B.

HEALTH
References
B1. Do you have pre-employment medical check up policy ? Yes √ No
(Please provide the copy)

B2. Do you have official check up items for specified occupation? Yes √ No
(Please explain)

B3. Do you have a health protection scheme for employee ? Yes No √

(Please provide the copy)

B4. Do you have a injury protection scheme for employee ? Yes No √

(Please provide the copy)

B5. Do you have first aider (person who has been trained on first aid) ?
(Please provide the copy) Yes No √

B6. Do you have a formal agreement with any referral hospital? Yes No √
(Please provide the copy)

B7. Do you have own medical evacuation procedure for inured field personnel ? Yes √ No
(Please provide the copy)

B8. Does authorized person sign to approve an injured evacuation order? Yes √ No
(Please explain)

B9. Do you have occupational related medicine applied for field operation? Yes √ No
(Please explain) specify

B10. INDUSTRIAL HYGENE Yes √ No

a). Do you have an industrial hygiene program? If so, what does it include ?
b). Do you have a risk assessment, or similar type method, for identifying work place hazards?
Please describe this process.
c). If you introduce hazardous material substances into the work sites, describe the process you shall use to document
and control these.