Forms
Safety » Safety Resources » Forms
NOPSEMA provides a range of forms which may be used by operators and the workforce.
Operator Nomination
FM0008 Facility Operator Nomination
Revision 11 : MS Word
FM0065 Worksheet for Analysis of Operator Status
Revision 4 : MS Word
FM0080 Pipeline Operator Nomination and Consent Application
Revision 8 : MS Word
FM0617 Removal of Existing Facility Operator from Operator Register
Revision 5 : MS Word
Revision 4 : MS Word
Assessment
FM0880 Proposed Scope of Validation Submission Cover Sheet
Revision 1 : MS Word
FM0787 Early Engagement Safety Case Submission Cover Sheet
Revision 2 : MS Word
FM0268 Safety Case Submission Cover Sheet
Revision 5 : MS Word
FM0628 Safety Case Contents Concordance Table
Revision 3 : MS Word
Inspections and Audits
FM0387 Readiness to Sail Away Checklist
Revision 1 : PDF
FM0709 Notification of Entry
Revision 0 : MS Word
Incident Investigation
FM0831 Report of an Accident or Dangerous Occurrence
Revision 2 : MS Word
FM0207 Hydrocarbon Release Report
Revision 3 : MS Word
FM0194 Provisional Improvement Notice(Com)
: MS Word
Petroleum Safety Zones
FM910 Application for a Petroleum Safety Zone
Revision 0 : MS Word
FM911 Application for entry and presence in a petroleum safety zone
Revision 0 : MS Word
FM912 Application for entry and presence in the area to be avoided
Revision 0 : MS Word
FM942 Application for a Petroleum Safety Zone Renewal
Revision 0 : MS Word
