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Form 29 - superceded by Form 17 - Review of decision

Form 29 is superceded by Form 17.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.

Health and safety checklist for working from home

Checklist to assess WHS risks prior to commencing working from home arrangements

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.

Injured worker authorisation

A form whereby an injured worker authorises the communication of information between their medical provider and employer in relation to their worker's compensation claim.

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).

Group training record

A sample form to use in recording workers' training

Form 74 - Application for authorisation to use, handle or store prohibited or restricted carcinogens (smart form)

For use by a workplace that uses, handles or stores a prohibited or restricted carcinogen and islocated in Queensland. includes a guide to assist in completing your application. Your application will need to be accompanied by documentation of the risk management procedures (identified below) and a statement on how you intend to record and communicate exposure details to your workers.

Statutory appointments and public sector employment currently held

We request candidates for appointment to a government body to complete and sign this form.

EFT Payment Form FM204

Application for EFT for injured workers FM204

EFT Payment Form FM204

Complete this form to get paid (Electronic funds transfer)

Request for surgery FM302

Request for surgery approval - This form is only to be used for claims where WorkCover Queensland is the insurer.

Safety Information for divers and snorkellers

Includes a medical declaration for snorkelling