Associate Membership Renewal

Application For Renewal of Associate Membership

Name(Required)
Will be listed in Member Profile on Website.
DD slash MM slash YYYY
Will be listed in Member Profile on Website.
Will be listed in Member Profile on Website.
Business Number if different. Will be listed in Member Profile on Website.
Will be listed in Member Profile on Website.

Personal Information

Note: No personal information will be listed on the HSPNZ website. The notes on this form identify what information will be displayed on the HSPNZ Members listing.
MM slash DD slash YYYY
Max. file size: 128 MB.
Please provide a photo you would like used on the website. Preferably 190 x 190px.
Home Address(Required)

Employer or Business/Company Information

Note: Some of the below information will be listed on the HSPNZ website. If a required field is not applicable to you identify why not or enter N/A.
In case of a conflict of interest.
Will be listed in Member Profile on Website.
Name
Owner, employer, supervisor, manager if different.
If different to above.
If different to above.
PO Box/Postal/Business Address(Required)
Will be listed in Member Profile on Website.

Profile Information

Areas of Expertise(Required)
These categories will be included in your listing on the HSPNZ website. Please let us know below if you want something added.
Working Region(Required)
Please indicate the areas you are available to work in. Most people select all regions, but please specify the areas you are willing to work in. Will be listed in Member Profile on Website.
Home Region(Required)
This is the region you are actually based in. You can only pick one. Will be listed in Member Profile on Website.
If you have a link to an external public register you are listed on please copy and paste the link to this here. Will be listed in Member Profile on Website. For Compliance Certifiers this is your listing on the WorkSafe NZ Website.
Please copy and paste the link to your LinkedIn Profile here. Will be listed in Member Profile on Website.
Please copy and paste the link to your Business Facebook Page link here. Will be listed in Member Profile on Website.

Qualification Information

This will not be listed in Member Profile on Website.
Enter any information that is relevant to your application for membership. Detail your experience and involvement/association with Hazardous Substances.
Drop files here or
Max. file size: 20 MB, Max. files: 20.
    Upload any relevant paperwork to confirm your qualifications here.
    Learning Records (CPD)
    Type of CPD
    Providing Organisation
    Hours Claimed
    Date of Completion
     
    You can add more rows here as needed. If you have not uploaded your CPD evidence to the CPD Portal then add them here. It is best to upload to the CPD Portal: https://hspnz.certificate.ccert.co.nz
    Drop files here or
    Max. file size: 10 MB.
      Upload evidence of your CPD here.

