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Licensed Asbestos Medical Non-Licensed Asbestos Medical Requirements How Often For Employers Self-Employed About Contact Enquire now

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Non-Licensed Asbestos Medical

Medical examinations for notifiable non-licensed work (NNLW) with asbestos, comprising a chest examination and a lung function test, repeated at intervals of no more than 3 years.

Some non-licensed asbestos work carries additional duties because of the higher risk involved, known as notifiable non-licensed work (NNLW). Examples include removing asbestos cement where the material will be substantially damaged or broken up, large-scale removal of textured coatings, or removing asbestos insulating board as part of refurbishment. Employers must notify this work to the relevant enforcing authority before it starts, and workers carrying it out must be under medical surveillance.

Not all non-licensed asbestos work is notifiable, and not all non-licensed work carries a statutory medical surveillance duty. Whether NNLW applies depends on the type of work, the material involved and its condition, so if you are not sure which category applies, your employer's risk assessment (or the HSE's own guidance) is the place to confirm it before booking.

Who this is for

  • Workers carrying out notifiable non-licensed work (NNLW) with asbestos
  • Maintenance workers and tradespeople undertaking notifiable work on asbestos-containing materials
  • Self-employed workers carrying out NNLW
  • Employers arranging medical surveillance for staff who carry out NNLW

What's included

The examination comprises a chest examination and a lung function test, along with a medical and occupational history. It can be carried out by an HSE-appointed doctor, or by any doctor who is GMC-registered with a licence to practise, in line with HSE guidance for doctors examining non-licensed workers. The doctor issues a certificate confirming that the examination took place and the date it was carried out.

The certificate
The certificate you receive confirms that medical surveillance under CAR 2012 was carried out; it does not certify fitness to work with asbestos. Read more on what the certificate covers.
Questions

Non-Licensed Asbestos Medical FAQs.

How often is a non-licensed asbestos medical required?
For notifiable non-licensed work (NNLW), examinations must be repeated at intervals of no more than 3 years, for as long as you continue that work.
Does the doctor have to be HSE-appointed?
No. Unlike licensed work, medical surveillance for NNLW can be carried out by an HSE-appointed doctor or by any doctor who is GMC-registered and holds a licence to practise.
Who notifies the work to the HSE?
Notification is the employer's responsibility, made using the HSE's online notification form before the work starts. We carry out the medical; notification of the work itself is a separate step for your employer to complete.
What's the difference between NNLW and licensed work medicals?
Licensed work medicals must be carried out by an HSE-appointed doctor and repeated at least every 2 years. NNLW medicals can be carried out by any GMC-registered doctor and are repeated at least every 3 years. See our full comparison of licensed vs non-licensed medicals for the detail.
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