Safety Advocate workplace visit application

Request a Safety Advocate to visit your workplace to speak to workers, supervisors and managers about the importance of workplace safety.

Requests are subject to approval on a case by case basis. Due to high levels of interest, Safety Advocate availability is limited, particularly during Safe Work Month in October.

Safety advocate requests must be submitted 4 weeks prior to an event.

Approval and advocate availability is not guaranteed.

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Required fields are marked with an asterisk (*).

Your details

First name *

Last name *

Phone number *

Email address *

Job title

Your business/organisation

Business name *

Industry type *

If Other, please describe

Work health and safety culture * What is your organisation's safety push? What do you want to change? What are your challenges?

Your event

Date * You must provide a start date that is at least 4 weeks in advance of the event date.

Start time *

Hour Minute

End time *

Hour Minute

Do you have a digital display, television or equivalent to play a video? *

If no, are you able to arrange one prior to the event date?

Event address

Address *

Suburb *

State *

Postcode * Must be 4 digits.

Safety Advocate

Preferred Safety Advocate (first option) *

What is it about this Safety Advocate that interests you/your organisation? *

Preferred Safety Advocate (second option) *

What is it about this Safety Advocate that interests you/your organisation? *

Where did you hear about Safety Advocate workplace visits? *

If Other, please describe

Attendance

How many people will attend? * Minimum 20 people.

Who will be attending? * Are they construction workers, office workers etc?

Requirements

Our representative * You agree that a representative from the Office of Industrial Relations (who may be a Workplace Health and Safety Queensland or Electrical Safety Office inspector) will accompany the advocate to the talk.

I agree

Management support * You agree that supervisors/managers/executives will attend the presentation to demonstrate how important safety is to your workplace.

I agree

Filming * Recordings of the presentation cannot be stored permanently however live streaming of the event is permitted.

I agree

Evaluation * You agree to complete a short evaluation survey after the event and provide feedback and photographs.

I agree

Privacy statement

The Office of Industrial Relations is collecting your personal information for the purposes of responding to your registration request. Your personal information may also be used for the purpose of reviewing our client service performance and standards.

Disclaimer

Our Safety Advocates are not qualified inspectors and are not able to provide specific safety advice for your business, nor guidance on compliance with work health and safety or electrical safety laws.

If you need assistance in these areas, please call 1300 362 128 and ask about our Injury Prevention and Management program, or visit worksafe.qld.gov.au.

Safety Advocate workplace visit application

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