PRE-EMPLOYMENT QUESTIONNAIRE
The purpose of this questionnaire is to assist Prodieco in determining your fitness to carry out your duties safely in your proposed workplace in compliance with employment law.
- Screening for medical problems will also assist your employer in meeting their obligations under Health & Safety law.
- This questionnaire will form part of your occupational health record which will be held by Prodieco.
- This questionnaire may be stored in paper or electronic form in compliance with data protection law for possible future reference.
Instructions:
Please answer all sections and questions as completely as possible.
Please give details of any treatment you may have had such as surgery/medication and state if you are currently taking medication and/or having treatment such as physiotherapy etc.