Application for Gas Work Authorisation
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Receipt

Application for Gas Work Authorisation
Resources Safety and Health Queensland
(ABN: 49 809 734 894)
Fields marked with * are required

Tax invoice

Resources Safety and Health Queensland
ABN: 49 809 734 894
Received payment for three-year Gas Work Authorisation.
Received payment for six-year Gas Work Authorisation.
Received payment for a change to a current Gas Work Authorisation.

Submission acknowledgement

Getting started

Application for Gas Work Authorisation
Fields marked with * are required

Information for applicants

You can access full information in the document Queensland Gas Work Licence and Gas Work Authorisation Requirements (PDF).

How to complete this form

Fields marked with * are required. This form can only be submitted online using an internet connection and payment by credit card. Do not print and submit this form by post or email. A partially completed form can be saved and submitted within 5 business days. Keep your tracking code to return to a saved form.

Required documents

For all applicants:
For each individual who will be working under the Authorisation, additional scanned documents will be required to be attached depending on the type of authorisation applied for. The documents include a certified copy of the Statement of Attainment for the units of competency listed in the the Queensland Gas Work Licence and Gas Work Authorisation Requirements (PDF).

You must photocopy any Statements of Attainment and interstate or New Zealand licences, have them certified (signed) by a Justice of the Peace (JP) or CDec, then scan and attach them to this application.

If your documents are not attached and/or certified, your application will not be accepted.
Find a JP.

Applicants applying for a New Authorisation will need to complete a Practical Experience Form for each individual working under the Authorisation.

Applicants applying to change the scope of a current authorisation will need to complete an Experience Log for each individual working under the Authorisation.
Download the Experience Log - Motor Fuel word template (DOC), complete and upload. Download the Experience Log - Industrial Appliances word template (DOC). Download the Experience Log - Servicing word template (DOC).
A full list of Standards can be accessed in Schedule 2 of the Petroleum and Gas (Production and Safety) Regulation 2018.
You are required to have the current version of the relevant Australian Standards depending on the type of authorisation, type of device and type of gas applied for.
Motor Fuel Authorisations:
Fixed and Mobile Workshops AS 2746 - Working Areas for Gas Fuelled Vehicles For automotive engines AS/NZS 2739 - Natural Gas (NG) Fuel Systems for Vehicle Engines AS/NZS 1425 - LP Gas Fuel Systems for Vehicle Engines For forklifts AS/NZS 4982 - Fuel Gas Systems for Forklifts and Industrial Engines For Stationary Gas Reciprocating Engines AS 3814 - Industrial and Commercial Gas-fired Appliances For Marine AS 4732 - LP Gas Fuel Systems for Marine Engines
Industrial Appliances or Servicing Authorisations:
For the System of a Type B Gas Device AS 5601 – Gas Installations (Part 1: General installations) AS 5601 – Gas Installations (Part 2: LP Gas Installations in caravans and boats for non-propulsive purposes. For Stationary Gas Reciprocating Engines AS 3814 - Industrial and Commercial Gas-fired Appliances
For Corporations:
Scanned letter of application signed by the CEO or senior person responsible for providing adequate resources to ensure safety. Download the Letter of Application template.

Assessment process

IMPORTANT INFORMATION: Limits and/or conditions will be determined based on the competencies and experience of all individuals who will be carrying out gas work on the gas system of a gas device (type B) relevant to the authorisation applied for.

We aim to finalise processing of applications within 20 business days. If additional information is required, delays may occur.

NOTE: You will be able to continue gas work where a reapplication is received before the expiry date.

Fees update here - hidden

Fee information

You can pay online using Visa or MasterCard.

Total for three-year authorisation: Total for Change of Conditions (including an increase in GJ/hour capacity or adding a gas type):
These fees are effective from .

