Forms : NS Labour and Advanced Education, Health and Safety

Applications

Appeal of A Decision, Order, or Administrative Penalty

All appeals will be directed to the Labour Board. Please go to Labour Board Forms

Compliance Notice - Form 401
-Used to submit a Compliance Notice (in response to an order).

Form 401 PDF (PDF: 315k)
Form 401 MS Word

Complaint of Discriminatory Action - Form 503
-Used to make a discriminatory action complaint to the Occupational Health and Safety Division.
-Note, this form is not to be used for a Discriminatory Action Appeal (the form required for the appeal is found on the Labour Board website).

Form 503 PDF (PDF: 171k)
Form 503 MS Word

Deviation Application - Form 301
-An application to deviate from a regulation as provided in Section 83(1) of the Occupational Health and Safety Act.

Form 301 PDF (PDF: 309k)
Form 301 MS Word

Specialized Blast and Special Case Blast Written Work Procedure Template - Form 1101
-This is a template application for specialized blasting or a special case blast.

Form 1101 pdf (PDF: 147k)
Form 1101 MS Word