Oisd GDN 166 PDF

Sr.
Number:OISD/DOC/2016/1
OISD – GDN – 166 Page No. I

GUIDELINES FOR OCCUPATIONAL HEALTH MONITORING
IN OIL & GAS INDUSTRY
OISD-GDN-166
First Revision, 2011
Second Revision July, 2012
FOR RESTRICTED
CIRCULATION ONLY
GUIDELINES FOR
OCCUPATIONAL HEALTH MONITORING
Prepared by
COMMITTEE ON OCCUPATIONAL HEALTH MONITORING
Oil Industry Safety Directorate

Government of India
Ministry of Petroleum & Natural Gas
8th Floor, OIDB Bhavan, Plot No. 2, Sector – 73, Noida – 201301 (U.P.)
Website: www.oisd.gov.in
Tele: 0120-2593800, Fax: 0120-2593802
Sr.Number:OISD/DOC/2016/1
OISD – GDN – 166 Page No. II

Preamble
Indian petroleum industry is the energy lifeline of the nation and its continuous performance is
essential for sovereignty and prosperity of the country. As the industry essentially deals with inherently
inflammable substances throughout its value chain – upstream, midstream and downstream – Safety is
of paramount importance to this industry as only safe performance at all times can ensure optimum
ROI of these national assets and resources including sustainability.
While statutory organizations were in place all along to oversee safety aspects of Indian petroleum
industry, Oil Industry Safety Directorate (OISD) was set up in 1986 Ministry of Petroleum and Natural
Gas, Government of India as a knowledge centre for formulation of constantly updated world-scale
standards for design, layout and operation of various equipment, facility and activities involved in this
industry. Moreover, OISD was also given responsibility of monitoring implementation status of these
standards through safety audits.
In more than 25 years of its existence, OISD has developed a rigorous, multi-layer, iterative and
participative process of development of standards – starting with research by in-house experts and
iterating through seeking & validating inputs from all stake-holders – operators, designers, national
level knowledge authorities and public at large – with a feedback loop of constant updation based on
ground level experience obtained through audits, incident analysis and environment scanning.
The participative process followed in standard formulation has resulted in excellent level of compliance
by the industry culminating in a safer environment in the industry. OISD – except in the Upstream
Petroleum Sector – is still a regulatory (and not a statutory) body but that has not affected
implementation of the OISD standards. It also goes to prove the old adage that self-regulation is the
best regulation. The quality and relevance of OISD standards had been further endorsed by their
adoption in various statutory rules of the land.
Petroleum industry in India is significantly globalized at present in terms of technology content requiring
its operation to keep pace with the relevant world scale standards & practices. This matches the OISD
philosophy of continuous improvement keeping pace with the global developments in its target
environment. To this end, OISD keeps track of changes through participation as member in large
number of International and national level Knowledge Organizations – both in the field of standard
development and implementation & monitoring in addition to updation of internal knowledge base
through continuous research and application surveillance, thereby ensuring that this OISD Standard,
along with all other extant ones, remains relevant, updated and effective on a real time basis in the
applicable areas.
Together we strive to achieve NIL incidents in the entire Hydrocarbon Value Chain. This, besides other
issues, calls for total engagement from all levels of the stake holder organizations, which we, at OISD,
fervently look forward to.
Jai Hind!!!
Executive Director
Oil Industry Safety Directorate

OISD – GDN – 166 Page No. III

FOREWORD
Hydrocarbon processing and handling entails some risks arising out of potential
hazards like fires, explosions, injuries/burns to the personnel etc. Most of such hazards are
taken care, to a large extent, by better understanding, safer designs of the plants and other
facilities and following safe operating practices. Oil Industry Safety Directorate (OISD),
constituted by the Ministry of Petroleum and Natural Gas in 1986, have been bringing out
Standards and Guidelines on various aspects of designing and operation of plants and
facilities to improve safety standards in the oil industry.
In the changed scenario of the economy, the oil industry too is becoming highly
competitive and upgradation of technology is taking place around the world to achieve
excellence. The successful application of a new technology depends greatly upon its
successful adaptability. Such adaptability brings the "personnel". playing pivotal role in
implementation of the technology, in the forefront. It is incontrovertible that personnel are
most important resource of organisation and that maintaining their health is vital for
productivity and effectiveness. As such, their health should be strongly emphasised in the
organisation's strategic plan. Promotion of health of employees in the widest sense, should,
therefore, be a high priority, both a goal and a challenge for the organisation.
With a view to provide a structured programme to look after and promote the health of
the vital "Human Resource" in the oil and gas industry, the present document "Guidelines for
Occupational Health Monitoring in Oil & Gas Industry" has been prepared by the Functional
Committee on Occupational Health Monitoring. It is hoped that these guidelines will help in
establishing and practising an appropriate Occupational Health Monitoring programme for the
employees of their industry.
This document will be reviewed periodically for improvements based on the new
experiences and better understanding. Suggestions from industry members may be
addressed to :
The Coordinator
Committee on Occupational Health Monitoring
OIL INDUSTRY SAFETY DIRECTORATE
8th FLOOR, OIDB Bhavan,
Plot No. 2 , Sector- 73,
NOIDA - 201301
OISD – GDN – 166 Page No. IV

NOTE
OISD publications are prepared for use in the oil and gas industry under the
Ministry of Petroleum and Natural Gas. These are the properties of Ministry of Petroleum and
Natural Gas and shall not be reproduced or copied or loaned or exhibited to others without
written consent from OISD.
Though every effort has been made to ensure the accuracy and reliability of the data
contained in these documents, OISD hereby expressly disclaims any liability or responsibility
for loss or damage resulting from their use.
These documents are intended only to supplement and not to replace the prevailing
statutory requirements.
OISD – GDN – 166 Page No. V

First Edition
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NAME ORGANISATION
-----------------------------------------------------------------------------------------------------------------------------
LEADER
Dr.V.Swaminathan Madras Refineries Limited, Chennai
MEMBERS
Dr. Hemant Kshirsagar Bharat Petroleum Corporn. Ltd., Mumbai

Shri N Dasgupta Bharat Petroleum Corporn. Ltd., Mumbai
Dr. P.K.Bhuyan Bongaigaon Refinery and Petrochemicals Ltd.,Bongaigaon
Dr. John K John Cochin Refineries Limited, Cochin
Dr. A. Biswas Gas Authority of India Limited, Vijaipur
Shri K.K.Dixit Hindustan Petroleum Corporation Limited, Mumbai
Shri A.A.Raichur Hindustan Petroleum Corporation Limited, Mumbai
Dr. M.Ahmad Indian Oil Corporation Limited, Mathura
Dr. A.K.Chakraborty Indian Oil Corporation Limited, Digboi
Dr. R.P.Patel Indian Oil Corporation Limited, Vadodara
[Alt:Dr.R.C.Saxena]
Shri S. Kaul Indian Oil Corporation Limited, Vadodara
Shri H.D.Bahadur Indian Oil Corporation Limited, Barauni
Shri D.K.Kantak Lubrizol India Limited, New Mumbai
Dr. A.K.Tomar Oil and Natural Gas Corporation Limited, Dehradun
MEMBER-COORDINATOR
Shri S.N.Mathur Oil Industry Safety Directorate, New Delhi

------------------------------------------------------------------------------------------------------
(In addition to the above, several other experts from the industry contributed in the
preparation, review and finalisation of this document).
OISD – GDN – 166 Page No. VI

First Revision
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NAME ORGANISATION
--------------------------------------------------------------------------------------------------------------------------
LEADER
Dr. V L Sadgun ONGC Ltd, New Delhi
MEMBERS
Dr. Sarangadharan Chennai Petroleum Corporation, Chennai

Dr. P. K. Bhuyan Bongaigaon Refinery & Petrochemical Ltd., Assam
Dr P. C. Deka Indian Oil Corporation-Guwahati Refinery
Dr. John K John Bharat Petroleum Corporation Ltd., Kochi Refinery
Mr N. Dasgupta Bharat Petroleum Corporation Ltd, Mumbai
Dr. Subhash Nikale Hindustan Petroleum Corporation Ltd., Mumbai Refinery
Dr. S. Baishya Oil India Ltd., Assam
Mr. B. N. Sahoo Oil India Ltd., Assam
Dr. Naveen K. Kuthari Hindustan Petroleum Corporation Ltd, Vizag
Dr.Vandana Shinde Bharat Petroleum Corporation Ltd., Mumbai
MEMBER - COORDINATOR
Shri Shashi Vardhan Oil Industry Safety Directorate, Noida

Shri S.C. Gupta ( part )
---------------------------------------------------------------------------------------------------------------------
(In addition to the above, several other experts from the industry contributed in the
preparation, review and finalisation of this document).
OISD – GDN – 166 Page No. VII

GUIDELINES FOR
INDEX
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SECTION CONTENT PAGE NO.
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1.0 INTRODUCTION 1
2.0 SCOPE 1
3.0 DEFINITIONS 1
4.0 STATUTORY REQUIREMENTS 2
5.0 OCCUPATIONAL HEALTH MONITORING – OBJECTIVES 2
6.0 FUNCTION OF OCCUPATIONAL HEALTH MONITORING 3
7.0 GENERAL CONSIDERATIONS 4
8.0 FIRST AID 5
9.0 OCCUPATIONAL HYGIENE MONITORING 5
10.0 PRE-EMPLOYMENT/PRE-PLACEMENT MEDICALEXAMINATION 8
11.0 PERIODIC HEALTH EXAMINATION 13
12.0 INFRASTRUCTURE FOR OCCUPATIONAL HEALTH MONITORING 14
13.0 AUDIT & PERFORMANCE REVIEW 16
14.0 REFERENCES 18
OISD – GDN – 166 Page No. VIII

ANNEXURES & TABLES
ANNEXURE – I : Threshold Values
ANNEXURE – II : Threshold limit values
Table-1: Threshold Limit Value of Noise

Table-2: Recommended Service Illumination for various
Classes of visual tasks
ANNEXURE – III : Table : Measurement methods for toxic chemicals

In the work environment
ANNEXURE – IV : Biological Monitoring & List of Clinical & Screening

