Requesting a review of a decision

You may be able to apply for an internal review of a decision if you are dissatisfied with the decision.

How to request a review

  • Check if you have been given, or are entitled to be given, an information notice about a decision under Chapter 2, Division 2 (Coal Mine Workers' Health Scheme) of the Coal Mining Safety and Health Regulation 2017.
  • Complete the application for internal review of decision form below and provide any supporting documents.
  • Email the form and any supporting information to

Application for internal review of decision

This form was approved by the Chief Inspector of Coal Mines on 26 February 2019.