Socso Claim Form – Fill Out and Use This PDF

The Socso Claim form is a crucial document for employees who have suffered from occupational diseases or injuries, enabling them to claim compensation benefits under the Social Security Organization (SOCSO) in Malaysia. It encompasses a range of conditions, from common workplace injuries to specific occupational diseases, ensuring workers are supported in their recovery. Filling out the Socso Claim form correctly is essential for initiating the claim process, ensuring timely assistance and compensation for affected employees.

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Socso Claim Form PDF Details

In an era where occupational health is becoming increasingly prioritized, understanding how to navigate the complexities of claims for workplace-related diseases is essential for both employers and employees. The SOCSO Claim Form, as utilised in the context of a training session by the FMM Institute in Penang, serves as a pivotal tool in ensuring that workers affected by occupational diseases can claim their rightful compensation. This form is part of a broader initiative to address common occupational diseases, with a focus on prevention and the legal obligations of employers to safeguard their workforce. The training, detailed thoroughly within the content of the form, covers various diseases claimable under the SOCSO Act and other regulations, emphasizing the importance of documentation, understanding the mechanism of diseases such as noise-induced hearing loss, backaches, and exposure to harmful substances like silica, lead, and mercury. It also sheds light on the course objectives aimed at updating participants on how to effectively manage and prevent occupational diseases, and highlights who should attend this vital training. With Dr. Wong Kar Lin at the helm, sharing his expertise in Occupational Medicine, Health, and Safety, participants are equipped not just with theoretical knowledge but practical approaches to handling occupational diseases, making the SOCSO Claim Form a keystone document in the broader landscape of occupational health and safety in Malaysia.

Question	Answer
Form Name	Socso Claim Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	socso claim form form 10, perkeso claim form 10, socso claim form 10, form 10 socso

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FMM Institute (475427-W)

Penang Branch

Common Occupational Diseases and

SOCSO Claim

26 February 2013

9.00am – 5.00 pm Training Venue:

Eastin Hotel, Penang

SBL SCHEME

CLAIMABLE FROM PSMB

INTRODUCTION

Prevention is better than cure. Over the years an increasing awareness has developed in respect of the potential for some of the substances and processes used in industry which might expose employees to the risk of diseases. Such diseases may cost numerous compensation claims each year ! More seriously such incidents may create a negative impression on the company concerned.

Responsible employers have duty to protect their employees from such diseases under the Laws. Some industrial diseases may develop over years and affected employees may have to bring claims against all the employers even after many years.

COURSE CONTENTS

			Topic	Content
9.00		- 9.05 am	Introduction
9.05		- 9.30 am	Common occupational	Common diseases
9.05		- 9.30 am	Common occupational	claimable under FMA,
			diseases claimable under	claimable under FMA,
			diseases claimable under	SOCSO Act &
				SOCSO Act &
			Socso	NADOOPOD Regulations
9.30		- 10.30 am	Noise Induced Hearing Loss and	Mechanism of hearing,
9.30		- 10.30 am	Noise Induced Hearing Loss and	effects of noise, how and
			Hearing Conservation Program	effects of noise, how and
			Hearing Conservation Program	why of hearing
				conservation

	10.30	- 11.00 am	Tea

	11.00 – 11.30 am	A Re Look at FMA Noise	Review and comments on
	11.00 – 11.30 am	A Re Look at FMA Noise	the Noise Regulations &
		Regulations 1989	the Noise Regulations &
		Regulations 1989	recommentations on
			recommentations on
			amendment
11.30 – 12.00 noon		Documentation of evidence for	Types of audiometry, HL
11.30 – 12.00 noon		Documentation of evidence for	patterns in audiometry,
		Hearing Loss Claim	patterns in audiometry,
		Hearing Loss Claim	evidence required for claim
	12.00 – 12.30 pm	Cumulative trauma disorders	Causes and types of CTD,
	12.00 – 12.30 pm	Cumulative trauma disorders	evidence required for claim
		( CTD ) – housewife’s disease or	evidence required for claim
		( CTD ) – housewife’s disease or
		workers’ disease ?
	12.30 – 1.00 pm	Silicosis	Silica exposure , signs and
	12.30 – 1.00 pm	Silicosis	symptoms of silicosis, X
			symptoms of silicosis, X
			rays of silicosis, Socso
			claim requirement
	1.00 - 2.00 pm	Lunch
	2.00 – 2.45 pm	Backache – is slipped disc	Mechanism and causes of
	2.00 – 2.45 pm	Backache – is slipped disc	backache, prevention and
		claimable under Socso ?	backache, prevention and
		claimable under Socso ?	treatment, evidence
			required for claim
	2.45 - 3.30 pm	Lead exposure	Sources of lead, signs and
	2.45 - 3.30 pm	Lead exposure	symptoms of lead
			symptoms of lead
			poisoning,
	3.30 – 4.00 pm	Tea
	4.00 – 4.30 pm	Mercury poisoning	Sources of lead, signs and
	4.00 – 4.30 pm	Mercury poisoning	symptoms of mercury
			symptoms of mercury
			poisoning,
	4.30- 5.00 pm	Occupational Skin Diseases	Various types of occup skin
	4.30- 5.00 pm	Occupational Skin Diseases	diseases, causes,
			diseases, causes,
			illlustraions with pictures

