Pre-Employment and Shipboard Employee Medical Examination Form B. 2025

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The document is a Pre-Employment and Shipboard Employee Medical Examination Form that collects essential health information for prospective employees. It includes sections for personal details, vital signs, vision and hearing tests, required vaccinations, lab tests, and a general physical examination. The form concludes with a decision section indicating the employee's fitness for work based on their medical evaluation.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and date of birth at the top of the form. This personal information is essential for identification purposes.
Proceed to the medical examination section. Fill in your temperature, pulse, respiration rate, blood pressure, height, and weight accurately.
Indicate if your vision meets Bahamian requirements by selecting 'Yes' or 'No'. Complete the urinalysis section by circling any positive results.
For hearing tests, check the appropriate boxes based on your results for each frequency tested. Note any subjective signs of impaired hearing.
Complete the vaccination history section by providing the name and date of your last vaccination. Ensure all lab tests are attached as required.
In the general examination section, mark 'Normal' or 'Abnormal' for each body system assessed. Add any notes or comments as necessary.
Finally, review your entries for accuracy before signing and dating the form at the bottom. Ensure distribution copies are prepared as indicated.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Why would a job ask for a physical exam?

While there are several types of pre-employment evaluations employers require, a pre-employment physical helps them determine how well qualified youre to physically perform the responsibilities required for the role.

When can an employer ask about a candidates disabilities and medical history?

Employees maintain their right to keep medical information private, but employers can demand documentation from their employees when accommodations need to be provided.

How may an employer require a medical exam and not violate the ADA?

Once a person is hired and has started work, an employer generally can only ask medical questions or require a medical exam if the employer needs medical documentation to support an employees request for an accommodation or if the employer has reason to believe an employee would not be able to perform a job

When can an employer require an applicant to pass a medical exam?

After an applicant receives a conditional job offer, but prior to placing the applicant on the job, the employer may conduct medical and psychological examinations to determine if the applicant meets the medical standards of the position. California and federal law require employers to postpone job applicants medical

What medical is required for seafarers?

PEME C for Serving Seafarers 40 Years Old and Above (Modified) Medical History and Complete Physical Examination. Visual Acuity (Far and Near Vision) Color Perception Test (Ishihara) Audiometry (Pure Tone) Routine Urinalysis. Stool Examination (for food handlers) Complete Blood Count and Blood Typing. Chest X-ray (PA View)

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What happens if you dont pass a physical for a job?

What happens if you fail a pre-employment physical? If you fail your pre-employment physical based on being unable to perform the duties of your job, your employer is legally authorized to withdraw the contingent employment offer.