GAZETTE NO.

12/1995
[Reg. 19A(2)]【規例第19A（2）條】

FORM 5 （表格 5）
FACTORIES & INDUSTRIAL UNDERTAKINGS (SAFETY OFFICERS & SAFETY SUPERVISORS) REGULATIONS
工廠及工業經營（安全主任及安全督導員）規例

NOTICE OF EMPLOYMENT OF SAFETY SUPERVISOR

有關僱用安全督導員的告示

Form approved by the Commissioner for Labour for the purposes of regulation 19A(2) of
the Factories and Industrial Undertakings (Safety Officers and Safety Supervisors) Regulations
本表格乃由勞工處處長就工廠及工業經營（安全主任及安全督導員）規例第19A(2)條之需要而認可

Name of Company Leader – JEC Joint Venture

公司名稱
Name of Proprietor Contact Telephone No.
東主姓名 Kelvin Cheung (Site Agent) 聯絡電話號碼
9770 0749
Workplace Address Harbour Area Treatment Scheme Stage 2A – Upgrading of Preliminary Treatment
工地地址 Works at Sandy Bay, Cyberport, Wah Fu, Aberdeen and Ap Lei Chau
Name of Contact Telephone No.
Safety Supervisor Cheng Chi Fai 聯絡電話號碼
安全督導員姓名 9476 8358

In accordance with the provisions of regulation 17(1) of the Factories and Industrial Undertakings (Safety
Officers and Safety Supervisors) Regulations, the above-named safety supervisor is to assist me and the
safety officer in promoting the safety and health of persons employed therein, including for that purpose-
根據工廠及工業經營（安全主任及安全督導員）規例第17(1)條所規定，上述之安全督導員乃協助
本人及安全主任促進本工地僱員的安全及健康，他的職責包括：

(1) Supervising the observance of safety standards by persons employed;

督導工地員工遵守安全標準；
(2) Promoting the safe carrying on of work 促進工地的工作安全；and 及
(3) Others 其他（to be specified 以下詳述）：
i) Advising the observance by persons employed of the safety standards;
就工地員工遵守安全標準一事，提供意見；
ii) Preparing & submitting a weekly report, Form 3A 填寫及呈交每週報告書（表格3A）；
iii) Other matters in the interest of safety & health 其他有關安全及健康事宜。

Signature of * Proprietor/
Responsible Person
*東主/負責人簽名

Date 日期 27th November 2018

* Delete if inapplicable 請刪去不適用者

24 January 1995 Stephen IP Commissioner for Labour