COMMERCIAL BUILDER (UNLIMITED) (MEDIUM RISE)

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1/5 TECHNICAL REFEREE REPORT COMMERCIAL BUILDER - (UNLIMITED) - (MEDIUM RISE) - (LOW RISE) This report must be completed by the referee and accompanies the Commercial Builder Unlimited/Medium rise/Low rise registration application form. To be a referee you should be a registered commercial builder in the class (or higher) than the applicant is applying for. You must have directly supervised the applicant carrying out the work listed in this reference. Use this form to tell us about commercial building work that the applicant carried out under your supervision. The VBA uses your referee report to help determine whether an applicant should be registered as a building practitioner. We may contact you to confirm the information you provide. PART A ABOUT YOU (THE TECHNICAL REFEREE) Title: Mr Ms Other______________________________ First name Mrs Middle name Miss Surname Date of birth / / Your registration number Your contact number If you are not a registered building practitioner, were you the applicant’s: Site supervisor Construction manager PART B EMPLOYER DETAILS Name of company that employed the applicant during supervision period ABN State Postcode Address Street no. and name Employer contact number Suburb Employer email address Your email address

Transcript of COMMERCIAL BUILDER (UNLIMITED) (MEDIUM RISE)

Page 1: COMMERCIAL BUILDER (UNLIMITED) (MEDIUM RISE)

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TECHNICAL REFEREE

REPORT

COMMERCIAL BUILDER - (UNLIMITED)- (MEDIUM RISE)- (LOW RISE)

This report must be completed by the referee and acco mpanies the Commercial Builder Unlimited/Medium rise/Low rise registration application form.

To be a referee you should be a registered commercial builder in the class (or higher) than the applicant is applying for. You must have directly supervised the applicant carrying out the work listed in this reference.

Use this form to tell us about commercial building work that the applicant carried out under your supervision.

The VBA uses your referee report to help determine whether an applicant should be registered as a building practitioner. We may contact you to confirm the information you provide.

PART A

ABOUT YOU (THE TECHNICAL REFEREE)Title: ☐ Mr ☐Ms ☐Other______________________________First name

☐ Mrs Middle name

☐ MissSurname Date of birth

/ /

Your registration number Your contact number

If you are not a registered building practitioner, were you the applicant’s: ☐ Site supervisor ☐ Construction manager

PART B EMPLOYER DETAILSName of company that employed the applicant during supervision period

ABN

State Postcode Address Street no. and name

Employer contact number

Suburb

Employer email address

Your email address

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PART C

APPLICANT DETAILS (FOR WHOM YOU ARE PROVIDING THIS REPORT)First name Surname

PART D

EXPERIENCE

Supervised building experience (for up to three projects) Please complete detail for the applicant’s building project experience that you supervised.

Applicant’s role (e.g. Project manager, Supervisor,

Subcontractor, or other)

Period of supervision: From – To (mm/yyyy) Project site address From To

0BExplanation of terms

Please indicate the components of building work that the applicant either carried out or managed under your supervision (may be one project only).

Carried out Is the actual hands on carrying out of a particular component of building work and includes when the applicant was solely responsible for that component of building work.

Managed Is when the applicant managed the carrying out of a particular component of building work. In this case they were not involved in the actual carrying out of that component other than engaging a competent practitioner to do so, however they were responsible for the quality and compliance of that component of work.

/ - /

/ - /

/ - /

Project 1

Project 3

Project 2

Did you assist, or manage any of the following components of building work per project?

Component of building work Project 1 Project 2 Project 3

Assisted Managed Assisted Managed Assisted Managed

Area of Experience (AoE) 1 – Apply for a building permit for the work Prepared documentation relating to an application for a building permit

Prepared an application to obtain the report and consent (e.g. MFB, CFA, council)

Determined/documented Protection Works requirements

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Did you assist, or manage any of the following components of building work per project?

Component of building work Project 1 Project 2 Project 3

Assisted Managed Assisted Managed Assisted Managed

Area of Experience (AoE) 2 – Enter into and administer appropriate contracts and insurances

Selected and prepared contracts

Managed and administered contracts

Managed contract variations and defects

Involved in/arranged/attended mandatory inspections

Prel

imin

ary

wor

k

Managed the building project from start to finish

Completed handover including certificates of compliance

Developed construction budgets

Prepared project expenditure schedules

Area of Experience (AoE) 4 – Co-ordinate onsite construction works

Developed and coordinated project progress schedules

Coordinated schedules for inspections, contractors, consultants and materials

Coordinated site logistics during preliminaries (crane, hoists, plant and equipment)

Area of Experience (AoE) 5 – Ensure works are planned and conducted safely

Coordinated OHS during site preliminaries (SWMS, public protection works, inductions, fall protection, scaffolding, traffic management)

Prepared/obtained bills of quantity/schedule of rates

Assessed and monitored budgets for the building project

Supervised subcontractors/ trades to ensure work was conducted safely and to standard

Managed site safety throughout the project

Site

supe

rvis

ion

Area of Experience (AoE) 6 – Cont. Commercial construction phase Arranged services (power, sewer, storm water, gas, telecoms)

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Did you assist, or manage any of the following components of building work per project?

Component of building work Project 1 Project 2 Project 3

Assisted Managed Assisted Managed Assisted Managed

Area of Experience (AoE) 6 – Cont. Commercial construction phase

Undertook Protection Works (adjoining property/public space) Undertook demolition or part demolition of existing structures Arranged earthworks and excavation of the site, including off- site disposal of spoil

Installed retaining walls

Installed waterproofing and damp proofing systems

Installed of bored piers

Dem

oliti

on &

bel

ow g

roun

d

Constructed pier and beam footings

Constructed pad footings, including lift over-run pads

Installed ground anchors

Constructed concrete raft slabs

Installed steel reinforcement to engineering design

Constructed suspended concrete slabs, including post tensioning and/or permanent formwork (eg. Bondek)

Constructed concrete in-situ columns

Constructed lift shafts

Installed structural steel elements

Constructed framing (timber, floor and wall, balcony, roof)

Installed concrete pre-cast/tilt panels

Oth

er st

ruct

ural

ele

men

ts

Installed waterproofing to balconies and roof areas

Installed thermal and acoustic elements

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PART E

REFEREE DECLARATIONThe information provided in this form must be true and correct. It is an offence under section 246 of the Building Act 1993 to give false or misleading information in relation to an application for registration, and this offence carries a maximum penalty of 120 penalty units.

To see how the VBA uses and discloses your personal information view the full VBA Privacy Policy.

☐ I declare that the information contained in this form is true and correct to the best of my knowledge.

☐ I understand that the VBA may make enquiries to verify the information I have provided, and I consent for thisinformation to be shared with any other third party for that purpose.

Referee name

Referee signature: Date of signature:

/ /(must be handwritten)

Did you assist, or manage any of the following components of building work per project?

Component of building work Project 1 Project 2 Project 3

Assisted Managed Assisted Managed Assisted Managed

Area of Experience (AoE) 6 – Cont. Commercial construction phase

Constructed fire rated party walls

Installed fire services including monitoring systems

Installed amenities for people with a disability

Installed other ESM requirements

Attached external cladding to buildings, including roof cladding systems Installed commercial glazing

Non-structural fit-out work

Structural fit-out work Inst

all o

f req

uire

d el

emen

ts &

serv

ices