Download as pdf
- Template
Conforming to OHSAS 18001-2007 Standards
Proforma for Screening of Workmen
Date of Screening
‘Name of the Contractor / Sub ~ Contractor: .
Full Name of the workmen:
Father | Husband's Name:
Penmanent Address:
Present Address: ..
Date of birth 7 Age:
‘Married / Single / Widow / Widower Number of Chitdren:
‘Mother Tongue: ses Other Languages Known:
In case of emergency, person to be contacted (With address and Telephone Number, if any)
Signature or eft Hand Thumb impression af the workmen for identification:
Any other identification mark:
Weight... ere Height cscs Vision:
Medical Fitness certificate General / Critical category Obtained. - Yes/No
Education
Platoe oben choccy nn carcae auld Senior Gm Panchayat eqied unr okmers emeensation Ao, 123, miptH ~~~ OH&S - Template ~~] HSPROUECTSHSET
| Conforming to OHSAS +8001-2007 Standards
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