What it contains

Under occupational health and safety, dangerous goods and equipment (public safety) laws, an employer or employee can request that WorkSafe review an inspector’s decision. This document is form for applicants to request a review. Applicants can use the form to explain:

  • under which act they would like they decision reviewed
  • how they need an extension of time for an improvement notice
  • why they want a decision changed

Important: Please download this PDF to your computer. You can fill it in using Adobe Reader but it will not save if you attempt to fill it in using your web browser.