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Suitable duties program
For employers to complete. This two-page template creates a four week return to work plan.
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Form 23 - Amended notification of 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.
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Appendix 1 – Example records for a count of persons form
Use this template to record head counts of persons.
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Form 578 Application for a major hazard facility licence
Application for a major hazard facility licence
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Health and safety checklist for working from home
Checklist to assess WHS risks for working from home arrangements.
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Form 86 Lead health monitoring report
A form completed before lead risk work to monitor health for each worker.
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Claim form - asbestos injury
Form 202 , October 2019
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Partial incapacity form
Form 105 - for employers to complete
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Queensland Workers Memorial Honour Roll application and eligibility criteria
Queensland Workers Memorial Honour Roll application and eligibility criteria.
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Form 65 - Notification of licensed asbestos removal work, demolition work or emergency demolition
To be completed by licensed asbestos removalist at least five calendar days before licensed asbestos removal work commences.
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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.
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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.