OCCUPATIONAL HEALTH SURVEILLANCE

GOOD HEALTH IS GOOD BUSINESS

Pakistan Petroleum Limited

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page 1
 OVER VIEW
 What is an Occupational Health ?
 Importance of Occupational Health
 Fitness to work
 Health Surveillance of Staff at risk.
 First aid.
 Fatigue Management.
 Food / kitchen hygiene.
 Use of drugs & alcohol at workplace.
 Blood borne pathogens.
 General housekeeping of residence
blocks, dining halls (messes) & sanitation

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 CONTROLLING HEALTH RISKS AT WORK

• Occupational health is concerned

with protecting the health of
people engaged in work or
employment.

• The goal of occupational health

and safety program is to foster a
safe & healthy work environment

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 HEALTH HAZARDS

Health hazards have potential to adversely affect the health of

individuals or groups and potential to cause occupational diseases
which may be (acute, delayed or chronic) with varying degrees of
disability and even death
• Noise induced hearing loss
• Irritant Contact Dermatitis
• Occupational Asthma
• Upper limb disorders
• Back Disorders

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 SAFETY HAZARDS

Safety hazards have

the potential to cause
sudden injury
• Fall from height
• Working with Grinders
with out guards

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 LIFTING
Lifting heavy items
or lifting items
incorrectly, can
cause serious back
Injury , Hernia and
Crushing injuries
HERNIA
LIFTING
UPPER LIMB DISORDERS
 WHO AND OCCUPATIONAL HEALTH

• “It is the fundamental right of each worker to

get higher attainable standard of health and
occupational health services should be
ensured for all workers”.

• “When work is fully adapted to human goals,

capacities, and limitations, and occupational
health hazards are under control, work often
plays a role in promoting both physical and
mental health”.

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 ILO STATISTICS
OCCUPATIONAL HEALTH AND SAFETY

• 270 million occupational accidents and 160 million work-related diseases

occur annually world wide.

• 6,000 (on an average) people die as a result of work-related

accidents or diseases, making it 2.2 million fatalities annually:
 1.7 million deaths due to work related diseases
 0.35 million fatalities due to workplace accidents
 0.15 million fatalities due to accidents during commuting

• 4% (approximately) of the world’s gross domestic product is lost with the

cost of injury, death and disease through absence from work, sickness
treatment, disability and survivor benefits.

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 ILO OCCUPATIONAL HEALTH AND
SAFETY COVENTION C155 (1981)

● Sets out broad requirements for member states to follow to

ensure health and safety requirements are set into national laws.
● The employers are responsible so far as reasonably practicable,
the workplaces, machinery equipment and process under their
control are safe and without risk to health and
● Appropriate measures of protection are taken.
● The employers must also provide measures to deal with
emergencies and accidents.

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 ILO OCCUPATIONAL HEALTH SERVICES
CONVENTION (C.161) 1985

• Each member state shall formulate implement and periodically

review national policy on occupational Health services

• Each member state undertakes to develop progressively

occupational health services for all workers including those in
the public sector

• The provision made should be adequate and appropriate to the

specific risks of undertaking

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 LAGISLATION REGARDING OCCUPATIONAL HEALTH
AND SAFETY IN PAKISTAN

• Mines Act 1923

• Factories Act 1934
• Ordinance 2001
• Docks Labours Act 1934
• Petroleum Rules 1937
• West Pakistan Hazardous Operations Rules 1963
• Workman's Compensation act 1923 and Rules 1961
• Provincial Employees social Security Regulations 1967
• The Oil and Gas (safety in drilling and production) Regulations 1974
• Hazardous Substances Rule 2003
• OHSAS 18001 Standards

