Incident written notification within 5 days of incident ending Licensee under the Water Industry Competition Act 2006 must report an incident via email within 5 days of the incident ending Email must contain the the subject line word “incident” in CONTACT DETAILS Licensee business name From Licence number Contact Name: Person in Position charge of Phone: dealing with the incident Email: Local Public Health Unit in (in accordance with the incident and emergency response To NSW Health protocol). Department of Planning and colette.grigg@planning.nsw.gov.au Environment IPART Water Unit in NSW Health Copy RECORD OF IMMEDIATE VERBAL NOTIFICATION Stakeholder Time/ Date Person contacted (indicate if message was left with the contact) Local Public Health Unit Phone number outlined in Incident and Emergency Response Protocol Department of Planning and Environment (02) 8275 1914 IPART (02) 9113 7722 Other agencies or persons notified (provide name and contract details) EPA Local Council Emergency Services (please indicate which one) Other licensees and/or public water utilities Others
Incident written notification within 5 days of incident ending Licensee under the Water Industry Competition Act 2006 must report an incident via email within 5 days of the incident ending Email must contain the word “incident” in the subject line CONTACT DETAILS From Licensee business name Licence number Contact Person in charge of dealing with the incident Name: Position Phone: Email: To Local Public Health Unit in NSW Health (in accordance with the incident and emergency response protocol). Department of Planning and Environment colette.grigg@planning.nsw.gov.au IPART Copy Water Unit in NSW Health RECORD OF IMMEDIATE VERBAL NOTIFICATION Stakeholder Time/ Date Person contacted (indicate if message was left with the contact) Local Public Health Unit Phone number outlined in Incident and Emergency Response Protocol Department of Planning and Environment (02) 8275 1914 IPART (02) 9113 7722 Other agencies or persons notified (provide name and contract details) EPA Local Council Emergency Services (please indicate which one) Other licensees and/or public water utilities Others
form-b-incident-notification-within-5-days-of-incident-ending-february-2018.docx