APPLICATION GUIDE FOR LEGAL KNOWLEDGE IN OCCUPATIONAL HYGIENE SHORT LEARNING PROGRAMME (AAAC563) - FACULTY OF HEALTH SCIENCES POTCHEFSTROOM CAMPUS ...
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APPLICATION GUIDE FOR LEGAL KNOWLEDGE IN
OCCUPATIONAL HYGIENE SHORT LEARNING
PROGRAMME (AAAC563)
FACULTY OF HEALTH SCIENCES
POTCHEFSTROOM CAMPUS OF THE NORTH-WEST
UNIVERSITYLegal Knowledge in Occupational Hygiene Short Learning Programme
According to the Department of Labour’s (DoL) criteria for Approved Inspection Authorities (AIA’s)
personnel involved in the regulated services of an AIA (i.e. Occupational Hygienists, Occupational
Hygiene Technologists and Occupational Hygiene Assistants) must hold a valid and acceptable legal
knowledge certificate. Individuals who were granted exemption by DoL will be afforded 6 months to
comply.
The North-West University (NWU, Potchefstroom Campus) along with four other tertiary institutions,
Cape Peninsula University of Technology (CPUT), Durban University of Technology (DUT), Nelson
Mandela Metropolitan University (NMMU) and the University of Pretoria (UP) are recognised by the
DoL as authorised training providers for the Legal Knowledge Certificate.
Prescribed Short Learning Programme Content:
The Occupational Health and Safety Act (Act 85 of 1993) and the following Regulations will be
covered:
Asbestos Regulations
Hazardous Chemical Substances Regulations
Regulations for Hazardous Biological Agents
Environmental Regulations for Workplaces
Lead regulations
Noise-induced Hearing Loss Regulations and SANS 10083
Facilities regulations
General Safety Regulations (Confined Spaces and Intrinsically Safe Equipment)
AIA DoL Registration requirements and process, SANS 17020
NWU Legal Knowledge in Occupational Hygiene Short Learning Programme
Date: Monday 18 April 2016 to Saturday 23 April 2016 / 29 August 2016 – 03
September 2016
A welcoming session will start at 08:45, Monday 18 April 2016, Crista-Galli Venue, Potchefstroom. It is
recommended to arrive 15 minutes earlier (08:30) on Monday morning. The contents of the course
will be presented from Monday 18 April 2016, 9:15 to Friday 22 April 2016. On completion of the
course, a written examination will take place on Saturday 2 3 Apr i l 2 0 16 from 08:00 to 11:00. This
150 mark paper will consist of multiple choice questions (50 marks) as well as essay questions (100
marks).
A minimum mark of 50% must be obtained to pass this Short Learning Programme and to receive a
Certificate.
Cost: R7900- (VAT Excl)
This includes study materials, morning and afternoon teas and lunches (Monday to Friday). The
course is limited to the first 35 registrations received. Please note that all course fees has to be paid
in full by Monday 11 April.
Venue for course:
Crista Galli Venue (R501 Thabo Mbeki Road, Potchefstroom)
GPS coordinate: S26°40.413 E27°06.332
Page 2 of 9Venue for examination:
NWU, Potchefstroom Campus
Building F12 (Physiology)
11 Hoffman Street
Potchefstroom
GPS coordinates: S26° 41.206 E27° 5.503
A route map to the Potchefstroom Campus and campus map can be found at:
http://www.nwu.ac.za/node/6113#pc
Accommodation:
A list of hotels and guest houses in Potchefstroom can be found at:
http://www.potchefstroom.co.za/accommodation/acc_guest_houses.html. Based on feedback from
previous course delegates the following guesthouses and hotels may also be contacted:
Ancient Emperors Guest House
Gracias Guest House
Kumkani Lodge
Bailie Manor
Application process:
1. Fill in the following three documents:
a. Short learning program (SLP) application form (pages 4 – 6).
b. Memorandum of agreement (page 7).
c. Application form for invoice (pages 8 – 9).
2. Scan and e-mail the documents to fritz.eloff@nwu.ac.za or
roxanne.cornellissen@nwu.ac.za
Disclaimer
Please note that should there be less than 15 applications 10 days before the course
date, the course will be cancelled and fees refunded to those who have already paid.
