Entry Requirements

Pack




HBA Learning Centres Pty Ltd
1300 721 503
whs@hbalearningcentres.com.au







NSW ACT
Level 2, 53 Walker
St
North Sydney
NSW 2060
QLD
3 Sir John Overall
Dr
Helensvale QLD
4212
VIC TAS SA
Level 3, 466 Little
Lonsdale St
Melbourne, VIC,
3000
WA
Level 3, 102 James St,
Northbridge
Perth WA 6000
Newcastle
Level 3, 432 Hunter
Street
Newcastle 2300

ABN 96 003 720 483 RTO 31261

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WHS Entry Requirements .................................................................................................... 3
About the Entry Process ....................................................................................................... 3
The Entry Process Step by Step .......................................................................................... 5
Step 1: Enrolment Form ....................................................................................................... 6
Step 2: Applicant and Employment History ........................................................................ 12
Step 3: Self-Assessment Questionnaire ............................................................................. 15
Step 4: Your Portfolio Evidence ......................................................................................... 16
Step 5: Entry Test ............................................................................................................... 17
Learner Declaration .................................................................................................................................... 17
CIV WHS Core Units Underpinning Knowledge .................................................................................... 18
STEP 6: Send us your Application ..................................................................................... 24

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With the introduction of the 2012 WHS qualifications, there has been a tightening up of the
pathway into the Diploma of WHS.

You have selected Option 3 of the entry options into the Diploma of WHS. This means that
you may not officially hold a Certificate IV of OHS or WHS however you have evidence to
prove that you already possess the skills and knowledge sufficient for entry into the diploma.

A Diploma is a high level qualification and those seeking entry into BSB51312 Diploma of
WHS MUST be able to demonstrate relevant qualifications and or experience. You need to
be able to demonstrate you have either already achieved the Core units from BSB41412
Certificate IV in Work Health and Safety or equivalent competencies. The core units are listed
below.

BSBWHS402A Assist with compliance with WHS laws
BSBWHS403A Contribute to implementing and maintaining WHS consultation and
participation processes
BSBWHS404A Contribute to WHS hazard identification, risk assessment and risk
control
BSBWHS405A Contribute to implementing and maintaining WHS management
systems
BSBWHS406A Assist with responding to incidents


The option you have selected here recognises your prior skills and experiences in the core
unit requirements of the Certificate IV of Work Health and Safety.

You are required to complete this application package in full and return to the nominated
email address for assessment.

Your application package requires you to complete the following prior to submitting:

Enrolment Form
Application and Employment History Form
Self-assessment questionnaire
Portfolio of evidence (including resume see notes below for guidance)
Complete Entry Test (25 Questions)

Once you have completed all section of this package you can submit for assessment to
whs@hbalearningcentres.com.au.

Your application will be assessed by a qualified HBA assessor. If the evidence you provide
demonstrates equivalency in skills, knowledge and experience for the entry requirements you
will be able to successfully enter into the Diploma of WHS.

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The following provides you with some guidance as to collecting evidence as proof of your
prior experience.

VALI DI TY

Saying something is simply not enough
Documents like resumes are merely saying something in writing (statements) that need to be
backed up by supporting evidence. They give us a clear picture of what you are currently
doing and may have done in the past however anything you say you have done in your
resume must be supported with hard evidence.

HARD EVI DENCE

If it isnt in writing, it doesnt count
All evidence needs to be documented, and may include items such as testimonies, reference
letters, third party reports, as long as they are recorded and validated.

CURRENCY

Everything needs to be current (up to date)
Just because you hold a qualification it doesnt mean its acceptable. Things change and you
need to demonstrate how you have maintained your currency. Think about what you have
done to maintain your currency: have you attended workshops, conferences, further refresher
training, read publications, signed up to industry journals or newsletters or observed the
practice of others etc.

NOTE:
Currency requires that evidence is from the last two years. Please also note that evidence
must be independently verified to ensure the evidence is valid.

YOUR OWN WORK

Your evidence needs to demonstrate your work, experience, knowledge and ability
against ASQA and the training package requirements.
What your company or another organisation counts may not be enough or correct for ASQA
or the training package requirements.




