Self-insurers

Application package

Application package to become a self-insurer permit holder.

(101.5 kb, 11 pages)

Application checklist

A checklist to assist in ensuring that the application to become a self insurer has been completed correctly.

(26.0 kb, 1 page)

Audit tool Implementation Arrangements

In the interest of national harmonisation the WorkCover Tasmania Board (WorkCover) has agreed to adopt the National Audit Tool (NAT) as part of its Permit Conditions for Self Insurers.

(26.0 kb, 2 pages)

Bank Guarantee

Financial undertaking for self insurers

(41.0 kb, 4 pages)

Bank guarantee - new self-insurers

Method of calculating bank guarantees for new self-insurers with less than 3 years experience as a self-insurer in Tasmania

(29.5 kb, 1 page)

Bank guarantee - 3 years plus

Methodology for determining the quantum of bank guarantee for self-insurer with 3 or more years as a self-insurer in Tasmania

(24.6 kb, 1 page)

Determination

Determination of payment for compensation for industrial deafness.

(67.5 kb, 1 page)

Form D guidelines

Guidelines for the provision of Form D for self-insurers, part A and B

(138.0 kb, 6 pages)

Guide to completing financial indicators

Guide to completing financial indicators, both primary and secondary.

(69.0 kb, 8 pages)

Guidelines for desktop review of financial assessment indicators

The Board requires a desktop assessment to be conducted that assesses the financial information of the self insurer, including the specific information contained in the Financial Indicators and other financial information submitted to the Board.

(65.1 kb, 3 pages)

Independent audit report

Independent audit report. Auditor's report to WorkCover Tasmania

(63.0 kb, 1 page)

injuryMAP

injuryMAP. Injury management assessment program

(943.5 kb, 84 pages)

Instructions deed and power of attorney

Instructions for completing the Deed and Power of Attorney

(31.0 kb, 2 pages)

Irrevocable power of attorney - Deed and schedule

The Deed and schedule for an irrevocable power of attorney - self-insurer

(242.0 kb, 10 pages)

Irrevocable power of attorney - Form

Irrevocable power of attorney for self-insurers

(71.5 kb, 5 pages)

List of self-insurers

List of self-insurers

(21.2 kb, 1 page)

National Audit Tool

In 2005 a multi-jurisdictional working party of regulatory bodies under the Heads of Workers Compensation Authorities was formed to develop an occupational health and safety audit program and a set of audit guidelines that were agreed at a national level.

(672.1 kb, 257 pages)

Permit conditions

Permit conditions for self-insurers. The permit authorises the permit holder to self-insure against liabilities referred to in section 97 of the Act subject to conditions imposed by the Board.

(99.5 kb, 6 pages)

Renewal form

Renewal form for an application for a self-insurer permit

(65.5 kb, 1 page)

Safety map order form

SafetyMAP order form. Order from WorkSafe Victoria

(80.2 kb, 2 pages)

Supplement

Self-insurer supplement. Provides guidance to permit holders, prospective applicants and renewers of existing permits.

(472.0 kb, 45 pages)