We require you to provide us with the following information about your health so we can ensure, in the event your employment
application is successful that:
- in respect of the work you will perform, the risks to your health and safety and the health and safety of others is minimised so far
as is reasonably practicable;
- you are capable of performing the genuine occupational requirements of the position you are employed in; and
- you have disclosed to us any pre-existing injuries or diseases suffered by you that you are aware of that could be affected by the
nature of the position you are employed in.
This information is confidential and will not be used other than in relation to your employment except with written permission.
Do you experience or suffer from any of these conditions or have you ever had difficulties with the following:
Please tick the appropriate box(s):
To assist in determining measures to address your workplace health and safety, please provide details of all previous injuries or conditions which may be affected by the work you are likely to perform in the position you have applied for: