Forms and templates
Safety
Vessel activity notification
| Title | Type | Size | Date |
|---|---|---|---|
| Notification of vessel becoming or ceasing to be a facility or AOP | DOC | 107.73 KB | 12/06/2025 |
Operator nomination & registration
| Title | Type | Size | Date |
|---|---|---|---|
| Worksheet for analysis of operator status | DOC | 100.78 KB | 12/06/2025 |
| Facility operator nomination form | DOC | 119.58 KB | 12/06/2025 |
| Removal of existing facility operator from operator register form | DOC | 99.46 KB | 29/06/2023 |
Design notification
| Title | Type | Size | Date |
|---|---|---|---|
| Design notification submission cover sheet | DOC | 115.02 KB | 12/06/2025 |
Safety case
| Title | Type | Size | Date |
|---|---|---|---|
| Safety case content concordance table | DOC | 123.45 KB | 17/06/2025 |
| Safety case submission cover sheet | DOC | 113.62 KB | 12/06/2025 |
Diving safety management system
| Title | Type | Size | Date |
|---|---|---|---|
| Diving safety management system submission cover sheet | DOC | 107.72 KB | 12/06/2025 |
| Diving safety management system concordance tables | DOC | 874.69 KB | 12/06/2025 |
Diving project plan
| Title | Type | Size | Date |
|---|---|---|---|
| Diving start-up notice | DOC | 103.99 KB | 12/06/2025 |
| Diving project plan (DPP) concordance table | DOC | 869.05 KB | 12/06/2025 |
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 |
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 |
|---|---|---|---|
| List of HSRs form | DOC | 107.67 KB | 17/06/2025 |
| HSR request – Review of safety management-related documents | DOC | 112.4 KB | 12/06/2025 |
| Provisional OHS improvement notice form | DOC | 65.86 KB | 22/05/2025 |
| Request for NOPSEMA agreement to HSR assistance by consultant form | DOC | 100.75 KB | 29/05/2020 |
Scope of validation for a proposed facility
| Title | Type | Size | Date |
|---|---|---|---|
| Proposed scope of validation submission cover sheet | DOC | 107.95 KB | 28/02/2024 |
Determinations
Reporting
| Title | Type | Size | Date |
|---|---|---|---|
| Report of an accident, dangerous occurrence, well integrity or environmental incident form | DOC | 157.12 KB | 24/06/2025 |
| Monthly operational activities report | DOC | 115.05 KB | 24/06/2025 |
| Report of sexual harassment, bullying or harassment | DOC | 115.58 KB | 12/06/2025 |
| Monthly environmental incident reports form | DOC | 101.95 KB | 12/06/2025 |
| Deaths and injuries - monthly summary report form | 08/09/2023 |
Safety zone infringements
| Title | Type | Size | Date |
|---|---|---|---|
| Report of an alleged safety zone infringement | DOC | 111.54 KB | 07/09/2023 |
Environment
Offshore project proposal
| Title | Type | Size | Date |
|---|---|---|---|
| Offshore project proposal submission cover sheet | DOC | 102.24 KB | 10/01/2024 |
Environment plan
| Title | Type | Size | Date |
|---|---|---|---|
| Environment plan submission cover sheet | DOC | 123.05 KB | 10/01/2024 |
| Environment plan summary statement form | DOC | 85.67 KB | 10/01/2024 |
Titleholder report on public comments
| Title | Type | Size | Date |
|---|---|---|---|
| Titleholder report on public comments form | DOC | 87.01 KB | 10/01/2024 |
Financial assurance
| Title | Type | Size | Date |
|---|---|---|---|
| Financial assurance confirmation form | 1.01 MB | 17/10/2024 | |
| Financial assurance declaration form | 1.42 MB | 10/01/2024 |
Start & end of a petroleum activity
| Title | Type | Size | Date |
|---|---|---|---|
| Regulation 54 - Notification of start or end of an activity form | DOC | 99.16 KB | 10/01/2024 |
End of operation of an environment plan
| Title | Type | Size | Date |
|---|---|---|---|
| Notification of end of operation of environment plan form | DOC | 91.71 KB | 10/01/2024 |
Incidents
| Title | Type | Size | Date |
|---|---|---|---|
| Report of an accident, dangerous occurrence, well integrity or environmental incident form | DOC | 157.12 KB | 24/06/2025 |
| Monthly environmental incident reports form | DOC | 101.95 KB | 12/06/2025 |
Well Integrity
Well operations management plan
| Title | Type | Size | Date |
|---|---|---|---|
| Well operations management plan submission cover sheet - Victorian waters | DOC | 117.5 KB | 30/06/2023 |
| Well operations management plan submission cover sheet (VIC Regs) | DOC | 109.55 KB | 20/10/2022 |
| Well operations management plan submission cover sheet | DOC | 104.34 KB | 10/10/2022 |
Well activities
| Title | Type | Size | Date |
|---|---|---|---|
| Application to undertake well activities cover sheet | DOC | 107.86 KB | 04/07/2023 |
| 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 | 17/11/2023 |
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