Before Joining Our Team

Before formally becoming a Gore team member there are seven (7) pre-employment steps for you to take.

Please complete each of these steps as follows…

1. Complete the Medical Information Form.

As your employer, Gore Earthmoving Pty Ltd, is responsible for your health, safety, and welfare whilst at work. Therefore, it is important that we are aware of any condition, medical or otherwise, which may have an impact on you in the workplace. This Questionnaire is not designed as a tool to discriminate, rather to create awareness and ensure you are properly accommodated in the workplace.
Press the “Plus” sign on the toggle below and complete the pre-employment medical information form. Based on what you tell us we may ask for a medical examination to be completed.

Please complete this form and sign that it is true and correct.

Please enable JavaScript in your browser to complete this form.

As your employer, Gore Earthmoving Pty Ltd, is responsible for your health, safety, and welfare whilst at work. Therefore, it is important that we are aware of any condition, medical or otherwise, which may have an impact on you in the workplace.
This Questionnaire is not designed as a tool to discriminate, rather to create awareness and ensure you are properly accommodated in the workplace.

Personal Details

Name
Address

Questionnaire

Are you currently receiving treatment of any kind from...

If YES, please provide details

- A Doctor

- A Physiotherapist

- A Chiropractor

- Other Practitioner

Have you...

If YES, please provide details

- Had any medical treatment in the last 6 months

- A current workers compensation claim

- Had a workers compensation claim in the last 2 years

- Been off work longer than 1 month due to an injury, accident or illness

- Ever been hospitalised

- Had an operation

- Had a ‘medical’ in the last 12 months and been refused employment

- A medical condition that may affect your suitability to safely perform the type of work you are applying for

Have you ever had, or currently have...

If yes, please provide details

- Heart disease or a Heart attack

- High or Low blood pressure

- Asthma or other respiratory illnesses

- Chronic bronchitis or emphysema

- Fits or epilepsy

- Diagnosed depression, anxiety or other mental illness

- Neck/back pain, slipped disc or back surgery

- Arthritis, soreness or injury to joints or muscles

- Dermatitis, eczema, skin irritations

- Diabetes

- Dizzy spells or fainting

- Sleep related disorder

- Medications (antihistamines, painkillers, sedatives)

- Unusual muscle weakness

- Allergic reaction to antibiotics, medicine, food, insect bites or anything else

Do You...

If YES Please provide details...

- Take medication (prescription or otherwise), that may affect your suitability to safely perform the type of work you are applying for

- Have a medical condition that may affect your suitability to safely perform the type of work you are applying for

- Wear prescription glasses or contact lenses

Physical Abilities - Can you...

- Travel in small planes

- Work in confined spaces

- Work at heights

- Run 100 metres

- Climb a ladder

- Walk over rough ground

- Crouch and kneel

- Lift 10kg without trouble

- Wear a respirator or protective equipment

- Wear protective spectacles

- Wear a safety hard hat

- Wear safety boots

- Sit or stand for long periods

- Do you have any restrictions that would stop you from doing your job adequately and safely

Other information...

- Do you smoke or vape?

- Do you have good peripheral (side) vision from both eyes?

- Do you have normal hearing in both ears?

- Do you drink alcohol? (if yes please list standard drinks consumed per week)

- Do you consent to a medical/physical including drug and alcohol testing if required or requested

EMPLOYEE SIGNATURE AND DECLARATION:

I certify that all information provided by me is at the time of completion true and correct. Should any factors relating to my health and well-being change at any time in the future, whilst in the employment of Gore Earthmoving Pty Ltd, I agree to inform all relevant parties immediately. I understand that failure to disclose any medical conditions or injuries or falsifying information provided, may result in my letter of offer/employment contract being rescinded.

Clear Signature

2. Complete the Employee Details form.

Press the button below to access the Employee Details form.
Complete the form and press the “Submit” button.

Please complete this Employee Detail form and sign that it is true and correct.

Please enable JavaScript in your browser to complete this form.

Personal Details

Name
Date of Birth
Q Leave contact # 1300 753 283

Emergency Contact

Name

Payment Details - where your pay is deposited

Tax Details

The date you signed a TFN Declaration. You can download, complete and upload your TFN Declaration from this page.

Superannuation Details

Clear Signature

3. Read the Fair Work Statement.

Press the “Plus” sign on the toggle below to read the Fair Work Statement.

Please read this Fair Work statement.

Sign below to acknowledge that you have read and understand the statement.

Please enable JavaScript in your browser to complete this form.

Management Plan Acknowledgment

By signing below, you hereby acknowledge that you have received, read and understood the management plan, and agree to comply with all concerned as part of your employment / contractor’s agreement, terms and conditions with the company.

Clear Signature

4. Download and complete the Superannuation Standard Choice Statement

When you have completed the form, please save it and then upload it to our admin team using the form below.

Download the Superannuation Standard Choice Form

Please upload your completed Superannuation Standard Choice statement to Admin.

Please enable JavaScript in your browser to complete this form.
Click or drag a file to this area to upload.

5. Download and Complete the Tax File Number Declaration.

When you have downloaded and completed the Tax File Number Declaration form, please save it and upload it to our admin team using the form below.

Download the Tax File Declaration form

Please upload your completed Tax File Number (TFN) statement to Admin.

Please enable JavaScript in your browser to complete this form.
Click or drag a file to this area to upload.

6. Read the Gore IMS Management Plans.

Press the button below to access the Gore Earthmoving IMS Management Plans.
Read and familiarise yourself with each of those plans and then complete the acknowledgment form near the bottom of the page.

Go To The IMS Management Plans

7. Complete the Company Induction.

You will then be notified by text message to login again and this time you will be taken to our online induction, which you must complete.
Once you have completed the induction, answer the questions in the form below the induction and sign it to say you have understood the induction.

Go To The Induction

What’s Next?

Once these steps are successfully completed you will be contacted and given a formal offer of employment. You will need to sign it to accept it before joining us.

After formally joining our team you will be able to login and access worker resources such as policies, SOPs, Compliance and Safety forms, other inductions and an in-house news section.