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 BENEFITS OF OCCUPATIONAL HEALTH PROGRAMME
• Prevents cost of absence and ill-health redundancy
• Reduction in re-training and recruitment costs.
• Helps in retention of staff and build employee loyalty
• Increased productivity leading to increased profits
• Compliance with Legislation
• Decrease employer liability
• Less insurance premiums
• Reduced risk and cost of litigation
• Rise in public profile of the company
• Helps to prevent occupational diseases like deafness, cancers, asthma, etc
• Protection of both physical and economic well being of employees
• Corporate social responsibility

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 OBJECTIVE OF OCCUPATIONAL HEALTH
SURVEILLANCE PROGRAM

● Occupational health programme helps to ensure

that people can be as effective as possible in their
work and their health is protected
● Occupational health risks are addressed at work
place
● Medical checks to ensure that employees remain in
good health and not being harmed by their work
● Compliance with Occupational health and safety
legislation

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 HEALTH SURVEILLANCE PROGRAMME
INCLUDES

• Identifying the occupational injury / illness

• Assessment of Occupational health hazards
• Implementation of controls to eliminate root
causes of health hazards
• Managing treatment in systematic manner
• Managing Sickness absence
• Optimizing business performance and reputation

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 SCOPE OF OCCUPATIONAL HEALTH
PROGRAMME
deals with following areas of Occupational Health:

• Health Surveillance of Staff at risk.

• First aid.
• Fatigue Management.
• Food / kitchen hygiene.
• Use of drugs & alcohol at workplace.
• Fumigation & pest control.
• Blood borne pathogens.
• General housekeeping of residence blocks, dining halls
(messes) & sanitation etc.

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 HEALTH RISK ASSESSMENT (HRA)
• The identification of health hazards in the workplace and the
subsequent assessment of risk to health due to these hazards.
• This assessment takes into account existing control measures and
where required additional measures are adopted to reduce risks to
ALARP .
HRA must be carried out for
• All new activities and developments
• All existing operations
• Changes in existing activities
• For post-operating activities

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 OCCUPATIONAL HEALTH SURVEILLANCE PROGRAMME

Step-1 Organize Team

● Organize a competent team

● Dept / Section Head Team Leader

● Field HSE Representative Member
● Site Medical Officer Member
● Technical Personal Member
● Any Specialist Member

Step-2 Define Scope

• Break down areas for HRA into Assessment Units (AU)

• Workshop, Store, Control room, Plant, Well Head etc

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 OCCUPATIONAL HEALTH SURVEILLANCE
PROGRAMME
Step-3 : Exposure Categorization S.No. HAZARD CATEGORY ASSOCIATED HAZARDS

1 Geographical / Temperature & climate

• Identify Health Hazards Location Humidity & air quality
Potential for catastrophes etc

– Sound level meters

2 Biological Wildlife
– Personal dosimeters Epidemic disease
Hygiene
Occupational illness (due to
virus, bacteria, fungi etc)

• Identify the Performance Standards 3 Physical Noise

Vibration
– Regulatory requirements Ergonomic
Pressure
– Environmental monitoring Radiation (Ionizing / Non
– National / International standards ionizing) etc
4 Chemical Toxic chemical
Dust, mist & fumes
benchmark against accepted Acid, alkalis, carcinogens etc
standards.
5 Psychological Stress factors
Smoking etc

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 OCCUPATIONAL HEALTH SURVEILLANCE
PROGRAMME

Step-4 : Effectiveness of Existing controls

• Ensure that existing controls are effective and maintained

• The effectiveness of control measures can be ensured by
– Routine exposure monitoring
– Health surveillance
– Maintenance of controls
– Staff education

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Step-5: Health Risk Assessment:

• A health risk is generally defined as the likelihood that exposure to a

hazard will result in occupational illness, disability or death
(Severity).

