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NOTIFICATION OF PARTICULAR HAZARDOUS WORK Health and Safety in Employment Regulations 1995 Please mail or fax this form to: The Registrar, WorkSafe NZ Response Team, PO Box 105146, Auckland, email.

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How to fill out the Notification Of Particular Hazardous Work online

This guide provides detailed instructions on how to complete the Notification Of Particular Hazardous Work form online. By following these steps, you will ensure that you provide the necessary information correctly and efficiently.

Follow the steps to fill out the form accurately.

  1. Click the ‘Get Form’ button to access the form and open it in your preferred online editing tool.
  2. Review the nature of work section. You will need to select the appropriate box for the type of hazardous work you are notifying about, such as scaffolding, demolition, or use of explosives.
  3. Fill in the address of the worksite where the hazardous work will take place.
  4. Provide details about the contractor or yourself if self-employed, including name, address, and contact information.
  5. Specify the main access road to the worksite for easier identification.
  6. List the person’s name and contact information for the designated contact associated with the work.
  7. Include the employer's details along with their contact information, specifically for anyone overseeing the work.
  8. Write a brief description of the work to be carried out for clarity.
  9. Indicate the intended date of commencement for the work using the specified format (DD/MM/YYYY).
  10. Estimate the time required to complete the work and record this in the provided space.
  11. Lastly, ensure that the form is signed by the employer to validate the notification.
  12. Once all sections are complete, you can save your changes, download the completed form, print it, or share it as needed.

Complete and submit your Notification Of Particular Hazardous Work online today to ensure compliance.

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WorkSafe If someone has been killed as a result of work, notify us immediately by phone: 0800 030 040 (24/7). In the case of emergency, phone 111. For all other notifications, go to the WorkSafe website: worksafe.govt.nz and select 'Notify WorkSafe'.

Work involving the use of explosives, or storage of explosives for use at the worksite. Work in which a person breathes compressed air, or a respiratory medium other than air (diving) Work in which a person breathes compressed air, or a respiratory medium other than air (not diving)

Examples of notifiable incidents Notifiable incidents are unplanned or uncontrolled in a workplace and expose people to serious risk. There could be immediate or imminent exposure to any of the following: A substance escaping, spilling, or leaking. An implosion, explosion or fire. Gas or steam escaping.

A notifiable event is a serious incident or accident where someone's health or safety is seriously endangered.

Serious incidents must be reported as soon as possible to WorkSafe on 0800 030 040. You must also keep a record of these. The WorkSafe website lists all the notifiable events and incidents that must be reported if they occur.

Notifiable work is especially hazardous work that must be reported to WorkSafe New Zealand before it can begin. Before beginning notifiable work you must submit a 'Particular Hazardous Work Notification' form to WorkSafe, and provide a copy to your University liaison.

Call 1800 678 198 to report a workplace related death, a serious injury or illness, or a dangerous incident that is currently life-threatening. These incidents must all be reported to WorkSafe immediately after the PCBU becomes aware of the incident.

What is a workplace hazard? Hazards in the workplace occur when the working environment can cause injury, illness or death. The hazards can result from many of the different aspects of the working world, including equipment, dangerous materials, unsafe working practices and the behaviour of people.

Notifiable work is especially hazardous work that must be reported to WorkSafe New Zealand before it can begin. Before beginning notifiable work you must submit a 'Particular Hazardous Work Notification' form to WorkSafe, and provide a copy to your University liaison.

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