Management Appointed Health and Safety Representative

APPOINTMENT
NOMINATED REPRESENTATIVE OF THE EMPLOYER
IN TERMS OF SECTION 19(3) OF THE OCCUPATIONAL HEALTH AND SAFETY ACT, ACT 85
OF 1993 AS AMENDED.

I, Nhlanhla F Mngomezulu being the CEO (Section 16(1) Appointee) in terms of the above-mentioned
Act, hereby designate you Gift Zikalala as a NOMINATED REPRESENTATIVE OF THE EMPLOYER to
serve on the Health and Safety Committee. This designation is valid for the duration of the contract

Your responsibilities are as follows:

1. To perform duties as prescribed by Section 19 and 20 of the Occupational Health and

Safety Act, 85 of 1993, and General Administrative Regulation 6; and

2. To attend the meetings of the Health and Safety Committee on the Scheduled dates

SIGNED……………………….………. DATE18/12/2018
MD or Section 16(2) Appointee

ACCEPTANCE

I Gift Zikalala accept this designation.

I have studied assigned duties and understand the implications of this appointment and confirm my
acceptance thereof.

SIGNED: ..................................................... DATE: 18/12/2018

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