Sugarman Occupational Health Services

2nd Floor (MCR)

Office SE09
101 Lockhurst Lane
Coventry, CV6 5SF

Tel: 02476 309727

Email: info-occhealth@sugarmanhealth.com

Fitness Certificate

Organisation Name: NCG

Newcastle, Newcastle 6th Form, Group, Intraining, Rathbone, West Lancs,

Site:
Kidderminster, Lewisham, Southwark

Name of Employee: Joe Wilson

Job Title: Lecturer of Musical Theatre

Date of Birth: January 1, 1900

Based on the information provided and any tests undertaken, this employee is declared:
Please state Yes or NO with additional
Criteria
comments as applicable

1. Fit for Employment Yes

2. Fit with the following restrictions/modifications No

3. Temporarily unfit No

4. Unfit (Escalation to SP or OHP may be required) No

Any further comment or information

Signature of Health Advisor

Sue Swanson(Specialist Practitioner Occupational Health

Print Name
BSc (hons) R.N.)

Date 2021-02-17 10:15:50

Sugarman Health and Wellbeing Limited 02958051 Registered Office Hillingdon UB10 9PF
Chevron House, 346 Long Lane, Hillingdon, Middlesex, UB10 9PF