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PRACTITIONER FORM 1 © State of Victoria, Victorian Building Authority 2017 (published September 2017) Statement of Experience for Domestic Builder (limited to insulation) work - Page 1/11 Part L: Experience Statement for Domestic Builder (limited to Insulation work) How to fill out this statement STEP 1 Read about the skills, knowledge and experience that you need to demonstrate to the Victorian Building Authority (VBA) if you are applying for registration in the class of Domestic Builder (limited to Insulation work). STEP 2 Fill out tables 1 and 2: In table 1, tell us about your general experience in Insulation work. In table 2, tell us about three specific projects that demonstrate your experience in Insulation work. STEP 3 Read table 3. It explains the types of evidence that you can use to demonstrate the experience that you note in table 2. You will need to present your evidence portfolio to the VBA when you lodge your application. Remember Please include as much detail as possible, because the VBA will use this statement to work out whether you have enough experience for registration. In your application, you will need to provide references to confirm you have completed this work. It is an offence under section 246 of the Building Act 1993 to give any false or misleading statement or information in your application. To meet the experience requirements for registration, you don’t need to have done all the work items listed in column 1 of table 1. But you do need experience in most of them. We will return your application if this statement is incomplete or doesn’t have enough detail, and ask you for more information.

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PRACTITIONER FORM

1 © State of Victoria, Victorian Building Authority 2017 (published September 2017)

Statement of Experience for Domestic Builder (limited to insulation) work - Page 1/11

Part L: Experience Statement for Domestic Builder (limited to Insulation work)

How to fill out this statement

STEP 1

Read about the skills, knowledge and experience that you need to

demonstrate to the Victorian Building Authority (VBA) if you are

applying for registration in the class of Domestic Builder (limited to

Insulation work).

STEP 2

Fill out tables 1 and 2:

In table 1, tell us about your general experience in Insulation work.

In table 2, tell us about three specific projects that demonstrate your

experience in Insulation work.

STEP 3

Read table 3. It explains the types of evidence that you can use to

demonstrate the experience that you note in table 2. You will need to

present your evidence portfolio to the VBA when you lodge your

application.

Remember

• Please include as much detail as possible, because the VBA will use this

statement to work out whether you have enough experience for registration.

• In your application, you will need to provide references to confirm you havecompleted this work.

• It is an offence under section 246 of the Building Act 1993 to give any false or

misleading statement or information in your application.

• To meet the experience requirements for registration, you don’t need to have

done all the work items listed in column 1 of table 1. But you do need

experience in most of them.

• We will return your application if this statement is incomplete or doesn’t have

enough detail, and ask you for more information.

PRACTITIONER FORM

2 Statement of Experience for Domestic Builder (limited to insulation) work - Page 2/11

STEP 1. Learn about skills, knowledge and experience that you need

Qualifications

If you have successfully completed the following qualification, you will

satisfy some of the technical knowledge required for Insulation work:

• Certificate III in Wall and Ceiling lining (CPC31211), including the

below required units of competency:

o Install batt insulation products (CPCCPB3014A)

o Install acoustic and thermal environmental protection systems (CPCCPB3015A)

o Install ceiling insulation (CPCCPB3027A)

Other relevant units of competency include:

o Arrange building applications and approvals (CPCCBC4026A)

o Produce labour and material schedules for ordering (CPCCBC4005A)

o Select and prepare a construction contract (CPCCBC4003A).

If you have not completed this certificate, the VBA will assess your

Insulation knowledge against the competencies included in the certificate.

Experience

So the VBA can assess whether you have the required experience in this

component of domestic building work, you should provide a portfolio

(tables 1, 2 and 3) of evidence that demonstrates your experience. This

evidence must show you can carry out, and arrange or manage the carrying

out of all the activities associated with Insulation work in a competent

manner and to a professional standard.

Your portfolio should include evidence of:

• your experience in the areas that you tick in table 1

• your participation in Insulation work for the three different residential

projects that you note in table 2. This work must cover your use of at

least two different types of insulation material, and a mix of:

o the installation of ceiling thermal insulation to class 1 and 2buildings as defined by the Building Code of Australia (BCA)

o the installation of wall thermal insulation to class 1 and 2 buildingsas defined by the BCA

o the installation of acoustic thermal insulation to class 1 and 2buildings as defined by the BCA

• your knowledge and application of the National Construction Code and

relevant Australian Standards.

