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Occupational Health
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Occupational Health provides care to all eligible Federal Civilian employees and active duty military personnel working in industrial hazardous positions. Services are directed toward prevention of occupational illness and/or injury, health maintenance and prevention/monitoring of occupational hazards. Programs include medical examinations, reproductive hazard surveillance, hearing and vision conservation, work-site visits, illness/absence monitoring, respiratory protection, employee modified duty, patient education and employee in/out processing.

Forms for Occupational Health Needs:

Individual Reliability Screening and Evaluation FormDD5557.pdfDD5557.pdf

Fort Lee Record of InjuryFtLeeForm-1051-E-RecordofInjury.pdfFtLeeForm-1051-E-RecordofInjury.pdf

Forms for TB Testing:

Initial Entry TB Risk Assessment ToolMEDCOM FORM 829.pdfMEDCOM FORM 829.pdf

Periodic TB Risk Assessment Tool MEDCOM FORM 830.pdfMEDCOM FORM 830.pdf

Health Care Worker TB Risk Assessment ToolMEDCOM FORM 831.pdfMEDCOM FORM 831.pdf

Other Forms:

Respirator Questionnaire Respirator Questionnaire (OSHA 3789) (3).pdfRespirator Questionnaire (OSHA 3789) (3).pdf

Screening Form Adult SCREENING FORM ADULT 2017-2018 (SHOTEX).docxSCREENING FORM ADULT 2017-2018 (SHOTEX).docx

Authorization for Disclosure of Medical or Dental Information  DD2870.pdfDD2870.pdf

Influenza Vaccine Information Statement  VIS2016.pdfVIS2016.pdf

Telephone
Contact Information​​
Phone: (804) 734-9159
Hours: Mon - Fri: 7:30 a.m. to 4:30 p.m.
Location: 700 24th Street
Fort Lee, Va. 23801

 

How to Report Work-Related Injuries

The proper steps to report a work-related injury are as follows:

  • Alert  supervisor
  • Supervisor completes Fl Form 1051 online
  • Injured employee reports to Occupational Health Clinic, Kenner Army Health Clinic or to a facility of their choice
  • Employee and supervisor complete CA-1 online at wwww.ecomp.dol.gov

 

OWCP Online Training for Supervisors

Visit www.ecomp.dol.gov

Class dates:  21 March 2017   2 p.m.  CST
                    13 April 2017     1 p.m.  CST
                      8 May 2017      6 p.m.  CST

CST -  Central Standard Time