CTJRRICULUM

WTAE OF NOBLE

THEMBA

MATHEBULA

SAF'ETY OFFICER

SURNAME

NAME

CELL PHONE

EMAIL ADDRESS

PHYSICAL ADDRESS

DATE OF BIRTH

IDENTITY NUMBER

NATIONALITY

RACE

GENDER

MARITAL STATUS

HOME LANGUAGE

OTHER LANGUAGES

HEALTH

CRIMINAL RECORD

NAME OF SCHOOL

GRADE PASSED

SUBJECTS PASSED

YEAR PASSED

SENIOR CERTIFICATE

MATHEBULA

NOBLE THEMBA

073******* / 07295 6007

ac4ykv@r.postjobfree.com

HOUSE NO I176

BOKAMOSO

RUSTENBURG

0300

1993-l l-09

931 109 545s 087

SOUTH AFRICAN

BLACK

MALE

SINGLE

TSONCA

ENGLISH, AFRIKAANS & SETSWANA

GOOD

NONE

MAGULASAVI HIGH SCHOOL

GRADE I2

X]TSONGA, AFRIKAANS, ENGLISH

MATHEMATICS LITERACY, ECONOHAICS

LIFE ORIENTATION

APRIL 20I3

4359127,/ I HAVE GOOD COMMUNICATION,RELOCATE,ENTHUSIASTICr' / / I'M I'M I AM ABLE WHILING A HARDWORKER TO PERFONV TO WORK AND NAOST OVPNTNAE TASK SKILLS OR Institution

Course

Subject passed

Year Obtain

Institution

Course

Subject

Year Obtain

Institution

Course

Year

Institution

Course

Year

Institution

Course

Year

Company Name

Place

Position

Reference person

Position

DIUTIES

Contact Number

Duration

WORK EXPERIENCE

Nosa (national occupational safety associate)

Safety Officer

Applying,Environment/ principal Safety Health

and procedures

I/tools { r' SAMTRAC SHE Introduction System to SAMTRAC course 05 December 2014

Del ight computer train in e

NQF levef 3

"

Windows 98/20001xplvista, introduction ro

Spreadsheet, word processing, keyboard

JKlls, lnternet, and e_mail

t4/05/2011

TMNSVAAL TRAINING

Safe Lifting practice

18/03/2017

TRANSVAAL TRAINING

First Aid Level 1

23/03/2017

TRANSVAAL TRAINING

Safe Lifting practice

24/03/2017

Makhuva primary

School

Makhuva Location

Clerk

Mrs. T Makaele

Principal

05 June 2013 - 29 Novemb er 2013

Reason for Leaving

Company name

Town

Position

Duties

Duration

Reference Person

Position

Contact Number

Reason for Leaving

Company name

Position

Duration

Duties

Reference person

Position

Contact number

Reason for leaving

Company name

Position

Duration

Duties

Reference person

Position

Contact number

Reason for leaving

End of Contract

Distell Pretoria west

Pretoria

Safety Officer

Arrange Safety Meetlngs, Ensure all

paper

Work are rn place, Inspect all machinery lf rt's safe to use r e Forklift. reach truck e g links, fork are rn secure, check hydraulic & Oil

l6 January 2014 - 09 November 2015

Rhulani Mathonsi

Supervisor

012*******

End of Contract

Anglo American (cutlaw vuka)

Engineering assistant (safety officer) plant

26 January 2016 - 23 December 2016

Arranqtng Safery Meettng, Safety Frles Audrt

Anended safety meerrngs of mine, assrstrng of

Carrytng tools & equrpment

Johnson

supervisor

014*******

End ofcontract

Harlou Civils [amandelbult)

Safety Officer - Surface Risk / Plant

01 February to 0B December 2017

Arrange Safety meetlngs, safety files audit,

Atlend Safety meetings of mine, ensure all

Paper work are in place, Inspect tools &

Equipment

Inspect PPE, Inspection on pesky, daily

Risk assessment, Reporting of Accidents &

Dangerous occurrences

Aletta Pretorius

Receptionist

014*******/6

Resigned

i

jr :r!;1 .:,I:;r'1i::1."'i

:' .

r.

