Ref:	##############

Contact:	##########

Telephone:	##########

Email:	#########

Date - Month - Year

Name

Address

Re: Provision of notice under section 15 of the Petroleum and Gas (Safety) Regulation 2018

To the Chief Inspector,

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Option 1 – (delete if not relevant – choose 1 option only)

I am a Type B Device Approving Authority providing notice as required under section 15 of the Petroleum and Gas (Safety) Regulation 2018 (P&G Reg) in regard to <<insert device description (make, model, serial number)>> to be installed at <<insert location address>>.

I hereby give notice under paragraph 15(3)(a) of the P&G Reg that the device does not comply with the requirements of AS3814 - Industrial and commercial gas fuelled appliances section/s <<#. ##.#>>.

I confirm I have written evidence, as required under paragraph 15(3)(b) of the P&G Reg, showing the level of risk for the activity or thing to which the safety requirement applies is equal to or less than the level of risk that would be achieved by complying with the document. The written evidence includes a risk assessment report undertaken by a competent person.

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Option 2 – (delete if not relevant – choose 1 option only)

I am a Gas System Installer providing notice as required under section 15 of the Petroleum and Gas (Safety) Regulation 2018 (P&G Reg) in regard to the gas system to be installed at <<insert location address>>.

I hereby give notice under paragraph 15(3)(a) of the P&G Reg that the gas system does not comply with the requirements of AS/NZS1596 – The storage and handling of LP Gas section/s << #. ##.# >>.

I confirm I have written evidence, as required under section 7(3)(b) of the P&G Reg, showing the level of risk for the activity or thing to which the safety requirement applies is equal to or less than the level of risk that would be achieved by complying with the document. The written evidence includes a risk assessment report undertaken by a competent person.

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Option 3 – (delete if not relevant – choose 1 option only)

I am a Gas System Installer providing notice as required under section 15 of the Petroleum and Gas (Safety) Regulation 2018 (P&G Reg) in regard to the gas system to be installed at <<insert location address>>.

I hereby give notice under paragraph 15(5)(a) of the P&G Reg that an outcome based approach (‘performance requirements’ contained within AS/NZS5601.1 section 2) has been used according to subsection 15(4) of the P&G Reg to comply with document AS/NZS5601.1 Gas installations, Part 1 General installations section/s << #. ##.# >>.

I confirm I have written evidence, as required under paragraph 15(5)(b) of the P&G Reg, showing the level of risk for the activity or thing is equal to or less than the level of risk that would be achieved by complying with the recommended approach (‘means of compliance’ contained within AS/NZS5601.1 sections 3 to 6). The written evidence includes a risk assessment report undertaken by a competent person.

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I have attached the following information to this notice:

the non-compliances are detailed in Attachment 1 <<insert document name>>

the qualifications and experience of the competent person(s) who performed the risk assessment are provided in Attachment 2 <<insert document name>>

The written evidence will be retained as part of the gas compliance documentation for a period of not less than five years. If and when requested the documentation shall be made available for auditing by the Chief Inspector.

Yours sincerely

Insert name and signature of person giving notice.