Licensed & non-licensed medicals · Certificate issued to worker & employer
Asbestos Medicals
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Documentation

What your asbestos medical certificate actually confirms.

It's a record that medical surveillance took place, not a fitness certificate. The difference matters, and it's one a lot of providers gloss over.

What it confirms

After your examination, the doctor completes and issues an original certificate of medical examination. It confirms that medical surveillance required under CAR 2012 was carried out, and the date it happened. That's it.

What it doesn't confirm
The certificate does not give an opinion on your fitness to work with asbestos. Certificates of fitness or unfitness for asbestos work aren't required under CAR 2012. If your role also requires a separate fitness-for-work assessment (for example for respiratory protective equipment or confined spaces), that's arranged and certified separately.

Who receives it

You receive a copy, and so does your employer (both if you're employed; you keep the only copy if you're self-employed, since CAR treats you as both).

How long it needs to be kept

Your employer should keep the certificate, or a copy, for at least 4 years from the date it was issued. This sits alongside a separate health record, which your employer must maintain for at least 40 years, covering your asbestos work history and the dates of your examinations, without confidential clinical detail.

Non-licensed (NNLW) certificates

For non-licensed work, the certificate works the same way in principle: it confirms the examination took place and the date, issued by whichever doctor, HSE-appointed or GMC-registered, carried out your NNLW medical.

Questions

The certificate, clarified.

Does the certificate confirm I'm fit to work with asbestos?
No. The certificate confirms that medical surveillance under CAR 2012 was carried out on a given date. Certificates of fitness or unfitness for asbestos work are not required under CAR, and we won't describe it as one.
Who gets a copy of the certificate?
The doctor issues an original certificate of medical examination to both you and your employer (or to you directly if you're self-employed).
How long does my employer need to keep it?
HSE guidance says employers should keep the certificate, or a copy, for at least 4 years from the date it was issued.
Is the certificate the same as the health record?
No. The certificate confirms one examination took place. The health record is a separate document your employer must maintain under regulation 22, covering your asbestos work history and examination dates, kept for at least 40 years. It shouldn't contain confidential clinical information.
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We'll issue your certificate accurately, and explain exactly what it covers.

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