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Hazardous substance health surveillance report

What it is and how to notify WorkSafe.

Download the report

About the report

A registered medical practitioner will complete this report if your worker is exposed to a specific hazardous substance which may present a health risk to them.

If the report finds that the worker must not have any further contact with the hazardous substances for any period of time, you must notify WorkSafe.

Specific hazardous substances which you need to report are listed in column 1 of schedule 3 in the NOHSC National Model Regulations for the Control of Workplace Hazardous Substances. WorkSafe may determine further hazardous substances which require a health surveillance report, there will be published in the Government Gazette.

What you need to do

WorkSafe Advisory

WorkSafe Advisory is available between 8:00 am and 5:30 pm, Monday to Friday.

1800 136 089 More contact options

Translating and interpreting service

Call 131 450 to translate this information or to speak to WorkSafe in your language.
For more information about this free service, visit Translating and Interpreting Service (TIS National).

For people with hearing or speech loss

An effective way for you to contact us is using the National Relay Service.

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