Scheduled carcinogen licence

Information from your myWorkSafe account will be used by WorkSafe to complete your licence application.

You will need to provide details to WorkSafe, including:

• the scheduled carcinogen and quantity you intend to use each year
• the intended use of the carcinogenic substance
• reasons why the carcinogenic substance cannot be eliminated or substituted
• risk control measures intended to be used to prevent exposure to the scheduled carcinogen.

Note: You must complete a separate application form for each scheduled carcinogen you intend to use.

Depending on your answers, you’ll need to provide one or more of the following documents.

For a company

• ASIC company extract
• Non individual ID form
• Evidence of any previous or other scheduled carcinogen licences
• Evidence of any previous suspensions or cancellations of a licence or approval under any occupational health and safety legislation
• Evidence of any previous findings of guilt under any occupational health and safety legislation

For a partnership

• Partnership deed or agreement, noting all officeholders
• Non individual ID form for each partner if the partners are companies
• 100 point ID check form for each partner if the partners are individuals
• Evidence of any previous or other scheduled carcinogen licences
• Evidence of any previous suspensions or cancellations of a licence or approval under any occupational health and safety legislation
• Evidence of any previous findings of guilt under any occupational health and safety legislation

For a trust

• Trust deed extract, noting all trustees
• Non individual ID form for each partner if the trustees are companies
• 100 point ID check form for each partner if the trustees are individuals
• Evidence of any previous or other scheduled carcinogen licences
• Evidence of any previous suspensions or cancellations of a licence or approval under any occupational health and safety legislation
• Evidence of any previous findings of guilt under any occupational health and safety legislation

For a self-employed person

• 100 point ID check form for each partner or trustee (where partners or trustees are individuals)
• Evidence of any previous or other scheduled carcinogen licences
• Evidence of any previous suspensions or cancellations of a licence or approval under any occupational health and safety legislation
• Evidence of any previous findings of guilt under any occupational health and safety legislation

Risk control measures – required for all applicants

The following risk control measures need to be included.

• Storage details
• Process description
• Control measures to prevent employee exposure
• Maintenance and testing procedures for control measures
• Atmospheric monitoring
• Biological monitoring
• Health monitoring
• Spill and emergency procedures
• Employee training and information
• Decontamination and waste disposal procedures
• Incident reporting procedures

WorkSafe uses Service Victoria to check and confirm your identity. If you have previously completed an identity check, you may not need to do another one.

You’ll need 2 of the following documents to complete your identity check:

• Australian passport, current or expired less than 3 years ago
• Australian birth certificate
• Australian citizenship certificate
• Current Australian driver licence
• Current foreign passport with a valid Australian visa
• ImmiCard
• Medicare card

You will be notified of the fee required after:

• the application has been processed
• an inspection has been conducted of the workplace where the scheduled carcinogen will be used.