Pre-Engagement Health Questionnaire

Pre-Engagement Health Questionnaire

This questionnaire will be used to assess whether there are any health issues relevant to the proposed work and to guide Traffic Force on any special requirements you may have should you be engaged. Further assessment may be needed. If further information is required from your GP or Specialist this will only be obtained with your written consent. In signing this questionnaire you confirm that all information provided is true to the best of your knowledge. You also accept that in the event of being engaged, and it is subsequently shown that medical information has not been disclosed by you, or has been misleading or false, then you could become liable to disciplinary proceedings that may include dismissal. Workers Compensation: “Section 79 of the Workers Compensation and Injury Management Act (1981) gives the Dispute Resolution Directorate (DRD) Board discretion to refuse to award compensation, which would otherwise be payable, where it is proved that the worker has, at the time of seeking or entering engagement, wilfully and falsely represented himself as not having previously suffered from the disability, the subject of the claim for workers compensation.”