This form is used by constructors to notify the Ministry of Labour, before work is begun at a construction project, if the project includes work on a trench more than 1.2 metres deep into which a worker may enter.

This form is used by employers of workers in Type 2 or Type 3 asbestos operations. The form must be completed for each such worker at least once in each 12-month period and immediately on the termination of the employment of the worker. The form is submitted to the Provincial Physician at the Ministry of Labour. A copy of the completed form is given to the worker, and a copy is retained by the employer.