• The risk is obtained by combining the probability with severity

• Risk (R) = Probability / Likelihood (P) X Severity (S)

• RAM Categorizes Health hazards as Very High, High, Medium, low

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HEALTH RISK ASSESSMENT MATRIX

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 SETTING PRIORITIES

The priorities to hazards depends upon the hazards caused by them

Risk Risk Rating

20-25 Intolerable / Very High (VH)

12 - 16 High (H)
8-10 Medium (M)
<8 Low (L)

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 HEALTH RISK ASSESSMENT MATRIX
Severity Likelihood / Probability (P)

Very Unlikely Extremely

Unlikely Often Likely Likely
(Could happen likely
(Could happen (Could happen (Could happen
Rating Consequence but probably (Could happen
but very rarely) at some time) once in a year)
will not) at any time)

1 2 3 4 5
No health
effect
1 Low
Minor / slight
health effect
2 Medium
Major health
3 effect

Single fatalities
4 High
Multiple
5 fatalities
Very High

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 HEALTH RISK ASSESSMENT MATRIX
Severity Likelihood / Probability (P)

Very Unlikely Extremely

Unlikely Often Likely Likely
(Could happen likely
(Could happen (Could happen (Could happen
Rating Consequence but probably (Could happen
but very rarely) at some time) once in a year)
will not) at any time)

1 2 3 4 5
No health
effect
1 No Immediate Action Required
Minor / slight
health effect
2 Third Priority
Major health
3 effect

Single fatalities
4 Second Priority
Multiple
5 fatalities
First Priority

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 OCCUPATIONAL HEALTH SURVEILLANCE
PROGRAMME

Step-7 Determine the additional control measures

• If Control Measures are not enough to control Risks

• Identify the additional controls to limit risk to ALARP
• Compare the additional controls with existing controls and
identify gaps
• Identify and agree remedial actions to address the
identified gaps

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 PRIORITOIES TO CONTROL HAZARDS

Action – First Priority

• Stop the exposure
• Notify management immediately
• Identify all sources
• Implement immediate control improvements, e.g. introduce use of
Personal Protective Equipment as a short term measure until
other more robust controls are in place
• Consider need for exposure measurement
• Identify and implement work practice and control improvements -
consider hierarchy of controls
• Review HRA, including measurements, after improvements are
made

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 PRIORITOIES TO CONTROL HAZARDS

Action – Second Priority

• Reduce exposure to below NEQS
• Introduce use of Personal Protective Equipment as a short term
measure until other more robust controls are in place
• Identify and implement work practice and control improvements -
consider hierarchy of controls
• Consider need for exposure measurement
• Review HRA, including measurements, after improvements are
made

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 PRIORITOIES TO CONTROL HAZARDS

Action - Third Priority

• Identify and implement work practice and control improvements -
consider hierarchy of controls
• Consider need for exposure measurement
• Review HRA, including measurements, after improvements are
made

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HIERARCHY OF CONTROLS

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 NOISE REDUCING CONTROLS

Re-design or
maintain Acoustic
Guard

Noise

Shadow

Absorb or Shield Enclose the person

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 OCCUPATIONAL HEALTH SURVIELLANCE
PROGRAMME

Step 8: Remedial Action Plan

Remedial action Plan should state the Additional control
and recovery measures.
Remedial action plan should be SMART.
• S------Specific
• M-----Measurable
• A-----Achievable
• R-----Realistic
• T-----Time bound
• This plan should include priorities, responsible person
and target dates for actions.

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 OCCUPATIONAL HEALTH SURVEILLANCE
PROGRAMME
Step-9: Documenting Health Risk Assessments
• The record of HRA is kept and retrievable for Audits and periodic reviews.
• For chronic health risks records should be kept for long period to allow the
evaluation of individual health effects.
• Include exposure monitoring and health surveillance record
• It may act as insurance against possible future liabilities.
• Findings of HRAs should be communicated
to relevant staff

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 PRE -EMPLOYEMENT HEALTH SCREENING

• To determine the pre-existing health conditions of individuals prior to

commencement of work
• To make sure that he / she is physically and mentally fit for the type of
activity he / she is employed for.
• At the time of employment , HR/ IR arrange pre-employment medical
examination in liaison with Medical Dept.
• General physical Examination
• Chest x-ray
• ECG
• Urine R/E
• Stool R/E
• Hepatitis B Ag
• Anti HCV Antibodies
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 Specialized tests will be conducted for staff
deputed on specialized jobs or they have special
requirements as part of their job like crane or
fork lift operators , drives, Electrical Technicians

