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Medical Surveillance ProgramPrepared by: Facilities & Services Division of Safety and Compliance Occupational Safety and Health Department 1501 S. Oak St. Champaign, IL 61820 (217) 2659828University

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How to fill out medical surveillance in work-site

01

Obtain the medical surveillance form from your employer.

02

Fill out personal information such as name, date of birth, and contact information.

03

Provide details of any medical conditions or allergies you may have.

04

List any medications you are currently taking.

05

Answer any specific questions related to your job duties and potential exposures.

06

Sign and date the form to confirm accuracy and consent.

Who needs medical surveillance in work-site?

01

Employees who work in an environment with potential health hazards or exposure to harmful substances.

02

Employees who work in jobs that require physical examinations or monitoring of health conditions.

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What is medical surveillance in work-site?

Medical surveillance in work-site is the systematic monitoring of workers' health to detect and prevent work-related illnesses or injuries.

Who is required to file medical surveillance in work-site?

Employers are typically required to file medical surveillance information for their employees in work-site.

How to fill out medical surveillance in work-site?

Medical surveillance in work-site can be filled out by collecting relevant health data from employees and submitting it to the appropriate authorities.

What is the purpose of medical surveillance in work-site?

The purpose of medical surveillance in work-site is to protect the health and safety of workers by identifying and addressing potential health hazards in the workplace.

What information must be reported on medical surveillance in work-site?

Information such as employees' medical histories, exposure to hazardous materials, and results of medical tests must be reported on medical surveillance in work-site.

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