Healthy,
safe and
productive lives
and enterprises
safe and
productive lives
and enterprises
Forms
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| Industry Sector/Category | Form | Download |
|---|---|---|
| Asbestos | Notification form to be used for any work involving asbestos | (doc,53KB) |
| Biological Agents | Form of Notification for First Time Use of a Group 2/3 or 4 Biological Agent | |
| COMAH Notifiable Incident | Notifiable 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) |
| Construction | Approved 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 Occurrences | Dangerous occurrences should be reported using the Authority’s online reporting system. | |
| Lifting Equipment |
Form GA1 - Report of Thorough Examination |
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Form GA2 - Report of Weekly Examination |
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| Work at Height | Form GA3 - Inspection of Work Equipment for Working at Height | (pdf, 369KB) |
| Diving | Diving 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 |
| Quarries | Notification Form | (pdf) 17.1 KB) |