Forms
This page contains forms related to WHS legislation and WHS (Mines and Petroleum Sites) legislation.
Work Health and Safety legislation
See below for forms relating to the Work Health and Safety Act 2011 and the Work Health and Safety Regulation 2017.
- Request to commence a prosecution
- Notification of lead risk work fillable (DOCX, 108.58 KB)
- Application to use a carcinogen at a mine or petroleum site (DOCX, 94.5 KB)
- Notification of adverse health monitoring reports - available via the NSW Resources Regulator portal
- Notification of a worker removed from lead risk work (DOCX, 77.9 KB)
- Application for internal review for certain WHS decisions (DOCX, 83.95 KB)
- Request a review of a provisional improvement notice (PIN) (DOCX, 95.11 KB)
Work Health and Safety (Mines and Petroleum Sites) legislation
See below for forms relating to the Work Health and Safety (Mines and Petroleum Sites) Act 2013 and Work Health and Safety (Mines and Petroleum Sites) Regulation 2022.
- Appointment and notification of operator of a mine or petroleum site (DOCX, 81.96 KB)
- Change of contact details of operator (DOCX, 64.92 KB)
- Notification of other matters (including reportable events) (DOCX, 99.48 KB)
- Application for exemption interactive
- Request for survey plans (DOCX, 69.42 KB)
- Providing subsidence monitoring data (DOCX, 66.74 KB)