Pre-placement Health Examination

What? objective assessments of the health of employees in relation to their specific jobs, in order to ensure they can do the job and will not be a hazard to themselves or others

When and Why? Pre-placement Return to work Continuing Disability Still disable to work, not ready to return to work ? Performance-Initiated Review Fail to do a certain job Job Transfer Change in working conditions in existing job Change in health status in existing job

How Job analysis/ working conditions Health standards Fit to work standards

Work condition analysis Short Description of the Job Function Write a short but precise statement of the job function Record percentage of time spent on specific duties (e.g., 50% cleaning and servicing furnaces and air conditioners, 20% snow shovelling and gardening, 30% unloading supplies and moving furniture). Location - record approximate percentage of time in: Office/field/lab/computer center/plant/service centre Offshore rigs and other isolated locations Expatriate (foreign country) Indoors/outdoors In transit, specify form of transportation

Work condition analysis Hours of Work Shifts: 12 hour, rotating Lunch breaks: scheduled, unscheduled Overtime: may describe as: excessive (daily and/or weekends), frequent (2-3 times/week), occasional (one time/week), rare (one time/month), periodic (episodic), emergency call out, on call

Work condition analysis Occupational Safety Hazards Safety (Acute Traumatic Injury) Machinery: specific type of equipment used, working near (within 3 feet) or operating moving or dangerous machinery Working in tanks and vessels Working at heights Walking over rough terrain and or slippery surfaces (more than 3 times/year) Ergonomic (Chronic Traumatic Injury) Lifting, carrying, pushing or pulling - amount of weight (more than 30 lbs.) Bending, stooping, twisting, pushing and pulling (more than 1 hour/day) Climbing to heights Working in awkward positions or cramped quarters. Standing (more than 2 hours/day) ] record percentage of Walking (more than 1 hour /day) ] time spent at each Sitting (more than 4 hours/day) ] Using repetitive motions Using equipment: VDT/word processor (more than 1 hour/day) hand tools Performing office functions Other

Work condition analysis Occupational Health Hazards Physical Agents Thermal: temperature extremes, humidity Radiation: ionizing, non-ionizing, ultrasound Noise: continuous (greater than 85 dB),intermittent, impulse Vibration Atmospheric pressure Other Chemical Agents List any potential chemical agent exposures Biological Agents Bacteria, molds, fungi Other

Work condition analysis Psychosocial Demands Level of stress Level of decision making and responsibility - minimal, moderate, high Dealing and working with others Workload: intensive, moderately intensive, peaks, steady deadlines to meet, whether critical, frequent, occasional Other

Work condition analysis Special Requirements Operating mobile equipment: driving heavy equipment or trucks, servicing or flying company planes, driving company vehicle Participating in offshore survival training and working in an offshore environment Participating in fire fighting training Responding to emergency situations Travel requirements: plane, helicopter Special tasks or conditions: requiring colour vision; performing detailed, precise work; working near or directly with food; conducting aerobic fitness classes; working with laboratory chemicals Personal protective equipment used Isolation (record percentage of time): use geographical statement such as offshore, meter station; working alone

Health Standards By the physician ( doctor) with the help from OH nurse and OH professionals The standards are based on the physician's understanding how the body may be affected by the working conditions. Working in height body balance should be in good condition The extent of the physical examination and the laboratory tests depends on working conditions. The system that are examined depends on the job demand Central nervous system ( CNS), cardiovascular, vision, etc The overall clinical determination is based only on those health standards relevant to the working conditions.

Judging Fitness to Work fit, unfit, and fit subject to work modifications temporary or permanent

Reporting On medical records Confidential For specific condition inform the worker/patients ( doctors) Subject for use of work/ company only

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