Specialised Contracting Solutions
3
Specialised Contracting Solutions
SPECIALISED
CONTRACTING SOLUTIONS
PLASTERING | PAINTING | CONCRETE | SURFACE FINISHING
SCS-HS-LEAD-001 / LEAD EXPOSURE MANAGEMENT

Worker Lead Exposure Information & Acknowledgement

SCS-HS-FRM-LEAD-005 · REV 2.0 · 26 SEPTEMBER 2026
STATUS
CONTROLLED — CURRENT
OWNER
Health & Safety Lead
APPROVED BY
SCS Director / Officer
SECTION
10 of 11
01
SECTION 01

Purpose

Confirms the worker has received and understood lead exposure information.

I have received, read and understood the SCS lead exposure information.

02
SECTION 02

Fields captured

GROUPFIELDOPTIONS
WorkerWorker name *Free text
WorkerRole / tradeFree text
WorkerQuestions / commentsFree text
03
SECTION 03

Checks

I UNDERSTAND
  • How lead enters the body (inhalation and ingestion) and its health effects
  • Lead status must be confirmed or presumed before disturbing coatings
  • Prohibited methods: dry sanding / grinding, open flame, blasting, compressed air, dry sweeping
  • H-class extraction and fit-tested RPE with a fit check every use
  • No eating, drinking, smoking or vaping in the lead-control zone
  • Decon and take-home contamination controls
  • Health monitoring is risk-based and practitioner-led; reports are confidential and provided to me
  • Pregnancy / breastfeeding / planning pregnancy — ideally no workplace lead exposure; I may raise this confidentially
  • My stop-work authority when controls fail

Sign-off: Worker. Each completed record is audit-stamped with user, time, project and revision.

—
SECTION —

Document approval

ROLENAME / POSITIONSTATUS
Prepared / reviewedHealth & Safety LeadREVIEWED
ApprovedSCS Director / OfficerAPPROVED
BUILDING SAFER SPACES FOR GENERATIONS
SCS-HS-FRM-LEAD-005
REV 2.0 · 26 September 2026
CONTROLLED DOCUMENT · SPECIALISED CONTRACTING SOLUTIONS LIMITED
NZBN 9429043350858 · PAGE 1