ACTIVITY 2 | INCIDENT INVESTIGATOR

OCCUPATIONAL HEALTH AND SAFETY ACT, 85 OF 1993 GAR 9(2) –

INCIDENT INVESTIGATOR APPOINTMENT

FRED DURST
I, COREY TAYLOR, the 16 (2) appointee of ABC SCAFFOLDING, hereby appoint you, FRED DURST, as the
incident investigator for the Sandton Convention Center Project.

In terms of this appointment, you must investigate all recordable incidents, i.e. all incidents reportable in
terms of section 24 of the Occupational Health and Safety Act, and all other incidents which resulted in the
person/s concerned having had to receive medical treatment, other than first aid treatment, i.e. referred to
a doctor or hospital for examination/treatment, etc.

Your duties in this regard are summarised as, but not necessarily restricted to, the following:

1. Once you are advised/become aware of such incident, you must immediately arrange/start the
investigation;
2. Where reasonably practicable, you must visit the site of the incident with the view to establishing the
conditions at the time of the incident;
3. Investigate all incidents that occur on the premises within 7 days of the incident and finalise as soon as
possible;
4. Record the findings of the investigation on an Annexure 1 form as required in terms of General
Administrative Regulation 9 of the OHS Act 85 of 1993. If the incident results in a claim, report to the
Compensation Commissioner (Compensation of Occupational Injuries and Diseases Act, 130 of 1993);
5. Report all incidents to the Provincial Director in terms of section 24 of the Occupational Health and
Safety Act, 85 of 1993;
6. Report the findings of all investigations to your employer and the HSE Committee;
7. Ensure that the record of each incident is endorsed by the employer and the chairman of the HSE
Committee;
8. Ensure all documentation pertaining to incident investigations are properly filed in the designated file
9. Keep a register of all incidents – Annexure 1 Summary.

You will be required to undergo training in order to obtain the necessary competencies to carry out these
tasks effectively. Any problems which you may experience in the execution of this appointment must be
brought to my attention immediately.

............................................................................. 03.04.2017
Signature 16 (2) Appointee Date

Kindly confirm your acceptance of this appointment by completing the following:

ACCEPTANCE
I, FRED DURST, understand the implications of the appointment as detailed above and confirm my
acceptance thereof.

............................................................................. 03.04.2017
Signature Date

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ACTIVITY 2 | INCIDENT INVESTIGATOR

(Insert competency certificate here)

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