Alert: Notifications at reduced capacity during COVID-19 restrictions

We are operating at reduced capacity due to the COVID 19 alert level four requirements.

Please only call our 0800 number if someone is at serious risk of harm or has been seriously injured, become seriously ill, or died as a result of work.

For other notifications please complete our online forms at Notify WorkSafe.

These complaint forms have been provided for workers to report bullying or other upsetting behaviour to their businesses. The assessment form can assess how well your business prevents and responds to bullying.

Bullying: Formal complaint form

This form can be used to lay a formal complaint of bullying.

This has been provied in three formats. A Microsoft Word template, a Word template that can be edited, and as a PDF.

PDF
Bullying: formal complaint form for workers to give to PCBUs (PDF 29 KB)
DOCX
Bullying formal complaint form for workers to give to PCBUs (editable) (DOCX 50 KB)
DOCX
Bullying: formal complaint form for workers to give to PCBUs (DOCX 50 KB)

Bullying: Informal complaint form

This form can be used to informally report bullying or other upsetting behaviour.

This has been provied in three formats. A Microsoft Word template, a Word template that can be edited, and as a PDF.

PDF
Bullying: informal complaint form for workers to give to PCBUs (PDF 25 KB)
DOCX
Bullying: informal complaint form for workers to give to PCBUs (editable) (DOCX 49 KB)
DOCX
Bullying: informal complaint form for workers to give to PCBUs (DOCX 49 KB)

Bullying: Workplace assessment form

This assessment form was developed by the New South Wales Government WorkCover and amended for New Zealand use. It can be used to assess how well your business prevents and responds to bullying at work.

PDF
Bullying: Workplace assessment form (PDF 109 KB)