Applicant’s personal details - Web viewBlasting explosive user’s licence ... Department of Planning and Environment to demonstrate the applicant’s qualifications and experience

Form | Explosives legislation

Blasting explosive user’s licence (mining class) referenceApril 2017 | v1.2

OverviewThis form is to be used to apply for a reference from the NSW Department of Planning and Environment to be provided to SafeWork NSW in connection with an application for a blasting explosives user’s licence (BEUL) for mining classes.

The guide to applying for a reference from the NSW Department of Planning and Environment - blasting explosives user’s licence (mining classes) (the guide) includes information about applying for and eligibility to be issued with a reference and the processes involved in assessing whether a person is eligible for a reference.

NOTE: This is not an application for a BEUL. BEULs are issued by SafeWork NSW under the Explosives Act 2003. The process for applying for a BEUL (including application forms) can be found on the SafeWork NSW website. SafeWork NSW requires an applicant for a mining BEUL to lodge a reference from the NSW Department of Planning and Environment to demonstrate the applicant’s qualifications and experience.

InstructionsYou must read the guide before completing this application form. Please contact your local NSW Department of Planning and Environment, Resources Regulator office if you require assistance in completing this form (see contact details in section 9 below).

Your written application must be accompanied by supporting documents to evidence that you satisfy each of the requirements outlined in this form.

Sections 1-5, 7 and 8 of the application can be completed electronically however section 6 must be completed in your own handwriting. All sections can be submitted by email, mail, delivered or fax (see section 8 for your local office).

A NSW Mine Safety inspector or Mine Safety officer will verify the details of your application and arrange for an assessment of your skills and knowledge. This assessment can take the form of a practical, oral and/or written evaluation, prior to you being issued with a reference.

resourcesandenergy.nsw.gov.au/safety

Blasting explosive user’s licence reference (mining class)

1 Applicant’s personal detailsFirst name Last name

Gender

Date of birth Place of birth

Country of birth (if other than Australia)

Home address

Home postcode

Postal address

Postal postcode

Work email address

Personal email address

Telephone Mobile

Current place of employment

2 Mining classesPlease select class/es:

Open cut coal mining work

Underground coal mining

Below ground mining (other than coal mining) – class 1

Below ground mining (other than coal mining) – class 2

Above ground mining (other than coal mining) – class 1

Above ground mining (other than coal mining) – class 2

NSW Department of Planning and Environment, Resources Regulator 2


3 Experience and education requirements

3.1 ExperienceNot applicable to underground coal mining

Provide evidence showing you have the appropriate practical experience by completing the table below. Once completed, this table should reflect the practical experience requirements set out in section 4.3 of the guide. Please copy this page for the number of blasts you need to provide evidence of i.e. you will need to copy this page if you are required to provide evidence of more than six blasts.

First name(s) Last name

Date of blast

Name of mine

Type of blast e.g. dropcut,

production

Quantity of

explosives (kg)

No. of blastholes

Diameter of

blastholes (mm)

Av. depth of

blastholes (m)

Outline of participation in

blasting operation

Supervising shotfirer’s

name, contact

details, & BEUL

number

Shotfirer’s signature

& date



3.2 EducationComplete the table below and attach a certified copy of your statements of attainment or transcripts listing the subjects completed. See section 6 of the guide for ‘How to certify documents’.

Statement of attainment Institution/training organisation Date of issue

3.3 Letter from employer or supervisorI have attached a letter from my employer or supervising BEUL holder stating that I have the necessary training and experience to hold the class of BEUL sought.

Yes No

3.4 Other explosives licences heldDo you hold an explosives licence(s) issued by NSW or another state/territory? Yes No

If yes, please attach a certified copy of the front and back of current licence(s) you hold and provide details below.

Type of licence Licence number Expiry date (DD/MM/YY) State/territory of issue



3.5 Security clearanceYou must hold a current security clearance (SC) (previously issued as an unsupervised handling licence (UHL). Please attach a certified copy of the front and back of current SC or UHL and provide details below.

Licence number

Expiry date (DD/MM/YY) _/ _/

4 Register of available documentationNot required for coal mines

The purpose of this register is to ensure that the applicant is familiar with, and has access to, the following documents in regard to blasting at a mine. If the applicant does not have access to one or more of these documents, the application may not proceed.

