CHNG TRNH O TO

CHUYN VIN QUN L AN TON, SC KHE, MI TRNG

(SHE)

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 NI DUNG

1. Tng quan v gii thiu HSE

2. H thng qun l HSE v H tr qun l
3. Cam kt v thc hnh HSE
4. y ban HSE
5. Mi trng lm vic v Gim st ch tiu mi trng
6. Kim tra sc khe/Sc khe ngh nghip
7. Qun l an ton ti ni lm vic
8. Truyn thng An ton
9. Xem xt Lut v nh gi s tun th
10. Xy dng k hoch qun l HSE
11. Gii thiu HTQLMT theo ISO 14001 v qun l SKATNN theo OHSAS 18001
12. Tng kt kha o to

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1. MC TIU CA KHO HC

Sau khi hon thnh xong kho hc, hc vin c th:

Nm bt cc yu cu ca HSE

Hiu r trch nhim ca chuyn vin SHE

Hiu r m hnh v qun l SHE ca t chc

Nm bt cc yu cu lut nh v SHE

Hiu r cc yu cu ca tiu chun ISO 14001 v OHSAS 18001

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 NI DUNG

6. Kim tra sc khe/Sc khe ngh nghip

6.1 Khm sc khe tuyn dng
6.2 Khm sc khe nh k
6.3 Khm sc khe ngh nghip

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 KIM TRA SC KHE NH K, KHM BNH NGH NGHIP

T chc phi:

Khm sc khe nh k, khm bnh ngh nghip (nu c) cho ngi lao ng.

Qun l h s v sinh lao ng, sc khe v bnh tt ngi lao ng, h s c nhn bnh ngh
nghip,h s cp cu tai nn lao ng, theo di sc khe v din bin bnh ngh nghip ca
ngi lao ng;

Hon chnh th tc gim nh sc khe, bi thng, tr cp i vi ngi lao ng b bnh ngh

nghip, tai nn lao ng;

Thanh ton cc chi ph lp h s v sinh lao ng, o, kim tra mi trng lao ng, khm sc
khe nh k, khm, iu tr bnh ngh nghip v cp cu iu tr tai nn lao ng cho ngi lao
ng theo quy nh ca php lut.
Trch TT19/2011 BYT

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6.1 KHM SC KHE TUYN DNG

1. Qun l sc khe tuyn dng:

a) Khm, phn loi sc khe trc khi tuyn dng theo hng dn ti Ph lc s 2 ca Thng t
s 13/2007/TT-BYT ngy 21/11/2007 ca B Y t v hng dn khm sc khe v b tr cng vic
ph hp vi sc khe ngi lao ng;

b) Lp h s qun l sc khe tuyn dng ca ngi lao ng theo Biu mu s 1 ca Ph lc s 3

ban hnh km theo Thng t ny

Ngy, thng, S c khm tuyn Tng cng Phn loi sc khe

nm
I II III IV V

Nam:
N:

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6.2 KHM SC KHE NH K

a) Khm sc khe nh k hng nm cho ngi lao ng, k c ngi hc ngh, thc tp ngh. Khm
sc khe nh k 6 thng 1 ln cho i tng lm ngh, cng vic nng nhc, c hi, nguy him v
c bit nng nhc, c hi, nguy him theo quy nh ca B trng B Lao ng - Thng binh v
X hi;

b) Quy trnh khm sc khe nh k v vic ghi chp trong S khm sc khe nh k thc hin theo
quy nh ti Ph lc s 3 ca Thng t s 13/2007/TT-BYT ngy 21/11/2007 ca B Y t v hng
dn khm sc khe;

c) Qun l v thng k tnh hnh bnh tt ca ngi lao ng hng qu theo Biu mu s 2 v s 3
ca Ph lc s 3 ban hnh km theo Thng t ny;

d) Lp h s qun l sc khe ca ngi lao ng theo Biu mu s 4, 5 v 6 ca Ph lc s 3 ban

hnh km theo Thng t ny

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6.2 KHM SC KHE NH K

c) Qun l v thng k tnh hnh bnh tt ca ngi lao ng hng qu theo Biu mu s 2 v s 3
ca Ph lc s 3 TT19/2011 BYT

