Forms and templates
Safety
Operator nomination & registration
| Title | Type | Size | Date |
|---|---|---|---|
| Analysis of operator status form | DOC | 91.96 KB | 02/07/2020 |
| Removal of existing facility operator from operator register form | DOC | 93.18 KB | 07/05/2020 |
| Facility operator nomination form | DOC | 102.67 KB | 06/05/2020 |
Safety case
| Title | Type | Size | Date |
|---|---|---|---|
| Safety case content concordance table | DOC | 106.17 KB | 10/07/2020 |
| Safety case submission cover sheet | DOC | 102.43 KB | 03/07/2020 |
Diving safety management system
| Title | Type | Size | Date |
|---|---|---|---|
| Diving safety management system submission cover sheet | DOC | 98.12 KB | 05/05/2020 |
| Diving safety management system concordance tables | DOC | 103.65 KB | 05/05/2020 |
Diving project plan
| Title | Type | Size | Date |
|---|---|---|---|
| Diving project plan (DPP) concordance table | DOC | 96.96 KB | 05/05/2020 |
Safety zone application
| Title | Type | Size | Date |
|---|---|---|---|
| Application form for entry and presence in a safety zone | DOC | 92.15 KB | 28/04/2020 |
| Application for a safety zone form | DOC | 90.89 KB | 24/04/2020 |
| Application form to revoke a safety zone | DOC | 92.91 KB | 24/04/2020 |
| Application form for a safety zone variation | DOC | 96.61 KB | 24/04/2020 |
| Application form for consent to enter a Petroleum Safety Zone | Others | 114 KB | 15/09/2016 |
Area to be avoided (ATBA) application
| Title | Type | Size | Date |
|---|---|---|---|
| Application form for authorisation to enter the area to be avoided | Others | 106.5 KB | 28/04/2020 |
Health and safety representatives
| Title | Type | Size | Date |
|---|---|---|---|
| Request for NOPSEMA agreement to HSR assistance by consultant form | DOC | 100.75 KB | 29/05/2020 |
| Provisional OHS improvement notice form | Others | 56.5 KB | 06/04/2016 |
Scope of validation for a proposed facility
| Title | Type | Size | Date |
|---|---|---|---|
| Proposed scope of validation submission cover sheet | DOC | 100.76 KB | 05/05/2020 |
Determinations
| Title | Type | Size | Date |
|---|---|---|---|
| Determination - Reporting of accidents and dangerous occurrences - March 2012 | 164.22 KB | 20/03/2012 |
Reporting
| Title | Type | Size | Date |
|---|---|---|---|
| Report of an accident, dangerous occurrence or environmental incident form (FM0831) | DOC | 134.7 KB | 26/11/2021 |
| Deaths and injuries - monthly summary report form | Others | 147.5 KB | 30/10/2020 |
| Monthly environmental incident reports form | DOC | 94.54 KB | 04/05/2020 |
Safety zone infringements
| Title | Type | Size | Date |
|---|---|---|---|
| Report of an alleged safety zone infringement | DOC | 103.97 KB | 10/08/2020 |
Environment
Offshore project proposal
| Title | Type | Size | Date |
|---|---|---|---|
| Offshore project proposal submission cover sheet | 224.88 KB | 13/05/2020 |
Environment plan
| Title | Type | Size | Date |
|---|---|---|---|
| Environment plan summary statement form | DOC | 83.13 KB | 11/09/2020 |
| Environment plan submission cover sheet | DOC | 121.98 KB | 02/06/2020 |
Titleholder report on public comments
| Title | Type | Size | Date |
|---|---|---|---|
| Titleholder report on public comments form | DOC | 84.26 KB | 11/09/2020 |
Financial assurance
| Title | Type | Size | Date |
|---|---|---|---|
| Financial assurance declaration form | 358.01 KB | 12/01/2021 | |
| Financial assurance confirmation form | 392.12 KB | 10/07/2020 |
Start & end of a petroleum activity
| Title | Type | Size | Date |
|---|---|---|---|
| Regulation 29 - Notification of start and end of activity form | DOC | 94.21 KB | 02/06/2020 |
End of operation of an environment plan
| Title | Type | Size | Date |
|---|---|---|---|
| Notification of end of operation of environment plan form | DOC | 88.46 KB | 26/11/2020 |
Incidents
| Title | Type | Size | Date |
|---|---|---|---|
| Report of an accident, dangerous occurrence or environmental incident form (FM0831) | DOC | 134.7 KB | 26/11/2021 |
| Monthly environmental incident reports form | DOC | 94.54 KB | 04/05/2020 |
Well Integrity
Well operations management plan
| Title | Type | Size | Date |
|---|---|---|---|
| Well operations management plan submission cover sheet (VIC Regs) | DOC | 105.67 KB | 14/05/2021 |
| Well operations management plan submission cover sheet | 272.48 KB | 24/03/2021 |
Well activities
| Title | Type | Size | Date |
|---|---|---|---|
| Application to undertake well activities cover sheet | DOC | 104.12 KB | 15/01/2021 |
| Well activities notification cover sheet | DOC | 102.67 KB | 07/08/2020 |
Well abandonment
| Title | Type | Size | Date |
|---|---|---|---|
| End of well abandonment report cover sheet | DOC | 98.62 KB | 07/08/2020 |
Well integrity incidents
| Title | Type | Size | Date |
|---|---|---|---|
| Notification and reporting of well integrity incidents form | DOC | 96.08 KB | 19/05/2020 |