Tel: 1300 307 877
24 hour serious incident and fatality reporting line
Freecall: 1800 678 198
Mason Bird Building
303 Sevenoaks St
Cannington WA 6107
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This form is to be used to apply for a review of decisions under the Work Health and Safety Act 2020, Work Health and Safety (General) Regulations 2022, Work Health and Safety (Mining) Regulation 2022 and the Work Health and Safety (Petroleum and Geothermal Energy Operations) Regulations 2022 in relation to matters for the performance of a function at a general workplace, mine or petroleum site.
If you are seeking a review by the WorkSafe Western Australia Commissioner of an improvement notice issued under the Occupational Safety and Health legislation you are required to submit your request using the reference of improvement notice for review form.
For mine sites (SRS users), a review of an improvement notice or a prohibition notice should be requested using SRS.