MACHINE ACCESS REGISTER			
			Gaming Machine Act 2004			
			Form made pursuant to Gambling and Racing Control Act 1999, s 53D			
Instructions:	All columns must be completed legibly.					
		Please note, a number of offences and penalties apply in relation to unauthorised access to gaming machines and unauthorised entries in this register.
	
Trading Name:	 	 	 	 	 	Folio No.:	 	
Machine Name:				Serial Number:				
Date	Time	Door Opening No.	Approved Attendant/Technician Signature	Certificate Number	Reason for Opening Machine, or Reason Machine out of order	Description of any Adjustment or Repair	Machine Out of Operation	
							From 
Time/Date	To
Time/Date