I

. - GEREGISTREERDEWOON. ENPOSADRES

)

. 1.., Bewaar die,bewys van i, GEFEGTSTREEFDE WOON' EN POSA0RES rn hrerdie sakkie,

2, lndien u vdn adresverander hel ol rndren besonderhede van u huidiq€ adres, bv. slraatnaam enol 'nommet, ens. verander het. moeidre vorm KENNISGEWIt'lG jdentilellwal VAN ADRESVEFANDERING, t rs, gebruik word om dre en rnbet n word by o{ gePos word

istrikkan e OEPAF'EIi1ENT vAN

BINNELANDSE SAKE

REGISTERED RESIDENTIAL AND POSTAL ADDRESS

1. Keep the proof of yout REGISTERED BESIDENTIAL AND POSTAL ADDRESS in this pocket.

2i lt you have changed your address, or, il particulars o1 your r.slreet number, etc., have

0F ADDFESS torm in the

nt must b€ used to reporl

or posted to the nearesl

T OF HCME AFFAIRS,

1

I.D.N0, 931***-**** 0S 7

I lllll lill lll]llllllllll llill llll lllil lllll llllllllil lillllil lll llll S. A. BURGER/S. A. CITIZEN

VAN/SURNAlviE

I' ATHEBULA

i V@NOBLE RNAN4AFORENAMES Tl EMBA

DATUlvl UITGEREIK

DATE ISSUED

2010-10-29

UITOEREIK O? OES O VAI DIE

OI RE XTEUR.OEXER AL:

AINtsELANO3E SAKE

Vehicle/ EouiPment Validitv

lsolation and Lockout

Date lssued : 1310412Q17

Date ExPire : 13/04/20'18

2.13.1 Appointee :

Date'3r;V\:\

;:j3.

AY AUIHORITY OF THI

GandelbultConcentrator DAnglonto'1'on

AUTHORIZATION

PERMIT

Authorization

is hereby

granted to :

N T Mathebula lD No: 931**********

lnduction validity : 13tO4t2Q17 - 121*******

rhis permit is issued onc?:[1Xt::1tX?,j,1!i

""0

appropriate

t"q.'ill.Tlitt'"t

Amandetbult

records are maintatneo

ANGLO

PLATINUM

:L

;,.r'*'

H EPUBLIC OF SOUTH AFRICA

Aworded to

ldentity number 931 109*******

Subject

Xitsongo Home Longuoge

Afrikoons Second Additionol Longuoge

English First Additionol Longuoge

Molhemoticol LiterocY

Lrfe Orientotion

Fconomics

t t . T,-. ''\ l 130-****-**** Y

ilililllllllililllillllillillllllilllillllllllillllillllilllilllil Council for OualitY Assurance in

Gene ral and Further Education and Training

National Senior Certificate

Noble Themba Mathebul

%

64

33

39

32

40

20i8

-02- 2 ?.

Achievemenf

level ',5

2

7.

2,4

.! .., . . ..:

..'

"-/

. .' ' ii')'

This condidole is oworded the Notionol Senior Certificote 'ond hos he*'the minimum requirements for odmission to higher certificcte study os gozetted for odmission fo high_eI'educoti n, subject to the odmission requirements oitf,e higher educoiion institution concerned' ' j' With effect from APril 2013

I\. s. I\sr=

Chief Executive Officer

This certlflcote is issued wilhoul olteroiions or erosure of ony kind South Africa

4 3 5I 127

SAQA

93

has demo

APPLYING SHE

AND PROCEDU

Data of course

L7 / 02/ 2OL4 - Le/ 02/ 2OL4

Date of issue

05/03/2OL4

Unit Standard

ID

Unit Standard Description

NQF

cvtl

Credits

2s9604

Verify compliance to safety, health and

environmental requirements in a workplace

2 04

This is to certify that

N T MATHEBULA

ID Number

931***-****-***

has met the requirements for

Date of course

L6/ 07 / 201,4 - t8/ 07 / 2OL4

TEM TOOLS)

This is to certify that

NT MATHEBULA

ID Number

931***-****-***

has demonstrated competence in

24/'Li/2o+k! L2/2OL4

V

Manager

SAQA U5 ID urur1.si3rqgy@ftrt1 CREDITS NQF LEVEL

244283

Faciiitate the n(@fe-entation and maintenance

.'.oY

a Safety, EMronment management system

10 Level 5

- \:/J :4-Be- i> 4.+'

:i-: - :; :a:r i

io

Reg. No. :2009lIl 9863123

NF Level

his is to

Mathebula

ID No. :937

has succesfully achi

against the following SAQA regi ication

in terms of section 9 (1)(f) of the EIQ ulations

No. 1127 of 7998 under the SAQA Ait No. 58

of 7995, effectiv e 07 / 72 / 2008:

