Apply for Compliance Certificate

To make sure we have all the required details to enable us to issue a certificate for your site please complete the Application form below.

Get started

Please fill in the Application Form below to apply for a Certificate. Any issues our number is (03) 477 5996.

Apply for a Compliance Certificate

Send us your details via the form below below – If you prefer you can download a PDF of this form here and email it to us by clicking Email Paperwork.

Any questions or if unsure what to answer please give us a call.

"*" indicates required fields

Company Info

Legal Entity Name*

NZBN / Company Number*

Business Trading /Trading As name

Business phone number*

Name of PCBU/Owner*

First Last

Address Info

Site/Location Address*

Street Address Address Line 2 City Region Postcode Country

Postal/Accounts Address (if different to site address)

Street Address Address Line 2 City Region Postcode Country

People Info

Site Contact Name (if different)

First Last

Site Contact Phone (if different)

Site Contact Email (if different)

Accounts contact name*

First Last

Accounts email address*

Substance Info

Is this a new Hazardous Substance Location?*

Yes

Site must be notified 5 days prior to commissioning for LPG and 30 days prior to commissioning for everything else. Link to notification form below.

Click here for the WorkSafe Notification Form

Has a "Notification of Commissioning of Hazardous Substance Location or Transit Depot" been filed with WorkSafe?*

Yes

Please upload below or send a copy of the Notification Document or the email receipt from WorkSafe. If currently certified a copy of the Compliance Certificate or a copy of the Hazardous Substance Location Notification document.

HSL Notification or Current Certificate

Max. file size: 128 MB.

If LPG size and number of cylinders

LPG/Gas Supplier (if known)

Other LPG Supplier

Other Substances onsite (Class, Name and Quantity)

If not LPG please identify the substances you hold at site - Petrol, Diesel, Paints, Solvents, etc. You can add more fields by clicking the "+" button. If more than 3 substances a full inventory will need to be completed. We need some idea of what you hold at site so we can provide feedback. The best thing to do is send an inventory.

Upload your Inventory

Max. file size: 128 MB.

If you hold more than just LPG only, it is easier to send us an inventory. An inventory is required for certification. It doesn't have to be 100% correct at this stage - just enough to give us an idea of what is at site.

Name of Authorised Person*

First Last

Date*

List

This field is for validation purposes and should be left unchanged.