Experience Log – Servicing A separate Experience Log must be completed for every person who will be undertaking the scope/s of gas work relevant to the Gas Work Authorisation, if granted. Please print additional forms if required. Full Name: Approximate Date Detail previous gas work undertaken Type B Gas Device Authorisation Name/Number or (last three years or last Type of device, make, model, gas type and work undertaken ie test, remove, maintain, repair, service. Rating in GJ/hour Employer name and contact number authorisation period) eg A1999 / John Smith 0433 333 333
Experience Log – Servicing A separate Experience Log must be completed for every person who will be undertaking the scope/s of gas work relevant to the Gas Work Authorisation, if granted. Please print additional forms if required. Full Name: Approximate Date (last three years or last authorisation period) Detail previous gas work undertaken Type of device, make, model, gas type and work undertaken ie test, remove, maintain, repair, service. Type B Gas Device Rating in GJ/hour Authorisation Name/Number or Employer name and contact number eg A1999 / John Smith 0433 333 333