You will not be allowed to attend the course if your payment does not reflect on our
system – therefore please verify if payment has been received before attending the
course.
Any specific dietary requirements must be clearly stipulated on the application form
under the designated heading.
Completion of the Memorandum of Agreement form, relating to payment for the short
learning programme, is also compulsory.
If an invoice is required for payment, the invoice application form should also be
completed.
For any enquiries please contact:
Prof. Fritz Eloff
018 299 2442 or 018 299 2079
E-Mail: fritz.eloff@nwu.ac.za
Page 3 of 9FAKULTEIT VAN GESONDHEIDSWETENSKAPPE / FACULTY OF HEALTH SCIENCES
KORTLEERPROGRAM (KLP) AANSOEKVORM / SHORT LEARNING PROGRAM (SLP) APPLICATION FORM
Privaatsak/Private Bag X6001, Potchefstroom, 2520
Tel: +27 18 299 2441
Faks/Fax: +27 87 230 1925
E-pos/Email: Roxanne.Cornellissen@nwu.ac.za
INSTRUKSIES/INSTRUCTIONS:
Voltooi die vorm volledig in blokletters/Complete this form fully in block letters.
‘n Goedkeuringsbrief sal aan u gestuur word sodra u aansoek goedgekeur is/a letter of confirmation will be send to you, once your application has been
approved.
STUDENTE NOMMER (vir kantoorgebruik) / STUDENT NUMBER (for office use):
KURSUSNAAM/COURSE NAME: Legal Knowledge for Occupational Hygiene
KURSUSDATUM/COURSE DATE:
INLIGTING VAN STUDENT WAT KORTLEERPROGRAM GAAN BYWOON/INFORMATION OF STUDENT WHO WILL BE ATTENDING THE SHORT LEARNING
PROGRAM
VAN/SURNAME: TITEL/TITLE:
VOLLE NAME/FULL NAMES: VOORLETTERS/INITIALS:
NOEMNAAM/PREFERRED FIRST NAME: GESLAG/GENDER:
IDENTITEITSNOMMER/IDENTITY NUMBER TAAL/LANGUAGE:
(Of PASSPOORT NR./Or PASSPORT NR.):
SPESIALE DIEËTVEREISTES/ GESTREMDHEID/DISABILITY: JA NEE
SPECIAL DIETARY REQUIREMENTS: YES NO
KONTAKBESONDERHEDE / CONTACT DETAILS
POSADRES**/POSTAL ADDRESS**:
POSKODE / POSTAL CODE:
HUISADRES/HOME ADDRESS:
WERKS/WORK TEL: HUIS/HOME TEL:
FAKS/FAX: SELFOON/CELLPHONE:
E-POS/E-MAIL:
* Ek verklaar hiermee dat al my gegewens op hierdie vorm waar en korrek is. Ek aanvaar al die terme en voorwaardes hierin. * I declare that all the particulars furnished by me on this form are true and correct. I hereby accept all the terms and conditions.
**Indien die eksamen geslaag word sal die sertifikaat na die adres gepos word. / If the exam is passed the certificate will be mailed to this address.
Page 4 of 9KWALIFIKASIE / QUALIFICATION
HOOGSTE KWALIFIKASIE/ JAAR VOLTOOI/
HIGHEST QUALIFICATION: YEAR COMPLETED:
INSTITUUT/INSTITUTION: STUDENTE NR/STUDENT NR:
WERKGEWER BESONDERHEDE/ EMPLOYER DETAILS
MAATSKAPPY/COMPANY:
POSBENAMING/POSITION HELD:
ADRES/ADDRESS:
POSKODE/POSTAL CODE:
PERSONEELNR/PERSONNEL NR:
SAIOH REGISTRASIE / SAIOH REGISTRATION
GEREGISTREER BY SAIOH AS: / REGISTERED WITH Occupational Hygiene Occupational Occupational
SAIOH AS: Assistant Hygiene Technologist Hygienist
SAIOH NOMMER / SAIOH NUMBER:
BETALINGSBESONDERHEDE/PAYMENT DETAILS
PERSOON EN/OF INSTITUUT VERANTWOORDELIK VIR REKENING/PERSON AND/OR INSTITUTION RESPONSIBLE FOR ACCOUNT
INSTITUUT NAAM/INSTITUTION NAME:
KONTAKPERSOON/CONTACT PERSON: POSISIE/POSITION:
WERK/WORK TEL: FAKS/FAX NR:
E-POS/EMAIL:
Ek bevestig hiermee dat die inligting op hierdie vorm verskaf korrek is en aanvaar die voorwaardes vervat in hierdie inskrywings vorm. Ek aanvaar persoonlik verantwoordelikheid vir die
betaling van die relevante gelde soos en wanneer nodig.
