Regulation Class Document Class

Procedure Main Document

Regulation Title

Curative Health Care

Topic
Standard and industry best practice for curative health care

Objective
To regulate the organization and execution of curative medical services within the OMV group.

Target Group
Operative medical service providers within OMV Group, HSSE Managers

Scope of Effectiveness
OMV Aktiengesellschaft and all companies which are fully consolidated. In companies not fully consolidated,
where OMV Aktiengesellschaft has a controlling interest. All stock corporations are excluded with the result that
these regulations have to be separately enforced in these entities.

Responsible for Content: GTR-H Günther Niemeck

Org. Unit First- Last Name Signature Date

Regulation Approver 1: GTR-H Susanne Schunder-Tatzber

Org. Unit First- Last Name Signature Date

Regulation Approver 2: GT-R Andreas Scheed

Org. Unit First- Last Name Signature Date

As approved by the Executive Board of: not applicable

Date

Effective as of: 15.01.2013

Date

In the interests of simplicity and readability, the language of this statement is gender neutral to the extent possible. Where
applicable, the masculine includes the feminine. Print-out is only valid on the date printed. Check for the latest version in the
Regulations Platform. In case of conflict, the document in its Master Language must be applied.

HSSE-P-020 Master Language: English

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Version: 2.0
 Index of content
1. Introduction & Intended Purpose of Regulation .............................................................. 3
2. Content of Regulation ......................................................................................................... 3
2.1. Basic philosophy ........................................................................................................3
2.2. General Aspects .........................................................................................................3
2.2.1. Scope .................................................................................................................3
2.2.2. Extent of medical services ...............................................................................3
2.2.3. General Responsibilities ..................................................................................4
2.3. Medical Aspects .........................................................................................................4
2.3.1. Methods of diagnosis and treatments ...........................................................4
2.3.2. Preparedness for emergencies .......................................................................4
2.3.3. Referrals ............................................................................................................4
2.3.4. Procurement and storage of medical products ............................................4
2.3.5. (Medical) waste.................................................................................................5
2.3.6. Documentation and Information ....................................................................5
3. Internal Reference Links ..................................................................................................... 5
4. External Reference Links .................................................................................................... 5
5. Obsolete Regulations .......................................................................................................... 5
6. Certification Standards ....................................................................................................... 5
7. Terms & Abbreviations ....................................................................................................... 5
8. Keywords / Search Criteria ................................................................................................. 6
9. Annexes ................................................................................................................................ 6
10. Amendments from Previous Versions ......................................................................... 6

HSSE-P-020 Master Language: English

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Version: 2.0
1. Introduction & Intended Purpose of Regulation

The purpose of this Corporate Work Procedure is to give industry best-practice instructions and
requirements for curative health care offered within the OMV Group.

2. Content of Regulation

2.1. Basic philosophy

According to the Corporate HSSE Standards Health Management (HSSE-S-012) and

Operational Health (HSSE-S-011) a curative health service shall be implemented at the
worksites.
The main aim of this service is to recognize and cure health disturbances in an early stage by
providing effective diagnostic and therapeutic measures and thus to improve employee’s
health.

2.2. General Aspects

2.2.1. Scope
All employees of OMV Group shall have access to curative health care facilities either
within OMV Group facilities or
At clinics/health care institutions, which have contracts with OMV Group.
The decision, if this service is extended to relatives or contractors as well, which might be
extremely useful in remote areas, is in the responsibility of the line management. In this
case extra time for this target group shall be reserved.

2.2.2. Extent of medical services

The minimum curative health care by a medical doctor shall be 20 min per employee per
year. This extent shall be increased depending on the following conditions:

Relatives and contractors shall also be provided with curative services as to the
responsible management decision
The level of service and availability of the public health care system
For OMV Group site clinics, opening hours shall be defined by the responsible management
in alignment with the site doctor and with the senior medical officer of the country. The
consultation hours shall be made public within the site.

