Document 6BrajQ29b2oEpNaOEO0wLxeE4
OD
Form M.2X
THE ASSOCIATEDETHYL CO. LTD.
ROUTINE MEDICAL REPORT
Medical Report on men engaged on blending leaded spirit and on the
f}sequipment at:--....................
...............
I re-examined (name) on (date)...........
and find since last examination he has done.... Since last examination he has had: Illnesses...
.......Cj...............................................Blends .K^Ctimik................,..............................
DaysoffDuty.................................................. Symptoms of Cerebral disturbances.............iw*?............................................................
,, ,, Gastro-intestinal disorders.....................................................!................. Heart: Size..............................................................Blood Pressure: Systolic.....'(..0...
Rate.. Diastolic......(&.<?..
IN CASES OF ILLNESS where Lead might be suspected, further observations are required (to include results of test for Haemoglobin %, stippling of red cells, Lead in urine, etc.):
.....................................................f
..... 4 ......
........................................................................................far...4.P^4)LjtA-.i!l!ri/t....m.................- _^
...........,/. /jCTftiiV
i&tf&t..
i .Airr4*$y..jefj.r --
CONCLUSIONS.
___
CO I findJuiaJSIT and WELLwith no trace of poisoning
co or...
J
CD O I ALSO EXAMINED THE EQUIPMENT AND FIND: (Sign
The maaSks * r*neq9uired,rceonnedwiitinogn
Clothes and Gloves: * in 9ood condition r>n"'rr rf*nniM"ffl
Canisters were last changed.......................................