Periodic medical examination

PME

1. SOP-Periodic medical examination DrAshok Laddha Occupational health physician

2. Purpose The purpose of periodic medical examination to monitor the health status of employee to determine its departure from normal health, so as to identify potential problem area and effectiveness of existing preventive strategies and provide preventive counseling. Periodic medical examination is a common means of conducting health surveillance.

3. Objectives To detect early abnormalities and prevent worker exposed to hazardous work from developing occupational disease To ensure legal compliance To describe role of medical examiner Early detection ,treatment and appropriate preventive action to be taken in time to prevent progression of occupational disease To provide health education and advice to target group as well as to all employees

4. Scope Employees working in hazardous area/Dangerous operations as stated in factory act

5. Procedure-1 After identification of employees exposed to hazardous occupation /working in dangerous operation on the basis of industrial hygiene survey report. Department wise list of employees to be prepared and to OHC .The medical examination will be conducted as per the criteria laid down at OHC twice in a year or as frequently it is required . Periodic medical examination is legal requirement Factories are formulated by state government under factories act, oblige such employees to have their fitness certificate to work certified by the factory medical officer/certifying surgeon at each examination as per annexure-1 Records of medical check up and legal form maintained in individual employees file

6. Procedure-2 Record of medical check up, Fitness certificate, Legal form and results of various tests carried out are recorded in periodic medical examination form ( physical or computerized) Results of clinical/physical examination and various tests specific to hazardous area/dangerous operation job are reviewed by the medical examiner. Information regarding His/hers fitness is sent to HR/Personnel department on fitness certificate duly signed by the medical examiner. The Medical examiner is empowered to get opinion of specialist, if required.

7. Preventive health care advice/Measures As appropriate, The candidate should be counseled on life style/communicable diseases/use of safety devices/information about blood group The content of medical examination form and reports should be shown to candidate and his signature obtained on the report.in case of unfitness, a copy of medical examination report to be given to candidate for obtaining second opinion regarding findings, if required by specialist or competent authority.

8. Tests Recommended The tests are recommended as per the hazardous area/dangerous operation as per annexure-2 Appropriate equipment's should be used for assessment Delegation of technical work to unauthorized person must be avoided All findings should be seen personally and recorded Ensure that blood samples/urine sample collected, tested and reported upon belongs to the person examined Sop on Universal precaution to be followed

9. Annexure-2 S.No Particulars Medical check up criteria Frequency Legal compliance 1 Employees working in High Noise area Physical/clinical examination/ECG/Audiometry Six Monthly Legal form no .as per the state factory rule 2 Employees working in confined space Physical/clinical examination/BMI/ECG/BLOOD SUGAR,AUDIOMETRY/VISION TEST/COLOR VISION TEST/PHYSICAL FITNESS TEST/LFT/RFT/PULMONARY FUNCTION TEST/SQUAT TEST/COMPLETE BLOOD COUNT/STEP TEST/URINE TEST/EEG/PRESONAL,FAMILY HISTORY/PERSONAL HABIT HISTORY Six Monthly and as & when required Legal form no. as per the state factory rule 3 Food Handlers medical examination Physical/clinical examination/Complete blood count/Urine test/Stool Test/Hygiene status/Personal habit status/Vision test/Past and family medical history Six Monthly Hygiene status-Monthly Legal form no.. as per the state factory rule

10. Annexure -2(2) 4 Employees working at height Physical/clinical examination,ECG/AUDIOMETRY/BLOOD SUGAR/COMPLETE BLOOD COUNT/BMI/VISION TEST/VISION AQUITY/PHYSICAL FITNESS TEST/CHESTER TEST/PAST H/O ILLNESS/H/O MEDICATION/PULMONARY FUNCTION TEST/EEG/HAND GRIP TEST/CNS AND CVS EXAMINATION/H/O DISABILITY/H/O PERSONAL HABIT/ SIX MONTHLY AND AS AND WHEN REQUIRED Legal form no .as per the state factory rule 5 Security medical examination Physical/clinical examination,ECG/AUDIOMETRY/BLOOD SUGAR/COMPLETE BLOOD COUNT/BMI/VISION TEST/VISION AQUITY/PHYSICAL FITNESS TEST/CHESTER TEST/PAST H/O ILLNESS/H/O MEDICATION/PULMONARY FUNCTION TEST/EEG/HAND GRIP TEST/CNS AND CVS EXAMINATION/H/O DISABILITY/H/O PERSONAL HABIT/HIV1/2 AND HBsAg Once a year Legal form no .as per the state factory rule 6 Drivers Medical Examination-Bus/crane operators/Hydra operators/Fork lift operators/ Complete medical examination/vision test/color vision test/ECG/Blood sugar/stool test/Urine test/Audiometry/Pulmonary function test and special investigations as advised by the factory medical officer Six Monthly Legal form number as per state factory rule

11. Annexure-2(3) 7 Employees working in fire department Complete medical examination/PFT/Audiometry/ECG/Blood sugar/LFT/RFT/HIV1/2/HBsAg/CBC/Physical fitness test/vision test/squat test/hand grip test and special test as advised by the factory medical officer Six monthly Legal form no. as per the state factory rule 8 Employees exposed to chemicals/dust exposure/fumes and vapor exposure Physical/clinical examination/ECG/X-ray chest/CBC/Blood Sugar/Urine test/Biological Monitoring/RFT/LFT/LIPID PROFILE/PFT/Peak flow meter test/ENT examination/Vision test/Color vision test/Audiometry and special investigations as per the chemical to which employees are exposed Six monthly Legal form no. as per the state factory rule 9 Executive medical examination Complete medical examination and investigations as per SOP Once a year Legal form no. as per the state factory rule

12. Fitness Certificate-Annexure-1 Pre –employment medical Fitness Certificate To, HR Department From OHC Certified that Mr/Mrs---------------------------------has been medically examined and His/hers Blood grp is----------------Height------Weight------- Vision test: Color vision test: Identification Mark:1-------------------------------------2---------------------------- To day I have examined and reviewed his/her investigations which are normal and also found that he/she is not suffering from any contagious /infectious disease. She/he has been Medically Recommended/Not Recommended/Fit/Unfit/Temporary Unfit Date: Signature of Medical examiner with seal

13. Role and Responsibilities To identify hazardous area /Dangerous operations in consultation with HOD Safety and environment officer To prepare the list of identified employees exposed Safety/Environment officer/Admin To send list of identified employees to OHC HR/Admin To conduct medical examination and send fitness certificate to HR/Admin OHC Medical examination record Maintenance OHC To upload medical examination report in computerized OHS OHC To follow universal precaution SOP OHC Staff