Form 1b - Organizational Chart Under The Power Engineer Regulations

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FORM 1B
ORGANIZATIONAL CHART UNDER
THE POWER ENGINEER REGULATIONS
CHIEF POWER ENGINEER / OPERATOR
Name
NSID # and Classification
Expiry Date
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
SHIFT POWER ENGINEER/OPERATOR
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
OTHER POWER ENGINEERS WHO ARE EMPLOYED AS ASSISTANT SHIFT ENGINEERS/OPERATOR
POSITION:
POSITION:
POSITION:
:
POSITION
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
POSITION:
POSITION:
POSITION:
:
POSITION
Name
Name
Name
Name
NSID # and Class.
NSID # and Class.
NSID # and Class.
NSID # and Class.
Expiry Date
Expiry Date
Expiry Date
Expiry Date
Name of Firm ______________________________________________ Address _______________________________________________________________
Plant Registration Number ____________________________________
Location ______________________________________________________________
Submitted by _______________________________ Position ______________________ Date _________________ Telephone Number ________________
SEE DIRECTIONS ON BACK

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