• Color blindness
• Audiometric tests

• Pre employment Medical Record will be

maintained in personal file of individual
by Medical Dept. at HO

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 PREIODIC HEALTH SURVEILLIENCE

• Periodic Health Surveillance will

be conducted for staff:

• At risk from workplace exposure

• In compliance with regulatory

requirement

• To detect early, reversible health

affects

• Periodic Surveillance Record will

be maintained at Field / Location
level.

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 OCCUPATIONAL HEALTH SURVEILLANCE PROGRAM

At initial stages the Occupational Health Surveillance Program is

focused on

• Electrical Technicians
• Drivers
• Fork Lift and crane operators
• Kitchen staff
• Janitorial staff
• Fire man
• Radiology
• Exposed to High noise
• Any case identified by Dept. Head / Field Incharge

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 Surveillance Required
S. Occupational Possible Freque
Cadre Vaccinatio
No Exposures Hazards Screening ncy
n
1 Production / Noise level above Hearing loss Audiometric
Maintenance 85 for 8 - hrs a Color blindness -- Annual
Test
Technicians day
Color
Blindness Initially
(Only for --- / Upon
electrical entry
technicians)
2 Vehicle Drivers Driving for Vision & hearing Eye Test -- Annual
company business loss
Initially
Audiometric
-- / Upon
Test
entry
Initially
Color
--- / Upon
Blindness
entry
3 Fork Lift / Crane Loading / Eye Test -- Annual
Operators unloading ision & hearing Audiometric 2-
driving loss --
Test Yearly
Initially
Color
--- / Upon
Blindness
entry
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 Surveillance Required
Occupational Possible Freque
S. No Cadre
Exposures Hazards Vaccinatio ncy
Screening
n
4 SF Infectious agents Transmission Compl
Hepatitis
Hospital’ in blood and other of contagious - ete
B
s Staff body fluids, while diseases Course
handling the from patients 5
patients. - Tetanus
Yearly
5 Cantee Preparation of Transmission
n Staff food for PPL Staff of contagious X Ray, SGPT and Stool D ---- Upon
diseases e.g. /R entry
Typhoid, Hepatitis Upon
----
A entry
Hepatitis A
Upon
and parasitic ----- Typhoid
entry
infections.
Medical Review by Company
Doctor / CMA based on Annuall
----
medical screening results of y
SGPT and Stool D / R
6 Janitoria Exposure to Susceptible Compl
Hepatitis
l Staff effluent & to diseases --- ete
B
hazardous wastes like Typhoid, Course
Hepatitis etc 5-
--- Tetanus
Yearly
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 Surveillance Required
S. Occupational Possible
Cadre Frequency
No Exposures Hazards Vaccinati
Screening
on
7 Janitorial Exposure to Susceptible
Staff effluent & to diseases
hazardous like --- Tetanus 5 - Yearly
wastes Typhoid,
8 Radiology Radiation Hepatitis etc
CBC
Lab Staff Urine Annually
---
Chest X-Ray
9 Firemen Medical fit test
se of breathing usceptible to for use of
apparatus in cardio- Breathing
Smokey respiratory Apparatus as --- Annually
conditions of distress and per checklist
fire. syncope. provided in HSE
SOP on PPE

mergency Annual for Staff

Sirens of high ision & above 45 yrs.
Vision --- Two yearly for Staff
pitch during hearing
emergency. below 45 yrs.
Two yearly for all
Audiometric ---
Staff

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EXECUTION OF HEALTH SURVEILLANCE PROGRAM

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 HEALTH SURVEILLANCE OF CONTRACTORS

• The relevant concerned Dept. shall incorporate Health

Surveillance Requirements in Contracts with third party
• Health Surveillance of Contractor staff is responsibility of
Contractor . However it will also be recorded by PPL
• If Health Surveillance is not covered in work Contract than PPL
will arrange for Health Surveillance.
• Initially Health Surveillance will be focused on
– Food handling
– Janitorial
– Transport services at
Fields / Locations / HO.

