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Labour medicine sheet

Assessment Sheet for Labour Medicine
Company*
Address*
Contact person*
Object of activity*
Telephone/Fax*
E-mail*
Fields marked with * are required
 
Number of employees in the company
Decision-making Personnel
Computer operators
B category drivers
Personnel other than drivers who drive on business purposes
Unskilled workers
Skilled workers (specify the jobs)
Workers operating at various heights (>2,5 m)
Work with high voltage networks
Chemical agents (specify the chemical agents)
Personnel working in the food sector
Personnel in the pharmaceutical industry
Personnel in charge with cleaning public and collective accommodation units
Personnel operating in beauty parlors
Senior and middle healthcare persronnel
Educational institutions (teachers, professors and other educators)
Security agents