Forms

Form 44 - Provisional Improvement Notice (PINs)

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

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.

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).

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..

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.

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.

Application for a premium/policy review

Applying for a premium/policy review

Health and safety checklist for working from home

Checklist to assess WHS risks for working from home arrangements.

Form 578 Application for a major hazard facility licence

Application for a major hazard facility licence

Form 275 Notice of claim for damages

A twelve page form, last updated 2018

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.