Table of Contents
- 5 Steps to Make a Medical Surveillance
- 6+ Medical Surveillance Form Templates
- 1. Medical Surveillance and Consent Form
- 2. Medical Surveillance Referral and Approval Form
- 3. Health Surveillance and Assessment Form Template
- 4. Worksafe Health Surveillance Form Template
- 5. Health Surveillance Form Template
- 6. Health Surveillance Registration Form Template
- 7. Health Surveillance Form Example
6+ Medical Surveillance Form Templates in PDF | DOC
When employees work under hazardous conditions, then the company must make sure that physical health is not compromised and therefore, they are away from hazardous effects of their concerned occupation. So medical surveillance takes place that consists of an assessment of the employees exposed to the occupational hazards. Medical surveillance is a process that is carried out with the help of a form. The employees are made to fill up the forms that include the basic health conditions and problems that the employees are prone to. To make those forms, you can refer to the form templates on the website and accordingly customize those.
5 Steps to Make a Medical Surveillance
Step 1: Identify the Hazards
At the very first step, the hazards of the concerned occupation should be known. Once you know the hazards you will be able to take further precautions. So each of the activities should be examined and the hazards should be identified.
Step 2: Identify the Prone Diseases
After examining the hazards you need to consult a physician or a specialist who can help know the respective health diseases that can be caused by those hazardous activities at work. Depending on that the further step can be adopted.
Step 3: Medical Conditions Required
Then comes the requirements or the health conditions that the employees need to attain to be able to work under such hazardous conditions. Those shall be identified by proper consultation with a doctor of each employee.
Step 4: Employee Details
The medical surveillance form should include all the details of the employee. His/her contact details, the department, the tasks that the employee should perform. So make sure all those details are put in the correct order.
Step 5: Evaluation
At the end check whether the details and information included are correct. If you have missed out any important detail or information make room for the additions and changes. So this revision of the performed steps is required for you to make.
6+ Medical Surveillance Form Templates
1. Medical Surveillance and Consent Form
hse.govTo make a medical surveillance form for licensed work, you need to lay down the guidance on completion of the consent section. Then there will be the pictorial representation of various respirators and masks and also an in-depth description of the research. So if this is exactly what you want to make, then here is a sample that is best going to help you in making the form. We also have form templates in Google Docs for you, if you wish to make a form in Docs format.
2. Medical Surveillance Referral and Approval Form
fau.eduTo note the hazards requiring medical surveillance to the employees, you need to make a hazard assessment form. That is going to consist of the details of the employees and the type of hazards that he is prone to. So to make that form, here is a sample file for you that you can refer to. Download the sample and design the form accordingly. You can refer to the form templates in Word on the website.
3. Health Surveillance and Assessment Form Template
leicester.govTo make sure that the health of the employee is not harmed in the process of hazardous activities at work, there is a health surveillance and assessment form. That lets the employer know the current activities that the employee is made to do at work and the contact details of the employee. Just refer to this given sample and you will be able to create the form in a jiffy. There are sample medical form templates for other purposes for you too.
4. Worksafe Health Surveillance Form Template
commerce.wa.govFor the safe working environment of the employees, there is a form that the employee is made to fill, to ensure the safe working conditions. This form consists of the employer details, about the employee and the work details. All of these help to know about the safe working environment of the employees. Just refer to the given sample that is designed especially for this purpose. You can gather the idea from it and then make the form accordingly. There are also form templates in Google Sheets for you that you can refer to.
5. Health Surveillance Form Template
commerce.wa.govAre you assigned the task of making a health surveillance form? Is it difficult to make one? Don’t worry! Here we are with a file format that will help you to make the form in a jiffy. This sample includes all the necessary details and will, therefore, make your job done in the least time. Just download this DOC format and design the form. You may also look at the form templates in Numbers if you wish to.
6. Health Surveillance Registration Form Template
ox.ac.ukA health surveillance registration form is not very difficult to make if you have reference material to look up to. This material is going to help you acquire the basic details and the idea that is required for you to make one. So once you have downloaded this file, you will have the perfect knowledge of making it on your own. Get this sample downloaded and make the medical certificate in an instant.
7. Health Surveillance Form Example
haltonhealthcare.on.caTo make a health surveillance form most easily and conveniently, here we have a file sample for you. If you are running out of time and need to rely on a sample for making it, then this is the correct one for you. Just download this customizable sample right away and then gather the idea from it to make the medical report.
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