Employment with Super Good Group is conditional on the applicant being fit and fully able to perform the inherent requirements of the position.
When completing the pre-employment health declaration, it must be in full knowledge of the position as outlined in the position description.
Read the document carefully and discuss any queries that you may have prior to completing the form with your manager.
The primary purpose of this pre-employment health declaration is to assist Super Good Group to ensure that no person is placed in an environment or given tasks that will result in physical or mental harm.
It is not the intention of the pre-employment health declaration to deny a person employment solely because of disability or illness.
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The pre-employment health declaration does enable, where applicable, appropriate, and reasonable action to be taken by Super Good Group to meet the provisions of Section 21 of the Occupational Health and Safety Act 2004 and Section 41(1) and Sub-section 41(2) of the Workplace Injury Rehabilitation and Compensation Act 2013.
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Section 21 of the Occupational Health and Safety Act 2004, states that an employer shall provide and maintain, so far as practicable, for employees a working environment that is safe and without risks.
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Section 41(1) of the Workplace Injury Rehabilitation and Compensation Act 2013, requires disclosure to your employer of any pre-existing injuries or disease that you have suffered, or existing injuries or disease that you continue to suffer of which you are aware and could reasonably be expected to foresee could be affected by the nature of the proposed employment as outlined in the position description for your proposed employment.
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Sub-section 41(2) of the Workplace Injury Rehabilitation and Compensation Act 2013 will apply if you fail to make a disclosure as per Section 41(1) of the Workplace Injury Rehabilitation and Compensation Act 2013, or the making of a false or misleading disclosure.
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If Sub-section 41(2) of the Workplace Injury Rehabilitation and Compensation Act 2013 applies, any recurrence, acceleration, exacerbation or deterioration of the pre-existing injury or disease arising out of or in the course of employment or due to the nature of employment with the employer does not entitle the worker to compensation under this Act.
Super Good Group may rely on any failure to disclose or the making of a false or misleading disclosure, in accordance with the provisions of the Workplace Injury Rehabilitation and Compensation Act 2013, as grounds for denying compensation.
See privacy notice
do sincerely declare that the contents of this form are true and correct and completed to the best of my knowledge and no information concerning my past or present state of health has been withheld. I hereby agree to undergo a health assessment by a medical practitioner if deemed necessary by Super Good Group.
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I am aware that I may be required to undergo a hearing test. I will be advised that if a work-related noise induced hearing deficit is detected that a compensation claim should be lodged against the relevant past employer. I am aware that the record of audiometry will be held in my file. I am aware that I will be asked to meet the cost of these examinations/reports.
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I understand that any wilfully incorrect or misleading answer or material omission which relates to any of the questions before mentioned may make me ineligible for employment, or if employed, liable to disciplinary action which may include dismissal. I understand that this pre-employment health declaration may form part of my file.
Thank you. Your declaration has been submitted!