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There are six (6) easy steps:


Step 1

Complete Enrolment Form


Step 2

Complete Employment History Form



Step 3

Complete Self- Assessment Questionnaire



Step 4

Put together your Portfolio of Evidence (include a
copy of your resume)



Step 5

Complete Entry Test



Step 6

Send us your Application and Deposit



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Please complete the enrolment form on the following page.
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If you are completing this form electronically press Tab on your keyboard to go the next cell. The
cell will automatically expand to accommodate your text. If you are writing, please write clearly. If
you require help with this form please call 1300 721 503 for assistance.
Username:


Todays Date

Name (This is what will appear on your qualification)
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On commencement of a course we may email a username and password for an online forum and from time to time, HBA Newsletters. You will use email to send in your
assessments for marking, therefore it is mandatory to provide an email. If you have more than one please provide your order of preference.
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I require the hire of a HBA Supplied
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If attending an Intensive course:
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*NOTE: If you have answered NO to
any of these we recommend you seek
further training prior to attending.
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written and verbal)?
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use MS Word, copy/paste,
email, internet navigation?
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and experience to one level
below the course I am enrolling
in. Yes No *
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If you require help with this form please call 1300 721 503 for assistance.

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Learners Name
Check this box if you do not wish to complete the rest of this page
It is optional for you to complete this entire page. If you do not wish to complete it please tick above and then continue to the next page.

Country of Birth? Gender

Do you speak a language other than English at home? If Yes, please specify.
Yes No
Proficiency in English
Very Well Well Not well Not at all
Indigenous Status?
Aboriginal Torres Strait Islander Both None
Do you have any disabilities that we should be aware of? If Yes, please specify.
Yes No
Highest school level completed?
Did not go to school Year 9 or equivalent Year 11 or equivalent Still at school
Year 8 or below Year 10 or equivalent Year 12 or equivalent
What year did you finish school?

Highest level of qualification you hold?
No other qualifications Certificate IV Bachelor Degree
Certificate I Diploma Higher Degree Level
Certificate II Advanced Diploma Other
Certificate III Associate Degree
Employment status?
Full time Unemployed seeking full time
Part time Unemployed seeking part time
Self Employed Not employed, not seeking
Unpaid worker in family business
What is the main study reason?
To get a job To get a better job or promotion
To develop my existing business It was a requirement of my job
To start my own business I wanted extra skills for my job
To try for a different career To get into another course
For personal interest or self-development Other reasons


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PAYMENT SCHEDULE OF STUDENT FEES FOR COURSES OVER $1,000

Registered Training Organisations (RTOs) are now required to adhere to a strict regimen that specifies how
they can collect student fees. These prescribed conditions determine the amounts and frequencies of
payment.

The approved option HBA has agreed to undertake is:
Stage 1 Enrolment and commencement you pay $1,000
Stage 2 3
rd
day of the course you pay the balance of fees due

HBA Learning Centres Pty Ltd endorses this fee payment system as it protects the learner from the possible loss of fees
and will encourage sound financial management from RTOs.

PAYMENT MUST BE INCLUDED WITH YOUR ENROLMENT FORM. ENROLMENT FORMS WITHOUT PAYMENT OR DIRECT
DEBIT RECIEPTS WILL NOT BE PROCESSED UNTIL PAYMENT IS CONFIRMED.
Direct Deposit

Please contact our Customer Service team for our bank
details and a reference number.

I understand that under the AQTF an RTO may only charge
$1,000 initially and the balance of my course fee (if the
total fee exceeds $1,000) will be charged on the third day of
the course. I further understand that if I do not pay this
second installment I will be asked to leave the course.

To ensure your enrolment is finalised quickly, it is
recommended you include a copy of the deposit receipt
with this enrolment form.
Bank or Personal Cheque and Money Orders;
Please make payable to,
HBA Learning Centres Pty Ltd.

Credit Card (Mastercard & Visa Only)
We offer the Customer Preferred Currency (CPC)
feature on our terminal. This feature provides
international Visa and MasterCard credit card
customers the option of converting Australian
currency purchases into their cards billing currency
at the time of purchase.
Complete the form below.

