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Page No. I

GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

OISD-GDN-166
First Revision, 2011
Second Revision July, 2012
FOR RESTRICTED
CIRCULATION ONLY

GUIDELINES FOR
OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY

Prepared by
COMMITTEE ON OCCUPATIONAL HEALTH MONITORING

Oil Industry Safety Directorate


Government of India
Ministry of Petroleum & Natural Gas
8th Floor, OIDB Bhavan, Plot No. 2, Sector 73, Noida 201301 (U.P.)
Website: www.oisd.gov.in
Tele: 0120-2593800, Fax: 0120-2593802

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Preamble
Indian petroleum industry is the energy lifeline of the nation and its continuous performance is
essential for sovereignty and prosperity of the country. As the industry essentially deals with inherently
inflammable substances throughout its value chain upstream, midstream and downstream Safety is
of paramount importance to this industry as only safe performance at all times can ensure optimum
ROI of these national assets and resources including sustainability.
While statutory organizations were in place all along to oversee safety aspects of Indian petroleum
industry, Oil Industry Safety Directorate (OISD) was set up in 1986 Ministry of Petroleum and Natural
Gas, Government of India as a knowledge centre for formulation of constantly updated world-scale
standards for design, layout and operation of various equipment, facility and activities involved in this
industry. Moreover, OISD was also given responsibility of monitoring implementation status of these
standards through safety audits.
In more than 25 years of its existence, OISD has developed a rigorous, multi-layer, iterative and
participative process of development of standards starting with research by in-house experts and
iterating through seeking & validating inputs from all stake-holders operators, designers, national
level knowledge authorities and public at large with a feedback loop of constant updation based on
ground level experience obtained through audits, incident analysis and environment scanning.
The participative process followed in standard formulation has resulted in excellent level of compliance
by the industry culminating in a safer environment in the industry. OISD except in the Upstream
Petroleum Sector is still a regulatory (and not a statutory) body but that has not affected
implementation of the OISD standards. It also goes to prove the old adage that self-regulation is the
best regulation. The quality and relevance of OISD standards had been further endorsed by their
adoption in various statutory rules of the land.
Petroleum industry in India is significantly globalized at present in terms of technology content requiring
its operation to keep pace with the relevant world scale standards & practices. This matches the OISD
philosophy of continuous improvement keeping pace with the global developments in its target
environment. To this end, OISD keeps track of changes through participation as member in large
number of International and national level Knowledge Organizations both in the field of standard
development and implementation & monitoring in addition to updation of internal knowledge base
through continuous research and application surveillance, thereby ensuring that this OISD Standard,
along with all other extant ones, remains relevant, updated and effective on a real time basis in the
applicable areas.
Together we strive to achieve NIL incidents in the entire Hydrocarbon Value Chain. This, besides other
issues, calls for total engagement from all levels of the stake holder organizations, which we, at OISD,
fervently look forward to.

Jai Hind!!!
Executive Director
Oil Industry Safety Directorate

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FOREWORD

Hydrocarbon processing and handling entails some risks arising out of potential
hazards like fires, explosions, injuries/burns to the personnel etc. Most of such hazards are
taken care, to a large extent, by better understanding, safer designs of the plants and other
facilities and following safe operating practices. Oil Industry Safety Directorate (OISD),
constituted by the Ministry of Petroleum and Natural Gas in 1986, have been bringing out
Standards and Guidelines on various aspects of designing and operation of plants and
facilities to improve safety standards in the oil industry.
In the changed scenario of the economy, the oil industry too is becoming highly
competitive and upgradation of technology is taking place around the world to achieve
excellence. The successful application of a new technology depends greatly upon its
successful adaptability. Such adaptability brings the "personnel". playing pivotal role in
implementation of the technology, in the forefront. It is incontrovertible that personnel are
most important resource of organisation and that maintaining their health is vital for
productivity and effectiveness. As such, their health should be strongly emphasised in the
organisation's strategic plan. Promotion of health of employees in the widest sense, should,
therefore, be a high priority, both a goal and a challenge for the organisation.
With a view to provide a structured programme to look after and promote the health of
the vital "Human Resource" in the oil and gas industry, the present document "Guidelines for
Occupational Health Monitoring in Oil & Gas Industry" has been prepared by the Functional
Committee on Occupational Health Monitoring. It is hoped that these guidelines will help in
establishing and practising an appropriate Occupational Health Monitoring programme for the
employees of their industry.
This document will be reviewed periodically for improvements based on the new
experiences and better understanding. Suggestions from industry members may be
addressed to :

The Coordinator
Committee on Occupational Health Monitoring
OIL INDUSTRY SAFETY DIRECTORATE

8th FLOOR, OIDB Bhavan,


Plot No. 2 , Sector- 73,
NOIDA - 201301

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NOTE

OISD publications are prepared for use in the oil and gas industry under the
Ministry of Petroleum and Natural Gas. These are the properties of Ministry of Petroleum and
Natural Gas and shall not be reproduced or copied or loaned or exhibited to others without
written consent from OISD.
Though every effort has been made to ensure the accuracy and reliability of the data
contained in these documents, OISD hereby expressly disclaims any liability or responsibility
for loss or damage resulting from their use.
These documents are intended only to supplement and not to replace the prevailing
statutory requirements.

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COMMITTEE ON OCCUPATIONAL HEALTH MONITORING


First Edition
----------------------------------------------------------------------------------------------------------------------------NAME
ORGANISATION
----------------------------------------------------------------------------------------------------------------------------LEADER
Dr.V.Swaminathan

Madras Refineries Limited, Chennai

MEMBERS
Dr. Hemant Kshirsagar
Shri N Dasgupta
Dr. P.K.Bhuyan
Dr. John K John
Dr. A. Biswas
Shri K.K.Dixit
Shri A.A.Raichur
Dr. M.Ahmad
Dr. A.K.Chakraborty
Dr. R.P.Patel
[Alt:Dr.R.C.Saxena]
Shri S. Kaul
Shri H.D.Bahadur
Shri D.K.Kantak
Dr. A.K.Tomar

Bharat Petroleum Corporn. Ltd., Mumbai


Bharat Petroleum Corporn. Ltd., Mumbai
Bongaigaon Refinery and Petrochemicals Ltd.,Bongaigaon
Cochin Refineries Limited, Cochin
Gas Authority of India Limited, Vijaipur
Hindustan Petroleum Corporation Limited, Mumbai
Hindustan Petroleum Corporation Limited, Mumbai
Indian Oil Corporation Limited, Mathura
Indian Oil Corporation Limited, Digboi
Indian Oil Corporation Limited, Vadodara
Indian Oil Corporation Limited, Vadodara
Indian Oil Corporation Limited, Barauni
Lubrizol India Limited, New Mumbai
Oil and Natural Gas Corporation Limited, Dehradun

MEMBER-COORDINATOR
Shri S.N.Mathur
Oil Industry Safety Directorate, New Delhi
-----------------------------------------------------------------------------------------------------(In addition to the above, several other experts from the industry contributed in the
preparation, review and finalisation of this document).

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COMMITTEE ON OCCUPATIONAL HEALTH MONITORING


First Revision
------------------------------------------------------------------------------------------------------------------------NAME
ORGANISATION
-------------------------------------------------------------------------------------------------------------------------LEADER
Dr. V L Sadgun

ONGC Ltd, New Delhi

MEMBERS
Dr. Sarangadharan
Dr. P. K. Bhuyan
Dr P. C. Deka
Dr. John K John
Mr N. Dasgupta
Dr. Subhash Nikale
Dr. S. Baishya
Mr. B. N. Sahoo
Dr. Naveen K. Kuthari
Dr.Vandana Shinde

Chennai Petroleum Corporation, Chennai


Bongaigaon Refinery & Petrochemical Ltd., Assam
Indian Oil Corporation-Guwahati Refinery
Bharat Petroleum Corporation Ltd., Kochi Refinery
Bharat Petroleum Corporation Ltd, Mumbai
Hindustan Petroleum Corporation Ltd., Mumbai Refinery
Oil India Ltd., Assam
Oil India Ltd., Assam
Hindustan Petroleum Corporation Ltd, Vizag
Bharat Petroleum Corporation Ltd., Mumbai

MEMBER - COORDINATOR
Shri Shashi Vardhan
Oil Industry Safety Directorate, Noida
Shri S.C. Gupta ( part )
--------------------------------------------------------------------------------------------------------------------(In addition to the above, several other experts from the industry contributed in the
preparation, review and finalisation of this document).

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GUIDELINES FOR
OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY
INDEX

------------------------------------------------------------------------------------------------------- --------------------SECTION
CONTENT
PAGE NO.
---------------------------------------------------------------------------------------------------------------------------1.0

INTRODUCTION

2.0

SCOPE

3.0

DEFINITIONS

4.0

STATUTORY REQUIREMENTS

5.0

OCCUPATIONAL HEALTH MONITORING OBJECTIVES

6.0

FUNCTION OF OCCUPATIONAL HEALTH MONITORING

7.0

GENERAL CONSIDERATIONS

8.0

FIRST AID

9.0

OCCUPATIONAL HYGIENE MONITORING

10.0

PRE-EMPLOYMENT/PRE-PLACEMENT MEDICALEXAMINATION

11.0

PERIODIC HEALTH EXAMINATION

13

12.0

INFRASTRUCTURE FOR OCCUPATIONAL HEALTH MONITORING

14

13.0

AUDIT & PERFORMANCE REVIEW

16

14.0

REFERENCES

18

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ANNEXURES & TABLES


ANNEXURE I
ANNEXURE II

: Threshold Values

Threshold limit values


Table-1: Threshold Limit Value of Noise
Table-2: Recommended Service Illumination for various
Classes of visual tasks

ANNEXURE III

ANNEXURE IV

ANNEXURE V:

Annexure VI :

: Table : Measurement methods for toxic chemicals


In the work environment

Biological Monitoring & List of Clinical & Screening


Laboratory tests
Table- 1: Biological Exposure Determinants
Table- 2: General Health Check up & Investigation data sheet
Table- 3: Recommended frequency for clinical laboratory
Tests for early detection of work related illness
In the main organ & system & Threshold Limit value
for chemicals in work Environment

Pre-employment / Pre-placement medical examination


Table-1: Standard Height & Weight
Table-2: Physical fitness criterion for offshore personnel
Typical Questionnaire for Industrial Hygiene and Occupational
health Surveillance Audit

-------------------------------------------------------------------------------------------------------

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GUIDELINES FOR
OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY
1.0

INTRODUCTION

Technological advances while making the oil industry competitive, have also multiplied the
hazards to the operating personnel in the form of complex processes and application of
various hazardous chemicals. The enlightened management should consider that their duty is
to preserve and promote the health of their employees and give them a good deal which in
turn fosters better output and happiness in industry. Greater use of the assets of the work
place - stability, long term relationships of trust and peer support can be advantageously
utilised to make the work site as an effective and economical setting for various programmes
designed to promote good health. The purpose of Occupational Health programme is to
protect and promote the health of all employed persons. Occupational Health is not limited in
scope only to diagnosis of specific occupational diseases and their treatment. It is necessary
to consider not only the traditional specific hazards to health at work but also control of health
problems of employees which are closely related to work conditions; are aggravated or
influenced by work exposures; are susceptible to control or amelioration by interventions at
work place.
Occupational Health Monitoring will provide a scientific basis for decisions aimed at protection
of human health from any possible adverse consequences of exposure to the hazards in the
occupational environment.
2.0 SCOPE
This document lays down minimum requirements for practising Occupational Health
Monitoring in petroleum refineries, oil/gas exploration / production/processing plants both
offshore and onshore, cross country pipelines, LPG bottling plants and other petroleum
handling facilities/installations. This gives guidelines to establish Occupational Health
Monitoring in the industry to provide specific level of occupational health and hygiene services
to the employees and includes personal health of the individuals, the health of the
occupational group, assessment of the employees' occupational environment and appraisal of
the evidence linking job conditions and exposure to effect on health and course of the
disease.
Due to various reasons, if it is not possible to provide the required facilities of its own for the
Occupational Health Monitoring at the petroleum handling facility / installation, the same
should be arranged through outside agencies.
3.0 DEFINITIONS
"Occupational Health Monitoring" means a service established in the place of employment
for the purposes of ;
(a) protecting the employees against any health hazard which may arise out of their work or
the conditions in which it is carried on;
(b) contributing towards the employees' physical and mental adjustment, in particular by the
adaptation of the work to the employees and their assignment to jobs for which they are
suited; and
(c) contributing to the establishment and maintenance of the highest possible degree of
physical and mental well-being of the employees.
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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Occupational Group : Means a group of individuals directly related to a particular work place
on a regular basis.
Threshold Limit Value - Time Weighted Average (TLV-TWA) represents the time-weighted
average concentration for a normal 8-hour workday and a 40 hour workweek, to which nearly
all employees may be repeatedly exposed day after day without adverse effect.
Threshold Limit Value - Short Term Exposure Limit (TLV-STEL) represents the
concentration to which employees can be exposed continuously for a short period of
time
without suffering from (1) irritation; (2) chronic or irreversible tissue change; (3) narcosis of
sufficient degree to increase the likelihood of accidental injury, impair self rescue or materially
reduce work efficiency and provided that the daily TLV-TWA also is not exceeded.
A STEL is defined as a 15 minute time-weighted average exposure which should not be
exceeded at anytime during a work day, even if the eight hour time weighted average is within
the TLV.
Threshold Limit Value - Ceiling (TLV-C) represents the concentration of a substance or gas
that should not be exceeded even instantaneously.
Biological monitoring can be defined as assessment of employee exposure by
measurement of some "index" chemical in a body fluid as evidence of exposure to a
chemical.
The Biological Exposure Index (BEI) is defined as an "index" chemical that appears in a
biological fluid or in expired air following an exposure to a workplace chemical
Work area : Work Area is a place where people work.
Competent person : Competent Person is a qualified Industrial Hygienist or a person trained
in the techniques of Industrial Hygiene.
Body Mass Index means an accepted way of finding out obesity etc. and is calculated as
2
Body weight in kg/(Height in meter) .

