Pre-placement Health Examination

What?objective assessments of the health of

employees in relation to their specific jobs, in order to ensure they can do the job and will not be a hazard to themselves or others

When and Why?Pre-placement Return to work Continuing Disability

Still disable to work, not ready to return to work ?

Performance-Initiated ReviewFail to do a certain job

Job TransferChange in working conditions in existing jobChange in health status in existing job

HowJob analysis/ working conditionsHealth standardsFit to work standards

Work condition analysisShort Description of the Job Function

Write a short but precise statement of the job functionRecord percentage of time spent on specific duties

(e.g., 50% cleaning and servicing furnaces and air conditioners, 20% snow shovelling and gardening, 30% unloading supplies and moving furniture).

Location - record approximate percentage of time in: Office/field/lab/computer center/plant/service centre Offshore rigs and other isolated locations Expatriate (foreign country) Indoors/outdoors In transit, specify form of transportation

Work condition analysisHours of Work

Shifts: 12 hour, rotating Lunch breaks: scheduled, unscheduled Overtime: may describe as: excessive (daily

and/or weekends), frequent (2-3 times/week), occasional (one time/week), rare (one time/month), periodic (episodic), emergency call out, on call

Work condition analysis Occupational Safety Hazards

Safety (Acute Traumatic Injury) Machinery: specific type of equipment used, working near (within 3 feet)

or operating moving or dangerous machinery Working in tanks and vessels Working at heights Walking over rough terrain and or slippery surfaces (more than 3

times/year) Ergonomic (Chronic Traumatic Injury) Lifting, carrying, pushing or pulling - amount of weight (more than 30

lbs.) Bending, stooping, twisting, pushing and pulling (more than 1 hour/day) Climbing to heights Working in awkward positions or cramped quarters. Standing (more than 2 hours/day) ] record percentage of Walking (more

than 1 hour /day) ] time spent at each Sitting (more than 4 hours/day) ] Using repetitive motions Using equipment: VDT/word processor (more than 1 hour/day) hand

tools Performing office functions Other

Work condition analysisOccupational Health Hazards

Physical Agents Thermal: temperature extremes, humidity Radiation: ionizing, non-ionizing, ultrasound Noise: continuous (greater than 85 dB),intermittent,

impulseVibration Atmospheric pressure Other Chemical Agents List any potential chemical agent

exposures Biological Agents Bacteria, molds, fungi 5.3.2 Other

Work condition analysisPsychosocial Demands Level of stress

Level of decision making and responsibility - minimal, moderate, high

Dealing and working with others Workload: intensive, moderately intensive,

peaks, steady deadlines to meet, whether critical, frequent, occasional

Other

Work condition analysisSpecial Requirements

Operating mobile equipment: driving heavy equipment or trucks, servicing or flying company planes, driving company vehicle

Participating in offshore survival training and working in an offshore environment

Participating in fire fighting training Responding to emergency situations Travel requirements: plane, helicopter Special tasks or conditions: requiring colour vision;

performing detailed, precise work; working near or directly with food; conducting aerobic fitness classes; working with laboratory chemicals

Personal protective equipment used Isolation (record percentage of time): use geographical

statement such as offshore, meter station; working alone

Health StandardsBy the physician ( doctor) with the help from OH nurse

and OH professionalsThe standards are based on the physician's understanding

how the body may be affected by the working conditions. Working in height body balance should be in good

conditionThe extent of the physical examination and the laboratory

tests depends on working conditions. The system that are examined depends on the job demandCentral nervous system ( CNS), cardiovascular, vision, etc

The overall clinical determination is based only on those health standards relevant to the working conditions.

Judging Fitness to Workfit, unfit, and fit subject to work modifications

temporary or permanent

ReportingOn medical records ConfidentialFor specific condition inform the

worker/patients ( doctors)Subject for use of work/ company only

Thank you