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CIR/CSSA/11121414 December 2011

CCOONNFFIINNEEDD SSPPAACCEE SSAAFFEETTYY AASSSSEESSSSOORRSS CCOOUURRSSEE((MMOOMM AACCCCRREEDDIITTEEDD))

(MANDATORY & COMPULSORY FOR ALL CONFINED SPACE ASSESSORS)

Under the WSH (Confined Spaces) Regulations 2009, confined space means any chamber, tank, manhole, vat, silo, pit, pipe, flue orother enclosed space, in which dangerous gases, vapours or fumes are liable to be present to such an extent as to involve a risk offire or explosion,

TARGET AUDIENCE - Confined space gas testers, confined space assessors and person checking and certifying safe entry ofworkers into confined spaces (including manholes) to perform assigned work. Anyone certifying a confined space must first be trainedin Confined Space Safety Assessors Course.

SCAL is the Accredited Training Provider approved by the Ministry of Manpower for the Confined Space Safety Assessors Course.Followings are the course details:

DURATION : 36 Hours Lectures (Theory + Practical) + 3 Hours Assessment(Notes: Participants must bring along safety boots / safety shoes for the practical lesson throughout the duration of the course.)

COURSEVENUE : SCALACADEMYatNo.5 Jurong West Ave 5 (Former Jalan Bahar SCDF Camp)

COURSE FEE : S$555 (inclusive of 7% GST) SCAL / SLOTS MembersS$585 (inclusive of 7% GST) Others(Rates shown are subject to changes without prior notice)

SDUs Points : 39 Units

MINIMUMENTRYQUALIFICATIONParticipants must have the followings:

(i) At least GCE 'O' Level Grade C6 & above for English, Maths & Science OR

(ii) ESS WPLN 5 OR 'N Level English and Maths Grade 5 WITH WSH Skills & Knowledge equivalent to Certificate in WSH OR

(iii) ESS WPLN 5 OR 'N Level English and Maths Grade 5 WITH 3 years of relevant working experience in operations and co-

ordination of safety work (Proof of experience must be submitted together with application)OR

(iv) NTC2 in Chemical Processing OR

(v) Attended Bridging Course for Confined Space Safety Assessors Course

CERTIFICATIONOnly participants with 75% or higher attendance will be eligible to sit for the examination. Certificate will be awarded to participants whosuccessfully complete the course and pass the examination.

Skills Development Fund (SDF)Company sponsored trainees who are Singapore Citizen or Permanent Resident are eligible for SDF funding. To be eligible for thefunding, companies are required to enroll their trainees through the SkillsConnect system. For assistance, please call WDA at 68835885 or log-on to www.skillsconnect.gov.sg for more information. All applications are subject to WDAs requirement and consideration.All SDF funding applicant can only make payment via cheque or Giro to Training Provider.

Training Organisation Name: The Singapore Contractors Association LimitedCourse Code: CRS-N-0021172Payment Type: Full FeeGrant Amount: SGD $252.00

If your company needs to perform any works in confined spaces (including manholes) and require site personnel to check, test andcertify entry into confined spaces (including manholes), please do not hesitate to register them for the course by filling in the attachedapplication form and fax to us at 6793 4401 or 6795 2584.

For more information on the above courses, please contact Tel: 6793 9020. Alternatively, please access our webpage at www.scal-academy.com.sg

Confined SpaceSafety Assessors

CourseDuration January 2012 February 2012 March 2012 April 2012

6.00pm to 9.15pm 13 Evenings 3 19 1 17 1 19 2 19

9.00am to 7.00pm 5 Full Days 9 13 13 17 12 16 9 13

SCAL Academy Pte Ltd,No.5 Jurong West Avenue 5,

Singapore 649485

Tel: 6793 9020Fax: 6793 4401

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APPLICATION FORM

(Medium ofInstruction: English)CIR/CSSA/111214

Confined Space Safety Assessors Course 6pm-9.15pm (13 Evenings)

Confined Space Safety Assessors Course 9.00am 7.00pm (5 Days)

*(Please submit all relevant documents / certificates upon registration)

Preferred course dates:____________________________________________________________________________

* SCAL / SLOTS members / Others Amount: _____________ *Cash / NETS/ Cheque No.:________________(Delete where applicable) (inclusive GST) (Please issue separate cheque for different courses)

Receipt No.: _______________ Invoice No.: _________________ Date Received: ____________________

Section I: (Complete this section if participant is sponsored by company)

Co. Name:

Co. Address: Postal Code:

Contact person: Tel: Fax: Email:Section II: Particulars of Participant (ALL FIELDS ARE MANDATORY)

Name: Gender: M / F Date of Birth:

NRIC No / Passport No: Nationality:

EP/ S Pass/ Work Permit No: FIN No:

Educational Qualification: Occupation:

Address in Singapore: Postal Code:

Tel: Email: Handphone:

RegistrationPlease fax the completed registration form to Fax No: 6793 4401.Registration is on a first-come-first-serve basis, and will close when the class is full. Please note that SCAL Academy reserves the right to restrictthis course to participants with suitable and relevant qualification and experience.

Cancellation / Change of Course DateA notice of cancellation must be given at least 3 working days before commencement of the course and 50% of course fee will be refunded. Ifnotice is given less than 3 working days before the first day of the course, there will be no refund / course fees will be charged accordingly.SCAL reserves the right to cancel or postpone any course due to unforeseen circumstances. All dates shown are subject to final confirmation.

Replacement / PostponementA notice of replacement / postponement together with the full particulars of the new participant (for replacement) must be given to us AT LEAST3working days before the course commencement. A charge of S$10 (replacement) or S$30 (postponement) will be imposed on such changes.

PaymentKindly issue your cheque payable to SCAL Academy Pte Ltd and forward it together with your application form to SCAL Academy, No. 5 JurongWest Avenue 5, Singapore 649485. Please issue separate cheques for different batches.

For more information, please contact:6793 9020 6793 4401 or 6795 2584 SCAL Academy, No. 5 Jurong West Avenue 5, Singapore 649485

Website: www.scal-academy.com.sg Email: enquiry@scal-academy.com.sg

IMPORTANT: Please note that fees shown on course brochures are subjected to revision without prior notice.

**Please tell us how did you get to know about SCAL Academy by ticking in the boxes?

Email Newspaper Website Brochures/ Flyers

Telephone Referral/Word-of-Mouth Internet Directories

Exhibitions Others: _______________________________

SCAL Academy Pte Ltd,No.5 Jurong West Avenue 5,

Singapore 649485

Tel: 6793 9020Fax: 6793 4401