PRE-PLACEMENT 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 and where necessary to meet any obligations under the Equality Act 2010. The information will be used to give an opinion about your fitness for your employment, and to help provide you with assistance to protect your health at work.