ࡱ> wyv%` bjbj"x"x =V@@ P """8T"d"T^P#$Lf$f$f$%,%%!^#^#^#^#^#^#^$f`hbG^ %%%%%G^ f$f$4\^$,',','% f$ f$!^,'%!^,','IX [f$D# 瓙"&LY,\4^<^YcR&cX[[c [,,'%%%G^G^'%%%^%%%%TTTD TTT $4 L   Petroleum (Submerged Lands) Act 1982 Petroleum (Submerged Lands) (Occupational Health and Safety) Regulations 2007 Notice Number:  FORMTEXT {insert number unique to HSR} PROVISIONAL IMPROVEMENT NOTICE (Clause 37 of Schedule 5 to the Act) To:  FORMTEXT {insert name of responsible person within the meaning of subclause 37 (2) of Schedule 5 to the Act} I,  FORMTEXT {insert name of safety and health representative issuing the notice}, selected as the health and safety representative under clause 24 of Schedule 5 to the Act for  FORMTEXT {insert description of the designated workgroup} after consultation in accordance with subclause 37 (1) of that Schedule, believe that the following provision, or provisions, of a listed OSH law (defined in section 4 of the Act) or that a person has contravened the following provision, or provisions, of a listed OSH law, and is likely to contravene that or those provisions again: The contravention is  FORMTEXT {specify the contravention that is occurring or is likely to occur} The contravention is occurring at  FORMTEXT {insert location} The reasons for my opinion are as follows:  FORMTEXT {insert reasons for opinion} In accordance with clause 37(5)(b) of Schedule 5 to the Act, action necessary to prevent the contravention, or the likely contravention, of the provision or provisions referred to above must be taken before  FORMTEXT {insert the date of a day that is: (a) not less than 7 days after the day when the notice is issued; and (b) reasonable in the opinion of the safety and health representative}. *In accordance with clause 37 (6) of Schedule 5 to the Act, I specify the following action to be taken:  FORMTEXT {insert details of the action(s) to be taken, if applicable} [* Omit if inapplicable.] Dated:  FORMTEXT {insert date} FORMTEXT (signature)Health and safety representative NOTES: 1. Under clause 38(1) of Schedule 5 to the Act, a person to whom a provisional improvement notice is given may, within 7 days, request the Safety Authority or an OHS inspector for an inspection of the subject matter of the notice. 2. Clause 38(5) of Schedule 5 to the Act requires a responsible person to whom a provisional improvement notice is given: to notify each group member affected by the notice of the fact that the notice has been issued; and to display a copy of the notice at or near each workplace at which work that is the subject of the notice is being performed. 3. Under clause 38(6) of Schedule 5 to the Act, a provisional improvement notice ceases to have effect when: it is cancelled by the safety and health representative or an OHS inspector; or the responsible person takes the action specified in the notice, or if no action is specified, takes the action that is necessary to prevent the contravention, or likely contravention, with which the notice is concerned. 4. Clause 38(7) of Schedule 5 to the Act requires the responsible person: to ensure that, to the extent that the notice relates to any matter over which the person has control, a provisional improvement notice is complied with; and to take reasonable steps to inform the safety and health representative who issued the notice of the action taken to comply with the notice. 5. Under clause 65 of Schedule 5 to the Act, if an OHS inspector has confirmed or varied a provisional improvement notice the following persons may apply in writing to the reviewing authority for a review of the OHS inspectors decision: the operator of the facility or an employer affected by the decision; the person to whom the notice was issued; the safety and health representative for a designated work group that includes a group member affected by the decision; a workforce representative in relation to the designated work group that includes a group member affected by the decision; if there is no designated work group a workforce representative in relation to a member of the workforce affected by the decision; the owner of any workplace, plant, substance or thing to which that decision relates.     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