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page  OCCUPATIONAL HEALTH SURVEILLANCE  GOOD HEALTH IS GOOD BUSINESS Pakistan Petroleum Limited
OVER VIEW ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CONTROLLING HEALTH RISKS AT WORK ,[object Object],[object Object]
HEALTH HAZARDS  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SAFETY HAZARDS ,[object Object],[object Object],[object Object]
LIFTING ,[object Object]
HERNIA
LIFTING
UPPER LIMB DISORDERS
WHO AND OCCUPATIONAL HEALTH ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ILO STATISTICS  OCCUPATIONAL HEALTH AND SAFETY
ILO OCCUPATIONAL HEALTH AND  SAFETY COVENTION C155 (1981) ,[object Object],[object Object],[object Object],[object Object]
ILO OCCUPATIONAL HEALTH SERVICES  CONVENTION (C.161) 1985 ,[object Object],[object Object],[object Object]
LAGISLATION REGARDING  OCCUPATIONAL HEALTH  AND SAFETY  IN PAKISTAN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BENEFITS OF OCCUPATIONAL HEALTH PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OBJECTIVE  OF OCCUPATIONAL HEALTH SURVEILLANCE PROGRAM ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SCOPE OF OCCUPATIONAL HEALTH PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEALTH RISK ASSESSMENT (HRA) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Danger
OCCUPATIONAL HEALTH SURVEILLANCE PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OCCUPATIONAL HEALTH SURVEILLANCE  PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],S.No. HAZARD CATEGORY ASSOCIATED HAZARDS 1 Geographical / Location Temperature & climate Humidity & air quality Potential for catastrophes etc 2 Biological Wildlife Epidemic disease Hygiene Occupational illness (due to virus, bacteria, fungi etc) 3 Physical Noise Vibration Ergonomic Pressure Radiation (Ionizing / Non ionizing) etc 4 Chemical  Toxic chemical Dust, mist & fumes Acid, alkalis, carcinogens etc 5 Psychological Stress factors Smoking etc
OCCUPATIONAL HEALTH SURVEILLANCE  PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
HEALTH RISK ASSESSMENT MATRIX
SETTING PRIORITIES ,[object Object],Risk Risk Rating 20-25 Intolerable / Very High (VH) 12 - 16 High (H) 8-10 Medium (M) < 8 Low (L)
HEALTH RISK ASSESSMENT MATRIX Severity Likelihood / Probability (P) Rating Consequence Very Unlikely (Could happen but probably will not) Unlikely (Could happen but very rarely) Often Likely (Could happen at some time) Likely (Could happen once in a year) Extremely likely (Could happen at any time) 1 2 3 4 5 1 No health effect Low 2 Minor / slight  health effect Medium 3 Major health effect 4 Single fatalities High 5 Multiple fatalities Very High
HEALTH RISK ASSESSMENT MATRIX Severity Likelihood / Probability (P) Rating Consequence Very Unlikely (Could happen but probably will not) Unlikely (Could happen but very rarely) Often Likely (Could happen at some time) Likely (Could happen once in a year) Extremely likely (Could happen at any time) 1 2 3 4 5 1 No health effect No Immediate Action Required 2 Minor / slight  health effect Third Priority 3 Major health effect 4 Single fatalities Second Priority 5 Multiple fatalities First Priority
OCCUPATIONAL HEALTH SURVEILLANCE  PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PRIORITOIES TO CONTROL HAZARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PRIORITOIES TO CONTROL HAZARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PRIORITOIES TO CONTROL HAZARDS ,[object Object],[object Object],[object Object],[object Object]
HIERARCHY OF CONTROLS
NOISE REDUCING CONTROLS Re-design or maintain Acoustic Guard Absorb or Shield Enclose the person Shadow Noise
OCCUPATIONAL HEALTH SURVIELLANCE  PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OCCUPATIONAL HEALTH SURVEILLANCE  PROGRAMME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PRE -EMPLOYEMENT HEALTH SCREENING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
PREIODIC HEALTH SURVEILLIENCE ,[object Object],[object Object],[object Object],[object Object],[object Object]
OCCUPATIONAL HEALTH SURVEILLANCE PROGRAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening  Vaccination 1 Production  / Maintenance Technicians  Noise level above 85 for 8 - hrs a day Hearing loss Color blindness Audiometric Test -- Annual Color Blindness (Only for electrical technicians) --- Initially / Upon entry 2 Vehicle Drivers Driving for company business Vision & hearing loss Eye Test -- Annual Audiometric Test -- Initially /  Upon entry Color Blindness --- Initially / Upon entry 3 Fork Lift / Crane Operators Loading / unloading driving Vision & hearing loss Eye Test -- Annual Audiometric Test -- 2 - Yearly Color Blindness --- Initially / Upon entry
S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening  Vaccination 4 SF Hospital’s Staff Infectious agents in blood and other body fluids, while handling the patients.  Transmission of contagious diseases from patients - Hepatitis B Complete Course - Tetanus 5 Yearly 5 Canteen Staff Preparation of food for PPL Staff Transmission of contagious diseases e.g. Typhoid, Hepatitis A and parasitic infections. X Ray, SGPT and Stool D / R ---- Upon entry ---- Hepatitis  A Upon entry ----- Typhoid Upon entry Medical Review by Company Doctor / CMA based on medical screening results of SGPT and Stool D / R ---- Annually 6 Janitorial Staff Exposure to effluent & hazardous wastes Susceptible to diseases like Typhoid, Hepatitis etc  --- Hepatitis B Complete Course --- Tetanus 5 - Yearly
S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening  Vaccination 7 Janitorial Staff Exposure to effluent & hazardous wastes Susceptible to diseases like Typhoid, Hepatitis etc  --- Tetanus 5 - Yearly 8 Radiology Lab Staff Radiation CBC Urine Chest X-Ray --- Annually 9 Firemen Use of breathing apparatus in Smokey conditions of fire. Emergency Sirens of high pitch during emergency. Susceptible to cardio-respiratory distress and syncope.  Vision & hearing  Medical fit test for use of Breathing Apparatus as per checklist provided in HSE SOP on PPE --- Annually Vision --- Annual for Staff above 45 yrs. Two yearly for Staff below 45 yrs. Audiometric --- Two yearly for all Staff