LegislationApplicant has

access to document(Yes/No)

Verified by Inspector/Mine Safety Officer

Work Health and Safety Act 2011

Work Health and Safety Regulation 2011

Work Health and Safety (Mines and Petroleum Sites) Act 2013

Work Health and Safety (Mines and Petroleum Sites) Regulation 2014

Explosives Act 2003

Explosives Regulation 2013

Australian Standards/codesApplicant has

access to document(Yes/No)

Verified by inspector/Mine Safety officer

AS 2187.1-1998 Explosives - Storage, transport and use Part 1: Storage

AS 2187.2-2006 Explosives - Storage and usePart 2: Use of Explosives

Other documents as specified by inspector or Mine Safety officer but not

limited to:

Applicant has access to document

(Yes/No)Verified by inspector/Mine Safety

officer

Blasting management plan for the mine

Site security plan for the mine

Explosives control plan for the mine

Emergency plans (related to explosives)



5 Mining legislation questionnaireThe following questions are intended to provide you with an opportunity to demonstrate that you have sufficient knowledge with respect to the legislation to be issued with a reference. The questions are intended to address key points of the legislation that relate to blasting.

All questions are to be answered by you, personally, in your own handwriting. Use the words from the legislation or your own understanding of the legislation, unless otherwise stated.

Please refer to the following:

Work Health and Safety Act 2011 (WHS Act)

Work Health and Safety Regulation 2011 (WHS Regulation)

Work Health and Safety (Mines and Petroleum Sites) Act 2013 (WHS (MPS) Act)

Work Health and Safety (Mines and Petroleum Sites) Regulation 2014 (WHS (MPS) Regulation)

Explosives Act 2003 (Explosives Act)

Explosives Regulation 2013 (Explosives Regulation).

Please return your answers with your application form.

5.1 Questions

1. As far as reasonably practicable, what must a person conducting a business or undertaking ensure to comply with their duty of care? List at least five requirements. WHS Act, Section 19(3)

2. What is the meaning of ‘reasonably practicable’ in ensuring health & safety? WHS Act, Section 18



3. What is the nature of consultation under Division 2 of Part 5 of the WHS Act? WHS Act, Section 48

4. When is consultation required at the mine site? List four health and safety matters. WHS Act, Section 49

5. What are the requirements under the WHS Regulation to manage risks to health and safety? WHS Regulation, Clause 35

6. If it is not reasonably practicable for the duty holder to eliminate risks to health and safety, what steps must the duty holder take to minimise the risks (hierarchy of control measures)? WHS Regulation, Clause 36(3)-(5)



7. With respect to first aid, what must a person conducting a business or undertaking ensure? WHS Regulation, Clause 42

8. What must an explosives control plan have in relation to any person transporting, using storing or handling explosives? WHS (MPS) Regulation, Schedule 2, Clause 4(2)(g)

9. What must an explosives control plan take into account when setting out control measures for risks to health and safety associated with explosives at the mine? List all considerations. WHS (MPS) Regulation, Schedule 2, Clause 4(1)

10. What incidents related to explosives must be reported? WHS (MPS) Regulation, Clauses 128 (5) (j) and 179 (a)(ii) and (f)



11. What must a health control plan for a mine address? WHS (MPS) Regulation, Schedule 2, Clause 1

12. What do ‘explosive precursor’, ‘security sensitive ammonium nitrate’ and ‘security sensitive dangerous substance’ mean? Explosives Regulation, Clauses 3, 5 and Schedule 1

13. What are the matters for which the Secretary of the Department of Planning and Environment (formerly the Secretary of the Department of Industry) is declared to be the regulatory authority for mines? Explosives Regulation, Clause 6

14. What activities require a licence under the Explosives Act? Explosives Regulation, Clause 17



15. What are the main requirements when storing explosives at a mine? Explosives Regulation, Clause 27, 35 (1), 84 (1), 85, 90 (1)

16. What does a BEUL authorise the holder to do? List four activities. Explosives Regulation, Clause 28 (1)

17. What are the offences relating to negligent handling of explosives? Explosives Act, Section 8 (1)

18. What are the reporting requirements for the loss or theft of explosives or explosive precursors at a mine? Explosives Regulation, Clause 102



19. When is an emergency plan required, when should it be reviewed and who, in particular, should be provided with a copy for comment? Explosives Regulation, Clause 90

20. What offences relate to ignition sources and explosives? Explosives Regulation, Clause 105

If the space provided is not sufficient, please answer the questions on your own paper.



