SAQCC FIRE - 1475

APPLICATION FOR A NEW REGISTRATION

(Only for use by those who have been registered as a trainee)
The following must accompany this application form:
✓
a.  1 Colour I.D photo which must be emailed as a JPEG Without this, no card can be printed!
b.  Check list confirming training successfully completed OR Statement of Results (SOR)
following the External Integrated Summative Assessment (EISA) if registered as a trainee
prior to 1st October 2022. Any person registered after this date must submit their SOR.
c.  Certified copy of I.D. Book. This must be certified within the last 3 months. Nothing older
than that will be accepted.
d.  Proof of employment AS PER EXAMPLE ATTACHED.
e.  Copy of CURRENT letter of good standing re workmen’s compensation. This must be
current. Only if it is a very new (i.e. just opened) company, then we would require proof that this
had been applied for.
f.  Copy of CURRENT SANS 1475 Certification. However should this not be available, i.e.
should it have been cancelled or be a new company/workshop – in this instance, no
actual registration can be done, however a competent person letter will be issued which
does not entitle the technician to service and must be submitted to the relevant
Certification body either prior or at the time of the inspection of the workshop.
g.  Signed Code of Conduct

Please note that by filling in these forms and signing them you are making a legal declaration. If it
is found that any information is false or incorrect, the SAQCC (Fire) will apply such legal action as it
deems necessary. The forms should be emailed with all supporting documentation to the above
address. Failure to fulfil the above criteria will result in your application being rejected.

PAYMENT
An invoice will only be forwarded once all the above has been
received. Proof of payment for this invoice must be submitted in
order for the application to be processed.
IMPORTANT NOTE
The SAQCC (Fire) registers the individual technician and not the company he is
working for, therefore each application form must be completed in full and
submitted together with the above documentation. SHOULD DOCUMENTS BE
MISSING OR NOT COMPLETED CORRECTLY, THIS WILL LEAD TO A DELAY IN
COMPLETING THE REGISTRATION.

NEW COMPETENT PERSON REGISTRATION FORMS 2024 1st page of 7

 Memb Package
NEW COMPETENT PERSON APPLICATION~ 1475 Pastel
Card
Registration No ________________________ Registration Date:________________
Letter
(For office use only)
 BELOW TO BE COMPLETED BY APPLICANT Website
SMS
Surname: ______________________________________________________________
Excel

Full Names: ______________________________________________________________

I.D. No._______________________________________ Trainee Registration Number: TR________

Residential Address (THIS MUST NOT BE THE COMPANY ADDRESS):

____________________________________________________________________________________

_______________________________ Province:________________________ Code:________________

DOMICILIUM ADDRESS IF DIFFERENT TO ABOVE:

____________________________________________________________ Code:___________________

PERSONAL EMAIL Cell No _________________________

Company Name: _____________________________________________ Reg. No.__________________

STREET ADDRESS OF YOUR CLOSEST POSTNET BRANCH AS THE CARD WILL BE COURIERED TO HERE:
______________________________________________________________________________________

CELLPHONE NUMBER FOR USE BY POSTNET: __________________________________________________

Workshop Address______________________________________________________________________

_________________________________ Province:________________________ Code:________________

Telephone: ____________________________________

Email for normal purposes:

Email for invoicing:
PLEASE PRINT IN CAPITAL LETTERS)

I hereby apply for registration as a competent person and undertake to abide by the requirements of the current
SANS 1475 and its normative references, the contents of which I am fully aware. I solemnly declare, that to the
best of my knowledge, all the information contained herein is true and correct.

Applicant Name_________________________________________ID No.________________________

Signature___________________________________________________________________________

Sworn to/affirmed before me at _________________________on this ________________________

Day of ________________ 20___ Commissioner of Oaths/Justice of Peace:

Name __________________________________

District ________________________________

Signature ______________________________

NEW COMPETENT PERSON REGISTRATION FORMS 2024 2|Page7

 CODE OF CONDUCT
As a registered competent person with the SAQCC Fire, I recognise my responsibility to maintain
and strive for high standards of ethical behaviour, reliability, integrity and professional competence
in the application of the life safety and property protection products, systems and services provided
by myself.

