Specific content as follows
Labor ability appraisal: the level of disability caused by work-related injuries and occupational diseases.
National Standard of People's Republic of China (PRC) (GB/T16180-2014)
Labor ability appraisal of industrial injury and occupational disease disability grade
Gb/t16180-2014 replaces GB/T 16 180-2006.
Released on 20 14-09-03
Implement 2015-01-01
Labor ability appraisal: the level of disability caused by work-related injuries and occupational diseases.
catalogue
order
1 and range
2, normative reference documents
3. Terms and definitions
4. General rules
5, employee injury and occupational disease disability classification
5. 1 level 1
5.2 Level II
5.3 the third level
5.4 Level 4
5.5 Level 5
5.6 Level 6
5.7 Level 7
5.8 Grade 8
5.9 Ninth grade
5. 10 ten levels
Appendix a evaluation standard of industrial injury and occupational disease disability grade
Appendix B (information appendix) on the correct use of this standard.
Appendix C (normative appendix) Grading Table of Workers' Occupational Injury and Occupational Disease Disability
order
This standard was drafted according to GB/T1.1-2009.
This standard replaces GB/T 16 180—2006 "Appraisal of Workers' Injuries and Occupational Diseases". Compared with GB/T 16 180—2006, the main technical changes are as follows:
—— Write the classification principles in the general principles into the titles of the corresponding classification standards;
—— Further clarify the classification of 4. 1.4 nursing dependence in the general rules;
—— Delete the description of mental disorder in General Rule 4. 1.5;
—— Write the contents clearly specified in the appendix directly into the standard terms;
—— Cancel the expression of age and whether to give birth in specific terms;
—— Add a reference chart for evaluating the functional defects of hands and feet in Appendix B;
-explanation on improving the compensation rate of visual impairment in appendix a;
-adjusted the diagnostic requirements of traumatic disc herniation in appendix;
-The requirements for comprehensive assessment of epilepsy and mental retardation have been raised;
—— Incorporate some clauses on injury of chest and abdomen organs;
-Adding the definition of systemic therapy;
-adding the definition of long tubular bone of limbs;
-The classification definition of spinal fracture has been added;
-The quantitative judgment standard of joint dysfunction has been increased;
-Add "after internal fixation of patella, calcaneus, talus, mandible or pelvis fracture";
-The clause "after internal fixation or external fixation of long bone fracture of limbs" has been added;
-adding the clause "mild dysfunction after tendon and ligament laceration of limbs";
-Perfecting, adjusting or deleting some irregular, unreasonable or even contradictory clauses;
—— Canceled the expression of "non-functional obstacle" which is easy to cause ambiguity in the suffixes of some clauses;
-The number of disability projects was adjusted from 572 to 530.
This standard was put forward by Ministry of Human Resources and Social Security, People's Republic of China.
This standard is governed by People's Republic of China (PRC) and Ministry of Human Resources and Social Security.
Drafting unit of this standard: Shanghai Labor Ability Appraisal Center.
The main drafters of this standard are: Chen Daoli, zhangyan, Liao Zhenjiang, Cao Guisong, Qi Shuping, Zhou Zeshen, Tao, Cheng Yu, Zhou Anshou, Zuo Feng, Lin, Yao Shuyuan, Kong, Xu Xinrong, Jiang Jiekai and Fang.
The previous editions replaced by this standard are as follows:
——GB/t 16 180— 1996、GB/T 16 180—2006 .
Labor ability appraisal: the level of disability caused by work-related injuries and occupational diseases.
1 and range
This standard specifies the identification principles and grading standards for work-related injuries and disabilities of employees.
This standard is applicable to the appraisal of the degree of work injury and disability caused by occupational diseases in employees' professional activities.
2, normative reference documents
The clauses in the following documents become the clauses of this standard by reference. For dated reference documents, only dated version is applicable to this document. For undated reference documents, the latest version (including all revised versions) is applicable to this standard.
