MBAM SSS Application Form 2014

MASTER BUILDERS ASSOCIATION MALAYSIA
SITE SAFETY SUPERVISOR (SSS) COURSE
MBAM
INTRODUCTION
The construction industry is playing an important role in the successful implementation of the 10 th Malaysia Plan and
the Economic Transformation Programme (ETP) with many economic entry point projects to be launched under the
12 National Key Economic Areas (NKEAS). To date approximately RM 147 billion worth of projects had been
identified and it is estimated the Mass Rapid Transit Project alone will be generating more than 130,000 jobs for the
construction and related industries. Thus, it is crucial to ensure a substantial knowledgeable, innovative, skilled and
competent manpower supply for the safe and successful implementation of ETP.
Under the Factories & Machinery (Building Operations and Works of Engineering Construction)(Safety)
Regulations 1986; for any building operation and works of engineering construction projects:
1. Main Contractors are required to employ competent SSS for safety supervision within the work site
2. Sub-contractors must employ competent Contractor’s Safety Supervisor at the place of work to keep each
project safe, yet be cost effective and efficient.
The Department of Occupational Safety & Health (DOSH) has fully enforced the above-mentioned regulations since
January 2012. In order to fulfil the requirements and at the same time to resolve the high demand and serious
shortage of Site Safety & Health Supervisors (SSS) in the construction industry, with the blessing of DOSH, MBAM
is taking a pro-active step in helping the Government to overcome the above issue by conducting the SSS training
course specially tailored for the construction industry. This SSS Course is accredited and recognised by DOSH.
PROGRAMME OBJECTIVES
This industry driven programme is aimed to assist the construction industry in developing, training and to produce
competent SSS. This programme is specially tailored to meet the requirement and overcome the shortage of SSS in
the industry in line with the legal provision under BOWEC 1986.
WHO SHOULD ATTEND
1. All individuals working in the construction industry especially those who are directly involved in the
relevant job site supervisory
2. Site Foremen or Supervisor
3. Safety Supervisor
DURATION OF COURSE
Weekend or Full Time Classes (8-Days):
Full Time Class: 8.30am to 7.00pm daily
Weekend Class: Saturday – 8.30am to 7.00pm
Sunday – 8.30am to 7.00pm
TRAINING VENUE (KL)
MBAM Training Centre
6-2(2nd Floor), Jalan 1/109E
Desa Business Park
58100 Kuala Lumpur
Note: For Training venue in other states, please contact MBAM Secretariat.
Approved
20 CIDB CCD Points
MASTER BUILDERS ASSOCIATION MALAYSIA
SITE SAFETY SUPERVISOR (SSS) COURSE
MBAM
CERTIFICATION
1. Certificate of Attendance upon successful completion of the course.
2. Certificate of Competency from MBAM Board of Examination (BOE) upon successfully obtaining a pass in the
Competency Examination.
3. The successful candidates shall be recognised and accepted for Registration with DOSH as competent SSS
(subject to DOSH’s final approval)
ENTRANCE REQUIREMENTS
(A) Minimum LCE/SRP/PMR or equivalent; with
Minimum 2 years of site working experience; and
Certification by employer; and
Entrance test or interview if required;
Or :
(B) Diploma in any DOSH recognized engineering related field for those without site working experience.
Or :
(C) Passed SHO examination but less than 1 year of site working experience (Only require to attend the Part 6 –
Occupational Safety of MBAM SSS Course)
Or :
(D) Having a DOSH recognised Diploma in OSH and having less than 6 months of site working experience (Only
require to attend the Part 6 – Occupational Safety of MBAM SSS Course)
COURSE FEE
HO SHOULD ATTEND
Registration Fee Non-
MBAM Member
Non-MBAM Member
RM/Pax
KL/Penang/Johor
2,150.00
2,300.00
RM/Pax
Sabah & Sarawak
2,600.00
2,620.00
* The course fee is inclusive of training fee, examination fee, meals and refreshment, certificate of attendance (if qualified) and
certificate of competency (if passed).
