COMPANY__________________________________________________________________
_________
APPOINTMENT FIRST AIDER
I, NAME section 16(1) appointee of COMPANY, hereby appoint you, NAME, in terms of
General Safety Regulation 3 as First Aider
For this position you will have the following duties and responsibilities:
1. Treat all first aid injuries.
2. Complete the first aid register.
3. Inspect the first aid box on a regular basis.
4. Ensure that the box is not obstructed.
5. Ensure that your name appears on the box.
6. Ensure that the content complies with requirements of General Safety Regulation
Annexure.
7. Ensure that the serious injuries are reported to the Incident Investigator.
8. Ensure that all minor injuries are investigated.
9. Assist the emergency co-ordinator in the event of an emergency.
_________________________________________________ __________________
Signature: Chief Executive Officer (OHSA 16.1) Date
ACCEPTANCE
Kindly confirm your acceptance of this appointment by completing the following:
I NAME, understand the implications of the appointment as detailed above and herewith
confirm my acceptance.
___________________________________________________ __________________
Signature: (First Aider) Date