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.
The completed form and relevant reports (spirometry, pathology, radiology, medical specialist) should be submitted to the Occupational Physician.
Email: safety@demirs.wa.gov.au
Post: WorkSafe, Locked Bag 100. EAST PERTH WA 6892.