Contact information

Licensing and Authorisation Unit
Phone: 3330 4249
Email: gaslicence@rshq.qld.gov.au

Authorisation type

What type of Gas Work Authorisation are you applying for? *
I wish to

Authorisation number

What is your current authorisation number?
Renewal and Change of Scope applications are only valid if submitted prior to your authorisation expiring.
* Format must be: "A" plus 4 numerals

Term of gas work authorisation

Authorisation period

Your authorisation will be issued for a period of 3 years.

Applicant details

Application for Gas Work Authorisation
Fields marked with * are required

Applicant type

Are you applying as

Corporation details

You will be required to provide a copy of the Trust documents showing the relationship of the Incorporated Trustee to the Trust.
The authorisation will be issued in the entity name.
You may choose to include a business or trading name.
If you have not registered your business name but trade under another name enter it here.
File:

Corporation CEO or equivalent

You must complete the template, then scan and attach the letter of application signed by the CEO or senior person responsible for providing adequate resources to ensure safety.
Scanned letter of application signed by the CEO or equivalent
File:
Please enter at least one phone number.
Please enter in the format 0499999999

Please enter in the format 0999999999

A receipt will be sent to this email address after the form has been submitted.

Authorised Representative

If not the CEO or equivalent, the authorised representative is appointed by the CEO to act on the corporation’s behalf regarding this application.
Is the authorised representative the same as the CEO or equivalent?
Please enter at least one phone number.
Please enter in the format 0499999999

Please enter in the format 0999999999

A receipt will be sent to this email address after the form has been submitted.

Information may be sent to this email address for business purposes only.

Individual's details

You will be required to provide a copy of the Trust documents showing the relationship of the Incorporated Trustee to the Trust.
The entity name refers to the name that appears on all official documents or legal papers. The entity name may be different from the business name.
Your business may have registered one or more business names. If you operate under a business or trading name you can enter alternate name(s) here. If your business or trading name is not listed here select ‘other’.
If you have not registered your business name but trade under another name enter it here.
File:

Contact details

Information may be sent to your email address for business purposes only
Please enter at least one phone number.
Please enter in the format 0499999999

Please enter in the format 0999999999

A copy of your application and receipt will be sent to this email address after the form has been submitted.

Have your address details changed

Address

This is the street address and cannot be a post office box.
Is your postal address the same as your address?

Postal address

Authorisation details

Application for Gas Work Authorisation
Fields marked with * are required

Are you requesting changes to your previous authorisation?

Gas details

Type of Gas Work

Tick all areas which cover proposed gas work *
Tick all areas which cover proposed gas work *
The authorised scope of a gas work authorisation (servicing) is repairing, servicing and testing a gas device (type B).
The authorised scope of a gas work authorisation (industrial appliances) is repairing, installing, altering, removing, servicing, testing and certifying.

Type of gas devices

Please tick *

Type of gas

Please tick *
NOTE: If you wish to undertake gas work in relation to Synthetic Natural Gas (SNG) or Hydrogen, please contact the Licence and Authorisation Unit.

Maximum Gas Device Capacity (GJ/Hour)

You will need to demonstrate extensive experience in the Type B gas industry. Please provide details in the Experience section.
You will need to demonstrate extensive experience in the Type B gas industry. Please provide details in the Experience section.
Skills Maintenance Statement *
How will the authorisation holder ensure all persons undertaking gas work remain competent during the period of the authorisation if granted, ie manufacturers' training, attendance at trade functions, familiarisation of relevant Standards etc.

No visability - Workshops and equipment

Please detail all Workshop Address(es) to be covered under this authorisation.
Scanned copy of current calibration certificate
File:
Do you wish to undertake gas work in a fixed workshop?

Fixed workshop address

Do you wish to undertake gas work in a mobile workshop? *
Note: Installing and altering gas work will not be authorised in a mobile workshop.

Mobile workshop

Experience and qualifications

Application for Gas Work Authorisation
Fields marked with * are required

Experience log and qualifications

This section must be completed for every person who will be undertaking the type(s) of gas work relevant to the Gas Work Authorisation, if granted.

