Form 5A - Queensland mining industry incident report form

Notification of Change - April 2011

Please note that we have made some changes to these pages. These changes were implemented in April 2011.

1. New Mine codes

The new mine codes are in the format of Mnnnnn. The old mine codes can be used for another 3 months, but will be obsolete after that time.

To find out what your new mine code is, you can enter your old mine code in this form and then your new mine code will be displayed in section 2. Please note your new mine code so you can use it next time.

2. The form detail page have been broken up into sections

Enter the details for a section at the time. When you have finished, you can review the entered details before submitting your report.


3. Form entry changes

Changed calendar selectors

Changed time selectors


old date selector


new date selector

Click the textfield or the calendar icon
to open up the calendar.

Click a date in the calendar
to populate the textfield.


old time selector


new time selector

Enter the times in the textfields.

No need to select from drop-down
lists anymore.

Choose one of the options below

Option 1: Log New Incident Report

If you just want to create a new Incident Report, start here.

(if applicable)
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Option 2: Retrieve Existing Incident Report

This is a new feature that allows you to modify an incident report you have started on previously.

Please note that this only applies to incident reports created since these changes came into effect in April 2011.

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(Approved by Chief Inspectors of Mines under Section 281 of the Coal Mining Safety and health Act 1999 and Section 260 of the Mining and Quarrying Safety and Health Act 1999.)


  • All fields are compulsory, unless otherwise stated.
  • If the mine code you enter does not match a valid code in our records, you will not be able to submit this form
  • This form does not replace the need for the site senior executive to notify an inspector of a serious accident or high potential incident in accordance with Section 198 of the Coal Mining Safety and Health Act 1999 or Section 195 of the Mining and Quarrying Safety and Health Act 1999.
  • Mining industry incident report manual - online forms (PDF, 222 kB) - instructions/definitions for completion of this on-line incident report form