Form 1 - VESI - Victorian Electricity Distribution Network by EQl2Wvp

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									VICTORIAN ELECTRICAL DISTRIBUTION NETWORKS (VEDN)
Application – Electrical Infrastructure Civil Works Accreditation


Accreditation Number: (VEDN use only)
Company:
Contact Person:
ABN:                                                                ACN:
Address:
                                                                    Postcode:
Phone:                       Facsimile:                             Email:




Electrical Infrastructure Civil Work types requested (tick requested work type/s)
         1. Pit, Pipe and Trenching / Boring

         2. Installation of Bedding Sand, and backfill

         3. Installation of Marker Tape and Cover Slabs

         4. Kiosk S/S Site construction

         5. LV Underground Cable Hauling

         6. HV Underground Cable Hauling

         7. Installation of Earthing Systems

         8. Worksite Auditor Civil




The following documentation is to be supplied.

       Completed/signed Application (Interim, Pre Qualification or Accreditation)

       VEDN IMS Requirements or CCF CMS Certificate including Code U1 (Pre Qualification or Accreditation)

       VEDN Network Special Requirements or CCF–VEDN Addendum (Accreditation)

       Copy of Open Trench Audit completed by an approved VEDN Worksite Auditor (Accreditation)

       Proof of training for Module/s completed (Interim, Pre Qualification or Accreditation)
        1.




VEDN Civil Application V11                       Issue March 2011                                    1
VICTORIAN ELECTRICAL DISTRIBUTION NETWORKS (VEDN)
Application – Electrical Infrastructure Civil Works Accreditation

Acceptance of Terms and Conditions
I agree, if granted Interim, Pre-Qualification or Accreditation to:

        comply with all the required conditions

        only carry out works for which I am approved,

        gain approval before commence any works that are or will form any part of a Distribution Networks
         assets, and

        ensure that personnel working under my Interim, Pre-Qualification or Accreditation status are
         appropriately supervised and fully aware of the hazards and safety requirements for working in the
         vicinity electrical assets, and

         if any information provided as part of this application is false or the VEDN Review Panel find that I
         am not following my SQ&E Managements Systems, that the accreditation status may be varied or
         removed at the VEDN Review Panel’s sole discretion.

I understand that my accreditation is valid for 3 years and is subject to an annual review and I may lose my
accreditation for any breach of the accreditation conditions.



                                                    Date      /       /
Signature of Applicant


Title



Interim / Pre-Qualification Approved - Yes / No

                                                    Date      /       /
VEDN Panel Member


                                                    Date      /       /
VEDN Panel Member




Accreditation Approved - Yes / No

                                                    Date      /       /
VEDN Panel Member


                                                    Date      /       /
VEDN Panel Member


Comments




VEDN Civil Application V11                         Issue March 2011                                           2

								
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