Tuberculosis [TB] or in the
last 12 months had unexplained weight loss, night sweats, cough lasting
more than 3 weeks or coughing up blood |
Skin problems or allergies
including latex allergy (e.g. eczema, asthma or dermatitis) or an adverse
reaction to any medicine or substance |
Musculoskeletal condition that
may affect ability to perform work tasks (including back pain lasting
> 2 weeks, arthritis or bony injury or
deformity) |
Mental health problem or
illness (e.g. nerves, phobias, stress, anxiety, depression, eating
disorders), or drug or alcohol dependency or misuse (including
prescription drugs or recreational drugs) |
Tested positive for infection
for HIV, hepatitis B or hepatitis C |
Do you have a medical
condition that may affect your ability to perform the proposed
job? |
Have you had any health
condition or injury caused or made worse by
work? |
Are you at present taking any
form of medication (excluding contraception)? (Give name and dosage of any
drugs below). |
Are you attending or waiting
to attend hospital treatment or investigation? |
Do you have a disability or
health condition not mentioned above that may require additional help or
support to perform the work tasks? |
How many sick days have you
had over the past 2 years (including if you were not working – give
reasons below if more than 10 days in
total) |
OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html
FORTHCOMING CONFERENCES AND EDUCATIONAL EVENTS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH
OCCUPATIONAL HEALTH JOBS http://OHJobs.drmaze.net
OCCUPATIONAL HEALTH NURSING EDUCATION http://www.aohne.org.uk