4.0 STATUTORY REQUIREMENTS


The statutory requirements as stipulated inter alia in Factories Act, Oil Mines Regulations,
Petroleum & Natural Gas (Safety in Offshore Operations) Rules as applicable etc. shall be
complied with.

5.0 OCCUPATIONAL HEALTH MONITORING OBJECTIVES


5.1 Occupational Health Monitoring shall be provided as conditions require:(a) by virtue of laws or regulations;
(b) by virtue of collective agreement or as otherwise agreed upon by the employer and
employees concerned; or
(c) in any other manner approved by the
employers' and employees' organisations.

competent authority after consultation with

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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5.2 Occupational Health Monitoring should either be organised by the installations


themselves or be attached to a qualified outside body or outsourced or as a separate service
within the installation or as a service common to a number of installations.
5.3 Where the provision of occupational health monitoring is not practicable for the time
being, for some reasons, the plant/ installation should make arrangements with a physician or
a local medical service for a)

administering emergency treatment;

b)

carrying out required medical examinations ;

c)

to exercise monitoring over hygiene conditions in the plant/ installation.

6.0 FUNCTIONS OF OCCUPATIONAL HEALTH MONITORING


The function of occupational health monitoring should be progressively developed, in
accordance with the circumstances and having regard to the extent to which one or more of
these functions are adequately discharged so that they will include in particular the following:
(a) Monitoring of all factors within the installation which may affect the health of the
employees through occupational hygiene monitoring , including periodic inspection and
evaluation of workplaces to identify potential hazards, measure them when appropriate,
suggest control measures as needed and advise in this respect to management as well as to
employees or their representatives in the installation;
(b) job analysis or participation therein in the light of hygiene, physiological and psychological
considerations and advice to management and employees on the best possible adaption of
the job to the employee having regard to these considerations;
(c) participate with the other appropriate departments in the installation, in the prevention of
accidents and occupational diseases and use of personnel protective equipment and advise
management and employees in this respect;
(d) pre-employment, pre-placement, periodic and special medical examinations including,
where necessary, biological, radiological examinations - considered advisable for preventive
purposes by the industrial physician; such examinations should ensure particular monitoring
over certain classes of employees,
(e) advise management on rehabilitation or re-assignment of employees with disability
(f) advise individual employees at their request regarding any disorder that may occur or be
aggravated in the course of work;
(g) provide emergency treatment in case of accident or indisposition,
(h) Occupational Health Monitoring plays an important role of anticipating emergencies, of
preparing policies for how to deal with them at the local level in collaboration with Safety, Fire
and other services concerned and of having an input into disaster planning. In the event of
fire, explosion, escape of toxic gases, chemicals etc., Installation shall ensure the availability
of the necessary infrastructure for emergency treatment to be administered.
(i) Periodic training of employees in first-aid, supervision and maintenance of first-aid
equipment in co-operation, where appropriate, with other departments concerned;
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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(j) education of the personnel of the installation in health and hygiene;


(k) compilation and periodic review of statistics concerning health conditions in the
installation;
(l) research in occupational health or participation in such research in association with
specialised services or institutions.

7.0 GENERAL CONSIDERATIONS

(1)

The role of occupational health monitoring should essentially be preventive.

Occupational Health centre should maintain close contact with the other departments in the
installation concerned with issues of the employees' health, safety and welfare.
(2) Occupational Health centre should also liaise with external agencies / bodies dealing with
issues of the health, safety and environment.
(3) Occupational Health centre shall maintain a medical file at the time of an employee's preemployment examination or first visit to occupational health centre and should keep the file
up-to-date at each succeeding examination or visit.
Occupational Health centre shall establish an efficient "Health Information System" and
maintain appropriate records on Occupational health and hygiene.
(4) The physician in-charge of an occupational health centre shall have special training in
occupational health who shall be directly responsible to the management.
(5) The physicians in occupational Health Monitoring Group should enjoy full professional and
moral independence from both the employer and the employees.
(6) All employees should co-operate fully in attaining the objectives of occupational health
services.
(7) All persons attached to occupational Health centre should be required to observe
professional secrecy as regards both medical and technical information which may come to
their knowledge in the exercise of the functions and activities as above.
(8) In order to efficiently perform their functions, occupational health personnel should (a) have access to all work places and to the ancillary installations ;
(b) inspect the work places at appropriate intervals in co-operation, where necessary, with
other services of the installation;
(c) have access to information concerning to the processes, performance standards and
materials used or the use of which is contemplated;
(d) be authorised to undertake, or to request that approved technical bodies undertake
surveys and investigations on potential occupational health hazards;
(e) be authorised to advise the competent authorities to ensure compliance with occupational
health and safety standards.
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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8.0 FIRST AID


1.
2.
3.
4.

First-aid should be provided by certified trained persons.


First aid personnel shall be readily available during working hours.
First Aid Kits are required to be placed in the workplace, at strategic locations.
The telephone number and location of a qualified medical person (either a Doctor or a
qualified Nurse) must be prominently displayed on the First Aid Box.
5. Stretcher should be provided in the installation.
6. The following are the minimum contents of a first aid box :

Items

9.0

Quantity

Bandage Rolls: 2, 4, 6

2 Nos.

Triangular Bandages

4 Nos.

Dressings (Sterile)

12 Nos.

Isotonic Eye Solution

2 vials

Eye Pads

2 Pairs

Adhesive Tape (3)

2 Nos.

Disposable Gloves

2 Pairs

Betadine 100 ml

1 Bot

Savlon (100 ml)

1 Bot

Wooden Splints: 6,8,24

1 each.

Safety Pins

6 Nos.

Band Aids (Regular)

10 Nos.

Eye Wash Cups

4 Nos.

First Aid Leaflet

1 No.

The contents can be suitably increased depending upon the location, type of hazards,
no. of personnel in the area etc.
The requirement of contents shall be certified by medical professional and listed.
Prescription medicines shall not be kept in the first aid box.
Regular replenishment of first aid box should be ensured.

OCCUPATIONAL HYGIENE MONITORING

Occupational hygiene is the science and art devoted to anticipation, identification, evaluation
and control of environmental factors or stresses arising in or from the work place which
may cause sickness, impaired health, significant discomfort or inefficiency among the
employees.
Occupational hygiene shall identify exposure to physical, chemical and biological hazards like
heat, light, noise, radiation, chemicals-dust, fumes, gases, parasites etc. and to take
measures to bring them under control, before the employees experience injury or evidence of
any adverse signs or symptoms.
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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Occupational hygiene shall conduct the qualitative and/or the quantitative evaluation of
environmental agents which pose health hazard at the work place.
This shall be done by measuring exposures, evaluating their probable effects by existing
toxicological and industrial hygiene standards and utilising sensitive biological examination of
exposed persons to discover the entry of harmful materials into the human systems, in
advance of any possible injury.

9.1 Work Environment Monitoring and Industrial Hygiene :


i)
ii)
iii)
iv)
v)
vi)
vii)
viii)
ix)
x)

Industrial Hygiene (IH) survey shall be done to map all the occupational health hazards
in a work area and should cover all installations.
The IH survey is to be carried out by a competent person.
The IH survey shall be done once every 5 years. However, a major change in the
process will warrant a fresh survey.
The occupational health hazards should be measured with standard equipment and
with accepted measurement technique.
The measurement should be able to replicate human exposure to the occupational
health hazard.
The measurement technique shall include both area sampling and personal sampling.
The Industrial Hygienist shall decide the sampling strategy taking into consideration the
best practice.
Occupational health risk assessment to be done based on the results of the survey.
Monitoring schedule for health hazard at the work area is to be established based on
the professional experience of the Occupational health team and industry experience.
Ergonomic survey where possible should be done by an Ergonomist.

The quantitative aspects of safe occupational exposures should be expressed in the


concepts of Threshold Limit Values (TLV), a time weighted average exposure as detailed in
Annexure- I.
Occupation health hazard & Industrial health survey of all facilities shall be conducted to
assess the occupational health hazards like physical (noise, heat, radiation, illumination),
chemical, toxic exposures, ergonomics, biological and psychological. This shall be repeated
as specified for each hazard in following paragraphs or as and when there is major addition /
alteration in facilities.
On basis of this survey, the hazards areas shall be classified in high risk, medium and low
risk areas. The main focus shall be on hazard elimination/ reduction. There shall be
periodically monitoring.
9.2

Monitoring of Physical Hazards

9.2.1

Heat stress

The parameters like air temperature, relative humidity, air movement, radiant heat are taken
into consideration when assessing or controlling the thermal environment. It also depends
upon clothing worn, work load etc. These parameters shall be monitored during summer
particularly. The heat stress at work place shall be monitored by using techniques like wet
bulb globe temperature index. The acceptable limits should be arrived at depending upon
heat, relative humidity, hours of working etc.
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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9.2.2

Noise

The level of noise at work place shall be monitored at least once in a year. The monitoring
may be repeated in between also as per requirement. Ear plugs etc. should be provided to
personnel working / entering in high noise areas.
Threshold Limit Values (TLVs) for Noise exposure are given in the Table-1 of Annexure-II.
9.2.3 Illumination
The illumination levels in working / movement areas shall be monitored once in six month.
The illumination level be maintained above the recommended levels.
Recommended levels of illuminance for various classes of visual task are given in the Table-2
of Annexure-II.
9.2.4 Radiation
Radiation level from nuclear sources etc. shall be measured on a quarterly basis. In case, it
exceeds the threshold value, the effect of radiation on exposed personnel shall be monitored.
Personal Protective equipment shall be provided to personnel working in the area.
Training shall be provided to personnel on the hazards associated with type of radiation
and its preventive measures.
9.3

Monitoring of Chemical Hazards


Variety of chemicals ; organic and inorganic are used as absorbents, solvents,
additives, catalysts, colouring agents, laboratory reagents etc. in the oil industry. All
such chemicals including which are generated/ released during the process, along
with the petroleum, pose health hazards to the operating personnel.
The concentration of various chemicals used shall be monitored periodically.
Certain chemicals cause personal injury due to contact with or entry into the body via
inhalation, ingestion, skin contact or eye contact. Health hazard may result from
repeated, chronic and long term exposure to low concentration of such chemicals.
Measurement methods for toxic chemicals in the work environment are given in the
Table of Annexure - III.

9.4

Biological Monitoring
Measurement of the concentration of substances in breathing zone air does not ensure
that the employee is totally protected from adverse health effects resulting from
exposure to chemicals in the workplace.
The actual body burden of the chemical resulting from all routes of exposure is more
directly related to potential adverse health effects. The uptake of the workplace
chemical by the inhalation route, absorption of the chemical through the skin or the
gastrointestinal tract and non occupational exposure to the chemical all influence the
body burden. Interaction of the chemical with other environmental and workplace
chemicals may stimulate or inhibit its metabolism and elimination and thus influence the
toxicity of the chemical in the person exposed.
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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Thus, the environmental concentration of a chemical is related to the body burden of


the same chemical under specified conditions only. To further evaluate a potential
health hazard in the workplace, biological monitoring should be used.
Biological monitoring can be defined as assessment of employee exposure by
measurement of some "index" chemical in a body fluid as evidence of exposure to a
chemical.
The Biological Exposure Index (BEI) is defined as an "index" for the chemical that
appears in a biological fluid or in expired air following an exposure to a workplace
chemical. The BEI serves as a warning of exposure by (1) the appearance of chemical
or (2) the appearance of biological response indicative of exposure. The BEI is
primarily an index of exposure and not a sentinel of some health effect that may have
been produced from exposure to a workplace chemical. Permissible Biological
Exposure Indices for various chemicals are given in the Table 1 of Annexure-IV.
9.5

Monitoring of Ergonomic Hazards


Ergonomic monitoring of the workplace shall be done in once in three years and also
when major changes in workplace is carried out and corrective action should be
undertaken accordingly.

9.6

Psychological Hazards
During the course of survey, attempt should be made to identify psychological
hazards and corrective actions taken accordingly.

