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ComplianceQLDPlumbing

Prepare QLD Form 12 specialist work statements on site

Field workflow for the QLD Form 12 specialist work compliance statement: what to gather from the permit pack, what order to fill it, and who signs it off.

Jack Howitt30 June 2026Updated 27 July 20267 min read
QLD Form 12Specialist work complianceQueensland plumberPDR 2019Specialist plumbing statement

On this page
  • What is QLD Form 12 for?
  • Start with the permit pack, not a blank PDF
  • Identify the land the statement covers
  • Write a work description that matches the specialist scope
  • Explain the basis for giving the statement
  • Record references and supporting documents
  • Make the qualified person check meaningful
  • The on-site order
  • Completion checks
  • What to check before you leave site
  • When the scope changed during the work
  • Keep Form 12 with the next records
  • Official references

Tradie Forms: complete Queensland Form 12 specialist work compliance statements on the official PDF layout before attaching them to a permit application. Capture property, work scope, basis, references, and qualified person details on site.

Form 12 is not a tick-and-flick. It asks for the property, the specialist work scope, the technical basis for the statement, supporting references, and the suitably qualified person giving it.

This is the field workflow. If the first question is whether the permit needs this statement, read when a QLD plumbing job needs Form 12. For the error list, see common QLD Form 12 mistakes. If you are not sure which Form 12 the job needs, start with PDR Form 12 vs building Form 12.

Key takeaways

  • Form 12 supports specialist plumbing or drainage work under the plumbing regulation
  • Start from the permit pack, not a blank PDF
  • The basis section records the publications actually relied on, not a standard block
  • The land description must cover the full application land
  • Sign-off happens against the finished document, and the date follows the sign-off

Use the QLD Form 12 template, or browse QLD plumbing forms.

What is QLD Form 12 for?

Queensland Form 12 is a compliance statement for specialist plumbing or drainage work under the Plumbing and Drainage Regulation 2019, used where a suitably qualified person gives a statement supporting specialist work as part of the permit process. The official PDF identifies it as being used for section 45(2)(b) of that regulation.

Business Queensland lists it among the plumbing and drainage forms lodged with local government, which is why the permit pack is the right starting point.

Start with the permit pack, not a blank PDF

Gather the current drawings, specifications, reports, and local government correspondence before you type anything. Check the document revision, issue date, and project name on each one - a document can look familiar while belonging to an earlier design change or a different stage of the same project.

The form does not need the whole project file copied into it. It needs a clear statement connecting the land, the specialist work, the basis, and the person giving it. Keep the source documents beside the finished statement so the record still makes sense in a year.

Identify the land the statement covers

Complete the address fields from the current permit material, including the local government area. Where the site has a tenancy, shop, or storey level, use those details.

This matters most on multi-unit sites and staged jobs. A delivery address gets the crew to the right gate while leaving the statement vague about which part of the development is covered. The work description should support the land details rather than substitute for them.

Before moving on, compare the completed property section against the permit - spelling, suburb, postcode, local government area. Then ask whether someone who never attended site could tell which land and which part of the job the statement relates to.

Write a work description that matches the specialist scope

The work section is not a general project summary. Describe the extent of specialist plumbing or drainage work covered, in terms that match the current design documents. Clear and bounded beats broad.

Specialist work description

Not this

Plumbing works

An invoice label. It links the statement to nothing.

This

Trade waste pre-treatment system to tenancy 4, as shown on hydraulic drawings H12 to H15, Rev B

Identifies the system and area without claiming more than the design supports.

Three-line description of the specialised work being certified on the Queensland Form 12
Three lines, which is the hint: a bounded scope, not a project summary. From the official QLD Form 12 Compliance Statement for Specialist Work PDF.

Explain the basis for giving the statement

The basis section is where the suitably qualified person records the basis for the statement and the publications relied on. Use the material actually used for the job: current drawings, specifications, reports, and the relevant laws, codes, or standards.

Be accurate rather than exhaustive. A long copied list of standards is less useful than a short list that genuinely relates to the specialist work. Where you name a drawing or report, include enough identifying information to distinguish it from older versions. If there is uncertainty about the technical basis, resolve it with the appropriate person before the statement is signed.

A guided form can keep this in its own section so it is not buried in a notes field, but it cannot verify that a publication applies. The licensed person giving the statement owns that judgement.

Four-line basis of certification block on the Queensland Form 12, where the standards, tests and documents relied on are named
The basis gets four lines of its own, separate from the work description above it. From the official QLD Form 12 Compliance Statement for Specialist Work PDF.

Record references and supporting documents

Use the references section for the local government reference and supporting documentation details. Copy the reference from current correspondence or permit paperwork rather than memory.

This is the point to make the digital record tidy. Save the finished statement in the same folder as the document versions named in it, with a filename carrying the site and date. When a later question comes from the office, the local government, or the qualified person, the statement should not be separated from the material it relies on.

Do not invent a reference where the information is not yet available. Save a draft and confirm it through the permit process - a nearly complete form is easier to finish correctly than a sent PDF with a guess in it.

Make the qualified person check meaningful

The qualified person section captures name, company where applicable, licence information, and contact details. The declaration records qualification, signature, and date. Those details belong to the person actually giving the statement.

