Forms
Important: From 1 January 2012, information on this website must be read in conjunction with the Work Health and Safety Act 2011 and the Safety in Recreational Water Activities Act 2011.
Online forms
- Form 3 - Incident notification
- Form 8 - Application for registration of registrable plant
- Form 25 - Application for renewal of registration of registrable plant
- Ask Workplace Health and Safety Queensland a question
- Make a workplace complaint
Downloadable forms
View the portable document format (PDF) files by using Adobe Reader, which can be downloaded free-of-charge from the Adobe website (non-Queensland Government link)
Asbestos
- Guide for asbestos applicants - Asbestos removal and asbestos assessor licence and notifications (PDF, 219 kB)
- Form 65 - Notification of licensed asbestos removal work (PDF, 893 kB)
- Form 66 - Notification of emergency demolition of structure or plant containing asbestos (PDF, 916 kB)
- Form 80 - Application for asbestos removal licence for Class A or Class B (PDF, 126 kB)
- Form 81 - Application for asbestos assessor licence (PDF, 120 kB)
- Form 82 - Change of details application replacement asbestos removal licence (PDF, 81 kB)
- Form 83 - Change of details replacement asbestos assessor licence (PDF, 74 kB)
- Form 84 - Removal of supervisor from asbestos removal licence (PDF, 70 kB)
- Form 85 - Nomination of additional supervisor for asbestos removal licence (PDF, 98 kB)
Demolition
- Form 66 - Notification of emergency demolition of structure or plant containing asbestos (PDF, 916 kB)
- Form 76 - Form guide - Application for a licence to carry out demolition work (PDF, 736 kB)
- Form 77 - Removal of supervisor from licence to carry out demolition work (PDF, 323 kB)
- Form 78 - Change of details/replacement licence for demolition work (PDF, 518 kB)
- Form 79 - Nomination of additional supervisor for demolition work licence (PDF, 370 kB)
Diving
- Diving - Swedish (PDF, 2.1 MB)
- Diving - Vietnamese (PDF, 2.5 MB)
- Diving risk management process (PDF, 74 kB)
- Diving written record of count on board vessel (PDF, 172 kB)
- Dive safety log (PDF, 74 kB)
- Form 26 - Medical declaration for resort diving (PDF, 425 kB)
- Medical declaration for recreational snorkellers (PDF, 81 kB)
- Risk assessment - certificated divers (PDF, 25 kB)
Entry permit holder
- Form 63 - Notice of entry (PDF, 180 kB)
Health and safety representative
- Guide for applicants - How to become an approved provider of health safety representative training (PDF, 127 kB)
- Form 44 - Provisional improvement notice (PIN) (PDF, 202 kB)
- Form 68 - Notification of health and safety representative/s (HSR) in a workplace (PDF, 195 kB)
- Form 87 - Application for Registered Training Organisations (RTOs) for approval to deliver health and safety representative (HSR) training in Queensland (PDF, 50 kB)
High risk work
- Form 59 - Form guide - holders of expired certificates issued before 01 March 1992 (PDF, 504 kB)
- Form 75 - Change of details/replacement licence to perform high risk work (LHRW) (PDF, 813 kB)
Plant and plant design registration
Swing stage
- SS 01 Principal contractor or building owner swing stage statement (PDF, 48 kB)
- SS 02 Competent person benchmarks for swing-stage set-up verification (PDF, 68 kB)
- SS 03 Swing stage suspension system verification statement (PDF, 60 kB)
- SS 04 Swing-stage load test procedure (PDF, 77 kB)
Other forms
- Form 17 - Application for review of decision (PDF, 144 kB)
- Form 23 - Notification of a lead-risk job (PDF, 72 kB)
- Form 27 - Summary of health surveillance reports (PDF, 88 kB)
- Form 28 - Health surveillance reports (PDF, 72 kB)
- Form 69 - Notification of a facility exceeding 10% of schedule 15 threshold (PDF, 577 kB)
- Form 70 - Notification of a hazardous chemicals pipeline (PDF, 549 kB)
- Form 71 - Request for regulator to commence a prosecution (PDF, 469 kB)
- Form 72 - Notification of an abandoned tank (PDF, 409 kB)
- Form 73 - Notification of a manifest quantity workplace (MQW) (PDF, 648 kB)
- Form 74 - Application for authorisation to use, handle or store prohibited or restricted carcinogens (PDF, 562 kB)
- Form 86 - Lead health monitoring report (PDF, 557 kB)
- Workplace assessment criteria (PDF, 144 kB)
Other languages