In the United Kingdom under the Asbestos Regulations [1], asbestos workers must undergo assessment by a Health & Safety Executive appointed doctor every 2 years. Suggested components of the assessment include a respiratory symptoms questionnaire, clinical examination and spirometry. Chest radiography was required until 2003 but is now at the discretion of the appointed doctor. The appointed doctor completes a standardized medical assessment form which also asks by means of a checkbox for con?rmation that the asbestos worker has been given advice about smoking cessation. This is in view of the increased risk of lung cancer in smokers exposed to asbestos ?bres [1,2]. Our impression from carrying out consecutive asbestos medicals on the same workers is that simple cessation advice is ineffective. We therefore carried out an audit of consecutive medicals to assess the proportion of asbestos workers who ceased smoking.