Applications

Forms : NS Labour and Advanced Education, Health and Safety

Appeal of a decision, order or administrative penalty

All appeals will be directed to the Labour Board. Visit Labour Board Forms. 

Compliance Notice – Form 401

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

Form 401 (PDF: 200k)
Form 401 (MS Word)

Reprisal Complaint – Form 503

Used to make a reprisal complaint to the Occupational Health and Safety Division. This form is not to be used for a Reprisal Appeal (the form required for the appeal is found on the Labour Board website).

Form 503 (fillable PDF: 115k)

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: 192k)
Form 301 (MS Word)

Code of Practice Application

An employer can apply to the Director for a code of practice under certain Regulations. Contact the Safety Branch for assistance at 1-800-952-2687.

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: 229k)
Form 1101 (MS Word)