PLEASE COMPLETE AND SUBMIT THIS FORM WITH YOUR SUBMISSION BY 15 MAY 2009	
Email:	PlantandLicensing@deewr.gov.au 	
		
Fax:	(02) 6121 9299	
		
Mail:	Attention: Plant Standards – Public Comment
Office of the Australian Safety and Compensation Council
GPO Box 9880
CANBERRA  ACT  2601

Organisation:		
Street address:		
Suburb/City:		State & Postcode:		
Postal address:		
Suburb/City:		State & Postcode:		
				
Principal contact:		Phone:		
Position:		Fax:		
Email address:		Mobile:		

Please provide the following information about your business.  This information will be used by the OASCC to ensure that all industry sectors have been included in the consultation process.
(Note: This information will not be placed on the ASCC website.)
 
Industry Sector		
Is this business a designer, manufacturer, importer, supplier, installer, erector or owner of plant? Please Specify.		
		
What plant is designed, manufactured, imported, supplied, installed, erected or owned by this business?		
How many staff are employed in this business?		

Please indicate if you allow the content of your submission to be made public by placing it on the ASCC website:
                                                           □   Yes                                       □    No
If you wish to make a submission that contains confidential information, please ensure the material is clearly marked ‘IN CONFIDENCE’.	

PLEASE NOTE:

>	All submissions will be placed on the ASCC website.
>	Confidential material clearly marked ‘IN CONFIDENCE’ will not be placed on the website.
For submissions made by individuals, all personal details other than your name and the state or territory in which you reside will
>	be removed from your submission before it is published on the ASCC website.
>	Copyright in submissions resides with the author(s), not with ASCC.
>	Neither the Commonwealth of Australia nor the ASCC takes responsibility or shall be liable for any breach of the copyright, or libellous or defamatory comments in submissions published by the ASCC.