Referral: Work Health, Safety and Wellbeing training and consulting services Step 1 of 2 - Referrer & Patron Details 0% Referrer's DetailsCompany NameTitle*Name* First Last Street Address* Street Address Address Line 2 City State Post Code Postal Address* Referrer's postal address the same as street address? Street Address Address Line 2 City State Post Code Phone*FaxEmail* Are you paying of for this service?*YesNoDetails of the Person paying for this serviceCompany NameTitleName* First Last Street Address* Street Address Address Line 2 City State Post Code Postal Address* Is postal address the same as street address? Street Address Address Line 2 City State Post Code Phone*FaxEmail* Is this Patron aware of this referral?*YesNo Services RequiredPrivate Training Courses* HSR Refresher OHS Training course (Victoria) Initial 5 day Health & Safety Representatives (HSR) course (NSW WorkCover approved) 1 Day Health and Safety Representative (HSR) Refresher Training course (NSW WorkCover approved) Comcare Initial 5 Day Health & Safety Representatives (HSR) course Comcare 1 Day HSR Refresher Course Return to Work Coordinator Return to Work / Injury Management for Managers and Supervisors Manual Handling Office Ergonomics Bullying & Harassment Managing & Preventing Psychological Injuries Development a mentally healthy workplace Preventative Exercise Building Resilience WHS Incident Investigation WHS Committee Wellbeing Other Please Specify*Note: for Public training please register via this linkConsulting* WHS Gap Analysis / Audits WHS Inspection WHS Risk Assessment WHS Management System / Policy and Procedure review or development Office Ergonomic assessments Manual handling consulting WHS cultural survey Job Dictionary / Task Analysis Onsite Return to Work Onsite WHS Contractor Management WHS and Injury Management Induction Functional Capacity Evaluation (not related to a workers compensation claimant) Other Please Specify*Expected Outcomes and CommentsWhat do you expect from the above servicing?*Additional Comments? Yes (Leave blank if none)Additional Comments*Thank you for your referral. One of our staff will contact you to discuss your request details, including proposed costing.
