Free Occupational Health Assessment

Introducing the Occupational Health Assessment Template from Template.net – an editable and customizable solution for comprehensive workplace evaluations. Featuring an AI Editor Tool, this template allows you to easily modify sections to meet your specific needs, ensuring accurate assessments and efficient documentation. Ideal for enhancing employee health and safety management in any organization.

Parameter	Measurement	Normal Range
Blood Pressure	125/82 mmHg	90/60 - 120/80 mmHg

Risk	Description	Risk Level	Control Measures
Back Injury Exacerbation	Risk of re-injury during manual handling	High	Limit lifting, provide ergonomic tools

Free Occupational Health Assessment

I. Employee Information

Name

Date of Birth

Job Title

Department

Assessment Date

II. Purpose of Assessment

Reason for Assessment

Specific Concerns

III. Job Description

Key Responsibilities

Work Environment

IV. Medical History

Past Medical History

Current Medications

Allergies

V. Physical Examination

Vital Signs

Musculoskeletal Examination

Other Relevant Examinations

VI. Assessment of Fitness for Work

Fitness Level

Workplace Modifications Required

VII. Risk Assessment

Potential Work-Related Health Risks

VIII. Recommendations

Workplace Adjustments

Follow-Up Actions

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