OHS Awareness NSW Taxi Operators - NSW Taxi Industry
OHS Awareness NSW Taxi Operators - NSW Taxi Industry
OHS Awareness NSW Taxi Operators - NSW Taxi Industry
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Appendix 3. Sample <strong>OHS</strong> Declaration Form<br />
Use or adapt this <strong>OHS</strong> Declaration Form to suit your own organisation. An <strong>OHS</strong><br />
Declaration Form must be signed by everyone working for you, either full time, part time or<br />
casual, including Bailee <strong>Taxi</strong> Drivers. Keep this record on file.<br />
<strong>OHS</strong> Declaration Form<br />
Name of <strong>Taxi</strong> Operation: _________________________________________<br />
I understand and agree to apply the <strong>OHS</strong> Policy which I have been given.<br />
Signature: ______________________________________<br />
Print Name: _____________________________________<br />
Date: ___________________________________________<br />
Additional – for <strong>Taxi</strong> Drivers only<br />
I understand and agree to follow the <strong>OHS</strong> Module from the Certificate III in <strong>Taxi</strong> Driving<br />
– <strong>Taxi</strong>care Plus a copy of which I have read and understood.<br />
Signature: ______________________________________<br />
Print Name: _____________________________________<br />
Date: ___________________________________________<br />
<strong>OHS</strong> <strong>Awareness</strong> for <strong>NSW</strong> <strong>Taxi</strong> <strong>Operators</strong>: Information Guide<br />
<strong>NSW</strong> <strong>Taxi</strong> <strong>Industry</strong> Association Page 25
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