EXECUTION OF HEALTH SURVEILLANCE PROGRAM
HEALTH SURVEILLANCE OF CONTRACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEALTH SURVEILLANCE OF CONTRACTORS ,[object Object],[object Object],[object Object],[object Object]
DISEASE STATISTICS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],FIRST AID
[object Object],[object Object],[object Object],[object Object],FIRST AID BOXES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],FIRST AID TEAM
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],AMBULANCE
BLOOD BORNE PATHOGENS & HEALTH HAZARDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
FATIGUE MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
KITCHEN HYGIENE & DINNING ,[object Object],[object Object]
PERSONAL HYGIENE  ,[object Object],[object Object],[object Object],[object Object]
FOOD MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WATER QUALITY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],USE OF DRUGS & ALCOHOL
HOUSE KEEPING  ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESPONSIBILITIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESPONSIBILITIES ,[object Object],[object Object],[object Object],[object Object]
RESPONSIBILITIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RESPONSIBILITIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ATTACHMENTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OCCUPATIONAL HEALTH SURVEILLANCE  PROGRAMME Safe and Healthy return from Workplace to Home
OCCUPATIONAL HEALTH SURVIELLANCE  PROGRAMME We must be the change we wish to see in the world
OCCUPATIONAL HEALTH SURVIELLANCE  PROGRAMME ,[object Object]

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Occupational Health Surveillance

  • 1. page OCCUPATIONAL HEALTH SURVEILLANCE GOOD HEALTH IS GOOD BUSINESS Pakistan Petroleum Limited
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  • 26. HEALTH RISK ASSESSMENT MATRIX Severity Likelihood / Probability (P) Rating Consequence Very Unlikely (Could happen but probably will not) Unlikely (Could happen but very rarely) Often Likely (Could happen at some time) Likely (Could happen once in a year) Extremely likely (Could happen at any time) 1 2 3 4 5 1 No health effect Low 2 Minor / slight health effect Medium 3 Major health effect 4 Single fatalities High 5 Multiple fatalities Very High
  • 27. HEALTH RISK ASSESSMENT MATRIX Severity Likelihood / Probability (P) Rating Consequence Very Unlikely (Could happen but probably will not) Unlikely (Could happen but very rarely) Often Likely (Could happen at some time) Likely (Could happen once in a year) Extremely likely (Could happen at any time) 1 2 3 4 5 1 No health effect No Immediate Action Required 2 Minor / slight health effect Third Priority 3 Major health effect 4 Single fatalities Second Priority 5 Multiple fatalities First Priority
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  • 33. NOISE REDUCING CONTROLS Re-design or maintain Acoustic Guard Absorb or Shield Enclose the person Shadow Noise
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  • 37.
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  • 40. S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening Vaccination 1 Production / Maintenance Technicians Noise level above 85 for 8 - hrs a day Hearing loss Color blindness Audiometric Test -- Annual Color Blindness (Only for electrical technicians) --- Initially / Upon entry 2 Vehicle Drivers Driving for company business Vision & hearing loss Eye Test -- Annual Audiometric Test -- Initially / Upon entry Color Blindness --- Initially / Upon entry 3 Fork Lift / Crane Operators Loading / unloading driving Vision & hearing loss Eye Test -- Annual Audiometric Test -- 2 - Yearly Color Blindness --- Initially / Upon entry
  • 41. S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening Vaccination 4 SF Hospital’s Staff Infectious agents in blood and other body fluids, while handling the patients. Transmission of contagious diseases from patients - Hepatitis B Complete Course - Tetanus 5 Yearly 5 Canteen Staff Preparation of food for PPL Staff Transmission of contagious diseases e.g. Typhoid, Hepatitis A and parasitic infections. X Ray, SGPT and Stool D / R ---- Upon entry ---- Hepatitis A Upon entry ----- Typhoid Upon entry Medical Review by Company Doctor / CMA based on medical screening results of SGPT and Stool D / R ---- Annually 6 Janitorial Staff Exposure to effluent & hazardous wastes Susceptible to diseases like Typhoid, Hepatitis etc --- Hepatitis B Complete Course --- Tetanus 5 - Yearly
  • 42. S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening Vaccination 7 Janitorial Staff Exposure to effluent & hazardous wastes Susceptible to diseases like Typhoid, Hepatitis etc --- Tetanus 5 - Yearly 8 Radiology Lab Staff Radiation CBC Urine Chest X-Ray --- Annually 9 Firemen Use of breathing apparatus in Smokey conditions of fire. Emergency Sirens of high pitch during emergency. Susceptible to cardio-respiratory distress and syncope. Vision & hearing Medical fit test for use of Breathing Apparatus as per checklist provided in HSE SOP on PPE --- Annually Vision --- Annual for Staff above 45 yrs. Two yearly for Staff below 45 yrs. Audiometric --- Two yearly for all Staff
  • 43. EXECUTION OF HEALTH SURVEILLANCE PROGRAM
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  • 65. OCCUPATIONAL HEALTH SURVEILLANCE PROGRAMME Safe and Healthy return from Workplace to Home
  • 66. OCCUPATIONAL HEALTH SURVIELLANCE PROGRAMME We must be the change we wish to see in the world
  • 67.