Applying for registration as a hygiene sampler

Hygiene sampler registration form - 1432 Kb

This form is required to be registered as a Hygiene sampler form

Who can apply for registration?

To be registered as a hygiene sampler, a person must provide proof of qualification as a surface ventilation technician or surface ventilation officer. If these course(s) have not been undertaken, a person may apply citing their relevant qualification or experience related to occupational hygiene to meet competency requirements.

Hygiene registration lasts for five years. Re-registration will only be approved if evidence of current competency in air-monitoring skills is provided.

Required information

The completed and signed form must be lodged with a copy of the certificate(s) for:

  • surface ventilation technician

or

  • surface ventilation officer

including the course date(s).

Without the complete information, a sampler will not be registered to submit results into the Health and Hygiene system.

If seeking registration without these qualifications, please complete the application form and provide a work history stating relevant experience (e.g. places, dates, activities, responsibilities). The form and supporting documentation should be emailed directly to the Hygiene Manager.

Lodging the application

Submit samples via the Safety Regulation System only.

Contact

Health and hygiene sampling including atmospheric, noise and biological monitoring.

Phone: (08) 9358 8001 (select option 2 - you can make your selection at anytime)
Email: SRSManager@dmirs.wa.gov.au