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AMUSEMENT DEVICE – PRE-ACCEPTANCE CHECKLISTMARCH 2017
Amusement device supplier
Contact person
Contact phone ABN
Name of amusement device
1. Does the amusement device require plant design registration?
Yes NoDesign registration number Expiry date (DD/MM/YYYY) Issuing state or territory
If no, please provide reason
Note: Even if design registration is not required the owner is still required to ensure that the design is safe to operate.
2. Does the amusement device require item registration?
Yes NoItem registration number Expiry date (DD/MM/YYYY) Issuing state or territory
If no, please provide reason
Note: Even if design and item registration is not required the owner is still required to ensure that the device is safe to operate.
3. Copy of last annual inspection report provided?
3.1 Will the inspection be current for the event, ie less than 12 months before event? (If No, seek confirmation that annual inspection will be conducted before, or at, the event).
4. Evidence of emergency plan for the device provided?
5. Evidence of commissioning/installation manual provided?
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AmusEmEnt DEviCE –PrE-ACCEPtAnCE ChECklist mArCh 2017
6. Evidence of instruction and training provided to persons operating the ride at the event provided?
7. Evidence of recent preventative inspection/maintenance provided?
8. Evidence of current public liability and workers compensation insurance (except for sole trader) policies provided?
9. Evidence of test and tag of electrical equipment provided?
Catalogue No. SW08557
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Text Field 3058: Text Field 3060: Text Field 10193: Text Field 590: Text Field 101017: Text Field 3061: Radio Button 1: OffText Field 3064: Text Field 10196: Text Field 595: Text Field 3063: Text Field 3066: Text Field 10197: Text Field 596: Text Field 3065: Check Box 663: OffCheck Box 665: OffCheck Box 666: OffCheck Box 667: OffSAVE AS: PRINT: Check Box 668: OffCheck Box 669: OffCheck Box 670: OffCheck Box 671: Off