The Suffolk Fire Experience - Doc 261 Princes Street Fire Station Open Day

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ALLINGTON HEALTH TRUST

OCCUPATIONAL HEALTH SERVICE

SUFFOLK FIRE SERVICE

CERTIFICATE OF FITNESS


NAME: WIGGLESWORTH. ANTHONY DAVID date of birth 07.7.57

OCCUPATION: WHOLE TIME FIREFIGHTER

The Examining Medical Health Officer is requested to complete and return this form to the County Fire officer.

In my opinion the above named person:

1. √ Fit to undertake (or continue) duties as an operational fire-fighter, in accordance with the recommendations of the committee to review the Medical Standards for the Fire Service

2. Unfit to undertake (or to continue) duties as an operational fire-fighter, in accordance with the recommendations of the committee to review the Medical standards for the Fire Service.

Additional Information

Signed Dr D Deacon (Examining Medical Officer) Date 15th September 1998

Delete as appropriate.

Where a new recruit has the minimum standard of vision this should be stated.

CA/JH/JAN95 (FORM C) FIRE