Providing subsidence monitoring data

FORM І WHS (MINES AND PETROLEUM SITES) LEGISLATION

Providing subsidence monitoring data

NSW Department of Industry, Resources Regulator 2

Providing subsidence monitoring data

About this form

This form is only required to be completed by the mine operator of an underground coal mine.

Clause 67(2)(d) of the Work Health and Safety (Mines and Petroleum Sites) Regulation 2014 requires the mine operator of an underground coal mine to provide all subsidence monitoring data to the regulator in the manner and form and at the times required by the regulator.

Types of subsidence monitoring data

You must submit the following types of subsidence monitoring data to the regulator:

Type A: All two dimensional and three dimensional survey data from survey grids installed in relation to longwalls, shortwalls or miniwalls.

Type B: All other types of subsidence monitoring data.

When to submit the subsidence monitoring data

At a minimum, you must submit subsidence monitoring data to the regulator at the following intervals:

No / Frequency at which the mine operator obtains subsidence monitoring data from monitoring activities / When to submit the data to the regulator
1 / Data obtained from monitoring activities conducted at or higher than a fortnightly frequency / Within 2 business days of completion of each monitoring activity
2 / Data obtained from monitoring activities conducted less frequently than on a fortnightly basis / Within 10 business days of completion of each monitoring activity

How to submit the subsidence monitoring data to the regulator

Subsidence data portal (for Type A data)

You must submit Type A data via the NSW Department of Industry’s subsidence data portal at http://ssims.dpi.nsw.gov.au/ . You must complete all the required fields in the portal. As the information requested in this form is incorporated into the portal, you do not need to complete this form separately.

For guidance on using the portal, refer to the Subsidence Data Portal User Manual. To obtain a copy of the manual and password and username (for access to the portal), you should email .

Email or file transfer (for Type B data)

You must email the following:

(1)  A completed form; and

(2)  Type B data (if the total size of the files is less than 25MB); or

(3)  File transfer details to download the Type B data (if the total size of the files is more than 25MB):

(a)  the web link to the data file,

(b)  password, and

(c)  any other information that is relevant to the file transfer.

1.  Details of mine and mine operator

Name of mine
Site address
Name of mine operator
ACN if a company or ABN

2.  Subsidence monitoring information relating to the mine

  1. Describe the panels or areas to be mined (for example, Longwall 6).
  1. Describe the void length or extent of extraction at the time of subsidence monitoring.

3.  Declaration

I declare that:

·  I have authority from the mine operator to complete and submit this form on their behalf, and

·  to the best of my knowledge, the information provided in this form, and any attachment to this form, is true and correct in every detail.

Note: Giving false or misleading information is a serious offence under section 268 of the Work Health and Safety Act 2011, and Part 5A of the Crimes Act 1900.

Name of authorised person / Position
Contact telephone / Mobile
Signature / Date

4.  What to do with the completed form

You must email a completed form to together with the relevant data or file transfer details. For guidance, refer to ‘How to submit the subsidence monitoring data’ (above).

© State of New South Wales through the Department of Industry, Skills and Regional Development 2017. You may copy, distribute and otherwise freely deal with this publication for any purpose, provided that you attribute the NSW Department of Industry, Skills and Regional Development as the owner.

Disclaimer: This publication provides a general summary of some of the provisions under the Work Health and Safety Act 2011, Work Health and Safety Regulation 2011, Work Health and Safety (Mines and Petroleum Sites) Act 2013 and the Work Health and Safety (Mines and Petroleum Sites) Regulation 2014 (WHS laws) as interpreted by the Department of Industry, Skills and Regional Development at the time of writing (March 2017). Compliance with the WHS laws is a legal requirement. This publication does not provide or purport to provide legal advice. Users are reminded of the need to ensure that the information upon which they rely is up to date by checking the currency of the information at the Department of Industry, Skills and Regional Development website or with the user’s independent legal adviser.

Privacy statement: Information from this form is collected for the purpose of regulating work health and safety in mines and petroleum sites, and the administration and enforcement of the Work Health and Safety Act 2011, Work Health and Safety (Mines and Petroleum Sites) Act 2013, Mining Act 1992, Petroleum (Onshore) Act 1991, Explosives Act 2003 and Radiation Control Act 1990. The supply of this information is required by law. Information will be stored and managed in accordance with provisions under the Privacy and Personal Information Protection Act 1998. It will not be given to any other third party except as authorised by law. You may access or correct your personal information by contacting Governance & Information Requests Unit on (02) 9995 0911 or . Further information regarding privacy can be obtained from the NSW Department of Industry website at www.industry.nsw.gov.au/privacy. PUB17/89

NSW Department of Industry, Resources Regulator 2