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WORK HEALTH AND SAFETY (MINES) REGULATIONS 2022 - SCHEDULE 18A

[r. 701]

1.         Entry warrant

Work Health and Safety Act 2020 s. 167

Entry warrant

To 1

All inspectors under the Work Health and Safety Act 2020 .

Application

The applicant has applied under the Work Health and Safety Act 2020 s. 167(1) to me, a Justice of the Peace, for an entry warrant.

Applicant’s details

Name of inspector


Purpose for which warrant is issued 2



Suspected contravention(s) of Act

Provision(s)


Warrant

This warrant authorises you to enter the place described below and exercise the powers in the Work Health and Safety Act 2020 Pt. 9 Div. 3.

Place to be entered



Hours during which place may be entered


Thing, or class of things, to which section 167C(1)(f) applies


Document, or class of documents, to which section 167C(1)(i) applies


Execution period 3

This warrant must be executed within ______ day(s) after the date it is issued.

Issuing details

Name of JP


Date


Time


JP’s signature

Issued by me on the above date and at the above time.



Justice of the Peace

Execution details

Start

Date:         Time:

End

Date:         Time:

Occupier present? Yes/No

Entry audiovisually recorded? Yes/No

Person executing this warrant

Name


Office held


Notes to Form 1:
1.         An entry warrant may be executed by any inspector (s. 166B of the Act).
2.         The grounds on which a JP may issue an entry warrant are set out in s. 167(4) of the Act.
3.         The execution period must not exceed 30 days (s. 167(5)(f) of the Act).



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