OHS MINOR WORKS APPLICATION FORM OHS Minor Works Fund Each year the University provides an allocation that may be approved by the Occupational Health and Safety Division and Property and Facilities Division for expenditure on OHS related minor works. This fund is made available by the Chief Operating Officer as a component of the University Improvement Fund. Requests must comply with the requirements of the University Improvement Fund. Where possible, applicants should take into consideration the timeframe of departmental and faculty OHS committee approval process. OHS minor works funding will be considered for issues of non-compliance with Occupational Health and Safety Legislation, Standards and Regulations. Consideration will be given to providing funding assistance for completion of OHS Projects where a significant commitment of funds has already been made by the University, Faculty or Department. Access to the funds would not normally be approved for OHS issues arising from planned re-fit, new construction, regular maintenance, or new design as these costs should have been included at the project design stage. Contributions for special circumstances may be considered. Assistance may be available where situations have developed that could not have been foreseen such as: Changes to legislation or regulations relating to occupational health and safety New work practices being developed to reduce the risk of illness or injury. All works must be able to be carried out within an agreed timeframe to ensure there are no funding carryovers into the following year. Review and Approval The Director OHS and Manager Asset Services review all applications and considers how much funding is able to be contributed towards costs. You will be notified of decisions associated with the original hazard request. If the costs (fully or partial) are approved to be drawn from the OHS minor works fund, then the approved request will be passed on to Property and Facilities Division to transfer the approved amount to the business unit. The application form requires the requesting area to provide account details. This must be signed by the relevant approvers prior to submission. Approval from an OHS Committee may be required. How do I receive my funds? Funds are transferred to the client, who are then required to complete the procurement as nominated below. Please provide a chart string or other cost centre to which we can transfer the funds. How do I get the work done or obtain the goods and services? The role of procurement rests with the client, however it should be procured in the appropriate manner and adhere to UQ’s Purchasing Policy (PPL 9.40.01 Purchasing). 1. If this request relates to building fabric, structure or services (including any goods or services that are hard wired to the building) you must raise a work order with P&F using the chart string that you nominated above. These works will be undertaken by either P&F Maintenance, or for larger works, P&F Construction on your behalf. 2. If this request relates to goods or services not affecting the building fabric, structure or services, then the best way to move this forward is to raise a requisition in UniFi using your chart string. UQ OHS Minor Works Application Form Occupational Health and Safety Division Page 1 of 3 Review date: 29 February 2016, v4 I have questions, who can help? Financial queries P&F Finance Officer Ms Toni Hammond t.hammond@uq.edu.au +61 7 336 58562 General P&F enquiries P&F OHS Fund Administrator Mr Zak Williams z.williams@uq.edu.au +61 7 336 57409 General OHS enquiries OHS Office Manager Ms Kylie Middleton ohs@uq.edu.au +61 7 336 52365 Terms and Conditions ALL FUNDS TRANSFERRED MUST BE USED FOR THE SPECIFIC OHS PURPOSE THAT THEY WERE GIVEN, and we reserve the following rights: a. We may inspect or seek proof of purchase for the goods / service b. Any significant surpluses to be refunded to our account All funds are given in good faith that all procurement is undertaken in accordance with UQ’s Purchasing Policy. Section 1: Applicant Details Applicant Name Application Date Position/Role Contact Phone Organisational Unit Contact Email Section 2: Hazard Details Location of hazard Campus/Site: Location/Building: Area/Room: Organisational Unit: Hazard Description UQ OHS Minor Works Application Form Occupational Health and Safety Division Page 2 of 3 Review date: 29 February 2016, v4 Section 3: Safety Manager/Coordinator (WHSC) Assessment WHSC Name Contact Phone Position/Role Contact Email Recommended Corrective Actions (attach supporting documentation) Risk Priority/Rating: Risk Assessment ID# UQ Risk Management Database Section 4: Funding Request Details of expenditure (attach quote) Total expenditure $ Organisational Unit contribution $ Funding contribution requested $ School/Faculty/Organisational Unit Approval Approver Name Role/Position Chart String Account Amount $ Signature Date Form submission ** Please submit this form to the UQ OHS Division for assessment. Phone: + 61 7 3365 2365 / Fax: + 61 7 3365 1577 / Email: ohs@uq.edu.au / Web: http://www.uq.edu.au/ohs/ Section 5: UQ OHS Division Assessment OHS Funding Recommendation OHS Funding Amount $ OHS Authorisation UQ OHS Minor Works Application Form Occupational Health and Safety Division Date Page 3 of 3 Review date: 29 February 2016, v4