Worley Field Services – Pasadena

Physical Exam LA Second Injury Fund Crystalline Silica Self-Administered Surveillance Questionnaire Audiogram DS DISA NASAP ExxonMobil Baytown Pre-Placement (Scheduled in Formfox) 3M 8293 Dust Mask Quantitative or Qualitative Fit Test Hearing Conservation Questionnaire DS DISA Hair Collect DS DISA Lyondell Channelview Pre-Placement(Scheduled in Formfox) BAT Non-DOT 3M 6000 Half Face Quantitative Fit Test DS DISA Collect Only DOT Vision (Acuity, Peripheral, Depth, Colors of Caution) CORE Health History Questionnaire Respirator Questionnaire Revie Questionnaire - Medical Surveillance Pulmonary Function Test DS DISA Collect Only Non-Dot DS DISA Lyondell LaPorte Pre-Placement(Scheduled in Formfox) Whisper Hearing Test DOT Physical BAT DISA Non-Dot Crane Operator Exam Consent to Treat JL Worley Drug Alcohol Contraband Consent EKG Scott AV 3000 Full Face Quantitative Fit Test DS DISA Oral Fluid Collection DS DISA Lyondell Channelview Pre-Placement(Scheduled in Formfox) DS Instant 5 Panel Pre-Employment Questionnaire - Medication Review OSHA Respirator Med Questionnaire PX Hazwoper Respirator Fit Test DS Instant 10 Panel Pre-Employment Return to Work Exam BAT DISA DOT Release of Information - Request Records Written Opinion - Respiratory Protection or Approval Authorization for Crystalline Silica Opinion to Employer Crane Operator Exam Form Urinalysis-Dipstick Vision Snellen (Far) Only DS DISA NASAP ExxonMobil Baytown Pre-Placement (Scheduled in Formfox) Specimen Handling For Transfer Release of Information - Release Records to CORE DS Instant 10 Panel Random Onboarding Questionnaire DS DOT (Mro) DS DISA Lyondell Bayport Pre-Placement (Scheduled in Formfox) Audio Employee Extended Questionnaire Respirator Clearance PWO DS DISA DAC-1 Pre-Placement (Scheduled in Formfox)