I therefore pledge and ascribe to the following:

• To abide by the MOI, the disciplinary procedures and any rules and procedures of the
SAQCC Fire
• To act and uphold the reputation of fire protection industry, the SAQCC Fire and its
members and to refrain from any conduct or acts likely to bring discredit upon the
industry or the SAQCC Fire and any of its’ members
• To be honest and fair in all my dealings with my customers, subcontractors, distributors,
competitors, suppliers, certification bodies and regulatory authorities
• To obtain the knowledge of and comply with all legal requirements and regulations,
standards and provincial and local laws and regulations pertaining to my scope as a
competent person
• I further agree to read, study and abide by the specific national standards pertaining to my
scope of SAQCC Fire registered competent person
• I agree that should I be found guilty at a disciplinary hearing, for an offence listed in the
Disciplinary Code, that the information pertaining to my offence, will be published.
• To strive towards continuous improvement of legislation affecting the fire protection
industry and the education of regulating authorities
• Not use confidential information obtained through work activities for the purpose of
gaining a private benefit for themselves or for any other person
• Disclose any information to the SAQCC Fire which may constitute a conflict of interest
• I will always carry and present my SAQCC Fire registration badge when working as a
competent person

I accept this code freely and pledge to support the SAQCC Fire in its endeavours to qualify and
certify competent persons within the fire industry to ensure safe practice.

Signature ________________________________________________________

Signed at _____________________________________this______________day

of_____________________________20_______

Full name_____________________________________

ID number____________________________________
NEW COMPETENT PERSON REGISTRATION FORMS 2024 3|Page7
A Check List to confirm that the SAQCC Fire Trainee has successfully completed a 6 months
period of practical training under the direct supervision of an SAQCC Fire registered fire
extinguisher serviceman IF registered as a trainee prior to 1st October 2022 *. Any person
registered after this date must submit their Statement of Results following their External
Integrated Summative Assessment.
*If this cannot be completed, then an external integrated summative assessment (EISA) to be carried out
and statement of results (SOR) provided
Trainee name Trainee Reg. No. TR
Company’s name
Period of training From: To:
FIRE EXTINGUISHERS Proficient
GENERAL Yes ×
Understands general safety precautions when servicing fire extinguishers
Understands documentary requirements to record an extinguisher service
Able to inspect an extinguisher to assess the work required
De-pressurise an extinguisher safely
Able to identify all components of a stored pressure extinguisher
Disassemble an extinguisher of its components
Take correct action on faults as they are detected
Carry out external and internal inspection of the cylinder body
Carry out a low pressure test with a hand pump
Understands the criteria to condemn an extinguisher
Reassemble a fire extinguisher
Recharge all types of STP fire extinguishers
Re-pressurise a fire extinguisher safely
Carry out a final inspection of all types of fire extinguishers (including +/-5%
tolerance)
DRY POWDER FIRE EXTINGUISHER
Is aware of the different types of chemical powders and their uses
Sift dry powder and identify the condition of the powder
FOAM FIRE EXTINGUISHER
Is aware of the different types of foams and their uses
Understands the foam/water mixing proportions for refilling a foam unit
CO2 FIRE EXTINGUISHERS
Understands markings stamped on the CO2 extinguisher shoulder
Understands a CO2 cylinder high pressure test requirements
Understands CO2 gas filling procedures and weight tolerances
CARTRIDGE FIRE EXTINGUISHERS
Can identify all components of a cartridge operated fire extinguisher
Can calculate the cartridge weights and tolerances
Can identify a trolley units external, actuating cylinder is CO2 or N2
Understands the criteria to condemn a cartridge or its extinguisher
TROLLEY UNITS ( ALL TYPES) – as above criteria
Stored Pressure units
Cartridge Operated units
FIRE HOSE REELS Proficient
GENERAL Yes ×
Understands documentary requirements to record a hose reel service
Understands the minimum water jet distance in terms of SANS1475
Understands the minimum pressure in terms of SANS 10105.
Can identify all components of a hose reel
Able to inspect a hose reel to assess the work required
Take correct action on faults as they are detected
NEW COMPETENT PERSON REGISTRATION FORMS 2024 4|Page7
Understands the criteria to condemn a hose reel