Laboratory tests
Table- 1: Biological Exposure Determinants
Table- 2: General Health Check up & Investigation data sheet
Table- 3: Recommended frequency for clinical laboratory
Tests for early detection of work related illness
In the main organ & system & Threshold Limit value
for chemicals in work Environment
ANNEXURE – V: Pre-employment / Pre-placement medical examination

Table-1: Standard Height & Weight
Table-2: Physical fitness criterion for offshore personnel
Annexure – VI : Typical Questionnaire for Industrial Hygiene and Occupational

health Surveillance Audit
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OISD – GDN – 166 Page No. 1
GUIDELINES FOR
1.0 INTRODUCTION
Technological advances while making the oil industry competitive, have also multiplied the
hazards to the operating personnel in the form of complex processes and application of
various hazardous chemicals. The enlightened management should consider that their duty is
to preserve and promote the health of their employees and give them a good deal which in
turn fosters better output and happiness in industry. Greater use of the assets of the work
place - stability, long term relationships of trust and peer support can be advantageously
utilised to make the work site as an effective and economical setting for various programmes
designed to promote good health. The purpose of Occupational Health programme is to
protect and promote the health of all employed persons. Occupational Health is not limited in
scope only to diagnosis of specific occupational diseases and their treatment. It is necessary
to consider not only the traditional specific hazards to health at work but also control of health
problems of employees which are closely related to work conditions; are aggravated or
influenced by work exposures; are susceptible to control or amelioration by interventions at
work place.
Occupational Health Monitoring will provide a scientific basis for decisions aimed at protection
of human health from any possible adverse consequences of exposure to the hazards in the
occupational environment.
2.0 SCOPE
This document lays down minimum requirements for practising Occupational Health
Monitoring in petroleum refineries, oil/gas exploration / production/processing plants both
offshore and onshore, cross country pipelines, LPG bottling plants and other petroleum
handling facilities/installations. This gives guidelines to establish Occupational Health
Monitoring in the industry to provide specific level of occupational health and hygiene services
to the employees and includes personal health of the individuals, the health of the
occupational group, assessment of the employees' occupational environment and appraisal of
the evidence linking job conditions and exposure to effect on health and course of the
disease.
Due to various reasons, if it is not possible to provide the required facilities of its own for the
Occupational Health Monitoring at the petroleum handling facility / installation, the same
should be arranged through outside agencies.
3.0 DEFINITIONS
"Occupational Health Monitoring" means a service established in the place of employment

for the purposes of ;
(a) protecting the employees against any health hazard which may arise out of their work or
the conditions in which it is carried on;
(b) contributing towards the employees' physical and mental adjustment, in particular by the
adaptation of the work to the employees and their assignment to jobs for which they are
suited; and
(c) contributing to the establishment and maintenance of the highest possible degree of
physical and mental well-being of the employees.
“OISD hereby expressly disclaims any liability or responsibility for loss or damage resulting
from the use of OISD Standards/Guidelines.”
Occupational Group : Means a group of individuals directly related to a particular work place
on a regular basis.
Threshold Limit Value - Time Weighted Average (TLV-TWA) represents the time-weighted
average concentration for a normal 8-hour workday and a 40 hour workweek, to which nearly
all employees may be repeatedly exposed day after day without adverse effect.
Threshold Limit Value - Short Term Exposure Limit (TLV-STEL) represents the
concentration to which employees can be exposed continuously for a short period of time
without suffering from (1) irritation; (2) chronic or irreversible tissue change; (3) narcosis of
sufficient degree to increase the likelihood of accidental injury, impair self rescue or materially
reduce work efficiency and provided that the daily TLV-TWA also is not exceeded.
A STEL is defined as a 15 minute time-weighted average exposure which should not be

exceeded at anytime during a work day, even if the eight hour time weighted average is within
the TLV.
Threshold Limit Value - Ceiling (TLV-C) represents the concentration of a substance or gas
that should not be exceeded even instantaneously.
Biological monitoring can be defined as assessment of employee exposure by

measurement of some "index" chemical in a body fluid as evidence of exposure to a
chemical.
The Biological Exposure Index (BEI) is defined as an "index" chemical that appears in a
biological fluid or in expired air following an exposure to a workplace chemical
Work area : Work Area is a place where people work.
Competent person : Competent Person is a qualified Industrial Hygienist or a person trained

in the techniques of Industrial Hygiene.
Body Mass Index means an accepted way of finding out obesity etc. and is calculated as –
2
Body weight in kg/(Height in meter) .
4.0 STATUTORY REQUIREMENTS
The statutory requirements as stipulated inter alia in Factories Act, Oil Mines Regulations,
Petroleum & Natural Gas (Safety in Offshore Operations) Rules as applicable etc. shall be
complied with.
5.0 OCCUPATIONAL HEALTH MONITORING OBJECTIVES
5.1 Occupational Health Monitoring shall be provided as conditions require:-
(a) by virtue of laws or regulations;
(b) by virtue of collective agreement or as otherwise agreed upon by the employer and
employees concerned; or
(c) in any other manner approved by the competent authority after consultation with
employers' and employees' organisations.
5.2 Occupational Health Monitoring should either be organised by the installations

themselves or be attached to a qualified outside body or outsourced or as a separate service
within the installation or as a service common to a number of installations.
5.3 Where the provision of occupational health monitoring is not practicable for the time
being, for some reasons, the plant/ installation should make arrangements with a physician or
a local medical service for -
a) administering emergency treatment;
b) carrying out required medical examinations ;
c) to exercise monitoring over hygiene conditions in the plant/ installation.
6.0 FUNCTIONS OF OCCUPATIONAL HEALTH MONITORING
The function of occupational health monitoring should be progressively developed, in

accordance with the circumstances and having regard to the extent to which one or more of
these functions are adequately discharged so that they will include in particular the following:
(a) Monitoring of all factors within the installation which may affect the health of the
employees through occupational hygiene monitoring , including periodic inspection and
evaluation of workplaces to identify potential hazards, measure them when appropriate,
suggest control measures as needed and advise in this respect to management as well as to
employees or their representatives in the installation;
(b) job analysis or participation therein in the light of hygiene, physiological and psychological
considerations and advice to management and employees on the best possible adaption of
the job to the employee having regard to these considerations;
(c) participate with the other appropriate departments in the installation, in the prevention of
accidents and occupational diseases and use of personnel protective equipment and advise
management and employees in this respect;
(d) pre-employment, pre-placement, periodic and special medical examinations including,

where necessary, biological, radiological examinations - considered advisable for preventive
purposes by the industrial physician; such examinations should ensure particular monitoring
over certain classes of employees,
(e) advise management on rehabilitation or re-assignment of employees with disability
(f) advise individual employees at their request regarding any disorder that may occur or be
aggravated in the course of work;
(g) provide emergency treatment in case of accident or indisposition,
(h) Occupational Health Monitoring plays an important role of anticipating emergencies, of

preparing policies for how to deal with them at the local level in collaboration with Safety, Fire
and other services concerned and of having an input into disaster planning. In the event of
fire, explosion, escape of toxic gases, chemicals etc., Installation shall ensure the availability
of the necessary infrastructure for emergency treatment to be administered.
(i) Periodic training of employees in first-aid, supervision and maintenance of first-aid

equipment in co-operation, where appropriate, with other departments concerned;
(j) education of the personnel of the installation in health and hygiene;
(k) compilation and periodic review of statistics concerning health conditions in the
installation;
(l) research in occupational health or participation in such research in association with

specialised services or institutions.
7.0 GENERAL CONSIDERATIONS
(1) The role of occupational health monitoring should essentially be preventive.
Occupational Health centre should maintain close contact with the other departments in the
installation concerned with issues of the employees' health, safety and welfare.
(2) Occupational Health centre should also liaise with external agencies / bodies dealing with
issues of the health, safety and environment.
(3) Occupational Health centre shall maintain a medical file at the time of an employee's pre-
employment examination or first visit to occupational health centre and should keep the file
up-to-date at each succeeding examination or visit.
Occupational Health centre shall establish an efficient "Health Information System" and
maintain appropriate records on Occupational health and hygiene.
(4) The physician in-charge of an occupational health centre shall have special training in
occupational health who shall be directly responsible to the management.
(5) The physicians in occupational Health Monitoring Group should enjoy full professional and
moral independence from both the employer and the employees.
(6) All employees should co-operate fully in attaining the objectives of occupational health
services.
(7) All persons attached to occupational Health centre should be required to observe
professional secrecy as regards both medical and technical information which may come to
their knowledge in the exercise of the functions and activities as above.
(8) In order to efficiently perform their functions, occupational health personnel should -
(a) have access to all work places and to the ancillary installations ;
(b) inspect the work places at appropriate intervals in co-operation, where necessary, with
other services of the installation;
(c) have access to information concerning to the processes, performance standards and
materials used or the use of which is contemplated;
(d) be authorised to undertake, or to request that approved technical bodies undertake

surveys and investigations on potential occupational health hazards;
(e) be authorised to advise the competent authorities to ensure compliance with occupational
health and safety standards.
8.0 FIRST AID
1. First-aid should be provided by certified trained persons.