Credit Card Authorisation Form
Cardholders Name
I authorise HBA Learning Centres Pty Ltd to debit the full course fee from my credit card. I understand that under the
AQTF an RTO may only debit $1,000 initially and the balance of the course fee (if the total fee exceeds $1,000) will be
debited on the third day of the course. I further understand that if the second instalment is not received the learner may
be asked to leave the course.
Card Number
Expiry Date Type of card Visa Mastercard
Verification Number (this is the last 3 digits on the back of card)
If your card is an international Visa or MasterCard:
Accepted Currencies for Customer Preferred Currency (CPC) are: (please tick to choose which currency you would like to have your transaction
conducted in.)
Australian Dollars Danish Krona Swiss Frank
Pounds Sterling Singapore Dollars US Dollars
New Zealand Dollars Norwegian Krone
Euro Swedish Krona
Japanese Yen Thai Bhat
Hong Kong Dollars Malaysian Ringgit
Canadian Dollars South African Rand

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I understand and agree that, if my card is eligible for Customer Preferred Currency (CPC):
The Currency indicated by me by selecting a tick box on this form will be the transaction currency
A Customer Preferred Currency (CPC) conversion will take place
Australian Dollars is available to me as a choice of currency for payment, but I allow CPC to take place if available
The currency that will be applied to the transaction is my cards billing currency and I understand that my choice of currency is final
The transaction amount will contain a 2.5% exchange rate mark-up
The exchange rate will be determined by the Merchant at a later date without additional consultation
CPC is a service conducted by the Merchant.

Signature: Date:

If a Company or your employer is paying for the course and seeking credit facilities, please complete and
return the Business Credit Application (BCA) form with your enrolment form. The BCA is attached to the
information pack or you can request one from our Customer Service Team.

Promotions Code / Discounts (If applicable and at HBAs discretion)



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If you require help with this form please call 1300 721 503 for assistance.

IMPORTANT NOTE:

If you are emailing this enrolment form and are unable to provide a copy with your physical
signature then please copy and paste the following into your email. We will not process your
enrolment without it:
I, [insert your name], agree to the Applicant Declaration as stated on the HBA
enrolment form, [insert todays date].
Applicant Declaration
This section must be completed. If left blank, the enrolment will not be accepted.

I would like to apply for enrolment with HBA and agree to abide by the rules & protocols set by HBA Learning
Centres Pty Ltd, and its student code of conduct, and I agree to maintain good and proper behaviour during my
enrolment. I understand my enrolment can be suspended or cancelled should I breach the rules and protocols, use
inappropriate behaviour, or endanger myself or others.

I understand if payment is not received within 15 days of enrolling, my enrolment will be terminated.
(unless prior arrangements have been made with HBA)

Where enrolment is more
than 15 days prior to
course commencement

I further agree to give HBA 15 days notice if I am unable to attend a course in which I
have enrolled. I further agree that should I fail to give such notice then I am liable for
the full course fee as the seat will now be vacant and will deprive HBA of the revenue
it would provide.

Where enrolment is 15
days or less prior to course
commencement
I understand there is no refund if I enrol within 15 days of the commencement of the
course.
I have read and understood the HBA refund policy (see Pre-enrolment Information).

Name: Signature: Date:



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Please complete the following application form:

EMPLOYMENT HISTORY DETAILS
1. Qualification / Skill Set BSB51312 Diploma of Work Health and Safety
2. Current Employment
Are you currently employed? YES / NO
If Yes, in which occupation are you
currently employed?


Who is your current employer?
3. Further Training
Have you undertaken any training
courses related to the occupation
applied for?
YES / NO
If Yes
What occupation were you trained in?

Training completion Date (month, year)

Country where you trained

Name of course and institution (if
applicable)

4. Is there any further information
you wish to give in support of your
application?

5. Professional Referees (relevant to work situation)
Referee 1
Name

Position

Organisation

Phone Number

Mobile Number

Email Address


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Referee 2
Name

Position

Organisation

Phone Number

Mobile Number

Email Address

Complete the following to detail your employment history details (no more than the last 5 years)
Name, Address and Phone
number of Employers
Period of
Employment
(DD/MM/YYYY)
Position Held Fulltime
Part-time
Casual
Description of Major
Duties
From To
1



2



3



4



5



6




Attach additional sheet if required

I am attaching additional sheet and documents

If you are including documents in your application, please provide a brief description below:
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Description:







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Complete the following table in relation to how often have you performed the following in the last
twelve (12) months?