GB/T4854 (Parts) Reference Zero Level of Acoustical Calibration Hearing Equipment
GB/T734l (all parts) audiometer
Statistical distribution of the relationship between auditory threshold and age in GB/T 7582-2004
Acoustics-Determination of pure tone air conduction threshold for hearing protection
GB 1 1533 standard logarithmic visual acuity chart
Diagnostic criteria of GBZ4 occupational chronic carbon disulfide poisoning
Diagnosis of occupational fluoride and inorganic compound poisoning in GBZ5
Diagnostic criteria of GBZ7 occupational arm vibration disease
Diagnosis of GBZ9 occupational acute electro-optic ophthalmia (ultraviolet keratoconjunctivitis)
GBZ 12 Diagnostic criteria for occupational chromium rhinopathy
GBZ23 Diagnostic criteria for occupational acute carbon monoxide poisoning
GBZ24 Diagnostic criteria for occupational decompression sickness
GBZ35 diagnostic criteria for occupational cataract
GBZ45 Diagnostic criteria for occupational trinitrotoluene cataract
GBZ49 Diagnostic Criteria for Occupational Noise Deafness
GBZ54 Diagnostic criteria for occupational chemical eye burns
GBZ57 Diagnostic Criteria for Occupational Asthma
GBZ60 Diagnostic Criteria for Occupational Allergic Pneumonia
GBZ6 1 Diagnostic criteria for occupational dental erosion
Diagnostic criteria of GBZ70 pneumoconiosis
Diagnostic criteria of GBZ8l occupational phosphorus poisoning
Diagnostic criteria of GBZ82 coal mine underground workers bursitis
GBZ83 Diagnostic Criteria for Occupational Chronic Arsenism
GBZ94 Diagnostic Criteria for Occupational Tumors
GBZ95 Diagnostic Criteria for Radiation Cataract
Diagnostic criteria of GBZ96 internal irradiation radiation sickness
GBZ97 diagnostic criteria for radiation tumor
GBZ 10 1 diagnostic criteria for radioactive thyroid.
GBZ 104 Diagnostic criteria for acute radiation sickness caused by external irradiation
GBZ 105 Diagnostic criteria for chronic radiation sickness caused by external irradiation
GBZ 106 Diagnostic Criteria for Radiation Dermatosis
GBZ 107 Diagnostic criteria for radioactive gonadal diseases
GBZ 109 Diagnostic criteria for radiation-induced bladder diseases
GBZ 1 10 Diagnostic criteria of acute radiation pneumonia
Diagnosis of GBZ/T238 Occupational Explosive Deafness
3. Terms and definitions
The following terms and definitions apply to this document.
3. 1 labor ability appraisal
After a worker is injured in occupational activities or suffers from occupational diseases, according to the provisions of national industrial injury insurance laws and regulations, when assessing the disability level, the technical appraisal conclusion made by legal institutions on the degree of labor dysfunction (disability degree) and self-care obstacle degree through medical examination.
3.2 Medical Dependence
After technical appraisal of disability level, work-related disability cannot be separated from treatment.
3.3 self-care disorders
Disabled due to work-related injuries, unable to take care of themselves, need to rely on others to take care of.
4. General rules
4. 1 Judgment basis
4. 1. 1 Comprehensive judgment
According to organ damage, dysfunction and dependence on medical care and daily life care, combined with social and psychological factors caused by disability, the degree of disability is comprehensively judged and graded.
Appendix A is the grading standard of industrial injury and occupational disability.
Appendix B provides instructions on the correct use of this standard.
4. 1.2 Organ damage
Organ injury is the direct result of industrial injury, but occupational diseases do not necessarily have organ defects.
4. 1.3 dysfunction
The degree of dysfunction after industrial injury is related to the location and severity of organ defects, and the organ dysfunction caused by occupational diseases is related to the severity of diseases. The judgment of dysfunction should be based on the evaluation of disability grade and the results of medical examination during technical appraisal, and determined one by one according to the disabled objects.
4. 1.4 medical dependence
Classification of medical dependence judgment:
A) Special medical dependence refers to the lifelong treatment of special drugs, special medical instruments or equipment after work-related injuries and disabilities.
Treatment;
B) General medical dependence refers to the need for long-term or lifelong drug treatment after work-related injuries and disabilities.
4. 1.5 self-care disorder
The scope of self-care mainly includes the following five items:
A) Eating: You can't eat independently at all, and you need to rely on the help of others;
B) Turn over: You can't turn over by yourself;
C) defecation: can't move independently, and needs help from others to defecate;
D) Dressing and washing: you can't dress and wash yourself, and you rely entirely on others' help;
E) Autonomous action: unable to move around autonomously.
Nursing dependence is divided into three levels:
A) complete self-care disorder: life is completely unable to take care of itself, and the above five items need nursing;
B) Most self-care obstacles: most people can't take care of themselves, and three or four of the above five items need nursing;
C) Partial self-care disorder: Some people can't take care of themselves, and one or two of the above five items need nursing.
4.2 Promotion principle
Promotion principle
Multiple injuries to the same organ or system, or injuries to different parts of more than one organ at the same time, should be identified first. Several disability levels are different, and the severe ones are graded; If two or more levels are the same, they will be promoted by one level at most.
4.3 Treatment of original disability and complications
In the process of labor ability appraisal, complications occur after work-related injuries or occupational diseases, and the disability level is assessed.
Based on the actual disability results at the time of identification.
If the organ damaged by industrial injury has original disability or history, that is, single or double organs (such as eyes, limbs and kidneys) or system damage, this appraisal should check whether the injury aggravates the original disability. If the original disability is aggravated, it shall be identified on the basis of the actual disability results; If the injury is lighter than the original disability, the appraisal will be based on the disability result of the injury.
