Form 1B "Organizational Chart Under the Power Engineer Regulations" - Nova Scotia, Canada

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Download Form 1B "Organizational Chart Under the Power Engineer Regulations" - Nova Scotia, Canada

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FORM 1B
ORGANIZATIONAL CHART UNDER
THE POWER ENGINEER REGULATIONS
CHIEF POWER ENGINEER / OPERATOR
Name
NSID # and Classification
Expiry Date
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
OTHER POWER ENGINEERS WHO ARE EMPLOYED AS ASSISTANT SHIFT ENGINEERS/OPERATOR
POSITION:
POSITION:
POSITION:
:
POSITION
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
POSITION:
POSITION:
POSITION:
:
POSITION
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
Name of Firm ______________________________________________ Address _______________________________________________________________
Plant Registration Number ____________________________________
Location ______________________________________________________________
Submitted by _______________________________ Position ______________________ Date _________________ Telephone Number ________________
SEE DIRECTIONS ON BACK
FORM 1B
ORGANIZATIONAL CHART UNDER
THE POWER ENGINEER REGULATIONS
CHIEF POWER ENGINEER / OPERATOR
Name
NSID # and Classification
Expiry Date
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
OTHER POWER ENGINEERS WHO ARE EMPLOYED AS ASSISTANT SHIFT ENGINEERS/OPERATOR
POSITION:
POSITION:
POSITION:
:
POSITION
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
POSITION:
POSITION:
POSITION:
:
POSITION
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
Name of Firm ______________________________________________ Address _______________________________________________________________
Plant Registration Number ____________________________________
Location ______________________________________________________________
Submitted by _______________________________ Position ______________________ Date _________________ Telephone Number ________________
SEE DIRECTIONS ON BACK
DIRECTIONS
1. Please prepare this chart and submit to:
Labour and Advanced Education
Technical Safety Division
P.O. Box 697
Halifax, NS B3J 2T8
2. When a change of staff is made, involving the Chief Power Engineer / Operator or Shift Power Engineer / Operator only,
a new Organizational Chart is to be prepared as soon as possible and forwarded to the above address.
3. Please include any other Engineer /Operators on an additional form.
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