All cheque should be made payable to: MBAM Training Services Sdn Bhd
(Maybank : 514-114-435-808)
APPLICATION FORM & ENQUIRIES
For Application Form and Training Calendar 2014, please download from
MBAM Official Website: www.mbam.org.my
Contact Persons: Ms Chai Min Fung / En Mohd Farhan / Ms Ida
MASTER BUILDERS ASSOCIATION MALAYSIA (MBAM)
2-1(1st Floor), Jalan 2/109E
Desa Business Park
58100 Kuala Lumpur
Tel: 03-7984 8636 H/P: 017-625 3368 Fax: 03- 7982 9811
E-mail: mbam06@mbam.org.my / mbam16@mbam.org.my / mbam14@mbam.org.my
MASTER BUILDERS ASSOCIATION MALAYSIA
SITE SAFETY SUPERVISOR (SSS) COURSE
MBAM
APPLICATION FORM
SSS Course KL (Full Time) - Intake ______
SSS Course KL (Weekend) - Intake ______
R SSS Course Penang - Intake ______
R SSS Course Johor - Intake ______
e SSS Course Kuantan, Pahang - Intake ______
e SSS Course KK, Sabah - Intake ______
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MASTER BUILDERS ASSOCIATION MALAYSIA
SITE SAFETY SUPERVISOR (SSS) COURSE
MBAM
Employment and Experience / Pengalaman Bekerja*
Current Employer:
Majikan Sekarang:
Name of Company *:
Address*:
Date of Employment*:
Nama dan Alamat Syarikat:
Position*:
Tarikh Mula Berkhidmat:
Jawatan:
Previous
Employment:
Name of Company:
Date of Employment:
Nama Syarikat Majikan :
Tarikh Berkhidmat:
Position:
Majikan Terdahulu:
Jawatan:
Name of Company:
Date of Employment:
Nama Syarikat Majikan:
Tarikh Berkhidmat:
Position:
Jawatan:
My present employer is a member of MBAM*:
Majikan Sekarang Saya Adalah Ahli MBAM:
YES
NO
Payment / Bayaran* All cheque should be made payable to: MBAM Training Services Sdn Bhd
Acc. No.: Maybank - 514-114-435-808
Cheque / bank draft*
No. :
Cek / Deraf Bank
Amount:
Jumlah:
Declaration and Signature/ Pengakuan
I declare that the information provided by me in this application form is true and correct. I acknowledge that MBAM
reserves the right to vary or reserves any decision regarding admission or enrolment made regarding the basis of incorrect
or incomplete information. I am aware that the issuance and approval of DOSH Yellow Book is subject to the discretion of
DOSH.
Saya mengesahkan bahawa semua maklumat dalam borang ini adalah sahih dan benar. Saya bersetuju bahawa MBAM berhak untuk
mengubah keputusan berkenaan kemasukan sekiranya maklumat yang saya berikan adalah tidak benar atau tidak lengkap. Saya sedar
bahawa pengeluaran dan kelulusan JKKP Buku Kuning adalah tertakluk kepada budi bicara JKKP.
_____________________________________
Signature of Applicant/Tandatangan Pemohon
_______________________________
Date / Tarikh
Kindly return this application form to:
MASTER BUILDERS ASSOCIATION MALAYSIA (MBAM)
Secretariat
2-1, Jalan 2/109E,
Desa Business Park,
58100 Kuala Lumpur
Tel: 03-7984 8636 H/P: 017-625 3368 Fax: 03-7982 9811
Email: mbam06@mbam.org.my / mbam16@mbam.org.my / mbam14@mbam.org.my
Contact Persons: Ms Chai Min Fung / En Mohd Farhan / Ms Ida
MASTER BUILDERS ASSOCIATION MALAYSIA
SITE SAFETY SUPERVISOR (SSS) COURSE
MBAM
CHECKLIST FOR EMPLOYER / APPLICANT
Confirmation Letter from Current Employer
Surat Pengesahan dari Majikan Sekarang
Application Form Signed
Borang Permohonan telah Ditandatangani
One (1) Copy of Certified IC
Satu (1) Salinan Kad Pengenalan yang telah Disahkan
One Copy of Certified CIDB Green Card
Satu (1) Salinan Kad Hijau CIDB yang telah Disahkan
Certified True Copy of Certificate/Diploma/Related
Salinan Sijil/Diploma/berkaitan yang telah Disahkan
Cheque No. _____________________ Amount: RM ______________________
COMPANY LETTER HEAD
To:
MBAM Secretariat
st
2-1(1 Floor), Jalan 2/109E
Desa Business Park
58100 Kuala Lumpur
Date:
Dear Sir/Madam,
Re: Confirmation of Employment for SSS Course
Refer to the above, as required, we wish to confirm on the following;
Company information:
Tick (√)
Contractor
Civil & Structural
Mechanical & Electrical
Architectural
Interior Decoration
Landscape
Oil & Gas
Other(s): __________________
Tick (√)
Consultant
Safety Consultant
Project Management Consultant
Oil & Gas
Other(s): _______________________
Current employment of SSS Applicant:
Name:
IC:
Position:
Date Employed:
Current Salary:
CIDB Green Card Expiry Date:
Current Location of Job Site:
Contact Handphone No:
Should you need further information, please contact the following person:
Name:
Position:
Office Contact No.
Handphone No:
Fax No:
E-mail:
I hereby confirm that the payment of the course will be paid by Company / Participant. (Please select)
Thank you.
Yours faithfully,
…………………………….
Name
Position (Managing Director/ HR Manager)
……………………………………………
Company Stamp /Cop Syarikat