I hereby confirm that the information supplied on this form is correct and that I have read and agree to the conditions stipulated on this enrolment form. I accept personal responsibility for
payment of the relevant fees as and when required.
HANDTEKENING/SIGNATURE DATUM/DATE
* Ek verklaar hiermee dat al my gegewens op hierdie vorm waar en korrek is. Ek aanvaar al die terme en voorwaardes hierin. * I declare that all the particulars furnished by me on this form are true and correct. I hereby accept all the terms and conditions.
**Indien die eksamen geslaag word sal die sertifikaat na die adres gepos word. / If the exam is passed the certificate will be mailed to this address.
Page 5 of 9TERME EN VOORWAARDES
1. Die kursusfooi sluit alle kursusmateriaal, ligte middagetes, sowel as tee en koffie in.
2. Neem asseblief kennis dat registrasie vir 'n kursus nie gewaarborg is nie, die kapasiteit/fasiliteit is beperk en aanvaarding sal op 'n eerste kom eerste basis dien.
3. Uitstel of kansellasie van bywoning moet skriftelik gedoen word ten minste 5 (vyf) werksdae voor die aanvang van 'n kursus. ‘n 20% kansellasiefooi sal gehef word.
4. Indien ʼn plaasvervanger 'n kursus bywoon, kan aansoek skriftelik gedoen word enige tyd voor sodanige kursus. Plaasvervanger deelnemers moet voldoen aan die minimum toelatingsvereistes wat van toepassing is op
enige kursus.
5. Die Fakulteit behou die reg om te kanselleer en / of verandering van die datums van enige kursus aan u deur te gee minstens 10 (tien) werksdae voor die aanvang van die kursus vir enige onvoorsiene omstandighede.
6. Bewys van registrasie en die aanvaarding van die inskrywing sal voorsien word.
7. Kursusfooi moet TEN VOLLE betaal word voor die datum van aanbieding. Geen kontant sal aanvaar word op dag van aanbieding nie. Enige bewys van betaling, moet die verwysingsnommer reflekteer.
TERMS AND CONDITIONS
1. The course fee includes all course material, light lunches, as well as tea and coffee.
2. Please note that registration for a course is not guaranteed, the number of seats is limited and acceptance will be on a first come first serve basis.
3. Postponement or cancellation of attendance must be done in writing at least 5 (five) working days prior to commencement of a course. A penalty fee of 20% will be applicable.
4. Substitutions to attend a course may be made in writing any time prior to such course. Substitute attendees shall conform to the minimum entry requirements that may apply to any course.
5. The faculty reserves the right to cancel and/or change the dates of any course up to 10 (ten) working days before commencement of the course for any unforeseen circumstances.
6. Proof of registration and acceptance of the enrolment will be supplied.
7. Course fees must be paid IN FULL before date of commencement. No cash will be accepted at registration on the date of commencement. Any proof of payment, must reflect the payment reference.
FINALE BESLUIT/FINAL DECISION
VERSOEK GOEDGEKEUR/REQUEST APPROVED VERSOEK AFGEKEUR/REQUEST REJECTED
MOTIVERING/MOTIVATION: ……………………………………………………………………………………………………………………………………………………………………………………………………………..
........................................................................................................................................................................................................................................................................
KLP-BESTUURDER/SLP MANAGER: ................................................................................... DATUM / DATE: / / 201…
* Ek verklaar hiermee dat al my gegewens op hierdie vorm waar en korrek is. Ek aanvaar al die terme en voorwaardes hierin. * I declare that all the particulars furnished by me on this form are true and correct. I hereby accept all the terms and conditions.
