APPOINTMENT OF A SUNBORDINATE CONSTRUCTION SUPERVISOR

(COMPANY LOGO) (COMPANY NAME) Doc Ref:

Site: TUBATSE ALLOY SMELTER Doc Version: 01

CONSTRUCTION REGULATIONS (2014), Reg. 8(8)

ASSISTANT CONSTRUCTION SUPERVISOR

I, _________________________________, (OSH Act 16(2) appointee) the duly assigned person in terms of Act 85 of 1993, for
________________________________, do hereby appoint: ______________________________________________________
as an Assistant Supervisor of Construction Work CR 8(8), for TUBATSE ALLOY SMELTER, to be responsible for construction
activities and ensuring occupational health and safety compliance on the construction site.

In terms of this CR 8(8) appointment, you are required to ensure that all work is performed in accordance with the
requirements of the applicable legislation and Health and Safety Management System (HSMS), in terms of which you must
ensure, amongst others, the following:

1 Ensure that all work is carried out safely;

2 Ensure that all persons under your supervision, work in a safe manner;
3 Ensure that all persons under your supervision, complies with the requirements of the HSMS;
4 Ensure that PPE is at all times made use of where required;
Ensure that all inspections and checks that may be required in terms of your area of responsibility are carried out
5
and the necessary checklists are completed,; and
6 Ensure that discipline in terms of Occupational Health and Safety compliance is at all times enforced.
7 Ensure Only authorized persons are allowed to access the site.
8 Ensure that all visitors that will be on site have signed the site visitors register and have been inducted.
9 Ensure that the site risk Assessment has been communicated to all employees on site.
10 Everyone that every employee knows how they are going to work today.
11 Ensure that all unsafe Acts, environments and work processes are reported and controlled.
12 Ensure that all incidents are reported and recorded.

You are required to report any deviation from legislative requirements or the established HSMS to your immediate manager.

_____________ ____________________ _________ __________

Name Signature Designation Date

ACCEPTANCE OF APPOINTMENT

I, _____________________________, the undersigned, do hereby acknowledge receipt of, understand and accept this
appointment.

_____________ ____________________ ___________________ __________

Name Signature ID Number Date