Colin Ross

TE MRA - Diabetes Type 2

Medical Risk Assessment for team members with type 2 Diabetes

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Use this Template

Title Page

Document No.
Conducted on
Employee Name
Client / Site
Location

How long has the member of staff had Type 2 diabetes?
Has their symptoms become more severe in recent weeks or months?
Are there any other related health conditions? (e.g. high blood pressure, heart disease, etc)
Do they require insulin injections?
Do they require a sharps disposal bin? (if yes, they should be able to obtain one from their GPs / Pharmacist)
Any other information we need to be aware of
Signed Member of Staff
Signed Risk Manager

Colin Ross

TE MRA - Diabetes Type 2

Medical Risk Assessment for team members with type 2 Diabetes

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.