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WORK HEALTH AND SAFETY REGULATION 2011 - REG 87
Application for high risk work licence
87 Application for high risk work licence
(1) An application for a high risk work licence must be made in the way and in
the form approved by the regulator.
(2) The application must include the
following information— (a) the applicant’s name and residential address;
(b) evidence of the applicant’s identity;
(c) evidence of the applicant’s
age;
(d) a photograph of the applicant in the form required by the regulator;
(e) the class of high risk work licence to which the application relates;
(f)
a copy of a certification— (i) that is held by the applicant in relation to
the specified VET course, or each of the specified VET courses, for the high
risk licence applied for; and
(ii) that was issued not more than 60 days
before the application is made;
(g) a declaration that the applicant does not
hold an equivalent licence granted by a corresponding regulator under a
corresponding WHS law;
(h) a declaration as to whether or not the applicant
has any relevant WHS conviction;
(i) details of any relevant WHS conviction
declared under paragraph (h) ;
(j) a declaration as to whether or not the
applicant has entered into an enforceable undertaking under a relevant WHS
law;
(k) details of any enforceable undertaking declared under paragraph (j)
;
(l) if the applicant has previously been refused an equivalent licence
under a relevant WHS law, a declaration giving details of that refusal;
(m)
if the applicant has previously held an equivalent licence under a relevant
WHS law, a declaration— (i) describing any condition imposed on that
licence; and
(ii) stating whether or not that licence had been suspended or
cancelled and, if so, whether or not the applicant had been disqualified from
applying for a similar licence; and
(iii) giving details of any suspension,
cancellation or disqualification;
(n) a declaration that the information
contained in the application is, to the best of the applicant’s knowledge,
true and correct.
(3) The application must be accompanied by the relevant
fee.
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