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Medical exam report for mass hoisting license fitness determination 2025

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The document is a Medical Examination Report for applicants seeking a Massachusetts Hoisting License. It includes sections for applicant information, health history, vision and hearing tests, blood pressure and pulse rate measurements, laboratory findings, and a physical examination. The report assesses the applicant's fitness to operate hoisting equipment safely by evaluating their medical history, current health status, and any potential limitations due to medical conditions or medications.

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Click ‘Get Form’ to open the medical exam report in the editor.
Begin by filling out the 'APPLICANT INFORMATION' section. Enter your name, social security number, birthdate, and contact details accurately.
In the 'HEALTH HISTORY' section, respond to each question regarding past illnesses or injuries. Be honest and thorough, as this information is crucial for your fitness determination.
For the 'TESTING' sections (Vision, Hearing, Blood Pressure/Pulse Rate), follow the instructions provided. Input numerical readings where required and ensure all tests are completed by a qualified examiner.
Complete the 'LABORATORY AND OTHER TEST FINDINGS' section by recording any necessary test results such as urinalysis findings.
Finally, review all entries for accuracy before signing and dating the form at the bottom. Ensure that your medical examiner also completes their comments and signature.

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What does a 1C hoisting license cover in Massachusetts?

1C Equipment hydraulic telescoping booms without wire ropes and equipment described by 1D. 1D General industrial warehouse Fork Lift equipment primarily used in indoor facilities. 2A Crawler and rubber-tired excavators, backhoes and loaders, and equipment described by 2B.

How many questions are on the MA hoisting exam?

The MA Hoisting License exam is a multiple-choice test comprised of roughly 40 questions. You must score a 70% or better on the exam to pass, and will see a range of questions from safety on equipment to questions about state law.

Can I take the mass hoisting license online?

When you take our MA hoisting license courses, you will be able to access your account and your coursework any time of day. You can start the course on your phone while on your lunchbreak, and you can finish it in the evening on your laptop.

2a hoisting license massachusetts

Medical exam report for mass hoisting license fitness determination pdf Mass hoisting license practice test medical examination report (mer) Medical Examination Report Form PDF DOT Medical Examination Report medical examination report form mcsa-5875 Free printable DOT physical forms MCSA-5876

How hard is it to get a hoisting license in Massachusetts?

Hoisting engineer license applicants must be 18 years old, complete an application, and successfully pass an exam covering all working parts of hoisting machinery, safe operating practices, hand signals, and inspection procedures. Licenses must be renewed every 2 years.