Forms
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Showing 13-24 of 40 results with 2 filters
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Form 23 - Removal of worker from 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.
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FM106 Claim Form
Use this form to make a claim with WorkCover Queensland or your self-insurer for a work-related illness or injury.
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Form 88 - Application for appointment/renewal - accredited provider for workplace health and safety auditor (self-insurance)
Form starts on page five. This application is for individuals wishing to become an accredited workplace health and safety (WHS) auditor (self - insurance) or to renew their accreditation. Includes guide to completing the form (8 pages total).
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Form 542.3 Application for a claim review
Form 542.3 Application for a claim review. Use this form to request a free review by WCRS of a decision by your insurer. This form includes a guidlines to help you complete it..
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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.
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Application for a premium/policy review
Applying for a premium/policy review
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Appendix 6 – Example combined dive site lookout and supervision for
Example template for combined dive site, lookout and supervision risk assessments.
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Form 44 - Provisional Improvement Notice (PINs)
Provisional Improvement Notice (PIN) form used at the workplace by the Workplace Health and Safety Representative.
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Form 578 Application for a major hazard facility licence
Application for a major hazard facility licence
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Form 275 Notice of claim for damages
A twelve page form, last updated 2018
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Appendix 5 – Example risk assessment to determine lookouts and supervision form
Example template for combined dive site, lookout and supervision risk assessments.
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Form 71 - Request for Work Health and Safety Prosecutor (WHSP) to commence a prosecution
Request the Work Health and Safety Prosecutor to bring a prosecution under section 231 of the Work Health and Safety Act 2011 (including in relation to the Safety in Recreational Water Activities Act 2011) or section 186A of the Electrical Safety Act 2002.