【法规名称】
【法规编号】 81847 什么是编号？
【正 文】
第8页 CAP 59A FACTORIES AND INDUSTRIAL UNDERTAKINGS REGULATIONS
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[接上页] ............................................................................................................................ Abdomen ........................................................................................................... Hernias ........................................................................................................Genito-urinary System ........................................................................................ Urine ..................... Sp.G .................... Alb. ................. Sugar ..................... Skeletal System .................................................................................................. Upper limbs .................................................................................................. Lower limbs ................................................................................................. Nervous System ........................................................................................... ..................................................................................................................... B. Chest X-ray Examination (date ...........................................) Dr. ..................................................................................................... reports as (medical practitioner by whom X-ray examination is made)follows: ............................................................................................................. ............................................................................................................... ............................................................................................................... C. I have examined the above named ....................................................................... (full name) in accordance with this report, and consider that he is fit/unfit* to work underground in an industrial undertaking to which Part IIA of the Factories and Industrial Undertakings Regulations applies. Date: ........................................................ Signature of Examining Medical Practitioner: ........................................................ Name of Examining Medical Practitioner: ............................................................. (block capitals) Address: ............................................................................................................. ............................................................................................................. Telephone Number: .............................................................................................Notes: (a) One copy of this completed form should be sent by the examining medical practitioner under confidential cover to the senior occupational health officer, Occupational Health Division, Labour Department. The other copy is to be retained by the examining medical partitioner. (b) * Delete whichever is inapplicable. (L.N. 248 of 1982; L.N. 238 of 1984) __________ FORM 3 [regulation 16C(4)] FACTORIES AND INDUSTRIAL UNDERTAKINGS REGULATIONS CERTIFICATE AS TO FITNESS OF EMPLOYEE/PROPOSED EMPLOYEE* To: ................................................................................................................................ (proprietor of industrial undertaking) ................................................................................................................................ (address of industrial undertaking) I hereby certify that Mr. ........................................................................................... (full name) of .................................................................................................................................. (residential address) has been examined medically in accordance with regulation 16C(3) of the Factories and Industrial Undertakings Regulations and is fit/unfit* to work underground in an industrial undertaking to which Part IIA of the regulations applies. Date of issue: .......................................................................................................... Signed: .................................................................................................................... (senior occupational health officer) Note: * Delete whichever is inapplicable. (L.N. 132 of 1969; L.N. 248 of 1982) Cap 59A Sched 3 (Repealed L.N. 239 of 1992) (Repealed L.N. 239 of 1992) |
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