AUDIOMETRIC TESTING CONSENT

Employee's Details
DOB

Consent

I consent to undergo a workplace hearing (audiometric) test. I understand this is a screening test used to monitor hearing and is not a full diagnostic assessment.

Privacy & Use of Information

I understand that:

  • My personal and health information will be collected for workplace health surveillance
  • My results may be provided to my employer for safety and compliance purposes
  • My information will be handled in accordance with the Privacy Act 1988 and guidance from the Office of the Australian Information Commissioner
  • I will receive a copy of my audiometric test results to email provided above after the assessment.
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