Application information

This form is used by the person conducting a business or undertaking (PCBU) at a workplace to notify Workplace Health and Safety Queensland when:

• Hazardous chemicals are used, handled or stored at the workplace in quantities that exceed manifest quantities, as specified in column 5 of table 11.1 of Schedule 11 of the WHS Regulation.
• There will be a significant change to a current notification record in the risk of using, handling or storing the Schedule 11 hazardous chemicals. A significant change includes: a change to the quantity, location or manner of storage of chemicals, or when the affected chemicals are of a quantity greater than the placard quantity for that chemical or group of chemicals.
• A new owner and/or PCBU has taken control of a site.
• Requesting a closure of record or when hazardous chemicals no longer exceed manifest quantities, as specified in column 5 of table 11.1 of Schedule 11 of the WHS Regulation, or cease to be used, handled or stored at the workplace.

Before you start:

To support an accurate and compliant notification, you need:

• a copy of the manufacturer/importer Safety Data Sheet (SDS) to source information on GHS hazard class and categories (section 2), and where applicable, information on Proper Shipping Name, UN number, and Packing Group (section 14), and CAS Number/s (section 3).
• storage container details including their ID codes, capacities, and types which may be available from your manifest and hazardous chemicals register.
• a current copy of the manifest (an electronic version must be uploaded as part of the notification).
• a current copy of the hazardous chemicals register.