Use this form to make a protected disclosure about serious wrongdoing by an organisation you work (or have worked) for.

Read this first

The Protected Disclosures (Protection of Whistleblowers) Act 2022 provides various protections to people who “blow the whistle” about serious wrongdoing by their organisation.

Read Make a protected disclosure before using this form.

Information about serious wrongdoing
Use specific examples where you can
Have you made the protected disclosure to any other organisation? (required)
Information about you
Enter numbers only, without spaces
I work (or used to work) for the organisation where the serious wrongdoing happened as: (required)
Do you still work for the organisation? (required)
I want my name, role and contact details kept confidential (required)
Your identity information may be disclosed with your consent or where allowed by the Protected Disclosures (Protection of Whistleblowers) Act 2022 (section 17).


Information you provide about yourself will be kept as outlined in WorkSafe’s privacy statement and policy.

What happens next? 

We will assess your disclosure and decide what action to take (if any) based on the information provided. We may contact you, for example if we need more information to assess your disclosure.

For more information on how WorkSafe decides whether to intervene, see When we intervene.

We will be in touch to let you know what our decision was and the reasons for our decision.