1. S lt ngi ngh m trong qu:

2. Tng s ngy ngh m trong qu:
3. Phn loi bnh nhng bnh n khm trong qu:
3.1. Tng s trng hp n khm trong qu:
3.2. Trong mc tng loi bnh nh sau

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6.2 KHM SC KHE NH K
Biu mu 2: TNH HNH BNH TT TRONG QU
TT Nhm bnh Qu I Qu II Qu III Qu IV
Mc Cht Mc Cht Mc Cht Mc Cht
1 Lao phi
2 Ung th phi
3 Vim xoang, mi hng, thanh qun cp

4 Vim xoang, mi hng, thanh qun mn

5 Vim ph qun cp
6 Vim ph qun mn
7 Vim phi
8 Hen ph qun, gin ph qun, d ng

9 a chy, vim d dy, rut do NT

-

26 S lao ng b tai nn
Tng cng

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6.2 KHM SC KHE NH K
Biu mu 3: TNH HNH M, NGH VIC V BNH NGH NGHIP

Thi gian m Tai nn lao ng Bnh ngh nghip

S S S S S T l S T l
Thng T l T l % T l T l %
Qu ngi ngy ngi ngy ngi % ngy %
(1) % (3) (5) % (7) (9)
(2) (4) (6) (8) (10) (11) (12) (13)
1
Q.I 2
3
4
Q.II 5
6
7
Q.III 8
9
10
Q.IV 11
12
Cng c
nm

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6.2 KHM SC KHE NH K
d) Lp h s qun l sc khe ca ngi lao ng theo Biu mu s 4, 5 v 6 ca Ph lc s 3 /TT
19/2011 BYT

Ngy, thng, S khm SKK Tng cng Phn loi sc khe

nm I II III IV V
Nam:
N:

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6.2 KHM SC KHE NH K
d) Lp h s qun l sc khe ca ngi lao ng theo Biu mu s 4, 5 v 6 ca Ph lc s 3 /TT
19/2011 BYT

Phn xng, khu vc Tn bnh nhn Tn bnh Tnh trng Phng php iu tr

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6.2 KHM SC KHE NH K
d) Lp h s qun l sc khe ca ngi lao ng theo Biu mu s 4, 5 v 6 ca Ph lc s 3 /TT
19/2011 BYT
Tn bnh*:

Phn xng, khu vc Tn bnh nhn Tui, gii Tui ngh Tnh trng Phng php
iu tr

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6.3 KHM BNH NGH NGHIP

a) Khm pht hin bnh ngh nghip i vi ngi lao ng lm vic trong iu kin c nguy c mc
bnh ngh nghip;

b) Khm pht hin v nh k theo di bnh ngh nghip: Thc hin theo quy trnh v th tc hng
dn ti Ph lc s 1, 2 v 3 ca Thng t s 12/2006/TT-BYT ngy 10/11/2006 ca B Y t v hng
dn khm bnh ngh nghip;

c) Lp v lu gi h s qun l bnh ngh nghip theo Biu mu s 7, 8 ca Ph lc s 3 v Ph lc

s 4 ban hnh km theo TT19/2011 BYT ; v lu tr cho n khi ngi lao ng thi vic, ngh hu
hoc khi chuyn n c s lao ng khc.

d) Cc trng hp mc bnh ngh nghip, tai nn lao ng c gim nh y khoa xc nh mc

suy gim kh nng lao ng theo quy nh hin hnh

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6.3 KHM BNH NGH NGHIP

Biu mu 7: THEO DI BNH NGH NGHIP

Ngy, thng, Tn bnh Tng s khm S nghi ng S c chn S c gim S c cp
nm on nh s
1 2 3 4 5 6 7

Biu mu 8: DANH SCH CNG NHN MC BNH NGH NGHIP

TT Tn bnh nhn Tui Ngh khi Tui Ngy pht Tn T l mt Cng vic
b BNN ngh hin BNN BNN KNL hin nay

1.
2.
3.

