Standards › Standard 14 › Forms
Form · OHS-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: Standard 14 (Occupational Health), criterion 14.4
Purpose
Records each report to the employer, the content limited to what is needed, and that the worker was told.
How to complete
- Limit the content.
- Record the worker’s consent for any detail beyond fitness.
- Record that the worker was told.
Checks
| Check | Entry |
|---|---|
| Fitness for the job (fit, fit with restriction, unfit) | Yes |
| Restriction and date it applies to | Yes or N/A |
| Medical detail included (yes or no) and consent | Yes |
| Worker told before sending (date) | Yes |
| Sent to 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 |
E-learning for this document
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)