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Form 17 - Application for internal review of decision
Complete this form to apply for an internal review of 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.
PDF 278.16 kB 25 October 2021 -
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 -
Form 79.1 - Application for renewal single employer self insurance licence
Application for renewal - single employer self-insurance licence
PDF 703.92 kB 28 August 2020 -
Form 15 - Change of details or replacement card for an electrical work licence
Change of details or replacement card for an electrical work licence
PDF 136.24 kB 15 April 2021 -
Form 132A: Application for assessment of permanent impairment
Form to be completed by a worker to request a permanent impairment assessment.
PDF 179.06 kB 28 August 2020 -
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.
PDF 2.5 MB 13 April 2021 -
Form 79.2 Application for renewal - group employer self-insurance licence
Application for renewal - group employer self-insurance licence
PDF 674.68 kB 28 August 2020 -
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 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..
PDF 213.13 kB 28 August 2020 -
Form 1990.182D Application for damages certificate
Includes information on eligibility
PDF 1.1 MB 28 August 2020 -
Application for a premium/policy review
Applying for a premium/policy review
PDF 188.6 kB 28 August 2020 -
Form 578 Application for a major hazard facility licence
Application for a major hazard facility licence
PDF 212.38 kB 24 February 2022