BSB41412 Certificate IV of Work Health Safety Core Units
Applicants Name:



Date
Completed:

Unit Code and Title
I have performed these tasks
Frequently Sometimes Never
CORE UNITS
BSBWHS402A Assist with compliance with WHS laws

BSBWHS403A Contribute to implementing and maintaining
WHS consultation and participation processes

BSBWHS404A Contribute to WHS hazard identification, risk
assessment and risk control

BSBWHS405A Contribute to implementing and maintaining
WHS management systems

BSBWHS406A Assist with responding to incidents

Applicant Signature:


Date:



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You are required to submit a portfolio of evidence to help contribute to your proof of
competence for the entry requirements to the Diploma of WHS.

Please complete the following table to demonstrate what evidence you are submitting as part
of this application.

An example of what is required is provided below:

EVIDENCE CHECKLIST
Please check what evidence you can provide
EVIDENCE PROVIDED
List and reference (i.e.: Attachment 1) the items of
evidence here and attach it to your application
Example:
Third Party Report

Example:
Third Party Report Bob Fischer (Attachment 1)
Resume
Third Party Report
Sample workplace documentation
Job Descriptions
References
Certificates
Other


Declaration


I declare that:

The information contained in this application is true and correct
All copies of certificates are true copies issued to me by RTOs or other parties as
detailed on the certifications
All copies of other documentary evidence is genuine and accurately relates to my
experience and skills
The evidence provided relates to my own work and experience and not the work and or
experience of others

Candidate Signature: Date:



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Course Completion Date: You are given 12 months from enrolment to complete this
course. An extension may be granted in exceptional circumstances.
LEARNER DECLARATI ON
I declare that I have personally completed all activities in this workbook.
I understand that competency will not be given if I do not meet the assessment evidence and
activity requirements or if it is discovered that I have not undertaken all expected tasks.
I understand that HBA reserves the right to immediately withdraw a qualification if it is found
that I provided false or misleading evidence, this includes any declaration, resource or tool I
have submitted as being authored by me that I have submitted.
I further note this includes any statement, whether written or spoken, by any witness or other
third party I have used to provide testimony, or any other evidence which serves to allow
HBA Assessors to make an Assessment decision.
I understand HBA may, at its own discretion and without notice contact any third party I have
used to provide testimony or any other evidence to HBA Assessors. If HBA forms a
reasonable doubt as to the authenticity of such evidence then it shall withdraw any issued
qualification without notice.


Signed: Name (print): Date:


NOTE:
The activity checklist and declaration may be scanned and emailed, or faxed to HBA:




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CI V WHS CORE UNI TS UNDERPI NNI NG KNOWLEDGE
Provide a response to each question / request in the left hand column of the table below. Your responses
should be entered into the adjacent area in the right hand column.
Answers need to contain enough information and detail to demonstrate a sound understanding of the area/s
the question relates to.

# Question / Request Your response
1 In your own words explain what is meant by
Duty of Care?


2 List the current Commonwealth and relevant
State/Territory WHS/OHS legislation (Act and
Regulation) and relevant WHS/OHS Codes of
Practice, Guidelines and Australian Standards
that apply to the operations of your
workplace.

HINT:
Useful website to start:
www.safeworkaustralia.gov.au
Legislation (Act and Regulation):


Codes of Practice:


Standards / Guidelines:


3 Research your current legislation (e.g. WHS
Act 2011) and state the following:

1. Functions of Regulator
HINT: Ctrl + F the relevant Act
functions of regulator

2. Powers of Regulator
HINT: Ctrl + F the relevant Act
power

3. Delegation By Regulator
HINT: Ctrl + F the relevant Act
delegation

4. Powers of regulator to obtain information
Ctrl + F the relevant Act
power

HINT: This information should come directly
1. Functions of Regulator

2. Powers of Regulator

3. Delegation By Regulator

4. Powers of regulator to obtain information

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from the Act.
4 Provide four (4) examples of how you could
raise issues or concerns regarding breaches or
concerns that may contribute to non-
compliance?

