Template of Certificate of Professional Qualifications in Occupational Health
Forms of certification certificates of occupational health expertise; Forms of tracking books for issuance of certification certificates of occupational health expertise; and Forms of reports on training management for issuance of certification certificates of occupational health expertise are stipulated in Appendix No. 02, 03, and 04 issued together with Circular 29/2021/TT-BYT (Effective from February 06, 2022), specifically:
Appendix No. 02:
| ……(^1^)…..NAME OF TRAINING INSTITUTION No:......../CCCN ------- | SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness --------------- |
CERTIFICATE
CERTIFICATION OF OCCUPATIONAL HEALTH EXPERTISE
This certifies Mr./Ms.: …………………………………………………………………………
Date of Birth: ……………………………………………………………………………………..
ID/CCCD/Passport Number: …………………………………………………………………
Place of Issue: ……………………………… Date of Issue ………………………………………...
Has completed the training course for the certification of occupational health expertise
Total: …………… hours of training (in words ……………………………………………...)
From …, ……, 20……, to …, ……, 20……
The certification is valid for 05 years from the date of issue.
| Place of Issue, ……., ……., 20… REPRESENTATIVE OF TRAINING INSTITUTION (Signature and Seal) |
_________________________
[1] Enter according to the managing unit
Size of the certification certificate: 19x27 cm - horizontal format
Appendix No. 03:
…NAME OF TRAINING INSTITUTION…
TRACKING BOOK FOR ISSUANCE OF CERTIFICATION CERTIFICATES OF OCCUPATIONAL HEALTH EXPERTISE
Year 20……
| No. | Full Name | Date of Birth | Professional Qualification(specify)** | Workplace | Training Duration From ………. To ……… |
Result | Certificate Number | Signature of Trainee |
|---|---|---|---|---|---|---|---|---|
| 1 | ||||||||
| 2 | ||||||||
| ... |
| Representative of Training Institution (Signature and Seal) | Person Entering the Record (Signature) |
Appendix No. 04:
| DEPARTMENT OF HEALTH ……------- | SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness --------------- |
| …………., ……., ……, ……. |
ANNUAL REPORT …… ON TRAINING MANAGEMENT FOR ISSUANCE OF CERTIFICATION CERTIFICATES OF OCCUPATIONAL HEALTH EXPERTISE
To: Department of Health Environmental Management, Ministry of Health
The Department of Health of province/city ………… reports on the training management for issuance of certification certificates of occupational health expertise in the locality as follows:
I. Information about training institutions under management
| No. | Name of the training institution | Address, Phone, Fax, Email |
Legal Representative | Date of registration for training activities on certification of occupational health expertise | Note |
|---|---|---|---|---|---|
| 1 | |||||
| 2 | |||||
| ... |
II. Statistics on results of training and issuance of certification certificates of occupational health expertise
1. Results of training activities of institutions under management
| No. | Training Subject | Number of Trainees | Number of Issued Certification Certificates of Occupational Health Expertise | Note |
|---|---|---|---|---|
| 1 | Doctor | |||
| 2 | Preventive Medicine Doctor | |||
| 3 | Bachelor of Nursing | |||
| 4 | Physician | |||
| 5 | Intermediate Nurse | |||
| 6 | Midwife | |||
| 7 | Other | |||
| Total |
2. Information on the management of healthcare workers in production and business establishments in the locality who have been issued certification certificates of occupational health expertise
| No. | Medical staff in production, business establishments | Total | Number of Issued Certification Certificates of Occupational Health Expertise | Percentage (%) |
|---|---|---|---|---|
| 1 | Doctor | |||
| 2 | Preventive Medicine Doctor | |||
| 3 | Bachelor of Nursing | |||
| 4 | Physician | |||
| 5 | Intermediate Nurse | |||
| 6 | Midwife | |||
| 7 | Other | |||
| Total |
III. Proposals and Recommendations:
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
| HEAD OF UNIT (Signature, Full Name, and Seal) |
Respectfully!