10.0 PRE - EMPLOYMENT / PRE-PLACEMENT MEDICAL EXAMINATION


Guidelines for determining the medical fitness of a candidate considered for preemployment / placement in the services of the company.
The organisations are empowered to relax the standards or fix a suitable standard as per
the requirement of the job as a matter of policy.
(1) The medical examination shall be conducted for following categories prior to appointment in the
services of the company :
a) Permanent /temporary/ trainee
b) An employee in the services of the company who is selected for alternative job on the
basis of open recruitment or otherwise;
c) On deputation basis or permanent from Central/State Governments/Public Sector
Undertakings.
(2) Medical examination shall be conducted by the Company Medical Officer/Authorised
Medical Officer who shall be the authority to certify a candidate as medically fit/ unfit/
temporarily unfit in respect of all appointments in the company.
(3) The company medical authority may refer the candidates to outside hospitals/institutions
for conducting some of the medical tests.

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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(4) The company medical authority may at his discretion, obtain the opinion of a Specialist
that will be duly recorded on the medical examination forms.
(6) The company medical authority shall forward the medical fitness certificate to the HR
department, declaring the candidate either "FIT", "UNFIT" or "TEMPORARILY UNFIT".
(7) Where a candidate has been declared "Temporarily Unfit" by reasons of short term
sickness, which is curable within a period of not more than thirty days, the candidate will be
required to undergo a re-examination within thirty days from the date of his/her being declared
"Temporarily Unfit". At the time of re-examination, he/she will be required to produce proof of
treatment and certificate of cure from the Doctor who treated him/her. On satisfying himself
that the short term sickness is cured, the Company Medical Authority will certify the candidate
as medically fit. The period may be relaxed depending upon the job requirement as per
management policy.
(8) Where a candidate is declared "Unfit", the result of the medical examination for unfitness
shall be communicated to him/her by the HR department.
(9) Where a handicapped person is selected, he/she may be declared "handicapped, but fit"
if,
(a) Except for the handicap, he/she otherwise satisfies all other physical standards as
prescribed and
(b) Considering the nature of duties and responsibilities of the job, location, hazard, strain and
other factors, the handicap is not likely to interfere with the performance of duties of the post
with reasonable efficiency and without possible deterioration of his/her health.
10.1 Norms and Standards For Medical Fitness
(1) Good mental and physical health.
(2) Free from physical defect or abnormality, congenital or acquired, likely to interfere with the
efficient performance of duties.
(3) No evidence of mal-development - physical or mental.
(4) Joints and locomotor functions are within normal limits.
(5) HEIGHT AND WEIGHT
Ideal values for height and weight is given in the Table 1 of Annexure-V. Weight will be
recorded in kilograms and height measured will be in centimeter.
A better way of expressing the degree of over weight is Body Mass Index, which can be
2
calculated as Body weight in kg/(Height in meters) . BMI should be up to 25.
The organisation may relax the standards of height and weight , so long as such relaxation
does not impede the performance of the job.
6) CHEST
Chest measurement at full expiration shall be 79 cms. (relaxable by 5 cms.) and minimum
expansion of 5 cms. The range of expansion upto 4 cms. ( i.e. a deviation of 20%) will be
acceptable. This is not applicable to female candidates and the state of physical development
will be taken into account.
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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(7) EYE
The candidate's eyes shall be tested by a qualified ophthalmologist and the result of the test
recorded in accordance with the following :
(a) The candidate's eyes will be subjected to a general examination directed to detect any
disease or abnormality. The candidate will be rejected if he/she suffers from morbid
condition of eyes, eyelids or contiguous structures of such a nature as would render
him/her unfit for service at the time of appointment or at a future date.
(b)

If any candidate is suspected to have any refractive error in either or both eyes, organic
or progressive disease of any part of the eyes, a thorough ophthalmic checkup and
report from the specialist in ophthalmology is essential.

(c)

VISUAL ACUITY FOR BOTH EYES

Standard for visual acuity (with or without glasses / contact lens / IOL/ Implantable contact
lens)
Age

Distant Vision
Better Eye

Below 35 yr

Worse Eye

6/9

6/9

Near Vision
Better Eye

Worse Eye

Sn / 0.6

Sn / 0.6

Sn / 0.6

Sn / 0.6

Or
6/6
35 yrs and more

6/12

6/12

6/12
Or

6/6
(d)

6/18

FUNDUS
(i)
(ii)
(iii)
(iv)

Any progressive pathological condition


Vitreous or Choriorentinitis
Any Retinal disease in Diabetes, Hypertension, Atherosclerosis
Corrected Myopia* (including the cylinder) exceeding (-) 6D and Hypermetropia (+)
4D in each eye upto 35 years of age.
(v) Corrected myopia* (including the cylinder) exceeding (-) 6D and Hypermetropia (+)
6D in each eye beyond 35 years of age
* corrected myopia = spherical dioptre + half the cylindrical dioptre of the same eye
(e) COLOUR VISION
The testing of colour is essential for all candidates. Colour vision will be tested with Ishihara's
Isochromatic plates in good light.
COLOUR BLINDNESS
(i) PERMISSIBLE
This will not be a disqualification for office jobs wherein defective colour vision is not likely to
interfere with his/her work or create risk for others working with him/her; for example,
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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employment in HR, Finance, Administration Departments. In no case, such personnel shall


be transferred or moved to operation / technical jobs.
(ii) NOT PERMISSIBLE
Colour blindness is a disqualification for the following technical or other jobs like employment
in Manufacturing, Maintenance, Technical Services, R & D, Projects, Refinery Operator,
Refinery Technician, Operator, Chemist, Draughtsman, Crane Operator, Driver of all
categories, Nurse, Nursing Assistants, Fireman, Security, Engineer, Doctor, Materials
Management, offshore going personnel etc., and jobs where perception of colours is
considered essential.
(iii) SQUINT
For technical category, where the presence of binocular vision is essential, squint, even if the
visual acuity is of prescribed standards, will be considered as a disqualification. For others,
the presence of squint will not be considered as a disqualification if the visual acuity of each
eye is of prescribed standard.
(iv) ONE EYED PERSON
For regular service, one eyed individual will be considered as unfit except for ministerial and
allied jobs where binocular vision is not considered essential. It will be ensured that the
prognosis of the functioning eye is good and its vision is not likely to be endangered by the
condition of the worse eye and the prescribed visual acuity standards are fully satisfied.
(V) NIGHT BLINDNESS
Night blindness shall be considered as disqualification. No standard test for testing of night
blindness or dark adaptation is prescribed. The medical officer will record visual acuity with
reduced illumination or by making the candidate recognize various objects in a dark room
after he/she has been there for 20 to 30 minutes.
(VI) GLAUCOMA : Glaucoma shall be considered as temporary unfit.
(8) EAR /NOSE/THROAT
The candidate should be free from signs or symptoms of ear diseases.
Audiometric screening to measure the pure tone air conduction hearing threshold will be
carried out. A report from the specialist in ENT is essential if abnormal and should be duly
recorded.
Noise induced hearing loss shall be considered a disqualification.
Bilateral Hearing loss above 50 dB(A) shall be considered as disqualification. Any other
correctable hearing loss shall be declared as temporary unfit.
Perforated ear drum, chronic ear discharge cases shall be declared temporary unfit.
A candidate should be free from any active disease of the nose.
Throat, palate, gums, jaws, temporomandibular joints and dentition should be within normal
limits.

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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(9) BLOOD PRESSURE (B.P.)


The limits of blood pressure will be assessed as: Normotension
< 140 SBP and
DBP. Candidates diagnosed as a case of hypertension shall be further investigated.

< 90

(10) GLANDS
There should not be generalised enlargement of lymph glands. Scars, if any, of the previous
removal of tubercular glands should be normal and there must not have been any active
disease.
(11) SKIN DISEASE
Candidates suffering from active leprosy or any other chronic skin disease shall be declared
unfit. Vitiligo cases are acceptable.

(12) VENEREAL DISEASES


Candidates who have suffered or are suffering from venereal diseases will be declared
temporarily unfit till detailed examination of urethral smear and serological test proves
negative.
(13) FITS
Candidates suffering from epilepsy (seizure disorder) will be declared unfit.
(14) PREGNANCY
If at the time of medical examination a candidate is pregnant, she will be declared temporarily
unfit until she has completed six weeks after confinement/miscarriage and the candidate will
be required to undergo a medical examination of fitness.
(15) Mental retardation will render a candidate unfit for employment.
(16) DEFECTS
Congenital or acquired defects, if any/noticed, will be recorded on the medical examination
forms, with a clear opinion as to whether it is likely to interfere with the efficient performance
of the duties for which the candidate is under consideration for employment.
(17) Detailed history of the candidate will be recorded to includea) Personal history
b) Past history of - previous illness, surgical , operations
c) Family history
d) Occupational history - Jobs done , and accidents)
(18) SYSTEMIC EXAMINATION
Examination of all systems is to be done to rule out any pathological condition which will
help in assessing the health of candidate for declaring fit, unfit and temporarily unfit for
employment.
(19) LAB TESTS
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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The laboratory tests that will be performed inter-alia include TC; DC; Hb; ESR; Platelets; HCT;
RBC; Blood group & Rh; Blood sugar(PP & Fasting) ; Glucose Tolerance test if required; Serum
Creatinine; (HBs Ag); routine urine examination; pulmonary function test- spirometry; pure tone air
conduction audiometry; electrocardiogram-all leads ( at rest). The candidate who require further
clinical evaluation/ additional tests will be referred to the concerned specialist.
(20) RADIOLOGICAL EXAMINATION
Skiagram chest of all the candidates should be done.

For personnel working in Offshore, additional requirements for medical fitness are enclosed
in Table 2 of annexure V. The selection parameters shall be as above unless specifically
mentioned.

11.0 PERIODIC HEALTH EXAMINATION


The periodic examination should be carried out at regular intervals after the initial pre
placement examination. It may not always be necessary to conduct a full-scale medical
examination at the routine periodic check-ups, especially if there are no overt signs of illness.
A format shall be developed for periodic examination with emphasis on the aspects of the
history and physical examination most relevant to the exposure in question. Typical format
enclosed as Table 2 of Annexure IV.
The scope and periodicity of the health examination should depend on the nature and extent
of the risk involved.
The examination should focus on the body organs and systems most likely to be affected by
the harmful agents in the workplace. For example, audiometry is the most important test for
those working in a noisy environment.
For each harmful agent, the period between exposure and the development of a health
impairment (latency period) is a major factor in determining the frequency of examination.
However, in many cases the latency period is not known. For such agents, the frequency
should be determined on the basis of: (a) the natural history of the disease, including the
rapidity with which the biochemical, morphological behavioural, etc. changes might occur or
be detected by screening tests; (b) the level of exposure to the hazardous agent and to any
other interacting agent or agents; (c) the anticipated susceptibility of the exposed population
and individuals. Refer Table-3 of Annexure-IV.

Frequency for General health check up


The minimum frequency for general health check up should be as under :

Medical examination every five years upto 45 years of age

Every three years after 45 years & upto 55 years of age.

Alternate year after 55 years of age.

At the age of retirement / superannuation


OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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In addition, personnel working in hazardous areas shall be examined for specific parameters at
frequency as given in Table-1 & 3 of Annexure- IV.
11.1 CLINICAL AND SCREENING LABORATORY TESTS
Clinical and Screening Laboratory Tests for the early detection of occupational diseases in
the main organs and systems shall be conducted depending upon the work environment of
the personnel.
General Health check up & investigation data sheet is enclosed as Table - 2 of annexure-IV.
Recommended frequency for Clinical Laboratory Tests for early detection of work related
illness in the main organ and system are given in the Table 3 of Annexure-IV.

12.0

INFRASTRUCTURE FOR OCCUPATIONAL HEALTH MONITORING

For effective implementation of the occupational health Monitoring group in the oil industry,
occupational health centre should be provided with the facilities and manpower in line with the
prevalent statutory regulations i.e. factory inspectorate or oil mines regulations etc. Typical
facilities are as under :
(1)

Building

Oil industry will make available premises to adequately house Occupational Health Monitoring
Facilities with necessary provisions for power and water supplies, air conditioning, access
and other indispensable facilities. The functional units of Occupational Health Monitoring will
include occupational medicine, occupational hygiene and toxicology, biochemistry, health
education, health statistics and emergency medical care.
(2)

Man Power

(i) Occupational Health Physician should be a specialist in occupational/ industrial health or


adequately trained in occupational medicine for a minimum period of three months,
recognised by the Government, or a minimum experience of 3 years in an industrial set up/a
large hospital. The doctor will be incharge of Occupational Health Monitoring to ensure
administrative supervision of all the staff and responsible for all the activities of
Occupational Health Monitoring.
(ii)

Industrial Hygienist

Industrial Hygienist having educational background with a graduate degree in chemistry/


physics/ environmental toxicology and experience in industrial hygiene practice.

