| EMPLOYMENT | Standard | Detailed |
| Current or previous employment | ✔ | ✔ |
| What is your employment status? | ✔ | ✔ |
| Who is the Employer? | Add Employer | ✔ | ✔ |
| Type of Employment | ✔ | ✔ |
| What do you do with your time while not being employed? | ✔ | ✔ |
| Is this your primary employment? | ✔ | ✔ |
| Title or Role | ✔ | ✔ |
| Start Date | ✘ | ✔ |
| End Date | ✔ | ✔ |
| Working Hours per Week | ✘ | ✔ |
| How many days leave do you have? (Annual, Sick. Other) | ✘ | ✔ |
| Stage of business | ✘ | ✔ |
| Number of people you manage | ✘ | ✔ |
| Have the last 2 years' tax returns been finalised? | ✘ | ✔ |
| Where do you often work? (Please tick all that apply) | ✘ | ✔ |
| Time spent | Office | ✘ | ✔ |
| Time spent | Home | ✘ | ✔ |
| Time spent | Building site - On the tools | ✘ | ✔ |
| Time spent | Building site - Supervising | ✘ | ✔ |
| Time spent | Manual Labor site | ✘ | ✔ |
| Time spent | Manual Labor site - Supervising | ✘ | ✔ |
| Time spent | Mine, Oil, Gas Field | ✘ | ✔ |
| Time spent | Driving - Urban | ✘ | ✔ |
| Time spent | Driving - Rural | ✘ | ✔ |
| Total | ✘ | ✔ |
| Please specify if you work in a Mine, Oil, or Gas Field. | ✘ | ✔ |
| Where is the Mine, Oil, or Gas Field located? | ✘ | ✔ |
| On the average, how far do you drive in the rural area? (in km) | ✘ | ✔ |
| Do you undertake or deal with any of the following? | ✘ | ✔ |
| Dangerous goods: What type of dangerous goods do you deal with? | ✘ | ✔ |
| Dangerous goods: How do you use/interact with them in your work? | ✘ | ✔ |
| Heavy lifting: What items do you lift and how heavy are they? | ✘ | ✔ |
| Heavy lifting: How often do you lift them? | ✘ | ✔ |
| Frequent flying: How often do you fly? | ✘ | ✔ |
| Frequent flying: How long do you stay away from home? | ✘ | ✔ |
| Work from heights or underwater: How high or how deep? | ✘ | ✔ |
| Work from heights or underwater: Usual time spent on heights or underwater? | ✘ | ✔ |
| Employment Notes | ✘ | ✔ |