INSTRUCTION

Besides fulfilling physical evaluation (conducted by a certified doctor) registering vital signs (temperature,
pulse, respiratory rate and blood pressure), the assessment must include the following:

Urinalysis (dip) or microscopic

Metabolic Chemistry  Uric Acid
 Electrolytes (Na, K, Ca, Cl) Not required for
R.E.M.E. (see pag.4)
 BUN (Blood Urea  Creatinine
Nitrogen)  Total Cholesterol
 Total Bilirubin  Cholesterol LDL
 Cholesterol HDL  Triglycerides
 Glucose  AST
 ALT

Urine Drug Screen

 Marijuana
 Benzodiazepines
 Amphetamines
 Opiates
 Cocaine
 Barbiturates
Hepatitis Panel
 Hepatitis A (Anti H.A.V. IgM)
 Hepatitis B (surface antigen- IgM)
 Hepatitis C (Anti HCV)
Additional laboratory analysis
 C.B.C. (Complete Blood-Count)
 VDRL (Syphilis) - (RPR or TPHA) (choose one)
 Hemoglobin A1c (only if a crew member has diabetes or Blood Glucose was above normal)
 Stool for Ova and parasite (for All Food and Beverage Positions)*See NOTES at the bottom of this
document.
 Stool culture (for All Food and Beverage Positions)
 T.B. Screening:
1. Immunoassay interferon γ release assay Laboratory Test ((QuantiFERON®-TB
Gold Test (QFT-GIT) or T–SPOT® test for tuberculosis screening (T–Spot)) OR
2. Tuberculin test, OR
3. Serial SPUTUM BK Test.

If the crewmember consents to be tested for Infecto-Contagious disease, a consent form must be
signed. Not giving consent to testing should never be a hiring consideration and consent to be
tested is completely voluntary.

Immunizations record / Valid Vaccination Card

 M.M.R. (Measles – Mumps – Rubella)
 Hepatitis B
  Varicella (in case that crewmember had a history of chickenpox vaccination
is not necessary, but only blood test to determine VZV antibodies from past
varicella disease)
 Yellow Fever

Additional tests
 Audiogram
 Field Vision Tests
 Electrocardiogram – (If abnormal, must perform Echocardiogram and Cardiological
Clearance)
 TORAX PA X RAY

NOTES: Food Handlers are Bar, Restaurant, HSK and Galley departments personnel