/ WHS F016 (Interim) Fieldwork Person in Control Declaration

Part A: Delegation

University of New England WHS P010 (Interim) Fieldwork Management procedure provides for the delegation of safety responsibilities to Competent Persons. Deans and Directors may appoint Persons in Control to supervise or manage fieldwork activities. Responsibility may be absolute or there may be stated exclusions.

Name of Person in Control: ______

Fieldtrip Leader: ______

Fieldwork Activity: ______

Scope of responsibility e.g. dates/times: ______

Exclusions or inclusions (if any): ______

Signature: ______Date:____/____/_____

Dean or Director

Part B: Declaration

As Person in Control I acknowledge that:

  1. I have adequate knowledge, training and ability to carry out the safety responsibilities delegated to me as Person in Control of a business or activity (see s20 WHS Act 2011)
  2. I will take all reasonably practicable actions to ensure that all persons at the venue under my control are not exposed to risks to their health & safety arising from the conduct of the activity.
  3. I will complete all risk assessment forms and other documentation required to comply with UNE safety protocols
  4. I understand my workplace health and safety responsibilities as an “officer”(s27 WHS Act 2011 ) or person with management or control of a workplace (s20 WHS Act 2011 ) and will exercise due diligence (see below)

Signature: ______Date:___/___/____

Person in Control of activity or venue

Legislative obligationsand Duty of Care

Due diligence includes taking reasonable steps

  • To acquire and keep up-to-date knowledge of health & safety matters
  • Understanding the hazards and risks and nature of activity operation
  • Have appropriate resources to eliminate or minimise risks
  • Respond to safety issues in a timely manner
  • Comply with legislative requirements to report incidents, consult with workers and provide training as required

Records Storage Instructions:
This completed form must be recorded in TRIM Container A16/3832 utilising a TRIM license in your School/Business Unit. The naming convention must include the name of the form. Only the HR Team is able to view records in this container.
Document Reference / Procedure Reference / Version / Effective Date / Review Date / Page Number / Date
Printed
WHS F016 / WHS OP010 / 1.0 / 16/06/2016 / 16/06/2019 / 1 / 20/09/2018