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1. Personal Information: Employee's basic details including name, IC/passport number, date of birth, gender, and contact information
2. Employment Details: Position applied for/current position, department, employee ID (if existing employee)
3. Medical History Declaration: Self-declared medical history including past conditions, surgeries, medications, and family history
4. Current Health Status: Present health complaints, ongoing treatments, and current medications
5. Lifestyle Information: Smoking status, alcohol consumption, exercise habits, and other relevant lifestyle factors
6. Emergency Contact Information: Details of person to contact in case of emergency
7. Medical Examination Results: Section for doctor to record physical examination findings
8. Laboratory Test Results: Space for recording required laboratory test results
9. Medical Officer's Declaration: Doctor's certification of fitness for employment
10. Employee Declaration and Consent: Employee's confirmation of true information and consent for medical examination
1. Specific Job Risk Assessment: Additional health checks based on specific job requirements (for high-risk or specialized positions)
2. Foreign Worker Requirements: Additional sections required for FOMEMA compliance (for foreign workers only)
3. Vaccination Record: Record of vaccinations required for specific industries (e.g., healthcare, food handling)
4. Previous Workplace Injuries: Detailed section for recording any previous workplace injuries (for workers in industrial settings)
5. Mental Health Assessment: Additional mental health screening (for positions requiring high stress tolerance or security clearance)
6. Drug and Alcohol Screening: Required for positions in transportation, heavy machinery operation, or company policy
1. Schedule A - Physical Examination Checklist: Detailed checklist of physical examination parameters to be checked by the medical officer
2. Schedule B - Laboratory Tests Requirements: List of required laboratory tests based on job category
3. Schedule C - Industry-Specific Health Requirements: Special health requirements for specific industries (if applicable)
4. Appendix 1 - Medical History Questionnaire: Detailed questionnaire for employee's medical history
5. Appendix 2 - Consent Forms: Detailed consent forms for medical examination and data processing
6. Appendix 3 - Medical Standards Reference: Reference guide for medical officers on fitness standards for different job categories
Healthcare
Manufacturing
Construction
Oil and Gas
Food and Beverage
Hospitality
Technology
Mining
Transportation
Education
Retail
Pharmaceuticals
Agriculture
Maritime
Aviation
Human Resources
Occupational Health and Safety
Legal
Compliance
Operations
Risk Management
Industrial Relations
Employee Relations
Medical Services
Recruitment
Administration
HR Manager
Occupational Health Officer
Safety Manager
Compliance Officer
Medical Officer
Factory Manager
Construction Site Supervisor
Chief Operating Officer
Recruitment Manager
Risk Manager
Legal Counsel
Operations Director
Health and Safety Coordinator
Industrial Relations Manager
Employee Relations Manager
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