Find out if your lungs are at risk

How would you best describe your current work or workplace?

Please specify:

How long have you been working in your current industry?

Less than 12 months

1 – 4 years

5 – 10 years

10+ years

What control measures does your current workplace use to reduce or manage your exposure to lung health hazards?

Medical - X-Ray chest, CT Scan, Radiotherapy, HRCT

In your current role, have you ever participated in ongoing health monitoring?

Health monitoring: A requirement under Work Health and Safety laws for at-risk workers in certain industries. Health monitoring (referred to as health surveillance in WA) involves regular health checks with a health professional to monitor and protect workers’ health because of their exposure to hazardous agents in the workplace. This may not apply to your industry or current role. This is different to one off pre-employment health assessment.

Yes

No

Have you spoken to your doctor about your workplace and the lung health hazards you are exposed to?

Yes

No

Not yet but I plan to

Prefer not to say

The following questions are about you:

Your answers are confidential.

What is your age?

What is your gender identity:

Gender: other

Which State or Territory do you currently work in?

- Do you identify as Aboriginal or Torres Strait Islander?

- What language do you prefer to speak at home?

State: other

Other - language:

What is your smoking and vaping status?

Cigarettes and tobacco

E-cigarettes/vapes

Lastly, would you like to receive a summary report of your results to take to your doctor?

Exposure to hazardous agents in the workplace can affect your health now and in the future. It's important to discuss your workplace exposure with your doctor - even if you are not currently experiencing any symptoms.

When your doctor knows this information, they can better monitor your lung health and overall wellbeing.

YesNo

Please enter your details to receive an email summary or your results to take to your doctor.

First Name:

Last Name:

Mobile

Email

I have read and understand that I may be contacted as set out in the Privacy Statement.

Silica dust (e.g., found in most rocks and soil)	Coal dust
Asbestos	Organic dusts (e.g., hemp, cotton, grain, flour, wood etc.)
Dusts from hard metals	Mould or other microorganisms (e.g., viruses, bacteria, fungi)
Diesel engine exhaust	Welding and/or solder fumes
Fumes (e.g., from plastics, rubber, vehicles or engines)	Smoke
Gases or vapours from chemicals or solvents (e.g., cleaning or beauty products, paints, resins, inks, dyes or glues etc.)	Aerosols (e.g., paint, hairspray, foams or pepper spray etc.)
Farming chemicals or products (e.g., pesticides)	Animals and/or animal dander
Other	I don’t know if I have had contact with any of these
None of the above