Employee Health Declaration Form Template for Hong Kong

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Key Requirements PROMPT example:

Employee Health Declaration Form

I need an Employee Health Declaration Form for our new manufacturing facility in Hong Kong, compliant with local laws and with special attention to occupational hazards in industrial settings, to be implemented by March 2025.

Document background

The Employee Health Declaration Form serves as a crucial document in Hong Kong's employment landscape, designed to gather essential health information from employees while complying with local privacy and employment laws. It is typically used during the onboarding process for new hires, upon return to work after extended illness, or as part of periodic health assessments. The form collects information about current health status, pre-existing conditions, and relevant medical history that might affect work performance or require workplace accommodations. This document must align with the Personal Data (Privacy) Ordinance, Disability Discrimination Ordinance, and Occupational Safety and Health Ordinance of Hong Kong, ensuring both employer obligations and employee rights are properly addressed.

Suggested Sections

1. Personal Information: Employee's basic details including name, ID number, position, department, and contact information

2. Data Privacy Notice: Statement explaining the purpose of data collection, how it will be used, stored, and shared, in compliance with the Personal Data (Privacy) Ordinance

3. Current Health Status: Declaration of current health conditions, ongoing treatments, and medications that may affect work performance

4. Medical History: Relevant past medical conditions, surgeries, and treatments that could impact current work capacity

5. Occupational Health History: Previous work-related injuries, illnesses, or compensation claims

6. Emergency Contact Information: Details of who to contact in case of medical emergencies

7. Declaration and Consent: Employee's confirmation that information provided is true and consent for data processing

Optional Sections

1. Family Medical History: Section for hereditary conditions that might be relevant to occupational health, only included when specifically required by the nature of work

2. Vaccination Record: Details of relevant vaccinations, included for healthcare workers or when required by specific industry regulations

3. Physical Fitness Declaration: Specific section for roles requiring physical activity or fitness requirements

4. Mental Health Declaration: Additional section for roles with high stress or safety-critical positions

5. Infectious Disease Screening: Special section for healthcare workers or food handling positions

Suggested Schedules

1. Schedule 1 - Medical Examination Requirements: List of required medical examinations or tests specific to the role

2. Schedule 2 - Privacy Policy: Detailed privacy policy regarding the handling of health information

3. Appendix A - List of Notifiable Conditions: List of health conditions that must be reported to employer

4. Appendix B - Medical History Questionnaire: Detailed questionnaire for specific health conditions and history

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Manufacturing

Construction

Food and Beverage

Education

Transportation

Logistics

Hospitality

Financial Services

Retail

Mining

Chemical Industry

Aviation

Maritime

Sports and Recreation

Relevant Teams

Human Resources

Legal

Compliance

Occupational Health and Safety

Risk Management

Medical Services

Operations

Employee Relations

Privacy Office

Administration

Relevant Roles

HR Manager

Occupational Health and Safety Officer

Compliance Officer

Risk Manager

Medical Officer

Company Secretary

Legal Counsel

Privacy Officer

Employee Relations Manager

Workplace Health Coordinator

Operations Manager

Factory Supervisor

Construction Site Manager

Chief Medical Officer

Health and Safety Director

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Let's create your Employee Health Declaration Form

Authors

Alex Denne

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