6 Application checklistThe following supporting documentation must be submitted with this application. The following checklist should be completed by ticking each box when each item is completed and the relevant documents (where required) are attached to this application:

Have you selected a mining class/es in section 2 above?

Have you completed all details of your SC or UHL in section 3.5 above?

Have you completed all details of your experience in section 3.1 above?

Have you attached copies of any relevant education/ qualifications as detailed in section 3.2 above?

Have you attached a letter from your employer or supervising BEUL holder stating that you have the necessary training and experience to hold the class of BEUL sought as detailed in section 3.3 above?

Have you attached copies and provided details of any relevant licences as detailed in section 3.4 above?

Have you completed the register of available documentation in section 4 above?

Have you completed the mining legislation questionnaire in section 5 above?

7 Declaration I declare that:

I am 18 years of age or older.

to the best of my knowledge, the information provided in this form, and any attachment to this form, is true and correct in every detail.

I consent to my employer or supervising BEUL holder being contacted regarding any matter relevant to this application, including to confirm my experience.

I consent to the making of any enquiries and the exchange of any information with other agencies or authorities (including in other states and territories) regarding any matter relevant to this application.

I am aware that it is an offence under the Explosives Act 2003 to provide any information or produce any documentation that I know is false or misleading and that a licence issued based on false or misleading information may be suspended or cancelled.

Name

Position/title

Signature Date

8 Submitting the form Mail, deliver, fax or email this form to your office of NSW Department of Planning and Environment - Mine

Safety from the list below. Email notification is preferred.



This form may not be submitted to other offices of NSW Department of Planning and Environment

Maitland NSW Department of Planning and Environment, Mine SafetyPO Box 344Hunter Region MC, NSW 2321

Phone:(02) 4931 6666Fax: (02) 4931 [email protected]

Armidale NSW Department of Planning and Environment, Mine SafetyPO Box 1138Armidale NSW 2350

Phone: (02) 6770 3130Fax: (02) 6770 [email protected]

Orange NSW Department of Planning and Environment, Mine SafetyLocked Bag 21Orange NSW 2800Phone:(02) 6360 5333

Fax: (02) 6360 5363After-hours emergencies only:(02) 6360 [email protected]

Broken Hill NSW Department of Planning and Environment, Mine SafetyPO Box 696Broken Hill NSW 2880


Cobar No postal submission of forms. Email only [email protected]

Wollongong NSW Department of Planning and Environment, Mine SafetyPO Box 674Wollongong NSW 2500


Lithgow No postal submission of forms. Email only [email protected]

Lightning Ridge

NSW Department of Planning and Environment, Mine SafetyPO Box 314Lightning Ridge NSW 2834


OFFICE USE ONLY

Name of officer Date:

Verification Date:

Name of applicant’s employer Date:

Documents verified Date:

ACES/COMET Event No: RM8 File No:

Entered by: Date:

© State of New South Wales through the Department of Planning and Environment 2017. You may download, display, print and reproduce this material provided that the wording is reproduced exactly, the source is acknowledged, and the copyright, update address and disclaimer notice are retained. The information contained in this publication is based on knowledge and understanding at the time of writing (July 2017). However, because of advances in knowledge, users are reminded of the need to ensure that the information upon which they rely is up to date and to check the accuracy of the information with the appropriate officer of the Department of Planning and Environment or the user’s independent adviser.

Privacy statement

Information from this form is collected for the purpose of regulating work health and safety in mines and petroleum sites, and the administration and enforcement of the Work Health and Safety Act 2011, Work Health and Safety (Mines and Petroleum Sites) Act 2013, Mining Act 1992, Petroleum (Onshore) Act 1991, Explosives Act 2003 and Radiation Control Act 1990. The supply of this information is required by law. Information will be stored and managed in accordance with provisions under the Privacy and Personal Information Protection Act 1998. It will not be given to any other third party except as authorised by law. You may access or correct your personal information by contacting Public Access to Information & Privacy Unit on 1300 305 695 [email protected]. Further information regarding privacy can be obtained from the NSW Department of Planning and Environment website at http://www.planning.nsw.gov.au/Privacy.


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