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 HEALTH SURVEILLANCE OF CONTRACTORS

• Admin. Dept. HO shall incorporate the Health Surveillance requirements into

the Contract Document with the Catering / Janitorial Service / Transport
Contractors and extend necessary coordination with Medical & HSE Dept.at
HO for monitoring implementation by these contractors.

• The actions taken by Field Management in response to recommendations of

OHS for the implementation of additional control measures are recorded in
template (PPL – HSE / FM / HS / 02 & 03).

• Dept. Head / Field Incharge will acquire record(s) of vaccination and health
surveillance of contractor’s Staff and forward to Medical Dept. for necessary
review and recommendations.

• Any new entry into the record shall be maintained at contract executing
Dept.'s end.

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 DISEASE STATISTICS
• At Fields Site Company Medical Advisor (CMA) in coordination with
Field HSE Representative develops and forwards the Disease Analysis
Record Sheet (PPL - HSE / FM / HS / 04) on monthly basis to OHS with
copy to HSE Dept. HO through respective Field / Location Incharge for
their record and onward maintaining statistical data.

• At Sui the sickness and illnesses data of PPL Staff is centrally

consolidated and forwarded through Sui Hospital.

• At HO the same is developed and maintained by Medical Dept.

• For any contagious diseases, immediate actions may be taken on

CMA's recommendations. However, the detailed guidelines may be
obtained from OHS.

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 FIRST AID

• First aid is the immediate application of first line

treatment following an injury or sudden illness using
facilities & material available in order to
• Save life.
• Prevent deterioration in an existing condition.
• Promote recovery.

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 FIRST AID BOXES
• Provided at desired places on location of Head Office and Fields and Messes

• Field In charges to nominate individuals for inspection and Replenishment of First

Aid Boxes

• At HO, WW & PPL owned Huts, Geological Survey Teams first aid boxes are
inspected & maintained by Medical Dept. HO

• Emergency cabinets are provided at each floor at HO are maintained by Admin

Dept. and verified by HSE Dept.

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 FIRST AID TEAM
• Department Head / Field Incharge are responsible for Nomination and
arrangements for training of Emergency Response Team Members (ERTMs)

• Refresher training every two years for first aiders.

• List of names, telephone numbers of First Aiders will be maintained in all

Dept. / Field / Locations

• List of First aiders will be posted on notice boards

• List of ERTMs will be forwarded to

SMMS / CMO / CMA for necessary
assessment and clearance before
confirmation as ERTM.
The assessment is recorded on form
(PPL - HSE /FM /HS / 09).

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 AMBULANCE
• Proper ambulance shall be available at Fields / Locations equipped with
necessary first aid accessories.

• At project sites any appropriate vehicle may be dedicated on emergency duty

during job in progress.

• Vehicle must contain first aid box and Stretcher for onward shifting patient to
nearby hospital.

• The ambulance should be checked on daily basis and records maintained in

Ambulance Inspection Checklist (PPL - HSE / FM / HSH / 05).
• Check-lists
– Vehicle Check-list maintained by drivers
– First –Aid equipment by Field / Location Medical Technician / Medical Dept. Representative.
• Review of report by Field HSE Representative / Coordinator

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 BLOOD BORNE PATHOGENS & HEALTH HAZARDS

• Hospital Staff are exposed to following

Major Health Risks..

– HBV
– HCV
– HIV
– Tuberculosis

• Precautionary Measures shall be

taken to avoid exposure to health
risks

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 FATIGUE MANAGEMENT
• Fatigue refers to mental or physical exhaustion that reduces work efficiency.
• However fatigue is more than simply feeling tired or drowsy.
• Fatigue is caused by prolonged periods of physical and or mental exertion without
enough time to rest and recover.