      Read Our Associate Membership Declaration Show More Text on Click Read Here
      1. Associate Members:
        1. Shall be individual persons only.
        2. Shall be a member who supports the aims of the society and is either not eligible to become a Professional member or has yet to meet all the requirements for Professional membership.
        3. May include Trainee Certifiers, Site Auditors, consultants or be employed, or be self-employed in hazardous substance related professional fields.
        4. May be nominated to stand as Committee Members.
        5. If so elected, a Committee Member shall have full voting rights.
        6. Associate Members do not have voting rights.
      2. Accuracy: The details set out in this Membership Form are true and correct. If they change I acknowledge that I am required to notify HSP(NZ) Inc. of the changes in writing as soon as possible after they occur. If the details provided are not true or are misleading I acknowledge my membership may be terminated at the discretion of HSP(NZ) Inc.
      3. Bound by Rules: I have read and will be bound by the constitutions, code of ethics, regulations, policies, manuals, guidelines and reasonable directions of HSP(NZ) Inc
      4. Privacy: I agree that HSP(NZ) Inc can obtain, hold, use and disclose my personal information as provided on this Form (and any updated or additional personal information HSP(NZ) Inc obtains from me including any photo or other record of my image) for the purposes of:
        1. Processing my application for membership including notifying WorkSafe of the information on this form for the purposes of the HSP(NZ) Inc compiling a register of members, compiling a national database of members and participants (accessible only in accordance with the Constitution and Regulations HSP(NZ) Inc), and for requesting me to renew if my membership lapses; b. Putting my name and contact information on HSP(NZ) Inc membership list for use by other members of HSP(NZ) Inc;
        2. Publishing any of approved information in HSP(NZ) Inc newsletters and on their websites;
        3. Providing me with information and activities relating to HSP(NZ) Inc and other HSNO/HSWA matters;
        4. Including my photograph or other imagery on HSP(NZ) Inc website, in newsletters, annual reports, or similar official publications;
        5. Enabling HSP(NZ) Inc. to contact me with information about the products and services of HSP(NZ) Inc. sponsors or funders (unless I have opted out of receiving such information on the Membership Form);
        6. Enabling HSP(NZ) Inc to comply with any statute, regulation, by-law or other regulatory instrument that requires collection or disclosure of personal information;
        7. Retaining the information provided on this form if my membership lapses (as an inactive member) for a maximum period of three years for the above purposes; and
        8. Any other purpose I agree to in writing.
      5. CPD: I agree as a Associate member of HSP(NZ)Inc. I am required to undertake Continuing Professional Development(CPD) to maintain my membership status. I agree to record and track my annual CPD points. This will ensure that when the annual CPD audit is carried out the correct number of hours that I have participated in throughout the year is registered.
      6. I agree and understand that HSP(NZ) Inc can obtain, hold, use, and disclose my personal information as provided on this Form (and any updated or additional personal information WorkSafe obtains relating to my approval status.) for the benefit of obtaining membership support from HSP(NZ) Inc.
      7. I acknowledge that I have not been under a professional investigation by an organisation for which I am employed or contracted to or a professional body such as Worksafe either in New Zealand or overseas.
      8. I have not been expelled or have been denied membership/approval to HSPNZ or any other Professional Organisation in the past.
      9. I agree and understand that HSP(NZ) Inc can obtain, hold, use and disclose my personal information as provided on this form (and any updated or additional personal information Worksafe or EPA obtains relating to my previous compliance approval status) for the benefit of obtaining membership support or approval from HSP(NZ) Inc.
      10. Use, Security and Access: I understand that my personal information will only be used for the purposes of HSP(NZ) Inc.
        1. My personal information will be held securely;
        2. I will have access to my personal information under the Privacy Act;
        3. My personal information will be corrected upon request;
        4. Enabling HSP(NZ) Inc to obtain up to date approval information from WorkSafe;
      11. Continued Membership: I understand that upon payment of my membership fee(s), if I am accepted to membership, I will become a member of HSP(NZ) Inc and that by paying such fee(s) by the due date(s), I will continue to be a member of HSP(NZ) Inc for the duration of my Membership as specified on this form and in accordance with the HSP(NZ) Inc Constitution, unless I resign or my membership is terminated.
      Read Our HSPNZ Code of Ethics Show More Text on Click Read Here
      1. Associate Members:
        1. Shall be individual persons only.
        2. Shall be a member who supports the aims of the society and is either not eligible to become a Professional member or has yet to meet all the requirements for Professional membership.
        3. May include Trainee Certifiers, Site Auditors, consultants or be employed, or be self-employed in hazardous substance related professional fields.
        4. May be nominated to stand as Committee Members.
        5. If so elected, a Committee Member shall have full voting rights.
        6. Associate Members do not have voting rights.
          7. Introduction

          It is generally understood that a Profession is defined by its members demonstrating a consistent commitment to a purpose and a minimum set of values. A Professional Institution has a minimum Code of Ethics, which are accepted by its members and enforced as required. A profession is differentiated by an additional obligation to society as well as its members. This Code must be transparent and responsive to the changing expectations of both society and the profession and the global standards to which the Institution subscribes.

          Purpose

          The purpose of the Hazardous Substances Professionals New Zealand Society is to support Hazardous Substance Management Practitioners and Industry achieve the purpose as outlined in the Health & Safety at Work Act and appropriate Hazardous Substance Regulations, namely to: Protect the Environment and Health and Safety of People and Communities by preventing or managing the adverse effects of Hazardous Substances.
          The Vision statement for the Society and the Association’s bylaws should also be considered alongside this Code.

          Values
          3.1 Protection of the Health and Safety of People

          Members shall recognise the need to protect life and to safeguard people, and in their professional activities shall act to address this need.

          3.2 Professionalism, Integrity and Competence

          Members shall undertake their professional activities with professionalism and integrity and shall work within their levels of competence.

          3.3 Protect community safety in use of hazardous substances

          Members shall recognise the responsibility of the profession to actively contribute to the well-being of society and, when involved in any professional activity shall endeavour to identify, inform and consult affected parties.

          Care for the environment against the adverse effects of Hazardous Substances: Members shall recognise and respect the need for sustainable management of the planet's resources and endeavour to minimise adverse environmental impacts of their professional activities for both present and future generations.

          Sustaining knowledge on Hazardous substances: Members shall seek to contribute to the development of their own and the profession's knowledge, skill and expertise for the benefit of society and industry.

          Rules of Conduct
          1. Members shall act in the best interest of the public, fellow members of the Society, employer, and environment to promote the profession as a reputable and respected institution.
          2. Members shall demonstrate professional competence by conducting themselves in a reputable and professional manner and take reasonable steps to safeguard health and safety.
          3. Members shall refrain from open public criticism of fellow members or publicly express any opinion on the professional performance of other members. Such criticism shall be confined to appropriate formal hearings with professional courtesy and integrity.
          4. Members shall not disclose any confidential information or matter related to their work or profession or the business of their employer unless required to under statutory obligations and in that case must inform the affected party in the first instance.
          5. Members shall not engage in any fraudulent or dishonourable activity, or use any confidential information obtained in their professional capacity for personal gain.
          6. Members shall demonstrate professional competence and skills and shall involve themselves in continuing education and training particularly towards new technology and innovations.
          7. Members shall resist any possibility of conflict of interests in meeting their professional responsibilities.
          8. Members shall submit reports and proposals in a factual, unbiased, and positive manner within the bounds of their competence.
          Guidelines to Achieving Fundamental Ethical Values
          1. Protection of the Health and Safety of People

          Members shall recognise the need to protect life and to safeguard people and in their professional activities shall act to address this need.

