Healthy,
safe and
productive lives
and enterprises

Forms

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Industry Sector/CategoryFormDownload
AsbestosNotification form to be used for any work involving asbestos(doc,53KB)
Biological AgentsForm of Notification for First Time Use of a Group 2/3 or 4 Biological Agent 
COMAH Notifiable IncidentNotifiable incidents can be reported in two ways, namely by hard copy i.e. completing the Form of Notification of a Notifiable Incident and posting it to the HSA Contact Centre, Health and Safety Authority, Metropolitan Building, James Joyce Street, Dublin
1 or by Reporting Online 		(pdf, 79KB)
ConstructionApproved Form (AF 1) - Particulars to be notified by the Client to the HSA before the design process begins(pdf, 29KB)
 Approved Form (AF 2) - Particulars to be notified by Project Supervisor for the Construction Stage to the Health and Safety Authority before the construction work begins Report AF2 online
 Approved Form (AF3) - Thorough Examination of: (a) Excavations, Shafts, Earthworks, Underground Works or Tunnels; (b) Cofferdams or Caissons(pdf,520KB)
 Approved Form (AF4) - Results of Inspection & Thorough Examination of Personal Flotation Devices(pdf, 555KB)
Dangerous OccurrencesDangerous occurrences should be reported using the Authority’s online reporting system.
Lifting Equipment

Form GA1 - Report of Thorough Examination

(pdf, 120KB)

 

Form GA2 - Report of Weekly Examination

(pdf, 140KB)

Work at HeightForm GA3 - Inspection of Work Equipment for Working at Height(pdf, 369KB)
DivingDiving Notification(pdf, 45KB)
Report an Accident (IR1)Accidents can be reported to the Health and Safety Authority in two ways, namely by hard copy, i.e. completing the Incident Report Form (IR1) and posting it to the HSA Contact Centre, Health and Safety Authority, The Metropolitan Building , James Joyce Street, Dublin 1, or reporting online, via the Health and Safety Authority's website.IR1 online
QuarriesNotification Form(pdf) 17.1 KB)