PML After Hours

After Hours Form

Portobello Marine Lab
Name

First NameLast Name
University E-mail
brote111@student.otago.ac.nz
Phone Number
Academic Supervisor
Start Date

MonthDayYear
End Date

MonthDayYear
Room/s you will be working in
Description of work
Restricted Activities

Walk in freezerWharf (after dark)Ponds (after dark)Dangerous goods storeWorking with hazardous chemicals/gas
Other Hazards and Mitigations
Plan Type

One-offOngoing
Date

MonthDayYear
Date
Start Time

Hour Minutes

AM/PM Option
Finish Time

Hour Minutes

AM/PM Option
Start Date

MonthDayYear
Date
Finish Date

MonthDayYear
Date
Will you be solo

YesNo
Name of buddy
Name of buddy
Have you had an After Hours induction?

YesI need to arrange this
To arrange an after-hours PML induction email Linda (Head Technician) at linda.groenewegen@otago.ac.nz.
Will you be needing on site accommodation?

YesNo
GetHomeSafe
The GetHomeSafe app will need to be used while you're working at the Portobello Marine Lab after hours. The task should be started when you arrive at PML and finished once you've left the site.
Have you been set up with GetHomeSafe?

YesI need to arrange this
To arrange being set up with the GetHomeSafe app email Will (Field Technician) at will.pinfold@otago.ac.nz.
Emergency Contacts
In case of emergency (Fire, Medical, Police) - 111.

Security (Locked out etc.) call Campus Watch - 03 479 5000

Rudie Verhoef (Local After Hours Technician) - 021 279 5822

Relief On-Call - 021 279 1986

Linda Groenewegen - 021 279 5813
Should be Empty:

After Hours Form