Forms

Form 29 - superceded by Form 17 - Review of decision

Form 29 is superceded by Form 17.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.

Form 93 - Application for accreditation as an assessor for high risk work classes or application for an additional class on an existing accreditation

Application for accreditation as an assessor for high risk workclasses or application for an additional class on an existing accreditation

Form 23 - Notification relating to lead risk work (smart form)

For use by an employer when a worker is exposed to lead in the course of their work.

Form 44 - Provisional Improvement Notice (PINs)

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

Form 73 - Notification of a manifest quantity workplace (smart form)

For use by businesses to comply with Section 348 of the Work Health and Safety Regulation 2011 (WHS Regulation).

Form 3 - Incident notification form

Incident notification form

Form 40 - superceded by Department of Education and Training form ATF-012

This form may be used as a Completion Agreement in regard to an apprenticeship under the Further Education and Training Act 2014 (Qld) and as a Completion Statement by a Supervising Registered Training Organisation and Employer under the Electrical Safety Act 2002.

Form 28 - Hazardous chemicals health monitoring report

Under the Work Health and Safety Regulation 2011 where health monitoring is required for a hazardous chemical, the PCBU must send a copy of the health monitoring report to Workplace Health and Safety Queensland in certain circumstances.

Form 69 - Notification of a facility exceeding 10% of schedule 15 threshold – (Smart Form)

For use by businesses who exceed the 10 per cent threshold of Hazardous chemicals or materials as identified in Schedule 15 (WHS Regulation).

FM106 Claim Form

Lodge a claim with WorkCover QLD

Form 65 - Notification of licensed asbestos removal work, demolition work or emergency demolition (smart form)

To be completed by licensed asbestos removalist at least five calendar days before licensed asbestos removal work commences.

Form 77 - removal for demolition work