Hi all,

The periodical medical examination is one of the most important activities of occupational health services after the employee joins the organization, and utmost importance must be given to this key activity.

It serves many purposes;
1. For early detection of occupational diseases and deviation in the general health of employees.
2. To find out the prevalence and incidence of occupational diseases
3. Trend analysis of health reports helps in identifying the cause of occupational diseases, thereby helping to frame recommendations to initiate preventive measures. Prevention may be at primary secondary or tertiary level.
4. The occupational health physician gets a chance to meet each and every employee in the organization. This meeting can be used for imparting health education, and creating awareness about occupational diseases and their prevention at the individual level.
5. To measure the outcome of implemented programmes to protect and promote employee health.
6. As a part of complying with statutory requirement as per Karnataka factory rules 1969 88-L and Indian factories act 1948 41-C

Choosing tests, frequency and employee group
1. Hazardous substances and processes must be identified and studied in detail before selecting investigations to be done for the employees.
2. The identified tests must be conducted for all the employees in the organization irrespective of their exposure to risk. This will help in deciding whether the identified risk is causing occupational diseases or an occupational disease is caused by specific risk in doubt. If it is not possible to conduct all the tests for all employees in the organization, a fair number of control group must be used.
3. The periodical medical examination is to be conducted once in six months for employees working in hazardous factories and once in a year in case of non-hazardous factories as per Karnataka factory’s rules 1969 88-L. Hazardous factories are defined in schedule 2 of Indian factories act 1948. Examinations may have to be conducted at more frequent intervals if the occupational health physician deems it necessary.

Thus obtained, medical data is put into the analysis to find out the health status of employees and for framing recommendations to prevent occupational diseases if any.

sir,thanks a lot.Can u pls provide with proforma for periodical medical tests,thanks in advance.

newbieAFIH wrote: 08 May 2019, 11:56 sir,thanks a lot.Can u pls provide with proforma for periodical medical tests,thanks in advance.

Hi Sir, Please find the attached proforma. Thanks for writing.

Thank you sir.You are of great help.

Plan your periodical health examinations in industries as per the hazards present

Following are the common Hazards in Manufacturing Sector/Factory Premise.

Noise - Many facilities have too much noise at work that can result in hearing damage or permanent noise/hearing impairment. In order to protect employees against this.

Test Suggested - Audio sensitivity test/ Audiometry test

Frequency –Yearly for all employees, half-yearly for employees working in noisy environments.

Dust – Dust broadly consists of all types of particles that are easily carried in the air. Many kinds of dust are harmful to health if proper measures are not taken.

Test Suggested – Pulmonary Function Test (PFT), Liver Function tests,

Frequency Hazardous Process – Yearly for all employees, half-yearly for employees working in a heavy dust environment.

Hazardous Process - Skin damage can be caused as a result of cuts or contact with irritating substances.

Test Suggested – For employees working with hazardous substance Lab tests to ascertain levels or skin prick tests, For others Skin examination by Physician.

Frequency Welding – Yearly for all employees, half-yearly for employees exposed to hazardous processes or substances.

Welding - During welding fumes are released. Inhaling these fumes is bad for health. During electric welding, there is a chance of exposure to UV radiation. This can be harmful to eyes and skin.

Test Suggested – PFT, TSH & Eye test.

Frequency Temperature- Yearly for all employees or as suggested by Physicians.

Temperature - Working at high temperatures or with hot products may lead to reduced performance or damage to health.

Test Suggested – Skin Examination along with ECG.

Frequency- Yearly for all employees.

Working with sharp objects- When working with sharp objects, materials and/or tools it might be necessary to protect hands and sometimes wrists and forearms.

Test Suggested – TT injection.

Frequency - Yearly for all employees.

Working at heights- One of the most occurring causes of an occupational accident is a fall from a great height. At a workplace where there is a risk of falling 2,5 meters or more, fall danger most certainly exists. This means a higher risk which could even result in fatalities.

Test Suggested- Blood Sugar levels, Complete Blood Profile, Eye test, Blood Pressure & ECG.

Frequency- Half Yearly.