NSW mining and extractives industry Mine name: Section: Person responsible for Date established: maintaining register: Implementation & Identified controls Identify hazard sources maintenance of Health hazard details Exposure monitoring Health monitoring (indicate level of Review and evaluation (list sources) controls including any hierarchy) training requirements Provide information on how the plan will be monitored and reviewed. Outline the health Detail the exposure Summarise how the Examples include; how often Health hazard e.g. Provide site location for monitoring arrangement List the controls from the monitoring arrangements controls have been the plan will be reviewed; who health hazards for this health hazard (if risk assessment for the health hazard implemented & maintained will review the plan; when a required) health hazard is reported as an incident; new controls become available Management sign-off: Date:
NSW mining and extractives industry Mine name: Section: Person responsible for maintaining register: Date established: Health hazard details Identify hazard sources (list sources) Exposure monitoring Health monitoring Identified controls (indicate level of hierarchy) Implementation & maintenance of controls including any training requirements Review and evaluation Health hazard e.g. Provide site location for health hazards Detail the exposure monitoring arrangements for the health hazard Outline the health monitoring arrangement for this health hazard (if required) List the controls from the risk assessment Summarise how the controls have been implemented & maintained Provide information on how the plan will be monitored and reviewed. Examples include; how often the plan will be reviewed; who will review the plan; when a health hazard is reported as an incident; new controls become available Management sign-off: Date: