Written Warning, Safety

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Apprentice Name:

• EMP #:

• Date:

  Date

• I acknowledge that I have been informed of the following issues:

• I acknowledge that I have Been informed of the following course of action to rectify the above mentioned issues:

The Occupational Safety and Health Act 1984, Section 20 - Duties of Employees (1) An employee shall take responsible care - a. to ensure his or her own safety and health at work; and b. to avoid adversely affecting the safety or health of any other person through any act or omission at work. (2). Without limiting the generality of subsection (1), an employee contravenes that subsection if the employee - a. fails to comply, so far as the employee is reasonably able, with instructions given by the employee's employer for the safety or health of the employee or for the safety or health of other persons;

I understand that EGT: * may contact my guardian (of under the age of 18 years) who is a party to my apprenticeship training contract to discuss this warning and my progress in my apprenticeship; and * that my progress on this matter will be monitored by EGT and failure to rectify this problem will result in the extension, suspension, or cancellation of my apprenticeship training contract.

• Gary Livett OPERATIONS MANAGER

  Sign

• APPRENTICE

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