Forms

Environmental management 


Offshore project proposal 

Offshore project proposal submission cover sheet (DOCX 94KB)

Environment plan 

Environment plan submission cover sheet (DOCX 108KB)

Environment plan summary statement form (DOCX 91KB)

Titleholder report on public comments

Titleholder report on public comments form (DOCX 102KB)

Financial assurance 

Financial assurance confirmation form (PDF 236KB)

Financial assurance declaration form (PDF 304KB)

Start & end of a petroleum activity

Regulation 29 - Notification of start and end of activity form (DOCX 94KB)

End of operation of an environment plan 

Notification of end of operation of environment plan form (DOCX 94KB)

Safety & integrity


Operator nomination & registration

Facility operator nomination form (DOCX 103KB)

Analysis of operator status form (DOCX 92KB) 

Removal of existing facility operator from operator register form (DOCX 93KB)

Safety case

Safety case submission cover sheet (DOCX 102KB)

Safety case content concordance table (DOC 241KB)

Well operations management plan

Well operations management plan submission cover sheet (DOCX 97KB)

Well activities 

Application to undertake well activities cover sheet (DOCX 98KB)

Well activities notification cover sheet (DOCX 210KB)

Well abandonment 

End of well abandonment report cover sheet (DOCX 199KB)

Diving safety management system

Diving safety management system submission cover sheet (DOCX 98KB)

Diving safety management system concordance tables (DOCX 104KB)

Diving project plan

Diving project plan (DPP) concordance table (DOCX 97KB)

Safety zone application

Application for a safety zone form (DOCX 91KB)

Application form for consent to enter a Petroleum Safety Zone (DOC 114KB)

Application form for a safety zone variation (DOCX 97KB)

Application form to revoke a safety zone (DOCX 93KB)

Application form for entry and presence in a safety zone (DOCX 92KB)

Area to be avoided (ATBA) application

Application form for authorisation to enter the area to be avoided (DOC 107KB)

Health and safety representatives

Provisional OHS improvement notice form (DOC 57KB)

Request for NOPSEMA agreement to HSR assistance by consultant form (DOCX 101KB)

Scope of validation for a proposed facility 

Proposed scope of validation submission cover sheet (DOCX 101KB)

Reporting of safety, well integrity or environmental incidents


Accidents, dangerous occurrences & environmental incidents

Report of an accident, dangerous occurrence or environmental incident form (DOCX 127KB)

Deaths and injuries - monthly summary report form (DOC 148KB)

Monthly environmental incident reports form (DOCX 95KB)

Well integrity incidents 

Notification and reporting of well integrity incidents forms (DOCX 96KB)

Safety zone infringements 

Report of an alleged safety zone infringement (DOCX 100KB)