DOCK WORKERS (SAFETY, HEALTH AND WELFARE) REGULATIONS, 1989

Notice to the owner, master or officer-in-charge (name of ship).
[See Regulations 7 (4) and (33)]

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I, hereby give notice that the dock work involving loading or unloading or coaling have been completed (* for the  time  being) at the hatches names below, and that the hatches in question have been- left fenced or covered as required by Regulation

Hatchway

Dock

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taken into use by your or on your behalf.

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signature

Time

Date

Delete whichever is not required

*Delete if not required.