Health Questionnaire to Assess Fitness to Work Night Shift - Safety-Link

Form Template

The Health Questionnaire to Assess Fitness to Work Night Shift is an app that businesses may provide to their employees to ensure that they are suited to be night shift workers.

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All information provided in the questionnaire within the app must be kept confidential. This app may be easily accessed on both tablet and smartphone and is a crucial step to ensure employees' physical health, mental health, and risk factors are suitable for night work.

There have been many epidemiological studies that have shown long-term effects of working at night - these impacts can be physical and manifested in the body, or mental. Thus, it is important that companies assess their employees' health before assigning them to this work schedule. Working shifts overnight causes sleep disturbance and makes falling asleep during the day harder, as the circadian rhythm is disrupted and sleep deprivation becomes a more common reality. Lack of sleep may increase one's risk of excessive sleepiness and insomnia, disrupt their production of melatonin, contribute to mood disorders, elevate stress levels, cause weight gain, and contribute to cardiovascular disease or heart disease - an employee with health problems who is working the night shift may end up with serious impacts on their health and well-being. The Health Questionnaire to Assess Fitness to Work Night Shift asks employees if they suffer from health conditions like diabetes, heart disorders, stomach disorders, and other conditions, at which point, an assessment can be made about whether or not to hire the employees as night workers. However, even if the employee passes the assessment, ongoing health surveillance is crucial to ensure that the employee is not exhibiting symptoms that might impact their suitability for night work.

Features
  • Signature Capture
  • GPS
  • Image Capture
  • Submission Editing
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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