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To the Examining Physician:___ is a Washington State Department of Natural Resources employee or applicant for employment who is or would be involved in wildfire management activities. Assignment
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How to fill out fire health screening questionnaire

01
To fill out the fire health screening questionnaire, you need to follow these steps:
02
Start by downloading or obtaining a copy of the questionnaire form.
03
Read through the questions carefully to understand what information is being asked.
04
Provide accurate and honest answers to each question in the designated spaces provided.
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If a question is not applicable to you, write 'N/A' or 'Not Applicable' in the space provided.
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Pay attention to any additional instructions or requirements mentioned in the form.
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Check your filled questionnaire for any errors or missed questions.
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Sign and date the completed form, if required.
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Submit the questionnaire as instructed, either by delivering it personally or through the designated channel.
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Keep a copy of the filled questionnaire for your records.

Who needs fire health screening questionnaire?

01
Anyone who is required to undergo a fire health screening needs to fill out the fire health screening questionnaire. This may include:
02
- Employees working in certain industries or job roles where fire safety is critical, such as firefighters, chemical plant workers, or construction workers.
03
- Individuals seeking to acquire or renew certain certifications or licenses that involve fire safety.
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- Students or participants of fire safety training programs or courses.
05
- Individuals residing in high-rise buildings or premises with fire safety regulations that mandate regular health screenings.
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- Anyone who wishes to assess their own fire health and safety status voluntarily.

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The fire health screening questionnaire is a form used to assess the health and safety risks related to fire hazards in a workplace.
Employers or building owners are required to file the fire health screening questionnaire for their respective properties.
The fire health screening questionnaire can be filled out by providing accurate information about the property's fire safety measures and potential hazards.
The purpose of the fire health screening questionnaire is to identify and address any fire risks or hazards in a workplace to ensure the safety of employees and occupants.
Information such as the fire protection systems, emergency exits, hazardous materials, and evacuation procedures must be reported on the fire health screening questionnaire.
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