HEALTH CONTROL PLAN // IMPLEMENT NSW RESOURCES REGULATOR Health action and review plan record sheet NSW mining and extractives industry y Mine name: Section: Date: Person responsible for updating plan: Induction updated (date): Hazard and source Control measure Maintenance requirements List risk management or work procedures for review Training requirements Exposure monitoring required? Yes/no Health monitoring required? Yes/no Review date Responsible person Management sign-off: Date:
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NSW Resources RegulatorHEALTH CONTROL PLAN // IMPLEMENT
Health action and review plan record sheet
NSW mining and extractives industry yMine name: Section: Date:
Person responsible for updating plan: Induction updated (date):
Hazard and source Control measure
Maintenancerequirements
List risk management
or work procedures for
review
Training requirements
Exposure monitoringrequired?
Yes/no
Health monitoringrequired?
Yes/no
Reviewdate
Responsibleperson
Management sign-off: Date:
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