JHG - Silica Surveillance - Termination

Additional Medical Information Requirements

Results must be provided on a Sonic Health Crystalline Silica Health Surveillance Report form (as per the example below in the accepted evidence).

  • Applicants name on document must match cardholders registered name (However shortened versions of first names such as 'Chris' for 'Christopher' is acceptable.
  • Form Part 4: Must indicate that this is a Termination of work with indicated substance (the tick box must be ticked).
  • Form must be signed by an AHP as per PART 7, including the date completed.

Upload requirements

  • Upload date: Date the test was completed.
  • Expiry date: Not required.
Accepted evidence

Not accepted evidence
  • No example provided.
Business Rule Link

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