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TECHNICAL REFEREE
REPORT
DOMESTIC BUILDER (LIMITED TO EARTHWORKS & EXCAVATON)
This report must be completed by the referee and accompanies the
domestic builder (limited to earthworks and excavation)
registration application form.
To be a referee you should be a registered domestic builder
(unlimited) or be registered in the class of building work for
which the applicant is applying. You must have directly supervised
the applicant carrying out the work listed in the reference.
Use this form to tell us about domestic building work that the
applicant carried out under your supervision.
The VBA uses your referee report to help determine whether an
applicant should be registered as a building practitioner. We may
contact you to confirm the information in this reference.
PART A
ABOUT YOU (THE TECHNICAL REFEREE)Title: ☐Mr ☐Ms
☐Other_____________________________First name
☐Mrs Middle name
☐MissSurname Date of birth
/ /
Your registration number Your contact number
If you are not a registered building practitioner, were you the
applicant’s: ☐ Site supervisor ☐ Construction managerYour email
address
PART B
EMPLOYER DETAILSName of company that employed the applicant
during supervision period
ABN
State Postcode Address Street no. and name
Employer contact number
Suburb
Employer email address
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2/4 Domestic builder (limited to earthworks and excavation) -
Technical Referee Report SD-TRR-030 V3, June 2021
PART C
APPLICANT DETAILS (FOR WHOM YOU ARE PROVIDING THIS REPORT)First
name Surname
PART D
EXPERIENCE Supervised building experience (for up to three
projects) Please complete detail for the applicant’s domestic
building project experience that you supervised.
Applicant’s role (e.g. Project manager, Supervisor,
Subcontractor, or other)
Period of supervision: From – To (mm/yyyy) Project site address
From To
0BExplanation of terms
Please indicate the components of building work that the
applicant either assisted, carried out or managed under your
supervision (may be one project only).
Assisted Is when the applicant has assisted a competent and
qualified practitioner in the carrying out of a particular
component of building work.
Carried out The actual hands-on carrying out of building work.
It refers to when the applicant has been solely responsible for
that component of building work.
Managed The management of building work. It refers to when the
applicant was not involved in the actual carrying out of that
component other than engaging a competent practitioner to do so;
however, they as the manager/supervisor were responsible for the
quality and compliance of that component of work.
/ - /
/ - /
/ - /
Project 1
Project 3
Project 2
Did you assist, or manage any of the following components of
building work per project?
Component of building work Project 1 Project 2 Project 3
Assisted Managed Assisted Managed Assisted Managed
Area of Experience (AoE) 1 – Apply for a building permit for the
work
Determined requirement for building permit
Obtained building permit/or approvals from other authorities
Area of Experience (AoE) 2 – Enter into and administer appropriate
contracts and insurances
Prepared contracts for the building work
Administered appropriate contracts
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Technical Referee Report SD-TRR-030 V3, June 2021
Did you assist, or manage any of the following components of
building work per project?
Component of building work Project 1 Project 2 Project 3
Assisted Managed Assisted Managed Assisted Managed
Area of Experience (AoE) 2 – Enter into and administer
appropriate contracts and insurances
Managed contract variations and defects
Arranged/attended mandatory inspections
Completed handover including certificates of compliance
Managed the building work from start to finish
Area of Experience (AoE) 3 – Produce cost estimates and apply
business financial management skills
Conducted business and financial aspects for projects
Prepared cost estimates and quotations for project/part of
project
Area of Experience (AoE) 4 – Co-ordinate onsite construction
works Developed and monitored progress schedules for the work
Provided on-site day to day supervision of the project
Supervised subcontractors/trades to ensure work was conducted
safely & to standard S
ite su
perv
isio
n
Area of Experience (AoE) 5 – Ensure works are planned and
conducted safely
Managed site safety throughout the project
Did you assist, carry out or manage any of the following
components of building work per project?
Component of building work
Project 1 Project 2 Project 3
Assisted Carried out
Managed Assisted Carried out
Managed Assisted Carried out
Managed
Area of Experience (AoE) 6 – Domestic Building work that you
carried Established the construction site
Protected public assets including
footpaths/driveways/servicesLocated & abolished existing
services to the site
Pre-
base
wor
k
Interpreted architectural/engineering drawings prior to
commencement of site works
Marked out of services & setting out site including levels
and excavation depths Maintained site drainage requirements &
silt management during excavation
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Technical Referee Report V3, June 2021 End of form
PART E
REFEREE DECLARATIONThe 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 true
and correct to the best of my knowledge.
☐ I understand that the VBA may make enquiries to verify the
information I have provided, and I consent for thisinformation to
be shared with any other third party for that purpose.
Referee name
Referee signature: Date of signature:
/ /(must be handwritten)
To see how the VBA uses and discloses your personal information
view the full VBA Privacy Policy.
Did you assist, carry out or manage any of the following
components of building work per project?
Component of building work
Project 1 Project 2 Project 3
Assisted Carried out
Managed Assisted Carried out
Managed Assisted Carried out
Managed
Area of Experience (AoE) 6 – Domestic Building work that you
carried cont.
Removed spoil during site excavation works
Programmed licenced operators & plant for site excavation
worksMonitored stability of existing site during excavation
works
Installed trench/excavation shoring support during excavation
works
https://www.vba.vic.gov.au/legal/privacy
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