School Health Surveillance Scheme and Occupational-Health Input Record
- Version
- v1
- Updated
- 1 October 2026
Fields in brackets are completed when you adapt this template.
This record is for [school name], a [school type] school in England. It applies where the school is establishing a health surveillance scheme.
Scheme context
The health surveillance scheme covers [surveillance scope] and is intended for [employee or worker group] who may require health surveillance because of [occupational health need considered].
Health surveillance schemes should usually be set up with input from a competent occupational health professional. This record identifies the professional involved and describes how that input informs the scheme.
Occupational health professional
The occupational health professional who provided input is [occupational health professional name], whose role or professional designation is [professional role or designation].
The competence basis recorded for this professional is [competence basis].
Advice or scheme-design input
The occupational health professional provided the following advice or scheme-design input: [occupational health advice or scheme design input].
The occupational-health needs considered in developing the scheme were [occupational health needs considered].
Resulting surveillance arrangements
The resulting health surveillance arrangements are [resulting surveillance arrangements].
The arrangements identify [people included in surveillance], the health surveillance activities to be provided as [surveillance activities], and the responsible occupational health contact as [responsible occupational health contact].
Status and review
The current status of this scheme is [scheme status]. The school will review the scheme when [review trigger].
Sources
- Health surveillance - HSEHealth and Safety Executive (HSE)
