Improved Form 30M33 Now Available

WorkSafeBC is taking a step toward better protecting workers working near energized high-voltage electrical equipment or conductors. They have launched a revised version of the Assurance of Compliance with Occupational Health and Safety Regulation, Part 19 (Form 30M33).

The purpose of Form 30M33

If you are a power utility system owner or an employer who has had workers working near sources of high-voltage electricity—for example, operating heavy equipment near power poles—you are already familiar with Form 30M33.

Power utility system owners and contractors/employers must complete Form 30M33 together before any workers work within the “limits of approach” (usually 3 metres or 10 feet) of high-voltage equipment or conductors. A copy of the form should then be submitted to WorkSafeBC. This provides us with assurance in writing that there are appropriate safeguards in place to protect workers from the risks of working near high-voltage electricity.

How the new form better serves workers, employers, and utility owners

To make the form a more effective tool for preventing injuries and fatalities caused by exposure to high-voltage electricity, we collaborated with key industry stakeholders to revise it. The new form:

  • Promotes better communication about keeping workers safe
  • Provides more context for why certain safeguards have been selected
  • Is easier to complete
  • Comes with clearer instructions
  • Is still just one page
  • Proved valuable to stakeholders during a pilot in 2021

How to get the new form

The updated Form 30M33 can now be ordered at

You can still submit the older version of the form if you have blank copies on hand; however, only the new form is available to order.

WorkSafeBC is here to help

Form 30M33 will continue to help our prevention team connect with contractors/employers. When WorkSafeBC receives a Form 30M33, their prevention officers may reach out to ensure the steps being taken are adequate to protect workers against exposure to high-voltage electricity.

Want to learn more?

For resources on planning work around high-voltage equipment, visit

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