OCCUPATIONAL HEALTH SERVICES IN

MALAYSIA

AYYUB OMAR|GP06113
IZAN SHUKRIZAL SHUKOR|GP06230
ZAINOR-AKRAMIN HJ ZAINI|GP06110
MOHD ZAM AZAN RAHIM|GP06289
FARIDAH SHAFIAI|GP06114
 OBJECTIVE
To understand types of occupational health
services provided by various agencies in
Malaysia.
 INTRODUCTION
Providers of Occupational Health Services.
• Government agencies.
• Private agencies
• Non-governmental organization (NGO).

Organization of occupational Health

• National level.
• State level
• District level.
• Enterprise level.
• NGO’s
 INTRODUCTION
Organization of Occupational Health Services.
National Level

• Governments agencies.
• Universities.
• Trade unions.
• NGO’s

State level

• Department of Occupational Safety and Health. (State level)

• Department of Health. (State level)
• SOCSO
 INTRODUCTION
District Level

• District Health Services.

• Hospital.
• Private Occupational Health Doctors

Enterprise Level

• Employers/ occupiers.
• Occupational Health Doctors.
• Trade unions
National level
• Ministry of Human Resources.
• Ministry of Health.
• Ministry of Agriculture.
• Universities.
• Ministry of Sciences, Environment &Technologies.
• NGO’s
National level

Ministry of Human Resources.

• Department of Occupational Safety and Health.

• National Institute of Occupational Safety and Health.
• Social Security Organization (SOCSO) .
Department Of Occupational Safety And Health
(DOSH)

• Directors – National and state levels.

• Sets Occupational Health standards

• Enforcement
 Department Of Occupational Safety And Health
(DOSH)

• Directors – National and state levels.

• Director General Dosh Headquarters Putrajaya– National levels

• Directors Dosh State Offices – State levels

 Department Of Occupational Safety And Health
(DOSH)

• Sets Occupational Health standards

 Department Of Occupational Safety And Health
(DOSH)

• Sets Occupational Health standards

 Department Of Occupational Safety And Health
(DOSH)

• Sets Occupational Health standards

 Department Of Occupational Safety And Health
(DOSH)
• Sets Occupational Health standards
 Department Of Occupational Safety And Health
(DOSH)

Enforcement

• Factories and Machinery Act, 1967

• Occupational safety and Health Act 1994

• and Regulations.
 Department Of Occupational Safety And Health
(DOSH)

Activities Related To Occupational Health

• Promote Occupational Health by training and

disseminating information on Occupational Health.

• Monitor, investigate and Notification of

Occupational diseases, poisoning and accident

• To facilitate all sectors to implement Occupational

Safety and Health.
Department Of Occupational Safety And Health
(DOSH)
Social Security Organization (SOCSO)

Background

Social Security Organisation (SOCSO) was formed under

the Employees' Social Security Act 1969 as a government
department of the Ministry of Labour and Manpower on 1
January 1971. It is entrusted with the administration of two
social security schemes, namely the Employment Injury
Scheme and the Invalidity Scheme

The objective of both schemes is to guarantee cash

payment and benefits in kinds to employees and their
dependants in the event of a contingency.
Social Security Organization (SOCSO)

Vision

To become The Premier, Dynamic and Outstanding Leader in Social

Security.

Mission

To social security protection to Insured Person and their dependants

through social security schemes, and to increase awareness of
occupational safety and health that will ultimately improve the Insured
Persons' social wellbeing .

Objective

To provide social security protection to all Insured Persons and their

dependants through social security schemes based on the concept of a
caring society in line with the National Development Policy and Vision
2020
Social Security Organization (SOCSO)

Social Security Protection Principles

SOCSO was mandated to administer and enforce the

Employee Social Security Act 1969 and Employee Social
Security General Rules 1971. Through the Act and
Regulations, SOCSO is able to provide free medical
treatment, facility for physical or vocational rehabilitation, and
financial assistance to employees if they have loss their
abilities due to accidents or diseases that have reduced their
abilities to work or rendered them incapacitated. If an
employee has died, their dependants are provided for
financially through pensions
 Social Security Organization (SOCSO)

Employer And Employee Eligibility

Act And Regulations

The Employees’ Social Security Act, 1969 and the Employees’
Social (General) Regulations, 1971 are applicable to all
industries having one or more employees.
 Social Security Organization (SOCSO)

A. Employer

• Employers are categorised into two, namely principal employer and immediate employer.

