SAFA:MIE Application

APPLICATION FOR CERTIFICATE OF PERSONAL COMPETENCY (COPC) TO REGISTER AS AN MASTER INSTALLATION ELECTRICIAN

This form shall be used as an application for a new certificate / renewal of certificate

New certificateRenewal of certificate

PARTICULARS OF APPLICANT:

Surname:

Name:

ID NO:

IE registration number:

Email:

Date of birth:

Cell phone:

Tel:

Date of registration:

Membership Status

SAFA member (R 1250.00)Non SAFA member (R 1250.00)

INFORMATIVE DOCUMENTS
(All copies must be certified)

1. Copy of South African ID or passport

2. Copy of IE Registration (License > 2 years)

3. Results of specialized electrical codes

4. Results of unit standards for MIEs

5. Letter from employer to prove that applicant has at least 5 years’ relevant workplace experience in hazardous locations. (Complete affidavit Annexure A)

6. Evidence of Ex inspections, installation done by applicant.

7. Current CV

8. ID Photo

9. N3 Certificate

DECLARATION

I am aware of and familiar with all valid normative documents for the Certificate of Personal Competency. Should my application for certification be approved, I am aware that these requirements shall be maintained.

I commit myself:

to comply with existing normative documentsto give accurate information about the scope of personal competency certificationto pay the expenses in connection with my applicationkeep abreast with latest standards and legislation

Applicants signature: ………………………………….…….Date: …………………..…….

Proof of relevant work experience in hazardous locations

Scope of certification FOR INTERVIEW

Select the blocks applicable to your areas of knowledge and experience for all area’s

1.1 Types of protection

1.1 Product types

1.1 Groups

1.1 Voltages

1. Evidence of education and training

Please attach certified copies of all evidence (if additional space required please attach additional pages)

1.1 Compulsary Documents

N3 Certificate or higher	Grade 12 (standard 10) Certificate	Letter from EWSETA for unit standards
Statement of results for Specialised codes	IE registration	Trade certificate

1.1 training specific to HAZARDOUS LOCATIONS completed in the last 5 years

Courses

Course name:

Date:

1.1 Work experience in Hazardous Areas completed in the last 5 years

Organization

Organization name:

Date from:

Date to:

1.1 Work experience in Non-Hazardous Areas completed in the last 5 years

Organization

Organization name:

Date from:

Date to:

NOTE:- The interview will be conducted in English

Upload any supporting documents here:

I hereby grant the South African Flameproof Association permission to publish my contact details as a registered MIE on the SAFA website.

Contact Information

SANS 10089-2	SANS 10086-1	SANS 10108
SANS 60079-10 (all)	SANS 60079-17	SANS 60079-31
SANS 60079-14	SANS 10142-1	ARP 0108
OHS Act 85 of 1993	SANS 60079-25

All without limitation	"d": flameproof	"e": increased safety
"i": intrinsic safety	"m": encapsulation	"p": pressurization
"q": powder filling	"t": protection by	"nA": non-sparking

All without limitation	Rotating machines	Cathodic protection
Instrumentation	Communication	Trace heating
Power transformers	Small power (lights, socket outlets; DB’s)	"nA": non-sparking
Glands	Connection boxes	Cables
Heating equipment	Measuring equipment

All without limitation	Group II (surface industry)	Hospitals
Group I (underground mining)	Group III (dust /fiber environment)