
Get the free COMPANY CARE AUDIOGRAM REPORT Clinical Staff to Complete
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Clinical Staff to Complete Tester Base 500 1K LEFT EAR 2K 3K Audiometer MAICO MA 800 Series II Calibration Date 4K 6K 8K 1K RIGHT EAR Test 1 Otoscopic Screening Right Ear Appears Normal Left Ear Blockage of wax or foreign body that prevents view of the eardrum O CCGROUP FORMS Audiogram Form.doc Revised 4/7/06. COMPANY CARE AUDIOGRAM REPORT Name Age Date of Birth Social Sec. -- Reason for Test Pre-Employment Baseline Periodic Retest Employer Please Answer Questions Below YES NO Does anyone in...
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How to fill out company care audiogram report

How to fill out company care audiogram report
01
Begin by gathering all necessary information and documentation regarding the company care audiogram report.
02
Ensure you have access to the necessary forms and paperwork needed to complete the report.
03
Review the instructions and guidelines provided for filling out the company care audiogram report.
04
Start by filling out the basic information section, including the date, company name, and employee details.
05
Proceed to the next section of the report, which involves recording the audiogram results.
06
Carefully input the hearing test measurements for each ear, paying attention to details and accuracy.
07
If there are any abnormalities or notable findings, ensure to highlight them appropriately in the report.
08
Complete any additional sections or questions related to the employee's hearing health, if required.
09
Double-check all entered information to ensure there are no errors or omissions.
10
Once you are satisfied with the completed report, review it one final time for accuracy.
11
Submit the report to the designated authority or department as instructed.
12
Keep a copy of the completed company care audiogram report in your records.
Who needs company care audiogram report?
01
Occupational health and safety officers
02
Employers with employees exposed to occupational noise
03
Companies requiring audiometric testing compliance
04
Organizations interested in employee hearing protection
05
Individuals responsible for employee health and safety measures
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What is company care audiogram report?
Company care audiogram report is a document that records the results of audiometric testing for employees exposed to occupational noise.
Who is required to file company care audiogram report?
Employers are required to file company care audiogram report for employees exposed to occupational noise.
How to fill out company care audiogram report?
Company care audiogram report can be filled out by recording the results of audiometric testing for employees and ensuring all necessary information is included.
What is the purpose of company care audiogram report?
The purpose of company care audiogram report is to monitor and document the hearing health of employees exposed to occupational noise.
What information must be reported on company care audiogram report?
The company care audiogram report must include employee information, audiometric test results, date of testing, and any recommended follow-up actions.
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