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Certificate of Competence (Model)

This Certificate is valid until [Insert date here], and relates only to the [Insert discipline here] systems and
installations listed below.

If found, please return this Certificate to: [Insert Company or specific Contract name and address]

This is to Certify that [Insert name of operative here] whilst in the employ of [Insert Company name here] and
working at [Insert site address or contract name here] is considered a Competent Person [Insert discipline here]
by virtue of the skill, knowledge and training demonstrated and assessed through formal review of qualification,
experience, training and technical knowledge as well as asset, system and environmental familiarity.

This certificate extends to only those Installations and/or equipment listed below:
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Signed........................................................................... [Insert Title Here]

Issue Date ......................................... Expiry Date .............................................

Notes and/or restrictions:

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Certificate together with other completed forms and evidence shall be maintained within the
organisations Competency Management System (CMS) or with the Human Resources Function.
A copy will also be issued to the Competent Person named.

Competency and competency management systems in facilities management 45