[COMPANY LETTER HEAD]

OCCUPATIONAL SAFETY AND HEALTH ACT 2007

Factories and Other Places of Work (Safety and Health Committee) Rules, 2004

RE: SEC. 5 (5) CHAIRPERSON OF HEALTH AND SAFETY COMMITTEE APPOINTMENT

Name: [Name of Employee Appointed] Designation: [Current position]

This is to notify you that the management has appointed you to the Health and Safety
Committee as the CHAIRPERSON to represent [COMPANY NAME].

In terms of this appointment, your duties and responsibilities will be as stipulated in

section 8 (a) and shall include but not limited to:
(i) Preside over all committee meetings when present
(ii) Keep members informed of the Safety & Health Policy of [COMPANY NAME]
(iii) Assist the committee in setting its objectives and its scope of activities
(iv) Ensure the committee meets at least once every quarter of the year
(v) Assign responsibilities to members.

You will be required to familiarize yourself with the provisions of the Acts and its
Regulations that relates to the functions of the Health and Safety Committee
CHAIRPERSON and Members, to effectively and efficiently enable you undertake your
functions.

……………………………………………………………. ………………………………………………….
Signature [Employer/Designated Person] Date

Acceptance of Appointment

I, …………………………………………………………… hereby accept this appointment and

acknowledge that I understand the implications as detailed above.

………………………………………………………………… ………………………………………..
Signature [APPOINTED PERSON] Dated

Template developed by Dr. B. O. Lango, PhDContacts: +254720430336, +254734430336 benard.lango@gmail.com

Template developed by Dr. B. O. Lango, PhDContacts: +254720430336, +254734430336 benard.lango@gmail.com
 [COMPANY LETTER HEAD]

OCCUPATIONAL SAFETY AND HEALTH ACT 2007

Factories and Other Places of Work (Safety and Health Committee) Rules, 2004

RE: SEC. 4 (3&4) SECRETARY OF HEALTH AND SAFETY COMMITTEE APPOINTMENT

Name: [Name of Employee Appointed] Designation: [Current position]

This is to notify you that the management has appointed you to the Health and Safety
Committee as the SECRETARY to represent [COMPANY NAME].

In terms of this appointment, your duties and responsibilities will be as stipulated in

section 8 (b) and shall include but not limited to:
(i) Arrange and co-ordinate committee meetings in consultation with chairman
(ii) Take minutes and maintain up-to-date record of activities of the committee.
(iii) Coordinate and monitor occupational safety and health programmes
(iv) Disseminate safety and health information to members.
(v) Draw up safety and health inspection schedule.
(vi) Ensure reports arising from functions of approved persons under the act are
availed to the committee.

You will be required to familiarize yourself with the provisions of the Acts and its
Regulations that relates to the functions of the Health and Safety Committee SECRETARY
and Members, to effectively and efficiently enable you undertake your functions.

……………………………………………………………. ………………………………………………….
Signature [Employer/Designated Person] Date

Acceptance of Appointment

I, …………………………………………………………… hereby accept this appointment and

acknowledge that I understand the implications as detailed above.

………………………………………………… ………………………………………..
Signature [APPOINTED PERSON] Dated

Template developed by Dr. B. O. Lango, PhDContacts: +254720430336, +254734430336 benard.lango@gmail.com

 [COMPANY LETTER HEAD]

OCCUPATIONAL SAFETY AND HEALTH ACT 2007

Factories and Other Places of Work (Safety and Health Committee) Rules, 2004

RE: SEC. 5 (1-3) SAFETY REPRESENTATIVE OF HEALTH AND SAFETY COMMITTEE APPOINTMENT

Name: [Name of Employee Appointed] Designation: [Current position]

This is to notify you that the management has appointed you to the [COMPANY NAME]
Health and Safety Committee as A SAFETY REPRESENTATIVE for a period of 3 years
starting ……………………………… [Date] and ending on ………………………………………… [Date].

In terms of this appointment, your duties and responsibilities will be as stipulated in

section 8 (c) and shall include but not limited to:
(i) Attend all meetings and provide feedback to your department on issues raised.
(ii) Set good examples and monitor compliance with safety and health rules at
respective departments
(iii) Participate in trainings of workers in matters related to health and safety
(iv) Carryout any other activities necessary for the promotion of occupational safety,
health and welfare in the workplace.

You will be required to familiarize yourself with the provisions of the Acts and its
Regulations that relates to the functions of the Health and Safety Committee Members, to
effectively and efficiently enable you undertake your functions.

……………………………………………………………. ………………………………………………….
Signature [Employer/Designated Person] Date

Acceptance of Appointment

I, …………………………………………………………… hereby accept this appointment and

acknowledge that I understand the implications as detailed above.

………………………………………………… ………………………………………..
Signature [APPOINTED PERSON] Dated

Template developed by Dr. B. O. Lango, PhDContacts: +254720430336, +254734430336 benard.lango@gmail.com