Skip to main content
MapTrack
Book a demo
Skip to download form

Free fatigue / fit-for-work declaration

Free fatigue / fit-for-work declaration (PDF-ready). Covers sleep hours, shift length, medications, fitness self-assessment and sign-off. Download free.

Download free PDF template

Use in MapTrack →
FreePDFUpdated Oct 2026

Get your free template

Enter your email to download the fatigue / fit-for-work declaration as a free PDF. No sign-up required to use it.

G2 rating 4.9 out of 5
Capterra rating 5.0 out of 5GetApp rating 5.0 out of 5Software Advice rating 5.0 out of 5
All MapTrack reviews
Your info is secure. No spam, ever.

These templates are free general guides provided as-is. They do not constitute legal, safety or compliance advice. You are responsible for ensuring any form meets your specific workplace obligations, industry standards and applicable regulations.

G2 rating 4.9 out of 5
Capterra rating 5.0 out of 5GetApp rating 5.0 out of 5Software Advice rating 5.0 out of 5
All MapTrack reviews

Trusted by teams across Australia and New Zealand

We respect your privacy. Unsubscribe anytime.

Updated 26 Oct 2026

Fatigue / Fit-for-Work Declaration

Complete at the start of each shift - worker self-assessment and supervisor review

Live form
0 of 9 checks

Sleep & Rest

1Hours of sleep in the last 24 hours
2Hours of sleep in the last 48 hours
3Hours since last sleep

Shift & Roster

4Current shift length (hours)
5Consecutive days worked
6Time since last day off

Impairment

7Have you consumed alcohol in the last 12 hours?
8Are you taking any medication that may affect your ability to work safely?
9Do you feel fatigued, drowsy or unwell?

How to use: download the PDF, print or complete digitally on any device.

  • PDF format, ready to print or fill on screen
  • Use as-is or customise to suit your operation
  • Go digital in MapTrack for photos, reminders and audit trails

Or set it up in MapTrack

  • Fill it in on a phone, attach photos to any check
  • Automatic reports and audit trails
  • The same checks as the PDF, ready to configure

Free trial. No credit card. Personal email accepted.

Don't just download it - use it live. Start a free workspace with this fatigue / fit-for-work declaration already built, so your crew can run it from a phone.

Jarrod Milford

Jarrod Milford

Co-Founder & Commercial Director

Updated 26 October 2026
Also see:Compliance and inspections →Best inspection software →MapTrack vs SafetyCulture →

Short answer

A fatigue or fit-for-work declaration records a worker's sleep in the last 24 hours, hours awake, shift times, alcohol, medication and a signed fitness statement, plus the supervisor's start decision. Crews complete it at each shift start as common practice. Section 19 of the model WHS Act requires PCBUs to ensure health and safety so far as reasonably practicable; Safe Work Australia's 2025 fatigue Code explains managing fatigue.

Checked against Managing the risk of fatigue at work (model Code) (September 2025 version) on by the MapTrack templates team. How we check templates

Key takeaways

  • The MapTrack fatigue / fit-for-work declaration contains 9 checks across 3 sections. Sections covered: Sleep & Rest, Shift & Roster, Impairment.
  • No WHS law prescribes this form; it is one control a PCBU can use to manage fatigue risk under its primary duty.
  • Model WHS Act s 28 requires workers to take reasonable care for their own and others' safety; the declaration records what the worker reported.
  • Record the supervisor's decision: start as planned, start with adjustments, or do not start.
  • Work and rest hour limits apply to drivers of fatigue-regulated heavy vehicles, and HVNL s 228 bans driving any heavy vehicle while impaired by fatigue or unfit.
  • Safe Work Australia's September 2025 model fatigue Code replaced its earlier Guide for Managing the Risk of Fatigue at Work.

Enter your email below to download this fatigue / fit-for-work declaration as a ready-to-use PDF.

Used by construction, mining and field service teams

Saunders InternationalMineral ResourcesSupagasHacer GroupMetro TunnelUltrabuilt

What is a fatigue / fit-for-work declaration?

A fit-for-work declaration is a form used to confirm that a worker is physically and mentally capable of performing their duties safely at the start of a shift. It assesses fatigue indicators including hours of sleep, consecutive days worked and shift duration, as well as impairment factors such as alcohol consumption, medication use and general health. Under Australian WHS legislation, both employers and workers have duties to manage fatigue risks. A fit-for-work declaration is a practical, documented control used in construction, mining, transport, oil and gas and other safety-critical industries to demonstrate that fatigue has been assessed and managed.