2. First aid personnel shall be readily available during working hours.
3. First Aid Kits are required to be placed in the workplace, at strategic locations.
4. The telephone number and location of a qualified medical person (either a Doctor or a
qualified Nurse) must be prominently displayed on the First Aid Box.
5. Stretcher should be provided in the installation.
6. The following are the minimum contents of a first aid box :
Items Quantity
Bandage Rolls: 2”, 4”, 6” 2 Nos.
Triangular Bandages 4 Nos.
Dressings (Sterile) 12 Nos.
Isotonic Eye Solution 2 vials
Eye Pads 2 Pairs
Adhesive Tape (3”) 2 Nos.
Disposable Gloves 2 Pairs
Betadine 100 ml 1 Bot
Savlon (100 ml) 1 Bot
Wooden Splints: 6”,8”,24” 1 each.
Safety Pins 6 Nos.
Band Aids (Regular) 10 Nos.
Eye Wash Cups 4 Nos.
First Aid Leaflet 1 No.
 The contents can be suitably increased depending upon the location, type of hazards,
no. of personnel in the area etc.
 The requirement of contents shall be certified by medical professional and listed.
 Prescription medicines shall not be kept in the first aid box.
 Regular replenishment of first aid box should be ensured.
9.0 OCCUPATIONAL HYGIENE MONITORING
Occupational hygiene is the science and art devoted to anticipation, identification, evaluation
and control of environmental factors or stresses arising in or from the work place which
may cause sickness, impaired health, significant discomfort or inefficiency among the
employees.
Occupational hygiene shall identify exposure to physical, chemical and biological hazards like
heat, light, noise, radiation, chemicals-dust, fumes, gases, parasites etc. and to take
measures to bring them under control, before the employees experience injury or evidence of
any adverse signs or symptoms.
Occupational hygiene shall conduct the qualitative and/or the quantitative evaluation of
environmental agents which pose health hazard at the work place.
This shall be done by measuring exposures, evaluating their probable effects by existing
toxicological and industrial hygiene standards and utilising sensitive biological examination of
exposed persons to discover the entry of harmful materials into the human systems, in
advance of any possible injury.
9.1 Work Environment Monitoring and Industrial Hygiene :
i) Industrial Hygiene (IH) survey shall be done to map all the occupational health hazards
in a work area and should cover all installations.
ii) The IH survey is to be carried out by a competent person.
iii) The IH survey shall be done once every 5 years. However, a major change in the
process will warrant a fresh survey.
iv) The occupational health hazards should be measured with standard equipment and
with accepted measurement technique.
v) The measurement should be able to replicate human exposure to the occupational
health hazard.
vi) The measurement technique shall include both area sampling and personal sampling.
vii) The Industrial Hygienist shall decide the sampling strategy taking into consideration the
best practice.
viii) Occupational health risk assessment to be done based on the results of the survey.
ix) Monitoring schedule for health hazard at the work area is to be established based on
the professional experience of the Occupational health team and industry experience.
x) Ergonomic survey where possible should be done by an Ergonomist.
The quantitative aspects of safe occupational exposures should be expressed in the

concepts of Threshold Limit Values (TLV), a time weighted average exposure as detailed in
Annexure- I.
Occupation health hazard & Industrial health survey of all facilities shall be conducted to
assess the occupational health hazards like physical (noise, heat, radiation, illumination),
chemical, toxic exposures, ergonomics, biological and psychological. This shall be repeated
as specified for each hazard in following paragraphs or as and when there is major addition /
alteration in facilities.
On basis of this survey, the hazards areas shall be classified in high risk, medium and low
risk areas. The main focus shall be on hazard elimination/ reduction. There shall be
periodically monitoring.
9.2 Monitoring of Physical Hazards
9.2.1 Heat stress
The parameters like air temperature, relative humidity, air movement, radiant heat are taken
into consideration when assessing or controlling the thermal environment. It also depends
upon clothing worn, work load etc. These parameters shall be monitored during summer
particularly. The heat stress at work place shall be monitored by using techniques like wet
bulb globe temperature index. The acceptable limits should be arrived at depending upon
heat, relative humidity, hours of working etc.
9.2.2 Noise
The level of noise at work place shall be monitored at least once in a year. The monitoring
may be repeated in between also as per requirement. Ear plugs etc. should be provided to
personnel working / entering in high noise areas.
Threshold Limit Values (TLVs) for Noise exposure are given in the Table-1 of Annexure-II.
9.2.3 Illumination
The illumination levels in working / movement areas shall be monitored once in six month.
The illumination level be maintained above the recommended levels.
Recommended levels of illuminance for various classes of visual task are given in the Table-2
of Annexure-II.
9.2.4 Radiation
Radiation level from nuclear sources etc. shall be measured on a quarterly basis. In case, it
exceeds the threshold value, the effect of radiation on exposed personnel shall be monitored.
Personal Protective equipment shall be provided to personnel working in the area.
Training shall be provided to personnel on the hazards associated with type of radiation
and its preventive measures.
9.3 Monitoring of Chemical Hazards
Variety of chemicals ; organic and inorganic are used as absorbents, solvents,

additives, catalysts, colouring agents, laboratory reagents etc. in the oil industry. All
such chemicals including which are generated/ released during the process, along
with the petroleum, pose health hazards to the operating personnel.
The concentration of various chemicals used shall be monitored periodically.
Certain chemicals cause personal injury due to contact with or entry into the body via
inhalation, ingestion, skin contact or eye contact. Health hazard may result from
repeated, chronic and long term exposure to low concentration of such chemicals.
Measurement methods for toxic chemicals in the work environment are given in the
Table of Annexure - III.
9.4 Biological Monitoring
Measurement of the concentration of substances in breathing zone air does not ensure
that the employee is totally protected from adverse health effects resulting from
exposure to chemicals in the workplace.
The actual body burden of the chemical resulting from all routes of exposure is more
directly related to potential adverse health effects. The uptake of the workplace
chemical by the inhalation route, absorption of the chemical through the skin or the
gastrointestinal tract and non occupational exposure to the chemical all influence the
body burden. Interaction of the chemical with other environmental and workplace
chemicals may stimulate or inhibit its metabolism and elimination and thus influence the
toxicity of the chemical in the person exposed.
Thus, the environmental concentration of a chemical is related to the body burden of

the same chemical under specified conditions only. To further evaluate a potential
health hazard in the workplace, biological monitoring should be used.
Biological monitoring can be defined as assessment of employee exposure by

measurement of some "index" chemical in a body fluid as evidence of exposure to a
chemical.
The Biological Exposure Index (BEI) is defined as an "index" for the chemical that
appears in a biological fluid or in expired air following an exposure to a workplace
chemical. The BEI serves as a warning of exposure by (1) the appearance of chemical
or (2) the appearance of biological response indicative of exposure. The BEI is
primarily an index of exposure and not a sentinel of some health effect that may have
been produced from exposure to a workplace chemical. Permissible Biological
Exposure Indices for various chemicals are given in the Table – 1 of Annexure-IV.
9.5 Monitoring of Ergonomic Hazards
Ergonomic monitoring of the workplace shall be done in once in three years and also
when major changes in workplace is carried out and corrective action should be
undertaken accordingly.
9.6 Psychological Hazards
During the course of survey, attempt should be made to identify psychological

hazards and corrective actions taken accordingly.
10.0 PRE - EMPLOYMENT / PRE-PLACEMENT MEDICAL EXAMINATION
Guidelines for determining the medical fitness of a candidate considered for pre-
employment / placement in the services of the company.
The organisations are empowered to relax the standards or fix a suitable standard as per
the requirement of the job as a matter of policy.
(1) The medical examination shall be conducted for following categories prior to appointment in the
services of the company :
a) Permanent /temporary/ trainee
b) An employee in the services of the company who is selected for alternative job on the
basis of open recruitment or otherwise;
c) On deputation basis or permanent from Central/State Governments/Public Sector

Undertakings.
(2) Medical examination shall be conducted by the Company Medical Officer/Authorised

Medical Officer who shall be the authority to certify a candidate as medically fit/ unfit/
temporarily unfit in respect of all appointments in the company.
(3) The company medical authority may refer the candidates to outside hospitals/institutions
for conducting some of the medical tests.
(4) The company medical authority may at his discretion, obtain the opinion of a Specialist
that will be duly recorded on the medical examination forms.
(6) The company medical authority shall forward the medical fitness certificate to the HR
department, declaring the candidate either "FIT", "UNFIT" or "TEMPORARILY UNFIT".
(7) Where a candidate has been declared "Temporarily Unfit" by reasons of short term
sickness, which is curable within a period of not more than thirty days, the candidate will be
required to undergo a re-examination within thirty days from the date of his/her being declared
"Temporarily Unfit". At the time of re-examination, he/she will be required to produce proof of
treatment and certificate of cure from the Doctor who treated him/her. On satisfying himself
that the short term sickness is cured, the Company Medical Authority will certify the candidate
as medically fit. The period may be relaxed depending upon the job requirement as per
management policy.
(8) Where a candidate is declared "Unfit", the result of the medical examination for unfitness
shall be communicated to him/her by the HR department.
(9) Where a handicapped person is selected, he/she may be declared "handicapped, but fit"
if,
(a) Except for the handicap, he/she otherwise satisfies all other physical standards as
prescribed and
(b) Considering the nature of duties and responsibilities of the job, location, hazard, strain and
other factors, the handicap is not likely to interfere with the performance of duties of the post
with reasonable efficiency and without possible deterioration of his/her health.
10.1 Norms and Standards For Medical Fitness
(1) Good mental and physical health.
(2) Free from physical defect or abnormality, congenital or acquired, likely to interfere with the
efficient performance of duties.
(3) No evidence of mal-development - physical or mental.
(4) Joints and locomotor functions are within normal limits.
(5) HEIGHT AND WEIGHT
Ideal values for height and weight is given in the Table – 1 of Annexure-V. Weight will be
recorded in kilograms and height measured will be in centimeter.
A better way of expressing the degree of over weight is Body Mass Index, which can be
2
calculated as – Body weight in kg/(Height in meters) . BMI should be up to 25.
The organisation may relax the standards of height and weight , so long as such relaxation
does not impede the performance of the job.
6) CHEST
Chest measurement at full expiration shall be 79 cms. (relaxable by 5 cms.) and minimum
expansion of 5 cms. The range of expansion upto 4 cms. ( i.e. a deviation of 20%) will be
acceptable. This is not applicable to female candidates and the state of physical development
will be taken into account.
(7) EYE
The candidate's eyes shall be tested by a qualified ophthalmologist and the result of the test
recorded in accordance with the following :
(a) The candidate's eyes will be subjected to a general examination directed to detect any
disease or abnormality. The candidate will be rejected if he/she suffers from morbid
condition of eyes, eyelids or contiguous structures of such a nature as would render
him/her unfit for service at the time of appointment or at a future date.
(b) If any candidate is suspected to have any refractive error in either or both eyes, organic
or progressive disease of any part of the eyes, a thorough ophthalmic checkup and
report from the specialist in ophthalmology is essential.
(c) VISUAL ACUITY FOR BOTH EYES
Standard for visual acuity (with or without glasses / contact lens / IOL/ Implantable contact
lens)
Age Distant Vision Near Vision
Better Eye Worse Eye Better Eye Worse Eye
Below 35 yr 6/9 6/9 Sn / 0.6 Sn / 0.6