1. Principal Employer

An employer who directly employs an employee under a contract of service or apprenticeship. All matters
relating to services and payment of wages are handled by them.

2. Immediate Employer

An employer who employs an employee by or through him to perform work under the supervision of a
principal employer. This includes a person who has a contract of service with an employee and temporarily
lends or lease the service of that employee to a principal employer.

• Employer’s Responsibility

Principal and immediate employers who employ one or more employees are responsible to register and pay
contributions to SOCSO.

The principal employers are also accountable to ensure the registration and payment of contributions for all
employees employed by the immediate employer.

The employer is obliged to report all work related accident that befalls their workers within 48 hours of
notification.
 Social Security Organization (SOCSO)

B. Employee

All eligible Malaysian citizens and permanent residents employees are compulsory to register.

Employee’s Eligibility

All employees who are employed under a contract of service or apprenticeship in the private sector and
contractual / temporary staff of Federal / State Government as well as Federal / State Statutory
Bodies need to be registered and insured under SOCSO. Contribution will be capped at monthly
remuneration of RM4,000.00.

Employees exempted from Employees’ Social Security Act 1969

coverage are as follows:

1.Federal and State Government permanent employees

2.Domestic servants
3.Self-employed
4.Sole proprietor or owners of partnership
5.Spouse/s of a sole proprietor or partners
6.Foreign workers
 Social Security Organization (SOCSO)

Contributions
Contributions
Employers are required to pay monthly contributions for each eligible employee according to the rate
specified under the Employees’ Social Security Act, 1969. These contributions are divided into two (2)
types, namely:

Contributions of the First Category

For employees who are less than 60 years of age, contributions payable by employers and employees
are for the Employment Injury Scheme and the Invalidity Scheme.

The rate of contribution under this category comprises 1.75% of employer’s share and 0.5% of
employees’ monthly wages according to the contribution schedule.

Note: All employees who have not reached the age of 60, must contribute under the First Category
except for those who have attained 55 years of age and have no prior contributions before they reach 55
due to non-eligibility under the Employees’ Social Security Act, 1969.

Contributions of the Second Category

The rate of contribution under this category is 1.25% of employees’ monthly wages, payable by the
employer, based on the contribution schedule. All employees who have reached the age of 60 must be
covered under this category for the Employment Injury Scheme only.
Social Security Organization (SOCSO)

Employment Injury Scheme

Benefits under The Employment Injury Scheme

 Social Security Organization (SOCSO)
NEW SCHEME UNDER SOCSO
Self-Employed Employment Injury Scheme
The Self-Employed Employment Injury Scheme for self-employed taxi drivers or individuals carrying out
similar services took effect on 13 June 2017. This social protection was accorded under the provisions
of the Self Employment Social Security Act 2017.

The duration of protection is 12 months from the date and time the contribution is paid and validated by
the payment receipt.

SELF EMPLOYED EMPLOYMENT INJURY SCHEME

SOCSO provides protection scheme for self-employed taxi drivers or individuals carrying out similar
services under the Self Employment Social Security Scheme.

This Scheme provides protection to self-employed insured persons from employment injuries including
occupational diseases and accidents during work-related activities.

This Scheme also provides cash benefits to taxi drivers and their dependants besides providing medical
care, physical rehabilitation and vocational training.

TAXI SERVICE AND SIMILAR SERVICES IN MALAYSIA

Types of taxi services
• Budget Taxi
• Executive Taxi
• Limousine
• Airport Taxi
• Rental car
• Similar services (Uber/GrabCar/E-Hailing)
 Social Security Organization (SOCSO)

NEW SCHEME UNDER SOCSO

Self-Employed Employment Injury Scheme

Benefits under the Scheme

* Medical Benefit
* Temporary Disablement Benefit
* Permanent Disablement Benefit
* Constant Attendance Allowance
* Dependants' Benefit
* Funeral Benefit
* Education Benefit
* Facilities for Physical and Vocational Rehabilitation, and Return to Work Programme (RTW)
Foreign Workers Compensation Scheme :

• Workmen’s Compensation Act 1952 amended in August 1996.

• Department of Labor.

• Section 26(2) - mandatory for every employer to insure all foreign

workers under approved scheme.

• Annual premium per foreign worker RM 72

Foreign Workers Compensation Scheme :
Foreign Workers Compensation Scheme :
Foreign Workers Compensation Scheme :
 National Institute of Occupational Safety and Health
(NIOSH)

Established in December 1992.