Fatigue is a significant contributing factor in workplace incidents, particularly in industries that involve shift work, long hours, fly-in fly-out rosters or safety-critical tasks such as operating heavy plant, driving vehicles or working at heights. Safe Work Australia recognises fatigue as a hazard that must be managed under WHS legislation, and a fit-for-work declaration is one of the most effective frontline controls. Under the WHS Act 2011 (section 19), PCBUs must ensure health and safety so far as is reasonably practicable, which includes managing fatigue risks, and Safe Work Australia's model Code of Practice: Managing the risk of fatigue at work (September 2025) explains how. In industries such as mining, transport and construction, fatigue-related incidents account for a significant proportion of serious injuries, which is why regulators expect documented controls at the start of every shift.

Learn more about compliance and inspections in MapTrack.

Get the free template

Enter your email above to download the full fatigue / fit-for-work declaration as a PDF.

Download free PDF

Benefits of using this fatigue / fit-for-work declaration

  • Early identification of fatigue: structured questions surface fatigue risks before work begins, allowing intervention before an incident occurs.
  • Worker self-awareness: completing the declaration prompts workers to honestly assess their own fitness, encouraging personal responsibility for safety.
  • Regulatory compliance: meets WHS fatigue management obligations and demonstrates due diligence to regulators and auditors.
  • Supervisor visibility: the supervisor assessment section ensures a second pair of eyes reviews the worker's fitness before they start safety-critical tasks.
  • Audit trail: signed declarations create a defensible record for audits, investigations and insurance claims.
  • Trend analysis: reviewing declarations over time reveals patterns (e.g. specific shifts, roles or rosters with higher fatigue risk) and drives roster improvements.

Benefits of digitising forms in MapTrack

When you move your reports from paper to MapTrack, you get:

  • Field users can easily scan a QR code to complete a form on mobile. Unlimited users.
  • Email the right people when a form is submitted, with an automation you set up.
  • File every completed form against the asset, location or person it covers.
  • Download any completed form as a PDF, with failed answers listed at the top.
  • Fill in forms offline; they upload when the device is back online.
  • Build conditional logic (show or hide questions based on answers).
  • Take pictures or attach photos. Not possible with a paper-based form.
  • Electronic signatures.
  • Edit forms later without reprinting.
  • Set who can view, fill in or edit forms with user roles.
  • Upload a paper form (PDF, Word, Excel or a photo) and MapTrack's AI builds a digital version for you to check.
  • Email safety managers when a hazard report is submitted, with an automation you set up.
  • Keep every hazard and incident report against the site it came from, with photos.
  • Turn a hazard report into a corrective-action work order with its own review step.

Book a demo to see how MapTrack handles reports.

Try MapTrack free

Full access to every feature. No credit card required. Per-asset pricing so you scale as your fleet grows.

Start free trial
  • No credit card required

1-2 days/week saved

“Bloody amazing! We used to spend 1-2 days a week tracking and managing our generators alone.”
Saunders International

Steve McAllister

Asset Coordinator, Saunders International

What to include in a fatigue / fit-for-work declaration

This fatigue / fit-for-work declaration covers 7 key areas:

  • Worker details: name, position/role, date, shift start time, shift end time, site/location.
  • Fatigue assessment: hours of sleep in the last 24 hours, hours of sleep in the last 48 hours, hours since last sleep, current shift length, consecutive days worked, time since last day off.
  • Impairment questions: alcohol consumption in the last 12 hours (yes/no), medication that may affect ability to work safely (yes/no, with details), feeling fatigued, drowsy or unwell (yes/no).
  • Fitness declaration: worker declares they are fit for work and not impaired by fatigue, illness, medication, alcohol or other substances.
  • Worker signature: signed and dated by the worker.
  • Supervisor assessment: does the worker appear fit for work (yes/no), action taken if no (stood down, reassigned, medical assessment, other).
  • Supervisor sign-off: signed and dated by the supervisor.

