Pre Employment Testing

Urine Drug Screen

Results

General Health

Medical Conditions

Previous/Current Injury History

Blood Pressure Screening

Measurements — Pre-Bronchodilator

Employer Report Summary

Objective Measures — Distance Vision (Snellen)

Near Vision (Hanks)

Colour Vision (Ishihara 24 Plate)

Employer Report Summary

Testing

Left Ear (dB)

Right Ear (dB)

Employer Report Summary

Employer Report Summary

Employer Report Summary

Employer Report Summary

Employer Report Summary

Employer Report Summary

Employer Report Summary

Epworth Sleepiness Scale

Rated 0-3: 0 = Would never nod off, 1 = Slight chance, 2 = Moderate chance, 3 = High chance

Kessler 10 (K10)

10-19 Likely to be well · 20-24 Likely to have a mild disorder · 25-29 Likely to have a moderate disorder · 30-50 Likely to have a severe disorder

Past History — Mental Health

Employer Report Summary

Measurements

Employer Report Summary

Lumbar Spine

Femoral Neck

Total Hip

Employer Report Summary