What it contains

This document provides HSRs with a blank PIN form to capture information about occupational health and safety laws being contravened by an individual employer or HSR. Topics to be completed in the form include:

• the name of the HSR completing the form
• who will receive the PIN
• check box that the HSR has consulted the person receiving the PIN before it is issued
• how the PIN will be issued
• details of how OHS laws that have been contravened
• how the HSR believes the contravention can be fixed