Get Za Dmr 276 2013

Filling out the ZA DMR 276 form is an essential task for individuals involved in occupational health within the mining sector. This guide provides a structured approach to help users complete the form accurately and efficiently in an online environment.

Follow the steps to successfully complete the ZA DMR 276 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Provide particulars of the mine. This section requires you to fill in the name of the mine, types of mine commodities being mined, postal address, telephone number, and fax number.
3. Enter the name of the Occupational Medical Practitioner responsible for producing the exit certificates.
4. Fill out the particulars of employees. Include the employee's name, date of birth, and identification details, such as their identity number, passport number, industry number, and company number.
5. Document the date of the initial medical examination and the date of the last medical examination in the exit medical summary.
6. Provide clinical comments regarding the chest x-ray and include the International Labour Organization classification if applicable.
7. Input the lung function testing results, detailing Forced Expiratory Volume and Forced Vital Capacity percentages.
8. Complete the audiometry section by providing baseline audiogram readings and percentage loss of hearing.
9. Include biological monitoring results alongside comments on any abnormal results.
10. List any occupational diseases previously incurred and compensation claims submitted or received.
11. Ensure the Occupational Medical Practitioner signs the document, as well as the employee and a witness, and record the date of receipt by the employee of a copy of the exit certificate.
12. Once all information is complete, save your changes, and then download, print, or share the form as needed.

Start completing your forms online today for a streamlined documentation process.