How to do a good job in health examination service

4.8 Occupational Health Surveillance

4.8. 1 Organize the occupational health examination before taking up the post as required.

Before taking up the post, the employing unit shall entrust the newly hired or changed workers to obtain the corresponding information according to law.

Qualification of occupational health technical service institutions According to the types of jobs and posts that workers intend to engage in, analyze the problems existing in the types of jobs and posts.

Occupational hazard factors and their effects on human health (such as target organs, target tissues and biological effect indicators) should conform to the state.

In accordance with the relevant provisions and the provisions of GBZ 188, determine the specific health examination items, and arrange for workers to go to the health administrative department at or above the provincial level for health examination.

Medical and health institutions approved by the government and qualified for occupational health examination shall bear the expenses of occupational health examination by the employer.

At the same time, the corresponding management system should be established, the responsibilities should be in place, and someone should be responsible for the related work of occupational health examination.

4.8.2 Organize occupational health examination during on-the-job as required.

In order to detect health damage and health impact in time, the employing unit shall keep it in accordance with the types of work and jobs that the workers are engaged in.

Occupational hazard factors and their impact on human health, dynamic health observation of workers, according to GBZ 688.

Determine the specific health examination items. In accordance with the provisions of the state, arrange workers to engage in the work approved by the health administrative department at or above the provincial level.

Medical and health institutions qualified for industrial health examination shall carry out occupational health examination and make corresponding records. At the same time, the corresponding pipeline should be established.

The management system is sound, the responsibilities are in place, and a special person is responsible for carrying out regular occupational health examinations for workers.

4.8.3 Organize the occupational health examination when leaving the post as required.

The employing unit shall, in accordance with the relevant provisions of the state and GBZ 188, arrange the workers who leave their posts to the health administrative department at or above the provincial level.

Approved medical and health institutions with occupational health examination qualifications conduct occupational health examination and store the examination results in the occupational health database.

Kang guardianship file. At the same time, it is necessary to establish a corresponding management system with responsibilities in place. When workers leave their posts, there is a special person in charge of occupational health examination.

Check related factory work.

4.8.4 Workers with occupational contraindications are prohibited from engaging in their contraindicated operations.

Occupational health monitoring should cover the treatment of occupational contraindications, and employers should consider occupational harmful factors in the workplace.

Characteristics, according to the type of work to determine the corresponding occupational contraindications, and according to the results of occupational health monitoring, in accordance with the relevant provisions of the state.

Employees with occupational contraindications should be properly handled. If it is found in the physical examination before taking up the post, it is impossible to arrange for occupational contraindications.

Symptomatic workers engage in jobs that they are forbidden to engage in; If it is found during the working period, it shall be transferred from the prohibited post of the laborer.

4.8.5 Transfer and properly arrange the workers who suffer from occupational health damage.

It is an important content of occupational health monitoring to properly handle workers who have suffered occupational health damage. The employer is working.

In the regular physical examination, once workers are found to have health damage related to their occupation. Should be transferred from the original post, do a good job in re-employment technical training, but also should be properly placed, including changing jobs, medical observation, diagnosis, treatment.

A series of measures such as treatment and recuperation.

4.8.6 The labor contract shall not be dissolved or terminated without the occupational health examination before leaving the post.

Before the employee leaves his post, the employer shall conduct occupational health examination for the employee free of charge, and fails to do so within the time limit.

A labor contract may not be dissolved or terminated.

4.8.7 Establish occupational health monitoring files that meet the requirements and keep them properly.

The employing unit shall establish occupational health monitoring files for workers. And keep it properly in accordance with the time limit stipulated in GBZ 188.

See 4. 1. 1 1 for the contents that the occupational health monitoring file should contain.

At the same time, the employer should establish a corresponding management system, with responsibilities in place and special personnel responsible for the preservation of occupational health monitoring files.

And according to the principle of confidentiality of medical records, protect the privacy of staff. We should be prepared for borrowing and occupational health monitoring.

Borrowing and copying files are allowed, and the employer does not allow unauthorized people to borrow them, and make a good record of borrowing and copying.

4.8.8 Truthfully provide free copies of occupational health monitoring files to workers.

The employer is obliged to provide an occupational health monitoring file when the employee leaves the job. On the copy provided,

Sign, not to resort to deceit, not to charge any fees to employees.

