Skin HS Employee

 

Skin Health Surveillance

COSHH Regulations 2002

Introduction and Confidentiality Note

 

Because you work with substances that can affect your skin, your employer has asked us to carry out a skin health check (health surveillance). This helps us spot any early skin problems so they can be dealt with quickly.

Your skin health surveillance involves:

  • This Questionnaire.

  • A visual check of your skin at a later stage by one of our clinicians.

If we notice significant skin issues, we may arrange for you to see our occupational health doctor for further advice.

Confidentiality: Your answers and medical results are strictly confidential. Your employer will not see them. They will only receive a brief certificate stating whether you are fit for work and if any workplace adjustments are needed.

 

Thank you for completing the form,

WorkAble Occupational Health

 

 

 

 

Your personal information

 


Occupational Details


Your skin health


Additional details


New Symptom Reporting

 

Important. If you develop new skin symptoms before your next review, report them to your manager immediately for an occupational health referral.

Declaration and consent