Other Health monitoring form

This publication is for: 
Employee / workerEmployer

Where no specific health monitoring form is available, Registered Medical Practitioners should use this form when supervising health monitoring on workers who are at risk of suffering an identifiable disease or health effect due to exposure at work and return the completed form to Occupational Physician, WorkSafe, Locked Bag 100, EAST PERTH  WA  6892.

WorkSafe
Form – notification
Last updated 21 Aug 2023

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