This protocol is designed to ensure that all employees are physically and mentally capable of fulfilling their job requirements, reducing the risk of injury to themselves or others. It includes pre-employment assessments, periodic health evaluations, and special assessments for employees returning from extended medical leave.

1. Pre-Employment Health Assessment

A standard form to be completed by a health professional to certify that an individual is fit to perform the job they are being hired for.

Template: Pre-Employment Health Assessment

• Employee Name:
• Position Applied For:
• Date of Assessment:
• Assessment Results:
  • Physical Health: (Details of physical health assessment)
  • Mental Health: (Details of mental health assessment)
• Fit for Work: (Yes/No)
• Restrictions/Recommendations: (If any)
• Assessor's Name and Signature:
• Date:

2. Periodic Health Evaluation

To be conducted annually or biannually, ensuring ongoing fitness for work, especially for roles involving high physical or mental demands.

Template: Periodic Health Evaluation

• Employee Name:
• Position:
• Date of Last Evaluation:
• Date of Current Evaluation:
• Evaluation Summary:
  • Physical Examination Results: (Summary)
  • Mental Health Status: (Summary)