**Indien die eksamen geslaag word sal die sertifikaat na die adres gepos word. / If the exam is passed the certificate will be mailed to this address.
Page 6 of 9Private Bag X6001, Potchefstroom
South Africa, 2520
Tel: 018 299-1111/2222
Web: http://www.nwu.ac.za
MEMORANDUM OF AGREEMENT BETWEEN:
The Credit receiver
NORTH-WEST UNIVERSITY Name:
(POTCHEFSTROOM CAMPUS) ID or Registration no.:
Hereafter referred to as “NWU“ of and Physical address:
Hoffman Street 11, POTCHEFSTROOM, 2531
VAT No. 45002-09301 Tel. nr.:
Fax nr:
1. Nature of product or service rendered by the NWU (Give a short description of the product or service):
2. Tax Invoices will be issued for the product or service as described above and the invoices is payable within 30 days after invoice date, unless
otherwise stipulated.
3. All amounts owing to the NWU in terms of this agreement must be paid into the following bank account:
NORTH-WEST UNIVERSITY, ABSA, Account Number: 670-642-313, Branch Code: 632-005, Swift kode: ABSAZAJJ,
Reference: Your specific debtors number as per invoice)
4. Interest on overdue amounts will be levied at 15,5% per annum in terms of the Act on Prescribed Minimum Interest Rates, Act 75 of 1975.
5. All parties to this agreement acknowledge that this agreement is irrevocable and that it constitutes a liquid document.
6. The parties hereby consent to the jurisdiction of the magistrates’ court notwithstanding the capital amount involved.
7. The partied agree that this agreement is held to be concluded at the place where the NWU concluded the agreement, notwithstanding the place where
the credit receiver signed the agreement or where payment in terms of this agreement was effected or where the services in term of this agreement
were rendered.
8. The parties choose their respective domicilium citandi et executandi the addresses listed herein above.
9. In the event that the credit receiver refuses or neglects to make payment as set out in paragraphs 2 and 3 herein above, then the NWU will be entitled
to claim the full outstanding amount from the credit receiver. The NWU will also be entitled to claim costs on a scale as between attorney and client as
set out in Rule 81 of Act 53 of 1979. All amounts collected will first be set off against legal costs, and then against interest, and lastly against the capital
amount due.
10. In the event that the person who signs on behalf of the credit receiver acts in a representative capacity, this person guarantees and warrants that he
has the authority to bind the credit receiver on whose behalf he concludes this agreement. Should the credit receiver not fulfil its obligations in terms of
this agreement, then the credit receiver as well as the person who signed this agreement on behalf of the credit receiver is liable jointly and severably
the one to pay the other to be absolved for the debt owed to the NWU.
Dated at on the day of 20 .
Witnesses:
1. 2.
CREDIT RECEIVER, DULY AUTHORIZED
THERETO
Dated at on the day of 20 .
Witnesses:
1. 2.
ON BEHALF OF THE NORTH-WEST
UNIVERSITY, DULY AUTHORITZED THERETO
1
Page 7 of 9DATE:
SECTION A: TO BE COMPLETED BY APPLICANT (APPLICATION FORM FOR NEW
INVOICE/UPDATE OF INFORMATION)
Company/Institution name:
Debtor/Client number:
(if available):
*Physical address/Street address (in full):
(for the purpose of legal action should
payment not be made)
*Postal address:
*Payment Details – Contact person:
Telephone number:
*Client VAT number:
*Client telephone number:
*Client fax number:
*Client email address:
*Contact person at company:
Client order number:
Amount (VAT excluded):
Amount (VAT included): R7900
If no VAT, please state reason:
Brief description of the service Legal Knowledge for Occupational
rendered/items delivered:
Hygiene Short Learning Programme
* Compulsory fields
Page 8 of 9SECTION B: TO BE COMPLETED BY NORTH WEST UNIVERSITY
Campus:
Cost centre:
Income account:
Source of funds (SOS):
Activity:
Contract type (if available):
Faculty/Department/School/Unit
Name of person requesting invoice:
Telephone number of person requesting
invoice:
Direct head of person requesting invoice:
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