Driver commercial health assessment – medical certificate

Use this form to apply for a dangerous goods driver’s licence or a licence to drive a vehicle transporting explosives by road.

Shape
 
Published: 01 Sep 2018
 
File type: PDF
 
File size: 241.18 kB
 
Length: 4 pages
 
Reading level: Medium

What it contains

Drivers wanting to apply to WorkSafe for a dangerous goods driver licence or a licence to drive a vehicle transporting explosives by road should use this form.

You will need to fill it out and have it signed by a registered medical practitioner. WorkSafe will use the form to decide whether you’re medically suitable for either of these licences.

This document is a blank application form with supplementary notes.