Or
6/6 6/12
35 yrs and more 6/12 6/12 Sn / 0.6 Sn / 0.6

Or
6/6 6/18
(d) FUNDUS
(i) Any progressive pathological condition

(ii)Vitreous or Choriorentinitis
(iii)
Any Retinal disease in Diabetes, Hypertension, Atherosclerosis
(iv)Corrected Myopia* (including the cylinder) exceeding (-) 6D and Hypermetropia (+)
4D in each eye upto 35 years of age.
(v) Corrected myopia* (including the cylinder) exceeding (-) 6D and Hypermetropia (+)
6D in each eye beyond 35 years of age
* corrected myopia = spherical dioptre + half the cylindrical dioptre of the same eye
(e) COLOUR VISION
The testing of colour is essential for all candidates. Colour vision will be tested with Ishihara's
Isochromatic plates in good light.
COLOUR BLINDNESS
(i) PERMISSIBLE
This will not be a disqualification for office jobs wherein defective colour vision is not likely to
interfere with his/her work or create risk for others working with him/her; for example,
employment in HR, Finance, Administration Departments. In no case, such personnel shall

be transferred or moved to operation / technical jobs.
(ii) NOT PERMISSIBLE
Colour blindness is a disqualification for the following technical or other jobs like employment
in Manufacturing, Maintenance, Technical Services, R & D, Projects, Refinery Operator,
Refinery Technician, Operator, Chemist, Draughtsman, Crane Operator, Driver of all
categories, Nurse, Nursing Assistants, Fireman, Security, Engineer, Doctor, Materials
Management, offshore going personnel etc., and jobs where perception of colours is
considered essential.
(iii) SQUINT
For technical category, where the presence of binocular vision is essential, squint, even if the
visual acuity is of prescribed standards, will be considered as a disqualification. For others,
the presence of squint will not be considered as a disqualification if the visual acuity of each
eye is of prescribed standard.
(iv) ONE EYED PERSON
For regular service, one eyed individual will be considered as unfit except for ministerial and
allied jobs where binocular vision is not considered essential. It will be ensured that the
prognosis of the functioning eye is good and its vision is not likely to be endangered by the
condition of the worse eye and the prescribed visual acuity standards are fully satisfied.
(V) NIGHT BLINDNESS
Night blindness shall be considered as disqualification. No standard test for testing of night
blindness or dark adaptation is prescribed. The medical officer will record visual acuity with
reduced illumination or by making the candidate recognize various objects in a dark room
after he/she has been there for 20 to 30 minutes.
(VI) GLAUCOMA : Glaucoma shall be considered as temporary unfit.
(8) EAR /NOSE/THROAT
The candidate should be free from signs or symptoms of ear diseases.
Audiometric screening to measure the pure tone air conduction hearing threshold will be
carried out. A report from the specialist in ENT is essential if abnormal and should be duly
recorded.
Noise induced hearing loss shall be considered a disqualification.
Bilateral Hearing loss above 50 dB(A) shall be considered as disqualification. Any other
correctable hearing loss shall be declared as temporary unfit.
Perforated ear drum, chronic ear discharge cases shall be declared temporary unfit.
A candidate should be free from any active disease of the nose.
Throat, palate, gums, jaws, temporomandibular joints and dentition should be within normal
limits.
(9) BLOOD PRESSURE (B.P.)
The limits of blood pressure will be assessed as: Normotension < 140 SBP and < 90
DBP. Candidates diagnosed as a case of hypertension shall be further investigated.
(10) GLANDS
There should not be generalised enlargement of lymph glands. Scars, if any, of the previous
removal of tubercular glands should be normal and there must not have been any active
disease.
(11) SKIN DISEASE
Candidates suffering from active leprosy or any other chronic skin disease shall be declared
unfit. Vitiligo cases are acceptable.
(12) VENEREAL DISEASES
Candidates who have suffered or are suffering from venereal diseases will be declared
temporarily unfit till detailed examination of urethral smear and serological test proves
negative.
(13) FITS
Candidates suffering from epilepsy (seizure disorder) will be declared unfit.
(14) PREGNANCY
If at the time of medical examination a candidate is pregnant, she will be declared temporarily
unfit until she has completed six weeks after confinement/miscarriage and the candidate will
be required to undergo a medical examination of fitness.
(15) Mental retardation will render a candidate unfit for employment.
(16) DEFECTS
Congenital or acquired defects, if any/noticed, will be recorded on the medical examination

forms, with a clear opinion as to whether it is likely to interfere with the efficient performance
of the duties for which the candidate is under consideration for employment.
(17) Detailed history of the candidate will be recorded to include-
a) Personal history
b) Past history of - previous illness, surgical , operations
c) Family history
d) Occupational history - Jobs done , and accidents)
(18) SYSTEMIC EXAMINATION
Examination of all systems is to be done to rule out any pathological condition which will
help in assessing the health of candidate for declaring fit, unfit and temporarily unfit for
employment.
(19) LAB TESTS
The laboratory tests that will be performed inter-alia include TC; DC; Hb; ESR; Platelets; HCT;
RBC; Blood group & Rh; Blood sugar(PP & Fasting) ; Glucose Tolerance test if required; Serum
Creatinine; (HBs Ag); routine urine examination; pulmonary function test- spirometry; pure tone air
conduction audiometry; electrocardiogram-all leads ( at rest). The candidate who require further
clinical evaluation/ additional tests will be referred to the concerned specialist.
(20) RADIOLOGICAL EXAMINATION
Skiagram chest of all the candidates should be done.
For personnel working in Offshore, additional requirements for medical fitness are enclosed
in Table – 2 of annexure – V. The selection parameters shall be as above unless specifically
mentioned.
11.0 PERIODIC HEALTH EXAMINATION
The periodic examination should be carried out at regular intervals after the initial pre
placement examination. It may not always be necessary to conduct a full-scale medical
examination at the routine periodic check-ups, especially if there are no overt signs of illness.
A format shall be developed for periodic examination with emphasis on the aspects of the
history and physical examination most relevant to the exposure in question. Typical format
enclosed as Table 2 of Annexure IV.
The scope and periodicity of the health examination should depend on the nature and extent
of the risk involved.
The examination should focus on the body organs and systems most likely to be affected by
the harmful agents in the workplace. For example, audiometry is the most important test for
those working in a noisy environment.
For each harmful agent, the period between exposure and the development of a health
impairment (latency period) is a major factor in determining the frequency of examination.
However, in many cases the latency period is not known. For such agents, the frequency
should be determined on the basis of: (a) the natural history of the disease, including the
rapidity with which the biochemical, morphological behavioural, etc. changes might occur or
be detected by screening tests; (b) the level of exposure to the hazardous agent and to any
other interacting agent or agents; (c) the anticipated susceptibility of the exposed population
and individuals. Refer Table-3 of Annexure-IV.
Frequency for General health check up
The minimum frequency for general health check up should be as under :
 Medical examination every five years upto 45 years of age
 Every three years after 45 years & upto 55 years of age.
 Alternate year after 55 years of age.
 At the age of retirement / superannuation
In addition, personnel working in hazardous areas shall be examined for specific parameters at
frequency as given in Table-1 & 3 of Annexure- IV.
11.1 CLINICAL AND SCREENING LABORATORY TESTS
Clinical and Screening Laboratory Tests for the early detection of occupational diseases in
the main organs and systems shall be conducted depending upon the work environment of
the personnel.
General Health check up & investigation data sheet is enclosed as Table - 2 of annexure-IV.
Recommended frequency for Clinical Laboratory Tests for early detection of work related
illness in the main organ and system are given in the Table – 3 of Annexure-IV.
12.0 INFRASTRUCTURE FOR OCCUPATIONAL HEALTH MONITORING
For effective implementation of the occupational health Monitoring group in the oil industry,
occupational health centre should be provided with the facilities and manpower in line with the
prevalent statutory regulations i.e. factory inspectorate or oil mines regulations etc. Typical
facilities are as under :
(1) Building
Oil industry will make available premises to adequately house Occupational Health Monitoring
Facilities with necessary provisions for power and water supplies, air conditioning, access
and other indispensable facilities. The functional units of Occupational Health Monitoring will
include occupational medicine, occupational hygiene and toxicology, biochemistry, health
education, health statistics and emergency medical care.
(2) Man Power
(i) Occupational Health Physician should be a specialist in occupational/ industrial health or

adequately trained in occupational medicine for a minimum period of three months,
recognised by the Government, or a minimum experience of 3 years in an industrial set up/a
large hospital. The doctor will be incharge of Occupational Health Monitoring to ensure
administrative supervision of all the staff and responsible for all the activities of
Occupational Health Monitoring.
(ii) Industrial Hygienist
Industrial Hygienist having educational background with a graduate degree in chemistry/

physics/ environmental toxicology and experience in industrial hygiene practice.
(iii) Occupational Health Nurse
Nurse should have educational background with a degree in B.Sc.(Nursing) or G.N.M. with
training in a recognized O.H institute like DG Fasli, BHEL etc in occupational health .
(iv) Medical laboratory technologist
Medical laboratory technologist should have educational background with a degree in B.Sc
(Biochemistry)/Medical Lab. Technology/Chemistry, and with diploma in clinical pathology
laboratory and a minimum experience of 3 years in a clinical pathological laboratory in an
industrial or large hospital. Experience with the use of auto analyzer and automated
haematology testing equipment is desirable.
(v) Others
The Occupational Health Monitoring Group should have adequate number of paramedical
and administrative staff.
(3) Equipment
The equipment will comprise of medical diagnostic equipment, toxicology laboratory and
sampling equipment and occupational hygiene field testing equipment. Occupational Health
Monitoring Group should also be equipped with technical books and periodicals etc. Some of
the equipment required are given below :
a. Occupational Hygiene and Toxicology Unit
(i) Wet Bulb Globe Temperature (WBGT) instrument - for evaluation of heat
stress.
(ii) Sound level meter with Octave filter set and impulse noise meter, Acoustic
calibrator and Personal noise dose meter - for evaluation of exposure to noise
(iii) Luxmeter - for illumination measurement.
(iv) Direct reading instrument intrinsically safe portable infra-red analyzer;

