Get the free OSHEM Medical Surveillance Program Request Form - OFEO

Attachment 1 OTHER Medical Surveillance Program Request Form STEP 1 Authorization Request: Employee Name: Last 4 digits SS#: Occupation: Phone #: DOB: E-mail: Location: FAX #: Supervisor: Phone#:

How to fill out oshem medical surveillance program

How to fill out oshem medical surveillance program?

1. Start by gathering all necessary employee information such as name, contact details, job title, and department.
2. Determine the specific medical surveillance requirements based on the nature of the job and any potential hazards involved. This may include exposure to hazardous substances, noise levels, physical demands, etc.
3. Identify and select the appropriate medical surveillance tests or examinations needed for each employee. This could include physical examinations, blood tests, vision tests, hearing tests, etc.
4. Schedule the medical surveillance appointments for the employees, ensuring that they are aware of the date, time, and location.
5. Provide employees with any necessary instructions or preparation guidelines for the medical surveillance tests.
6. Prepare the necessary paperwork or forms for each employee, including consent forms, medical history questionnaires, and any other required documents.
7. Ensure that all forms and paperwork are properly completed, signed, and dated.
8. Collect and maintain all completed forms and records in a secure and confidential manner.
9. Follow up with employees as needed, addressing any concerns or issues that may arise during the medical surveillance process.

Who needs oshem medical surveillance program?

1. Employees who are exposed to hazardous substances or materials during their work.
2. Individuals working in jobs that involve excessive noise levels or potential hearing damage.
3. Workers in physically demanding roles that may require regular medical assessments.
4. Employees in jobs that involve potential exposure to harmful substances or environments, such as radiation, chemicals, or biological agents.
5. Individuals who are required by law or company policy to undergo regular medical surveillance for safety reasons.
6. Employees who work in industries or sectors that have specific medical surveillance requirements, such as healthcare, construction, manufacturing, or mining.

For pdfFiller’s FAQs

What is oshem medical surveillance program?

The OSHem Medical Surveillance Program is a program that monitors and evaluates the health and well-being of workers in the workplace, specifically in relation to occupational health and safety hazards.

Who is required to file oshem medical surveillance program?

Employers and organizations that have employees exposed to occupational health and safety hazards are required to file the OSHem Medical Surveillance Program.

How to fill out oshem medical surveillance program?

To fill out the OSHem Medical Surveillance Program, employers and organizations need to collect relevant health data from employees working in hazardous environments and document them in the specified forms provided by the relevant regulatory authorities.

What is the purpose of oshem medical surveillance program?

The purpose of the OSHem Medical Surveillance Program is to identify, prevent, and control occupational health and safety hazards by regularly monitoring the health of workers exposed to such hazards.

What information must be reported on oshem medical surveillance program?

The OSHem Medical Surveillance Program typically requires the reporting of information such as employee demographics, job tasks and exposures, medical history, examination results, and any necessary follow-up actions or recommendations.

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