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 2.2.3. General Responsibilities
The responsible management for the site shall ensure that all employees have access
to this curative healthcare free of charge. Management also shall give general
information to the employees about the possibilities of curative medical services
offered at a specific site or contracted clinic/health care institutions.
The responsible medical doctor shall provide the management with all information
necessary to make general decisions, such as clinic hours, scope etc. The medical
doctor shall coordinate the curative services offered as well as the medical staff on
duty in alignment with the management. The medical doctor is also responsible for
content and process of providing the employees concerned with all information,
diagnosis and treatments from the medical point of view, as well as for the topics
described in chapter 2.3. of this work-procedure.
The employee is responsible for contacting the medical doctor as soon as possible to
get appropriate medical advises and treatment.

2.3. Medical Aspects

The medical doctor is responsible for the quality of curative medical services and for legal
compliance.

2.3.1. Methods of diagnosis and treatments

Diagnosis and treatment shall follow whenever applicable EBM (evidence based medicine),
as well as an economic (where possible cost-effective) approach.
The additional application of complementary medicine techniques (e.g. acupuncture,
homeopathy) are welcomed –if the doctor has an appropriate training and experience in the
applied techniques.

2.3.2. Preparedness for emergencies

Emergency organization shall be set up depending on the diagnostic and therapeutic

treatments offered on site. Before any curative medical activity is started, the medical doctor
shall ensure that drugs and other emergency material are available to cope with possible
emergency cases. For details see the Corporate HSSE Procedure Emergency preparedness
(HSSE-P-007).

2.3.3. Referrals
In cases, where additional diagnostic procedures and/or treatments are necessary, the
doctor in charge of OMV Group or the contracted health care institution shall refer the
employee to a medical specialist. If the patient agrees, a personal referral and
recommendation of suitable institutions shall be offered.

2.3.4. Procurement and storage of medical products

A minimum stock of drugs, vaccination and other medical consumable goods (like syringes,
wound dressings, disposable needles) shall be defined by the responsible doctor in charge
according to the Corporate HSSE Standard Operational Health (Annex A). The access to
these drugs and materials shall be restricted to the authorized medical staff.
A process of purchasing shall be established by the responsible doctor. This process shall
ensure

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 The continuous supply on the medical supplies defined and
The quality of the medical products. Especially in cases of medical products, which
have to be stored / transported at a certain temperature, it shall be ensured that the
cooling chain is not interrupted during transportation.
Regarding storage of medical products in OH clinics, a procedure for regular inspection and
elimination of damaged and expired material and drugs shall be established by the
responsible doctor.

2.3.5. (Medical) waste

The disposal of medical waste shall follow local legal requirements. A documented
procedure shall be set up by the responsible doctor, which ensures the proper disposal of
waste.

2.3.6. Documentation and Information

All patient contacts shall be documented – either in paper or electronic form.
Documentation shall follow national regulations as well as the Corporate HSSE Procedure
Medical reporting (HSSE-P-023). Legal compliance is obligatory with the Corporate
Procedure stating the minimum standard within the OMV Group.

It is the duty of the doctor to inform the employee about possible risks of treatments
primarily according to national legal requirements. The employee information shall be
documented and provable. In case of diagnoses and treatment methods involving higher
risks, like a stress ECG, the employee shall sign an information sheet including written
consent, that he/she has been informed on the possible risks and that he/she consents to the
diagnosis/treatment in question (general template – see annex, information and consent for
exercise ECG – see Annex A of the Corporate HSSE Procedure Occupational Health
Surveillances – HSSE-P-013). The final text of such a waiver shall be crosschecked by the
local legal advisor.

3. Internal Reference Links

HSSE Directive Health Management (HSSE-D-003)

Corporate HSSE Standard Health Management (HSSE-S-012)
Corporate HSSE Standard Operative Health (HSSE-S-011)

4. External Reference Links

Local legal provisions on health and medical facilities

OSHAS 18001

5. Obsolete Regulations

6. Certification Standards

7. Terms & Abbreviations

HMD Health Management Department

OMSP Operative Medical Service Provider
OH Occupational Health
MD Medical Doctor
HSSE Health, Safety, Security and Environment
HR Human Resources
ECG Electrocardiogram

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8. Keywords / Search Criteria

Occupational Health, Operative Medical Services, Curative Health, HSSE

9. Annexes

Annex A: Patients information and consent – general template / example

10. Amendments from Previous Versions

Date of Regulation
Changes to previous versions:
effectiveness: code:
14.01.2008 WPH 4 New version

15.01.2013 HSSE-P-020 Revision after Reshaping

HSSE-P-020 Master Language: English

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