/ Application Form
360º Excavator Driver
(General Operative Band 2)
Corrib Group Schemes.

West Region Drainage Maintenance

Competition Reference : (if any) / 2012008
1. Personal Details
Title / Forenames / Surname
(Mr., Mrs., Miss., Ms.,)
Home Address:
Work Address:
Home Tel No: / Work Tel No: / Mobile No: / e- mail:
Please confirm your eligibility requirements ( tick where appropriate)
CSCS card for 360° Excavator Driver for 5 tonne and over : Yes  No 
Expiry Date:
Safe Pass : Yes  No  Expiry Date:
Current driving licence details Category B and W : Yes  No 
Expiry Date:
You will be required to produce above documents if called for interview.
2. Career to Date.
Detail any specific experience you hold in working on channel maintenance and/or earthworks generally (specify projects).
3. Detail any experience with regard to structures projects you have worked on, documenting techniques and procedures you followed, i.e risk assessments, method statements etc.
4. Detail any experience you have in undertaking fishery enhancement or environmental enhancement projects.
5. Detail your experience with regard to maintaining records in the form of Health & Safety, Machine maintenance records, FÁS CSCS log book, ISO records.
6. Detail any specialised attachments you have worked with on a 360° Excavator i.e. Log Grab, Block Grab, Piling Hammer etc.
Provide referees with contact numbers to support declarations made above.
Name: / Name:
Address: / Address:
Phone No: / Phone No:
These referees should not be related to you. Ideally referees should be previous/present employers if you have held or hold previous/current employment.
Have you any objection to us contacting either of these referees or past/present employers, without further reference from you? Yes No

I certify that the above particulars are correct.

Signature of Applicant:______Date:______

FREEDOM OF INFORMATION DECLARATION
Note:
Applicants should note that some or all of the information contained in this request for additional information may be released subject to the terms of the Freedom of information Act, 1997.
If any of the information provided in this request is considered sensitive, please identify same and specify in writing the reasons for its sensitivity. The Office will consult you about sensitive information before making a decision on any Freedom of Information request received.

Please do not include a curriculum vitae. This application form should be sent to:

Marie Duff

Industrial Personnel Section

Office of Public Works

Jonathan Swift Street

Trim

Co Meath

Please ensure all sections of the application form have been fully completed, as incomplete, or inaccurate application forms cannot be processed and will be returned.

Please note that the closing date for receipt of completed application forms is Friday 5th October 2012 at 5.30pm.

Canvassing will automatically disqualify.

OPW is an Equal Opportunities Employer.