The candidate has qualified to operate the following softwares Windo s98/2000/XP /vista, Introduction to PC,

Spreadsheet, Word processing, Ke oard skills,

Internet and e-mail

;

E

COI'/MITTED TO SKILLS O€VETOPMENT IN THE ICT SECIOR 7 Delta Str Unit2 Rustenburg North West 0300

Email : ac4ykv@r.postjobfree.com

\'

\ [Lr \. .t, \'

Date of lssue \--r

irna ran!

r1.UJt ZV h/-' ';

iS \ "tr

ctor

any corrections and is valid for a period of

1

AtrCREDITED TRAININEi PROVIDER

PO Box 20368 Proteapark North West 0305

Tel: +27-14-592**** Fax: (014-***-****

rrf,saass€s sg trs{sssss

AND WAS FOUND CON/PETENT E FOLLOW

FIRST AID L 1

trERTIFY THAT

ATHEBULA

109 545 508 7 I r. .

TRA N I N G tr tr U Rs e alNiqSXAM /S -t'. I NAT O N

'AFETY

/ / l\

AND WAS FOUND CON/PETENT E FOLLOW

Accredited Training Provider with the TETA SETA and the Department of Labour to provide accredited training as per the Occupational Health and Safety Act (85 of 1993) Driven Machinery Regulation 1B (1 1) in accordance with theNational Codeof Practice(NoticeR539inGazetteNo 38904of 24June2015) AccreditationRegistration Numbers TETA ETQA TETAO4-385 DEP OF LABOUR CI227

t;'f,1!

nRtboJExOtr.V

-FIRST t^ATnthl/ AID L 1

Certificate Number .r(' ',- F:\ilitaror Numoer

thi'ee years from

AtrGREDITED TRAINING PROVIOER

r ec,ro orr unrt 2 Rustenbqfg North West 0300

Email: ac4ykv@r.postjobfree.com

P.O. Box ' 20368 +27 Proteapark 14 592830'l Nqrth Faxi +!'lfest 27-86-030*-*** 5498 Tel: TRANSVAAL TRAININE

Accredited Training Provider with the TETA SETA and the Department of Labour to provide accredited training as per the Occupational Health and Safety Act (85 of 1993) Driven Machinery Regulation 18 (1 1) in accordance with the National Codeof Practice(NoticeR539inGazetteNo 38904ol 24June201 5) AccreditationRegistrationNumbers TETA ETQA TETAO4-385 DEP OF LABOUR CI227

THIS I5 TO trERTIFY THAT

N.T. MATHEBULA

931I09 -54-) -i08 7

HAS SUtrCESSFULLY trOMPLETED A TRAINING trT]URSE AND EXAMINATIONS FIGHTII,/

RUs.l.c

B-EF=lguFc

'7

Certificate Number

2017 -0887

Coy Number:

CouIsg,Numbe

R03/201 7-0065.

.. \.

_rr;:r:iVrc.-

.'HrDXt AR 14025 I5 " v'uE' /

__

_:)i'.lVlCE

Signature

cd6 is issued l\ itltout altY corections and is Yalid for a period of tr'vo I Dat sol

date of issue. Tel (01-+) 592-8301

VAAL TR

ACtrREDITED TRAININE PRtrVIDER

7 Delta Str Unil 2 Rustenburg North West 0300 P.O. Box 20368 Proteapark North West 0305 Tel: Email: ac4ykv@r.postjobfree.com +27 '14 5928301 Fax: +27-86-658-**** T ANSVAAL

Accredited Training Provider with the TETA SETA and the Depa the Occupational Health and Safety Act (85 of 1993) Driven Ma Natlonal Code of Practice (Notice R539 in Gazette No 38904 of TETA ETOA TETAO+385 DEP

Prfs€iesre G

THIS IS Ttr GE

N.T. NIATHE

931 t09 -i4-5 -5

HAS SUtrtrESSFULLY trOMPLETED A TRAI

SAFET L>lAI'I) I

AND wAS FouND coMpErENr FoR rHE ror-LjowrNc .i*r,F _ I

SAFE LIFTIA G PRA

"

. .',

i'arr.

Cerriflcate Number

2017-08_s I

Coy Number:

-,, ' ". "'\ Facilitator Number

.,i\soR - 250969

Dat'e

Date of Expiry

l 8/03/20 l 9

e is issued rijthoul anr corrections and is ralid for a pcriod of tuo ate of issue Tel (0l-i) 592-8301

ANGTO Amandelbult Hospital

PLATINUM

Booking Slip

Date of medical:

Person company No:

ldentity No.

