This notifies of an issue, or a potential issue, under the Occupational Health and Safety Act 2004 or Occupational Health and Safety Regulations 2017.
Before you start filling out a PIN consider whether you have been validly elected and in-term. Only HSRs that meet the requirement of the OHS Act can issue legally binding PINs. If you are unsure of your DWG, it's possible you only have one for everybody. In that case, just write the name of your workplace.
Here is where you write down the duty holder. Whilst this can be an individual person for most Victorian workers it will be the company that employs them; check your payslip if you are not sure of their legal name! The duty holder can also be another person or business in the workplace, for example, a contractor erecting scaffolding in a manner that is unsafe. Once again, if it is a business, we recommend writing down the business name instead of the name of the contractor.
The address should be the address of the site where the contravention is. Typically, this is the address where you work.
For a PIN to be valid an HSR must first try to consult with the duty holder. If the outcome of that consultation is not successful you can issue a PIN immediately after.
This must be the person to whom you physically serve the PIN. They are the person who receives the form on behalf of the duty holder.
There are a few ways you can issue the PIN. You can email, mail, fax, or physically hand it to them or leave it with someone over 16 years of age at their home or business address.
You need to nominate a specific section of the Act. Common sections you can have a look at and see what suits your situation are:
To view all search results, this course must be completed.