Ohs Act 16.1 - Appointment Letter Template

a) Approve budget expenditures for safety equipment. b) Hire or fire employees for safety violations (may only recommend). c) Assume responsibility for engineering controls or structural building safety.

☐ The [e.g., Main Assembly Warehouse, Building B] ☐ Specific Process: [e.g., Lockout/Tagout for Hydraulic Press #4] ☐ Specific Shift: [e.g., Night Shift, 22:00 – 06:00] ohs act 16.1 appointment letter template

I acknowledge receipt of this letter and agree to fulfill the duties described within my scope of competence. Signature: ____________________ Date: ____________________ a) Approve budget expenditures for safety equipment

This appointment commences on [Date] and remains in force until revoked in writing. A formal review of this appointment’s adequacy will occur on [Date, max 12 months]. ☐ The [e

Signature: ____________________ Name: ____________________ Date: ____________________

[Company Legal Name] (hereinafter “the Employer”) Represented by: [Name & Title, e.g., CEO]