In case of demise of the project Supervisor for health and safety matters

In case of demise of the project Supervisor for health and safety matters

Data Protection Note: This data may include personal information which is collected and processed by the Occupational Health and Safety Authority (OHSA) to fulfil its investigative, enforcement and regulatory role in accordance with the Health and Safety at Work Act (Chapter 646 of the Laws of Malta) and applicable subsidiary legislation. All personal data shall be processed in accordance with the General Data Protection Regulation (No 2016/679) as well as any other applicable law or guidelines published from time to time and is not shared with any third parties except when necessary and with a justifiable legal basis. To learn more about how OHSA collects, keeps, and processes your private information in compliance with the GDPR, please view OHSA's Data Protection Policy which can be accessed through the following link: https://www.ohsa.mt/data-protection.

1. Date of submission*

Date

This is to inform OHSA of the demise of the project supervisor for health and safety matters, in accordance with S.L 646.27

2. Address where works are being carried out-Property number*

2(a) Address where works are being carried out-Address *

2(b) Address where works are being carried out- Locality*

3.CNF number project (if applicable)

4.PA Number (if applicable)

Project supervisor

5.Type of Project supervisor*

NaturalLegal

Name*

Surname*

Project Supervisor registration number*

ID Card number*

Address*

Locality*

Email address*

example@example.com

Mobile number*

Please enter a valid phone number.

Company name*

Company number*

Name Of Director*

Surname Of Director*

ID card number*

Address*

Locality*

Project Supervisor registration number*

Email address*

example@example.com

Mobile number*

Please enter a valid phone number.

Client

Type of Client*

NaturalLegal

Name*

Surname*

ID Card no*

Address*

Locality*

Telephone number*

Please enter a valid phone number.

Mobile number*

Please enter a valid phone number.

Company name*

Company number*

Name Of Director*

Surname Of Director*

ID Card no.*

Address*

Locality*

Telephone number*

Please enter a valid phone number.

Mobile number*

Please enter a valid phone number.

Email address*

example@example.com

Signature Of Client*

Date*

Date