GENERAL HEALTH QUESTIONNAIRE
Please complete this form as directed.
All the information that you provide on your health questionnaire will be treated as strictly confidential to Split Dimension Ltd. The purpose of this questionnaire is to assist your employer meet its statutory duty to maintain a safe working environment for all employees, meet any obligations under the Equality Act 2010 and help provide you with assistance to protect your health at work.
MANAGEMENT OF DATA ABOUT ME (PRIVACY STATEMENT)
Any information or data shared with Split Dimension Ltd forms part of an occupational health record which contains personal, sensitive, health related information, the management of which is governed by the General Data Protection Regulation 2018 and guidance by the Faculty of Occupational Medicine and Nursing and Midwifery Council. That information will be stored appropriately and not shared outside of the above consents without further consent being obtained. Occupational health records are stored for 6 years following the last year of employment before being destroyed unless other statutory requirements, e.g., for health surveillance, apply.
Split Dimension Ltd will only contact you about the above information in relation to your health at work at your current employer. Outside of the above consents, legislation and guidance, occupational health records can only be seen by the person to whom they refer, Split Dimension Ltd or following a request by a court of law and will not be disclosed for any other reason.