FIRE HYDRANTS Proficient

GENERAL Yes ×
Understands documentary requirements to record a hydrant service
Understands water pressure requirements for hydrants
Can identify all components of a hydrant installation
Able to inspect a hydrant to assess work required
Take correct action on faults as they are detected
Understands the criteria to condemn a hydrant

RECORD OF SUPERVISION DURING PRACTICAL TRAINING PERIOD

SAQCC Fire Registered Serviceman Registration No. Signature

SAQCC FIRE TRAINEE STATEMENT

I CONFIRM THAT I HAVE BEEN PRACTISED IN THE ABOVE TASKS

Name:

Trainee Number: TR:

Signature:

Date:

NEW COMPETENT PERSON REGISTRATION FORMS 2024 5|Page7

 *MANAGEMENT REPRESENTATIVE’S AFFIDAVIT
*THE MANAGEMENT REPRESENTATIVE IS NOT THE SUPERVISOR – THE MANAGEMENT
REPRESENTATIVE IS THE PERSON WHO TAKES RESPONSIBILITY OVERALL FOR THE SANS 1475
PERMIT CONDITIONS BEING FULFILLED CORRECTLY (Annex A – Managerial Controls) IF registered as
a trainee prior to 1st October 2022 *. Any person registered after this date must submit their
Statement of Results following their External Integrated Summative Assessment.
*If this cannot be completed, then an external integrated summative assessment (EISA) to be carried out
and statement of results (SOR) provided

I ______________________________________________________________________________________
(Management Representative)

Of ___________________________________________________________________________________
(Company)

hereby declare that

_____________________________________________________________________________________
(Full name of applicant)

_____________________________________________________________________________________
(I.D. Number)

has undergone six (6) months of practical, on the job training that covers all of the disciplines
relative to satisfying SANS 1475 and its normative references. I confirm that his work has been
supervised and a detailed check list of the practical training completed satisfactorily is shown
above. This person is now competent to register with the SAQCC Fire as a Fire Extinguisher
Serviceman in terms of SANS 1475.

Signed _____________________________________________ID No___________________________

Sworn to/affirmed before me at _________________________on this ________________________

day of ________________ 20___ Commissioner of Oaths/Justice of Peace:

Name __________________________________

District ________________________________

Signature ______________________________

NEW COMPETENT PERSON REGISTRATION FORMS 2024 6|Page7

 EXAMPLE OF DECLARATION OF CONFIRMATION OF EMPLOYMENT
REQUIRED BY SAQCC FIRE ON A COMPANY LETTERHEAD–
WITHOUT THIS LETTER NO REGISTRATION WILL BE PROCESSED.
THIS FORM IS NOT TO BE SIGNED AND RETURNED AND IS A
WORD TEMPLATE THAT CAN BE USED ON YOUR OWN
LETTERHEAD.

I,………………………………………………………………………………………. (name) with ID number

……………………………………….……………..the Owner of the company or his/ her duly
authorised representative hereby confirms that
………………………………..……………………………….…………..(name and ID of the person to be
registered) is permanently employed by………………………………………………. (Company
name) as a ……………………………. (either registered technician or trainee) since

EXAMPLE ONLY
………………………………………………..(date of appointment).

Signed …………………………………………. Dated ………………………………….

(Owner of company)

I,……………………………………………………………….. (name of person to be registered)

acknowledge that I am employed by this company as per the above details.

Signed ………………………………………….. Dated ………………………………..

(Person to be registered)

I certify that the Deponents have acknowledged that they know and
understand the contents of this declaration which was sworn to / affirmed
before me, and the Deponents’ signatures were placed thereon in my
presence.
Dated at ………………………………………….……. this ……….. day of ……………….……….. 20………

………………………………………………………………………………………………………..
Commissioner of Oaths

Full Names: ………………………………………………………………………………………………..……………..

Designation: ……………………………………………………………………………………………………………….

Business Address: ……………………….…………………………………………………………………………

NEW COMPETENT PERSON REGISTRATION FORMS 2024 7|Page7