looks fine to me
Good Luck
> -----Original Message-----
> From: Smith, Dawn [SMTP:[log in to unmask]]
> Sent: 15 April 2003 14:56
> To: [log in to unmask]
> Subject: Re: Night Workers Health Questionnaires
>
> 'scuse the layout pasting into the e-mail plays havoc with it!
>
> Health Risk Assessment for Night Workers (OH4)
>
> The Working Time Regulations require employees who are working nights to
> be
> offered a free health assessment before they start working nights and
> regularly thereafter whilst they continue to work nights.
>
> Working at night affects the body's normal rhythms and this has the
> potential to adversely affect the well being of the individual,
> particularly
> those suffering certain health conditions. A generic risk assessment has
> been carried out and a questionnaire produced to monitor the health of
> employees who are or who are about to commence working nights.
>
> Employees should be invited to complete a health questionnaire before they
> commence working nights for the first time and annually at their final
> performance management interview for as long as they continue to work
> nights.
>
> This may be completed electronically and returned to the Occupational
> Health
> Adviser via e-mail. Any-one responding positively to the health
> questionnaire will be invited to attend a health interview with the
> Occupational Health adviser.
>
> Definitions
> A Night Worker - someone who works at least three hours each night.
>
> Night Time - Between 23.00hrs and 06.00hrs.
>
> Health Assessment - Questionnaire completed by employee and returned to
> the
> Occupational Health adviser. Employees providing positive answers to the
> health questionnaire will be invited to attend a health interview with the
> Occupational Health Adviser. Health surveillance is voluntary.
>
> Confidentiality -
>
> Data protection -
>
>
> Health Declaration for Night Workers
>
> Please complete and return via e-mail to the Occupational Health adviser
> for
> your location.
> Place an 'X' In The Boxes that apply
> Personal Details
>
> Date:
>
> Surname: Forename:
>
> Date Of Birth:
>
> Male Female
>
> Job Title:
>
> Location:
>
> Tel:
>
> Health Declaration
>
> Do you suffer with any conditions or symptoms that may be adversely
> affected
> by you working night shifts?
>
> Indicate Yes (Y) or No (N) to the following questions:
>
> Y N
>
> Do you have diabetes?
>
> Do you suffer with heart or circulation problems?
> (including high blood pressure)
>
> Do you suffer with any mental illness?
> (including stress or depression)
>
> Do you need to take medications on a regular basis?
>
>
> Do you suffer with any conditions that affect your ability to sleep?
>
>
> Do you suffer with any digestion disorders?
> (including ulcers, indigestion & hiatus hernia)
>
> Do you suffer with any condition not mentioned above that you believe may
> be
> adversely affected by working night shifts?
> (including new and expectant mothers)
>
> If you have answered yes to any of the above questions you are invited to
> see the OH adviser before commencing or continuing night shifts.
>
>
> Please indicate whether you would like to see the OH adviser
>
>
>
>
> Unless expressly stated to the contrary, the views expressed in this email
> are not necessarily the views of National Grid Transco plc or any of its
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> no liability for its accuracy or completeness.
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