COMPANY DRIVERS MEDICAL QUESTIONNAIRE – (Medical in Confidence)
As part of our commitment to FORS (Fleet Operator Recognition Scheme) We are obliged to have all our drivers answer a short medical questionairre
You will be asked for your driving licence number if you drive company vehicles, (so please ensure you have it to hand)
Do you have, or have you ever had any of the following?
Difficulty seeing well enough to drive when there is glare or poor visibility such as fog.
Fits, epilepsy, fainting or blackouts.
Attacks of dizziness or vertigo.
Weakness, loss of sensation or clumsiness affecting part of your body.
Severe head injury or brain surgery.
Difficulty hearing normal conversation.
Trouble with your back or neck causing absence from work or a change in duties.
Psychiatric illness including depression or anxiety.
Dependency on or misuse of alcohol, drugs or other substance
Disease of the heart or circulation including angina, heart attack or heart valve problems.
Any serious medical condition that may result in you being a danger to yourself or others when driving.
Abnormal heart rhythm or irregular heartbeat.
Are You Taking Any Medication?