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Pre employment health checks

Home » Pre employment health checks

PRE EMPLOYMENT HEALTH CHECKS

Applicant’s Full Name: *

Please circle/write Yes/No as appropriate

Do you suffer from any medical illness which could affect your work? *YesNo

Describe if you suffer from any medical illness which could affect your work *

Do you have hearing difficulty (with a hearing aid if needed) for all normal work purposes? *YesNo

Describe if you have hearing difficulty *

Do you have difficulty seeing (with glasses or contact lenses if needed) for all normal work purposes? *YesNo

Describe if you have difficulty seeing for all normal work purposes *

Do you currently take any prescribed medicines? *YesNo

Describe if you currently take any prescribed medicines *

Have you ever been told that you suffer from a work related health problem? *YesNo

Describe if you have ever been told that you suffer from a work related health problem *

Do you suffer from a frequent health problem that causes you to be off-sick from work more than 2-3 times a year? *YesNo

Describe if you suffer from a frequent health problem that causes you to be off-sick from work more than 2-3 times a year *

Have you ever had to give up any previous job for medical reasons? *YesNo

Describe if you ever had to give up any previous job for medical reasons *

Have you ever had Chicken Pox? *YesNo

The care assistant job may involve hoist and manual handling service users. Would you be able to do this after appropriate training without any health risks? *YesNo

Do you have any issues regarding your health to the applied post which you think it is a risk to carry out the job on your own or you may be a risk to the vulnerable service users? *YesNo

Are you allergic to any chemicals or any other substances? You may use cleaning chemicals at work. *YesNo

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18 Wilfred Avenue RM13 9TX Rainham. .Essex
07957087136
info@goglobalcareerpath.co.uk

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