The original disability treatment is applicable to the initial or re-appraisal, and the re-appraisal is not applicable to these rules.
4.4 classification
According to the principle that clinical medicine branches and disciplines are interrelated, the judgment of disability can be divided into five categories.
A) neurology, neurosurgery and psychiatry.
B) orthopedics, plastic surgery and burn department.
C) Ophthalmology, Otolaryngology and Stomatology.
D) general surgery, thoracic surgery, urogenital department.
E) internal medicine of occupational diseases.
4.5 Division of projects
According to the five categories in 4.4, 530 disability items are listed according to the category and degree of disability, using the grading series from 1 to 10 in Table C. 1 ~ C.5 and Appendix C.
4.6 classification
According to the classification principle of the items and degree of disability caused by work-related injuries, and considering the balance of various categories, the disability level is divided into one to ten levels. The heaviest is level 1, and the lightest is level 10. For unlisted individual disabilities, refer to the corresponding scoring principles in this standard for scoring.
5, employee injury and occupational disease disability classification
5. 1 level 1
5. 1. 1 classification principle
Organ loss or complete loss of function, other organs can not be compensated, there is special medical dependence, or completely or mostly or partially self-care disorders.
5. 1.2 first-level clause series
Anyone who meets 5. 1. 1 or one of the following conditions is a work-related injury.
1) extremely severe mental disorder;
2) Muscle strength of quadriplegia ≤3 or quadriplegia ≤ 2;
3) Severe non-limb paralysis dyskinesia;
4) severe facial disfigurement accompanied by one of the secondary disabilities in Table C.2;
5) Severe scar formation of the whole body, accounting for more than 90% of the body surface area, accompanied by the basic loss of motor function of the main joints of the spine and limbs;
6) Loss or complete loss of function above elbow joint;
7) Both lower limbs are missing above the knee and one upper limb is missing above the elbow;
8) Severe scar deformity of both lower limbs and one upper limb, complete loss of function.
9) No light perception in both eyes or only light perception but inaccurate light positioning;
10) The lung function is seriously damaged, and the breathing difficulty is Grade IV, which requires lifelong dependence on mechanical ventilation;
1 1) Bilateral lung or heart-lung transplantation;
12) small bowel resection ≥ 90%;
13) orthotopic liver transplantation after hepatectomy;
14) orthotopic liver transplantation for biliary tract injury;
15) total pancreatectomy;
16) uremia stage of renal insufficiency after bilateral nephrectomy or solitary nephrectomy, dialysis maintenance or renal transplantation;
17)) Stage III pneumoconiosis with severe lung function injury and/or severe hypoxemia [Po2
18 Other occupational lung diseases, accompanied by severe lung function damage and/or severe hypoxemia.
19) After radiation pneumonia, pulmonary fibrosis with severe hypoxemia occurred in Shuang Ye [Po2
20) Occupational lung cancer with severe lung function injury;
2 1) Occupational hepatic angiosarcoma with severe liver function damage;
22) Liver cirrhosis with esophageal vein rupture and bleeding, with severe liver function damage;
23) In uremia stage of renal insufficiency, the endogenous creatinine clearance rate continued to be 707μmol/L(8mg/dL).
5.2 Level II
5.2. 1 scoring principle
Serious organ defect or deformity, serious dysfunction or complication, special medical dependence, or most or part of self-care disorder.
Secondary clause series
Any person who meets the requirements of 5.2. 1 or one of the following clauses is a work-related injury.
1) severe mental disorder;
2) Triplegia muscle strength grade 3;
3) Hemiplegia muscle strength ≤ Grade 2;
4) Paraplegia muscle strength ≤ Grade 2;
5) Muscle strength of hands with total paralysis ≤ 2;
6) Complete sensory or mixed aphasia;
7) Severe scar formation of the whole body, accounting for more than 80% of the body surface area, accompanied by limited movement of more than three joints of limbs;
8) Full face scar or skin graft with severe disfigurement;
9) bilateral forearm loss or complete loss of hands function;
10) scar deformity of both lower limbs, complete loss of function;
1 1) Above the knee;
12) complete loss of function of knees and ankles;
13) loss of upper and lower limbs or complete loss of function;
14) Four or more joints of limbs (shoulder, hip, knee and elbow) completely lose their functions;
15) One eye has or does not have light perception, and the corrected vision of the other eye is ≤0.02, or the visual field is ≤8% (or the radius is ≤ 5);
16) has no swallowing function and relies entirely on the stomach tube to eat;
17) Complete defect of bilateral maxilla or bilateral mandible;
18) One side of the maxilla and the other side of the mandible are completely defective with facial soft tissue injury >: 30cm2.