(iii)

Occupational Health Nurse

Nurse should have educational background with a degree in B.Sc.(Nursing) or G.N.M. with
training in a recognized O.H institute like DG Fasli, BHEL etc in occupational health .
(iv)

Medical laboratory technologist

Medical laboratory technologist should have educational background with a degree in B.Sc
(Biochemistry)/Medical Lab. Technology/Chemistry, and with diploma in clinical pathology
laboratory and a minimum experience of 3 years in a clinical pathological laboratory in an
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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industrial or large hospital. Experience with the use of auto analyzer and automated
haematology testing equipment is desirable.
(v)

Others

The Occupational Health Monitoring Group should have adequate number of paramedical
and administrative staff.
(3) Equipment
The equipment will comprise of medical diagnostic equipment, toxicology laboratory and
sampling equipment and occupational hygiene field testing equipment. Occupational Health
Monitoring Group should also be equipped with technical books and periodicals etc. Some of
the equipment required are given below :
a.

Occupational Hygiene and Toxicology Unit


(i) Wet Bulb Globe Temperature
stress.

(WBGT) instrument - for evaluation of heat

(ii) Sound level meter with Octave filter set and impulse noise meter, Acoustic
calibrator and Personal noise dose meter - for evaluation of exposure to noise
(iii) Luxmeter - for illumination measurement.
(iv) Direct reading instrument intrinsically safe portable
infra-red analyzer;
Direct reading colorimetric tubes- short term, long term; Intrinsically safe, battery
operated personal sampling pumps with suitable media for collection (liquid
media samplers, solid - sorbent tubes etc.; for gases and vapour.
(v) Intrinsically safe, battery operated personal sampling pumps with suitable media
for collection - filters, cyclones etc - for Particulate matter.
(vii) Gas Chromatograph
b.

Occupational Medicine Unit


i)

Equipment for vision performance screening

ii)

Audiometry - Pure tone air conduction audiometer

iii) Equipment for spirometry - lung function measurement


iv) Electrocardiogram
c.

Biochemistry Unit
i)

Auto analyser

ii)

Haematology cell counter

iii)

Incubator

iv)

Microscope

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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13.0 AUDIT AND PERFORMANCE REVIEW


An audit is the structured process of collecting
information on the
efficiency,
effectiveness and reliability of the total health and safety management
system and
drawing up plans for
corrective action. A
performance review involves judging
performance and taking decisions to improve it based on performance measurement
and audits.

13.1 AUDIT
An audit may generate qualitative and quantitative information. Quantitative
measurement provides a numerical measure so that improvements in performance may
be measured from year to year. Audits, though generally done by an independent
external agency, may also be conducted in-house by a team which is not involved with
the section being audited.
13.1.1 The Audit Team
The audit team should be led by a occupational health physician and should include
industrial hygienist & other health and safety professionals.
13.1.2 Frequency and Initiation
Each facility should undergo a formal audit at least once in 4 years. Three months
prior to the audit, the auditors should ask for basic information about the facility,
including about the plant layout and process, employees, production facilities, raw
materials, production, health and safety policy and organization, current performance
standards, industrial hygiene and occupational health summary reports for the period
between the last audit and now and any other relevant information.
The
facility
may
nominate
a
liaison
officer
to
work
with
the
auditors
and
allocate
a
room
for
the
exclusive
use
of
the auditors when they are on the site.
13.1.3 Audit Visit
The audit should begin with a meeting between the auditors and the facility
management to mutually agree on the scope of the audit and the audit visit agenda.
The meeting should also be used to discuss the current operating condition of the
facility and the information that the auditors already have on hand.
The audit should then continue with interviews with selected facility personnel,
inspection of documents and records and site tours and walk-around-inspections.
Copies of all industrial hygiene and occupational health documents should be made
available to the auditors.
Before the conclusion of the audit visit, the auditors should appraise the facility
management of their preliminary findings.
13.1.4 Findings and recommendations
The findings and recommendations of the auditors should be given to the facility
management in the form of a formal report. The timetable for implementing
recommendations should also be provided.
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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13.1.5 Audit Methodology


Annexure VI provides a typical questionnaire for conducting an audit in a
hydrocarbon facility. Questionnaire needs to be modified depending upon the facilities
and occupational health hazards. Audit performance may be quantified using this
questionnaire to make a comparison across years for the same facility or across
facilities in the same year. This, however, requires consistency in the use of the
suggested audit methodology.

13.2 PERFORMANCE REVIEW


The information available from performance measurement and audits are used to
decide about the nature and timing of the actions necessary to remedy deficiencies.
Clear responsibilities for remedial action should
be fixed and remedial action should
be initiated promptly after a review meeting, fixing deadlines for completion of tasks.
Certain reviews, like that of performance measurement, may be an ongoing activity.
They may be conducted monthly for a section, quarterly for a department and
annually for the entire facility.
The action that ensues from reviews need not wait for a periodic audit but may base
itself on performance measurement exercises. Such action may be initiated by :
i)
ii)
iii)

First line supervisors to remedy failures to implement performance standards


which they observe in the course of routine activities.
Proactive or reactive performance Measurement.
Health and safety assessments made at various levels.

Key performance indicators, such as the ones given below, may be used in
performance reviews for taking immediate remedial action.
i)
ii)
iii)
iv)

Compliance with performance standards.


Identification of areas where performance standards are absent or inadequate.
Achievement of specific objectives.
Health effects or incidents, along with analysis for their causes.

It is helpful to benchmark a facility's health and safety performance against that of


similar facilities by comparing prevalent risks and management practices.

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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14.0 REFERENCES
(i)

ILO Encyclopaedia of Occupational Health & Safety

(ii) Early detection of occupational diseases - publication of WHO, Geneva, 1986


(iii) WHO Technical Report Series No.862 on "Hypertension Control", 1996
(iv) Threshold Limit Values for Chemical Substances and Physical Agents and Biological
Exposure Indices - ACGIH (1995-96)
(v) Fundamentals of Industrial Hygiene, Third edition, National Safety Council, USA, 1994
(vi) Guidelines manuals on Industrial Hygiene and Occpational Health
prepared by Shri Sagar Dhara, Shri R.T.N.Bali and Dr. Raman Dhara.

Surveillance

(vii) Modern Safety Management by DNV

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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Annexure I

Threshold values
4.1

THRESHOLD LIMIT VALUES


Threshold Limit Values refer to airborne concentrations of substances/levels of physical
agents and represent conditions under which it is believed that nearly all the employees
may be repeatedly exposed, day after day, without adverse effect. Because of wide
variation in individual susceptibility, however, a small percentage of employees may
experience discomfort from substances at concentrations at or below the TLV; a
smaller percentage may be affected more seriously by aggravation of a pre-existing
condition or by development of an occupational illness.
Three categories of TLVs are specified as:
1. Threshold Limit Value - Time Weighted Average (TLV-TWA) represents the timeweighted average concentration for a normal 8-hour workday and a 40 hour
workweek, to which nearly all employees may be repeatedly exposed day after day
without adverse effect.
2. Threshold Limit Value - Short Term Exposure Limit (TLV-STEL) represents the
concentration to which employees can be exposed continuously for a short period
of time
without suffering from (1) irritation; (2) chronic or irreversible tissue
change; (3) narcosis of sufficient degree to increase the likelihood of accidental
injury, impair self rescue or materially reduce work efficiency and provided that the
daily TLV-TWA also is not exceeded. A STEL is defined as a 15 minute timeweighted average exposure which should not be exceeded at anytime during a
work day, even if the eight hour time weighted average is within the TLV.
Exposures at the STEL should not be longer than 15 minutes and should not be
repeated more than four times a day. There should be at least 60 minutes gap
between successive exposures at the STEL.
3. Threshold Limit Value - Ceiling (TLV-C) represents the concentration that should
not be exceeded even instantaneously. For some substances, e.g. irritant gases,
only TLV-C may be relevant. For other substances, either two or three categories
may be relevant, depending upon their physiological action. It is important to
observe that if any one of the three categories TLVs is exceeded, a potential
hazard is presumed to exist.
Wet Bulb Globe Temperature (WBGT) index is a technique adopted to measure
environmental heat stress. Portable WBGT instrument consisting of three separate
resistance thermometers - globe thermometer to measure radiant energy, a wet bulb
thermometer to measure relative humidity and a dry bulb thermometer to measure
ambient temperature is made use of. By means of a switch, each thermometer can be
individually read on a scale. A fourth position of the switch integrates the outputs of the
three thermometers into a single reading WBGT index which is read on a separate
scale. The operation is from line power or batteries.
Noise
A wide range of equipment is available for measurement of sound. The basic
general purpose sound level meter measures the sound levels in decibles. Portable
single hand-held battery powered precision integrating sound level meters are made
use of for all kinds of sound level measurements including Leq., frequency analysis
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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using a filter set. Personal noise dose meters worn by working personnel are made use
of to get accurate assessment of the total noise dose the wearer has received
throughout his working day. These instruments are easy to use, self contained pocket
size units, battery powered with concealed or visible digital display for readout.
Illumination
Evaluation of lighting effectiveness is not just a question of quantity of light, but also of the
quality of the lighting environment. Portable, contrast, rendered by lighting systems and visual
display battery powered instrument is available for measurement of general luminance, and
luminance battery powered instrument is available for measurement of general luminance,
and luminance contrast., rendered by lighting systems.
There being no single instrument which performs acceptable under all conditions and
requirements met with in practice; different types of instruments and detectors are used
in various applications to obtain the monitoring characteristics required for different
forms of radiation hazards. The radiation detection most widely used in survey
instruments are isolation chambers, Geiger-Mueller counters, proportional counters and
scintillation detectors. To assess the dose received by the individual, either film meters
or Thermoluminescent dosimeters (TLD) or a combination of both are used for personal
monitoring of exposure to external sources of radiation.

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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Annexure II
TABLE - 1
Threshold Limit Values for Noise *
------ ------------------------------------------------------------------------------------------------------------------Duration per day
Sound level
Hours
dBA
---------------------------------------------------------------------------------------------------------------------------8
90
6
92
4
95
3
97
2
100
1-1/2
102
1
105
1/2
110
1/4 or less
115
----------------------------------------------------------------------------------------------- -------------------------Note :

No exposure to continuous, intermittent, or impact noise in excess of a peak Cweighted level of 140 dB. If instrumentation is not available to measure a Cweighted peak, an unweighted peak measurement below 140 dB may be used
to imply that the C-weighted peak is below 140 dB.

* Limited by the noise source - not administrative control. It is also recommended that a
dosimeter or integrating sound level meter be used for sounds above 120 decibels.

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Sr.Number:OISD/DOC/2013/172
Page No. 22
GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY

OISD GDN 166

Annexure II
TABLE 2
RECOMMENDED SERVICE ILLUMINANCE FOR VARIOUS CLASSES OF VISUAL TASK
--------------------------------------------------------------------------------------------------------------------------Class of
Recommended
Typical examples
visual task
illuminance (lx)
--------------------------------------------------------------------------------------------------------------------------Exceptionally
2400 or more
Inspection of minute work
difficult tasks
(e.g. very small instruments)
Very difficult

1600

Extra-fine bench and machine work, tool and


die making (tolerances below 25 um); gauging
and inspection of small or intricate parts.

1200

Inspection, examining and hand finishing


light goods.

Difficult

800

Fine bench and machine work (tolerances


down to 25 um); inspection of fine work (e.g.
calibrated scales, precision mechanisms and
instruments).

Normal range of
tasks and workplaces

600

Office work with poor contrast drawing


offices-boards, fine painting, spraying and
computer rooms-input and output terminals.

Moderately
difficult

400

Medium bench and machine work


(tolerances down to 125 m); routine office
work-typing,
filing,
reading,
writing;
inspection of medium work (e.g."Go" and
"No Go" gauges, machine work; structural
steel fabrication-marking off; enquiry desks

Ordinary

300

Training room, chalkboards


and charts;
pharmaceutical stores; kitchens - food
preparation, cooking, washing up;
staff
canteens counters.

Simple

200

Rough bench and machine work (tolerances


above 750 um); rough visual inspection,
counting, rough checking of stock parts;
structural steel fabrication-general
areas;
entrance halls; waiting rooms; LPG Plants,
POL Depots / Terminals staff canteensgeneral. warehouses and bulk stores packing and despatch

Rough intermittent tasks

100

Loading bays; office strongrooms, staff change rooms; locker rooms.

