Periodic Medical Examination (PME) Year No. of No. of % Year No. of new No. of % employees employees contract contract compliance eligible for completed workers workers PME PME eligible for PME PME b/a X d/c X 100 (c) (d) (a) (b) 100 13.3 What are the Occupational Health Promotional activities in your organization/Mine? E.g workplace wellness program, canteen hygiene inspections, stress management program, hearing conservation program etc. Certified that the information has been verified & found correct: Worker’s Representative on the Safety Head of Safety in Mine/Organisation Committee Signature : Signature : …………………………… …………………………………… Name & : Name & : …………………………… …………………………………… Designation : Designation : …………………………… …………………………………… Seal of the Organization: .…………………………………..
Periodic Medical Examination (PME) Year No. of employees eligible for PME (a) No. of employees completed PME (b) % b/a X 100 Year No. of new contract workers eligible for PME (c) No. of contract workers PME (d) % compliance d/c X 100 13.3 What are the Occupational Health Promotional activities in your organization/Mine? E.g workplace wellness program, canteen hygiene inspections, stress management program, hearing conservation program etc. Certified that the information has been verified & found correct: Worker’s Representative on the Safety Head of Safety in Mine/Organisation Committee Signature : …………………………… Signature : …………………………………… Name & : …………………………… Name & : …………………………………… Designation : …………………………… Designation : …………………………………… Seal of the Organization: .…………………………………..
APPLICATION-FORM-ASSESSMENT-CRITERIA-Underground-Mine-30j.docx