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Commom Law - Form A

Oct 11, 2006

This form must be completed for a determination of serious injury to be undertaken by WorkSafe Victoria

This form must be completed for a determination of serious injury to be undertaken by WorkSafe Victoria|Information about commom law - form a. 

Home > Forms & Publications > Common Law - Form A

Choice of Super Fund Form

Jul 8, 2014

This document should be used to request orthotic services/devices for a worker

This document should be used to request orthotic services/devices for a worker|Information about choice of super fund form. 

Home > Forms & Publications >Orthotic Device Request Form

Application For Exemption

Oct 24, 2007

Application for Exemption - This form is used to apply for an exemption from complying with the Occupational health and Safety Regulations 2007.

Application for Exemption - This form is used to apply for an exemption from complying with the Occupational health and Safety Regulations 2007.|Information about application for exemption. 

Home > Forms & Publications > Application for Exemption

Orthotic Device Request Form

Jul 8, 2014

This document should be used to request orthotic services/devices for a worker

This document should be used to request orthotic services/devices for a worker|Information about orthotic device request form. 

Home > Forms & Publications >Orthotic Device Request Form

Home Modifications Assessment (DOC)

Jan 25, 2014

Home Modifications Assessment(DOC)-This form is to be used to complete Home Modifications Assessments for Injured Workers who require home modifications as a result of their workplace injuries.

Home Modifications Assessment(DOC)-This form is to be used to complete Home Modifications Assessments for Injured Workers who require home modifications as a result of their workplace injuries.|Information about home modifications assessment

Home > Forms & Publications >Home Modifications Assessment(DOC)

Elective Surgery Discharge Assessment

Jul 8, 2014

This document should be used to request orthotic services/devices for a worker

This document should be used to request orthotic services/devices for a worker|Information about elective surgery discharge assessment. 

Home > Forms & Publications >Orthotic Device Request Form

Planning For Safety - Trade Ready Worksheet

Sep 11, 2009

Planning for Safety - Trade Ready Worksheet - This Planning for Safety - Trade Ready Worksheet will help you check your site is ready for the next trade and that any hazards are fixed.

Planning for Safety - Trade Ready Worksheet - This Planning for Safety - Trade Ready Worksheet will help you check your site is ready for the next trade and that any hazards are fixed.|Information about planning for safety - trade ready

Home > Forms & Publications > Planning for Safety - Trade Ready Worksheet

Internal Review Form

Feb 8, 2010

Internal Review Form - This form should be used to apply for an internal review of a WorkSafe inspector's decision, including a request for an extension of time.

Internal Review Form - This form should be used to apply for an internal review of a WorkSafe inspector's decision, including a request for an extension of time.|Information about internal review form. 

Home > Forms & Publications > Internal Review Form

Application For A WorkSafe Insurance Policy Form

Jun 30, 2011

Application for a WorkSafe Insurance Policy form - This form is used to apply for a WorkSafe Injury Insurance Policy. On completion this form should be sent to one of the five WorkSafe Agents.

Application for a WorkSafe Insurance Policy form - This form is used to apply for a WorkSafe Injury Insurance Policy. On completion this form should be sent to one of the five WorkSafe Agents.|Information about application for a worksafe insurance

Home > Forms & Publications > Application for a WorkSafe Insurance Policy form

Lead - Report Of Medical Examination

Jul 9, 2007

Lead - Report of Medical Examination - This form should be used to notify WorkSafe of the results of a medical examination under the Occupational Health and Safety Regulations 2007.

Lead - Report of Medical Examination - This form should be used to notify WorkSafe of the results of a medical examination under the Occupational Health and Safety Regulations 2007.|Information about lead - report of medical examination. 

Home > Forms & Publications > Lead - Report of Medical Examination
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