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  • Form 29 - superceded by Form 17 - Review of decision

    Form 29 is superceded by Form 17.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.

  • Suitable duties program

    For employers to complete - Form 104.This two-page template creates a four week return to work plan.

  • Group training record

    A sample form to use in recording workers' training

  • 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 31 suitable duties program

    A workplace suitable duties agreement form.

  • Partial incapacity form

    Form 105 - for employers to complete

  • Form 71 - Notice of appeal magistrates court

    Template for use in generating a notice of appeal

  • Worker determination form

    This form is for use by policy holder/employer.

  • Appointment to government body Personal particulars form – Candidates

    Candidates for appointment to a government body are requested to complete and sign this form. The information is sought to assist in assessing a candidate’s suitability for nomination/appointment.

  • Form 103 - Administrative release form

    Employers use this one page form to request information to assist with the rehabilitation and return to work of an injured worker, or request information relating to the review of a decision.

  • 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 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.