To the person in command of (insert name of prescribed ship or prescribed unit)
I, (insert name of the health and safety representative issuing the notice), selected as the health and safety representative under section 41 of the Occupational Health and Safety (Maritime Industry) Act 1993 for (insert name of the prescribed ship or prescribed unit), after consultation in accordance with subsection 57(1) of the Act, believe that the following contravention of the Act or Regulations is occurring, or has occurred and is likely to occur again:
The contravention is (give a brief description)
The contravention is occurring at (specify location)
The reasons for my opinion are as follows: (give reasons briefly)
In accordance with paragraph 58(2)(c) of the Act, action necessary to prevent the contravention, or the likely contravention, of the provision or provisions referred to above must be taken before (insert the date of a day that is:
(a) not less than 7 days after the day when the notice is issued; and
(b) reasonable in the opinion of the health and safety representative).
(page 2 of Form 1)
In that period, the following action should be taken in accordance with subsection 58(3) of the Act: (give a brief description)
Dated
(signature)
Health and safety representative
1. Under subsection 59(1) of the Act, a person to whom a provisional improvement notice is given may, within 7 days, request the Inspectorate or an inspector to conduct an investigation into the subject matter of the notice.
2. Under subsection 59(2) of the Act, the operation of a provisional improvement notice is suspended if a request is made for an investigation into the subject matter of the notice. The suspension remains in effect until an inspector makes a determination that confirms, varies or cancels the notice.
3. Subsection 60(1) of the Act requires the person in command to whom a provisional improvement notice is given:
• to notify each employee who is affected by the notice of the fact that the notice has been issued; and
• to display a copy of the notice at or near each workplace at which work that is the subject of the notice is being performed.
(page 3 of Form 1)
4. Under subsection 60(2) of the Act, a provisional improvement notice ceases to have effect if:
• it is cancelled by the health and safety representative or an inspector; or
• the person in command, or a person who is given a copy of the notice under subsection 58(5), takes the action specified in the notice or, if no action is specified, takes the action that is necessary to prevent the contravention, or likely contravention, with which the notice is concerned.
5. Section 61 of the Act requires the person in command:
• to ensure, as far as practicable, that a provisional improvement notice is complied with; and
• to inform the health and safety representative who issued the notice of the action taken to comply with the notice.
6. Under subsection 100(2) of the Act, if an inspector has confirmed or varied a provisional improvement notice the following persons may request the Fair Work Commission in writing to review the decision of the inspector:
• the person in command;
• the person to whom the notice was given by the person in command under subsection 58(5) of the Act;
• a health and safety representative for a designated work group that includes an employee who is affected by the decision, or an involved union for such a designated work group;
7. Under subsection 100(3) of the Act, if an inspector has cancelled a provisional improvement notice the following persons may request the Fair Work Commission in writing to review the decision of the inspector:
• a health and safety representative for the designated work group that includes an employee who is affected by the decision, or an involved union for such a designated work group;
Form 2—Notice of removal of plant or sample
(paragraph 12(a))
Notice of removal of plant or sample
To the person in command of (insert name of prescribed ship or prescribed unit)/owner of (insert description of item removed) (select appropriate person)
and (insert name of health and safety representative for the prescribed ship or prescribed unit)
I, (insert name of inspector), an inspector appointed under section 84 of the Occupational Health and Safety (Maritime Industry) Act 1993, in the course of conducting an investigation under section 87 of the Act, have taken possession of:
(insert description of item removed)
from (insert name of the prescribed ship or prescribed unit) located at (insert location of ship or unit)
The reason for this action is:
(give explanation of why removal of item was necessary)
Dated: (insert date)
1. Subsection 91(3) of the Act requires the person in command of the prescribed ship or prescribed unit to display this notice in a prominent place on the ship or unit from which the item was removed.
(page 2 of Form 2)
2. Under subsection 100(2) of the Act, any of the following persons (among others) may request the Fair Work Commission in writing to review the inspector’s decision:
• a health and safety representative for a designated work group that includes an employee affected by the decision, or an involved union for such a designated work group;
Form 3—Do not disturb notice
(paragraph 12(b))
Do not disturb notice
To the person in command of (insert name of the prescribed ship or prescribed unit)
I, (insert name of inspector), an inspector appointed under section 84 of the Occupational Health and Safety (Maritime Industry) Act 1993, direct that:
(insert name of the prescribed ship or prescribed unit, or part of the ship or unit, or of the plant, substance or thing, that is affected)
is not to be disturbed during the period from hours
to hours on (date).
The reasons for issuing this notice are:
(give reasons briefly)
Dated: (insert date)
(see notes over)
(page 2 of Form 3)
1. Subsection 92(4) of the Act requires the person in command of the prescribed ship or prescribed unit to display this notice in a prominent place on the ship or unit.
