Forms Flashcards
If a doctor is seen after any exposure, what form is required?
Workplace injury/illness form
What form is required, in addition to a workplace injury/illness form, for an injury responding to and during an incident?
Casualty Report
When is a medical assessment form (MAF) required to be filled out?
Non-occupational illness/injury
After 36 consecutive hours sick
Coming back on Mod
Coming back on full duty
Coming from mod to full duty
Coming back to full duty from chest pains
How often must a MAF be submitted if on mod duties or off sick?
Monthly
When is a Functional Abilities Form (FAF) to be used?
On duty injury
Coming back to Full duties after workplace injury
Every workplace injury resulting in lost time or medical care
Monthly on mod or off sick
What additional form can be provided to doctors when explaining what is required, physically, of a FF when completing a MAF or FAF?
Physical Demands Form (PDF)
What info is to be obtained at an MVC on the required info card?
Investigating police force
Report no (for each vehicle involved)
Name
Number
Residential street (y or n)
HWY 410/407 (y or n)
Resident or Non-Resident
Licence plate (each vehicle involved)
Make/Model (each veh inv)
Colour (ea veh inv)
Owner (ea veh inv)
Insurance company and policy (ea veh inv)
Driver
Address
Services performed
Cause of emergency
Location of Emergency
Obstruction (lanes blocked or no)
Highway/MTO property damaged
What are the 6 WHMIS classes?
A: Compressed Gas
B: Flammable/Combustible Material
C: Oxidizers
D: Toxic/Biohazard
E: Corrosive
F: Dangerously Reactive
What is a CEL, ceiling exposure limit?
Threshold which should never be exceeded, even for an instant
What is the short term exposure limit?
Max 15 minutes, 4 times daily. At least 60 minutes in between bouts
What is the Time Weighted average?
8 hours a day, 40 hours work week exposure without adverse effect
