What are the physical examination items for radiation workers?

According to the Regulations on Occupational Health Management of Radiation Workers, the pre-job inspection items are mandatory; Medical history, occupational history investigation, routine examination in internal medicine and dermatology, eye examination (color vision, vision, lens slit lamp examination, vitreous body and fundus), blood routine and white blood cell classification, urine routine, liver function, renal function examination, chromosome aberration analysis of peripheral blood lymphocytes, chest X-ray examination, electrocardiogram and abdominal B-ultrasound. ?

Optional inspection items; Otolaryngology, visual field (nuclear power plant radiation workers), psychological test (nuclear power plant operators, senior operators), thyroid function, lung function (radioactive mine workers, people who need to wear respiratory protective devices when receiving internal radiation).

Inspection items during in-service period; Required items, medical history, occupational history investigation, routine examination of internal medicine, dermatology, ophthalmology (color vision, vision, lens slit lamp examination, vitreous body, fundus), blood routine and leukocyte classification, urine routine, liver function, renal function examination, peripheral blood lymphocyte micronucleus test, chest X-ray examination.

Optional inspection items; Electrocardiogram, abdominal B-ultrasound, thyroid function, serum testosterone, peripheral blood lymph, cytochromsome aberration analysis, sputum cytological examination and/or lung function examination (radioactive mine workers, those who need to wear respiratory protective devices when receiving internal irradiation), and detection of radionuclide retention in vivo by using whole body counter (those who are engaged in unsealed source operations).

Extended data

The health requirements of radiation workers, the appearance of the human body is normal, does not affect the normal operation. Mental state is normal, mood is stable, language expression and writing ability are normal, nervous system function is normal, medical operation and dermatological examination are normal, normal operation is not affected, hearing function is normal, vision is normal, corrected vision should not be less than 5.0, and there is no red-green color blindness.

Hematopoietic function is normal, blood cell analysis (venous blood instrument detection) index is within the reference range, thyroid function is normal, and chromosome aberration rate and micronucleus rate of peripheral blood lymphocytes are within the normal reference range of our laboratory. Radiation workers should have the health conditions to perform their duties accurately in normal, abnormal or emergency situations.

Indications that it is not suitable for radiation work, severe visual and/or hearing impairment, and severe and recurrent diseases make it lose part of its working ability, such as severe hematopoietic organ diseases, chronic lung diseases with decompensated functions, uncontrolled diabetes, uncontrolled epilepsy and serious skin diseases at exposed parts.

Authorized doctors can evaluate their working ability according to the corresponding health standards and issue certificates. Health administrative law enforcement personnel shall produce their certificates when conducting supervision and inspection according to law. The units under inspection shall cooperate, truthfully report the situation and provide necessary information, and shall not refuse, obstruct or conceal.

The expenses for occupational health examination of radiation workers, diagnosis and identification of radiation diseases, medical treatment and medical follow-up observation shall be borne by their units, and medical institutions engaged in occupational health examination of radiation workers shall be approved by the provincial health administrative department.

Reference: Management Measures for Occupational Health of Radiation Workers of People's Republic of China (PRC) Policy and Regulation Department.