Document rxo4E7MdRzDyDvX6r9OdoBpa7
OD
Form M.2X
THE ASSOCIATED ETHYL CO. LTD.
ROUTINE MEDICAL REPORT
Medical Report on men engaged on blending leaded spirit and on the
equipment at:--......... .......................................................... .........................................................
I re-examined (name)..... on (date)............
and find since last examination he has done..... Since last examination he has had: Illnesses.....
.....9.....
Blends
Days off Duty.................................. ..................... Symptoms of Cerebral disturbances..............hurtt..................................................................
,, ,, Gastro-intestinal disorders........................................................... ....................
Heart: Size............................hm.+ f*
........... Blood Pressure: Systolic......I'LQ...
Rate...
1.0...
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.):
............. Cm!......(Am* ..hrfjt ............. <*/.....haetfo
CONCLUSIONS.
___ r h*r
co I find Jiiia-EIT and WELL with no trace of poisonmg
CO or...
J CD O (Sign
I ALSO EXAMINED THE EQUIPMENT AND FIND:
rp, , e maS
* in good condition require renewing
Clothes and' Gloves: * in 9ood conditjn reqrnxa rerumaap
Canisters were last changed..