Personnel Action Notice (PAN)
Name
First Name
Last Name
Employee Number
Organisation
SVPH
SJNH
Ward/Department
Please Select
WARD 2
WARD 3
WARD 4
ENDOSCOPY
THEATRES
FINANCE
FRIENDS
HOUSEKEEPING
CATERING
MAINTENENACE
WARDPERSON
HR
OTHER?
Position Title
Award Classification
Please Select
AIN Year 4 (Public)
Allied Health Assistant Lvl 1-Entry
Care Serv ACE Clerical Support L4
Care Serv ACE Clerical Support L7
Care Serv ACE General Serv Lvl 2 NS
Care Serv ACE L6 Cater Services NS
Care Serv CCC Lvl 4 - <150 beds
Care Serv Chef/food Serv Super L7
Care Serv EN Pay Point 1
Care Serv EN Pay Point 2
Care Serv EN Pay Point 3
Care Serv EN Pay Point 4
Care Serv Nursing Assist Exp C III
Care Serv Nursing Assist Exp C IV
Care Serv Nursing Assistant Yr 3
Care Serv Pers Care Worker New Ent
Care Serv Personal Care Work L3-NS1
Care Serv Personal Care Work L3-NS2
Care Serv Personal Care Work L3-NS3
Care Serv Personal Care Work L5-NS
Care Serv Personal Care Worker Lvl1
Care Serv Personal Care Worker Lvl2
Care Serv Personal Care Worker Lvl3
Care Serv Personal Care Worker Lvl5
Care Serv RN Lvl 1 - Pay Point 1
Care Serv RN Lvl 1 - Pay Point 2
Care Serv RN Lvl 1 - Pay Point 3
Care Serv RN Lvl 1 - Pay Point 4
Care Serv RN Lvl 1 - Pay Point 5
Care Serv RN Lvl 1 - Pay Point 5
Child Serv Lvl 2 1 Friends NS
Child Serv Lvl 3 1 Friends NS
Child Serv Lvl 3 2 Friends NS
Child Serv Lvl 3 3 Friends NS
Child Serv Lvl 4 1 Friends NS
Child Serv Lvl 4 2 Friends NS
Child Serv Lvl 4 3 Friends NS
Cook Grade A Public
Dietician L2 Y4
Ed Serv Teach Lvl 1 NS - Friends
Ed Serv Teach Lvl 3 NS - Friends
End EN Yr 5 (Pub)
HESA Admin Off L5 Y1
HESA Admin Off L5 Y2
Hospital Assist Grd 2 Pub
Hospital Assist Non Stand
HSU EBA Clerk Grade 3 Yr2
HSU EBA Clerk Grade 4 Yr1
HSU EBA Clerk Grade 4 Yr2
HSU EBA Clerk Grade 4 Yr2S
HSU EBA Clerk Grade 5 Yr2
HSU EBA Clerk Non Stand 11
HSU EBA Clerk Non Stand 2
HSU EBA Clerk Non Stand 3
HSU EBA Clerk Non Stand 4
HSU EBA Clerk Non Stand 5
HSU EBA Clerk Non Stand 6
HSU EBA Clerk Non Stand 7
HSU EBA Clerk Non Stand 8
HSU EBA Clerks Non Stand 10
HSU EBA Clerks Non Stand 11
HSU EBA Clerks Non Stand 12
HSU EBA Clerks Non Stand 14
HSU EBA Clerks Non Stand 18
HSU EBA Clerks Non Stand 19
HSU EBA Clerks Non Stand 20
HSU EBA Clerks Non Stand 21
HSU EBA Clerks Non Stand 22
HSU EBA Clerks Non Stand 23
HSU EBA Clerks Non Stand 24
HSU EBA Cook Grade A
HSU EBA Cook Non Stand
HSU EBA CSSD Aide Yr 1
HSU EBA CSSD Aide Yr 2
HSU EBA CSSD Aide Yr 3
HSU EBA CSSD Non Stand
