2 YEARLY MEDICAL EXAMINATION

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2 YEARLY MEDICAL EXAMINATION IMPORTANCE OF
MEDICAL EXAMINATIONbyDr. MohiedeenBakinson
MCO/1(CSM/3)
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Occupational Health

• HEALTH- Is the state of complete well being, not
  only the absence of disease but a state of
  optimum physical, mental and social well being.
• Occupational Health concerns the protection and
  promotion of the health of all persons at work
  including staff and contractors.

Your health is your greatest asset
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Importance of Occupational Health

• Ethical reasons
• Employees health status influences his/her
  ability to perform the tasks for which he/she
  has been employed to do
• Legal requirements
• Epidemiological reasons
• Research reasons
• Reputation

Your health is your greatest asset
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OCCUPATIONAL HEALTH Minimum Health Management
Standards (MHMS)
Your health is your greatest asset
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MHMS 6 - Fitness to Work The MHMS for Fitness to
Work requires that Minimum fitness for duty
standards are to be established and applied for
specific work and working conditions where there
are critical occupational health or safety
requirements. Appropriate health-related
policies are to be in place encompassing, as a
minimum, the use of alcohol and drugs
Your health is your greatest asset
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This is achieved when The location or business
has identified all worker groups whose specific
work or working conditions require a minimum
fitness for duty standard. A minimum fitness for
duty standard has been defined for each of these
groups. There is a system in place which allows
managers to appropriately identify employees in
these groups and review their status regarding
the minimum fitness for duty standard. There is
an alcohol and drug abuse policy in place which
meets local legislation and the Drug and Alcohol
Abuse Employment Guidelines. Reference OGP
6.55/251 Fitness to Work in the EP
Industry Shell HR Red Guide Drugs and Alcohol
Abuse Employment Guidelines (Dec 1993)
SP 1230 HSE SPECIFICATION - Medical Examination
Treatment Facilities
Your health is your greatest asset
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What is a Medical Examination?
2 Yearly Medical Examination

• A "medical examination" is a procedure or test
  usually given by a health care professional or in
  a medical setting that seeks information about an
  individual's physical or mental impairments or
  health.
• Your health is your greatest
  asset

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What is a Medical Examination?
2 Yearly Medical Examination

• Medical examinations may include vision tests
  blood, urine, and breath analyses blood pressure
  screening and cholesterol testing and diagnostic
  procedures, such as x-rays, CAT scans, and MRIs.
• Your health is your greatest asset

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What Medical Examinations
2 Yearly Medical Examination

• History
• Preliminary Checks urine examination
• Physical Examination
• Blood Test
• FBC, LFT, RFT, CE, HDL, LIP, Blood Sugar
• Others
• ECG, Audiogram, Chest X-ray, EEG, MRI
• Specialised Tests
• Review
• FEED BACK INPUT INTO IMIS CODE 5
• Your health is your greatest
  asset

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Different Types of Medical Examinations
2 Yearly Medical Examination

• Pre-Employment medical examination
• Pre-Placement medical examination
• 2 Yearly Medical Examination
• Pre-Overseas medical examination
• Housing Loan medical examination
• Final Departure medical examination
• Pre-Retirement medical examination
• Risk Based medical examination
• Your health is your greatest asset

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Risk-Based Medical Examinations Implementation
Strategy
2 Yearly Medical Examination

• What is Risk based medical examination
• This is when minimum fitness for duty standards
  have been established and applied for specific
  work and working conditions where there are
  critical occupational health or safety
  requirements.
• Examples - Firemen
• - People exposed to high noise levels
• - Every other staff must also be fit to do
  work 2-yearly medical.????
• Your health is your
  greatest asset

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Why Risk-Based Medical Examinations
Implementation Strategy
2 Yearly Medical Examination

• Implementation of a risk-based approach
• Better utilisation of limited resource
• Ensure fitness of employees for assigned duties
• Aligns with Group MHMS
• Integrated with HSE-MS (SP-1230)
• Clarifies requirements for PDO Contractors
• Better defines responsibility for initiation of
  exam process
• Consistent with Wellness Campaign concepts
  promoting both company and individual
  responsibility for employee health
• Your health is your greatest asset

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Medical Examination Requirements
Associated Generic HRA
Exam Requirements
Exam Frequency (minimum)
Job Classification
Routine medicalStress test, Lung function
/FIREMAN2.DOC
Biennial
Fireman
/LVDRIVER INTERIOR.DOC
Routine medicalVision check
Biennial
Driver
/DIVER.DOC
Routine medicalLung function
Biennial
Diver
/PAINTQA2.DOC
Routine medicalLung Function
Biennial
Painters
/PCLMAF2.DOC/PALXPM2.DOC
Routine medicalBlood test, Liver function
Biennial
Laboratory Staff
/RADBEB2.DOC
Routine medicalBlood testUrine microscopy
Biennial
X-ray TechRadiation Workers
/COOK2.DOC/WAITER2.DOC
Routine medicalStool
Annual
Food Handlers
Routine medical Assess ability to
perform strenuous tasks Audiometry
/ROUSTA1.DOC
Biennial
Rig Hoist Staff
Routine medicalAudiometry
/AIR LAND PASSENGER TRANSPORT
Biennial
Air Operations Staff
Routine medicalLung FunctionEye examinations
/WELDBH2.DOC
Biennial
Welders
n/a
Routine medical Vision check, Blood test Liver
Function, Kidney Function, Cardiac Function
Biennial or as recommended by physician
Individuals at Health Risk (Diabetic,
Hypertensive, Obese)
n/a
Routine medical
Biennial
All other interior based staff
n/a
Routine medical Routine medical ECG
Every 2 yearsBiennial
All others not defined above lt40 yrs old
gt40 yrs old
Your health is your greatest asset
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2 Yearly Medical Examination

• Risk-Based Medical Examinations Implementation
  Strategy
• Immediate Implementation
• Incorporate into leave approval process
• Is the requestor up-to-date with his/her medical
  exam?
• Pilot implementation - in CSM
• Phase 2 Implementation
• Investigate uploading of data from IMIS to SAP
• Date of most recent medical exam will be uploaded
  to the SAP employee leave request form
• For Contractors - enforcement by CH through
  audits and inclusion in HSE Plans/Targets

Your health is your greatest asset
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2 Yearly Medical Examination

• Risk-Based Medical Examinations Implementation
  Strategy
• IMIS to SAP
• Doctors to update the IMIS database - action MCC
• Daily interface required between IMIS and
  SaPpHire to update changes in last medical exam
  date - action HRD/MCC
• Workflow for employee leave to be amended to read
  the last date of medical exam and advise
  employees and supervisors - action HRD

Your health is your greatest asset
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MEDICAL EXAMINATION PROCESS
Your health is your greatest asset
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Last Line..
Your health is your greatest asset
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2 Yearly Medical Examination
Medical Examination IS NOT About getting you
retired prematurely or Attempt to get you off
work! It is about keeping you FIT to do the job
you have been employed to do!! What about your 2
yearly medicals? Is your Medical Licence
Current? Your health is your greatest asset
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Your Greatest Asset
We squander health in search of wealth. We scheme
and strife and save and We squander wealth in
search of health and all we have is the
grave. We live and boast of what we own but when
We die we own only a stone, Your health is your
greatest asset, so make it last!