2. Under subsection 92(6) of the Act, if the operator of the prescribed ship or prescribed unit does not ensure that the notice is complied with, the operator may be liable for a fine not exceeding 250 penalty units (if the operator is an individual), or not exceeding 1,250 penalty units (if the operator is a body corporate).
3. Under subsection 100(2) of the Act, any of the following persons (among others) may request the Fair Work Commission in writing to review the inspector’s decision to issue a prohibition notice:
• a health and safety representative for a designated work group that includes an employee affected by the decision, or an involved union for such a designated work group;
Form 4—Prohibition notice
(paragraph 12(c))
Prohibition notice
To the person in charge of (insert name of prescribed ship or prescribed unit)
I, (insert name of inspector), an inspector appointed under section 84 of the Occupational Health and Safety (Maritime Industry) Act 1993, am of the opinion that activity being undertaken on (insert name of prescribed ship or prescribed unit) is of a kind that immediately threatens the health and safety of a person.
I therefore PROHIBIT the following activity or activities:
(specify prohibited activity or activities)
Action that may be taken that will be adequate to remove the threat to health and safety of the person is:
(if insufficient space, use additional page or pages)
Signed: (signature of inspector)
Date: (insert date)
[* Omit if inapplicable]
(see notes over)
(page 2 of Form 4)
1. Section 96 of the Act requires the person in command of the prescribed ship or prescribed unit to give a copy of this notice to the health and safety representative on the ship or unit and to display a copy of this notice in a prominent place on the ship or unit.
2. Under subsection 93(5) of the Act, if the operator of the prescribed ship or prescribed unit does not ensure that the notice is complied with, the operator may be liable to a fine not exceeding 250 penalty units (if the operator is an individual), or not exceeding 1,250 penalty units (if the operator is a body corporate).
3. This notice ceases to have effect when the inspector notifies the person in command that the inspector is satisfied that the operator has taken adequate action to remove the threat to health and safety.
4. Under subsection 100(2) of the Act, any of the following persons (among others) may request the Fair Work Commission to review the inspector’s decision to issue a prohibition notice:
• a health and safety representative for a designated work group that includes an employee affected by the decision, or an involved union for such a designated work group;
5. Under subsection 100(3) of the Act, any of the following persons may request Fair Work Commission to review the inspector’s decision that adequate action has been taken to remove the threat to health and safety:
• a health and safety representative for a designated workgroup that includes an employee affected by the decision, or an involved union for such a designated work group;
Form 5—Improvement notice
(paragraph 12(d))
Improvement notice
To the person in command of (insert name of prescribed ship or prescribed unit)
I, (insert name of inspector), an inspector appointed under section 84 of the Occupational Health and Safety (Maritime Industry) Act 1993, am satisfied that (insert name of person responsible for the contravention) is contravening, or has contravened and is likely to continue to contravene, section of the Act or section of the Occupational Health and Safety (Maritime Industry) Regulations on (insert name of prescribed ship or prescribed unit).
The reasons for my opinion are: (give a brief description of contravention)
You are required to take action within (insert number) days of the date of this notice to prevent any further contravention or likely contravention of that section.
*The following action must be taken by the person in command within the period specified above: (if insufficient space, use additional page or pages)
Date: (insert date)
[* Omit if inapplicable]
(page 2 of Form 5)
Return this portion of the notice (when the required improvement has been completed) to:
Name:
Position:
Address:
Telephone:
Improvement Notice No. has been complied with.
Signed:
This notice was delivered to: (insert name)
in the office/position of: (insert office/position)
at: (insert time) hours on: (insert date)
(See notes over)
(page 3 of Form 5)
1. Subsection 99(1) of the Act requires the person in command of the prescribed ship or prescribed unit to give a copy of this notice to the health and safety representative on the ship or unit and to display a copy of this notice in a prominent place on the ship or unit.
2. If this notice relates to any plant, substance or thing that is owned by a person other than the operator, subsection 99(2) of the Act requires the inspector to give a copy of this notice to the owner.
3. Under subsection 98(5) of the Act, if the person in command of the prescribed ship or prescribed unit does not ensure that this notice is complied with, the person in command may be liable to a fine not exceeding 100 penalty units.
4. Under subsection 100(2) of the Act, any of the following persons (among others) may request the Fair Work Commission to review the inspector’s decision:
• a health and safety representative for a designated work group that includes an employee affected by the decision, or an involved union for such a designated work group;
Schedule 5—Repeals
1 Repeal of instruments
Repeal the following instruments:
Occupational Health and Safety (Maritime Industry) (National Standards) Regulations 2003
Occupational Health and Safety (Maritime Industry) Regulations 1995