Abstract: The current global roll-out of 5G infrastructure is designed to utilise millimetre wave frequencies (30–300 GHz range) at data transmission rates in the order of gigabits per second (Gbps). This frequency band will be transmitted using beamforming, a new introduction in near- field exposures. The International Commission on Non-Ionising Radiation Protection (ICNIRP) has recently updated their guidelines. We briefly examine whether the new approach of the ICNIRP is satisfactory to prevent heat damage and other adverse bio-effects once millimetre wave 5G is included, and we challenge the use of surface-only exposure assessment for local exposures greater than 6 GHz in part due to possible Brillouin precursor pulse formation. However, this is relevant whether or not Brillouin precursors occur from absorption of either 5G or future G transmissions. Many significant sources conclude there is insufficient research to assure safety even from the heat perspective. To date, there has been no published in vivo, in vitro or epidemiological research using exposures to 5G New Radio beam-formed signals.