Pre-employment medical questionnaire form template
Recent customers:
This questionnaire collects specific job-related information about a post, and relevant health information about the new starter.
Pre-employment medical questionnaire form
[Employees starting jobs that involve work with hazards (e.g. sensitising chemicals, allergens etc) or safety-critical activities (e.g. night work, driving a vehicle etc) must complete and return this medical questionnaire before commencing employment.]
An answer must be provided for all questions. The information will be treated in confidence by the Occupation Health Adviser.
PLEASE COMPLETE IN CAPITAL LETTERS
| Position applied for: |
Personal details
| Title: | Mr | Mrs | Ms | Mx | Dr | Other |
| Full Name: | |
| Address: | |
| Contact telephone: | |
| Date of birth: |
GP details
| GP name: | |
| Address: | |
| Telephone: |
Occupational hazard history
| Please note the job titles, dates, and nature of any known hazards to which you have been exposed. |
Medical history
Please complete the following questions by ticking the appropriate box. If the answer is yes, give details including (a) date, (b) amount of time lost from work/school, (c) treatment, as appropriate.
| Visual defects/eye conditions (including colour-blindness): | Yes | No |
| Hearing defects/ear conditions: | Yes | No |
| Severe anxiety, depression, other psychiatric disorder: | Yes | No |
| Paralysis or other neurological disorder: | Yes | No |
| Fainting attacks, blackouts, epilepsy or fits: | Yes | No |
| Recurrent headaches, migraine: | Yes | No |
| Vertigo, giddiness or tinnitus: | Yes |
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What is this for?
This information can be assessed by OHS advisers or other qualified personnel, who can:
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Assess the candidate's medical capability to do the job for which they have applied: this will include assessing whether there are any statutory and legal reasons why an individual may not carry out particular work: for example, health and safety regulations would mean that a candidate with epilepsy would not be allowed to undertake a post involving driving; and
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Provide advice to departments to ensure that none of the role's duties will adversely affect any pre-existing health conditions the candidate has declared.
