Health and safety arrangements
KD-HSA-OH-016
Occupational Health and Health Surveillance Arrangements
The occupational health arrangement: the exposures in the business, the provider, the surveillance programme, the health record and who holds it, fitness for work, and the pointers to the drug and alcohol policy, the lone-working assessment and the surveillance register that already exist in the range.
2 pages · 27 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 2 — click to enlarge
Read all 2 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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