          This would include:

          1. Giving priority to the safety and well-being of the community and having regard to this principle in assessing obligations to clients, employers, and colleagues.
          2. Ensuring that reasonable steps are taken to minimise the risk of loss of life, injury, or suffering which may result from their professional activities, either directly or indirectly.
          3. Drawing the attention of those affected to the level and significance of risk associated with the work.
          2. Professionalism, Integrity and Competence

          Members shall undertake their professional activities with professionalism and integrity and shall work within their levels of competence.

          This would include:

          1. Exercising their initiative, skill, and judgement to the best of their ability for the benefit of people and the community.
          2. Providing decisions, recommendations, or opinions that are honest, objective, and factual, and acting fairly and impartially.
          3. Accepting personal responsibility for work done and taking reasonable steps to ensure that anyone working under their authority is both competent to carry out the assigned tasks and accepts a like personal responsibility.
          4. Ensuring they do not misrepresent their areas or levels of experience or competence.
          5. Taking care not to disclose confidential information relating to their work or knowledge of their client without the agreement of those parties.
          6. Disclosing any interest that may impair their professional judgement.
          7. First informing another Member before reviewing their work and refraining from criticising the work of other professionals without due cause.
          8. Upholding the reputation of the Institution and its members and supporting other members as they seek to comply with the Code of Ethics.
          9. Maintaining a high level of competence and ensuring they meet the requirements of a Professional Continuing Development Programme established by HSP (NZ) inc.
          3. Protect Community Safety in Use of Hazardous Substances

          Members shall recognise the responsibility of the profession to actively contribute to the well-being of society and, when involved in any professional activity shall, endeavour to identify, inform, and consult affected parties.

          This would include:

          1. Applying their professional skill, judgement, and initiative to contribute positively to the well-being of society.
          2. Endeavouring to identify, inform, and consult parties affected, or likely to be affected, by their professional activities.
          3. Recognising in all their professional activities their obligation to anticipate possible conflicts and endeavouring to resolve them responsibly, and where necessary utilising the experience of the Institution and colleagues for guidance.
          4. Endeavouring to be fully informed about relevant public policies, community needs, and perceptions, which affect their work.
          4. Care of the Environment

          Members shall endeavour to minimise adverse environmental impacts of their professional activities for both present and future generations.

          This would include:

          1. Recognising adverse impacts of their professional activities on the environment and seeking to avoid or mitigate them.
          5. Sustaining Knowledge on Hazardous Substances

          Members shall seek to contribute to the development of their own and the profession's knowledge, skill, and expertise for the benefit of society.

          This would include:

          1. Sharing public domain professional knowledge with other professionals so that the knowledge may be used for the benefit of society.
          6. Minimum Standards of Ethical Behaviour for Members General Obligations to Society

          Take reasonable steps to safeguard health and safety

          A Member must, during his or her professional activities, take reasonable steps to safeguard the health and safety of people.

          Have regard to effects on environment

          A Member must, during his or her professional activities, have regard to reasonably foreseeable effects on the environment from those activities.

          Act with honesty, objectivity, and integrity

          A Member must act honestly and with objectivity and integrity during his or her professional activities.

          General Professional Obligations

          Not misrepresent competence

          A Member must:

          1. not misrepresent his or her competence; and
          2. undertake professional activities only within his or her competence

          Inform others of consequences of not following advice

          A Member who considers that there is a risk of significant consequences in not accepting his or her professional advice must take reasonable steps to inform relevant persons who do not accept that advice of those significant consequences.

          Member Obligations

          To not disclose confidential information

          A Member must not disclose confidential information of an employer or client without the agreement of the employer or client unless the failure to disclose information would place the health or safety of people at significant and immediate risk.

          To not review other professionals' work without taking reasonable steps to inform them prior to any investigation

          A Member who reviews another professional's work for the purpose of commenting on that work must take reasonable steps to:

          1. inform that member of the proposed review before starting it; and
          2. investigate the matters concerned before commenting

          Unless those steps would result in there being a significant and immediate risk of harm to the health or safety of people, damage to property, or damage to the environment.

      Consent to list details on the HSPNZ Website:(Required)
      Professional Membership Declaration(Required)
      Please read over the professional Membership Declaration and code of ethics before submitting your application.

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