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 Contract Owner *
Appin Contract Owner Email List
WCCPP Contract Owner *
WCCPP Contract Owner Email List
Dendrobium Contract Owner *
Dendrobium Contract Owner Email List
DCPP Contract Owner *
DCPP Contract Owner Email List
Cordeaux Contract Owner *
Cordeaux Contract Owner Email List
Logistics Services
Logistics Services Email List

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

Approved Rejected
Has a Contractor Service Request (CSR) form been approved for this role? *

Yes No
Unfortunately, without this attachment it is not possible to progress this validation. Please speak to the site GM if you have any questions.
Please attach the relevant Contractor Service Request Form *

Browse Files
You must attach the relevant CSR form in order to proceed. Cancel of
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

Unfortunately, without this attachment it is not possible to progress this validation. Please speak to the site GM if you have any questions.