Health surveillance

Depending on the environment, there are several health checks which may need to be monitored such as noise, vibration, solvents, fumes, dust, biological agents and other substances hazardous to health. Health Surveillance refers to the medical monitoring of workers that are at risk of being exposed to a hazardous substance. Health Surveillance Medicals offer the opportunity of early detection of diseases and intervention to halt or even reverse the disease process. This procedure may require blood testing, spirometry testing, audiometry testing or urine testing depending on the substance of exposure. 

 

Health Surveillance is a legislative requirement in all states of Australia where workers are exposed to one or more hazardous substances, to ensure that workplace control measures are effective. Medicals should be completed on employment to get a baseline and then periodically depending on the hazardous substance. These assessments should be implemented in companies that are at risk of exposure and appropriate training given to workers around the wearing of PPE and safe working procedures. 

 

At The Work Doctor, our Occupational Physicians and Registrars can offer you expert advice and guidance as well as worksite visits to identify risk factors within your workplace. We perform initial, periodical and incidental exposure medicals. 

 

The following substances are identified in the Queensland Work Health and Safety Regulations 2011:

  • Acrylonitrile                                          
  • Arsenic
  • Asbestos                                                
  • Benzene
  • Cadmium                                                
  • Chromium (Inorganic)
  • Creosote                                                
  • Crystalline Silica
  • Isocyanates                                            
  • Lead (Inorganic)
  • Mercury (Inorganic)                                
  • Organophosphate Pesticides
  • Pentachlorophenol (PHP)                        
  • MOCA
  • Polycyclic Aromatic Hydrocarbons (PAH)
  • Thallium                                                    
  • Vinyl Chloride

Frequently Asked Questions (FAQ's):

How do I make an appointment?

You can make an appointment by contacting our administrative team on (07) 5574 5792.

ASBESTOS HEALTH MONITORING

Health Monitoring Requirements:

  • Initial assessment should occur prior to commencement of work
  • Periodic monitoring should occur at least every 2 years

 

Health Monitoring Assessment Includes:

  • Comprehensive Medical and Occupational History
  • Records of the Workers Prior Exposure
  • Medical Examination, with particular focus on the respiratory system
  • Spirometry (Lung Function) Test
  • Chest X-ray (if clinically indicated)

BLOOD LEADS MONITORING

Health Monitoring Requirements:

  • Initial assessment should occur within the first 4 weeks of commencing employment

  • Periodic monitoring should occur 2 months after the first test, again 6 months after the first test and then every 6 months thereafter. 

 

Health Monitoring Assessment Includes:

  • Blood Lead Test

AUDIOMETRIC HEALTH MONITORING

Health Monitoring Requirements:

  • Initial assessment should occur for all employees regularly exposed to >85dB
  • Baseline Audiometric Test within 3 months of the employee commencing work
  • Audiometric testing at least every 2 years, unless cause for concern 
  • More frequent testing is required (at least 6 monthly) for employees regularly exposed to >100dB

 

Health Monitoring Assessment Includes:

  • Audiometry Test

ISOCYANATES HEALTH MONITORING

Health Monitoring Requirements:

  • Initial assessment should occur prior to commencing work and then at 2 weeks, 6 weeks and 6 months after initial health monitoring and then 6 monthly thereafter

 

Health Monitoring Assessment Includes:

  • Respiratory Medical History and/or Questionnaire

  • Spirometry (Lung Function) Test

  • If indicated by the Medical Practitioner, a urine isocyanate test may be performed

CRYSTALLINE SILICA HEALTH MONITORING

Health Monitoring Requirements:

  • Monitoring should occur prior to commencing work and then annually thereafter

 

Health Monitoring Assessment Includes:

  • Demographic Data

  • Work History

  • Medical History including the completion of a standardised Respiratory Questionnaire

  • Medical Examination with emphasis on the Respiratory System

  • Spirometry (Lung Function) Test

  • Chest X-ray (baseline only, and then every 5 years thereafter or upon finishing work)

RESPIRATORY HEALTH MONITORING

Health Monitoring Requirements:

  • Monitoring should occur prior to commencing work and then periodically thereafter

 

Respiratory Health Monitoring Assessment Includes:

  • Demographic Data

  • Work History

  • Completion of a standardised Respiratory Questionnaire

  • Spirometry (Lung Function) Test

  • Chest X-ray (if clinically indicated)