Designated Substance Health Surveillance

The purpose of health surveillance is to ensure that workplace control measures are effective. It also allows for the  opportunity to reinforce preventive measures and safe work practices. Health surveillance is a legislative requirement in all states of Australia when workers are exposed to designated substances. These include, but are not limited to; lead, isocyanates, asbestos, benzene, cadmium, organophosphates and sound.


Dr O'Toole is experienced in the design and implementation of health surveillance programs to meet an organisation's legislated requirements and prevent injury.


The following is a guide to health surveillance requirements for specific substances. This list is not exhaustive, and many other substances in a workplace environment pose significant risks. It is recommended that you contact us for the best advice for your particular workplace:

 

Asbestos 

  • Medical and occupational history including exposure record
  • Physical examination if decided by the designated doctor supervising the health surveillance 

 

Benzene 

  • Medical and occupational history including exposure record
  • Baseline blood sample for haematological profile 

 

Cadmium 

  • Medical and occupational history including exposure record
  • Standard respiratory questionnaire
  • Physical examination 
  • Lung function tests
  • Urinary cadmium and ß2–microglobulin 

 

Crystalline silica 

  • Medical and occupational history including exposure record
  • Standard respiratory questionnaire
  • Lung function tests 
  • Chest X-ray as determined by Assessing Doctor

 

 Inorganic arsenic 

  • Medical and occupational history including exposure record
  • Physical examination
  • Urinary total arsenic 

 

Inorganic chromium 

  • Medical and occupational history including exposure record
  • Physical examination


Inorganic mercury 

  • Medical and occupational history including exposure record
  • Physical examination
  • Urinary inorganic mercury 

 

Isocyanates 

  • Medical and occupational history including exposure record
  • Standard respiratory questionnaire
  • Lung function tests 
  • Chest X-ray as determined by Assessing Doctor

 

Organophosphate pesticides 

  • Medical and occupational history including exposure record
  • Physical examination
  • Baseline examination of red cell and plasma cholinesterase activity levels
  • Estimate of red cell and plasma cholinesterase activity towards the end of a working day on which organophosphate pesticides have been used 

 

Inorganic lead 

Lead health surveillance is covered under Part 13.1 Division 10 of the WHS Regulation 2011

  • Medical and occupational history including exposure record
  • Physical examination
  • Blood lead at intervals to be determined (initially at 1,3 & 6 months)