How to use this fatigue / fit-for-work declaration

  1. Fill in worker details - name, position, date, shift start/end times and site location.: Record your full name, job title or position, the date and the exact shift start and end times. Include the site or location name so the form can be traced to a specific workplace in the event of an audit or investigation.
  2. Complete the fatigue assessment - record hours of sleep, hours since last sleep, shift length, consecutive days worked and time since last day off.: Be accurate with these figures as they form the factual basis of the fatigue risk assessment. Less than five hours of sleep in the prior 24 hours, or more than 14 consecutive days worked, are common trigger thresholds that require supervisor review and possible intervention.
  3. Answer the impairment questions honestly - alcohol consumption, medication use and how you are feeling.: Declare any alcohol consumed in the last 12 hours, any medication that may cause drowsiness or impair judgement, and whether you feel unwell, fatigued or drowsy. Honest answers protect you and your workmates. Providing false information may breach your WHS duties as a worker.
  4. Read the fitness declaration and sign to confirm you are fit for work.: By signing you are declaring that you have assessed your own fitness and believe you are capable of performing your duties safely. If you are unsure whether you are fit, speak with your supervisor before signing.
  5. Present the completed form to your supervisor for review.: Hand the form to your direct supervisor or the person responsible for fatigue management on site. Allow them time to review your responses and ask follow-up questions if needed before the shift begins.
  6. The supervisor assesses whether the worker appears fit for work. If not, the supervisor records the action taken (stood down, reassigned, medical assessment or other).: The supervisor should observe the worker for visible signs of fatigue such as excessive yawning, red eyes, slow responses or difficulty concentrating. If concerns exist, the supervisor must take action and record it on the form, even if the worker has self-declared as fit.
  7. The supervisor signs and dates the form to complete the process.: The supervisor signature confirms they have reviewed the declaration, assessed the worker and are satisfied the worker is fit for duty. File the completed form as part of your fatigue management records for audit and compliance purposes.

In MapTrack, you can digitise safety inspections and compliance forms. Each submission is stored as a timestamped PDF against the asset record.

Get the free templateEnter your email above to download the full fatigue / fit-for-work declaration as a PDF.Back to download form

How often should you complete this report?

A fatigue / fit-for-work declaration should be completed at the start of every shift, particularly for night shifts, extended shifts (over 10 hours), early morning starts and any work following a short break between shifts. In industries such as mining, oil and gas, and transport, fatigue declarations are typically mandatory before every shift as part of the fatigue management plan. A declaration should also be completed after any rest break if a worker has been stood down due to fatigue. Check your organisation's fatigue management procedure and your state or territory WHS code of practice (e.g. the model Code of Practice: Managing the risk of fatigue at work) for specific requirements.

Under the WHS Act 2011 (Section 19), the PCBU has a primary duty of care to ensure the health and safety of workers so far as is reasonably practicable, which includes managing fatigue risks. Safe Work Australia's model Code of Practice: Managing the risk of fatigue at work (September 2025) suggests fatigue self-assessments where fatigue risks are high, and fitness for work policies that set out how workers self-report fatigue. For heavy vehicle drivers and transport operators, the Heavy Vehicle National Law (HVNL) Chain of Responsibility provisions place specific obligations on all parties in the supply chain to prevent driver fatigue.

Try MapTrack free

Full access to every feature. No credit card required. Per-asset pricing so you scale as your fleet grows.

Start free trial
  • No credit card required

Frequently asked questions

A fit-for-work declaration is a form completed by a worker (and reviewed by a supervisor) to confirm that the worker is physically and mentally capable of performing their duties safely. It typically covers fatigue indicators such as hours of sleep, consecutive days worked and shift length, as well as impairment factors including alcohol consumption, medication use and general health. In Australia, employers have a duty under WHS legislation to manage fatigue-related risks, and a fit-for-work declaration is a practical control measure used across construction, mining, transport and other safety-critical industries.

A fatigue declaration should be completed at the start of each shift before the worker begins any safety-critical task. It is particularly important for night shifts, extended shifts longer than 10 hours, fly-in fly-out (FIFO) rotations, early morning starts and any work following a short break between shifts. Some organisations also require a declaration after a break or rest period if the worker has been stood down due to fatigue. Check your fatigue management plan and your state or territory WHS code of practice for specific requirements.

