CHP quote request

    Please indicate approximate employee numbers next to each service required.

    Audiometric testing

    Audiometric Tests – Baseline/Subsequent, incl WorkCover

    Full audiological hearing tests

    Health surveillance

    (incl WorkSafe required)

    Spray painters / Isocyanate exposure

    Lead

    Other (please specify below:)

    Spirometry

    Lung function tests

    Workplace vaccinations

    Flu vaccinations

    Hepatitis A/B vaccinations

    Whooping cough (pertussis) vaccinations

    Other –please specify:

    Drug and Alcohol testing (DAS)

    Instant onsite urine or saliva test

    Please specify preference:

    Vision screening

    Onsite vision screens

    Other Onsite Medical Assessments

    Please specify:

    Environmental Monitoring

    Noise Survey (Work Safe or DMP)

    Air contaminant survey

    Water - Legionella Risk Assessment

    Ergonomic Assessments

    Workstation assessments

    Staff training ie: manual handling/ergonomic workstation assessor training

    YOUR DETAILS

    Your Name (required):

    Position (required):

    Company (required):

    Worksite location for onsite testing – suburb/town/site (required):

    Email (required):

    Phone (required):

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