Forms

The Occupational Health Service has a range of essential forms designed to address various health and safety needs within the workplace. If you need assistance completing any of these forms or have any questions, please do not hesitate to contact us for confidential advice and support.

Useful forms

Immunisation and health surveillance referral
Completed by: School or Service Head or SSA. For all staff or students requiring immunisation or health surveillance as part of their work or course.
Night workers health questionnaire
Completed by: Staff to identify possible areas of special need in relation to night work.
Pre-course health questionnaire
Completed by: Prospective students who have health screening before starting their course. Students will be sent their pre-course health questionnaire by the Admissions team. Once completed, submit the form using the Admissions portal.
Research passport health questionnaire
Completed by: Faculty, School or Department representative. A confidential health assessment to ensure you are fit for the research activities you will be undertaking within the NHS in order to protect your own health and safety, and that of others.
Workspace setup (DSE)
Completed by: Staff with input from their local DSE assessor to assess the risk of workstation setup and make ergonomic adjustments where needed.
Work-related stress
Completed by: Management to identify the risk factors for work-related stress and create an action plan to address these.