Dam Information Form
Dams Safety NSW - Competent person declaration
Dam name
I advise the work described in the following report/s has been undertaken, in accordance with the Dams Safety Regulation (the Regulation), by a competent person/s as defined under clause 3 of the Regulation:
Consequence category assessments (clause 7 of the regulation)
Consequence category assessment review (clause 7.4 of the regulation)
Risk reports and reviews of risk reports (clause 15 of the regulation)
Safety reviews and reviews of safety reviews (clause 20 of the regulation)
Dam design review (clause 24 of the regulation)
First name
Last name
Position
Organisation / Company
I am a
Please select...
Consultant to the dam owner
Dam owner
Employee of the dam owner
Date
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Contact Information