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    Assistant Site Construction Supervisor Appointment Form

    Uploaded by

    Hamish Williams
    This document appoints an employee as the Assistant Construction Work Supervisor for a construction site. It gives the employee's name and the company and site they will assist at. It outlines 6 special instructions for the assistant, including assisting the employer to comply with health and safety laws, endorsing safety reports, investigating incidents, ensuring mandatory agreements are followed, conducting risk assessments, and assisting in developing method statements and safe work procedures. The employee signs accepting the appointment.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Assistant Site Construction Supervisor Appointment Form

    Uploaded by

    Hamish Williams
    57 views1 page
    This document appoints an employee as the Assistant Construction Work Supervisor for a construction site. It gives the employee's name and the company and site they will assist at. It outlines 6 special instructions for the assistant, including assisting the employer to comply with health and safety laws, endorsing safety reports, investigating incidents, ensuring mandatory agreements are followed, conducting risk assessments, and assisting in developing method statements and safe work procedures. The employee signs accepting the appointment.

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    Assistant Site Construction Supervisor appointment form

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    This document appoints an employee as the Assistant Construction Work Supervisor for a construction site. It gives the employee's name and the company and site they will assist at. It outlines 6 special instructions for the assistant, including assisting the employer to comply with health and safety laws, endorsing safety reports, investigating incidents, ensuring mandatory agreements are followed, conducting risk assessments, and assisting in developing method statements and safe work procedures. The employee signs accepting the appointment.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    57 views1 page

    Assistant Site Construction Supervisor Appointment Form

    Uploaded by

    Hamish Williams
    This document appoints an employee as the Assistant Construction Work Supervisor for a construction site. It gives the employee's name and the company and site they will assist at. It outlines 6 special instructions for the assistant, including assisting the employer to comply with health and safety laws, endorsing safety reports, investigating incidents, ensuring mandatory agreements are followed, conducting risk assessments, and assisting in developing method statements and safe work procedures. The employee signs accepting the appointment.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Sample Assistant Site Construction Supervisor form

    OCCUPATIONAL HEALTH AND SAFETY ACT, 85 OF 1993


    Construction Regulation 6

    APPOINTMENT OF ASSISTANT CONSTRUCTION WORK SUPERVISOR

    I, ________________________________________ (Employer), for ______________________


    (Company) do hereby appoint __________________________________________ (Employee)
    as the Assistant Supervisor of Construction Work at
    _____________________________________________________________________________
    __ (Site/address).

    Special Instructions/Information:
    1. Assist the employer to comply with the Occupational Health and Safety Act, and especially
    the Construction Regulations.
    2. Endorse Safety Representatives’ reports/Minutes of the Health and Safety meeting.
    3. Report and investigate any incident/accident/injury.
    4. Ensure the terms of the “Agreement with Mandatory” as per Section 37(1)(2) of the Act are
    complied with.
    5. Ensure risk assessments are conducted within your area of responsibility and are regularly
    updated.
    6. Assist in compiling Method Statements and the development of Safe Work Procedures.

    Signature: ________________________________________
    (for Employer)
    Date: ________________________________________

    Designation: ________________________________________

    ACCEPTANCE OF APPOINTMENT
    I, __________________________________________________________ hereby accept and
    understand this designation.

    Signature: _____________________________________ Date: ___________________

    Designation: ____________________________________

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