DEFINITION

Monitoring of a person for the purpose of

identifying changes in health status due to
occupational exposure to chemicals hazardous to
health
DEFINITION
Occupational Health Doctor means a medical
practitioner registered with the DG (DOSH) to
conduct medical surveillance program of employees.
Occupational Medical Surveillance Records
means forms specified in this guidelines for the
purpose of keeping of medical records.
DEFINITION
Health surveillance means any examination and
investigations which may be necessary to detect
exposure levels and early biological effects and
responses, and includes biological monitoring,
biological effect monitoring, medical surveillance,
enquires about symptoms of occupational
poisoning or occupational disease and review of
records and occupational history.
MEDICAL SURVIELLANCE
The purpose of medical surveillance is for the early
identification of conditions, if any, that could
present an increased risk of adverse health effects
related to the task being performed.
DEFINITION
Chemicals hazardous to health means any chemical
which :
a)is listed in Schedule I or II;
b)possess any of the properties categorised in Part B of
Schedule I of the Occupational
Safety and Health (Classification, Packaging and
Labelling of Hazardous Chemicals) Regulations 1997;
c)comes within the definition of pesticide under the
Pesticides Act 1974;
d)is listed in the First Schedule of the Environmental
Quality (Schedule Wastes) Regulations 1989.
OBJECTIVES
I. The primary purpose of the medical
surveillance program is to identify
medical conditions that could lead
to an occupational disease.
II. The secondary objective is to assure
compliance with OSHA 1994
regulations which require medical
monitoring when employees use
certain materials.
SEC 28 OSHA 1994
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COMPONENT OF MEDICAL SURVEILLANCE
CONT
April 20, 1971 Negligence Duty of care Manufacturer Exposure to
chemical containing carcinogen Whether danger foreseeable. (refer to
an article provided)
SYNOPSIS
English Court of Appeal decision of Wright v Dunlop Rubber
Co Ltd (1972) KIR255 which stipulated that reasonable steps
depend upon the particulars facts.
This case is directly on point as it was stated that if a
manufacturer discovers that the product is unsafe or has
reason to believe that it may be unsafe, its duty may be to
cease forthwith to manufacture or supply the product in its
unsafe form.
The factors which would be relevant include the gravity of
the consequences if the risk should become a reality and the
gravity of the consequences which would arise from the
withdrawal of the product.
CONT
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HEALTH SURVEILLANCE (REGULATION 27)
Indicate by assessment result, employee exposed
or likely to be exposed
Carryout by OHD
Exposed to Schedule II 12 months interval or
less
Record keeping 30 years
Maintained for inspection
Employees allowed to access health surveillance
records after notice
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CONDUCTING HEALTH SURVEILLANCE
PROGRAM
PART IX, REGULATION 27
For the protection of the health of employees
exposed or likely to exposed to chemicals
hazardous to health
If an employee is exposed or likely to be exposed
to chemical listed in Schedule II surveillance have
to be repeated of not more than 12 month.
Dutiesof employer
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HEALTH SURVEILLANCE
To detect exposure levels and early biological,
effects and response include
Biological monitoring
Medical surveilance
Biological effect monitoring
Review of record and occupational history
Enquiries about occupational poisoning or
occupational disease symptom
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HEALTH SURVEILLANCE RECORD
Maintained and kept for a period of 30 years
Available for examination and inspection
Accessible to employees
Dutiesof employer
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MEDICAL REMOVAL PROTECTION
PART X, REGULATION 28
Removal of employee from any work that
exposes or likely to expose to chemical
hazardous to health
occupational health doctor detected medical
condition which place employee at increased
risk of material impairment to health from the
exposure
Remove pregnant or breast feeding employee
from work which expose to chemical hazardous
to health
Dutiesof employer
FMA REGULATION 33
FMA- REGULATION 34
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FMA-REGULATION 35
FMA REGULATION 36
FMA REGULATION 37
FMA REGULATION 38
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FMA REGULATION 39
CONT
CONT
FMA REGULATION 40
FMA DUST REGULATION
CONT
CONT
CONT
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FMA ASBESTOS PROCESS
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CONT
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DUTIES OF OCCUPATIONAL
HEALTH DOCTOR (OHD)
(1)Conduct the pre-employment and pre-placement medical
examination (baseline medical data) of employees to assess
fitness for work, taking into consideration the hazards and risk
assessment in the workplace. The use of Occupational Medical
Surveillance Programme Record Book and Employee Record
Book is suggested.
(2)Determination of the ability to work while wearing the
Personal Protective Equipment.
(3)Maintain the medical records of employees during the
course of employment (periodic) and post termination.
(4)Documentation of employee exposure to hazards at
workplace.
CONT
(5)Interpret and explain the results of investigations to the
EMPLOYEE AND EMPLOYER and specify what further
follow up action is necessary.
(6)Analysis of Occupational Diseases & Poisoning and co-
relate with Chemical Health Risk Assessment.
(7)Investigation of the cause of the Occupational Disease
Poisoning. Visit work place and recommend remedial
actions. For medical removal protection use the
appropriate forms.
(8)Notification of Occupational Diseases & Poisoning to
DOSH and employer.
CONT
(9)Assist in Implementation of Occupational Health
Program in the workplace.
(10) Assist in the management of Occupational Diseases
& Poisoning including removal from work, treatment,
rehabilitation, disability assessment, return to work and or
compensation.
(11) Reinforce the value of education! training in
Occupational Health to both employer and employee.
(12) Assist in Audit ! Evaluation of Occupational Health
Program in the workplace.
DUTIES OF EMPLOYER
(1)Carry out health surveillance programme as required by
the assessment report under USECHH Regulations.
(2)Health surveillance programme shall be conducted
during the working hours and the costs shall be borne by
the employer.
(3)Appoint an Occupational Health Doctor, (OHD) to
conduct occupational medical surveillance programme.
(4)Allow and assist the OHD to visit the workplace to
investigate and manage occupational disease and
poisoning including access to relevant monitoring and
other health related data.
CONT
(5)Co-operate with the OHD in medical removal
protection of the worker.
(6)During the period of medical removal the worker may
be allowed to do other work that will not expose him to
the hazardous chemical.
(7)Notify occupational disease and poisoning to DOSH .
(8)Notify the workers concerned regarding monitoring of
exposure levels of chemicals hazardous to health
including occupational disease and poisoning.
CONT
(9)Allow the employee access to occupational medical
surveillance records.
(10)Ensure the workplace hygiene is improved, is safe
and healthy and does not place the worker at increased
risk of material impairment to health from exposure to
chemical hazardous to health. before allowing the
worker to work in the same place so as to ensure the
disease or poisoning does not reoccur.
(11)Record Keeping of diseases and accidents.
(12)Provide Employee Medical Book.
DUTIES OF EMPLOYEE
(1)Undergo training on importance of preventing
occupational poisoning and disease.
(2)Report early symptoms and signs of disease (
including self examination) to the OHD and
management.
(3)Comply and co-operate in the Occupational Medical
Surveillance Programme, as required under USECHH.
(4)To take proper care of the Employee Record Book
and to present it to OHD for Occupational Medical
Surveillance record purposes.