KD-OH-RF-008

Occupational Health Referral and Fitness Certificate Record

Name: Occupational Health Referral and Fitness Certificate Record
Brand: KubitDocs
SKU: KD-OH-RF-008
Price: 9 GBP
Availability: InStock

The occupational health referral record: the reason and the question asked about the work, the person's consent, the provider and the certificate reference, the fitness outcome and the adjustments the site must apply with dates — the employer's record, holding no clinical detail.

2 pages · 65 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.

£9+ VAT

Page 1 of 2 — click to enlarge

Read all 2 pages first — watermarked sample, no email Before you submit: the checklist

Single document

£9ex VAT — VAT at the applicable rate is added at checkout

I ask for immediate download, and I understand that once it begins I lose my 14-day right to cancel. My statutory rights if a file is faulty or not as described are unaffected.

Pay once — no subscription, nothing renews
Yours to keep, with every future revision free
Re-download any time from your downloads
No sales calls — a person answers email within one working day

This document is approved for issue by its author — a director of a UK principal contractor, forty years in the industry, SMSTS. It has not been independently reviewed, and the document says so. Every future revision of it is free, and your order email includes a link to complete it online — fill it in your browser, download the finished document. Why we don’t say “compliant”.

All 11 occupational health£4.45 a document, every future revision free £49

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.