1/2 AMUSEMENT DEVICE – PRE-ACCEPTANCE CHECKLIST MARCH 2017 Amusement device supplier Contact person Contact phone ABN Email Name of amusement device 1. Does the amusement device require plant design registration? Yes No Design 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 No Item 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?

Amusement device – Pre-acceptance checklist · AmusEmEnt DEviCE –PrE-ACCEPtAnCE ChECklist mArCh 2017. 6. Evidence of instruction and training provided to persons operating the

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AMUSEMENT DEVICE – PRE-ACCEPTANCE CHECKLISTMARCH 2017

Amusement device supplier

Contact person

Contact phone ABN

Email

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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