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  • Form 23 - Amended notification of lead risk work

    Lead is a highly toxic cumulative poison for which manufacturers and importers must prepare, review, amend and provide Safety Data Sheets and suppliers must provide the Safety Data Sheets and label lead containers.

    PDF 2.5 MB 13 April 2021

  • Form 86 Lead health monitoring report

    A form completed before lead risk work to monitor health for each worker.

    PDF 208.07 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  • Form 29 - superceded by Form 17 - Review of decision

    Form 29 is superceded by Form 17.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

  • 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

  • Form 3 - Incident notification form

    Incident notification (Form 3). Use this form (or the online service) to notify of a serious injury, electrical incident, serious illness, fatality, or dangerous incident at your workplace.

    PDF 247.08 kB 28 August 2020

  • FM106 Claim Form

    Use this form to make a claim with WorkCover Queensland or your self-insurer for a work-related illness or injury.

    DOCX 98.48 kB 28 August 2020

  • Healthy worker funding program application form

    Application form for high-risk industries for work health funding program

    DOC 335.36 kB 28 August 2020

  • Health and safety checklist for working from home

    Checklist to assess WHS risks for working from home arrangements.

    PDF 222.78 kB 6 April 2022

  • Worker determination form

    This form is for use by policy holder/employer.

    DOC 941.57 kB 28 August 2020

  • EFT Payment Form FM204

    Complete this form to get paid (electronic funds transfer).

    PDF 36.91 kB 28 August 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