Asbestos management

KD-ASB-EH-005

Asbestos Worker Exposure and Health Record Index

The employer's 40-year index of asbestos exposure: one line per person per job with the work category, the plan of work, the RPE and fit-test reference, the air monitoring record or the reason none was needed, and where the health record and the medical certificate are held — holding no clinical detail.

2 pages · 197 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.

Statutory basis, cited on the form

What it is not

It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".

Format

AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.

This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.

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