SHENA - Workplace Safety and Health Auditor's Application Form

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Workplace Safety and Health Auditor's Application Form

APPLICANT'S DETAILS

APPLICATION TYPE*

New* Renewal*

Registration No. (for renewal application)

Expiry date of previous registration (for renewal application)

Applicant's Name (as per IC / Passport)*

IC No. (For Brunei Citizen, Permanent Resident or Temporary Resident) / Passport No (Foreign Application)*

Nationality*

Gender*

Male* Female*

Date of Birth*

Home Address*

E-mail Address*

Contact No. (Mobile Number)*

Contact No. (Office Number)*

Highest Education Level & Name of Course*

SUPPORTING DOCUMENTS

Documents to be uploaded

Copy of IC / Passport

Copy of Latest Curriculum Vitae (CV)

Photo with white background (for the purpose of card)

Copy of highest academic certificate qualification

Copy of NEBOSH International Diploma in Occupational Health & Safety or equivalent

Copy of ISO45001:2018 Lead Auditor Course (CQI/IRCA Certified Course)

Copy of WSHO, 2009 Certificate Attendance

Copy of transcript of passing Brunei Darussalam Workplace Safety & Health Order, 2009 examination

Copy of auditing checklist (in reference to the COP)

Copy of Consent/ Acknowledgement Letter from Employer/ Top Management for the applicant to register as WSH Auditor

Copy of Auditing Checklist (updated)

WSH Auditor Log Form

I declare that all particulars and information provided in this application and the documents attached hereto are true to the best of my knowledge and belief, and I understand that the Safety, Health and Environment National Authority (SHENA) reserves the right to reject this application if, at any stage, the information provided is false and incorrect. Should verification be required on any information provided in this application, I hereby authorise SHENA to carry out the necessary investigations.

Declaration of Applicant

I agree

Please check the box below to proceed