Common signs of fatigue include excessive yawning, difficulty concentrating, slower reaction times, impaired decision-making, irritability, microsleeps (brief involuntary episodes of sleep), blurred vision, reduced coordination and an increased tendency to make errors. A fatigued worker may also appear drowsy, disengaged or unable to follow routine procedures. Supervisors should be trained to recognise these signs and take appropriate action, which may include standing the worker down, reassigning them to a lower-risk task or arranging a medical assessment.

Yes. Download and use this fatigue fit-for-work declaration for free. It downloads as a ready-to-print PDF. No MapTrack account is required. If you want digital fatigue declarations completed on mobile devices with automated shift tracking, supervisor alerts and trend reporting across your workforce, MapTrack can help. Book a demo to see how.

If a worker declares they are not fit for work, the supervisor must not allow them to perform safety-critical tasks. Depending on the circumstances, the supervisor may reassign the worker to a lower-risk duty, stand the worker down with pay for the remainder of the shift, arrange for the worker to be transported home safely, or refer the worker for a medical assessment. The action taken must be recorded on the declaration form. Under WHS legislation, the PCBU has a duty to manage fatigue risks, and allowing a fatigued worker to continue safety-critical work could constitute a breach of the primary duty of care.

Fill in the worker details: name, position, date, shift start and end times and the site. Complete the fatigue assessment, recording hours of sleep in the last 24 hours and hours since you last slept. Answer the impairment questions honestly, including alcohol in the last 12 hours and any medication. Read the fitness declaration and sign it to confirm you are fit for work, then present the completed form to your supervisor, who reviews it and decides whether you start the shift as planned, start with adjustments, or do not start.

Safe Work Australia's model Code of Practice, Managing the risk of fatigue at work (September 2025), gives practical guidance to a person conducting a business or undertaking on eliminating or minimising the risk of fatigue so far as is reasonably practicable. The PCBU should identify both the hazards likely to cause fatigue and the places where fatigue could impair safety, and it should assume some workers will still arrive fatigued: safety systems should not depend on workers' concentration or reaction times, or where that is not possible, the business should monitor for signs of fatigue. Fitness for work is one of the factors the Code lists.

It records the facts a supervisor needs to judge fitness for the shift: hours of sleep in the last 24 hours and hours since the last sleep, together with the shift start and end times so the length of the working day is visible. The impairment questions then cover alcohol consumption in the last 12 hours and any medication that could affect alertness. The worker signs a declaration that they are fit for work, and the supervisor records their own assessment underneath, so the form shows both what the worker declared and what the supervisor decided.

Applicable regulatory standards

This template is a starting point. Check the current requirements that apply to your equipment, work and location. The template alone does not establish compliance.

  • Model Code of Practice: Managing the risk of fatigue at work

    Edition: September 2025 version

    The September 2025 model Code on managing fatigue risk; it replaced the earlier Safe Work Australia fatigue guide.

    Safe Work Australia

  • Model Work Health and Safety Act (Model Work Health and Safety Bill)

    Edition: Model WHS Bill as at 5 December 2025 (includes the Model WHS Legislation Amendment (Incident Notification) 2025)

    The PCBU's primary duty, and workers' duty to take reasonable care for their own and others' safety.

    • s 19: Primary duty of care: a PCBU must ensure, so far as is reasonably practicable, the health and safety of workers and others, including safe plant, systems, training and supervision.
    • s 28: Workers must take reasonable care for their own and others' health and safety, and comply with reasonable instructions so far as they are reasonably able.

    Safe Work Australia (drafted by the Parliamentary Counsel's Committee)

  • Model Work Health and Safety Regulations

    Edition: Model WHS Regulations as at 5 December 2025 (cited within as the Work Health and Safety Regulations 2011)

    The risk management process used to identify fatigue hazards and choose controls such as this declaration.

    • Part 3.1: Managing risks to health and safety: identify hazards, eliminate or minimise risks using the hierarchy of controls, maintain and review controls.

    Safe Work Australia (drafted by the Parliamentary Counsel's Committee)

  • Heavy Vehicle National Law (Queensland)

    Edition: Current as at 1 August 2026, incorporating the Heavy Vehicle National Law Amendment Act 2025 (Queensland)

    In HVNL jurisdictions: s 228 bans fatigued or unfit heavy vehicle driving; work and rest hours apply to fatigue-regulated heavy vehicles, a narrower class.

