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481 Publications

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  • Registration of diving contractors

    Registration form for diving contractors - Diving at Work Regulations (Northern Ireland) 2005.

    Published 27 May 2021
  • HSENI Appointed Doctor Audit Form

    When your Certificate of Appointment is due for renewal, HSENI will require you to complete and submit this audit form along with other relevant information

    Published 27 May 2021
  • Application for approval as a Medical Examiner of Divers

    This document is an application form (AMED02) for approval as a Medical Examiner of Divers under 'The Diving at Work Regulations (Northern Ireland) 2005'.  

    Published 27 May 2021
  • Renewal of approval as a medical examiner of divers

    This document (AMED02R) must be completed for renewing approval as a medical examiner of divers.  

    Published 27 May 2021
  • Application for appointment as an appointed doctor (HSENI MS38)

    This form is to be used by doctors applying for appointment for the first time or by established appointed doctors applying to have their appointment extended to cover additional regulations.

    Published 27 May 2021
  • Clinical record (HSENI MS101) - Ionising Radiation Regulations (NI) 2000

    This form is a clinical record (HSENI MS101) under the Ionising Radiation Regulations (NI) 2000.

    Published 27 May 2021
  • Surveillance record for person exposed to lead (HSENI MS99)

    This form can be used as a surveillance record for a person exposed to lead.

    Published 27 May 2021
  • Certification of unfitness/fitness (HSENI MS103)

    This form is a certification of unfitness/fitness under the Control of Lead at Work Regulations (NI) 2003.  (HSENI MS103)

    Published 27 May 2021
  • Renewal of appointment as an appointed doctor (HSENI MS38R)

    This form should be completed by appointed doctors wishing to renew their appointment.

    Published 27 May 2021
  • Ionising radiation health record (HSENI IR2067)

    Ionising radiation health record (HSENI IR2067) 

    Published 27 May 2021
  • Notification to employer of biological test results and record of medical surveillance (HSENI MS102)

    This form is a notification to employer of biological test results and record of medical surveillance (HSENI MS102) under the Control of Lead at Work Regulations 2003.  

    Published 27 May 2021
  • Initial medical assessment (HSENI MS98) - Control of Lead at Work Regulations (NI) 2003

    This document is an initial medical assessment form under the Control of Lead at Work Regulations (NI) 2003.  

    Published 27 May 2021
  • Respiratory symptom questionnaire - licensed asbestos work (HSENI MSLW1)

    This form is a respiratory symptom questionnaire for licensed work under the Control of Asbestos Regulations (Northern Ireland) 2012.  (HSENI MSLW1) 

    Published 27 May 2021
  • Health surveillance record form - licensed work (HSENI MS100)

    This form is a health surveillance questionnaire for licensed work under the Control of Asbestos Regulations (Northern Ireland) 2012. 

    Published 27 May 2021
  • Health questionnaire for on-going surveillance of people potentially exposed to substances that can cause occupational asthma

    The questionnaire should be completed six weeks after employment commences and annually thereafter on the anniversary of the commencement of employment - unless the company occupational health adviser determines otherwise.

    Published 27 May 2021
  • Farm Safety Action Plan 2020-23

    This is the fourth Farm Safety Action Plan produced since the Farm Safety Partnership (FSP) was established in 2012.  It covers the period from April 2020 to March 2023.  This plan sets out a range of actions, some new and some carried over from the previous plan which are designed to reduce the number of incidents and improve the health and safety of those involved in farming in Northern Ireland.

    Published 26 May 2021
  • Managing work-related stress workshops/webinars - registration forms

    The Mental Well-being at Work Advisory Service is planning to hold workshops throughout 2021 on Managing Work-Related Stress.If you would like to attend a workshop please complete the attached form to indicate your interest and send this to the following email address:stress@hseni.gov.uk 

    Published 11 May 2021
  • Authorisation 969

    The Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations (Northern Ireland) 2010 (as amended) Authorisation No. 969

    Published 19 February 2021
  • Authorisation 970

    The Cariage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations (Northern Ireland) 2010 (as amended)

    Published 19 February 2021
  • The Health and Safety (Amendments and Revocation) (EU Exit) Regulations (Northern Ireland) 2020 - Regulatory Impact Assessment

    The Health and Safety (Amendments and Revocation) (EU Exit) Regulations (Northern Ireland) 2020 Regulatory Impact Assessment

    Published 16 December 2020

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