Occupational Safety and Hygiene for Disabled Employees
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Recommended action (fill in after completing the examination)
Recommendations for taking action when
deteriorations occur
Required tutorials / workshops / qualifications
for the employee
Requirements for Personal protective equipment /
other protection / separation
Periodic examination of equipment/ employees /
environmental monitoring
Professional safety expert advice. Which?
Change of working method / safety instructions /
maintenance
Expert name:
Signature:
Referral for support and modifications related to the disability (detail)
Referral for financing physical modifications
(structure/ equipment) by the Ministry of
Economy
Referral for financing tutorial services by a
professional qualified person financed by the
Ministry of Economy
Referral for professional accompany / social worker
/ person in charge of welfare relating to social
aspects/ stress
Referral to consultation with a doctor regarding
possible affects of medication on occupational
safety
1 Legend: L– low risk, no need for preventive action; M– medium risk, should improve the safety if possible, H– high
risk, preventive action should be taken to reduce risk and prevent injury.
