AMELIO MEDICORP core competency in Workplace Health, safety and Environment, maintain Congenial WorkPlace and achieve Individual Wellbeing, Health in The corporate settings, Health in the Working Environment, Healthy Computing and Safety practices

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To help us achieve your desired goals we require the following information about your core areas of operation, your personnel and your related activities and other information, which you feel necessary for us in doing our job.

For this relationship to develop and blossom there has to be cross-germination of ideas, belief in similar values, attitude towards work, life and people, and mutual trust and respect.

This document will be confidential between us and irrespective no information will be leaked by us.

Name of Organization :

Type of Industry/Institution
Corporate :

Nature of Operations:

Nature of Manufacturing Process / Type of materials used in manufacturing process:

If Chemicals involved, type of chemicals :

List of Raw, Intermediate, Bye and Finished Products :

Use of any Hazardous Material/Hazardous Process :

Yes

Number of employees :

Skilled
Unskilled
Managerial/Administrative

Nature of Activity :

Any provision of
Factories Act or any other
legal provision Applicable to your organization :

Mention your Industrial Health Problems :

Type of HSE Policy of your company :

What is the kind of OH activity prevailing /followed in your organization (Health Check-ups/Training Programmes/ Biological Monitoring/Environmental Monitoring, other) :

Any related specific gray areas to be tackled in your organization :

Any Other information which you would like to share :

I certify that all information in this application is true.

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