What are the occupational disease physical examination items for construction workers exposed to dust, toxic gas and noise?

Physical examination items for occupational diseases (including toxic chemicals, noise and dust) are determined according to GBZ 188-2007 Technical Specification for Occupational Health Surveillance.

For example: other pneumoconiosis occupational disease examination.

6.4 Other dusts

Other dusts in this specification refer to dusts that can cause pneumoconiosis according to the current national occupational disease catalogue except silica dust, coal dust and asbestos dust.

Its mineral dust includes carbon black dust, graphite dust, talcum powder dust, mica dust, cement dust, casting dust and ceramics.

Porcelain dust, aluminum dust (aluminum, bauxite, alumina), welding dust and other dust.

English: Other dusts (including carbon black dust, graphic dust, talcum powder dust, mica dust, cement dust and dust).

Aluminum dust, ceramic dust, welding dust, etc. produced in the casting process. )

6.4. 1 Pre-job occupational health examination

6.4. 1. 1 Occupational contraindications of target diseases:

(1) Active pulmonary tuberculosis

(2) Chronic obstructive pulmonary disease

(3) Chronic interstitial lung disease

(4) Diseases with impaired lung function

6.4. 1.2 inspection contents

(1) The key points of symptom inquiry are respiratory system, history of cardiovascular disease, smoking history, cough, expectoration, wheezing, chest pain and wheezing.

Dyspnea, shortness of breath and other symptoms (see Appendix C: Questionnaire on Respiratory Symptoms of Workers Exposed to Inorganic Dust)

(2) Physical examination routine examination of internal medicine, focusing on the respiratory system and cardiovascular system.

(3) Laboratory and other inspections

Required items: blood routine, urine routine, serum ALT, electrocardiogram, chest X-ray with high kV before and after, and lung function.

6.4.2 Occupational health examination during on-the-job period

Target disease

(1) Occupational pneumoconiosis: graphite pneumoconiosis, carbon black pneumoconiosis, talc pneumoconiosis, cement pneumoconiosis, mica pneumoconiosis, Potter's pneumoconiosis, aluminum pneumoconiosis and electric welding.

Workers' pneumoconiosis, foundry pneumoconiosis and other pneumoconiosis (see GBZ70)

(2) Work before occupational contraindications.

6.4.2.2 inspection content

(1) The main symptoms are cough, expectoration, chest pain, dyspnea, wheezing and hemoptysis (see Appendix C).

Questionnaire on respiratory symptoms of workers exposed to inorganic dust)

(2) Physical examination Routine examination of internal medicine, with emphasis on respiratory system and cardiovascular system.

(3) Laboratory and other inspections

A. mandatory examination of chest x-ray, electrocardiogram and lung function before and after.

B. select blood routine, urine routine and serum ALT.

6.4.2.3 health examination cycle

(1) The concentration of dust exposed by workers conforms to the national health standard, and exceeds the national health standard 1 time every four years.

65438 +0 times every 2~3 years

(2) The X-ray chest film showed that the medical observation time of 0+ workers was 1 time per year, and the observation lasted for 5 years. If it can't be diagnosed within five years,

Patients with pneumoconiosis should be examined according to the general contact population.

(3) The pneumoconiosis patients should have a physical examination every 1 ~ 2 years.

6.4.3 Occupational health examination when leaving the post

6.4.3. 1 target diseases and occupational diseases: during the same post.

6.4.3.2's inspection contents are the same as those during his employment.

6.4.4 Medical Follow-up after Resignation

6.4.4. 1 Follow-up objects: dust exposed workers and pneumoconiosis patients with regular physical examination during their on-the-job period.

Objective To monitor the incidence of pneumoconiosis and the progress of pneumoconiosis patients among dust exposed workers after leaving their posts in 6.4.4.2.

When 6.4.4.3 tracks the target disease and leaves his post,

Contents of follow-up examination in 6.4.4.4

(1) Physical examination Routine examination of internal medicine, with emphasis on respiratory system and cardiovascular system.

(2) Laboratory and other inspections

X-ray high kv chest film after compulsory examination

6.4.4.5's follow-up time

(1) Those exposed to dust for less than 20 years (including 20 years) shall be followed up for 10 years, and the follow-up period shall be every 5 years 1 time. Exposure to dust for more than 20 years

Follow-up for 20 years, every 4 years 1 time; If the dust exposure service is less than 5 years (including 5 years), and the dust exposure concentration meets the national regulations.

Health standards cannot be followed up.

(2) Patients with pneumoconiosis should have a physical examination every 1 ~ 2 years after they leave their posts (including resignation) or retire.