Information
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Conducted on
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Officer's Name:
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Collaborating Officer/s Present if applicable
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Location
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Waterway/ Drain Name if applicable
Introduction
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Introductions
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Other observations
Good to Go Assessment
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•Before you start work •After an extended break or •When circumstances change
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undefined
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Are you doing high risk construction work?
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Identify threats
- No threats - Good to Go
- 1 or 2 Threats - Proceed with Caution
- More than 3 threats - Stop
Identify the Person/s Present (Person of Interest - POI)
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What is your full and correct name?
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Address Person
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Can you please provide your date of birth?
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Are you the occupier of the land or premises?
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Any Other Person/s Present. Please note full name, address and DOB
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Where possible seek positive identification eg Details of Driver's licence
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Any other comments
Rights of POI/s
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• Right to communicate with friend or relative
• Right to communicate with legal practitioner
• Right to an interpreter
• If person is of Aboriginal or Torres Strait Islander descent: right to a support person
• If person is under 18: right to parent/ guardian/other adult being present.
If an POI/s requests assistance or these rights apply, take steps to meet their requests.
If you are unable to secure the assistance they require, you must stop the interview.
Allegation
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Was an allegation given to POI?
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Details of allegation given to POI/s?
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Sample : I am going to ask you some questions in to the allegation that [state date and nature of allegation, section of Water Act 1989
Caution (if required)
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Sample - I intend to ask you further questions in relation to this matter but before I do, I must caution you that you do not have to say or do anything as anything you say or do will be recorded and may later be used in evidence.
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Was an caution given?
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Details of caution given to POI/s
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Do you clearly understand the caution?
Body of Interview
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Select Date and Time
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Please detail interview of what was discussed
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Any other comments or questions?
Key Actions
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Describe key actions
Items seized if required
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Was any items seized?
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Document any items siezed
Photos
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Photo (please describe photos and add text or arrows if required)
Potential Offences under Water Act 1989
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Element of Offences Manual - https://melbwater.sharepoint.com/:w:/r/sites/ComplianceEnforcement/Shared%20Documents/C%26E%20Elements%20of%20Offence%20Reference%20Manual/MWC%20Elements%20of%20Offence%20Reference%20Manual%20April%202022.docx?d=wf25ffa8c4efb4f73a1876b9fba36286b&csf=1&web=1&e=c1OaS9
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Select potential offences detected
- Theft of Water -s63
- Illegal Works -s75A
- Breach licence conditions - s55
- Infringement Notice - s63B
- Structures over works - s148
- Notice of contravention - s151
- Works that interfere with designated land or works - s194
- Control of works and structures - s208
- Occupier or manager required to state owner's etc. name and address -s294
- Offences as to Authority's property - s288
- Wrongful taking etc. of water - s289
- Offence to interfere with flow of water - s289B
- Power to issue infringement notice in relation to offences under sections 289(3) and 289B(3) - s289C
- Authorised water officer may require person to state name and address - s291D
- Offence of obstructing etc. officers - s292
- Occupier or manager required to state owner's etc. name and address - s294
Other comments
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Any other comments
Lead Officer
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The above notes and photos are are a true and accurate record of what occurred .
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Signature
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Date
Corroborating Officer
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I have read the notes of Lead Officer . These notes are a true and accurate record of what occurred and I adopt these notes
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Corroborating Officer Signature
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Date and Time