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Express Online Training
National Provider Code: 40592
CPCCWHS1001
Prepare to work safely in the construction
industry
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
All RPL applicants must successfully complete the online skills demonstration, as well as the
verbal/oral role-play assessment activities, in order to meet the assessment conditions specified in
the training package.
2
CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
Address:
Applicant
Contact: Phone:
Email:
Name:
Address:
Employer
Contact: Phone:
Email:
Name: Assessment
Date:
RTO
Contact: Phone:
Email:
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
Explain below details of any work or life experience that you feel has given you skills and
knowledge relevant to this application (this can include paid or voluntary work)
Work Details
Employer Name and Dates Contact Person and Phone What type of work was
done?
Life Experience
Skills gained Knowledge gained How were these gained?
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
Explain any workplace health and safety training or construction induction orientation/
training that you have already attended which may be relevant to the unit (please attach
a copy of your training records)
Date approximate Name of training course What did you learn?
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
If you can answer a question, you should provide more information in the space below
each question.
If you have evidence to support your response check the evidence box next to the
question. Complete Section 5 by including information about your supporting evidence.
An assessor will review your responses and the relevance of your evidence for each
criteria.
Unit: CPCCWHS1001 Prepare to work safely in the construction industry Evidence Assessor
Verified
1. I can identify health and safety legislative requirements of ☐ ☐
construction work
Applicant’s explanation:
Assessor’s comments:
Assessor’s comments:
Assessor’s comments:
Assessor’s comments:
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
Assessor’s comments:
Assessor’s comments:
Assessor’s comments:
Assessor’s comments:
Assessor’s comments:
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
10. I can explain the role of health and safety personnel such ☐ ☐
as first aid officers, work health and safety representatives
and committee members and supervisors
Applicant’s explanation:
Assessor’s comments:
Assessor’s comments:
Applicant’s explanation:
Assessor’s comments:
Applicant’s explanation:
Assessor’s comments:
Assessor’s comments:
Applicant’s explanation:
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
Assessor’s comments:
Applicant’s explanation:
Assessor’s comments:
Assessor’s comments:
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
Section 5: Evidence
The following table is intended to support your collection of Evidence. It relates to section 2, 3
and 4 of the RPL Process.
Unit: CPCCWHS1001 Prepare to work safely in the construction industry
Evidence Type Brief Description
Experience
Questions
Work/Life
Section 2
Section 3
Section 4
Training
This includes Third Party Reports, workplace
documents, training records or other relevant
evidence to support your RPL application.
☐ ☐ ☐
☐ ☐ ☐
☐ ☐ ☐
☐ ☐ ☐
☐ ☐ ☐
☐ ☐ ☐
☐ ☐ ☐
All RPL applicants must successfully complete the online skills demonstration, as well as the
verbal/oral role-play assessment activities, in order to meet the assessment conditions specified in
the training package.
10
CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
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CPCCWHS1001 Prepare to work safely in the construction industry - RPL Application v1.1
Decision Appealed ☐ ☐
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