Illawarra Metallurgical Coal - Contractor Validation (Blue Collar)

Blue-Collar Contractor Application
Status
Who's It Sitting With?
Applicant Name *

First Name Last Name
Who Is The South32 Engagement Initiator? *
If you're unsure - who would be the best S32 employee to contact if further details are needed regarding this application?
Date of Birth *

Month Day Year
Role *
Company *
Company Contact Email *
example@example.com
Does the contract company have a valid contract with Illawarra Metallurgical Coal? *

Yes No
Has the applicant had any claims to Coal Mines Insurance? *

Yes No
Please list each claim with details of both the date and injury as a separate line item *
Has the applicant worked in the coal industry before? *

Yes No
What is the total number of years that the applicant has worked in the coal industry? *
Has the applicant been an employee of Illawarra Metallurgical Coal previously? *

Yes No
If so specify location, last position held and period of employment *
Is the applicant currently working at another Illawarra Metallurgical Coal site? *

Yes No
If yes, which site and who is the employer? *
Is the applicant banned from any Illawarra Metallurgical Coal site? *

Yes No
Number of years with current employer? *
If less than 2 years, state previous employer, time employed and role: *
Details of work experience (role, types of work/skills e.g. development, longwall): *
Site Selection *
Work Area
Appin Work Area Owner *
Appin Contract Work Area Owner Email List
Mine Services Work Area Owner *
Mine Services Work Area Owner Email List
WCCPP Work Area Owner *
WCCPP Work Area Owner Email List
Dendrobium Work Area Owner *
Dendrobium Work Area Owner Email List
DCPP Work Area Owner *
DCPP Work Area Owner Email List
Cordeaux Work Area Owner *
Cordeaux Work Area Owner Email List
Logistics Services
Logistics Services Email List

Internal Use Only
Work Area Owner Email
example@example.com
Work Area Owner Password
Work Area Owner Approval *

Approved Rejected
HR Password
HR Approval *

Approved Rejected
Rejection Reason *
Approved Date

Day Month Year
Date
Sender
Sender Name
Blank
Should be Empty:

Blue-Collar Contractor Application