Movement and

50

Corridors with heavy traffic; orientation


indoor car parks (lanes); walkways and
movement areas in industrial plant; stairs;
rest rooms

20
Corridors with light traffic
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Sr.Number:OISD/DOC/2013/172
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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
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OISD GDN 166

Annexure - III

MEASUREMENT METHODS FOR TOXIC CHEMICALS IN THE


WORK ENVIRONMENT
____________________________________________________________________________
_
CHEMICAL

STATE

COLLECTION

REAGENT

ANALYTICAL
METHOD
____________________________________________________________________________
1. Acetic acid
Liq/Sld
Charcoal tube
Formic acid
GC with FID
2. Alumina

Solid

Filter

--

Gravimetry

3. Aluminium chloride

Solid

Filter

--

Gravimetry

4. Ammonia

Gas

Bubbler

5. Antimony trichloride

Solid

Filter

--

6. Arsenic compounds

Solid

Filter

--

7. Asbestos

Solid

Filter

8. Asphalt fumes

Solid

Filter

--

9. Benzene

Liquid

Charcoal tube

CS2

GC with FID

10 Butane

Gas

Charcoal tube

CS2

GC with FID

11.Calcium hydroxide

Solid

Filter

--

AAS

12. Carbon dioxide

Gas

Bags

--

GC with TCD

13.Carbon monoxide

Gas

Bags

--

Direct reading

14.Carbon tetrachloride Liquid Charcoal tube


15.Chlorine

Gas

Bubbler

16.Chromium &
compounds

Solid

Filter

17. Clay

Solid

Filter

Dil.H2SO4

Spectrophotometer,
Ion chromatograph
AAS
AAS

Acetone

Phase contrast
microscopy
GravimetryHPLC

CS2

GC with FID

--

Ion selective
electrode

--

--

AAS

Gravimetry

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Sr.Number:OISD/DOC/2013/172
Page No. 24
GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY

OISD GDN 166

____________________________________________________________________________

CHEMICAL

STATE COLLECTION REAGENT

ANALYTICAL
METHOD
____________________________________________________________________________
18. Cobalt & compounds

Solid

Filter

--

AAS

19.Copper & compounds

Solid

Filter

--

AAS

20.Diethanolamine

Liquid

Impinger

--

Ion chromotography

21.Ethanolamine

Liquid

Silica gel tube

--

22.Ethylamine

Gas/Liq

Silica gel tube

H2SO4

23.Ethylene dibromide

Liquid

Charcoal tube

CS2

GC with FID

24.Ethylene dichloride

Liquid

Silica gel tube

CS2

GC with FID

25.Ethyl mercaptan

Liquid

Filter

26.Formalin

Solid

GC with FID
GC with FID

CS2

Filter/
impinger

GC with ECD

Sodium
bisulphide

VIS
spectrophotometry

Toluene

GC with FID

27.Furfural

Liquid

XAD tube

28.Gasoline

Liquid

Charcoal tube

29.Glycerin mist

Liquid

Filter

--

Gravimetry

30.Graphite

Solid

Filter

--

Gravimetry

31.Hexane

Liquid

Charcoal tube

CS2

GC with FID

32.Hydrazine

Liquid

Bubbler

HCl

VIS
Spectrophotometry

33.Hydrogen chloride

Liquid

Silica gel

34.Hydrogen fluoride

Liquid

Filter

--

Ion selective
electrode

35.Hydrogen sulphide

Gas

Dry tube/molecular sieve

--

Thermal desorption & GC with FID

36.Iron & compounds

Solid

Filter

--

AAS

CS2

GC with FID

NaHCO3/Na2CO3

Ion
chromatography

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Sr.Number:OISD/DOC/2013/172
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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY

OISD GDN 166

CHEMICAL

STATE COLLECTION REAGENT

ANALYTICAL
METHOD
____________________________________________________________________________
37.LPG

Gas

Detector tube

38.Methanol

Liquid

Silica gel

39.MEK

Liquid

Ambersorb
Tube

40.Methyl t-butyl
ether

Liquid

Charcoal tube

41.MIBK

Liquid

Charcoal tube

42.Molybdenum
& compounds

Solid

Filter

43.Morpholine

Liquid

Silica gel tube

44.Naphtha

Liquid

Charcoal tube

45.Nickel & compounds

Solid

46.Nitric acid

Direct reading
instrument

Water

GC with FID

CS2

GC with FID

--

GC with FID

Acetone
--

GC with FID
AAS

H2SO4/NaOH GC with FID


CS2

GC with FID

--

AAS

Liquid Silica gel tube

--

Ion
chromotography

47.Nitric oxide

Gas

Molecular seive

--

Ion
chromotography

48.Nitrogen dioxide

Gas

Molecular seive

--

Ion
chromotography

Filter

--

Gravimetry

49.Oil mist

Liquid

50.Pentane

Gas

51.Phenol

Sol/Sld

52.Phosgene

Gas

53.Phosphoric acid

Liquid

Fliter

--

Charcoal tube
XAD tube
Impinger tube

Silica gel tube

CS2
Methanol
--

--

GC with FID
HPLC
VIS
spectrophotometry
Ion chromotograph

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Sr.Number:OISD/DOC/2013/172
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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
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OISD GDN 166

54.Poly nuclear
compound

Liquid

Filter

--

GC with FID aromatic

__________________________________________________________________________
CHEMICAL

STATE COLLECTION REAGENT

ANALYTICAL
METHOD
____________________________________________________________________________
55.Propane

Gas

Anasorb tube

--

GC with FID

56.Silica

Solid

Fliter

--

Gravimetry

57.Sodium hydroxide

Sol/Sld

58.Stoddard solvent

Liquid

Charcoal tube

59.Sulphur dioxide

Gas

Filter

60.Sulphur monochloride

Liquid

Filter

HCl
CS2
NaHCO3/Na2CO3

Impinger

---

61.Sulphuric acid

Liquid

Impinger

62.Tert.Butanol

Liquid

Charcoal tube

GC with FID
Ion
chromatography
Ion chromatography
VIS
Spectrophotometry

CS2

63.Tetraethyl lead

Liquid

XAD tube

Pentane

64.Toluene

Liquid

Charcoal tube

CS2

65.Vanadium
& compounds

Solid

Filter

Titration

--

GC with FID
GC with PID
GC with FID
AAS

66.Xylene
Liquid
Charcoal tube
CS2
GC with FID
____________________________________________________________________
Note: XAD indicates that a special coating must be added
GC : Gas chromatographTCD
: Thermal conductivity detector
FID : Flame ionisation detector
ECD : Electron capture detector
PID : Photo ionisation detector
HPLC : High performance liquid chromatograph
AAS : Atomic absorption spectro photometer

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Sr.Number:OISD/DOC/2013/172
Page No. 27
GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY

OISD GDN 166

Annexure-IV
TABLE - 1
BIOLOGICAL EXPOSURE DETERMINANTS
---------------------------------------------------------------------------------------------------------------------------Airborne chemical/
Sampling
Biological Exposure
Determinant
time
Indices
(BEI)
---------------------------------------------------------------------------------------------------------------------------Acetone
- Acetone in urine

End of shift

100 mg/l

End of workweek

50 ug/g
creatinine

Arsenic
- Inorganic arsenic
metabolites in urine
Benzene
- Total phenol in urine
- Benzene in exhaled air

End of shift

50 mg/g
creatinine

Prior to next
shift

mixed exhaled
end exhaled

0.08 ppm
0.12 ppm

Carbon monoxide
- Carboxyhaemoglobin in

End of shift

Less than 8% blood


haemoglobin

- CO in end-exhaled air

End of shift

Less than 40 ppm.

Chromium
- Chromium in urine

End of shift at
end of workweek

30 ug/g
creatinine

End of shift at
end of workweek
--do--

15 ug/l

End of shift
Creatinine

200 mg/g in urine

Cobalt
- Cobalt in urine
- Cobalt in blood

1 ug/l

Furfural
- Total furoic acid

n-Hexane
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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
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OISD GDN 166

- 2,5 hexanedione in

End of shift
creatinine

5 mg/g urine

---------------------------------------------------------------------------------------------------------------------------Airborne chemical/
Sampling
Biological Exposure
Determinant
time
Indices
(BEI)
---------------------------------------------------------------------------------------------------------------------------Lead
- in blood
- in urine

not critical
not critical

50 ug/100ml
150 ug/g Creatinine

- Zinc protoporphyrin
in blood

After one month


exposure

100ug/100 ml
blood.

End of shift

15 mg/l

During or end of
shift

1.5% of
haemoglobin

End of shift

2 mg/l.

End of shift

2 mg/l

End of shift
creatinine

50 mg/g

End of shift

250 mg/g
Creatinine

End of shift

50 mg/g
creatinine

End of shift

2.5 g/g
creatinine

Methanol
- Methanol in urine
Methemoglobin
inducers
- Methaemoglobin in
blood
Methyl ethyl ketone
- MEK in urine
MIBK
- MIBK in urine
Naphtha
- Phenol in urine
Phenol
- Total phenol in urine
PNA compounds
- Phenol in urine
Toluene
- Hippuric acid
in urine

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
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OISD GDN 166

- Toluene in
venous blood

End of shift

1 mg/l

---------------------------------------------------------------------------------------------------------------------------Airborne chemical/
Sampling
Biological Exposure
Determinant
time
Indices
(BEI)
---------------------------------------------------------------------------------------------------------------------------Vanadium
- Vanadium in urine

End of shift

50 ug/g

Xylene
- Methylhippuric acid

End of shift

1.5 g/g in urine


Creatinine
------------------------------------------------------------------------------------------------------------ --------------

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Sr.Number:OISD/DOC/2013/172
Page No. 30
GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY

OISD GDN 166

Annexure - IV
Table - 2
GENERAL HEALTH CHECK UP

Examination Data Sheet


Date:________

Name/ Employee No:_________

Age
Weight (kgs)
Heigth (cms)
Any illness since the last
examination & when?
Immunization History
Family Planning Status
General (E1)
Pulse (/min)
BP (mm Hg)
Body Temperature
General: Build / Nutrition
Pallor (Yes/No)
Nails (including clubbing)
Skin
Thyroid
Breast
Nipples
Icterus
Edema
Nodes
Eye (E2)
Distant Vision
Near Vision
Colour?night Vision
Wear Glasses / contacts
ENT (E3)
Ears
(Tympanum/canal/Pinna)
Nose
(Septum/ala/Turbinates)
Throat
(Tonsils/Pillars/Pharynx)
Oral Cavity (E4)
Halitosis (Yes / No)
Lips
Gums
Teeth
Tongue (clean / furred)

Rt.

Lt.

Per Abdomen (E5)


Liver (Palpable / Not
palpable
Kidney
Spleen (palpable/ not
palpable)
Hernia
Scrotum
Per rectum
Per vagina
Respiratory system
(E6)
Rate
Measurement Ins/Exp.
Abnormalities
Cardio vascular
System (E7)
Heart sounds
Neck veins
Varicose vein
ECG
Others
Central Nervous
system (E8)
Cranial N
Speech
Motor
Sensory
Reflexes
Others
Locomotor System
(E9)
Gait
Joints
Spine
Others
Psy (E10)
Personality type (As per annex-II
Sleep (Sound/disturbed)
Comments

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY

OISD GDN 166

INVESTIGATION DATA SHEET


CBC (T1)
Hb % (12-16)
RBC (4.5-8.5)
Abnormal RBCs
WBC (4-11T)
Neutro (40-75)
Eosino (1-6)
Baso (0-1)
Lymph (20-45)
Mono (2-10)
Plate (1.5-4la)
Parasites
T(2): Blood Group
T(3): ESR (Males:0-10
Females; 0-14)
T(4): VDRL
(T5): RA factor
T(6): HIV (sign of consent)
T(7): HbsAg
T(8)
BS (fasting)
76-110
Urine sugar
Nil
BS (pp)
Upto 140
Urine sugar
Nil
T(9)
Cholesterol
50-200
Triglycerids
50-200>240
HDL
35-60
LDL
0-178>160
CH/HD
3-6
T(10)
Total
0-1
Bilurubin
Sr.Alk phos
79-270
SGOT
0-38
SGPT
0-40
GGT
7-49

Observed Value

Recommendation

T(11)
Urea
Creatinine
Uric acid
T(12)
Calcium
Phosporus

Optional
Optional

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OISD GDN 166

T(13): sputum
T(14): Urine
T(15): Stool
T(16): PAP smear (females)
T(17): ECG
Spirometry T(18)
VC
FVC
FEV1
FEC1%
Comments
Audiometry T(19)

Radiology
Chest (AP&Lat) (T20)
Cervical sp. (T21)
Lumbar Sp.(T22)
Mammogram (T23)
USG (if reqd) (T24)
Ophthalmoscopy (T25)

Not routine

Optional

Rt
Lt.

