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Fitness To Work

Fitness To Work. Pre-placement Health Examination. What?. objective assessments of the health of employees in relation to their specific jobs, in order to ensure they can do the job and will not be a hazard to themselves or others. When and Why?. Pre-placement Return to work

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Fitness To Work

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  1. Fitness To Work Pre-placement Health Examination

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

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

  4. How • Job analysis/ working conditions • Health standards • Fit to work standards

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

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

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

  8. Work condition analysis • Occupational Health Hazards • Physical Agents • Thermal: temperature extremes, humidity • Radiation: ionizing, non-ionizing, ultrasound • Noise: continuous (greater than 85 dB),intermittent, impulse • Vibration • Atmospheric pressure • Other • Chemical Agents List any potential chemical agent exposures • Biological Agents • Bacteria, molds, fungi 5.3.2 Other

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

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

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

  12. Judging Fitness to Work • fit, • unfit, and • fit subject to work modifications •  temporary or permanent

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

  14. Thank you

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