Академический Документы
Профессиональный Документы
Культура Документы
(Rogers,1994)
Physicalhealthassessments
Questionnairesandhistorytaking
Spirometry
Audiometry
Biologicalmonitoring
Xrays
WHATDOYOUNEED?
Definedasmedicalsurveillanceprogramme
thatisdesignedtocollectandevaluatehealth
datafromtheemployeerelevanttohisactual
workexposures
Toperformriskbasedandnotbroadbrush
approachtheemployerneedstoprovide
informationrelevanttothejob
UnderstandingofjobactivitiesOREP/Man
Jobspecifications
Physicaldemandsofthejob(heavymanual
labour)
Wherehewillwork(e.g.heights,openroad)
Expectedexposures(noise,cementdust)
Aretheconcentrationsorlevelsofexposure
known(noteasy)
Previoushealthdatawhereavailable
Inmostcasesnot!
Why?
Highturnoverofstaff
Constantlychangingenvironment
Riskconstantlychanges
Exposuredifficulttomeasure
Harshandvariedweatherconditions
Severalcontractorsonsite
Accesstooccupationalpractitionerscanbe
restrictive
Ensurecorrectplacementofworker
Collectionofbaselinedataforcomparison
Documentpreexistingconditions
Detectnonoccupationalillnesses
Legalcompliance
Earlyrecognitionofworkrelatedillness
Preventionofrecurrence
Decreasedabsenteeism
Increasedproductivity
Identificationofhealthandlifestylerisk
factors
Identifyhealthrisksthatmaybeaggravated
bywork
Mostemployersaretryingtoachievelegal
compliancewithoutconsiderationforthehealth
aspects
Notcosteffective
Doesnotbenefithealthinthelongrun
IfweappliedRBMSwewoulddecreaseourocc
diseaseburden
Failuretoplanthe
constructionprocess
willresultinstructural
collapse
Failuretoplanforrisk
basedmedical
surveillancewillresult
inoccupationaldisease
Asemployerswehave
theresponsibilityto
ensurethatwedoall
thatisreasonably
practicabletoprevent
this.
Guidancenotesonhealthhazardsinconstructionwork.
Fromhttp://pdfcast.org/pdf/healthhazardsinconstruction
work
Occupationalhealthservicesandpractice.GCoppee.From
http://www.ilo.org/safework_bookshelf/english?content&nd
=857170174
BenniedeKokerfromMurrayandRobertsfor
useofphotographs