Titmus vision test (T26)

Other Tests (TS)

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Sr.Number:OISD/DOC/2013/172

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Page No. 32

GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

Annexure - IV
Table 3
Recommended Clinical and Laboratory Tests for early
Detection of Work -Related Illnesses in the Main Organs and Systems

Name

TLV

STEL

PPM

MG/M3

PPM

MG/M3

Acetic Acid

10

25

15

37

Acetone

750

1780

1000

2380

Alumina
Aluminium
Chloride
Ammonia

25

17

35

27

Ammonimum
Chloride
Antimony
Chloride

10

20

0.5

Arsenic
Compounds

0.01,A1

Asbestos

Target organ / tissue

Frequency of
Examintion

Laboratory and other tests


Urine analysis

Blood
parameters

Acetone in
urine

Renal function
test; LFT

Resp. system, skin,


eyes, teeth
Mucous membranes,
skin, CNS, liver,
kidney
Resp. system

Annual

Resp. system

Annual

Skin, eyes, mucous


membranes, resp.
system
Skin, eyes, mucous
membranes
Resp. system, eyes,
skin, CVS

Annual

GI system, CNS, blood,


liver, skin, resp.
system, mucous
membranes
Resp. system, GI
system

Annual

Resp. system, eyes,


skin
CNS, Blood

Annual

Eyes, skin CNS, resp.


system

Annual

PFT, X ray
chest, nerve
conduction test

Mucous membranes,
skin, eyes, resp. system
Resp.system, eyes

Annual

PFT, X ray
chest
PFT, X ray
chest
CO in end
exhaled air,
PFT, ECG at
rest &
exercise, stress
test
Vision
screening
PFT, X ray
chest
PFT, X ray
chest

Annual

Annual

PFT, X ray
sputum
PFT, X ray
sputum
PFT, X ray
chest

Annual
Annual

Inorganic
arsenic
metabolites in
urine

Annual

Haematology
LTF, renal
function tests
sputum

Amosite
Chrysotile
Crocidolite
Other forms
Asphalt
-

0.5 fiber /cc


2.0 fiber/cc
0.2 fiber/cc
2.0 fiber/cc
5

Benzene

10, A2

32,A2

Butane

800

1900

Tert. Butanol
Calcium
hydroxide
Carbon
dioxide
Carbon
monoxide

100,A4 303, A4
5

5000

9000

30000

54000

25

29

Blood, resp.system,
CNS, CVS

Annual

Carboxy Hb

Carbon tetra
chloride
Chlorine

31

10

63

CNS, liver, kidneys

Annual

LFT, renal
function test

0.5

1.5

1.0

2.9

Eyes, resp. system,


mucous membranes
Resp. system, eyes,
blood, skin, kidney

Annual

Resp. system

Annual

Resp. system, CVS,


skin, eyes

Annual

Resp. system, eyes,


skin, CNS, liver,
kidney, bones

Annual

Resp. system, eyes,


skin

Annual

Chromium &
compounds
ChromiumIII
Chromium VI
Clay
Cobalt &
compounds

Copper &
Compounds
Fume Dust Diethanol
3
amine

0.5,A4
0.05 A1

0.02,A3

0.02
1
13

6 months

Phenol in urine

Haematology
profie; platelets
reticulocytes

Annual

Annual

Chromium in
urine

Additional
Tests
PFT, X ray
chest

Cobalt in urine

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

LFT,
Haematology,
renal function
test

Lipid profile,
blood sugar,
cobalt in blood
LFT

PFT, X ray
sputum, ECG
all leads
X ray chest
,PFT

PFT, X ray
chest

X ray chest,
PFT
Benzene in
exhaled air

PFT, X ray
chest
PFT, X ray
chest, ECG all
leads
PFT, X ray
chest

PFT, X ray
chest

Sr.Number:OISD/DOC/2013/172

OISD GDN 166

Page No. 33

GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

Ethanolamine

7.5

15

Annual

Resp. system, eyes,


skin
Resp. system, eyes,
skin
Resp. system, eyes,
skin, kidney, CVS
CVS, kidneys, liver,
nervous system, resp.
system
Resp. system

Ethylamine

9.2

15

27.6

Ethylene
dibromide
Ethylene
dichloride

A2

A2

10

40

Ethyl
0.5
mercaptan
Formaldehyde -

1.3
-

C0.3,A2

Annual

7.9

C0.37,A2 Skin, resp. system, GI


system, nose
Skin, resp. system

Furfural
Gasoline

300

890

500

1480

Skin, nervous system,


eye, resp. system

Annual

Glycerine

10

Annual

Graphite

Resp. system, eyes,


skin
Resp. system

Hexane (nhexane)

50

176

Skin, CNS, eyes,


mucous membranes

Annual

Heart, kidney, skin

Annual

Haematology

Resp. system, skin,


eyes, CNS, blood, liver,
kidney
Skin, eyes, mucous
membranes, resp.
system
Resp. system, skin,
eyes
Eyes, mucous
membrane, resp.
system, CNS
Resp. system

Annual

Renal function
PFT, X ray
test, LFT,
chest
methaemoglobin,
Haematology
PFT, X ray
chest

Eyes

Annual

Hot
environment
Hydrazine

Annual
Annual

LFT, renal
function tests
Haematology,
LFT, renal
function tests
Hb, LFT,
creative
Haematology

Annual

6 months

Annual

Total furic
acid in urine

Haematology
LFT, spirometry

Annual
2.5 Hexapedione in
urine

PFT, X ray
chest
PFT, X ray
chest
PFT, X ray
chest
Vision, PFT, X
ray chest
PFT, X ray
chest
PFT, X ray
chest
PFT, X ray
chest
PFT, Tests of
nervous system
function

PFT, X ray
sputum
Nerve
conduction
tests
ECG

0.1

0.13

Hydrogen
chloride

C5

C7.5

Hydrogen
fluoride
Hydrogen
sulphide10

C3

C2.3

10

14

15

21

Iron &
compound
Light

LPG

1000

1800

Resp. system, CNS

Annual

Methanol

200

262

250

328

Annual

Methyl ethyl
ketone
(MEK)
Methyl
isobutyl
ketone
(MIBK)
Molybdenum
& compounds

200

590

300

885

Mucous membranes,
skin, eyes, CNS
Mucous membranes,
skin, eyes, CNS

Annual

Methanol in
urine
MEK in urine

50

205

75

307

Mucous membranes,
CNS, skin, eyes

Annual

MIBK in urine

Resp. system, eyes,


skin, blood, mucous
membranes

Annual

Soluble
Insoluble

5
10

Morpholine

20

71

Annual

Naphtha

300

1370

Resp. system, eyes,


skin
Resp. system, eyes,
skin, blood, CNS

Nickel &
compounds

Resp. system, skin

Annual

PFT, X ray
chest, X ray
sinuses

Insoluble
Soluble

1
1

Nitric acid

5.2

10

Annual

Nitric oxide

25

31

Mucous membranes,
skin, eyes, resp. system
Skin, eyes, resp. system

PFT, X ray
chest
PFT, X ray
chest

Annual

Annual
6 months

Haematology

Annual

Annual

LFT; renal
function tests

X ray chest,
PFT
PFT

PFT, X ray
sputum
Vision
screening
PFT, X ray
chest, Nerve
conduction test
Vision
screening
Nerve
conduction test
Nerve
conduction test

Haematology

PFT, X ray
chest

PFT, X ray
chest
Phenol in urine

Annual

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Haematology,
platelets
reticulocyte

Sr.Number:OISD/DOC/2013/172

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

Nitrogen
dioxide
Noise

5.6

Skin, eyes, resp. system

Annual

Ears, heart

Annual

Oil mist
(mineral)
Pentane

10

Skin, resp. system,


nose, bladder
Skin,CNS, eyes,
mucous membranes

Annual

600

1770

750

2210

Phenol

19

Skin, liver, kidney

Annual

Phosgene

0.1

0.40

Annual

Resp. system, eyes,


mucous membranes
Eyes, resp. system,
mucous membranes
CNS, blood

Phosphoric
acid
Poly nuclear
aromatic
compounds
Propane

TWA-OSHA:1000ppm; 1DLH:20000ppm

Skin, CNS, eyes,


mucous membranes

Annual

Silica

Resp. system

Annual

Resp. system, eyes,


skin
Resp. system, eyes,
skin
Eyes, mucous
membranes, skin, resp.
system
Eyes, lungs, skin, resp.
system
Heart, skin, resp.
system
CNS, eyes, skin, resp.
system

Annual

Once in 3
months

Lead in urine

Haematology,
ZPP

LFT, renal
function test,

10

9.4

Sulfur

Lipid profile,
blood sugar

Annual

Phenol in urine

Phenol in urine

Haematology
profile, platelets,
reticulocytes

Haematology

Sodium
hydroxide
Sulfur dioxide

C2

5.2

13

Sulfur mono
chloride
Sulfuric acid

C1

C5.5

Tetraethyl
lead

0.1

Toluene

50

188

CNS, skin, mucous


membranes

Annual

Hippuric acid
in urine

Vanadium &
compounds

0.05

Annual

Vanadium in
urine

Xylene

100

434

150

651

Resp. system, skin,


eyes, mucous
membranes
CNS, blood, skin

Annual

Methyl
hipporic acid
in urine

Note:

LFT, renal
function tests

Annual
Annual

PFT, X ray
chest
Audiometry,
ECG
X ray chest,
PFT
Nerve
conduction
tests

Annual
Annual

PFT, X ray
chest
PFT, X ray
chest
Benzene in
exhaled air
Nerve
conduction
tests
PFT, X ray
chest, sputum
PFT, X ray
chest
PFT, X ray
chest
PFT, X ray
chest

Annual
Annual

haematology

A1 Confirmed Human carcinogen


A2 Suspected Human carcinogen
A3 Animal carcinogen
A4 Not classified as a Human carcinogen
A5 Not suspected as a human carcinogen
C Denotes ceiling limit

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

LFT, renal
function tests

PFT, X ray
chest
Tests of
nervous system
function
including
psychological
test
Tests of
nervous system
function
PFT, X ray
chest
Tests of
nervous system
function

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Annexure-V
TABLE - 1
STANDARD HEIGHT AND WEIGHT
--------------------------------------------------------------------------------------------------- ------------------------Height
Weight, Kgs.
Men
Women
Cms. Ft.
--------------------------------------------------------------------------------------------------------------------------152
5'0"
----50.8 - 54.4
154
5'1"
---51.7 - 55.3
157
5'2"
56.3 - 60.3
53.1 - 56.7
159
5'3"
57.6 - 61.7
54.4 - 58.1
162
5'4"
58.9 - 63.5
56.3 - 59.9
165
5'5"
60.8 - 65.3
57.6 - 61.2
167
5'6"
62.2 - 66.7
58.9 - 63.5
170
5'7"
64.0 - 68.5
60.8 - 66.3
172
5'8"
65.8 - 70.8
62.2 - 66.7
175
5'9"
67.6 - 72.6
64.0 - 68.5
177
5'10"
69.4 - 74.4
65.8 - 70.3
180
5'11"
71.2 - 76.2
67.1 - 71.7
182
6'0"
73.0 - 78.5
68.5 - 73.9
185
6'1"
75.3 - 80.7
187
6'2"
77.6 - 83.5
190
6'3"
79.8 - 85.7

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


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Annexure - V

Table 2
Physical Evaluation Sheet for Offshore Personnel
Name:

Employee No.:

Age

General: Build / Nutrition


(Well, Average or Poor)
Chest Measurement
Insp. (cms)
Chest Measurement
Exp. (cms)
Abdominal Girth (cms)
BMI

Sex
(P1)

Height (cms)

Weight (kgs)
Resting Pulse Rate
Pulse After 1.6 km run
Time taken (in Mins) to run
/walk 1.6 km
(P2) No. of Push ups in 1 go
(Muscular Power 1)
P(3) No. of Sit ups in 1
minute (Muscular
Power 2)
(P4) Ability to bend forward
and bring the fingertips
to within 10 cms from
the ground with knees
straight
Ability to touch chin to
both acromio clavicular
joints and to the
Manubrium Sternum
Ability to cross the arm
behind the back and
hold the opposite elbow

Date:
Build

VO2 Max (Stamina score)

Evaluation of Muscular Power 1


Good / Average / poor)
As per Evaluation Criterion a
Evaluation of Muscular Power 2
Good / Average / poor)
As per Evaluation Criterion a
Yes/No

Yes/No
Evaluation of Flexibility
(number of yes divided by 5)
Yes/No

Ability to raise the arm


above the head and bend
at the elbow to hold the
opposite deltoid muscle
with fingers
Ability to appose thumb
to fingers painlessly
Note:

Yes/No

Yes/No

Field going personnel need to under go all tests


Others only covered under P
P = Physical evaluation linked with specific hazard
Details and Calculations are to be made as per attached sheet Annexure - a
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Nut.

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

Evaluation Criterion a
Physical Fitness Criteria for Males
Age in years
20-29
30-39
40-49
(P1)Aerobic Power: Computed as per the formula (ml/kg/min)
Formula: for aerobic power or VO2 Max.
VO2 Max = 132.9-(0.035 x W) (0.388 x Y) + 6.32 x S (3.26xT) (0.157xR)
Where W = Wt. In kgs, Y = Age in yrs, S=1 for males and 0 for females
T = Time in mins. Taken to run 1,6 km, R=Heart rate at the end of the run
Good
>43
>39
>36
Average
34-42
32-38
27-35
Poor
<33
<30
<26
Muscular strength 1: Grade as Push ups done in one go (P2)
Good
>29
>22
>17
Average
22-28
17-21
13-16
Poor
<21
<16
<12
Muscular strength 2: Grade as Sit ups done in one min. (P3)
Good
>37
>31
>26
Average
33-36
27-30
22-25
Poor
<32
<26
<23

>50

>34
25-33
<24
>13
10-12
<9
>22
18-21
<17

(P4) Flexibility:
Flexibility is measured in terms of the following:

Ability to bend forward and bring the fingertips to within


10 cms from the ground with knees straight
Ability to touch chin to both acromio clavicular joints and
to the Manubrium Sternum
Ability to cross the arm behind the back and hold the
opposite elbow
Ability to raise the arm above the head and bend at the
elbow to hold the opposite deltoid muscle with fingers

Yes
Good

No*
Below Average

Good

Below Average

Good

Below Average

Good

Below Average

* Suitability to be determined by company.