19) unilateral pneumonectomy combined with thoracoplasty, dyspnea grade ⅲ;
20) cardiac insufficiency grade 3;
2 1) After esophageal atresia or injury, it is impossible to reconstruct the esophagus, and feeding depends on gastrostomy or jejunostomy;
22) 3/4 small bowel resection with short bowel syndrome;
23) 3/4 hepatectomy with severe liver function damage;
24) Portal hypertension triad or Budd-Chiari syndrome after liver trauma;
25) Severe liver function damage caused by biliary tract injury;
26) After subtotal pancreatectomy and pancreas transplantation;
27) After partial nephrectomy, renal insufficiency is decompensated;
28) Severe lung function injury and/or severe hypoxemia;
29) Stage III pneumoconiosis with moderate lung function injury and/or moderate hypoxemia;
30) Secondary pneumoconiosis with severe lung function injury and/or severe hypoxemia [Po2
3 1) pneumoconiosis stage III with active pulmonary tuberculosis;
32) Occupational lung cancer or pleural mesothelioma;
33) Occupational acute leukemia;
34) Acute severe aplastic anemia;
35) chronic severe toxic liver disease;
36) Hepatic angiosarcoma;
37) In uremia stage of renal insufficiency, the clearance rate of endogenous creatinine was 450 μ mol/L (5 mg/dl);
38) Occupational bladder cancer;
39) Radiation tumor.
5.3 the third level
5.3. 1 scoring principle
Serious organ defect or deformity, serious dysfunction or complications, special medical dependence, or partial self-care disorder.
5.3.2 Three-level clause series
Anyone who meets 5.3. 1 or one of the following clauses is a work-related injury.
1) psychotic symptoms, who still show dangerous or impulsive behavior after systematic treatment 1 year;
2) Psychotic symptoms, who still lack the ability of self-care after 1 year systematic treatment;
3) Hemiplegia muscle strength level 3;
4) Paraplegia muscle strength level 3;
5) The muscle strength of bipedal paralysis is ≤ Grade 2;
6) Moderate non-paralytic dyskinesia;
7) There are two or more complete apraxia, agraphia, agraphia and agnosia;
8) Severe scarring of the whole body, accounting for more than 70% of the body surface area, accompanied by limited movement of more than two limbs;
9) facial scar or skin graft ≥2/3 with moderate disfigurement;
10) One hand is missing and the other thumb is missing;
1 1) Loss of thumb and forefinger or complete loss of function;
12) complete loss of function in one hand and thumb function in the other;
13) One joint of hip and knee joint is missing or nonfunctional, and the other joint is seriously dysfunctional;
14) Loss below the knees or complete loss of function;
15) One hip and knee joint is deformed and completely loses its function;
16) non-ipsilateral wrist and ankle deletion;
17) The contralateral upper and lower limbs are scarred and deformed, and their functions are completely lost;
18) One eye has or does not have light perception, and the other eye has corrected visual acuity ≤0.05 or visual field ≤ 16% (radius ≤10);
19) binocular vision correction
20) one eye is removed or the contents of the eye are removed, and the other eye corrects vision.
2 1) Breathing depends entirely on tracheal intubation or stoma;
22) Laryngeal or tracheal injury leads to dyspnea or only slight activity at rest;
23) Complete defect of ipsilateral maxilla and mandible;
24) complete maxillary or mandibular defect with facial soft tissue injury/>; 30cm2
25) The defect of tongue is more than 2/3 of the total tongue;
26) Unilateral pneumonectomy with thoracoplasty;
27) unilateral thoracoplasty, removing more than 6 ribs;
28) Unilateral pneumonectomy plus carina resection and plasty;
29) Unilateral pneumonectomy with reconstruction of great vessels;
30) Ⅲ degree atrioventricular block;
3 1) 2/3 hepatectomy with moderate liver function damage;
32) subtotal pancreatectomy, insulin dependence;
33) Unilateral nephrectomy, decompensated period of contralateral renal insufficiency;
34) Bilateral ureteral stricture and decompensated renal insufficiency;
35) Permanent ureterostomy;
36) Total cystectomy;
37) pneumoconiosis phase III;
38) Secondary pneumoconiosis with moderate lung function injury and/or moderate hypoxemia;
39) Pneumoconiosis stage Ⅱ complicated with active pulmonary tuberculosis;
40) Pulmonary fibrosis, moderate lung function damage and/or moderate hypoxemia after radiation pneumonia;
4 1) agranulocytosis;
42) Aplastic anemia;
43) Occupational chronic leukemia;
44) toxic hematopathy and myelodysplastic syndrome;
45) toxic hematopathy, severe bleeding or platelet content ≤ 2×101l;
46) arsenic skin cancer;
47) Radioactive skin cancer.