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6.3 KHM BNH NGH NGHIP

Bc 1: nh gi Bc 2: Lp danh Bc 4: Xc nh
Bc 5: La chn Bc 6: T chc
tip xc vi cc yu sch i tng tip thi gian v ni dung Bc 7: Lu h s
n v khm khm
t xc vi cc yu t khm
Lit k cc yu t Phn nh nhm i Xc nh thi gian La chn n v La chn a im H s khm BNN
nguy hi trong mi tng v ni dung khm iu kin v giy khm thch hp ti c lu gi theo
trng lao ng Phn nh tn sut pht hin php khm bnh cng ty hoc ti thi gian lm vic
Kim tra kt qu o tip xc Xc nh thi gian ngh nghip trung tm y t c ca ngi lao ng
c mi trng v ni dung khm chc nng ti doanh nghip
k

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6.3 KHM BNH NGH NGHIP

DANH MC BNH NGH NGHIP

Nhm I : CC BNH BI PHI V PH QUN

1.1. Bnh bi phi-Silic ngh nghip

1.2. Bnh bi phi Atbet (Aming)

1.3. Bnh bi phi bng

1.4. Bnh vim ph qun mn tnh ngh nghip

( Theo TTLT 08/1998/TTLT-BYT-BLTBXH )

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6.3 KHM BNH NGH NGHIP

Nhm II: CC BNH NHIM C NGH NGHIP

2.1. Bnh nhim c ch v cc hp cht ch

2.2. Bnh nhim c benzen v cc hp cht ng ng ca benzen

2.3. Bnh nhim c thu ngn v cc hp cht ca thu ngn

2.4. Bnh nhim c mangan v cc hp cht ca mangan

2.5. Bnh nhim c TNT (trinitro toluen)

2.6. Bnh nhim c asen v cc cht asen ngh nghip

2.7. Nhim c cht Nicotin ngh nghip

2.8. Bnh nhim c ho cht tr su ngh nghip

( Theo TTLT 08/1998/TTLT-BYT-BLTBXH)

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6.3 KHM BNH NGH NGHIP

Nhm III: CC BNH NGH NGHIP DO YU T VT L

3.1. Bnh do quang tuyn X v cc cht phng x

3.2. Bnh ic do ting n

3.3. Bnh rung chuyn ngh nghip

3.4. Bnh gim p mn tnh ngh nghip

( Theo TTLT 08/1998/TTLT-BYT-BLTBXH)

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6.3 KHM BNH NGH NGHIP

Quyt nh s 27/2006/Q-BYT ngy 21/9/2006

1). Bnh hen ph qun ngh nghip

2). Nhim c cacbonmonoxit ngh nghip

3). Bnh nt du ngh nghip

4). Bnh vim lot da, vim mng v xung quanh mng ngh nghip

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6.3 KHM BNH NGH NGHIP

Thng t s 42/2011/TT-BYT ngy 30/11/2011

1). Bnh nhim c Cadimi ngh nghip

2). Bnh ngh nghip do rung ton thn

3). Nhim HIV do tai nn ri ro ngh nghip

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6.3 KHM BNH NGH NGHIP

Nhm IV: CC BNH DA NGH NGHIP

4.1. Bnh sm da ngh nghip
4.2. Bnh lot da, lot vch ngn mi, vim da, chm tip xc
Nhm V: CC BNH NHIM KHUN NGH NGHIP

5.1. Bnh lao ngh nghip

5.2. Bnh vim gan virut ngh nghip
5.3. Bnh do xon khun Leptospira ngh nghip

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