload You can upload up to 8 files. Allocated ACSG Truck *Allocated ACSG Trailer * Maintenance Name on White Card Number *White Card * Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. HVNL All Civil Solutions Group Pty Ltd ACS – SWMS – Tip – 01 ACSG Induction By ticking this box and signing you acknowledge that you have read and understood the ACSG Management System and Unloading/Loading SWMS and that all the information above is true *I understandSignature * Clear Signature Submit
