Wind Turbine Service Technician Health Check Requirements

Wind Turbine Service Technician health check requirements:

Candidates must have:

high level of physical fitness and good health
ability to work at height and in confined spaces

What comprises the medical examination?

The examination covers areas such as:

✔ Vertigo or Dizziness

✔ Does the candidate have a fear of heights?

✔ Does the candidate have a fear of confined spaces?

✔ Giddiness or any nervous diseases

✔ Use of prescription medication

✔ Addictions (urine) test

✔ Visual and hearing tests

✔ Any restriction of physical movement

✔ Stress ECG or EKG of the cardiovascular system – if accepted (Post Requirement)

After a thorough examination the medical practitioner makes recommendations as to whether or not the candidate is suitable for working at heights, in confined spaces and under stressful conditions. Whether or not a staff member is deployed to work under those conditions or not is at the discretion of the employer.

Medical examination:

See attached Medial Questionnaire and report Form and Annexure 3 (Occupational Health and Safety Act 85 of 1993).

For further information, contact:

Lindie Lourens

Training Administrator

021 959 4320

lourensn@cput.ac.za

MEDICAL QUESTIONNAIRE AND REPORT FORM

SECTION A: To be completed by applicant.

SECTION B: To be completed by a medical practitioner.

ANNEXURE 3: To be completed by a medical practitioner.

SECTION A - APPLICANT'S DECLARATION

First Name

Last Name

ID Number

Date of Birth

Address

Street Address

Surburb

City

Province

Postal Code

Telephone Number

Current rope access level

Company

Name, address and telephone no. of own doctor:

Does any blood relative suffer from, or has ever suffered from, any of the following conditions?:

Condition	YES	NO	If replying "yes", please give brief details
Heart disease
High blood pressure
Diabetes
Asthma
Mental illness
Tuberculosis
Epilepsy
Any hereditary disease

Annex A1

Have you ever suffered from any of the following conditions?

Condition	YES	NO
1. Asthma / Hay fever
2. Eczema
3. Tuberculosis
4. Persistent cough
5. Rheumatic fever
6. High blood pressure
7. Severe or persistent headaches
8. Dizziness or fainting spells
9. Convulsions / fits
10. Mental illness
11. Numbness in arms or legs
12. Peptic ulcer
13. Liver or gall bladder disorders
14. Kidney disease
15. Painful or difficult urination
16. Blood in urine
17. Urethral discharge
18. Back pains
19. Joint pains
20. Eye problems
21. Blurred or double vision
22. Ear problems
23. Difficulty in hearing
24. Ringing in the ears
25. Skin problems
26. Excessive weight loss
27. Cancer
28. Diabetes
29. Malaria or Bilharzia
30. Fear of heights
31. Fear of enclosed spaces
32. Trauma (e.g. accident, snakebite)
33. Treated for drug / alcohol abuse
34. Surgical operations
35. Other hospital admissions
36. Other illnesses not listed above

If you answered "yes" to any of the above questions, please give full details below

Annex A1 (continued)

Have you ever been exposed to, or worked with?:

	YES	NO
Gases, fumes or particulate dust
Loud noise in the workplace
Asbestos or asbestos mining
Welding fumes for lengthy periods

If you answered "yes" to any of the above questions, please give full details below:

Have you ever received compensation for an illness or injury at work?

Yes

No

If you answered "yes" to any of the above questions, please give full details below:

Have you ever been refused for life insurance?

Yes

No

If you answered "yes" to any of the above questions, please give full details below:

Have you ever been denied a work position on health grounds?

Yes

No

If you answered "yes" to any of the above questions, please give full details below:

Annex A1 (continued)

Are you allergic to any medication? If answer is "yes", please specify:

Do you have any other allergies (e.g. bee stings)? If answer is "yes", please specify:

Are you taking any medication at present? If answer is "yes", please specify:

Are you presently receiving any treatment from a doctor, hospital or clinic? If answer is "yes", please specify

Are you a smoker? If answer is "yes", please state what you smoke, and how many per day:

Do you consume alcoholic liquor? If answer is "yes". Please state type of liquor and quantity consumed per week:

Do you use any other substances? If answer is "yes", please specify:

I DECLARE THAT THIS PERSONAL STATEMENT AND THE PARTICULARS THEREIN ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE, AND THAT NO INFORMATION HAS BEEN WITHHELD WICH MAY MATERIALLY AFFECT MY APPLICATION FOR CERTIFICATION.

Date

Witness Name & Phone Number

Annex A1 (continued)

SECTION B - MEDICAL EXAMINATION

Height	Weight	Chest (Insp.)	Chest (Exp.)

General appearance of the applicant:

Are there any?


Operation scars or skin lesions
Signs of hyperlipidaemia
Enlarged thyroid or lymphatic glands / tumour
Signs of ear disease
Abnormalities of oral cavity, including dental
Deformities of physical abnormalities
Signs of spinal or joint disease
Any hernia or varicose veins

Any other comments

CARDIOVASCULAR SYSTEM:

Blood pressure:

Systolic (mm. Hg)

Diastolic (mm. Hg)

State of peripheral pulses: rate

Are all pulses palpable?

Yes

No

Any abnormalities?:

RESPIRATORY SYSTEM:

Any indication of disease?:

Peak flow: Actual

Peak flow: % of predicted

GASTRO-INTESTINAL SYSTEM:

Any abnormalities?:

CENTRAL VERVOUS SYSTEM:

CENTRAL VERVOUS SYSTEM

Are the sight (including refractive errors), hearing, speech and gait normal?

Visual Acuity
Uncorrected L		Uncorrected R
Corrected L		Corrected R
Colour perception

Urine dipstick (specify type) :

Blood:

Protein:

Glucose:

Any sign or history of mental disorder?

Practitioner's comments:

Annexure 3 completed:	Yes	No
If no, reason:
Certificate of Fitness issued:	Yes	No
If no, reason:

Initials and surname of examining doctor:
Telephone no.:	Fax no.:
Qualifications:	Year qualified:
SAMDC no.:	PR no.:
Time and date of examination:

ANNEXURE 3 OCCUPATIONAL HEALTH AND SAFETY ACT 85 OF 1993 MEDICAL CERTIFICATE OF FITNESS

*OCCUPATION (e.g. Worker, Crane Operator)	*POSSIBLE EXPOSURE (e.g. Noise, Heat, Fall Risk, Confined Spaces)	*JOB SPECIFIC REQUIREMENTS (e.g. Operating mobile crane, Digging Trenches, Erecting Formwork)	*PROTECTIVE CLOTHING (e.g. Dust Respirator, Welding gloves)

The Employer to complete the information in the spaces marked with an * before sending the Employee for the medical examination.

Declaration by the Medical Examiner:
I certify that I have, by examination and testing, using the above criteria (specified by the EMPLOYER), are satisfied that the abovementioned employee is fit to perform the duties as described by the employer in the matrix above.

Occupational medical practitioner/ Occupational Health Nursing practitioner:

Practice Number:

Date:

Name of Employee:

I.D. Number:

SARETEC Company Representative:

Wind Turbine Service Technician Health Check Requirements