Form for people with disabilities – Oficina de Seguretat, Salut i Medi Ambient

If you have a disability and you wish to voluntarily report it to OSSMA, fill out this form and we will contact you to carry out a health examination and/or a study of the working conditions of the workplace, according to article 25 of the Law on the Prevention of Occupational Risks. With the involvement of the different services of the UB, appropriate preventive measures will be promoted.

Fields marked with an asterisk (*) are compulsory.

Personal details

Name and surname*
Place of work*
Work phone number*
E-mail*

Adaptation of your workplace and employment inclusion

Is your workplace adapted to your needs for health reasons?YesNo

If it is not adapted, what technical adaptations and assistive products do you think would be necessary?

If your workplace already has adjustments in place, do you think they could be improved? Please indicate how

Do you consider that you have good job inclusion in your workplace?YesNo

Do you think this employment inclusion could be improved, and if so, how?

This form is sent to the institutional email addresses of the Medical Services Unit and the Social Welfare Unit.

Please remember that it is highly advisable to have the health examination. You can request it via this link or by emailing medicinadeltreball.ossma@ub.edu.

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