[r. 701]
1. Entry warrant
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.
| ||||||
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).