The questionnaire will be held confidentially by the Company.
Under the Data Protection Act 1998, the information you supply about yourself and your health on this questionnaire is known as ‘personal’ and ‘sensitive personal’ data. This data will be used by the Company to assess whether you are fit for the role you have applied for. Feedback will be provided to you on:
• Your fitness for work.
• Any limitations on your work activities.
• Whether you have a health condition that may be covered by the Disability Discrimination Act 1995 and any adjustments required in order to assist you in undertaking the proposed role.
If you have any queries regarding this, please contact your manager.
Please read and sign below:
• I hereby declare that to the best of my belief the answers given are correct, and that I have not wilfully withheld any information or provided inaccurate information in completing this form.
• I understand that withholding information in respect of my health could result in my employment being terminated.
• I believe I am fully fit and suitable to undertake the role outlined in my offer of employment.
• I consent to the storage and processing of my personal and sensitive personal data as detailed above.
• I will notify my new manager, Human Resources or Occupational Health if my health status changes between completing this questionnaire and starting work.
• To help ensure my health and safety at work and appropriate treatment in case of emergency, if I have a health condition like diabetes, epilepsy, asthma and angina, I will inform my manager and other appropriate personnel e.g. first aider.
• I accept that First Choice Scaffolding Ltd (hereafter known as "the Company") holds the above personal data about me and I hereby consent to the storage and processing by the Company of my personal data for any purpose related to my contractual obligations to the Company, including, but not limited to payroll, health & safety and training.