Applicants @ SMYL
Please Note
You must answer all questions truthfully. If you wilfully and falsely represent as not having previously suffered from an injury or illness then such failure may lead to the refusal to ward you compensation under the Workers’ Compensation and Injury Management Act 1981.
This declaration is not a barrier to being considered for employment at SMYL, but will assist SMYL to take due care in assessing appropriate employment placements.
Why do I need to provide this?
The position you have applied for with South Metropolitan Youth Link (SMYL) requires you to complete this Pre-Employment Health Declaration. You may subsequently be requested to undergo a Pre-Employment Medical Assessment with a Medical Practitioner nominated by SMYL (or if mutually agreed your usual GP Practitioner). SMYL requires this information because it has a duty of care to provide and maintain a safe working environment so far is reasonably practical and to ensure employees are not exposed to hazards.
If you are requested to undergo a Pre-Employment Medical Assessment, it will be to confirm that you are suitable to perform the inherent duties of the position you have applied for, and to help prevent work-related illness or injury occurring during subsequent employment. There are no invasive procedures or internal examinations involved in the medical examination.
SMYL will retain a copy of this Declaration and, where it occurs, details of your Pre-Employment Medical Assessment. Use and disclosure of this information will be strictly and confidentially controlled, in compliance with the Privacy Act 1988 and other legal obligations.
Please Note
You must answer all questions truthfully. If you wilfully and falsely represent as not having previously suffered from an injury or illness then such failure may lead to the refusal to ward you compensation under the Workers’ Compensation and Injury Management Act 1981.
This declaration is not a barrier to being considered for employment at SMYL, but will assist SMYL to take due care in assessing appropriate employment placements.
Why do I need to provide this?
The position you have applied for with South Metropolitan Youth Link (SMYL) requires you to complete this Pre-Employment Health Declaration. You may subsequently be requested to undergo a Pre-Employment Medical Assessment with a Medical Practitioner nominated by SMYL (or if mutually agreed your usual GP Practitioner). SMYL requires this information because it has a duty of care to provide and maintain a safe working environment so far is reasonably practical and to ensure employees are not exposed to hazards.
If you are requested to undergo a Pre-Employment Medical Assessment, it will be to confirm that you are suitable to perform the inherent duties of the position you have applied for, and to help prevent work-related illness or injury occurring during subsequent employment. There are no invasive procedures or internal examinations involved in the medical examination.
SMYL will retain a copy of this Declaration and, where it occurs, details of your Pre-Employment Medical Assessment. Use and disclosure of this information will be strictly and confidentially controlled, in compliance with the Privacy Act 1988 and other legal obligations.
Do you have any other health concerns or medical concerns that you are aware of?
That may affect your ability to under your role, or that this organisation should be made aware of, so that it can fulfil its own duty of care to its employees?
Additional Information
Additional questions may appear here, depending on your responses.
Do you currently take any medications?
On a regular, ongoing basis, as part of a treatment plan by your doctor?
Additional Information
Additional questions may appear here, depending on your responses.
Do you require an Emergency Medical Plan?
Which outlines the correct response and treatment for your condition/s in the event of an emergency?
Additional Information
Additional questions may appear here, depending on your responses.
Have you previously claimed workers compensation, sustained any injuries and/or disease?
As a result of previous employment??
Additional Information
Additional questions may appear here, depending on your responses.
Declaration
I certify that to the best of my knowledge and belief, the answers given by me herein are true and correct.
I understand that any false statements may result in refusal to award me compensation arising out of a workplace injury and/or termination of my employment.
I consent to SMYL obtaining or exchanging further medical information from my treating doctor or other health practitioners, if required for the purposes of a medical assessment.
I authorise release of this information to relevant mangers, Human Resources, SMYL’s Insurance Company and Medical Practitioners where required as part of Occupational Health and Safety issues or with regard to Insurance purposes. I am assured that all information will be kept securely on file.
You will not be able to submit until all fields are complete.