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3. Indicate who has paid for the medical bills f an occupational accident/disease causing the death of an employee, Part 1 should be completed in duplicate and then disp r ith a copy of the death certificate:- to the Occupational Safety and Health Offi 5. The original form should be filled as original on both pages (not carbon copied).

A medical practitioner must complete Part 2 with medical report details like nature of injury/disease, temporary/permanent incapacity, duration of absence from work, further exams needed, and who paid medical bills. The forms are to be sent to the relevant Occupational Health and Safety Officer.

Eligibility; Each application covers one workplace. If you wish to enter several workplaces, you must complete a separate application and questionnaire for each of the workplace. 1. Sign in your OSHMIS account (https://doshmis.go.ke/dosh) 2. Click on Item/Service Purchases. 3. On the Right Top of your page Click Add Item/ Services purchases Button.

Note: This form should be sent to the: -Directorate of Occupational Safety and Health Services, Safety House, Commercial Street; P.O. Box 34120-00100; Nairobi, KENYA. Tel. 0202667722, Fax: 559663 Email: [email protected]; [email protected]; ________________________________________________________________________________________________________

State Department for Labour and Skill Development. Bishops Road, Social Security House P.O. Box 40326 – 00100, Nairobi Tel: +254 (020) 2729801/804-819 [email protected] [email protected] [email protected]

Registration and Renewal of Workplaces. A client is expected to apply for the registration of a workplace.This is done using the following forms: DOSHS 21A, DOSHS 21B, and DOSHS 23. The client performs a self-assessment of their workplace.

MyKKP is an online service by DOSH for applications, payments, and occupational safety notifications.

DOSH 1 REPUBLIC OF KENYA DIRECTORATE OF OCCUPATIONAL SAFETY AND HEALTH SERVICES NOTICE BY EMPLOYER OF AN OCCUPATIONAL ACCIDENT/DISEASE OF AN EMPLOYEE

The document provides guidelines on medical surveillance for workers. It includes forms for collecting information on workers including personal details, medical history, occupational history, and physical examination. The forms are confidential and must be shared between the employee and occupational health doctor. USECHH 1. RECORD BOOK.