OBJECTIVES

∙To update participants on the latest information on occupational diseases in Malaysia

∙To update participants on how to claim SOCSO for occupational diseases especially hearing loss and backache

∙To educate the participants on the importance of preventive measures in minimizing the occurrence of occupational diseases

∙To equip the participants with the knowledge to handle these diseases as they arise

WHO SHOULD ATTEND

OSH Practitioners & Consultants, Safety & Health Officers, Safety Engineers, Safety & Health Committee Members, Occupational Health Nurses, Occupational Health Doctors, Business Owners, Human Resource Executives & Managers

THE FACILITATOR

DR. WONG KAR LIN holds a Master Degree in Occupational Medicine, Health and Safety from Edith Cowan University, Australia. He is an appointed NIOSH lecturer and trains doctors to be OH doctors as well. Currently he is the Director of Poliklinik Pan-Medic and Pan Esh Consultancy that provides

Occupational Health & Safety consultation and conducts medical surveillance. He also conducts courses under FMM Institute’s Certificate in Safety & Health Officer.

ADMINISTRATIVE DETAILS
COURSE FEE	RM380 (FMM Member) / RM 460 (Non-Member) per participant
	(The fee includes luncheon, coffee/tea breaks and notes)
DRESS CODE	Office Attire
REGISTRATION	Participation in the programme is based on a first-come-first-served
	basis. Cheques made in favor of the “FMM Institute” should be forwarded on
	or before programme date to the FMM Institute, Penang Branch, Bandar
	Seberang Jaya. Participants who registered but did not attend, will be
	billed accordingly. Upon confirmation, kindly send us the payment
	before the commencement of the programme.
CANCELLATION	There will be no refund for cancellation within 2 days prior to the programme,
	50% for cancellation between 3 – 6 days and full refund for cancellation 7
	days prior to the programme. Please inform in writing if you intend to cancel.
	A replacement can be accepted at no additional cost.
DISCLAIMER	The FMM Institute reserves the right to change the facilitator, date and to
	vary / cancel the programme should unavoidable circumstances arise. All
	efforts will be taken to inform participants of the changes. Upon sending the
	registration form, you are deemed to have read and accepted the terms and
	conditions.
ENQUIRIES	Ms Nazliza / Mr Haffiz / Mr Aidi
	FMM Institute
	No 2767, Mukim 11, Lebuh Tenggiri 2, Bandar Seberang Jaya,
	13700 Seberang Perai
	Tel : 04-6302052 ( Nazliza ) / 04-3992057 ( Haffiz ) / 04-6403050 (Aidi)
	Fax : 04-6302054
	Email : fmmpenang@fmm.org.my

nazliza@fmm.org.my

haffiz@fmm.org.my

CLOSING DATE

18 February 2013

REGISTRATION FORM

Common Occupational Diseases and SOCSO Claim

26 February 2013

9.00am – 5.00 pm Training Venue:

Eastin Hotel, Penang

To : Ms Nazliza/ Mr Haffiz, Mr Aidi

Fax : 04-6302054

FMM Institute (Penang Branch)

1.Name :________________________________

Designation : ____________________________

Email:__________________________________

2.Name :_______________________________

Designation : ____________________________

Email:__________________________________

3.Name :_______________________________

Designation : ____________________________

Email:__________________________________

4.Name :_______________________________

Designation : ____________________________

Email:__________________________________

Enclosed cheque / bank draft no. ________________ for

RM__________________________ being payment for

participant(s) made in favour of “FMM Institute”

Submitted by :

Name:________________________________________

Designation:___________________________________

Company:_____________________________________

Address:______________________________________

_____________________________________________

Tel :_________________________________________

Fax:_________________________________________

Email:________________________________________

Membership No. : ______________________________

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