• Driver Commercial Health Assessment - Medical Certificate (PDF 122kB)
  Document Type: form
  Division Author: Licensing Department
  Date Published: 2016-10-01
  Industry: Postal and Warehousing; Transport
  Summary:

  Used by the medical practitioner to assess suitability to obtain a Licence to Drive a Vehicle Transporting Explosives by Road or a Dangerous Goods Driver Licence

About this form

If you are applying for a Licence to Drive a Vehicle Transporting Explosives or Dangerous Goods you must undertake a Health Assessment. You must take this form to your doctor who will assess you against the "Medical Examination of Commercial Vehicle Drivers" publication. Once this form is completed it must be submitted with your application. Your doctor will keep the Patient Questionnaire on file and return the remainder of the form to you to submit with your application to drive a vehicle transporting explosives or dangerous goods. WorkSafe Victoria is not liable for any cost incurred in this examination.

Where to send the form

Submit this form with your Application to Drive a Vehicle Transporting Explosives or Application to Drive a Vehicle Transporting Dangerous Goods or as requested by WorkSafe Victoria.