UNIK CONSTRUCTION ENGINEERING

Subject: LIFTING TACKLE SUPERVISOR

Occupational Health and Safety Act and Regulations (Act 85 of 1993)

LIFTING TACKLE SUPERVISOR

I ___________________________ having been appointed as the delegated authority under Section 16 of the
Occupational Health and Safety Act 1993 to ensure that this company complies with the Act and it’s regulations,
hereby appoint you ___________________________ in your capacity as _______________________________
to ensure that the lifting tackle in __________________________________ area complies with Regulation 18 of
the Driven Machinery Regulations and you are directed to give full effect to same.

Please sign the copy of this letter and return same to me for our files.

Dated:_________________________ Signed:___________________

I acknowledge receipt of this letter and I understand the nature of the appointment.

Dated:__________________________ Signed:______________________

Page 1 of 1