Person

Required documents

Note: If the copy of the document is not certified by a JP, the application will not be accepted.
Find a JP.
Statement of Attainment for CPCPGS4023B competency for all staff undertaking Type B gas work or equivalent Type B competency to obtain a previous Type B Licence, as Mutual Recognition does not apply to an authorisation.
Statement of Attainment for CPCPGS4023B competency for all staff undertaking Type B gas work.
CPCPGS4023
File:
Scanned certified copy of the Statement of Attainment for UEPMNT367 and/or UEPMNT368 (depending on scope applied for)
Scanned certified copy of the Statement of Attainment for UEPMNT367 and UEPMNT368
Statement(s) of Attainment
File:
Scanned certified copy of the Statement of Attainment for the relevant gas type competency (AURTTL001 to AURTTL009)
Statement of Attainment
File:
Scanned certified copy of the front and back of any current or expired interstate Type B gas licence (if applicable).
Interstate Type B licence
File:
Copy of Statement of Attainment for relevant marine competencies (if applicable)
Marine Competencies
File:
Scanned certified copy of the Statement of Attainment for the relevant gas type competency (AURTTL001 to AURTTL009)
Statement of Attainment
File:

Experience log

Download the Experience Log, complete and upload.
Experience log
File:

Practical Experience Form

Download the Practical experience form, complete and upload.
Practical Experience Form
File:

Type A licences

Does this person hold a current Type A gas licence issued in Queensland or another Australian jurisdiction?
This person is not eligible to carry out gas work on gas systems.

Gas Motor Fuel licences

Does this person hold a current or expired Gas Motor Fuel licence in another jurisdiction?

Licence details

Photo requirements

Certified copy of the front and back of your current Queensland driver's licence or photo identification card (or equivalent photographic identity card from another state, territory or New Zealand). A digital photograph of yourself that meets the Australian passport requirements. Does not need to be certified.
Requirements:
Plain white/beige background Face forward, mouth closed No sunglasses or hat Full colour photo Photo must be less than 6 months old
Certified photo ID
File:
Passport photo
File:
Certified copy of the interstate licence
File:

Biogas experience

Does this person have experience with Biogas?
This person is not eligible to conduct biogas work.

Suitability

In deciding whether this person is suitable to hold a gas work authorisation, the Chief Inspector may have regard to the following:
Has this person been convicted of an indictable offence?
Has this person been convicted of an offence against the repealed Gas Act 1965 or this Act?
Does this person have any disability or medical condition that could put this person or the public at risk?
Is there any other issue relevant to this person's suitability to hold the gas work authorisation?

Lodgement

Application for Gas Work Authorisation
Fields marked with * are required

Declaration

I declare that:

The information contained in this application is true and correct to the best of my knowledge and belief. I consent to information given under this Act being given to me by an electronic communication, such as by email, under the Electronic Transactions (Queensland) Act 2001.
Signature

Privacy statement

Resources Safety and Health Queensland collects personal information from you, including information about your name, address, email address, telephone number, date of birth, qualifications, experience and other information.

We collect this information to for the purpose of administering and regulating safety in the petroleum and fuel gas industry in Queensland.

The Petroleum and Gas (Production and Safety) Act 2004 allows or authorises us to collect this personal information.

Your information may be shared with State and Territory Regulators.

We will only use your information for this purpose. It will otherwise not be used or disclosed unless authorised or required by law. Your personal information will be handled in accordance with the Information Privacy Act 2009.

Payment

Three-year authorisation
Six-year authorisation
Change of Scope, Change of Workshop Address or Additional Workshop
Please confirm your preferred method of payment *
Paying online is safe and easy with our secure Credit/Debit Card facility. You can pay by Visa or MasterCard.
Contact your bank or financial institution with the details that will be presented on your receipt to make a BPAY payment using your savings or cheque account.
Form number: PGA-728A. Version

Finance