    • s 228: A person must not drive a heavy vehicle on a road while impaired by fatigue or unfit to drive.
    • Chapter 6: Vehicle operations covering driver fatigue and fitness to drive, work and rest hours and work diary record keeping.

    Queensland Government (Office of the Queensland Parliamentary Counsel), administered by the National Heavy Vehicle Regulator

Each source was read at its publisher and the page checked on 26 October 2026. The publisher's current text is the authority.

Check the current source

Fatigue / fit-for-work declaration preview

Fatigue / fit-for-work declaration template preview showing fields and layout

The numbers behind this fatigue / fit-for-work declaration

The pages below gather the figures behind this kind of check. Each figure on them carries its source and date, so you can quote it in a toolbox talk, a budget case or a board paper without chasing the original report.

Get the free template

Enter your email above to download the full fatigue / fit-for-work declaration as a PDF.

Download free PDF

Embed this free template on your website

Run an industry blog, trade association site, or training resource? Drop a preview of this free fatigue / fit-for-work declaration straight into your page. The snippet is self-contained, needs no scripts, and links readers back to the full free template.

<div style="max-width:480px;font-family:system-ui,-apple-system,'Segoe UI',Roboto,sans-serif;border:1px solid #E5E7EB;border-radius:12px;padding:20px;background:#ffffff;">
  <p style="font-size:12px;font-weight:700;letter-spacing:0.05em;text-transform:uppercase;color:#071D49;margin:0;">Free template</p>
  <p style="font-size:18px;font-weight:700;color:#071D49;margin:6px 0 0;">Fatigue / fit-for-work declaration</p>
  <ul style="margin:12px 0 0;padding-left:18px;color:#374151;font-size:14px;line-height:1.6;">
    <li style="margin:4px 0;">Worker details: name, position/role, date, shift start time, shift end time, site/location.</li>
    <li style="margin:4px 0;">Fatigue assessment: hours of sleep in the last 24 hours, hours of sleep in the last 48 hours, hours since last sleep, current shift length, consecutive days worked, time since last day off.</li>
    <li style="margin:4px 0;">Impairment questions: alcohol consumption in the last 12 hours (yes/no), medication that may affect ability to work safely (yes/no, with details), feeling fatigued, drowsy or unwell (yes/no).</li>
    <li style="margin:4px 0;">Fitness declaration: worker declares they are fit for work and not impaired by fatigue, illness, medication, alcohol or other substances.</li>
    <li style="margin:4px 0;">Worker signature: signed and dated by the worker.</li>
    <li style="margin:4px 0;">Supervisor assessment: does the worker appear fit for work (yes/no), action taken if no (stood down, reassigned, medical assessment, other).</li>
  </ul>
  <p style="font-size:13px;color:#6B7280;margin:14px 0 0;padding-top:12px;border-top:1px solid #E5E7EB;">Free <a href="https://www.maptrack.com/templates/fatigue-fit-for-work-declaration" style="color:#071D49;font-weight:600;text-decoration:none;">Fatigue / fit-for-work declaration</a> by MapTrack</p>
</div>

Free to reuse, including commercially. This template is published under a Creative Commons Attribution 4.0 licence. Copy it, adapt it, put it on your own site or in your own docs. All we ask is that you credit MapTrack with a link back to this page. The snippet above already includes that credit, so if you use it as-is you’re covered.

Cite this template

Writing about this topic? You’re welcome to quote this checklist. Here’s the wording to use so your readers can find the original.

The MapTrack fatigue / fit-for-work declaration contains 9 checks across 3 sections.

Short attribution
MapTrack Fatigue / fit-for-work declaration, https://www.maptrack.com/templates/fatigue-fit-for-work-declaration
Reference list
MapTrack. (2026). Fatigue / fit-for-work declaration [Checklist template]. Retrieved from https://www.maptrack.com/templates/fatigue-fit-for-work-declaration

Free to reuse with credit under a Creative Commons Attribution 4.0 licence. If you’d rather link straight to it, the page is https://www.maptrack.com/templates/fatigue-fit-for-work-declaration.

Need to digitise safety inspections and compliance forms?

Register every asset in MapTrack, attach digital forms, and get a complete history of every inspection, service and compliance record.

Start free trialBook a demo

Compliance and inspections · All templates · Pricing · Book a demo