2020 ProQual NVQ L6 Candidate Eligibility Questionaire

Candidate Eligibility Questionnaire-skill scan
Level 6 Diploma in Occupational Health & Safety Practice
Please complete all sections of the below questionnaire before signing the declaration and returning this
document to your course advisor.
I declare that the information provided in this document is, to the best of my knowledge true, I that I have
read and understand SHEilds “terms and conditions” and agree to abide by them:
Signed:
Date:
Candidate Details Please provide as much information about yourself as possible.

Title: (Mr / Mrs / Dr. / Etc.)
First / Given Name:
Surname / Family Name:
Residential Address:
Contact Telephone:
Cell Telephone
Email:
Date of Birth:
Professional Qualifications:
Professional Memberships:
Information you provide during the completion of this qualification will be kept in the
Employment Details strictest confidence, in line with current data protection laws.
Company Name:
Address:
Country:
Specific site location:
Site access restrictions*:
Current Job Title:
Time in this position:
Previous HSE experience:
*Please list any site information which may make it difficult or impossible for our assessors to visit your workplace,
such as an unhospitable environment (offshore/desert), or restricted access permission.
This is a Mandatory requirement. As part of the skill scan please expand on

how you will be able to demonstrate your personal competence
Eligibility Assessment Y/N
We will use this information to assess whether your current position will
provide a suitable environment for you to complete this qualification.
Which Country will you be Y I'm working in Algeria at South where oil and gas industry takes place
working in whilst completing (construction, development,
this qualification and do you exploitation).
Vocational Eligibility Questionnaire – OHSP L6 Diploma revised Dec 2019 JAL
have a suitable level of
understanding of the English Regarding my English language level, I've a high level of understanding I can
language to complete this read write and speak.
course (see foot notes **)
Are you involved in policy The policy is approved by the Co-administors they are the site directors, but us
Y
writing? the HSE department who develop that HSE policy and send it for approval.
In case of any incident/accident investigation I'm always a member of the team
Do you investigate accidents? Y
investigating.
Currently in my position I do review prepared task risk assessments which
Do you undertake risk were drafted and prepared by different departments.
Y
assessments? In some cases where the task is too critical I do participate in task risk
assessment drafting and send to top management for final review approval.
Do you evaluate Safety
Y I do not evaluate only by myself, I participate in reviewing and revising.
systems?
Here at our site where I work, we've a monthly schedule for many exercises
Do you evaluate emergency and drills and every time we conduct a drill I do some recommendations to
Y
response procedures? improve or to change some items based on the findings being gathered from
the drills performance.
I do this as we have KPIs a targets to be achieved, auditing permit to work
Do you audit health & safety
Y system also I use the preventive card program to audit compliance and
management systems?
procedures application, we do as well environmental auditing.
an HSE training is a combination of a safety golden rule with a subject
procedure such as lifting ops there is a lifting operations golden rule in a one
Do you design HSE training? Y page and a lifting operations procedure we use both documents and take
some sources of information internally and externally then I come out with a
useful training materials using these three elements
I do this since the beginning, at our site it is mondatory to go through
Do you deliver HSE training Y necessary trainings before just going inside the gas treatment plant or a
workplace.
Yes I'm able, I've also many references people I worked with.
Are you able to obtain” Expert
Right now I work under 2 HSE managers, since the site is represented by a
Witness” statements from a Y
Joint venture company comprised of 4 companies, 2 main partners and 2 other
competent person?
participated without operating.
An “Expert Witness” is a person who is ideally a member of IOSH as a Graduate or

Chartered member, or who holds an equivalent professional qualification, or this
Expert Witness Details could be your line manager. The “Expert Witness” can provide witness evidence of
tasks you have undertaken and professional discussions.
Title: (Mr / Mrs / Dr. / Etc.)
First / Given Name:
Surname / Family Name:
Contact Telephone:
Cell Telephone
Email:
Professional Qualifications:
Professional Memberships:
You will be required to undertake several video conferences with your assessor using one of the following channels
Skype, Skype for business or Zoom.
(Speak with your course adviser if the listed software is not available in your area)
This diploma level qualification is delivered and assessed in English only
** The awarding body for this qualification now requires students to have a suitable level of understanding of the
English Language, SHEilds recommend for candidates for whom English is not their first language that they have,
preferably IELTs level 4 or above. Or should a student request access to the SHEilds (English Language Test) ,
Which we offer free, details available from your course advisor.
Vocational Eligibility Questionnaire – OHSP L6 Diploma revised Dec 2019 JAL

2020 ProQual NVQ L6 Candidate Eligibility Questionaire

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2020 ProQual NVQ L6 Candidate Eligibility Questionaire

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Candidate Eligibility Questionnaire-skill scan

Level 6 Diploma in Occupational Health & Safety Practice

Candidate Details Please provide as much information about yourself as possible.

This is a Mandatory requirement. As part of the skill scan please expand on

An “Expert Witness” is a person who is ideally a member of IOSH as a Graduate or

Vocational Eligibility Questionnaire – OHSP L6 Diploma revised Dec 2019 JAL

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