Body Mass Index: BMI
BMI = Weight / Height in Meters Square
BMI value
Below 18.5
18.5 24.9
25 25.9
30 and above

Weight status
Underweight
Normal
Overweight
Obese

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Sr.Number:OISD/DOC/2013/172

OISD GDN 166

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


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Annexure VI

Typical Questionnaire for Industrial Hygiene and Occupational


health Surveillance Audit
Facilities :
Date(s) of Audit :
1. Policy
1.

Is there a health and safety policy?

2.

Does the policy mention industrial hygiene and occupational health issues?

3.

Has the policy been circulated in writing to all facility employees & contractors?

4.

Does the policy require risk assessment and control of all processes and work activities in the
facility?

5.

Are health and safety management responsibilities clearly outlines in the policy or in any
document flowing from it?

6.

Are responsibilities for the following areas clearly outlined in the policy or in any document
flowing from it?
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Chemical hazards
Noise
Heat stress
Nonionzing radiation
Ergonomics
Occupational health surveillance
Management information systems
Training
Communications
Programmes geared to altering risk perceptions of employees

2. Organization
1.

Have annual health and safety objectives been clearly spelt out?

2.

Are these objectives appropriate to the size of the facility?

3.

What proportions of managers have annual objectives?

4.

For what proportion of managers is health and safety part of the job description and is taken
into account in personal performance review?

5.

Are the following involved in deciding annual objectives:


OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


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a.
b.
c.
d.
e.
6.

Managers
Industrial hygiene section head
Occupational health section head
Specialist advisers
Workers representative

Are the objectives sufficiently flexible to take care of changing priorities?


a.
b.

Have action strategies been clearly drawn up from time to time, indicating phase for
work completion?
Have occupational health and safety issues been formally discussed in senior
management meeting in the last year?

7.

Is there a formal coordinator who looks after industrial hygiene and occupational health, and
who is a senor manager or reports to senior management?

8.

Has a formal provision been made for specialist advice or services?

9.

Is the role and responsibility of the health and safety coordinator comprehensive?

10. Has health and safety been made a line responsibility?


11. Are the health and safety coordinator and the heads of the industrial hygiene and occupational
health sections adequately competent for the facilities requirements?
12. Do the industrial hygiene and occupational health sections staff have adequate experience for
their jobs?
13. Are the external consultants hygiene and occupational health sections adequate and
competent?

14. Is the other staff in the industrial hygiene and occupation health sections adequate and
competent?
15. Has the facilities chief executive participated in a formal health and safety meeting or
inspection in the last year?
16. What proportion of senior mangers participate at least once a year on
a.
b.
c.
d.

Formal health and safety inspection?


Training programmes
Performance measurement
Performance review

17. Is there a properly functioning heath and safety committee in the facility?
18. For larger facilities, are there properly functioning section level health and safety committees?
19. Is the evidence that health and safety committee meeting in the last year have addressed
problems related to:
a.

Chemical hazards

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.

Noise
Heat stress
Nonionzing radiation
Ergonomics
Occupational health
Personal protection
Health and safety training
Information and communications
Maintenance
Performance measurement methods
Performance measurement reviews

20. Has the facility established cooperative programme with other hydrocarbon facilities other
organization?
21. Is the health and safety information input into the facility adequate?
22. Are external information inputs, e.g. safety reports from vendors discussed at :
a.
b.

Senior management meetings


Facility health and safety committee meetings

23. Are health and safety issues communicated in formal meetings , in writing, including in the
form of a newsletter, or on a electronic bulletin board, regularly within the facility?
24. Are all personal exposure and medical records given to each employee?
25. Are the industrial hygiene and occupational health sections in regular touch with
a.
b.
c.
d.
e.

Senior line mangers


External specialists
Training coordinator
Maintenance manager
Employee representatives

26. Are the findings of industrial hygiene monitoring s communicated to


a.
b.
c.
d.
e.

Senior line managers


External specialists
Training coordinator
Maintenance manager
Employee representatives

27. What proportion of supervisors have been briefed in the last year about
a.
b.
c.
d.
e.
f.
g.
h.

Chemical hazards
Noise
Heat stress
Nonionzing radiation
Ergonomics
Risk assessment
Personal protection
Hazard control method
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Sr.Number:OISD/DOC/2013/172

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

28. What proportion of supervisors have been briefed in the last year about
a.
b.
c.
d.
e.
f.
g.

Chemical hazards
Noise
Heat stress
Nonionzing radiation
Ergonomics
Personal protection
Hazards control method

29. Is adequate product and other safety information being made available to business associated
by the facility?
30. Have training needs been properly evaluated?
31. Are manages and supervisors given induction training in
a.
b.
c.
d.
e.
f.
g.

Chemical hazards and their control


Noise
Heat stress
Nonionzing radiation
Ergonomics
Personal protection
Hazard control method

32. Are operators and maintenance personnel been given induction training in:
a.
b.
c.
d.
e.
f.
g.

Chemical hazards and their control


Noise
Heat stress
Nonionzing radiation
Ergonomics
Personal protection
Hazards control methods

33. Have managers been given additional training at any time in:
a.
b.
c.
d.

Health and safety information communication techniques


Human behaviour to risk
Health and safety legislation
Health and safety management information systems

34. In there an ongoing health safety continuing education programme for other staff?
35. Heave specific training programmes been conducted for personnel from the industrial hygiene
and occupational health sections?
36. Is the content of the training programmes appropriate to the size of the facility?
37. Are training programmes evaluated by the participants?
38. .Have any modifications been made in the content or methodology of training programmes
based on formal evaluation?
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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39. Is health and safety included in briefing / induction training of contractors?


40. Are the training programmes supported by the distribution of written materials?
41. Is there suitable and properly services equipment , appropriate to the facilities size, to monitor:
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.

Gases
Vapours
Particulates
Noise
Heat stress
Lighting levels
Vision testing
Lung function
Audiometry
Appropriate pathology laboratory with facilities to do complete blood and urine
examination , liver an kidney function tests,
Radiogram
Electrocardiogram

42. Is the equipment properly calibrated?


43. Is the equipment properly understood by users and correctly used?
44. Is there an adequate budget for equipment and consumables purchase?

3. Planning
1.

Are the health and safety planning procedures clear and unambiguous at all levels?

2.

Are planning priorities reflected in resource (finance, manpower) at locations?

a.

Have documented health and safety and safety performance standards for the following
areas been prepared and circulated wherever they have to be
b. Facility design
c. Construction materials
d. Facility equipment
e. Materials and equipment used by contractors
f. Quality of personnel being recruited
g. Quality of contractors
h. Information inputs to the facility
i. Facility premises
j. Facility operations
k. Facility maintenance
l. Indoor air contaminant concentrations
m. Noise levels
n. Heat stress
o. Nonionzing radiation
p. Ergonomics
q. Handling of chemicals
r. Transport of chemicals
s. Storage of chemicals
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

t.
u.
v.
w.
x.
y.
z.
aa.
bb.
cc.
dd.
ee.
ff.
gg.
hh.
ii.
jj.

4.

Work procedures
Pre-employment medical examination
Medical surveillance
Medical screening
Medical inspection of facility
Quality of external consultants for industrial hygiene and occupational health
Maintenance work
Entry into confined space
Hot work
Decommissioning of equipment
Planned changes in production
Transport of petroleum and other products
Storage of petroleum and other products
Product of safety literature to clines
Hazard identification procedures
Exposure evaluation procedures
Hazards control procedures

Chemical hazards
1.

Is there a complete inventory of hazardous substances handled by the facility?

2.

Is the chemical inventory reviewed and updated annually?

3.

Is there a procedure that requires the industrial hygiene sections to approve a new
chemical not previously used by the facility?

4.

Are material hazard date sheets, including information on health hazards, readily
available to all persons in the facility?

5.

Are safe handling procedures of chemicals described in operating manuals?

6.

Is health protection information easily available to all employees?

7.

Is readily available health and safety material adequate in content and form?

8.
9.

Has comprehensive hazard identification been done?


Has comprehensive qualitative exposure evaluation been done in the last year?

10. Has quantitative exposure evaluation, preliminary and detailed, been done for inhalation,
skin contact and ingestion in the last year?
11. Has the exposure evaluation been done competently, i.e. using proper techniques, correct
strategies, equipment, analytical methods, sample locations, sample sizes?
12. Is there routine monitoring programme for airborne contaminants and with an appropriate
strategy?
13. Is biological monitoring done where required?
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Sr.Number:OISD/DOC/2013/172

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Page No. 44

GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


IN OIL & GAS INDUSTRY

14. Are appropriate sampling and analytical method used?


15. Are monitoring instruments properly calibrated?
16. Is the chemical analysis done by experienced analysts?
17. Does the laboratory have the proper equipment?
18. Has qualitative risk assessment been done in the last year?
19. Were workmen involved with the qualitative assessment studies?
20. Has quantitative risk assessment been done in the last year?
21. Have the risk assessment studies covered all hazardous operations in the facility?
22. Do the health and safety co-ordinator of the facility or the heads of the industrial hygiene
and occupational health sections formally approve new projects or plant modifications at:
a.
b.

Project conception stage


Final project approval stage

23. Where the control of the working environment is necessary, do the health and safety
coordinator of the facility or the heads of the industrial hygiene and occupational health
sections formally participate in developing a control strategy?
24. For a larger or a more difficult problem, is a multi-disciplinary group setup to develop a
control strategy?
25. have the following strategies been assessed before a control decision was taken:
a.
b.
c.
d.
e.
f.
g.

Process change or material substitution


Removal of humans from hazard range
Enclosure or segregation of portion of plant causing a hazard
Enclosure of humans
Using ventilation methods to remove/dilute chemical
Use of personal protective equipment (PPE)
Other administrative control methods.

26. Are priorities and targets set for hazard control?


27. Is post-commissioning exposure evaluation mandatory?
28. Have documented testing and examination of process equipment and engineering control
systems been carried out in the manner which regulations require?
29. Are there documented standard inspection checklists?
30. Is there documented routine maintenance of engineering control measures?
31. Is routine leak detection monitoring carried out to check the integrity of pumps, seals,
other process equipment and enclosures?
32. Have all hazardous jobs been analyzed to determine the requirement for PPE?
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Sr.Number:OISD/DOC/2013/172

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Page No. 45

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33. Does the selection of PPE include consideration of technical performance criteria?
34. Are users invited to evaluate selection of PPE?
35. Are users comments taken into account in the final selection of PPE?
36. Is PPE issued on a personal basis when required and documented?
37. Are there documents of inspection and maintenance of PPE?
38. Is the occupational health section consulted prior to issue of PPE to an individual?
39. Are adequate washing and changing facilities provided?
40. Are separate lockers provided to each employee for their street and work clothes?
41. Are work clothes washed free of cost?
42. Is there a comprehensive documented record, along the lines of Table 3.7.1, Vol.2, for
chemical hazard abatement?

5.

Noise
1.

Is information on the hazards of excessive sound levels and hearing conservation readily
available to all persons in the facility?

2.

Is readily available health and safety material adequate in content and form?

3.

Have all sources that generate > 84 dBA at 1 m distance been identified?

4.

Have all noisy areas been demarcated?

5.

Have preliminary and detailed noise surveys been done throughout the facility?

6.

Are octave band analysis done for where control measures are necessary?

7.

Is representative noise dosimetry data available?

8.

Are sound level instruments properly calibrated?

9.

Are noise criteria incorporated into specifications for new plant and equipment?

10. have the following strategies been assessed before a control decision was taken:
a.
b.
c.
d.
e.
f.
g.

Noise reduction by equipment change or vibration reduction


Removal of humans from noisy areas
Enclosure of noisy sources
Enclosure of humans
Use of sound proof paneling, etc.
Use of ear protectors
Other administrative control methods.

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Sr.Number:OISD/DOC/2013/172

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Page No. 46

GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


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11. Are priorities and targets set for noise control?


12. Is post-commissioning exposure evaluation mandatory?
13. Are there documented standard inspection checklists for noise control?
14. Does selection of ear protectors include consideration of technical performance?
15. Are users invited to evaluate selection of ear protectors?
16. Are users comments taken into account I the final selection of ear protectors?
17. Are ear protectors issued on a personal basis when required and documented?
18. Is the occupational health section consulted prior to issue of ear protectors to an
individual?
19. Is there a comprehensive documented record, along the lines of Table4.7.1, Vol.2, for
noise abatement?

6.

Heat Stress
1.

Is information on heat stress and its effects readily available to all persons?

2.

Is readily available health and safety material adequate in content and form?

3.

Has an assessment been made to determine jobs/tasks which give rise to heat stress?

4.

Has a quantitative assessment been made to compute the heat loads of these jobs/tasks?

5.

Have the following strategies been assessed before a control decision was taken:

a.
b.
c.
d.
e.
f.
g.
h.
i.

