Get Appointment Form Sse Coal V2.03 - Queensland Mining And Safety - Mines Industry Qld Gov

The Appointment Form SSE Coal V2.03 is essential for appointing a site senior executive at a coal mine in Queensland, ensuring compliance with mining safety regulations. This guide will provide clear, step-by-step instructions to assist users in accurately completing this important form online.

Follow the steps to complete the Appointment Form SSE Coal V2.03

1. Press the ‘Get Form’ button to obtain the appointment form and open it in your preferred document editor.
2. In the first section, provide your full name as the coal mine operator or the appointed representative. Clearly indicate whether you are the coal mine operator or their appointed representative by deleting the option that does not apply.
3. Next, fill in the name of the coal mine or specific parts of the mine that relate to this appointment. Ensure that this name is complete and accurate.
4. In the subsequent fields, enter the name of the person you are appointing as the site senior executive, ensuring their full name is provided clearly.
5. Complete the full address for the purpose of serving notices. Include telephone, fax, mobile, and email information to ensure proper communication.
6. The coal mine operator or appointed representative must sign and date the form. Use the format dd/mm/yyyy for the date.
7. The appointed site senior executive must also sign the form and acknowledge their appointment. They should also date it in the same format provided earlier.
8. Finally, ensure to retain the original copy of the form in the mine record and provide a copy to the Regional or District Inspector of Mines in the appropriate region.

Complete your appointment documents online to ensure compliance with Queensland mining regulations.