SHENA

Application to act as an Approved Training Provider

Type of Application

New Application

Renewal

APPLICANT BASIC INFORMATION (who should be responsible of maintaining Quality Assurance Manual)

This Applicant Will Be The Focal Person For Any Matters Related To Approval To Act As A THIRD-PARTY INSPECTION AGENCY For Lifting Equipment

Applicant's Name (Focal Point between SHENA & Training Provider)

Position / Designation

Quality Assurance

Technical Manager

Operation Manager

Contact No.

E-mail Address

Third Party Inspection Agency Basic Information

Name of Company (As per the Company Registration Letter/ Certificate)

Company Registered / Mailing Address

Location Address of Training Provider (for theory session)

Location Address of Training Provider (for practical session)

Company Official Contact No.

Company Official Email Address

Managing Director Details

Name of Managing Director / CEO

Contact No.

List of Training Course(s) Offered

Name of Training Course	Standard Followed (if any)	Mode of Delivery (Theory/Practical/Both)	Duration (No of Days)	Medium of Instruction (Language)	Accreditation or Certifications (if any)	Maximum participant no. per Course session	Upload Course Information & Objectives	Upload Course Lesson Plan/ Timetable/ Schedule of Course Delivery	Upload Lecture Notes used to deliver the course	Upload Assessment used for this course

Details of Trainer

Full Name	Passport / Identity Card No. (Colour)	Date of Birth	Qualification		Mode of employment with your training provider	No. of Years & Months of Working Experience (in total)
Full Name	Passport / Identity Card No. (Colour)	Date of Birth	Highest Academic Qualification	Teaching Qualification (i.e. Train the Trainer Cert)	Mode of employment with your training provider	No. of Years & Months of Working Experience (in total)

Upload CV

Upload Certificates

Details of Assessor

Full Name	Passport / Identity Card No. (Colour)	Date of Birth	Qualification		Mode of employment with your training provider	No. of Years & Months of Working Experience (in total)
Full Name	Passport / Identity Card No. (Colour)	Date of Birth	Highest Academic Qualification	Assessing Qualification (i.e. Train the Trainer Cert)	Mode of employment with your training provider	No. of Years & Months of Working Experience (in total)

Upload CV

Upload Certificates

Details of Verifier

Full Name	Passport / Identity Card No. (Colour)	Date of Birth	Qualification		Mode of employment with your training provider	No. of Years & Months of Working Experience (in total)
Full Name	Passport / Identity Card No. (Colour)	Date of Birth	Highest Academic Qualification	Assessing Qualification (i.e. Train the Trainer Cert)	Mode of employment with your training provider	No. of Years & Months of Working Experience (in total)

Upload CV

Upload Certificates

Supporting Documents

A. Business Profile

Documents to be uploaded

Upload document(s)

Company Organisation Chart

Company Registration Certificates

Copies of Letter of Appointment for Full Time Staff

Training Provider Occupational Safety & Health Policy

B. Evaluation & Certificate

Copy of Course Evaluation Form / Feedback Form for Candidates

Sample Copy of Certificate Awarded to Successful Candidates

Guidelines / Process of Giving Out Certificates

C. Training Expenses, Facilities and Equipment

Photographs and Layout Plan of Training Premises / Facilities

Photographs and Layout Plan of the Practical Training Area

List and Photographs of Equipment for Practical Session

Certification of Any Equipment Used During Practical Training

D. Emergency Procedures

Emergency Evacuation Layout Plan

Documented Procedure in the event of emergency

Photographs of Emergency Equipment (e.g. Fire Extinguisher [with inspection tag], Fire Alarm, Fire Hose Reel [if applicable], First Aid Box, etc.)

List of Fire Marshal / First Aider (with certificates)

Insurance Cover (for premises)

Copy of Company HSE Induction

I, declare that all particulars and information provided in this application and the documents attached hereto are true to the best of my knowledge and belief, and I understand that the Safety, Health and Environment National Authority (SHENA) reserves the right to reject this application if, at any stage, the information provided is false and incorrect. Should verification be required on any information provided in this application, I hereby authorise SHENA to carry out the necessary investigations.

Declaration of Complainant

Yes

Please check the box below to proceed