Objectives:

• Develop curricula and training programs.

• Assist in problem solving of OSH issues.

• Provide latest pertinent information to those responsible for OSH.

• Conduct applied research.

• Disseminate OSH information

 Ministry Of Health

• Responsible to Occupational Health of all its employees.

• Management( Investigate, treatment & medical surveillances) of
occupational diseases ,poisoning and accident including
rehabilitations.
• Promotion of Occupational health services.
• Notification of Occupational Diseases and Poisoning.
Ministry Of Health

OSH EDUCATION AND TRAINING

Certificate Level - NIOSH, MSOSH, Private agencies

Diploma - Private colleges – twinning with university

Undergraduate - medical/ biomedical science/ engineering

in University.

Post graduate -

Medical - UKM, UM, USM

Non-medical - UKM, UPM
OSH Programme In Universiti Kebangsaan Malaysia.
• Full-time programme

• MSc.Com Health ( Occ. Health).

• M Com Health( Occ.Health)
• Phd.
• DrPh

• Part-time programme.

• Postgraduate diploma in Occ. Health

• Postgraduate diploma in Industrial Safety Management.
• Master in Industrial Safety Management.
Armed Forces Health Services

Tri-service role - Army, navy and air force

Objective - Conservation of fighting strength

•Services provided to serving personnel, entitled dependents and civilians.

•Medical cover for national disasters and national and international sporting
events.

•Armed forces hospitals

•Field medical services - medical battalion- beds 50-150.

•Unit medical/health centers - 10 beds.

•Specialist medical institutes - Army, Underwater medicine and aviation

medicine
Non-governmental organizations

Society of Occupational and Environmental Medicine of (MMA)

Malaysian Society for Occupational Safety and Health (MSOSH)

Malaysian Occupational Health Nurses Association Professional societies (MONA).

Malaysian Industrial Hygiene Association (MIHA)

Occupational Health Services: Enterprise Level

Legal Provisions:

• Occupational Safety and Health Act (1994) and Regulations.

• Factories and Machinery Act (1967) and Regulations.

• Food Act 1983

• Atomic Energy Licensing Act (1984)

• And others
Mechanism How To Implement OHs
• Responsibility
• Employer
• Provides financial and human resources

• Method providing OHs

• Utilizing in-house and/or external resources

• Factors to consider
• Nature of operation
• No of employees
• Duration of its operations
Functions of Occupational Health Services

• Management of workplace health risk

• Management of workers’ health
• Participating in emergency response and disaster
management.
• Provision of clinical services
• Record keeping.
Management of workplace occupational health risk

• Identification and assessment of workplace hazards.

• Recommendations of occupational health control at workplace.

• Risk communication
Management Of Worker’s Health
• Pre-employment medical examination
• Pre-placement medical examination
• Health surveillance
• Medical removal
• Rehabilitation
• Return to work
• Follow-up of vulnerable groups
• Investigation of occupational
poisoning or occupational disease
• Health promotion
• Post-employment medical
examination
Participating in emergency response and disaster
management.
• Training in first aid
• Arrangement for handling any form of
emergency e,g fire, explosion, leak , spill etc.
Occupational Health Practitioners
• Occupational Health Doctor (OHD).
• Occupational Health Nurse (OHN)
• Occupational Hygienist
• Hygiene Technician
• Ergonomist
• Safety and Health Officer (SHO)
Occupational Health Doctor and Occupational
Health Nurse Requirement.

• OHN requirement.
Full-time OHN if no of workers 50 and above.

• OHD requirement.
Part-time OHD if no. of workers : 50-1000.
Full-time OHD if no of workers 1000 and above
Occupational Health activities and Services
Worker exposed to Chemical:
• Chemical Health Risk Assessment- Competent Assessor –NIOSH/DOSH
• Exposure monitoring.-Competent person –NIOSH-DOSH-
Accredited Laboratory
• Biological monitoring-Doctor-/ toxicologist- MOH- Lab.
• Medical surveillance-–OHD –NIOSH/Uni/-
• Treatment –Doctors, OHD- Uni/MOH
• Rehabilitation.-Physiotherapist- MOH/ Private
• Return to work.- Occupational therapist-MOH/private
• Compensation .-Doctor-Medical Board-MOH-SOCSO
• Training .NIOSH-Universities- Private Agencies
• Notifications- OHD, MOH doctors-Employers DOSH.
• Enforcement of law -DOSH
THANK YOU