Western Australian Current Regulations

ENERGY COORDINATION (GENERAL) REGULATIONS 1995 - SCHEDULE 1

[r. 4]

        [Heading inserted: Gazette 20 Mar 2007 p. 1045.]

Form 1 — Certificate of designation

Energy Coordination Act 1994

Energy Coordination (General) Regulations 1995 ²

CERTIFICATE OF DESIGNATION

This is to certify that .............................................................................................. is designated an *Inspector (Gas)/*Inspector (Electricity) for the purposes of the following Acts:

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Powers of inspection that may be exercised: ...............................................

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Limitations/Restrictions applicable: ............................................................

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This designation has effect until .................................................................. (date)

DIRECTOR OF ENERGY SAFETY

*Delete as inapplicable.

Dated ................................... 20.......         Certificate No. ......................................

        [Form 1 amended: Gazette 5 Nov 2004 p. 4982‑3; 20 Mar 2007 p. 1045.]

Form 2 — Infringement notice

Energy Coordination Act 1994 Infringement notice		Infringement notice no.
Alleged offender	Name:         Family name
	Given names
	or         Company name ____________________________________                 ACN
	Address ________________________________________________         Postcode
Alleged offence	Description of offence _____________________________________
	Energy Coordination Act 1994 s.
	Date         /         /20         Time         a.m./p.m.
	Modified penalty $
Officer issuing notice	Name
	Signature
	Office
Date	Date of notice         /         /20
Notice to alleged offender	It is alleged that you have committed the above offence. If you do not want to be prosecuted in court for the offence, pay the modified penalty within 28 days after the date of this notice. By post: Send a cheque or money order (payable to ‘Director of Energy Safety’) to: Director of Energy Safety [Address] In person: Pay the cashier at: Energy Safety [Address] If you do not pay the modified penalty within 28 days, you may be prosecuted or enforcement action may be taken under the Fines, Penalties and Infringement Notices Enforcement Act 1994 . Under that Act, some or all of the following action may be taken — your driver’s licence may be suspended, your vehicle licence may be suspended or cancelled, you may be disqualified from holding or obtaining a driver’s licence or vehicle licence, your vehicle may be immobilised or have its number plates removed, your details may be published on a website, your earnings or bank accounts may be garnished, and your property may be seized and sold. If you need more time to pay the modified penalty, you can apply for an extension of time by writing to the Director of Energy Safety at the above address. If you want this matter to be dealt with by prosecution in court, tick this box ❑ and post this notice to the Director of Energy Safety at the above address within 28 days after the date of this notice.

        [Form 2 inserted: Gazette 20 Mar 2007 p. 1045‑6; amended: Gazette 20 Aug 2013 p. 3831; SL 2020/163 r. 26.]

Form 3 — Withdrawal of infringement notice

Energy Coordination Act 1994 Withdrawal of infringement notice		Withdrawal no.
Alleged offender	Name:         Family name
	Given names
	or         Company name _____________________________________                 ACN
	Address _______________________________________________________         Postcode
Infringement notice	Infringement notice no.
	Date of issue         /         /20
Alleged offence	Description of offence ____________________________________
	Energy Coordination Act 1994 s.
	Date         /         /20         Time         a.m./p.m.
Officer withdrawing notice	Name
	Signature
	Office
Date	Date of withdrawal         /         /20
Withdrawal of infringement notice [*delete whichever is not applicable]	The above infringement notice issued against you has been withdrawn. If you have already paid the modified penalty for the alleged offence you are entitled to a refund. *         Your refund is enclosed. or *         If you have paid the modified penalty but a refund is not enclosed, to claim your refund sign this notice and post it to: Director of Energy Safety [Address] Signature         /         /20

        [Form 3 inserted: Gazette 20 Mar 2007 p. 1046.]