Equipment change or substitution


Removal of humans from hot areas
Enclosure of hot sources
Enclosure of humans
Reduction of temperature/heat in hot areas
Instituting a proper work-rest regime
Instituting a proper acclimatization programme
Providing cool drinking water
Other administrative control methods

6.

Where the thermal environment can not be controlled to a safe level, has a work permit
system been adopted which specifies a proper work-rest regime?

7.

Is the occupational health section consulted prior to permitting an individual to work in


hot environments?

8.

Is there a comprehensive document record, along the lines of Table 5.7.1, vol.2, for heat
stress abatement?

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

Sr.Number:OISD/DOC/2013/172

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


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7.

8.

Nonionizing Radiation
1.

Is information on nonionizing radiation and their effects readily available?

2.

Is readily available health and safety material adequate in content and form?

3.

Have assessment been made for evaluating health risks due to ultraviolet, visible light and
infrared rays?

4.

If protection is required against nonionizing radiation, have adequate control measures


been taken?

5.

Has a comprehensive lighting levels survey been done in the last 2 years?

6.

Did the survey include the suitability of lighting in the following areas:

a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.

Roadways, pathways and access points


Plant areas
Sample points
Unloading /loading areas
Control rooms and instrument panels
Emergency escape routes
Fire and safety equipment storage areas
Tank farms and other storage areas
Security areas
Offices
Workshops
Canteens, toilets, washing areas, eye fountains

7.

Are there procedures to report deficient lighting situations?

8.

Is there a planned maintenance programme for lighting installations?

9.

Do VDT workers get proper rest pauses?

Ergonomics
1.

Is information on ergonomic factors readily available?

2.

Is the readily available information adequate in content and form?

3.

Has there been a survey of environmental and ergonomic factors associated with the use
of VDTs?

4.

Are the designs of instrument display and equipment controllers ergonomically sound?

5.

Are there purchase criteria for office equipment and furniture, including those for VDT
operators, which consider ergonomic factors?

6.

Is there standard checklist for an annual check of all workstations that require an
ergonomic survey?

Occupational health Surveillance


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from the use of OISD Standards/Guidelines.

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1.

Is the occupational health section aware of all the occupational hazards in the facility and
have a working knowledge of the operations involved?

2.

Are the medical services provided commensurate to the size and hazard prevalence in the
facility?

3.

Do the medical services operate after the facilitys normal office working hours?

4.

Is there a separate occupational health section within the medical division?

5.

Can the occupational health section deal adequately with work-related health effects?

6.

Is the system of medical examinations structured to identify health effects at an incipient


stage?

7.

Is the system of medical examinations structured to identify potential health effects?

8.

Does the pre-employment medical examination do the following examinations:

Use a questionnaire to elicit the persons understanding of his exposure and medical
history and current medical status?
b. Complete physical examination
c. Complete blood test
d. Complete urinalysis
e. Stool examination
f. Radiation
g. Electrocardiogram
h. Lung function
i. Liver function test, if necessary
j. Kidney function test, if necessary
k. Vision testing
l. Audiometry
m. An examination of the upper respiratory tract
n. An examination of the eyes
o. An examination of the skin
p. An examination of the respiratory tract & lungs
q. An examination of the nervous system
r. An examination of the liver
s. An examination of the kidneys
t. An examination of the cardiovascular system
u. An examination of the reproductive system
v. An examination of the psychic character
w. An examination of the ears
x. An examination of the musculoskeletal system
y. An examination of other systems as required
a.

9.

Is a routine periodic medical examination (medical surveillance) conducted?

10. Does the periodic medical examination do the following examinations:


a.

Use a questionnaire to elicit the persons understanding of his exposure and medical
history and current medical status
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.
r.
s.
t.

Scan exposure and medical history records of the person


Complete blood test
Complete urinalysis
Stool examination
Electrocardiogram for those above 40 years of age
Vision testing
An examination of the upper respiratory tract
An examination of the eyes
An examination of the skin
An examination of the respiratory tract & lungs
An examination of the nervous system
An examination of the liver
An examination of the kidneys
An examination of the cardiovascular system
An examination of the reproductive system
An examination of the psychic character
An examination of the ears
An examination of the musculoskeletal system
An examination of other systems if required

11. Is there a formal medical screening programme?


12. Does the medical screening programme have criteria for inclusion of the following
categories of employees:
a.
b.
c.
d.
e.

Those declared unfit in periodic medical examinations for whatever reasons


Those suspected of health effects in periodic medical examinations
Cohorts of persons who have developed a work related health effect
High risk groups
Other categories of persons.

13. Is the definition of high risk groups adequate for the nature of hazards in the facility?
14. Is the medical screening examination geared to do the following examinations, whether in
the facilitys medical centre or outside:

a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.
o.
p.
q.

Study in depth the exposure and medical history of the person


Biological monitoring of urine, blood and expired air, as required
Complete blood test.
Complete urinalysis
Stool examination
Radiogram
Electrocardiogram
Lung function
Methacholine challenge test
Liver function test
Kidney function test
Immunological tests
Vision testing
Patch testing for skin
Electroneurography
Cardiovascular exercise tests
Audiometry
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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r.
s.
t.
u.
v.
w.
x.
y.
z.
aa.
bb.
cc.
dd.
ee.

Sound conduction tests


An examination of the upper respiratory tract
An examination of the eyes
An examination of the skin
An examination of the respiratory tract and lungs
An examination of the nervous system
An examination of the liver
An examination of the kidneys
An examination of the cardiovascular system
An examination of the reproductive system
An examination of the psychic character
An examination of the ears
An examination of the musculoskeletal system
An examination of the other systems as required

15. Does the medical screening programme have criteria for exclusion of the following
categories of employees:
a.
b.
c.
d.

persons declared fit the medical screening programme


persons whose disability has stabilized and who are no longer at risk
cohorts of the persons who have developed health effect, but who are no longer at risk
other categories of person.

16. Is medical inspection of the facility carried out at least annually?


17. Are complete medical records being maintained for all employees for 50 years?
18. Are summaries of each persons medical records being prepared?
19. Are summaries of the health status of all employees being maintained?
20. Is injury coding being done?
21. Has computerization of the medical records been initiated?

9.

PERFORMANCE MEASUREMENT
1.

Is there a proactive approach to hazard identification, evaluation and control?

2.

Is there any documented evidence that first line supervisors conduct health and safety
inspections?

3.
4.

Is there a formal checklist for second line inspections?


Does the checklist include all hazardous areas, equipment and work procedures?

5.

Are second line inspection frequencies grouped and conducted by degree of risk?

6.

Are second line inspections documented using standard forms?

7.

Does the senior management (third-line) review health and safety performance at least
once in a quarter?
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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8.

Does the facility have an operational health and safety MIS system?

9.

Is the MIS system based on the concept of information building blocks that can be
gradually developed into an integrated information system

10. Is detailed information of the health and safety status of areas in the facility or persons
who work there available in a easily retrievable form?
11. Is executive summary health and safety information available about individual sections to
section heads and about the entire facility to senior management?
12. Does this executive information have the requirement breath and depth
13. Are the information system designed in a manner that lends them to be easily
computerized in due course?
14. Has computerization of information already begun?
15. Is there a map of the facility indicating air contaminant isopleths?
16. Is there a noise level map of the facility?
17. Is there a lighting map of the facility?
18. Are these maps updated once in 2 years?
19. Is health effects data statistically correlated to exposure data?
20. Are such correlated data represented on maps?
21. Are other statistical tools being used in a meaningful way to interpret health and safety
data?
22. Are there procedures to ensure the reporting of the following situations

work related health effects


incidents which may have caused excessive exposure
other situations that may put persons at risk

23. Are there procedures to ensure proper investigations in the following situations :
a.
b.
c.

Work-related health effects


Incidents which may have caused excessive exposure
Other situations that may put persons at risk

24. Have detailed investigations, covering aspects such as immediate and underlying failures,
outcomes, worst case scenario potential consequences, potential severity, recurrence
potential, population potential been done for the following situations :
a.
b.
c.

Work-related health effects


Incidents which may have caused excessive exposure
Other situations that may put persons at risk
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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25. Are investigation reports formally circulated to the facilitys Health and Safety
Committee, concerned line managers and heads of the industrial hygiene and occupations
health sections ?

10. PERFORMANCE REVIEW


1.

Has a formal health and safety performance review been conducted in the last year?

2.

Is there a formal provision for doing performance reviews at the following levels at the
following frequencies :

a.
b.
c.

first-line supervision level monthly


second-line supervision level quarterly
senior management level annual

3.

Is there a document which lists performance review criteria for senior management?

4.

Do the criteria consider the following factors :

a.
b.
c.
d.
e.
f.

compliance with performance standards


considering area which have no performance standards or inadequate standards
achievement of all the objectives set
results and analyses of incident investigations
findings of performance measurement exercises
findings of audits

5.

Is there documented evidence that performance reviews conducted at various levels has
resulted in appropriate remedial action?

6.

Have reviews compared the performance of the facility with other facilities?

7.

Has any attempt been made to compare risks in the facility to those in other facilities,
whether similar or otherwise?

8.

Has any attempt been made to doe an epidemiological study to compare prevalence of
health effects in the facility with an unexposed control sample?

9.

Is an annual report prepared covering industrial hygiene and occupational health?

10. Is an annual report presented to the facilitys Health and Safety Committee?

11. SITE VISIT


1.
a.
b.
c.
d.
e.

Of the operations observed in the facility :


What proportion had proper hazard control procedures?
In what proportion were engineering control systems used correctly?
In what proportions were protective equipment used correctly?
What proportion of the protective equipment was serviceable and in good condition?
What proportion of the hazardous areas were marked with signs?
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING


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2.
a.
b.
c.
d.
e.

For what proportion of the following were controls or safeguards being adequately
applied?
hazardous chemicals
noise
hot environments
lighting and VDI
equipment or situations where ergonomic factors come into play

3.

Is the general housekeeping in the plant good?

12. INDUSTRIAL HYGIENE AND OCCUPATIONAL WORK


UNDERTAKEN
1.
a.
b.
c.
d.
e.
2.

For what proportion of the hazardous substances in the facility are there material
hazard data sheets ?

3.

For what proportion of investigations are there written documents

4.

What proportion of the recommendations made in the last year are being actioned ?

5.

What proportion of ventilation systems have had documented inspections last year ?

6.

What proportion of reported health effects in the last year have been investigated ?

7.

What proportion of projects commissioned in the last year have had postcommissioning health and safety reviews ?

8.

Where measures have been specified to control the following, what proportion have
been reviewed in writing in the last 2 years :
hazardous chemicals
noise
hot environments
lighting and VDTs
equipment or situations where ergonomic factors come into play

a.
b.
c.
d.
e.

13.

For what proportion of the following have documented assessments been conducted :
hazardous chemicals
noise
hot environments
lighting and VDTs
equipment or situations where ergonomic factors come into play

INTERVIEW WITH MANAGEMENT


1.

Does the management appreciate the need for good industrial hygiene and occupational
health practices ?

2.

Does the management appreciate the objectives of the industrial hygiene and occupational
health surveillance programme ?
Does the management appreciate the hazards in the facility and where they may arise ?

3.

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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14.

15.

4.

Does the management appreciate the hazard control measures required in the facility ?

5.

Is the management willing to take proactive measures to counteract the hazard ?

INTERVIEW WITH EMPLOYEES


1.

Do the employees appreciate the need for good industrial hygiene and occupational health
practices ?

2.

Do the employees know who is responsible for coordinating industrial hygiene and
occupational health programmes ?

3.

Do the employees appreciate the objectives of the industrial hygiene and occupational
health surveillance programme ?

4.

Do the employees appreciate the hazards they may encounter in the facility ?

5.

Do the employees know where to obtain health and safety information

6.

Do the employees feel that they have obtained adequate health and safety information ?

7.

Do the employees feel that their concerns about health and safety are adequately and
speedily addressed ?

8.

Are employees satisfied with the health and safety measures in the facility

CONCULSIONS
1.
a.
b.
c.
d.
e.
f.
g.
h.

Is appropriate attention being paid to control of the following hazards :


inhalation of airborne contaminants
skin contract with chemicals
contamination of clothes
ingestion or injection of chemicals
noise
excessive heat
nonionizing radiation
other hazards including ergonomic factors

2.

Does it appear that adequate attention is being devoted to hazard control during routine
operations ?

3.

Is appropriate attention directed to hazard control during intermittent or non continuous


operations :

a.
b
c
d
e
f

inhalation of airborne contaminants


skin contract with chemicals
contamination of clothes
ingestion or injection of chemicals
noise
excessive heat
OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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nonionizing radiation

4.

Does it appear that adequate attention is being devoted to hazard control during
intermittent or non-continuous operations ?

5.

Can the facility demonstrate that exposure to airborne contaminants are below India lives
or exposure standards set by the enterprise ?

6.

Can the facility demonstrate that it complies with exposure limits related to :
a. noise
b. heat stress
c. nonionizing radiation
d. lighting

OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.

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