QLeave_S182795 · OPW19/0097

Name *

PACIFIC BCQ


Phone number (including area code)

0754121520


Contact e-mail

[email protected]




Principal contractor details
Has a principal contractor been appointed? *

If a Principal Contractor has been appointed it is a requirement under the Work Health and Safety Regulation 2011 s(293) to advise who
the Principal Contractor is.

For more information please visit www.worksafe.qld.gov.au - Principal Contractors.



  Yes                                                                      No


    Select if the principal contractor details are the same as the payer details.




Cost of work

Cost of work
Total cost of work in whole dollars only (excluding GST) *


$4,090,909.00


Exemption category




Leviable cost of work

$4,090,909.00


Amount payable
Portable Long Service Leave Levy

$10,227.45


Construction Skills Queensland Levy

$4,090.91


Work Health and Safety Levy

$5,113.64




                                                                                                                         Page 4 of 5