APPOINTMENT OF HAZARDOUS CHEMICAL SUBSTANCES INSPECTOR IN

TERMS OF THE HCS REGULATION OF THE OHS ACT 85/1993

The Occupational Health & Safety Act 85/1993 (HAZ Chemical Substances Regs.) requires
that:

Every Employer must assess the environment in which his employees work and ensure that
all reasonable precautions are taken to prevent exposure to hazardous chemical substances
in the workplace or if this is not possible to minimize exposure to below acceptable levels.
Material Safety Data Sheets for all hazardous chemical substances used must also be
available on site. Employees must be made aware of the dangers as well as what
precautions must be taken.

I,_______________________________________________________(Employer)

do hereby appoint___________________________________________________________

as the designated inspector of all HAZARDOUS CHEMICAL SUBSTANCES in his area and;
- keep an inventory of these substances;
- keep these substances separate from other materials;
- keep the MSDS available and accessible in case of emergency;
- report any incident/accident/exposure to your responsible person.

At (site address):
____________________________________________________________

_________________________________________________________________________
_

Date___________________________
Signature_______________________________

Designation____________________________
_
_________________________________________________________
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ACCEPTANCE

I,______________________________________ hereby accept this appointment

and confirm that I have the necessary experience and training required to carry out the
responsibilities contemplated in the above appointment and that I am conversant with my
functions according to the Occupational Health & Safety Act 1993.

Date___________________________ Signature______________________________

Designation____________________________
_