The Employee Health Declaration Form is a vital document used in Australian workplaces to gather relevant health information from employees or job candidates. It is typically used during pre-employment screening, return-to-work processes, or when employees transition to roles with different health and safety requirements. The form must comply with Australian privacy laws, workplace safety regulations, and anti-discrimination legislation, particularly the Privacy Act 1988 and Work Health and Safety Act 2011. It collects information about pre-existing conditions, current health status, and physical capabilities relevant to job requirements, while ensuring that only necessary and legally permissible health information is requested. The document supports organizations in fulfilling their duty of care obligations while protecting employee privacy rights.
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1. Personal Information: Employee's basic details including full name, date of birth, position applied for/current position
2. Privacy Statement: Declaration of how the health information will be collected, used, stored and protected in accordance with the Privacy Act 1988
3. General Health Status: Basic questions about current health status and fitness for work
4. Pre-existing Conditions: Declaration of any pre-existing medical conditions that could affect work performance or safety
5. Work-Related Injuries: Information about any previous or current work-related injuries or conditions
6. Physical Capabilities: Questions about ability to perform specific physical requirements of the role
7. Medical Treatment: Current medications or ongoing treatments that might affect work performance
8. Emergency Contact Information: Details of who to contact in case of medical emergency
9. Declaration and Consent: Employee's signature confirming information is true and consent for information use
1. Specific Role Requirements: Additional health questions specific to particular job roles (use when position has unique physical demands)
2. Mental Health Status: Questions about mental health conditions (include only when relevant to work safety and well-being)
3. Vaccination Status: Information about relevant vaccinations (include for healthcare or high-risk environments)
4. Genetic Information Declaration: Family medical history section (include only when strictly necessary for specific roles with genetic risk factors)
5. Workplace Adjustments: Section for requesting any necessary workplace modifications (include when organization offers accommodation options)
1. Schedule A - Physical Requirements Checklist: Detailed checklist of specific physical requirements for the role
2. Schedule B - Medical History Details: Detailed medical history form for positions requiring comprehensive health assessment
3. Appendix 1 - Privacy Policy Extract: Relevant sections of the organization's privacy policy regarding health information
4. Appendix 2 - Workplace Adjustment Request Form: Separate form for requesting specific workplace adjustments or accommodations
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Construction
Mining
Manufacturing
Transport and Logistics
Agriculture
Education
Hospitality
Emergency Services
Aviation
Maritime
Sports and Recreation
Childcare
Aged Care
Food Production
Laboratory and Research
Relevant Teams
Human Resources
Workplace Health and Safety
Risk and Compliance
Occupational Health
Recruitment
Employee Relations
Legal
Medical Services
Workers Compensation
Relevant Roles
Human Resources Manager
Workplace Health and Safety Manager
Occupational Health Nurse
Risk Management Officer
Compliance Officer
HR Business Partner
Recruitment Manager
Employee Relations Manager
Workers Compensation Coordinator
Return to Work Coordinator
Medical Review Officer
OH&S Consultant
HR Administrator
Talent Acquisition Specialist
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