Employee Health Declaration Form

Employee Health Declaration Form Template for Singapore

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Key Requirements PROMPT example:

"I need an Employee Health Declaration Form for my manufacturing company in Singapore that includes detailed physical fitness declarations and COVID-19 vaccination status, to be implemented for all new hires starting January 2025."

Document background

The Employee Health Declaration Form is a crucial document used in Singapore's employment context to gather essential health information from employees or job candidates. It is designed to comply with Singapore's stringent data protection laws while enabling employers to fulfill their duty of care and workplace safety obligations. The form typically includes sections for personal information, current health status, medical history, and specific health declarations relevant to the role. This document becomes particularly important during public health emergencies, for roles with specific physical requirements, or in industries where health status directly impacts work safety and performance.

Suggested Sections

1. Personal Information: Employee identification details including name, ID number, department, and position

2. Data Protection Notice: PDPA-compliant notice explaining the purpose of data collection, usage, and protection measures

3. General Health Declaration: Current health condition and relevant medical history section

4. Medical History: Specific questions about past and current medical conditions relevant to employment

5. Declaration and Consent: Employee's confirmation of truthful disclosure and consent for data collection and verification

Optional Sections

1. Vaccination Status Declaration: Section for declaring vaccination status, required during public health emergencies or for specific industries

2. Physical Fitness Declaration: Additional section for roles requiring specific physical capabilities or fitness levels

3. Emergency Contact Information: Section for emergency contact details, recommended for high-risk work environments

4. Workplace Accommodation Needs: Section for declaring any special workplace accommodations needed due to health conditions

Suggested Schedules

1. Schedule A - Medical Examination Results: Attachment for pre-employment medical examination results if required

2. Schedule B - Vaccination Records: Attachment for relevant vaccination certificates and records

3. Schedule C - Supporting Medical Documentation: Attachment for any additional medical certificates or supporting documents

4. Schedule D - Privacy Policy: Detailed privacy policy and data protection guidelines

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Manufacturing
Food & Beverage
Construction
Education
Transportation

Relevant Teams

Human Resources
Legal
Occupational Health & Safety
Compliance
Operations

Relevant Roles

Human Resources Manager
Occupational Health Officer
Compliance Officer
Safety Manager
Hiring Manager

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Let's create your Employee Health Declaration Form

Authors

Alex Denne

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