Notification of lead-risk work
FOR569/08/09.20
General Information and Instructions
Employer must notify WorkSafe Victoria under Regulation 195 that a lead process has been identied as being lead-risk
work. This must be done within seven days of identication.
Employer’s details
Full Legal Name of Organisation Trading As ABN
Postal Address Suburb State Postcode
Contact Person Name Registered Telephone Email
Details of lead-risk work
“Lead-risk work” means work in which the blood lead level of the employee is reasonably likely to exceed
(a) 0.97 micromoles per litre (µmol/L); or
(b) 0.24 µmol/L for females of reproductive capacity.
Workplace Address (where lead-risk work is performed) Postcode
What is the lead-risk work carried out by the worker/s? (tick more than one box if applicable).
Any work which exposes a person to lead dust in air or lead fumes arising from the manufacture or handling of dry
lead compounds.
Any work in connection with the manufacture, assembly, handling or repair of, or parts of, batteries containing lead
that involves the manipulation of dry lead compounds, pasting or casting of lead.
Breaking up or dismantling of batteries containing lead and the sorting, packing and handling of plates or other
parts containing lead removed or recovered from those batteries.
Spraying with molten lead or alloys containing greater than 5% by weight of lead.
Melting or casting of lead alloys containing greater than 5% by weight of lead in which the temperature of the
molten material exceeds 450ºC.
Recovery of lead from its ores, oxides or other compounds by a thermal reduction process.
Dry machine grinding, discing, bung or cutting by power tools of lead or alloys containing greater than 5% by
weight of lead.
Machine sanding or bung of surfaces coated with paint containing greater than 1% by dry weight of lead.
Any process whereby electric arc, oxy-acetylene, oxy gas, plasma arc or a ame is applied, for the purpose of
welding, cutting or cleaning, to the surface of any metal which is coated with lead or paint containing greater than
1% by dry weight of lead.
Occupational Health And Safety Regulations 2017
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Radiator repairs where exposure to lead dust or fume may occur. Fire assay where lead is used.
Hand grinding and nishing of lead or alloy containing greater than 50% by weight of lead. Spray painting with lead
paint containing greater than 1% by dry weight of lead.
The melting of a lead or alloy containing greater than 50% lead by weight where the exposed surface area of the
molten material is greater than 0.1m2 and the temperature of the molten material does not exceed 450ºC.
The use of power tool, including abrasive blasting and high pressure water jets, to remove any surface coated
with paint containing greater than 1% by dry weight of lead and the handling of waste containing lead resulting
from such removal.
Any process that exposes a person to dust or fumes of lead arising from the manufacture or testing of detonators
or other explosives that contain lead.
Any process that exposes a person to dust or fumes of lead arising from the ring of weapons at an indoor ring
range. Foundry processes involving –
(i) the melting or casting of lead alloys containing greater than 1% by weight of lead in which the temperature of
the molten material exceeds 450ºC; or
(ii) the dry machine grinding, discing, bung or cutting by power tools of lead alloys containing greater than 1% by
weight of lead.
Declaration
I declare that, to the best of my knowledge, the information provided in this notication and supporting this notication
is true and correct in every particular.
I declare that where I provide personal information to WorkSafe Victoria about any other individual, I am authorised to
provide that information, the information has been collected in accordance with the Privacy and Data Protection Act 2014
(Vic) and the individual has been or will be made aware of WorkSafe Victorias identity and how to contact it and of the
other matters of which an individual is required to be made aware when personal information is collected about them.
Notier’s Signature Date
Witnessed by (signature) – witness must be at least 18 years of age
Print name Telephone
WARNING: The provision of false and misleading information is an oence under the legislation.
Collection of Personal Information
Personal information collected by WorkSafe Victoria in connection with this notication will be used for the purpose of
assessing and administering the notication. The information may also be used for the administration and enforcement
of legislation administered by WorkSafe Victoria, administration and evaluation of WorkSafe Victorias programs
generally and legal proceedings.
WorkSafe Victoria may disclose personal information to its contractors and agents; to a court or tribunal; to other
regulatory agencies and to any person authorised by the individual to whom it relates, or by law, to obtain it.
Collection of this information may be required by Victorian occupational health and safety legislation. If you do not
provide any or all of the information, your notication may not be accepted or processed.
You have rights to have access to any personal information WorkSafe Victoria holds about you. You may contact
WorkSafe’s Freedom of Information Unit at foi@worksafe.vic.gov.au. You can access WorkSafe Victoria Privacy Policy
at www.worksafe.vic.gov.au.
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Contact Details
Submit your completed notication form and any supporting documentation to:
WorkSafe Victoria
Occupational Hygiene Unit
PO Box 279
Geelong, Victoria 3220
or email hygieneunit@worksafe.vic.gov.au
If you require further information please contact the WorkSafe Advisory line on 1800 136 089.
Note: Unsigned or incomplete notications or notications not accompanied by the required documentation
may not be processed.
Further information relevant to lead-risk work is available on our website www.worksafe.vic.gov.au