Health examination form for employees records medical tests, diagnosis, and work restrictions linked to seizure disorders or height work. Health examination form for employees other than mine employees requiring employee particulars, employer contact details, work nature and medical history, followed by annexed medical test reports and the medical officer's interpretation only where abnormalities are found. It records physical measurements, vision, blood pressure, blood tests, chest X-ray, ECG and other investigations, together with final diagnosis, treatment advice, and a declaration on seizure-related disorders or difficulty working at height, including any work restrictions.