• PPL Fields / Locations are provided with facilities to balance out work requirement
and medical fitness for staff to appropriately prevent / manage fatigue.

• Recreational activities, social events / functions / gathering.

• Working in Shift, avoiding prolonged exposures.
• Annual leaves / holidays.
• Ergonomically designed work stations

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 KITCHEN HYGIENE & DINNING

• Appropriate Kitchen and Food Safety

standards shall be maintained at PPL
Head Office and all PPL Locations

• HSE Representatives / Coordinators

along with Administration Dept. /
Section responsible quarterly
inspection of kitchen & dining areas as
per checks provided in Kitchen
Hygiene Inspection Checklist (PPL -
HSE / FM / HS / 06).

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 PERSONAL HYGIENE

• Appropriate personal hygiene standards shall be

maintained(Details are Given in procedure)

• Food handlers shall be assessed for their health

CMA / CMO Sui / Medical Dept. at HO.

• The assessment / physical examination is carried out

by Occupational Health Specialist at HO, CMA at
Field / Location and suitable nominated doctor by
CMO Sui Hospital.
•
• Assessment is recorded on Form “Food Handlers
Initial Assessment (PPL - HSE / FM / HS / 07)” .

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 FOOD MANAGEMENT

• Food Storage / Refrigeration

• Prevention from Contamination

• Food Waste Management

• Food waste must be stored in completely covered containers
as per guidelines provided in SOP on Waste Management
(PPL - HSE / PR / 14) for onward safe disposal.

• Hygiene Training:
• Field HSE Representative / HSE Coordinator shall provide
awareness and training to all food handlers on food safety &
personal hygiene for effective implementation of standards
outlines in this procedure.

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 WATER QUALITY

• Water utilized for drinking and cooking purpose at Fields / Locations shall be from approved sources

• comply with the chemical and bacteriological limits specified in Quality Drinking Water Standards specified by
Ministry of Health, Govt. of Pakistan.

• PPL Occupational health specialist shall approve the source based on certain testing from external laboratories or
certificate submitted from the supplier.

• Water used for dish washing, lavatories etc. shall be stored in aboveground tanks. All underground and above
ground tanks are internally cleaned at least annually to avoid chances of microbiological accumulation.

• Fields / Location where water is supplied through tankers / bowzers,

• It will be ensured that tankers / bowzers are internally clean and in good physical condition.

• CMA / Field HSE Representative / HSE Coordinator shall carry out random inspections of tankers / bowzers and
address this requirement in work contract.

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 USE OF DRUGS & ALCOHOL
• PPL views alcohol and drugs abuse very seriously.

• Alcohol in any form is prohibited at all PPL work sites, Any

employee proved to be in possession of alcohol will be
summarily dismissed.

• Any member of Staff arriving at a workplace under the

influence of alcohol will not be permitted to enter the
premises.

• The use of drugs, except under medical advice, is

prohibited at all locations.

• Any employee proven to be under the influence of or in

possession of controlled drugs will be summarily
dismissed and the facts reported to the police.

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 HOUSE KEEPING

• Appropriate House Keeping shall be maintained at all

work sites ( Details are given in procedure)

• HSE Field Representatives / Coordinators in

consultation with medical Staff / Admin. Dept. shall
carry out spot checks of rooms & toilets and
recommend remedial measure for continuous
improvement.

• Residential Areas, Dinning halls shall be

maintained appropriately

• HSE Field Representatives / Coordinators in

consultation with medical Staff / Admin. Dept. shall
carry out spot checks of rooms & toilets and
recommend remedial measure for continuous
improvement.
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 MONITORING AND RECORD KEEPING

• The overall performance of this program is monitored by HSE Dept.

HO through HSE Internal Audits and relevant record is maintained at
Field / Location / Admin. Dept. at HO.

