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The Practical Aspects of Occupational Health for Eurotunnel across the Borders ARIOPS 2008

The Practical Aspects of Occupational Health for Eurotunnel across the Borders ARIOPS 2008. Dr Manuel Fernandes Occupational Physician. AGENDA. Company structure Medical staffing Medical standards Medical examinations Management referrals Fitness to work Treatment

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The Practical Aspects of Occupational Health for Eurotunnel across the Borders ARIOPS 2008

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  1. The Practical Aspects of Occupational Healthfor Eurotunnel across the Borders ARIOPS 2008 Dr Manuel FernandesOccupational Physician

  2. AGENDA • Company structure • Medical staffing • Medical standards • Medical examinations • Management referrals • Fitness to work • Treatment • Work-related health injuries • Drugs and Alcohol • Physicians duties

  3. EurotunnelStructure A Binational company • A Joint Board of Directors • One management • Employees: 2/3 in France, 1/3 in the UK

  4. OHP 4 days 1.8 OHAs OHP 2 days 1.4 OHAs Medical Staffing

  5. Medical Standards • Eurotunnel -highest standard taken as the baseline -commonality of standards/criteria -commonality of medical frequency

  6. All safety critical staff -annually -OHP+OHA Night shift workers - 6 monthly -OHP+OHA -6 monthly -OHP +OHA All safety critical staff -annually -OHA -3 yearly -OHP+OHA Medical ExaminationsSafety Critical Staff

  7. Annually -OHP + OHA Biannually (management) Only the OHPcan certify fitness for work 3 Yearly -OHP+OHA OHP and OHA can certify fitness for work Medical ExaminationsNon Safety Critical Staff

  8. OHP only GP has no say in fitness for work OHP /OHA GP may have a say in fitness for work Management Referrals

  9. OHP only can certify fitness for work OHP/OHA can both certify fitness for work Fitness for work

  10. OHP prescribes/gives medication/injections OHA gives OTC remedies OHP/OHA no treatment given Treatment

  11. OHP reports to responsible body (CRAM/CPAM) OHA sees/is informed of everyone post accident with injury and reports cases to CRAM (social security external authority) that have received treatment externally. Internal treatment is recorded internally only. OHP reports to H&S manager who reports to the HSE Work-related health injuries

  12. 2003 legislation equivalent to our Railway & Other Guided System regulations Railway & Other Guided System (ROGS) regulations Drugs and AlcoholLegislation

  13. Safety-critical staff only Pre-placement For Cause Random All staff Pre-placement For cause Random Drugs and Alcohol

  14. Pre-placement - OHP declares “unfit” For cause – OHP declares “unfit” “Random”- at discretion of OHP Pre-placement - OHP declares “unfit” For cause – OHP declares “unfit” Unannounced - to HR Drugs and Alcohol

  15. Everything to do with “fitness for work” is at the discretion of the OHP OHP bound by legislation,HR practice and H&S responsibilities Physicians duties

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