By: Noor Emellia Jamaludin 807852 Msc.

in Occupational Safety and Health Management (MOSH)

Definition Legal provision Objectives Components of medical surveillance Duties of OHD Duties of employer Duties of employee References

No Terms 1.

Definition

Health any examination and investigations which may be Surveillance necessary to detect exposure levels and early biological effects and responses, and includes biological monitoring, biological effect monitoring, medical surveillance, enquires about symptoms of occupational poisoning or occupational disease and review of records and occupational history. Medical the monitoring of a person for the purpose of Surveillance identifying changes in health status due to occupational exposure to chemicals hazardous to health. OHD a medical practitioner registered with the DG (DOSH) to conduct medical surveillance program of employees.

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If an employee is exposed or likely to be exposed to chemicals hazardous to health listed in Schedule II, and is engaged in a process specified therein, the HS required under sub-regulation (1) shall include MS conducted by OHD at intervals of not more than 12 months or at such shorter intervals as determined by the OHD or an SHO who is also a GP.

To ensure that the individuals health status does not place the health of that employee, or of any other employees at increased risk To monitor employee state of health on a regular basis (periodical examination) To establish the employees state of heath before starting employment (Baseline) To promote optimal health status of employees

Pre-employment and pre-placement medical examination. Biological monitoring and biological effect monitoring. Health effects monitoring. Investigation of occupational disease and poisoning including workplace inspections. Notification of occupational disease and poisoning.

Assist in disability assessment. Return to work examination after medical removal protection. Record keeping and monitoring

Conduct the pre-employment and preplacement medical examination (baseline medical data) of employees. Determination of the ability to work while wearing the PPE. Maintain the medical records of employees during the course of employment (periodic) and post termination. Documentation of employee exposure to hazards at workplace.

Interpret and explain the results of investigations to the EMPLOYEE AND EMPLOYER and specify what further follow up action is necessary. Analysis of Occupational Diseases & Poisoning and co-relate with Chemical Health Risk Assessment. Investigation of the cause of the Occupational Disease / Poisoning. Visit work place and recommend remedial actions. For medical removal protection use the appropriate forms.

Notification of Occupational Diseases & Poisoning to DOSH and employer. Assist in Implementation of Occupational Health Program in the workplace. Assist in the management of Occupational Diseases & Poisoning including removal from work, treatment, rehabilitation, disability assessment, return to work and / or compensation.

Reinforce the value of education/ training in Occupational Health to both employer and employee. Assist in Audit / Evaluation of Occupational Health Program in the workplace.

Appoint an Occupational Health Doctor, (OHD) to conduct occupational medical surveillance program. Allow and assist the OHD to visit the workplace to investigate and manage occupational disease and poisoning including access to relevant monitoring and other health related data. Co-operate with the OHD in medical removal protection of the worker.

Notify occupational disease and poisoning to DOSH . Notify the workers concerned regarding monitoring of exposure levels of chemicals hazardous to health including occupational disease and poisoning. Allow the employee access to occupational medical surveillance records.

Ensure the workplace hygiene is improved. Record Keeping of diseases and accidents. Provide Employee Medical Book.

Undergo training on importance of preventing occupational poisoning and disease. Report early symptoms and signs of disease (including self examination) to the OHD and management. Comply and co-operate in the Occupational Medical Surveillance Program, as required under USECHH. To take proper care of the Employee Record Book and to present it to OHD for Occupational Medical Surveillance record

Guidelines of medical surveillance (2001). Retrieved on 13 November 2011 from www.dosh.gov.my/doshV2/.../guidelines/gl_medic_surv_200 1.pdf Medical surveillance. Retrieved on 13 November 2011 from www.ncsu.edu/ehs/www99/right/handsMan/worker/med.ht ml Occupational medical surveillance program. Retrieved on 13 November 2011 from www.stanford.edu/dept/EHS/prod/researchlab/medsurv/ Medical screening and surveillance. Retrieved on 13 November 2011 from www.osha.gov/SLTC/medicalsurveillance/index.html Medical surveillance in occupational health. Retrieved on 11 November 2011 from www.pitt.edu/~super7/80119001/8241.ppt