• PROGRAM EVALUATION

• HSE & Medical Dept. will evaluate the overall performance of this
procedure on annual basis.

TRAINING
•
• Field HSE Representative / Coordinator shall identify the training
need as per TNA in coordination with Occupational Health Specialist.

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 RESPONSIBILITIES
HSE Dept. HO
• Overall Co-ordination of managing Health Surveillance Program
• Monitoring of implementation
• Recommend preventive measures to
Departmental Head / Field Incharges
in close liaison with Occupational Health Specialist
• Review on annual basis and update

Medical Dept. HO
• Implement Health Surveillance Program across PPL.
• Carry out Assessment of nature, severity, extend of injury / illness.
• Recommends treatment of individual and preventive measures to avoid re-
occurrence.
• Seek all budgetary approval required for execution of this program.
• Nominate Occupational Health Specialist (OHS) for execution of this program.

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 RESPONSIBILITIES
• .Occupational Health Specialist

• Carrying out assessment, suggest treatment plans & recommend

actions for prevention of occupational injury / illness and follow up
through periodic checks.
• Provide training to Field HSE Representatives / Coordinators for the
identification & preliminary assessment of occupational injuries and
illnesses.

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 RESPONSIBILITIES
• Dept. Head / Field / Location Incharge

• Ultimately responsible for implementation of Occupational Health Procedure on his

location
• Reporting occupational injuries / illnesses to Medical Dept. HO along with initial
findings of risk assessment for onward action.
• Implementing the recommendation of Medical & HSE Depts. HO.
• Regularly monitoring the compliance of recommendations.
• Inspection and maintenance good housekeeping and hygiene standards.
• Nominating and training designated ERTMs on First Aid.
• Updating all First Aid boxes
• Report incidents to HSE Dept. HO
• Arranging hygienic inspection of kitchen on quarterly basis.
• Ensuring compliance of local regulations pertaining to fumigation activity by the
contractor.
• Providing vehicle at project sites for shifting injured person to nearby identified
hospital.

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 RESPONSIBILITIES
• HSE Representative / Coordinator
• Carrying out initial risk assessment
• Identification of persons at risk
• Carrying out inspection of Kitchen along with Admin. Dept. / Section Rep.
• Extending necessary assistance to Field / Location Incharge in
implementing requirements of procedure
HR / IR Dept.
• Coordinating medical screening of newly appointed Staff through Medical
Dept. at HO and / or Field / Location.
• It will be ensured that Electrical Technicians, Fork Lift / Crane Operators and
Vehicle Drivers are assessed for color blindness and audiometric in addition
to other specified routine pre employment test.

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 ATTACHMENTS
• Basic Occupational Health Surveillance Program Annexure A
• Occupational Health Risk Assessment Guidelines Annexure B
• List of First Aid Box Inventory Annexure C
• Ambulance Inspection Guidelines Annexure D
• Occupational Health Risk Assessment PPL - HSE / FM / HS / 01
• Occupational Health Surveillance Record PPL - HSE / FM / HS / 02
• Occupation Health Surveillance Record - Contractor PPL - HSE / FM / HS / 03
• Disease Analysis – Record Sheet PPL - HSE / FM / HS / 04
• Ambulance Inspection Checklist PPL - HSE / FM / HS / 05
• Kitchen Hygiene Inspection Checklist PPL - HSE / FM / HS / 06
• Food Handler Initial Health Assessment Form PPL - HSE / FM / HS / 07
• List of First Aid Boxes \PPL - HSE / FM / HS / 08
• Nomination Form for ERTM PPL - HSE / FM / HS / 09

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 OCCUPATIONAL HEALTH SURVEILLANCE
PROGRAMME

Safe and Healthy return from Workplace to Home

65
 OCCUPATIONAL HEALTH SURVIELLANCE
PROGRAMME

We must be the change we wish to see in the world

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OCCUPATIONAL HEALTH SURVIELLANCE
PROGRAMME

Thank You

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