Safety, Health and Wellbeing

UWA Safety and Health representatives nomination form

Our role is to develop and assist in the implementation of the UWA safety, health and wellbeing programs in order to minimise the risk of injury, illness and property damage.

We provide consultancy and other services to promote best practice and legislative compliance in all University and related activities.

Nominations close on Friday 31 March 2017.

The nominations will be tallied as soon as possible after this date. If more than the required nominations are received, a ballot will be held as soon as possible. It is planned to declare the successful representatives on 4 April 2017.

This page should also be printed and the hard copy submitted with appropriate signatures

Nominated person


Required.

Required

Required

Required

Printed copy only.

Nominated by


Required

Required

Required

Required

Printed copy only.

Nominated workplace


Required