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From 1 January 2014, a Person Conducting a Business or Undertaking (PCBU) must be authorised to use, handle or store certain carcinogens.

Schedule 10 of the Work Health and Safety Regulations 2012 (SA) lists the prohibited carcinogens, restricted carcinogens and restricted hazardous chemicals as well as their restricted use.

Complete the application form including all supporting documentation. No fees apply. If you have any questions about restricted carcinogens or require help to complete the form please call SafeWork SA's Help Centre on 1300 365 255.

Individual public hospitals (SA Health) do not need to complete this form for cyclophosphamide use as this information is submitted to SafeWork SA by each of the Local Health Networks (LHN). Contact the SA Health LHN WHS Manager for details if you require more information.

Please fill in the relevant application form and submit to SafeWork SA via post or email:

SafeWork SA
Licensing Unit
GPO Box 465
Adelaide SA 5001

Email Carcinogens application form