Construction Related Health Surveillance Medicals

Employers are required by law to provide health monitoring to workers who are at risk of being exposed to asbestos while on the job, prior to commencing asbestos removal work or ongoing asbestos related work. This includes licensed asbestos removalists and assessors who are wearing full personal protective equipment.

Health monitoring should also be provided to workers at regular intervals (at least once every two years) after the worker commences asbestos-related work where there is a risk of exposure to asbestos.

A copy of the health monitoring report must be provided to SafeWork NSW where the report contains:

  • advice that a worker may have contracted a disease, injury or illness, or
  • any recommendations that remedial measures be taken


Notifications of an adverse health monitoring report should be made using the “Notification of an adverse health monitoring report”.

From 1 July 2020, a penalty applies for failure by a business (PCBU) to notify SafeWork NSW of an adverse health monitoring report.