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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).
PDF 250.45 kB 28 August 2020 -
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.
PDF 180.08 kB 18 April 2024 -
Group training record
A sample form to use in recording workers' training
DOCX 17.62 kB 28 August 2020 -
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Whiplash disability questionnaire
This questionnaire has been designed to provide information on the impact that your whiplash injury and symptoms have upon your lifestyle.
PDF 87.6 kB 28 August 2020 -
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Form 32 Provider management plan
A form template for the medical provider to submit an injured worker's treatment plan details to the worker's compensation insurer.
PDF 39.93 kB 28 August 2020 -
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.
PDF 161.05 kB 28 August 2020 -
Request for Specialised Program FM303
Request for Specialised Program FM303. This form is to only be used for claims where specialised programs are required at a private hospital.
PDF 118.38 kB 1 November 2021 -
Form 325B - Application for a lung disease examination
An application form for a lung disease confirmation examination under the Worker's Compensation and Rehabilitation Act 2003.
PDF 691.69 kB 28 August 2020