Get Form 27 Certificate Of Fitness Rule 95

Filling out the Form 27 Certificate Of Fitness Rule 95 online is an important step for individuals seeking employment in hazardous processes or dangerous operations. This guide will provide you with clear instructions on how to complete the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the serial number in the register of adult workers in the designated field.
3. Fill in the name of the person examined, ensuring accurate spelling.
4. Provide the father's name of the person being examined.
5. Select the sex of the person being examined from the options provided.
6. Specify the residence address of the individual.
7. Input the date of birth if available; otherwise, leave the field blank.
8. In the 'Referred by' section, include the name and address of the factory along with the name of the manager.
9. Indicate whether the worker is proposed to be employed in a hazardous process or a dangerous operation by checking the appropriate option.
10. The certifying surgeon should complete the certification section, including their findings about the person’s fitness for employment.
11. Provide the identification marks of the person examined in the specified area.
12. Include the recommended further examinations or treatments as necessary.
13. Ensure the signature or left hand thumb impression of the person examined is captured.
14. Complete the certification with the date of examination and the signature of the certifying surgeon.
15. Finally, review all information for accuracy, make any necessary edits, and proceed to save changes, download, print, or share the completed form.

Complete your documents online with confidence today.