Approved form AF2002-252

Approved by the General Manager, Health Protection Service on
6.12.2002 under the

Smoke-free Areas (Enclosed Public Places) Act 1994, s23

Smoke-free Areas (Enclosed Public Places) Act 1994—Form SF2
(see s 8)
Australian Capital Territory

Smoke-free Exemption Certificate

(See attached Smoke-free Exemption Certificate)

Smoke-free Exemption Certificate
«Trading_Name»
ABN: «Proprietor_ABN»
«Premises_PropertyName»
«Premises_StreetNo» «Premises_Street»
«Premises_Suburb»  «Premises_Postcode»
Exemption Type: {{Exemption_Type}}	Registration No: «Registration_Number»
This certificate authorises «Proprietor_FullName» to permit smoking in the areas designated on the approved plans at the premises mentioned above for the period {{Date Granted}} to {{Expiry Date}}.
Standard Conditions
1.	The premises exempted under the certificate shall at all times be fitted with equipment capable of maintaining air quality in accordance with Australian Standard 1668.2;
2.	Air quality in the premises shall comply with Australian Standard 1668.2;
3.	The occupier shall keep for a period of three years all records pertaining to the equipment referred to in and its operation and maintenance, including log books;
4.	Inspectors are allowed to regularly inspect equipment on the premises; monitor the air quality within the premises; and inspect the records referred to in (3); and
5.	If the certificate relates to a restaurant - smoking is prohibited in not less than 75% of the public area of the restaurant.
Smoke-free (Enclosed Public Places) Act 1994 Requirements
1.	Occupiers are required to take reasonable steps to prevent smoke from penetrating smoking-prohibited areas.
2.	Appropriate signage must be displayed wherever smoking is prohibited.
3.	It is in the interest of the occupier to ensure that there are no items such as ashtrays or matches for use in smoking prohibited areas, and to request that a person who is smoking in a smoking prohibited area refrain from doing so.
4.	If the certificate relates to a licensed premises - smoking is prohibited in not less than 50% of the public area of the licensed premises.

<Signatory>