Written Medical Report for Employee

Form Template

The Written Medical Report for Employee Mobile App creates an OSHA incident report in regards to harmful airborne crystalline silica in the workplace.

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Federal OSHA regulations have a Permissible Exposure Limit, which is a concentration of airborne respirable crystalline silica of 50 ug/m3, calculated as an 8-hour TWA. This app replaces the paper OSHA form with an electronic record that can be created on a handheld mobile device, like a smartphone or tablet.

This mobile form includes fields to document items such as employee name, date of examination, type of examination, abnormal results and recommendations. It also allows you to follow through on medical treatment and the corrective action that should be taken to prevent further workplace injuries.

The hazards of respirable crystalline silica are common in a construction workplace. These minute particles are created when cutting, sawing, grinding, drilling, and crushing stone, rock, concrete, brick, block, and mortar. Workers who inhale these very small crystalline silica particles can become workplace fatalities. They are at increased risk of developing silica-related diseases, including Silicosis, lung cancer, chronic obstructive pulmonary disease (COPD) and kidney disease. Accurate data that meets OSHA’s reporting requirements will decrease occupational injuries and improve safety incentive programs and worker safety.

Once the mobile app is completed, a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account. You can also use the App Builder to personalize and customize this mobile form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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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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