Template

CFMEUQ PIN - Public Protection

by CFMEU Q/NT, from the Community

20+

This CFMEUQ Provisional Improvement Notice (PIN) template supports health and safety representatives in managing public protection issues under the Work Health and Safety Act 2011. It provides structured fields to identify the duty holder, outline the alleged contravention, record consultation, set a compliance date, and capture signatures. The page also includes guidance on when and how a PIN may be issued, delivery methods, required consultation, review and dispute processes, and responsibilities for displaying and complying with the notice.

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
CFMEUQ PIN - Consultation
This CFMEUQ PIN Consultation template helps Health and Safety Representatives in Queensland issue a Provisional Improvement Notice when consultation duties under the WHS Act 2011 are contravened. It includes sections for HSR and duty holder details, consultation confirmation, description of the contravention, and compliance dates. Guidance explains delivery methods, training requirements, display and dispute procedures, minimum compliance timeframes, and penalties for non-compliance. Ideal for construction workplaces aiming to document and remedy consultation breaches in line with QLD WHS requirements.
by CFMEU Q/NT, from the Community
Downloads: 20+
Get
Template
CFMEUQ PIN - Housekeeping
This CFMEUQ PIN - Housekeeping template is a provisional improvement notice aligned to the Queensland Work Health and Safety Act 2011. It helps health and safety representatives document a housekeeping contravention, identify the duty holder, record consultation, and set a compliance date. The form captures HSR and recipient details, location, description of the breach, and optional remedial measures. It also summarises legal obligations, including display requirements, dispute and inspector review processes, timeframes, and penalties for non‑compliance. Use it to formalise housekeeping issues on construction sites and prompt timely corrective action.
by CFMEU Q/NT, from the Community
Downloads: 30+
Get
Template
CFMEUQ PIN - Falling Objects WHS Notice
This CFMEUQ provisional improvement notice template helps health and safety representatives address falling object hazards on site. Built to align with the Work Health and Safety Act, it guides users to record details of the contravention, identify the duty holder, document consultation, and set a compliance date. Use it to formalize required actions, display the notice at the affected workplace, and support review or escalation where needed.
by CFMEU Q/NT, from the Community
Downloads: 30+
Get
Template
CFMEUQ Provisional Improvement Notice - Amenities
This template provides a CFMEUQ Provisional Improvement Notice (PIN) focused on amenities under the Queensland Work Health and Safety Act 2011. It is designed for health and safety representatives to document an alleged contravention, consult with the duty holder, and set a compliance due date (minimum eight days). The form captures HSR details, the duty holder’s information, description of the breach, and optional remedial measures. It outlines how to serve the PIN, display requirements at the workplace, and the process for review by a regulator if disputed. Intended for construction sites, it helps standardize documentation and drive timely WHS compliance regarding site amenities.
by CFMEU Q/NT, from the Community
Downloads: 30+
Get

CFMEUQ PIN - Consultation

This CFMEUQ PIN Consultation template helps Health and Safety Representatives in Queensland issue a Provisional Improvement Notice when consultation duties under the WHS Act 2011 are contravened. It includes sections for HSR and duty holder details, consultation confirmation, description of the contravention, and compliance dates. Guidance explains delivery methods, training requirements, display and dispute procedures, minimum compliance timeframes, and penalties for non-compliance. Ideal for construction workplaces aiming to document and remedy consultation breaches in line with QLD WHS requirements.

by CFMEU Q/NT, from the Community

20+

Get

Template

CFMEUQ PIN - Housekeeping

This CFMEUQ PIN - Housekeeping template is a provisional improvement notice aligned to the Queensland Work Health and Safety Act 2011. It helps health and safety representatives document a housekeeping contravention, identify the duty holder, record consultation, and set a compliance date. The form captures HSR and recipient details, location, description of the breach, and optional remedial measures. It also summarises legal obligations, including display requirements, dispute and inspector review processes, timeframes, and penalties for non‑compliance. Use it to formalise housekeeping issues on construction sites and prompt timely corrective action.

by CFMEU Q/NT, from the Community

30+

Get

Template

CFMEUQ PIN - Falling Objects WHS Notice

This CFMEUQ provisional improvement notice template helps health and safety representatives address falling object hazards on site. Built to align with the Work Health and Safety Act, it guides users to record details of the contravention, identify the duty holder, document consultation, and set a compliance date. Use it to formalize required actions, display the notice at the affected workplace, and support review or escalation where needed.

by CFMEU Q/NT, from the Community

30+

Get

Template

CFMEUQ Provisional Improvement Notice - Amenities

This template provides a CFMEUQ Provisional Improvement Notice (PIN) focused on amenities under the Queensland Work Health and Safety Act 2011. It is designed for health and safety representatives to document an alleged contravention, consult with the duty holder, and set a compliance due date (minimum eight days). The form captures HSR details, the duty holder’s information, description of the breach, and optional remedial measures. It outlines how to serve the PIN, display requirements at the workplace, and the process for review by a regulator if disputed. Intended for construction sites, it helps standardize documentation and drive timely WHS compliance regarding site amenities.

by CFMEU Q/NT, from the Community

30+

Get

CFMEUQ PIN - Public Protection

About author

You might also like

CFMEUQ PIN - Consultation

CFMEUQ PIN - Housekeeping

CFMEUQ PIN - Falling Objects WHS Notice

CFMEUQ Provisional Improvement Notice - Amenities

You might also like

CFMEUQ PIN - Consultation

CFMEUQ PIN - Housekeeping

CFMEUQ PIN - Falling Objects WHS Notice

CFMEUQ Provisional Improvement Notice - Amenities