HSU EBA Gen Serv Non Stand 2
HSU EBA Gen Serv Non Stand 3
HSU EBA Gen Serv Non Stand 4
HSU EBA Gen Serv Non Stand 4
HSU EBA Gen Serv Non Stand 5
HSU EBA Gen Serv Non Stand 6
HSU EBA Gen Serv Non Stand 7
HSU EBA Gen Serv Non Stand 8
HSU EBA Gen Serv Off G4Y3
HSU EBA Gen Serv Off Gd 2
HSU EBA Peri Non Stand
HSU EBA Periop Assist Yr1
HSU EBA Periop Assist Yr2
HSU EBA Wardsmen Yr 1
HSU EBA Wardsmen Yr 2
Nurse EBA CNS Non Stand
Nurse EBA EEN Year 5 Non Standard
Nurse EBA End EN Yr 1
Nurse EBA End EN Yr 2
Nurse EBA End EN Yr 2
Nurse EBA End EN Yr5
Nurses EBA AIN Thereafter
Nurses EBA AIN Thereafter Non Stan
Nurses EBA AIN Yr1
Nurses EBA AIN Yr2
Nurses EBA CNE
Nurses EBA CNS Grade 1
Nurses EBA EN Yr 5
Nurses EBA HCM
Nurses EBA NUM Lvl 2
Nurses EBA NUM Lvl 3
Nurses EBA Nurse Ed Yr 4
Nurses EBA RN Yr 1
Nurses EBA RN Yr 2
Nurses EBA RN Yr 3
Nurses EBA RN Yr 4
Nurses EBA RN Yr 5
Nurses EBA RN Yr 6
Nurses EBA RN Yr 7
Nurses EBA RN Yr 8
Salaried Employees
Social Worker L3 Y2
Ster Tech Grd2 Yr2 State
Ster Tech Grd2 Yr3 State
Employment Status
Please Select
FULL TIME
PERMANENT PART TIME
CASUAL
FIXED TERM
Contracted hrs p/fortnight
Indicate if RDO
Back
Next
Commencement or Start Date
-
Month
-
Day
Year
Date
End date
-
Month
-
Day
Year
for fixed term changes
Organisation
SVPH
SJNH
Ward/Department
Please Select
WARD 2
WARD 3
WARD 4
ENDOSCOPY
THEATRES
FINANCE
FRIENDS
HOUSEKEEPING
CATERING
MAINTENENACE
WARDPERSON
HR
OTHER?
Position Title
Award Classification
Please Select
AIN Year 4 (Public)
Allied Health Assistant Lvl 1-Entry
Care Serv ACE Clerical Support L4
Care Serv ACE Clerical Support L7
Care Serv ACE General Serv Lvl 2 NS
Care Serv ACE L6 Cater Services NS
Care Serv CCC Lvl 4 - <150 beds
Care Serv Chef/food Serv Super L7
Care Serv EN Pay Point 1
Care Serv EN Pay Point 2
Care Serv EN Pay Point 3
Care Serv EN Pay Point 4
Care Serv Nursing Assist Exp C III
Care Serv Nursing Assist Exp C IV
Care Serv Nursing Assistant Yr 3
Care Serv Pers Care Worker New Ent
Care Serv Personal Care Work L3-NS1
Care Serv Personal Care Work L3-NS2
Care Serv Personal Care Work L3-NS3
Care Serv Personal Care Work L5-NS
Care Serv Personal Care Worker Lvl1
Care Serv Personal Care Worker Lvl2
Care Serv Personal Care Worker Lvl3
Care Serv Personal Care Worker Lvl5
Care Serv RN Lvl 1 - Pay Point 1
Care Serv RN Lvl 1 - Pay Point 2
Care Serv RN Lvl 1 - Pay Point 3
Care Serv RN Lvl 1 - Pay Point 4
Care Serv RN Lvl 1 - Pay Point 5
Care Serv RN Lvl 1 - Pay Point 5
