# Workplace assessment preparation worksheet

StartHealth · Template version 2026-10-26

Before the workplace assessment, gather a description of tasks, working locations, working hours and known workload factors. Use this worksheet to agree participation, delivery of background material and follow-up. It helps you prepare; the occupational health professional performs the actual assessment.

Blank company-process preparation template, not an individual employee case form. Do not enter names, diagnoses, medication, absence history or identifiable case details. Use the employer’s approved secure process for real employee cases. This template does not store or submit information. Editorial process aid, not individual medical or legal advice; medical review pending.

## Company and responsibilities

- Company / unit: ____________________
- Company version and date: ____________________
- Responsible role and backup role: ____________________
- Headcount band: ____________________

## Description of work

- Task groups and work content: ____________________
- Office / remote split in Finland: ____________________
- Hours, travel and reachability: ____________________
- Changes since the previous assessment: ____________________
- Work-related workload factors and resources (no employee health statistics): ____________________

## Material and participation

- Existing risk assessment document reference: ____________________
- Status of previous actions: ____________________
- Employee participation method: ____________________
- Agreed secure delivery channel: ____________________

## Confirm with occupational health

- Assessment scope and method to confirm: ____________________
- Role arranging the results meeting: ____________________
- Follow-up method for actions: ____________________

## Action / agenda preparation

| Work-related observation | Proposed action | Owner ROLE | Target date | Follow-up status |
| --- | --- | --- | --- | --- |
| ____ | ____ | ____ | ____ | ____ |
| ____ | ____ | ____ | ____ | ____ |
| ____ | ____ | ____ | ____ | ____ |

## Fictitious example

A fictitious 12-person software team describes interruptions in shared messaging channels. Preparation records a proposal for protected concentration periods, the role responsible for prioritisation and a review date. Occupational health evaluates the significance separately. This is not evidence of a medical outcome.

### Does this replace the workplace assessment?

No. This is preparation. An occupational health professional carries out the actual assessment and report.

### What should we bring?

Descriptions of work and locations, the existing risk assessment and the status of previous actions. Do not include employee health statistics.

### Is a remote visit sufficient?

The provider assesses an appropriate method for the workplace’s needs; this worksheet does not decide whether remote delivery is sufficient.

## Source and scope

Original editorial template, not a reproduction of a TTL form. Source checked 2026-10-26.

- TTL: https://www.ttl.fi/teemat/tyoterveyshuolto/tyopaikkaselvitys
- StartHealth: https://starthealth.fi/en/guides/workplace-assessment-finland