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TRAINERS Medical Forms

This document contains two certificates. The first is a Fit to Train Certificate that certifies an individual's name, date of birth, employer, and job title and states they underwent a medical assessment and were found fit to undertake in-water training with emergency breathing equipment. The second is an Unfit to Train Certificate that contains the same individual information but states they were found unfit to undertake the in-water training after a medical assessment. Both certificates include the date of assessment, signature of the assessor, their name, and date.

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Gabriel
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299 views4 pages

TRAINERS Medical Forms

This document contains two certificates. The first is a Fit to Train Certificate that certifies an individual's name, date of birth, employer, and job title and states they underwent a medical assessment and were found fit to undertake in-water training with emergency breathing equipment. The second is an Unfit to Train Certificate that contains the same individual information but states they were found unfit to undertake the in-water training after a medical assessment. Both certificates include the date of assessment, signature of the assessor, their name, and date.

Uploaded by

Gabriel
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Questionnaire 

Fit to Train Certificate 

Certificate of Fitness 

to undertake 'in‐water' training with PSTASS Category A Emergency Breathing Equipment 

Name: 

Date of Birth: 

Employer: 

Job Title: 

This is to certify that the above named underwent assessment of his/her medical fitness to undertake 
in‐water training with PSTASS emergency breathing equipment, in accordance with the Oil & Gas UK 
guideline for assessment of fitness to undertake training. The above named is 

FIT  

to undertake in‐water PSTASS EBS training. 

Date of Assessment: 

Signed: 

Name: 

Date: 
Unfit to Train Certificate

Name: 

Date of Birth: 

Employer: 

Job Title: 

The above named has NOT been found fit to undertake in‐water EBS training, and is UNFIT to train 

Date of Assessment: 

Signed: 

Name: 

Date: 

Issued following assessment of medical fitness to undertake in‐water training with PSTASS Category A 
emergency  breathing  equipment,  in  accordance  with  the  Oil  &  Gas  UK  guideline  for  assessment  of 
fitness to undertake training.  

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