Health
This section lists forms related to the work of HSE appointed doctors and approved medical examiners of divers (AMEDs).
- AMED02 - Application for approval as a medical examiner of divers under the Diving at Work Regulations 1997[19]
- AMED02R - Renewal of approval as a medical examiner of divers[20]
- F2067 - Health record (PDF) [21]
- FODMS38 - Application for appointment as an appointed doctor under Regulations[22]
- FODMS38R - Renewal of appointment as an appointed doctor[23]
- FODMS75 - Medical Surveillance Questionnaire and Consent Form (PDF) [24]
- FODMS98 - Initial medical assessment (PDF) [29] (read only version for printing)
- FODMS99 - Surveillance record for person exposed to lead (PDF) [30]
- FODMS100 - Health surveillance record form (PDF) [31]
- FODMS101 - Clinical record (PDF) [32]
- FODMS102 - Notification to employer of biological test results and record of medical surveillance (PDF) [33] (read only version for printing)
- FODMS103 - Certification of unfitness/fitness (PDF) [34] (read only version for printing)
- Diver's medical record[35]
- Blood lead return of workers under medical surveillance (.xlsx) [36]