Report a safety concern form

Use this form to report a safety concern to NT WorkSafe. Before reporting the concern to us, we ask that business is made aware of any safety concerns and given the opportunity to resolve it first.

If your concerns have not been appropriately resolved, or it is not practical to report your concerns, please use either the online form via the link below or download the pdf or word version and email the completed form to ntworksafe@nt.gov.au.