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Breathalyser and Fit for Work Register

HSE Controlled Document — Complete all required fields before work commences

Register Details
Date *
Supervisor Name *
Site / Location *
Crew / Team
WARNING — Non-Negative BAC Reading Detected. One or more workers have returned a non-negative breathalyser reading. These workers must not commence or continue work. Notify the supervisor immediately and follow the site Alcohol and Drug Management Procedure.
Worker Entries
# Worker Full Name * BAC Reading * Fit for Work * Worker Signature Witness Initials *
Full name as per site identification Select reading from breathalyser Tick if cleared Sign using finger, mouse or stylus Witness initials only
Fields marked * are mandatory.
All personnel must be breathalysed before commencing work. A reading of 0.000 is required before a worker is cleared as Fit for Work.
This is a controlled HSE document. Retain for a minimum of seven (7) years for audit and legal compliance.