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WEST LIBERTY COMMUNITY SCHOOLS 111 W. 7TH Street West Liberty IA 52776 EMPLOYEE PHYSICAL EXAMINATION REPORT Name Please list any preexisting health conditions that may affect your employment with
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How to fill out employee physical examination report

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How to fill out an employee physical examination report?

01
Begin by gathering the necessary information of the employee, including their full name, date of birth, and employee identification number.
02
Make sure to include the date and time of the examination, as well as the name and contact information of the medical professional conducting the examination.
03
The report should consist of various sections addressing different aspects of the employee's health. Include sections for medical history, current medications, allergies, and any known existing medical conditions.
04
Provide space to document the employee's vital signs, including blood pressure, heart rate, temperature, and respiratory rate. It may also be necessary to record the employee's height, weight, and body mass index (BMI).
05
Include a section for recording the results of specific medical tests, such as vision and hearing tests, lung function tests, blood tests, and urine analysis. This section should have enough space to document the test results accurately.
06
If applicable, include a section for documenting any additional examinations, such as physical fitness tests or assessments for specific job-related requirements.
07
Have a designated area for the medical professional to provide their assessment and recommendations based on the examination findings. This section may include information regarding the employee's fitness for duty, any identified health concerns, or recommendations for further medical evaluations.

Who needs an employee physical examination report?

01
Employers may require an employee physical examination report as part of the pre-employment process. This is particularly common for jobs that involve physical labor or could pose potential health risks, such as positions in construction, manufacturing, or healthcare.
02
Employers may also request regular or periodic physical examination reports for existing employees. These assessments help monitor employees' health and ensure their ongoing fitness for duty. Certain industries, such as transportation and aviation, have specific regulatory requirements mandating regular physical examinations.
03
In some cases, an employee may need a physical examination report when returning to work after a significant health issue or prolonged absence due to illness or injury. This helps determine if there are any accommodations or precautions needed to support the employee's safe return to the workplace.
Remember, it is essential to comply with any legal and privacy requirements when collecting and storing employee health information. Additionally, consult with legal professionals or human resources experts to ensure your organization's compliance with relevant laws and regulations.
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Employee physical examination report is a document that includes the results of a medical examination conducted on an employee to assess their physical health and fitness for work.
Employers are required to file employee physical examination report for their employees.
Employee physical examination report should be filled out by a qualified medical professional who conducted the examination.
The purpose of employee physical examination report is to ensure that employees are physically fit to perform their job duties safely.
Employee physical examination report must include the results of the medical examination, any recommendations for accommodations or restrictions, and the signature of the medical professional.
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