Forms

Showing 1-12 of 35 results with 2 filters

Form 608ZZC - Application to cancel a major amusement park licence

PDF 156.44 kB 28 October 2022
Form 608ZZB - Application to transfer a major amusement park licence

PDF 173.86 kB 28 October 2022
Form 8 - Application for registration of registrable plant

Plant includes: boilers, amusement devices, building maintenance unit, passenger lift, mobile crane, pressure vessel, tower crane, and concrete placement units. Use one form per item.

PDF 194.47 kB 28 August 2020
Form 74 - Amendment to existing authorisation

If your workplace uses, handles or stores prohibited or restricted carcinogenic hazardous chemicals, you may be required to be authorised for those purposes.

PDF 2.9 MB 9 April 2021
Form 29 - superceded by Form 17 - Review of decision

Form 29 is superceded by Form 17. Form 17 allows a business or indiviual to apply for an internal review of a decision under the Work Health and Safety Act 2011, Work Health and Safety Regulation 2011, Electrical Safety Act 2002 or Safety in Recreational Water Activities Act 2011.

14 September 2020
Suitable duties program

For employers to complete. This two-page template creates a four week return to work plan.

DOCX 156.31 kB 15 March 2024
Injured worker authorisation

A form whereby an injured worker authorises the communication of information between their medical provider and employer in relation to their worker's compensation claim.

DOC 59.9 kB 28 August 2020
Group training record

A sample form to use in recording workers' training

DOCX 17.62 kB 28 August 2020
Partial incapacity form

Form 105 - for employers to complete

DOC 708.1 kB 28 August 2020
Worker determination form

This form is for use by policy holder/employer.

DOC 941.57 kB 28 August 2020
Form 103 - Administrative release form

Employers use this one page form to request information to assist with the rehabilitation and return to work of an injured worker, or request information relating to the review of a decision.

DOC 686.08 kB 28 August 2020
Form 44 - Provisional Improvement Notice (PINs)

Provisional Improvement Notice (PIN) form used at the workplace by the Workplace Health and Safety Representative.

PDF 171.35 kB 29 July 2024

Forms

Form 608ZZC - Application to cancel a major amusement park licence

Form 608ZZB - Application to transfer a major amusement park licence

Form 8 - Application for registration of registrable plant

How to guides

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