Child Serv Lvl 2 1 Friends NS
Child Serv Lvl 3 1 Friends NS
Child Serv Lvl 3 2 Friends NS
Child Serv Lvl 3 3 Friends NS
Child Serv Lvl 4 1 Friends NS
Child Serv Lvl 4 2 Friends NS
Child Serv Lvl 4 3 Friends NS
Cook Grade A Public
Dietician L2 Y4
Ed Serv Teach Lvl 1 NS - Friends
Ed Serv Teach Lvl 3 NS - Friends
End EN Yr 5 (Pub)
HESA Admin Off L5 Y1
HESA Admin Off L5 Y2
Hospital Assist Grd 2 Pub
Hospital Assist Non Stand
HSU EBA Clerk Grade 3 Yr2
HSU EBA Clerk Grade 4 Yr1
HSU EBA Clerk Grade 4 Yr2
HSU EBA Clerk Grade 4 Yr2S
HSU EBA Clerk Grade 5 Yr2
HSU EBA Clerk Non Stand 11
HSU EBA Clerk Non Stand 2
HSU EBA Clerk Non Stand 3
HSU EBA Clerk Non Stand 4
HSU EBA Clerk Non Stand 5
HSU EBA Clerk Non Stand 6
HSU EBA Clerk Non Stand 7
HSU EBA Clerk Non Stand 8
HSU EBA Clerks Non Stand 10
HSU EBA Clerks Non Stand 11
HSU EBA Clerks Non Stand 12
HSU EBA Clerks Non Stand 14
HSU EBA Clerks Non Stand 18
HSU EBA Clerks Non Stand 19
HSU EBA Clerks Non Stand 20
HSU EBA Clerks Non Stand 21
HSU EBA Clerks Non Stand 22
HSU EBA Clerks Non Stand 23
HSU EBA Clerks Non Stand 24
HSU EBA Cook Grade A
HSU EBA Cook Non Stand
HSU EBA CSSD Aide Yr 1
HSU EBA CSSD Aide Yr 2
HSU EBA CSSD Aide Yr 3
HSU EBA CSSD Non Stand
HSU EBA Gen Serv Non Stand 2
HSU EBA Gen Serv Non Stand 3
HSU EBA Gen Serv Non Stand 4
HSU EBA Gen Serv Non Stand 4
HSU EBA Gen Serv Non Stand 5
HSU EBA Gen Serv Non Stand 6
HSU EBA Gen Serv Non Stand 7
HSU EBA Gen Serv Non Stand 8
HSU EBA Gen Serv Off G4Y3
HSU EBA Gen Serv Off Gd 2
HSU EBA Peri Non Stand
HSU EBA Periop Assist Yr1
HSU EBA Periop Assist Yr2
HSU EBA Wardsmen Yr 1
HSU EBA Wardsmen Yr 2
Nurse EBA CNS Non Stand
Nurse EBA EEN Year 5 Non Standard
Nurse EBA End EN Yr 1
Nurse EBA End EN Yr 2
Nurse EBA End EN Yr 2
Nurse EBA End EN Yr5
Nurses EBA AIN Thereafter
Nurses EBA AIN Thereafter Non Stan
Nurses EBA AIN Yr1
Nurses EBA AIN Yr2
Nurses EBA CNE
Nurses EBA CNS Grade 1
Nurses EBA EN Yr 5
Nurses EBA HCM
Nurses EBA NUM Lvl 2
Nurses EBA NUM Lvl 3
Nurses EBA Nurse Ed Yr 4
Nurses EBA RN Yr 1
Nurses EBA RN Yr 2
Nurses EBA RN Yr 3
Nurses EBA RN Yr 4
Nurses EBA RN Yr 5
Nurses EBA RN Yr 6
Nurses EBA RN Yr 7
Nurses EBA RN Yr 8
Salaried Employees
Social Worker L3 Y2
Ster Tech Grd2 Yr2 State
Ster Tech Grd2 Yr3 State
Employment Status
Please Select
FULL TIME
PERMANENT PART TIME
CASUAL
FIXED TERM
Contracted hrs p/fortnight
Indicate if RDO
If increase in grade or hours whom are they replacing
indicate name
Details
Back
Next
Signature
Continue
Continue
Should be Empty: