CEW05 - Meru Site Entry Application Company Details Company Name*This field is required. * Required Field. Contact Person*This field is required. * Required Field. Telephone Number*This field is required. * Required Field. Email Address*This field is required. * Required Field.* Please enter a valid email address. Contractor Details Contractor Category Select an Option Tier 1 Tier 2 Works to be completed Other employees entering the site to perform work Entry Date(s) Entry Time(s) Checklist Are you conducting a high-risk job? YesNo If YES, wo what type of high-risk job? Have you recieved a high-risk permit from either CGG or CWY? If YES, please attach documentation. YesNo Have you submitted your safe works information to the appropriate organisations? If NO, please attach documentation (inlcuding your completed site induction questionnaire, if required). YesNo Supporting Documentation Attach all requested documentation Max File Size: 10.00 MB Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx I have agreed to submit this application by electronic means. I can confirm that the information given in this application is true, complete and accurate. By checking this box and typing my name below, I am electronically signing my application.*This field is required. Please tick here Signature*This field is required. * Required Field. The City of Greater Geraldton collects the personal information you provide in relation to the Meru Site Entry Application form so we can deliver the service, process your request, and meet our legal obligations under the Local Government Act 1995 and any other related legislation. Your information may be shared with government agencies, contractors, or others where authorised by law or with your consent. Where required by law, your personal information will be made publicly available, e.g. public registers. The City manages personal information in accordance with relevant privacy legislation and takes reasonable steps to protect it from unauthorised access or disclosure. You may request access to, or correction of, your personal information by contacting the City at pris@cgg.wa.gov.au. Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image Was this page helpful? How can we improve this page? Email Address*This field is required. * Required Field.* Please enter a valid Email Address Type the code from the image: Do not fill this textbox.