Direct reading colorimetric tubes- short term, long term; Intrinsically safe, battery
operated personal sampling pumps with suitable media for collection (liquid
media samplers, solid - sorbent tubes etc.; for gases and vapour.
(v) Intrinsically safe, battery operated personal sampling pumps with suitable media
for collection - filters, cyclones etc - for Particulate matter.
(vii) Gas Chromatograph
b. Occupational Medicine Unit
i) Equipment for vision performance screening
ii) Audiometry - Pure tone air conduction audiometer
iii) Equipment for spirometry - lung function measurement
iv) Electrocardiogram
c. Biochemistry Unit
i) Auto analyser
ii) Haematology cell counter
iii) Incubator
iv) Microscope
13.0 AUDIT AND PERFORMANCE REVIEW
An audit is the structured process of collecting information on the efficiency,

effectiveness and reliability of the total health and safety management system and
drawing up plans for corrective action. A performance review involves judging
performance and taking decisions to improve it based on performance measurement
and audits.
13.1 AUDIT
An audit may generate qualitative and quantitative information. Quantitative

measurement provides a numerical measure so that improvements in performance may
be measured from year to year. Audits, though generally done by an independent
external agency, may also be conducted in-house by a team which is not involved with
the section being audited.
13.1.1 The Audit Team
The audit team should be led by a occupational health physician and should include
industrial hygienist & other health and safety professionals.
13.1.2 Frequency and Initiation
Each facility should undergo a formal audit at least once in 4 years. Three months
prior to the audit, the auditors should ask for basic information about the facility,
including about the plant layout and process, employees, production facilities, raw
materials, production, health and safety policy and organization, current performance
standards, industrial hygiene and occupational health summary reports for the period
between the last audit and now and any other relevant information.
The facility may nominate a liaison officer to work with
the auditors and allocate a room for the exclusive use of
the auditors when they are on the site.
13.1.3 Audit Visit
The audit should begin with a meeting between the auditors and the facility
management to mutually agree on the scope of the audit and the audit visit agenda.
The meeting should also be used to discuss the current operating condition of the
facility and the information that the auditors already have on hand.
The audit should then continue with interviews with selected facility personnel,
inspection of documents and records and site tours and walk-around-inspections.
Copies of all industrial hygiene and occupational health documents should be made
available to the auditors.
Before the conclusion of the audit visit, the auditors should appraise the facility
management of their preliminary findings.
13.1.4 Findings and recommendations
The findings and recommendations of the auditors should be given to the facility
management in the form of a formal report. The timetable for implementing
recommendations should also be provided.
13.1.5 Audit Methodology
Annexure – VI provides a typical questionnaire for conducting an audit in a

hydrocarbon facility. Questionnaire needs to be modified depending upon the facilities
and occupational health hazards. Audit performance may be quantified using this
questionnaire to make a comparison across years for the same facility or across
facilities in the same year. This, however, requires consistency in the use of the
suggested audit methodology.
13.2 PERFORMANCE REVIEW
The information available from performance measurement and audits are used to
decide about the nature and timing of the actions necessary to remedy deficiencies.
Clear responsibilities for remedial action should be fixed and remedial action should
be initiated promptly after a review meeting, fixing deadlines for completion of tasks.
Certain reviews, like that of performance measurement, may be an ongoing activity.

They may be conducted monthly for a section, quarterly for a department and
annually for the entire facility.
The action that ensues from reviews need not wait for a periodic audit but may base
itself on performance measurement exercises. Such action may be initiated by :
i) First line supervisors to remedy failures to implement performance standards

which they observe in the course of routine activities.
ii) Proactive or reactive performance Measurement.
iii) Health and safety assessments made at various levels.
Key performance indicators, such as the ones given below, may be used in
performance reviews for taking immediate remedial action.
i) Compliance with performance standards.

ii) Identification of areas where performance standards are absent or inadequate.
iii) Achievement of specific objectives.
iv) Health effects or incidents, along with analysis for their causes.
It is helpful to benchmark a facility's health and safety performance against that of

similar facilities by comparing prevalent risks and management practices.
14.0 REFERENCES
(i) ILO Encyclopaedia of Occupational Health & Safety
(ii) Early detection of occupational diseases - publication of WHO, Geneva, 1986
(iii) WHO Technical Report Series No.862 on "Hypertension Control", 1996
(iv) Threshold Limit Values for Chemical Substances and Physical Agents and Biological
Exposure Indices - ACGIH (1995-96)
(v) Fundamentals of Industrial Hygiene, Third edition, National Safety Council, USA, 1994
(vi) Guidelines manuals on Industrial Hygiene and Occpational Health Surveillance -

prepared by Shri Sagar Dhara, Shri R.T.N.Bali and Dr. Raman Dhara.
(vii) Modern Safety Management by DNV
Annexure – I
Threshold values
4.1 THRESHOLD LIMIT VALUES
Threshold Limit Values refer to airborne concentrations of substances/levels of physical

agents and represent conditions under which it is believed that nearly all the employees
may be repeatedly exposed, day after day, without adverse effect. Because of wide
variation in individual susceptibility, however, a small percentage of employees may
experience discomfort from substances at concentrations at or below the TLV; a
smaller percentage may be affected more seriously by aggravation of a pre-existing
condition or by development of an occupational illness.
Three categories of TLVs are specified as:
1. Threshold Limit Value - Time Weighted Average (TLV-TWA) represents the time-
weighted average concentration for a normal 8-hour workday and a 40 hour
workweek, to which nearly all employees may be repeatedly exposed day after day
without adverse effect.
2. Threshold Limit Value - Short Term Exposure Limit (TLV-STEL) represents the
concentration to which employees can be exposed continuously for a short period
of time without suffering from (1) irritation; (2) chronic or irreversible tissue
change; (3) narcosis of sufficient degree to increase the likelihood of accidental
injury, impair self rescue or materially reduce work efficiency and provided that the
daily TLV-TWA also is not exceeded. A STEL is defined as a 15 minute time-
weighted average exposure which should not be exceeded at anytime during a
work day, even if the eight hour time weighted average is within the TLV.
Exposures at the STEL should not be longer than 15 minutes and should not be
repeated more than four times a day. There should be at least 60 minutes gap
between successive exposures at the STEL.
3. Threshold Limit Value - Ceiling (TLV-C) represents the concentration that should
not be exceeded even instantaneously. For some substances, e.g. irritant gases,
only TLV-C may be relevant. For other substances, either two or three categories
may be relevant, depending upon their physiological action. It is important to
observe that if any one of the three categories TLVs is exceeded, a potential
hazard is presumed to exist.
Wet Bulb Globe Temperature (WBGT) index is a technique adopted to measure

environmental heat stress. Portable WBGT instrument consisting of three separate
resistance thermometers - globe thermometer to measure radiant energy, a wet bulb
thermometer to measure relative humidity and a dry bulb thermometer to measure
ambient temperature is made use of. By means of a switch, each thermometer can be
individually read on a scale. A fourth position of the switch integrates the outputs of the
three thermometers into a single reading WBGT index which is read on a separate
scale. The operation is from line power or batteries.
Noise
A wide range of equipment is available for measurement of sound. The basic

general purpose sound level meter measures the sound levels in decibles. Portable
single hand-held battery powered precision integrating sound level meters are made
use of for all kinds of sound level measurements including Leq., frequency analysis
using a filter set. Personal noise dose meters worn by working personnel are made use
of to get accurate assessment of the total noise dose the wearer has received
throughout his working day. These instruments are easy to use, self contained pocket
size units, battery powered with concealed or visible digital display for readout.
Illumination
Evaluation of lighting effectiveness is not just a question of quantity of light, but also of the
quality of the lighting environment. Portable, contrast, rendered by lighting systems and visual
display battery powered instrument is available for measurement of general luminance, and
luminance battery powered instrument is available for measurement of general luminance,
and luminance contrast., rendered by lighting systems.
There being no single instrument which performs acceptable under all conditions and
requirements met with in practice; different types of instruments and detectors are used
in various applications to obtain the monitoring characteristics required for different
forms of radiation hazards. The radiation detection most widely used in survey
instruments are isolation chambers, Geiger-Mueller counters, proportional counters and
scintillation detectors. To assess the dose received by the individual, either film meters
or Thermoluminescent dosimeters (TLD) or a combination of both are used for personal
monitoring of exposure to external sources of radiation.
Annexure – II
TABLE - 1
Threshold Limit Values for Noise *

------ -------------------------------------------------------------------------------------------------------------------
Duration per day Sound level
Hours dBA
----------------------------------------------------------------------------------------------------------------------------
8 90
6 92
4 95
3 97
2 100
1-1/2 102
1 105
1/2 110
1/4 or less 115
----------------------------------------------------------------------------------------------- --------------------------
Note : No exposure to continuous, intermittent, or impact noise in excess of a peak C-

weighted level of 140 dB. If instrumentation is not available to measure a C-
weighted peak, an unweighted peak measurement below 140 dB may be used
to imply that the C-weighted peak is below 140 dB.
* Limited by the noise source - not administrative control. It is also recommended that a
dosimeter or integrating sound level meter be used for sounds above 120 decibels.
Annexure – II
TABLE – 2
RECOMMENDED SERVICE ILLUMINANCE FOR VARIOUS CLASSES OF VISUAL TASK

---------------------------------------------------------------------------------------------------------------------------
Class of Recommended Typical examples
visual task illuminance (lx)
---------------------------------------------------------------------------------------------------------------------------
Exceptionally 2400 or more Inspection of minute work
difficult tasks (e.g. very small instruments)
Very difficult 1600 Extra-fine bench and machine work, tool and
die making (tolerances below 25 um); gauging
and inspection of small or intricate parts.
1200 Inspection, examining and hand finishing

light goods.
Difficult 800 Fine bench and machine work (tolerances

down to 25 um); inspection of fine work (e.g.
calibrated scales, precision mechanisms and
instruments).
Normal range of 600 Office work with poor contrast drawing

tasks and workplaces offices-boards, fine painting, spraying and
computer rooms-input and output terminals.
Moderately 400 Medium bench and machine work

difficult (tolerances down to 125 m); routine office
work-typing, filing, reading, writing;
inspection of medium work (e.g."Go" and
"No Go" gauges, machine work; structural
steel fabrication-marking off; enquiry desks
Ordinary 300 Training room, chalkboards and charts;

pharmaceutical stores; kitchens - food
preparation, cooking, washing up; staff
canteens – counters.
Simple 200 Rough bench and machine work (tolerances

above 750 um); rough visual inspection,
counting, rough checking of stock parts;
structural steel fabrication-general areas;
entrance halls; waiting rooms; LPG Plants,
POL Depots / Terminals staff canteens-
general. warehouses and bulk stores -
packing and despatch
Rough inter- 100 Loading bays; office strong-

mittent tasks rooms, staff change rooms; locker rooms.
Movement and 50 Corridors with heavy traffic; orientation

indoor car parks (lanes); walkways and
movement areas in industrial plant; stairs;
rest rooms
20 Corridors with light traffic

