Employers, principals and the self-employed must:

1. Notify the Department of Labour by phone (0800 20 90 20), by email (SeriousHarm.Notification@dol.govt.nz), or by fax (find your nearest regional Department of Labour Office) as soon as possible of occurrences of accidents or serious harm; and
2. Provide The Department written notice (using the form below, or providing the same details) of the circumstances within 7 days.  This notification can be made via email (SeriousHarm.Notification@dol.govt.nz), or via fax or post to the nearest regional Department of Labour Office.

Please note: If you require immediate assistance at the scene of a workplace incident, please call 0800 20 90 20.

Email notifications may not be responded to until the next business day.

Form of register or notification of circumstances of Accident or Serious Harm

The form is available as a pdf file [size: 42KB ] or word document [size: 74KB ]