PRACTITIONER FORM

3 Statement of Experience for Domestic Builder (limited to insulation) work - Page 3

STEP 2. Complete tables 1 and 2

Table 1. Fill out this table to describe all Insulation work that you have done

What type of work have

you done? Tick the box.

Established the requirement

for a building permit for the

proposed work

How many times

have you done

this type of work?

Tick the box. What were your exact responsibilities? List in point form.

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Applied for and obtained a

building permit for

proposed work

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

PRACTITIONER FORM

Statement of Experience for Domestic Builder (limited to insulation) work - Page 4

Complied with a building

permit ☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Arranged relevant

certification of completed

building work

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Produced cost estimates

and quotes for proposed

work

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Interpreted plans, drawings

and specifications ☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

4

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Estimated and measured

the amount and type of

installation material needed

depending on the building

type and requirements

specified by the designer

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Undertook a risk analysis

before installing the

insulation, by identifying

safety risks and hazards

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Identified electrical hazards

in roof spaces, including

unenclosed connections,

unenclosed conductors,

damaged cable sheaths and

exposed conductors

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Cut, fit and finished

insulation in ceilings and

walls in partly completed

and completed buildings

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

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Installed insulation in

heights and in enclosed

areas

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Safely installed insulation

near electricity ☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Installed insulation using

battery power tools ☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Installed insulation using

hazardous substances and

taking necessary safety

precautions

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

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Measured, cut and used

insulation material to

minimise waste

☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Identified faults in

insulation material ☐ 1 – 5

☐ 6 – 10

☐ 11 – 20

☐ 20+ .

Please continue to next page

PRACTITIONER FORM

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Table 2. Fill out this table to describe three Insulation projects that you have done

Brief description

Period of work (must

include actual dates)

Work address (or where work

was undertaken)

Name and contact number of

your employer

Building permit

number

Project

1

Start date:

End date:

Project

2

Start date:

End date:

Project

3

Start date:

End date:

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STEP 3. Use table 3 to create your evidence portfolio

Table 3. Use this table to create an evidence portfolio that supports your experience in table 2

Area of experience Suggested evidence or documentation

Apply for a building permit for the work Detailed plans, drawings and related to the work

Copies of documents that you prepared in support of an application for a building permit

Produce cost estimates Plans or drawings for each project, and associated copies of quotations for the work

Copies of paid invoices indicating any materials purchased that related to the projects

Labour and materials schedules

Own profit and loss statement for each project, showing actual costs for each project

Calculate required quantities of insulation material

for different contexts

Plans and specifications for three different insulation installation jobs using at least two different types

of insulation material

Measurements and calculations used to calculate quantity of insulation required for each job

Proof of insulation used for each of the three projects, such as an order and receipt from the

manufacturer or a record from the builder

Identify faults in insulation material Correspondence between yourself and insulation manufacturers or suppliers about faults that you identified in insulation materials, specifying details of identified fault(s)

Complete insulation work safely, to job

requirements and required standards

Material safety data sheets (MSDS) for insulation, glues and gap fillers used

Job safety analysis (JSA) sheets completed for jobs

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Enter into and administer appropriate contracts Copies of contracts between you and the client or builder for the work

Documentation that demonstrates your capacity to correctly complete a domestic building contract

Evidence you successfully completed training in the following units of competency:

• Select and prepare a construction contract

• Administer a construction contract

Plan and supervise insulation work Project management schedules or spreadsheets used for each insulation project, indicating stages of

the work, labour involved, timelines and milestones

Other documentation relating to onsite supervision during the project

Please continue to next page

PRACTITIONER FORM

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Remember: The information provided in this form must be true and correct. It is an offence under section 246 of the Building Act 1993 to give false or

misleading information in relation to an application for registration, and this offence carries a maximum penalty of 120 penalty units.

I declare that the information contained in this form is complete and true to the best of my knowledge. And I understand that the VBA may make enquiries

to verify any of the information I have given on this form, and I consent for the information provided in this form to be shared with any other third party

for that purpose.

Applicant name

Applicant signature

Date

(must be a handwritten signature)