----------------------------------------------------------------------------------------------------------------------------
Annexure - III
MEASUREMENT METHODS FOR TOXIC CHEMICALS IN THE

WORK ENVIRONMENT
____________________________________________________________________________
_
CHEMICAL STATE COLLECTION ANALYTICAL REAGENT

METHOD
____________________________________________________________________________
1. Acetic acid Liq/Sld Charcoal tube Formic acid GC with FID
2. Alumina Solid Filter -- Gravimetry
3. Aluminium chloride Solid Filter -- Gravimetry
4. Ammonia Gas Bubbler Dil.H2SO4 Spectrophotometer,

Ion chromatograph
5. Antimony trichloride Solid Filter -- AAS
6. Arsenic compounds Solid Filter -- AAS
7. Asbestos Solid Filter Acetone Phase contrast

microscopy
8. Asphalt fumes Solid Filter -- Gravimetry-

HPLC
9. Benzene Liquid Charcoal tube CS2 GC with FID
10 Butane Gas Charcoal tube CS2 GC with FID
11.Calcium hydroxide Solid Filter -- AAS
12. Carbon dioxide Gas Bags -- GC with TCD
13.Carbon monoxide Gas Bags -- Direct reading
14.Carbon tetrachloride Liquid Charcoal tube CS2 GC with FID
15.Chlorine Gas Bubbler -- Ion selective

electrode
16.Chromium & Solid Filter -- AAS

compounds
17. Clay Solid Filter -- Gravimetry
____________________________________________________________________________
CHEMICAL STATE COLLECTION REAGENT

ANALYTICAL
METHOD
____________________________________________________________________________
18. Cobalt & compounds Solid Filter -- AAS
19.Copper & compounds Solid Filter -- AAS
20.Diethanolamine Liquid Impinger -- Ion chromotography
21.Ethanolamine Liquid Silica gel tube -- GC with FID
22.Ethylamine Gas/Liq Silica gel tube H2SO4 GC with FID
23.Ethylene dibromide Liquid Charcoal tube CS2 GC with FID
24.Ethylene dichloride Liquid Silica gel tube CS2 GC with FID
25.Ethyl mercaptan Liquid Filter CS2 GC with ECD
26.Formalin Solid Filter/ Sodium VIS

impinger bisulphide spectrophotometry
27.Furfural Liquid XAD tube Toluene GC with FID
28.Gasoline Liquid Charcoal tube CS2 GC with FID
29.Glycerin mist Liquid Filter -- Gravimetry
30.Graphite Solid Filter -- Gravimetry
31.Hexane Liquid Charcoal tube CS2 GC with FID
32.Hydrazine Liquid Bubbler HCl VIS

Spectrophotometry
33.Hydrogen chloride Liquid Silica gel NaHCO3/Na2CO3 Ion

chromatography
34.Hydrogen fluoride Liquid Filter -- Ion selective

electrode
35.Hydrogen sulphide Gas Dry tube/mole- -- Thermal desorpt-

cular sieve ion & GC with FID
36.Iron & compounds Solid Filter -- AAS

ANALYTICAL
METHOD
____________________________________________________________________________
37.LPG Gas Detector tube -- Direct reading

instrument
38.Methanol Liquid Silica gel Water GC with FID
39.MEK Liquid Ambersorb CS2 GC with FID

Tube
40.Methyl t-butyl Liquid Charcoal tube -- GC with FID

ether
41.MIBK Liquid Charcoal tube Acetone GC with FID
42.Molybdenum Solid Filter -- AAS

& compounds
43.Morpholine Liquid Silica gel tube H2SO4/NaOH GC with FID
44.Naphtha Liquid Charcoal tube CS2 GC with FID
45.Nickel & compounds Solid Fliter -- AAS
46.Nitric acid Liquid Silica gel tube -- Ion

chromotography
47.Nitric oxide Gas Molecular seive -- Ion

chromotography
48.Nitrogen dioxide Gas Molecular seive -- Ion

chromotography
49.Oil mist Liquid Filter -- Gravimetry
50.Pentane Gas Charcoal tube CS2 GC with FID
51.Phenol Sol/Sld XAD tube Methanol HPLC
52.Phosgene Gas Impinger tube -- VIS

spectrophotometry
53.Phosphoric acid Liquid Silica gel tube -- Ion chromotograph
54.Poly nuclear Liquid Filter -- GC with FID aromatic

compound
__________________________________________________________________________

ANALYTICAL
METHOD
____________________________________________________________________________
55.Propane Gas Anasorb tube -- GC with FID
56.Silica Solid Fliter -- Gravimetry
57.Sodium hydroxide Sol/Sld Filter HCl Titration
58.Stoddard solvent Liquid Charcoal tube CS2 GC with FID
59.Sulphur dioxide Gas Filter NaHCO3/Na2CO3 Ion

chromatography
60.Sulphur monochloride Liquid Impinger -- Ion chromatography
61.Sulphuric acid Liquid Impinger -- VIS

Spectrophotometry
62.Tert.Butanol Liquid Charcoal tube CS2 GC with FID
63.Tetraethyl lead Liquid XAD tube Pentane GC with PID
64.Toluene Liquid Charcoal tube CS2 GC with FID
65.Vanadium Solid Filter -- AAS

& compounds
66.Xylene Liquid Charcoal tube CS2 GC with FID

____________________________________________________________________
Note: XAD indicates that a special coating must be added

GC : Gas chromatographTCD : Thermal conductivity detector
FID : Flame ionisation detector
ECD : Electron capture detector
PID : Photo ionisation detector
HPLC : High performance liquid chromatograph
AAS : Atomic absorption spectro photometer
Annexure-IV
TABLE - 1
BIOLOGICAL EXPOSURE DETERMINANTS
----------------------------------------------------------------------------------------------------------------------------
Airborne chemical/ Sampling Biological Exposure
Determinant time Indices
(BEI)
----------------------------------------------------------------------------------------------------------------------------
Acetone
- Acetone in urine End of shift 100 mg/l
Arsenic
- Inorganic arsenic End of workweek 50 ug/g

metabolites in urine creatinine
Benzene
- Total phenol in urine End of shift 50 mg/g

creatinine
- Benzene in exhaled air Prior to next
shift
mixed exhaled 0.08 ppm
end exhaled 0.12 ppm
Carbon monoxide
- Carboxyhaemoglobin in End of shift Less than 8% blood

haemoglobin
- CO in end-exhaled air End of shift Less than 40 ppm.
Chromium
- Chromium in urine End of shift at 30 ug/g

end of workweek creatinine
Cobalt
- Cobalt in urine End of shift at 15 ug/l

end of workweek
- Cobalt in blood --do-- 1 ug/l
Furfural
- Total furoic acid End of shift 200 mg/g in urine

Creatinine
n-Hexane
- 2,5 hexanedione in End of shift 5 mg/g urine

creatinine
----------------------------------------------------------------------------------------------------------------------------
(BEI)
----------------------------------------------------------------------------------------------------------------------------
Lead
- in blood not critical 50 ug/100ml

- in urine not critical 150 ug/g Creatinine
- Zinc protoporphyrin After one month 100ug/100 ml

in blood exposure blood.
Methanol
- Methanol in urine End of shift 15 mg/l
Methemoglobin
inducers
- Methaemoglobin in During or end of 1.5% of

blood shift haemoglobin
Methyl ethyl ketone
- MEK in urine End of shift 2 mg/l.
MIBK
- MIBK in urine End of shift 2 mg/l
Naphtha
- Phenol in urine End of shift 50 mg/g

creatinine
Phenol
- Total phenol in urine End of shift 250 mg/g

Creatinine
PNA compounds
- Phenol in urine End of shift 50 mg/g

creatinine
Toluene
- Hippuric acid End of shift 2.5 g/g

in urine creatinine
- Toluene in End of shift 1 mg/l

venous blood
----------------------------------------------------------------------------------------------------------------------------
(BEI)
----------------------------------------------------------------------------------------------------------------------------
Vanadium
- Vanadium in urine End of shift 50 ug/g
Xylene
- Methylhippuric acid End of shift 1.5 g/g in urine

Creatinine
------------------------------------------------------------------------------------------------------------ --------------
Annexure - IV
Table - 2
GENERAL HEALTH CHECK UP
Examination Data Sheet Name/ Employee No:_________

Date:________
Age Per Abdomen (E5)

Weight (kgs) Liver (Palpable / Not
palpable
Heigth (cms) Kidney
Any illness since the last Spleen (palpable/ not
examination & when? palpable)
Immunization History Hernia
Family Planning Status Scrotum
Per rectum
General (E1) Per vagina
Pulse (/min) Respiratory system
(E6)
BP (mm Hg) Rate
Body Temperature Measurement Ins/Exp.
General: Build / Nutrition Abnormalities
Pallor (Yes/No) Cardio vascular
System (E7)
Nails (including clubbing) Heart sounds
Skin Neck veins
Thyroid Varicose vein
Breast ECG
Nipples Others
Icterus Central Nervous
system (E8)
Edema Cranial N
Nodes Speech
Eye (E2) Rt. Lt. Motor
Distant Vision Sensory
Near Vision Reflexes
Colour?night Vision Others
Wear Glasses / contacts Locomotor System
(E9)
ENT (E3) Gait
Ears Joints
(Tympanum/canal/Pinna)
Nose Spine
(Septum/ala/Turbinates)
Throat Others
(Tonsils/Pillars/Pharynx)
Oral Cavity (E4) Psy (E10)
Halitosis (Yes / No) Personality type (As per annex-II
Lips Sleep (Sound/disturbed)
Gums Comments
Teeth
Tongue (clean / furred)
INVESTIGATION DATA SHEET
CBC (T1) Observed Value Recommendation

