Get Initial Medical Assessment. Form Fodms98 - Hse - Hse Gov

Filling out the Initial Medical Assessment form is an essential step in documenting your exposure to lead and assessing your fitness for work. This guide provides detailed, step-by-step instructions to help you complete the Form Fodms98 accurately and efficiently.

Follow the steps to successfully complete the Initial Medical Assessment form.

1. Click ‘Get Form’ button to obtain the form and open it in a suitable editor.
2. Begin by entering your personal details. This includes your name, National Insurance number, date of birth, sex, and permanent address.
3. Next, move on to the employer's details section. Provide the employer’s name and address. Indicate how many years you were exposed to lead before starting your current employment.
4. Fill in the exposure dates. Specify the date of first exposure to lead in your current role and the date when your exposure ended.
5. In the GP details section, enter your GP's name, telephone number, and address. This information is crucial for health follow-ups.
6. Detail your history in the history section. Include occupational exposure with specifics about your previous employment involving lead, as well as your medical history including smoking status.
7. Conduct a clinical examination of personal hygiene and habits (like nail biting).
8. Indicate whether you consent to the disclosure of your biological results to your employer by selecting 'Yes' or 'No'.
9. In the laboratory test results section, name the laboratory conducting the tests. Confirm if it is included in the HSE's list, then provide the results for blood lead, haemoglobin, urinary lead, and any other relevant tests. Specify units and include the blood lead range code.
10. Assess your fitness by selecting either 'Fit' or 'Unfit'. Indicate if your employer and you have been informed of the results by selecting 'Yes' or 'No'.
11. Mention any restrictions, provide the date of review, and include the name and signature of the EMA/AD along with the date.
12. Once all sections are filled out, you can save the changes, download for personal records, print a hard copy, or share the form as needed.

Complete your Initial Medical Assessment online today to ensure compliance and health safety.