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Get Canada Alberta Sample Medical Ability to Work Form 2009-2024

Critical decision-making Interpersonal contact Alertness Other (specify in section B) Environmental Exposure to heat / cold Exposure to dust / f umes / odors Exposure to chemicals Food handling Other (specify in section B) Other Shift / attendance duration Consecutive shift attendance Shift work Overtime Operating vehicle Operating equipment Working at heights Other (specify in section B) Section B Please provide necess.

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