skip to content

Occupational Health

 

The occupational health forms are intended to be completed, printed and then returned by post. They should only be returned by email in PDF format, with the individual’s informed consent and then using the secure occhealth email address

 

Ref No:

Title Date of issue

OHF01

Management referral form

June 2018

OHF02

Self-referral form

February 2018

OHF03

Covid-19 Referral Form July 2020

 

Covid-19 Risk Assessment for clinical and embedded spaces within hospital settings

Covid-19 Risk Assessment for non-clinical areas

Covid-19 Part D Return to work, Staff risk assessment, Red risk group including those shielding

July 2020

OHF04

On Offer Referral Form

June 2018

OHF05

Food handlers questionnaire

September 2018

OHF06

Food handlers agreement

September 2018

OHF07

Fork Lift Truck / Driver

March 2019

OHF08

Respiratory / Skin Sensitiers initial health questionnaire

September 2018

OHF09

Respiratory six / twelve week health questionnaire

July 2014

OHF10

Research Passport health assessment questionnaire

December 2018

OHF11

Pre-clinical Medical Student Health Questionnaire

November 2019

OHF13

Medical student immunisation record

November 2019

OHF16

Preclinical veterinary student health questionnaire

November 2019

OHF18

Bloodborne virus testing consent form

July 2020

OHF19

Pre travel risk assessment form

September 2018

OHF20

Medical student HIV PEP risk assessment

January 2020

OHF22

Veterinary workers annual questionnaire

December 2015

OHF24

Respiratory annual health questionnaire

July 2019

OHF25

HAVS initial assessment

July 2018

OHF26

HAVS review assessment

July 2018

OHF27

Noise initial health assessment

September 2018

OHF28

Individual Stress Risk Assessment

June 2017

OHF29

Job Hazard Evaluation Form

June 2018

OHF30

Work Health Declaration

June 2018

OHF31

PGCE student health assessment

September 2019

OHF32

Health Assessment Questionnaire for Night Workers

September 2018
OHF33

DSE Eye Test Form

July 2019
OHF34

Display Screen Equipment Self-Assessment Checklist

December 2018

OHF35

Biological Agents Health Assessment Questionnaire January 2020

OHF36

PGCE Student referral form November 2018
OHF37

Medical Student Referral to Occupational Health

October 2018

OHF38

Medical Student Referral to Occupational Health from the Fitness to Practice Committee (FTPC) April 2015

OHF39

Veterinary Student Referral to Occupational Health January 2015

Guidance

OHG01

Medical Student Referral Guidance December 2014

OHG02

Occupational Health Recruitment Guidance Flow Chart

September 2013

OHG03

Job Hazard Evaluation Guidance

May 2015

OHG04

Individual stress risk assessment worked example

 

OHG05

Management guidance for completing the individual stress risk assessment