Health and Safety


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Personal Information

CAB NUMBER

FULL NAME

ADDRESS

DATE OF BIRTH

HEIGHT

WEIGHT (KG)

HOME PHONE NUMBER

MOBILE NUMBER

E-MAIL

DRIVER LICENCE

LICENCE EXPIRY DATE

UNIQUE ID

UNIQUE ID EXPIRY DATE

DOCTOR'S NAME

DOCTOR'S ADDRESS

DOCTOR'S PHONE NUMBER

CURRENT FITNESS PROGRAM

SECONDARY EMPLOYMENT

IF YES THEN SPECIFY

HOW LONG HAVE YOU BEEN DRIVING TAXI(months)

WHAT TIME DO YOU NORMALLY START YOUR WORK IN TAXI

HOW OFTEN DO YOU TAKE A BREAK

WHAT DO YOU DO IN YOUR BREAK

DO YOU DRINK ALCOHOL, IF YES HOW OFTEN?

DO YOU TAKE DRUGS, IF YES IN WHAT FORM?

DO YOU HAVE PROLONGED HEALTH CONDITION?

CURRENT HEALTH CONDITION

DO YOU TAKE ANY MEDICATION

EMERGENCY CONTACT NAME AND NO

YOUR RELATION