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193 TOOL 16 Occupational Medical Record Reproduced by permission of Prof. Roberto Castro Córdoba, University of Costa Rica EMPLOYEE IDENTIFICATION DATA SURNAME FIRST NAME SEX DATE OF BIRTH AGE IDENTIFICATION

How to fill out occupational bmedical recordb

How to fill out an occupational medical record:

1. Gather all relevant personal information such as your full name, date of birth, and contact details.
2. Provide your occupation information, including the job title, company name, and work location.
3. Make sure to include any previous and current medical conditions or illnesses you may have had.
4. List any medications you are currently taking, including dosage and frequency.
5. Mention any allergies or sensitivities you may have, such as to medications, substances, or environmental factors.
6. Provide a detailed medical history, including surgeries, hospitalizations, or any significant medical events.
7. Record any work-related incidents or accidents you have experienced in the past, even if they didn't result in injury.
8. Include any immunizations you have received, particularly those relevant to your occupation.
9. Mention any ongoing medical treatments or therapies you are currently undergoing.
10. Lastly, sign and date the document to validate the provided information.

Who needs an occupational medical record?

1. Employees in industries with potential hazards or occupational risks, such as construction, manufacturing, or healthcare.
2. Employers who have the responsibility to ensure the health and safety of their workers.
3. Occupational health professionals and medical personnel responsible for providing healthcare in occupational settings.

Remember that an occupational medical record serves to monitor and manage an individual's health and safety in the workplace, which is crucial for both employers and employees.

For pdfFiller’s FAQs

What is occupational medical record?

Occupational medical record is a document that contains information about an employee's health status and any work-related injuries or illnesses.

Who is required to file occupational medical record?

Employers are required to file occupational medical records for all employees.

How to fill out occupational medical record?

Occupational medical records can be filled out by healthcare providers who assess and treat employees for work-related injuries or illnesses.

What is the purpose of occupational medical record?

The purpose of an occupational medical record is to track and monitor the health status of employees in relation to their work environment, and to ensure appropriate care and accommodations are provided.

What information must be reported on occupational medical record?

Information that must be reported on an occupational medical record includes employee's health history, work-related injuries or illnesses, treatments provided, and recommendations for accommodations or work restrictions.

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