Template

RNM Health & Safety Questionnaire

by Aaron Lee, from the Community

10+

Use this RNM Health & Safety Questionnaire to pre-screen employees and subcontractors in construction. Collect personal details, proposed role, CSCS or equivalent card evidence, qualifications, and two emergency contacts. Document occupational history, sickness absences, prescribed medication, and relevant medical conditions to determine reasonable adjustments and fitness for site work. Includes confidentiality and subcontractor declarations.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Health Questionnaire Template
Use this Health Questionnaire to collect private and confidential health information from employees or candidates. The form captures personal details, emergency contacts, GP information, current medication, recent sickness, vision and hearing, physical capability, and a full medical history including respiratory, cardiac, musculoskeletal, skin, neurological, and metabolic conditions. It supports risk assessment for fitness to work, shift or night work, working at height, manual handling, and exposure to dust or vibration. Include declarations, consent, and notes on reasonable adjustments where required. Customize fields to your policies and keep records organized for occupational health and safety.
by Maria Nolden, from the Community
Downloads: 10+
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Template
Confidential Employee Health Questionnaire
This confidential employee health questionnaire helps organizations assess fitness for work and identify any adjustments required to support safe employment. It captures personal and emergency contact details, GP surgery information, medical treatments, vision and hearing considerations, physical capabilities, work restrictions such as working at heights or with vibrating tools, and history of relevant conditions. Includes a declaration and guidance on privacy obligations and potential occupational health review.
by Dan Davies, from the Community
Downloads: 0
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Template
Health Questionnaire
A questionnaire to highlight any health concerns
by Scott Bundy, from the Community
Downloads: 40+
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Template
New Sub-Contractor Form
Use this new sub contractor form to onboard subcontractors efficiently. Capture essential details including personal information, bank details, emergency contacts, job role, start date, hours, and pay. A built in health questionnaire supports risk assessment and reasonable adjustments in line with health and safety and disability regulations. Ideal for construction firms and contractors managing workforce compliance.
by Jessica Willmott-Turner, from the Community
Downloads: 10+
Get

Health Questionnaire Template

Use this Health Questionnaire to collect private and confidential health information from employees or candidates. The form captures personal details, emergency contacts, GP information, current medication, recent sickness, vision and hearing, physical capability, and a full medical history including respiratory, cardiac, musculoskeletal, skin, neurological, and metabolic conditions. It supports risk assessment for fitness to work, shift or night work, working at height, manual handling, and exposure to dust or vibration. Include declarations, consent, and notes on reasonable adjustments where required. Customize fields to your policies and keep records organized for occupational health and safety.

by Maria Nolden, from the Community

10+

Get

Template

Confidential Employee Health Questionnaire

This confidential employee health questionnaire helps organizations assess fitness for work and identify any adjustments required to support safe employment. It captures personal and emergency contact details, GP surgery information, medical treatments, vision and hearing considerations, physical capabilities, work restrictions such as working at heights or with vibrating tools, and history of relevant conditions. Includes a declaration and guidance on privacy obligations and potential occupational health review.

by Dan Davies, from the Community

Get

Template

Health Questionnaire

A questionnaire to highlight any health concerns

by Scott Bundy, from the Community

40+

Get

Template

New Sub-Contractor Form

Use this new sub contractor form to onboard subcontractors efficiently. Capture essential details including personal information, bank details, emergency contacts, job role, start date, hours, and pay. A built in health questionnaire supports risk assessment and reasonable adjustments in line with health and safety and disability regulations. Ideal for construction firms and contractors managing workforce compliance.

by Jessica Willmott-Turner, from the Community

10+

Get

RNM Health & Safety Questionnaire

About author

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Health Questionnaire Template

Confidential Employee Health Questionnaire

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Health Questionnaire Template

Confidential Employee Health Questionnaire

Health Questionnaire

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