2017 -12-08 (yyyy-MM-dd)

64148614

931 1-095******

Mathebula, Noble

1 993-1 1 -09 (yyyy-MM-dd)

Safety Officer Surface

Surface Risk

Harlou Civils

Exit

Date of birth:

Occupation:

OREP:

Employer:

Cost Centre:

Type of medical:

cender: Male

a1 )?l?o)l

Booked on 2017-12-05 09:14:55 bv ANGLO\anzellef (Concentrator) ANGTO

PLATINUM

Exit Certificate in Terms of Section 17

Particulars of Employee: Mathebula, Noble

RSA ld no/Passport no: 931 1-095****** Date of birth: Company no: 64148614 Gender:

Previous Occupation History: Platinum - 2y -4m

Occupational Health Centre

Amandelbult HosPital

P.O.Box 2

CHROMITE

UJOZ

Tel: 014-***-****

Fax: 014-***-****

of the Mine Health and Safety Act

Occupation: Safety Officer Surface

1 993-1 1 -09

Male OREP: Surface Risk

Postal address:

Fax number:

Particulars of Mine:

Type of mine:

Amandelbult Mine (Anglo Platinum)

Platinum

Telephone no:

Appointed OMP: pdpreez

Particulars of Examination: Initial examination date: 2017-03-01 Last examination date: 2017 -12-08 Spirometry FVC FEV1 FEV%

Measured 3.88 3.58 92.27

% Predicted 90.02 97 .02 108.55

Ghest XraY 2017112t08

Nothing Abnormal Detected: 0/0

Biological

Monitoring

L-J

Audiometry L 5 L1 L2 L3 L4 LO L8 R 5 R1 R2 R3 R4 R6 RB PLH BL 20'16-03-04 05 oO O0 **-**-**-**-**-** 00 l0 15 05 00 1 10 Current 2017-12-0E **-**-**-**-**-** **-**-**-**-**-** 05 15 1 10 lnitial 201*-**-**-** OO OO **-**-**-**-**-** 00 -**-**-**-**-*-** Diag

05 1 2 3 4 6 8 05 1 2 3 4 6 I

0

20

40

60

BO

100

20

40

60

80

100

--Easeline

+Curent .. Inilial --Baselrne

*Curent rr Inital

Comments:

Particulars of Occupational Disease/Compensation NL Reference Number lncident Date Incident Description lSubmitted/Compensated lDegree Of Severity

Lodge section 20 appeal:

Employee

Note: In terms of section 20 of the MHSA an employee may appeal to the Medical Inspector any finding of an occupational medical practitioner contained in an exil certificate prepared in terms of section 17 of the act Created on 2017-12-OB 09:13:41 bv kmbonowa 061 talacrJ PatientNumber 64148614

Patient Name: MATHEBULA, NOBLE

Gender / lD No.: Male / 931

'109*******

ldentifier Test Date

Blue O 2017-12-08 08:16

Black O 201 7-03-01 1 3:25

ldentifier Test Date

Blue O 2017-12-08 08:16

ffck - O2017-03-01 13:25

ldentifier Test Date

Blue O 2017-12-08 0B:16

Black O2017-03-01 13:25

Amandelbult OHC

Date of Birth: 1993- 1 1-09

Employment Date:

Noise Exposure:

Company:

Department:

Position:

Serial No. Operator Age Noise

154114,3675 Audiometrist 24

154114;3677 Audiometrist 23

R. OHSA STS/P STS/M ABHL sABHL

500-***-***-*** 450

3.33 1.67 - 0.62 ',l

00

IF6KR8

Otoscopic Test Type

- Exit Exam

- Pre-employment

CAT PLH PLHS/P PLHS'B

Baseline Type

Baseline, Milestone

L. OHSA STS'P

333 333

0 00 -6.66

L4K L6K L8K

52020

0200

1 110 000

1 110 000

000

000

STS'M

333

LSOO L1K L2K L3K

10 5 0 5

0-500

R5OO R1K R2K R3K

0550

0550

R4K R6K R8K

10 5 15

Audiometer Tremetrics M650

Serial No 154114;3675

LastCalibration 2017-09-01

NextCalibration 2018-09-01

Calibrated By Amtronix (Pty) Ltd A Maartens

Left

-10

dB

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100

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Rioht

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10

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