Hb % (12-16)
RBC (4.5-8.5)
Abnormal RBCs
WBC (4-11T)
Neutro (40-75)
Eosino (1-6)
Baso (0-1)
Lymph (20-45)
Mono (2-10)
Plate (1.5-4la)
Parasites
T(2): Blood Group
T(3): ESR (Males:0-10
Females; 0-14)
T(4): VDRL
(T5): RA factor
T(6): HIV (sign of consent)
T(7): HbsAg
T(8)
BS (fasting) 76-110
Urine sugar Nil
BS (pp) Upto 140
Urine sugar Nil
T(9)
Cholesterol 50-200
Triglycerids 50-200>240
HDL 35-60
LDL 0-178>160
CH/HD 3-6
T(10)
Total 0-1
Bilurubin
Sr.Alk phos 79-270
SGOT 0-38
SGPT 0-40
GGT 7-49
T(11)
Urea
Creatinine
Uric acid
T(12)
Calcium Optional
Phosporus Optional
T(13): sputum
T(14): Urine
T(15): Stool
T(16): PAP smear (females) Not routine
T(17): ECG
Spirometry T(18)
VC
FVC
FEV1
FEC1%
Comments
Audiometry T(19)
Radiology
Chest (AP&Lat) (T20)
Cervical sp. (T21) Optional
Lumbar Sp.(T22)
Mammogram (T23)
USG (if reqd) (T24)
Ophthalmoscopy (T25) Rt
Lt.
Titmus vision test (T26)
Other Tests (TS)

Annexure - IV
Table – 3
Recommended Clinical and Laboratory Tests for early

Detection of Work -Related Illnesses in the Main Organs and Systems
Name TLV STEL Target organ / tissue Frequency of Laboratory and other tests
Examintion
PPM MG/M3 PPM MG/M3 Urine analysis Blood Additional
parameters Tests
Acetic Acid 10 25 15 37 Resp. system, skin, Annual PFT, X ray
eyes, teeth chest
Acetone 750 1780 1000 2380 Mucous membranes, Annual Acetone in Renal function
skin, CNS, liver, urine test; LFT
kidney
Alumina Resp. system Annual PFT, X ray
sputum
Aluminium Resp. system Annual PFT, X ray
Chloride sputum
Ammonia 25 17 35 27 Skin, eyes, mucous Annual PFT, X ray
membranes, resp. chest
system
Ammonimum - 10 - 20 Skin, eyes, mucous Annual
Chloride membranes
Antimony - 0.5 - - Resp. system, eyes, Annual PFT, X ray
Chloride skin, CVS sputum, ECG
all leads
Arsenic - 0.01,A1 - - GI system, CNS, blood, Annual Inorganic Haematology X ray chest
Compounds liver, skin, resp. arsenic LTF, renal ,PFT
system, mucous metabolites in function tests
membranes urine
Asbestos Resp. system, GI Annual sputum PFT, X ray
system chest
Amosite 0.5 fiber /cc

Chrysotile 2.0 fiber/cc
Crocidolite 0.2 fiber/cc
Other forms 2.0 fiber/cc
Asphalt - 5 - - Resp. system, eyes, Annual X ray chest,
skin PFT
Benzene 10, A2 32,A2 - - CNS, Blood 6 months Phenol in urine Haematology Benzene in
profie; platelets exhaled air
reticulocytes
Butane 800 1900 - - Eyes, skin CNS, resp. Annual PFT, X ray
system chest, nerve
conduction test
Tert. Butanol 100,A4 303, A4 - -
Calcium - 5 - - Mucous membranes, Annual PFT, X ray
hydroxide skin, eyes, resp. system chest
Carbon 5000 9000 30000 54000 Resp.system, eyes Annual PFT, X ray
dioxide chest
Carbon 25 29 - - Blood, resp.system, Annual Carboxy Hb CO in end
monoxide CNS, CVS exhaled air,
PFT, ECG at
rest &
exercise, stress
test
Carbon tetra 5 31 10 63 CNS, liver, kidneys Annual LFT, renal Vision
chloride function test screening
Chlorine 0.5 1.5 1.0 2.9 Eyes, resp. system, Annual PFT, X ray
mucous membranes chest
Chromium & Resp. system, eyes, Annual Chromium in LFT, PFT, X ray
compounds blood, skin, kidney urine Haematology, chest
ChromiumIII - 0.5,A4 - - renal function
Chromium VI - 0.05 A1 - - test
Clay Resp. system Annual PFT, X ray
chest
Cobalt & - 0.02,A3 - - Resp. system, CVS, Annual Cobalt in urine Lipid profile, PFT, X ray
compounds skin, eyes blood sugar, chest, ECG all
cobalt in blood leads
Copper & Resp. system, eyes, Annual LFT PFT, X ray
Compounds skin, CNS, liver, chest
Fume - 0.02 - - kidney, bones
Dust - 1 - -
Diethanol 3 13 - - Resp. system, eyes, Annual PFT, X ray
amine skin chest

Ethanolamine 3 7.5 6 15 Resp. system, eyes, Annual PFT, X ray

skin chest
Ethylamine 5 9.2 15 27.6 Resp. system, eyes, Annual PFT, X ray
skin chest
Ethylene A2 A2 - - Resp. system, eyes, Annual LFT, renal PFT, X ray
dibromide skin, kidney, CVS function tests chest
Ethylene 10 40 - - CVS, kidneys, liver, Annual Haematology, Vision, PFT, X
dichloride nervous system, resp. LFT, renal ray chest
system function tests
Ethyl 0.5 1.3 - - Resp. system 6 months Hb, LFT, PFT, X ray
mercaptan creative chest
Formaldehyde - - C0.3,A2 C0.37,A2 Skin, resp. system, GI Annual Haematology PFT, X ray
system, nose chest
Furfural 2 7.9 - - Skin, resp. system Annual Total furic Haematology PFT, X ray
acid in urine chest
Gasoline 300 890 500 1480 Skin, nervous system, Annual LFT, spirometry PFT, Tests of
eye, resp. system nervous system
function
Glycerine - 10 - - Resp. system, eyes, Annual
skin
Graphite - 2 - - Resp. system Annual PFT, X ray
sputum
Hexane (n- 50 176 - - Skin, CNS, eyes, Annual 2.5 Hexa- Nerve
hexane) mucous membranes pedione in conduction
urine tests
Hot Heart, kidney, skin Annual Haematology ECG
environment
Hydrazine 0.1 0.13 - - Resp. system, skin, Annual Renal function PFT, X ray
eyes, CNS, blood, liver, test, LFT, chest
kidney methaemoglobin,
Hydrogen - - C5 C7.5 Skin, eyes, mucous Annual Haematology PFT, X ray
chloride membranes, resp. chest
system
Hydrogen - - C3 C2.3 Resp. system, skin, Annual X ray chest,
fluoride eyes PFT
Hydrogen 10 14 15 21 Eyes, mucous 6 months Haematology PFT
sulphide10 membrane, resp.
system, CNS
Iron & - 1 - - Resp. system Annual PFT, X ray
compound sputum
Light Eyes Annual Vision
screening
LPG 1000 1800 - - Resp. system, CNS Annual PFT, X ray
chest, Nerve
conduction test
Methanol 200 262 250 328 Mucous membranes, Annual Methanol in LFT; renal Vision
skin, eyes, CNS urine function tests screening
Methyl ethyl 200 590 300 885 Mucous membranes, Annual MEK in urine Nerve
ketone skin, eyes, CNS conduction test
(MEK)
Methyl 50 205 75 307 Mucous membranes, Annual MIBK in urine Nerve
isobutyl CNS, skin, eyes conduction test
ketone
(MIBK)
Molybdenum Resp. system, eyes, Annual Haematology PFT, X ray
& compounds skin, blood, mucous chest
membranes
Soluble - 5 - -
Insoluble - 10 - -
Morpholine 20 71 - - Resp. system, eyes, Annual PFT, X ray

skin chest
Naphtha 300 1370 - - Resp. system, eyes, Annual Phenol in urine Haematology,
skin, blood, CNS platelets
reticulocyte
Nickel & - 1 - - Resp. system, skin Annual PFT, X ray
compounds chest, X ray
sinuses
Insoluble - 1 - -
Soluble - 1 - -
Nitric acid 2 5.2 4 10 Mucous membranes, Annual PFT, X ray

skin, eyes, resp. system chest
Nitric oxide 25 31 - - Skin, eyes, resp. system Annual PFT, X ray
chest

Nitrogen 3 5.6 5 9.4 Skin, eyes, resp. system Annual PFT, X ray
dioxide chest
Noise Ears, heart Annual Lipid profile, Audiometry,
blood sugar ECG
Oil mist - 5 - 10 Skin, resp. system, Annual X ray chest,
(mineral) nose, bladder PFT
Pentane 600 1770 750 2210 Skin,CNS, eyes, Annual Nerve
mucous membranes conduction
tests
Phenol 5 19 - - Skin, liver, kidney Annual Phenol in urine LFT, renal
function tests
Phosgene 0.1 0.40 - - Resp. system, eyes, Annual PFT, X ray
mucous membranes chest
Phosphoric - 1 - 3 Eyes, resp. system, Annual PFT, X ray
acid mucous membranes chest
Poly nuclear CNS, blood Annual Phenol in urine Haematology Benzene in
aromatic profile, platelets, exhaled air
compounds reticulocytes
Propane TWA-OSHA:1000ppm; 1DLH:20000ppm Skin, CNS, eyes, Annual Nerve
mucous membranes conduction
tests
Silica - 10 - - Resp. system Annual Haematology PFT, X ray
chest, sputum
Sulfur Resp. system, eyes, Annual PFT, X ray
skin chest
Sodium - - - C2 Resp. system, eyes, Annual PFT, X ray
hydroxide skin chest
Sulfur dioxide 2 5.2 5 13 Eyes, mucous Annual PFT, X ray
membranes, skin, resp. chest
system
Sulfur mono - - C1 C5.5 Eyes, lungs, skin, resp. Annual
chloride system
Sulfuric acid - 1 - 3 Heart, skin, resp. Annual haematology PFT, X ray
system chest
Tetraethyl - 0.1 - - CNS, eyes, skin, resp. Once in 3 Lead in urine Haematology, Tests of
lead system months ZPP nervous system
function
including
psychological
test
Toluene 50 188 - - CNS, skin, mucous Annual Hippuric acid LFT, renal Tests of
membranes in urine function test, nervous system
function
Vanadium & - 0.05 - - Resp. system, skin, Annual Vanadium in PFT, X ray
compounds eyes, mucous urine chest
membranes
Xylene 100 434 150 651 CNS, blood, skin Annual Methyl LFT, renal Tests of
hipporic acid function tests nervous system
in urine function
Note: A1 – Confirmed Human carcinogen
A2 – Suspected Human carcinogen
A3 – Animal carcinogen
A4 – Not classified as a Human carcinogen
A5 – Not suspected as a human carcinogen
C – Denotes ceiling limit

