Proof of identity
If you are seeking access to any personal information (including your own), you will need to provide proof of identity or authorisation from the person to which the personal information belongs. Please attach documentation to your application.
Please attach authorisation from the other party, allowing SafeWork NSW to release their personal and/or health and/or business information to you, as their nominated representative.
Information requested
If you are requesting information about a SafeWork NSW investigation or a workplace incident, please provide the following information:
Consultation with third parties
We may need to consult with third parties before deciding on your application. Please indicate in the boxes below whether you consent to the release of the following information to any third parties. This information will assist any third parties to understand why you are seeking the information.
Disclosure log
If the information you have requested is released to you and would be of interest to other members of the public, details about your application may be recorded in the agency's disclosure log. This is published on the agency's website. No personal information will be published on the disclosure log.
Processing charges
You may be asked to pay processing charges of $30.00 an hour for the time required to complete your application. If required, you will be advised in writing. Some applicants may be entitled to a 50% reduction of processing charges on the grounds of personal financial hardship, or if the information sought is of special interest to the general public.
Note: The discount does not apply to the $30.00 application fee that is required to be provided upon completion of this form.
Privacy Collection Notice
View the SafeWork NSW GIPA Application Form Privacy Collection Notice.