Skip to main content

    April 2026: New National Minimum Wage rates now in effect. Check your pay →

    Safety

    Template: Email Requesting Health Surveillance From Employer

    Low risk

    General use — safe to send as-is once you've filled the gaps.

    Open this template

    Copy to clipboard, or download as Word or PDF.

    Format: Document (Word / PDF) · Downloaded 0 times

    When to use this

    • You're regularly exposed to noise, vibration, dust or chemicals at work
    • You've never been offered health surveillance despite the exposure
    • You need to formally request health checks from your employer