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International Accreditation of Healthcare Facilities

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Form · OHS-FRM-006 · Version 1.0 · Approved by the ASF Expert Committee

Supports: Standard 14 (Occupational Health), criterion 14.7

Purpose

Records each assessor’s declaration of any conflict for each assessment.

How to complete

Checks

Check Entry
Assessor and worker Yes
Assessor treats, manages or has a stake in the worker (yes or no) Yes
Assessment reassigned to (if conflict) Yes or N/A
Signed and date Yes

Evidence

Reference Note
E-009 Based on the ICOH International Code of Ethics for Occupational Health Professionals, 3rd edition (2014).
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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