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
**********@*****.***
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
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
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
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
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
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 : ******@****.**.**
\'
\ [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: ******@****.**.**
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: ******@****.**.** +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
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
110
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Rioht
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dB
10
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70
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90
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Hz 5K 2K 3K 4K 6K 8K
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