Use saved licence details as a starting point only, and check them against current records. That catches an old phone number, a changed company name, or a licence detail carried over from another staff member. It also gives the signer a genuine chance to confirm the scope and basis rather than signing a form they have not read.

Kind of qualified person tick boxes on the Queensland Form 12: occupational plumber or drainer, local government competent person, QBCC licensee, registered engineer, and other
The kind of qualified person is ticked here, and it has to describe whoever signs at the bottom. From the official QLD Form 12 Compliance Statement for Specialist Work PDF.

The handover is simple: the person preparing the statement gathers the site, work, and document references; the suitably qualified person reviews the finished document against the permit material, confirms their declaration option, then signs and dates it.

QLD Plumbing form

Generate QLD PDR Form 12 with Tradie Forms

Use the live template to fill the official PDF, preview it, and download a compliant copy without wrestling with paper forms.

Create QLD PDR Form 12View template details

The on-site order

  1. Check the current permit pack, drawings, and specifications
  2. Complete the land details, including tenancy or level where needed
  3. Describe the exact specialist work covered
  4. Record the actual basis and publications relied on
  5. Add the local government reference and supporting documents
  6. Have the suitably qualified person review, sign, and date the final version

The QLD Form 12 template follows that order in guided sections, reuses saved qualified-person details, catches missing required fields, and previews the official layout. Check the finished document before attaching it through the process the local government requires.

Completion checks

  • Property description covers the full application land
  • Work scope matches the specialist design
  • Basis and publications are listed clearly and currently
  • Local government reference is included
  • Qualified person qualification, signature, and date are complete

What to check before you leave site

The form is short enough that it gets completed in the ute, which is where the avoidable errors come from.

Complete it while the work is still in front of you. The description is more accurate, the extent of what you did is fresh, and anything you need to check is a few steps away rather than a phone call tomorrow.

Confirm the property and permit references against the job record rather than from memory. On a job with several lots or a staged permit, those are the fields most likely to be wrong and the ones that cause the pack to be sent back.

When the scope changed during the work

Specialised work gets varied on site more often than the paperwork suggests, and the statement should describe what was actually done.

If the work differed from what was planned, describe the work as carried out rather than as designed. A statement that matches the plan but not the installation is worse than one that visibly records a variation, because the mismatch surfaces at the worst possible moment, which is usually during a later inspection.

Where the variation is significant enough to affect the approval, that is a conversation with the certifier rather than something to resolve in the description.

Keep Form 12 with the next records

The statement is one part of the project record. Store it with the permit application, the current specialist design documents, and the later records that apply to the work - a QLD Form 1 permit work application, QLD Form 5 testing or commissioning report, QLD Form 14 compliance declaration, or QLD Form 19 final inspection certificate, depending on the job.

For the wider sequence, see the QLD plumbing forms list or browse QLD plumbing forms. Form choice and lodgement requirements depend on the work and the local government process, so check current official information before you submit.

Official references

Business Queensland publishes Form 12 as the compliance statement for specialised work and lists it as a form lodged with local government. Check the Business Queensland plumbing forms page, the current Form 12 PDF, and the Plumbing and Drainage Regulation 2019. Tradie Forms maps your entries onto the official PDF layout; it does not lodge the form or replace the qualified person's check.

On this page

  • What is QLD Form 12 for?
  • Start with the permit pack, not a blank PDF
  • Identify the land the statement covers
  • Write a work description that matches the specialist scope
  • Explain the basis for giving the statement
  • Record references and supporting documents
  • Make the qualified person check meaningful
  • The on-site order
  • Completion checks
  • What to check before you leave site
  • When the scope changed during the work
  • Keep Form 12 with the next records
  • Official references

Frequently asked questions

When is the best time to prepare a Form 12?
While the current permit documents, drawings, and specifications are open in front of you. The form needs the land, specialist work scope, technical basis, and references to line up with the permit pack, and reconstructing those later from memory is where mismatches enter.
What do you need before you start filling it in?
The current drawings, specifications, reports, and local government correspondence - with the revision, issue date, and project name checked. A document can look familiar while belonging to an earlier design change or a different stage of the same project.
What order should the form be completed in?
Follow the PDF order: land details including tenancy or level, then the specialist work description, then the basis and publications relied on, then the local government reference and supporting documents, and finally the qualified person declaration, signature, and date.
What if the scope changes mid-project?
Stop and check whether the statement still fits. A change in equipment, layout, design responsibility, or work area may also change the basis and supporting documents. Do not reuse the first version of a form just because it already has a signature block filled in.
Should the declaration date match the draft date?
No. Keep the date aligned with the actual sign-off, not with when the draft was first prepared. The suitably qualified person reviews the completed document against the permit material, confirms their declaration option, then signs and dates that final version.
Jack Howitt

Jack Howitt

Founder, Tradie Forms

Jack Howitt is the founder of Tradie Forms. From a family of tradies, he is building a faster way for Australian trade businesses to finish safety, service, compliance and job paperwork on site.

QLD Plumbing form

Generate QLD PDR Form 12 with Tradie Forms

Use the live template to fill the official PDF, preview it, and download a compliant copy without wrestling with paper forms.

Create QLD PDR Form 12View template details

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