Annexure-V
TABLE - 1
STANDARD HEIGHT AND WEIGHT
--------------------------------------------------------------------------------------------------- -------------------------
Height Weight, Kgs.
Men Women
Cms. Ft.
---------------------------------------------------------------------------------------------------------------------------
152 5'0" ----- 50.8 - 54.4
154 5'1" ---- 51.7 - 55.3
157 5'2" 56.3 - 60.3 53.1 - 56.7
159 5'3" 57.6 - 61.7 54.4 - 58.1
162 5'4" 58.9 - 63.5 56.3 - 59.9
165 5'5" 60.8 - 65.3 57.6 - 61.2
167 5'6" 62.2 - 66.7 58.9 - 63.5
170 5'7" 64.0 - 68.5 60.8 - 66.3
172 5'8" 65.8 - 70.8 62.2 - 66.7
175 5'9" 67.6 - 72.6 64.0 - 68.5
177 5'10" 69.4 - 74.4 65.8 - 70.3
180 5'11" 71.2 - 76.2 67.1 - 71.7
182 6'0" 73.0 - 78.5 68.5 - 73.9
185 6'1" 75.3 - 80.7
187 6'2" 77.6 - 83.5
190 6'3" 79.8 - 85.7

Annexure - V
Table – 2
Physical Evaluation Sheet for Offshore Personnel

Name: Employee No.: Date:
Age General: Build / Nutrition Build Nut.

(Well, Average or Poor)
Sex Chest Measurement
Insp. (cms)
(P1) Height (cms) Chest Measurement
Exp. (cms)
Weight (kgs) Abdominal Girth (cms)
Resting Pulse Rate BMI
Pulse After 1.6 km run
Time taken (in Mins) to run VO2 Max (Stamina score)
/walk 1.6 km
(P2) No. of Push ups in 1 go
(Muscular Power 1)
P(3) No. of Sit ups in 1 Evaluation of Muscular Power 1
minute (Muscular Good / Average / poor)
Power 2) As per Evaluation Criterion – a
(P4) Ability to bend forward Evaluation of Muscular Power 2
and bring the fingertips Good / Average / poor)
to within 10 cms from As per Evaluation Criterion – a
the ground with knees Yes/No
straight
Ability to touch chin to
both acromio clavicular
joints and to the
Manubrium Sternum Yes/No
Ability to cross the arm Evaluation of Flexibility
behind the back and (number of yes divided by 5)
hold the opposite elbow
Yes/No
Ability to raise the arm
above the head and bend
at the elbow to hold the
opposite deltoid muscle Yes/No
with fingers
Ability to appose thumb
to fingers painlessly Yes/No
Note: Field going personnel need to under go all tests

Others only covered under P
P = Physical evaluation linked with specific hazard
Details and Calculations are to be made as per attached sheet Annexure - a

Evaluation Criterion – a
Physical Fitness Criteria for Males

Age in years 20-29 30-39 40-49 >50
(P1)Aerobic Power: Computed as per the formula (ml/kg/min)
Formula: for aerobic power or VO2 Max.
VO2 Max = 132.9-(0.035 x W) – (0.388 x Y) + 6.32 x S – (3.26xT) – (0.157xR)
Where W = Wt. In kgs, Y = Age in yrs, S=1 for males and 0 for females
T = Time in mins. Taken to run 1,6 km, R=Heart rate at the end of the run
Good >43 >39 >36 >34

Average 34-42 32-38 27-35 25-33
Poor <33 <30 <26 <24
Muscular strength – 1: Grade as Push ups done in one go (P2)
Good >29 >22 >17 >13
Average 22-28 17-21 13-16 10-12
Poor <21 <16 <12 <9
Muscular strength – 2: Grade as Sit ups done in one min. (P3)
Good >37 >31 >26 >22
Average 33-36 27-30 22-25 18-21
Poor <32 <26 <23 <17
(P4) Flexibility:
Flexibility is measured in terms of the following:
Yes No*
Ability to bend forward and bring the fingertips to within Good Below Average
10 cms from the ground with knees straight
Ability to touch chin to both acromio clavicular joints and Good Below Average
to the Manubrium Sternum
Ability to cross the arm behind the back and hold the Good Below Average
opposite elbow
Ability to raise the arm above the head and bend at the Good Below Average
elbow to hold the opposite deltoid muscle with fingers
* Suitability to be determined by company.
Body Mass Index: BMI

BMI = Weight / Height in Meters Square
BMI value Weight status

Below 18.5 Underweight
18.5 – 24.9 Normal
25 – 25.9 Overweight
30 and above Obese

Annexure – VI
Typical Questionnaire for Industrial Hygiene and Occupational

health Surveillance Audit
Facilities :
Date(s) of Audit :
1. Policy
1. Is there a health and safety policy?
2. Does the policy mention industrial hygiene and occupational health issues?
3. Has the policy been circulated in writing to all facility employees & contractors?
4. Does the policy require risk assessment and control of all processes and work activities in the
facility?
5. Are health and safety management responsibilities clearly outlines in the policy or in any
document flowing from it?
6. Are responsibilities for the following areas clearly outlined in the policy or in any document
flowing from it?
a. Chemical hazards
b. Noise
c. Heat stress
d. Nonionzing radiation
e. Ergonomics
f. Occupational health surveillance
g. Management information systems
h. Training
i. Communications
j. Programmes geared to altering risk perceptions of employees
2. Organization
1. Have annual health and safety objectives been clearly spelt out?
2. Are these objectives appropriate to the size of the facility?
3. What proportions of managers have annual objectives?
4. For what proportion of managers is health and safety part of the job description and is taken
into account in personal performance review?
5. Are the following involved in deciding annual objectives:


a. Managers
b. Industrial hygiene section head
c. Occupational health section head
d. Specialist advisers
e. Workers representative
6. Are the objectives sufficiently flexible to take care of changing priorities?
a. Have action strategies been clearly drawn up from time to time, indicating phase for
work completion?
b. Have occupational health and safety issues been formally discussed in senior
management meeting in the last year?
7. Is there a formal coordinator who looks after industrial hygiene and occupational health, and
who is a senor manager or reports to senior management?
8. Has a formal provision been made for specialist advice or services?
9. Is the role and responsibility of the health and safety coordinator comprehensive?
10. Has health and safety been made a line responsibility?
11. Are the health and safety coordinator and the heads of the industrial hygiene and occupational
health sections adequately competent for the facilities requirements?
12. Do the industrial hygiene and occupational health sections staff have adequate experience for
their jobs?
13. Are the external consultants’ hygiene and occupational health sections adequate and
competent?
14. Is the other staff in the industrial hygiene and occupation health sections adequate and
competent?
15. Has the facilities chief executive participated in a formal health and safety meeting or
inspection in the last year?
16. What proportion of senior mangers participate at least once a year on
a. Formal health and safety inspection?

b. Training programmes
c. Performance measurement
d. Performance review
17. Is there a properly functioning heath and safety committee in the facility?
18. For larger facilities, are there properly functioning section level health and safety committees?
19. Is the evidence that health and safety committee meeting in the last year have addressed
problems related to:
a. Chemical hazards

b. Noise
c. Heat stress
e. Ergonomics
f. Occupational health
g. Personal protection
h. Health and safety training
i. Information and communications
j. Maintenance
k. Performance measurement methods
l. Performance measurement reviews
20. Has the facility established cooperative programme with other hydrocarbon facilities other
organization?
21. Is the health and safety information input into the facility adequate?
22. Are external information inputs, e.g. safety reports from vendors discussed at :
a. Senior management meetings

b. Facility health and safety committee meetings
23. Are health and safety issues communicated in formal meetings , in writing, including in the
form of a newsletter, or on a electronic bulletin board, regularly within the facility?
24. Are all personal exposure and medical records given to each employee?
25. Are the industrial hygiene and occupational health sections in regular touch with
a. Senior line mangers

b. External specialists
c. Training coordinator
d. Maintenance manager
e. Employee representatives
26. Are the findings of industrial hygiene monitoring s communicated to
a. Senior line managers

b. External specialists
c. Training coordinator
d. Maintenance manager
e. Employee representatives
27. What proportion of supervisors have been briefed in the last year about
a. Chemical hazards
b. Noise
c. Heat stress
e. Ergonomics
f. Risk assessment
g. Personal protection
h. Hazard control method

28. What proportion of supervisors have been briefed in the last year about
a. Chemical hazards
b. Noise
c. Heat stress
e. Ergonomics
f. Personal protection
g. Hazards control method
29. Is adequate product and other safety information being made available to business associated
by the facility?
30. Have training needs been properly evaluated?
31. Are manages and supervisors given induction training in
a. Chemical hazards and their control

b. Noise
c. Heat stress
e. Ergonomics
g. Hazard control method
32. Are operators and maintenance personnel been given induction training in:
a. Chemical hazards and their control

b. Noise
c. Heat stress
e. Ergonomics
g. Hazards control methods
33. Have managers been given additional training at any time in:
a. Health and safety information communication techniques

b. Human behaviour to risk
c. Health and safety legislation
d. Health and safety management information systems
34. In there an ongoing health safety continuing education programme for other staff?
35. Heave specific training programmes been conducted for personnel from the industrial hygiene
and occupational health sections?
36. Is the content of the training programmes appropriate to the size of the facility?
37. Are training programmes evaluated by the participants?
38. .Have any modifications been made in the content or methodology of training programmes
based on formal evaluation?

39. Is health and safety included in briefing / induction training of contractors?
40. Are the training programmes supported by the distribution of written materials?
41. Is there suitable and properly services equipment , appropriate to the facilities size, to monitor:
a. