Quick contact info
Looking to get in-touch with a member of our team?
Office Hours: Monday-Friday: 9am to 5pm;
40 Hallstrom, Wetherill Park NSW 2164
+ (02) 9832 3342 (Head Office)
+ 0478 610 905 (After Hours)
hr@allroad.com.au
operations@allroad.com.au
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Home
About Us
Services
Equipment Hire
Traffic Planning and Design
Traffic Management
Careers
Contact Us
Call Us
Home
About Us
Services
Equipment Hire
Traffic Planning and Design
Traffic Management
Careers
Contact Us
Call Us
Employment Form
Your Details
Select
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Address *
Email *
Date of Birth
Phone(landline)
Phone(mobile) *
Driving Licence Details
Do you have a current driving licence? *
Yes
No
Background Info
Are you an Australian Citizen?*
Yes
No
Are you of Aboriginal or Torres Straight Island decent?*
Yes
No
Are there any restrictions on you taking up employment in Australia?*
Yes
No
Are you prepared to undergo drug and alcohol testing?*
Yes
No
Health Info
Do you have any pre -existing medical condition or injuries that would prevent you from undertaking Traffic Control duties such as standing, lifting, bending?*
Yes
No
Are you currently taking any prescribed medication?*
Yes
No
Have you ever been injured at work and made a worker’s compensation claim?*
Yes
No
Health Questionnaire
Please read and answer each question honestly, failure to advise Allroad Group of a pre-existing injury or medical condition may place you at increased risk of injury and may remove your entitlement to claim compensation under Workers Compensation or Accident Compensation Legislation.
Have you had difficulty performing any of these tasks?
Repeated lifting/moving
Standing for than 10mins
Repeated twisting/turning
Walking for than 15mins
Bending
Sitting for than 30mins
Squatting
Lift more than 10kgs
Stretching/reaching
Working outdoors
Operate manual vehicle
Shift work or multi task activities
Please tick the box if you are suffering or have ever suffered from the following.
Chest pains
Major surgery
Heart attack
Operation of any kind
Stroke
Diabetes
Squatting
Soft tissue damage
High/low blood pressure
Joint injuries e.g. knees, shoulder, ankles
Blackouts or blurred vision
Brocken bones
Epilepsy
Migraine or headaches
Fits or seizures
Hearing loss/deafness
Next Of Kin Details
Name *
Relationship *
Phone(landline)
Phone(mobile) *
Address *
Criminal Record
In certain circumstances, employment is dependent upon obtaining a satisfactory National Police Check and/or Working with Children Check.
Do you have any criminal convictions?*
Yes
No
Education
Please list your education history*
Traffic Control Qualifications
Check the qualifications you currently have.
OHS Safety Induction Card
Traffic Controllers Blue Card
Traffic Controllers Yellow Card
Traffic Controllers Red Card
Traffic Controllers Orange Card
First Aid Certificate
RMS Worker on Foot
Have you had any on the job traffic control experience?*
Yes
No
Employment Info
Are you a member or registered with any professional bodies?*
Yes
No
Is there any other employment you would continue if you were to be successful in obtaining this position?*
Yes
No
If currently employed, do you need to give a notice period?*
Yes
No
Employment History
Please complete your most recent employment first.
Name of most recent or current employer*
Address of most recent or current employer*
Job title and duties*
Reason for leaving*
-
+
References
Please note the names and addresses of two persons from whom we may obtain both character and work experience references.
Reference 1
Name*
Phone *
Known in the capacity of*
Reference 2
Name*
Phone *
Known in the capacity of*
Employee Declaration
I confirm that the above information is complete and correct and that any false or misleading information will give my employer the right to terminate my employment without notice.
I agree that the employer reserves the right to require me to undergo a medical examination. I understand that should the employer require further information and wish to contact my doctor with a view to obtaining a medical report, the employer will inform me of their intention and obtain my permission prior to contacting my doctor. In addition, I agree that this information will be retained on my personnel file during employment and for up to six years thereafter.
I agree that should I be successful in this application, I will, if required, apply for a National Police Check and/or Working with Children Check. I understand that should I fail to do so, or should the check not be to the satisfaction of my employer, any offer of employment may be withdrawn, or my employment terminated.*
All applicants will be subject to pre-employment drug and alcohol screening.
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