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.

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

Name of PCBU/Owner*

Address Info

Site/Location Address*
Postal/Accounts Address (if different to site address)

People Info

Site Contact Name (if different)
Accounts contact name*

Substance Info

Is this a new Hazardous Substance Location?*
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.
Has a "Notification of Commissioning of Hazardous Substance Location or Transit Depot" been filed with WorkSafe?*
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.
Max. file size: 128 MB.
Other Substances onsite (Class, Name and Quantity)
If more than 2 substances a full inventory will need to be completed.
Name of Authorised Person*
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.