For Example: Suggestion boxes
1.
2.
3.
4.
5 Provide three (3) examples of how your
organisation should provide WHS information
to stakeholders?


1.
2.
3.
6 Consultation is the key to improving your
workplace culture.

Refer to your states current Act.

Explain in your own words what
Consultation in WHS/OHS terms is and why
is there a need for it?

HINT:
(WHS Act 2011 section 46 - 49)
Useful website:
www.safeworkaustralia.gov.au
What is consultation?

Why is there a need for it?

7 Provide three (3) examples of consultation
and participation processes used in your
1.
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organisation to determine WHS priorities? 2.
3.
8 List three (3) potential barriers to
stakeholders seeking WHS/OHS information?

For Example:
Lack of communication in regards to updates
in policy and procedures
1.
2.
3.
9 What recommendations would you make to
address these barriers, and to whom would
you make them?

For Example:
Toolbox meetings to notify workers of any
updates
Recommendations:

Reported to:

10 Provide three (3) examples of how you could
promote and support the participation of
workers in these processes?

For Example:
Making it easily accessible for all workers (day
and night shift)
1.
2.
3.
11 What is the definition of a Hazard and
Risk?
Hazard:

Risk:

12 List three (3) techniques and tools you could
use in your organisation to identify hazards?

Why does your organization use these
techniques and tools?

1.
2.
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For Example:
Consultation with workers
3.
Why do you use these particular techniques and
tools?

13 What are the four (4) steps of risk
management?

HINT:
Code of Practice: How to manage work health
and safety risks
STEP 1.

STEP 2.

STEP 3.

STEP 4.

14 Explain how the Hierarchy of Control should
be applied when developing risk control
strategies.

HINT:
Glossary of terms and definitions from WHS
Act 2011- Hierarchy of control


15 List the information that should be detailed in
a hazard register?

To get you started:
A list of hazards and their location

16 What are the benefits of having a systematic
approach to WHS in the workplace?

17 List the key elements (principles) of an
effective WHS Management System (WHSMS).

For Example: Ability to measure and evaluate
performance against specific goals and
targets.

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18 It is important that all stakeholders are
informed of how the WHSMS applies to them.

Provide an example of how and when you
could you do this.

For Example: On initial employment during
the induction process roles, responsibilities
and expectations in relation to the WHSMS
will be explained.

19 List three (3) methods or processes you could
use to evaluate your organisations WHSMS?

For Example: Benchmarking against industry
best practice of another organisation in your
industry
1.
2.
3.
20 Describe three (3) ways you could
communicate and document the outcomes of
your evaluation of the WHSMS to
management and other stakeholders?

For Example: Summary of evaluation to be
posted on employee notice boards
1.
2.
3.
21 In your own words explain what you define as
an incident

HINT:
WHS Act 2011
CTRL + F Notifiable

22 Research and State the definitions of the
following terms from the current WHS ACT:
Notifiable Incident
Serious injury or illness
Dangerous Incident
Notifiable Incident:

Serious injury or illness:

Dangerous Incident:

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23 Once an incident has occurred, what records
and documentation are required to be kept in
your workplace?

For Example: Photo evidence

24 List three (3) sources of internal and external
data you could use to obtain information
regarding actions and events leading up to an
incident.

For Example: Records of industry consultation
1.
2.
3.
25 List three (3) tools and techniques you could
use to investigate workplace incidents?

For Example: Standardised interview
questions e.g. 5 WHYs to interview witnesses

1.
2.
3.
Assessor Use Only:
Entry Test Result

Satisfactory Not Satisfactory
Assessor Comments / Feedback

Entry into BSB51213 Diploma in WHS

Approved Not Approved

Date:

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Email us your fully completed entry requirements application with the fee and we will provide
you with feedback and an assessment decision.

whs@hbalearningcentres.com.au