4.8.9 Carry out health examination and medical observation on the workers who have suffered or may suffer from acute occupational hazards.

After the occurrence of an acute occupational hazard accident, the employing unit shall promptly organize the rescue of workers who have suffered from acute occupational hazards.

At the same time, workers who may suffer from acute occupational diseases are given health examination and medical observation. May suffer from acute occupational diseases.

Hazardous workers refer to those who work at the scene of acute occupational hazards and are directly or indirectly exposed to occupational hazards.

Vegetarian workers, or workers who have participated in emergency rescue of acute occupational hazards and have been exposed to occupational hazards, are not within the danger range.

Workers who have harmful consequences or whose harmful consequences are not obvious. The required expenses shall be borne by the employer.

The results of emergency inspection should be kept in the occupational health monitoring file.

4.8. 10 It is forbidden to arrange underage workers to engage in operations that are exposed to occupational hazards.

The body, tissues and organs of underage workers are not fully developed, so they are more sensitive to occupational hazards and have more serious consequences.

Therefore, the employer shall not arrange for underage workers to engage in operations that are exposed to occupational hazards.

Note: Underage workers refer to those who have reached the age of 16 and are under the age of 18.

4.8. 1 1 Female employees during pregnancy and lactation shall not be arranged to engage in operations harmful to themselves, their fetuses and babies.

The exposure of female workers during pregnancy and lactation to occupational hazards may not only cause occupational hazards to the workers themselves, but also

May affect the health of the fetus or baby through the placenta or lactation, therefore, the employer shall not arrange female positions during pregnancy or lactation.

Workers engage in operations that are harmful to themselves, fetuses and babies. It is necessary to formulate corresponding regulations and establish female employee files, including academic qualifications.

Female employees under the age of 20 who are pregnant or nursing.

The scope of work that female employees are not allowed to engage in during pregnancy includes: lead and its compounds in the air of workplace, mercury and its compounds,

Benzene, cadmium, beryllium, arsenic, cyanide, nitrogen oxides, carbon monoxide, carbon disulfide, chlorine, caprolactam, chloroprene and chlorine.

Industries in which the concentration of toxic substances such as ethylene, ethylene oxide, aniline and formaldehyde exceeds the national hygiene standards; Engaged in anti-cancer in the pharmaceutical industry

Handling of drugs and diethylstilbestrol; Operations in which the radioactive substances in the workplace exceed the prescribed dose of GB 1887 1; Manpower progress

Earthwork: Grade III physical labor intensity in GBZ2.2; Operations with strong whole body vibration, such as

Pneumatic drilling, tamping machine, forging and other operations, as well as tractor driving; You need to bend over, climb high and squat down frequently at work.

Such as welding operations; Working at heights specified in GB/T 3608.

The scope of work that lactating female employees are not allowed to engage in includes: lead and its compounds in the air of workplace, mercury and its compounds,

Benzene, cadmium, beryllium, arsenic, cyanide, ammonia oxide, carbon monoxide, carbon disulfide, nitrogen, caprolactam, chloroprene and chlorine.

Industries in which the concentration of toxic substances such as ethylene, ethylene oxide, aniline and formaldehyde exceeds the national hygiene standards; Subject specified in GBZ2. 1

Physical labor intensity classification three-level physical labor intensity operation; Manganese, fluorine, bromine, methanol and organophosphorus in the air of workplace.

Operations in which the concentration of compounds and organochlorine compounds exceeds the national hygiene standards.

4.8. 13 Give appropriate post allowance to workers who are exposed to occupational hazards.

The post allowance shall be paid according to the current national post allowance standard, and the post allowance in the design of construction projects shall be paid according to the national standard.

Incorporate it into the occupational health project design and budget, increase the investment in the health care of employees in the post, and protect the health rights and interests of employees. grow

Production and construction enterprises shall pay full post allowances in accordance with national standards. The standard of post allowance (health care fee) should be labor.

Make it clear in the contract.

4.8. 14 medical follow-up of workers exposed to chronic toxic chemicals.

Employers find that the chemicals used in their production are chronically toxic, especially teratogenic, carcinogenic and mutagenic.

Medical follow-up should be actively carried out when workers are transsexual.

4.8. 15 Regular health monitoring for retirees

The employing unit shall be responsible for the regular health monitoring of retirees (medical follow-up).