Notifications & forms
Included in this section is a range of forms for you to fill out and return to WorkSafe.
WorkSafe must be notified when certain work-related events occur. Here we explain what types of event are notifiable and what you must do if a notifiable event occurs.
If you have a concern about an unsafe or unhealthy work situation that could lead to a death or very serious injury or illness, then you can contact us with your concern.
Provide 24 hours notice of work that is particularly hazardous.
Notify WorkSafe New Zealand of your adventure activity operations.
Forms (applications, certificates and notices) related to amusement devices.
Here you can download forms to register exposure to asbestos, apply for an asbestos removal licence, amend supervisor details on an existing licence, or to apply for a review of a reviewable decision.
Use these forms to notify WorkSafe about an electricity or gas accident, and for reporting an unsafe electricity or gas installation.
Notify WorkSafe NZ of a health problem that may have been caused by work.
Forms and notifications related to occupational diving.
Application and notification forms for safety case assessments, well operations, and safety case concordance
Application forms for Certificates of Competence under the Health and Safety at Work (Mining Operations and Quarrying Operations) Regulations 2016
Any business where workers are carrying out work for which health monitoring is required must complete a health monitoring report and send it to WorkSafe. This health monitoring report template has been developed for use by Work-related health (occupational) practitioners.
This section provides information and application forms for HSNO certification, qualifications and licensing of people, places and equipment.
Find information here on how to register activities with WorkSafe NZ or related training institutions.
Submit your interest in knowing whether a particular matter has been, is, or is to be subject to the taking of an enforcement action by a health and safety inspector.
Health and Safety Representatives (HSRs) may issue a Provisional Improvement Notice (PIN) if they believe that a person is breaking the law, or likely to break the law, a provision of HSWA, or the Regulations. A PIN may be issued to any person, including the business that the HSR works for, a worker or another business.
A business may request that WorkSafe assist with removing an HSR, but for the regulator to remove an HSR there must be evidence that the HSR has not performed or exercised their functions or powers satisfactorily.
Where attempts have been made and have failed to resolve a work health and safety issue, the PCBU, HSR, or worker can request WorkSafe to appoint an inspector to assist with the resolution of the issue.
If a business is issued with a PIN and disagrees with it, it can within seven days, request WorkSafe to review the PIN by completing the Request a Review of a Provisional Improvement Notice (PIN) form.
Where attempts have been made and have failed to resolve a cessation of work issue, the business, HSR or worker can request WorkSafe's assistance.
Under Part 4, Health and Safety at Work Act 2015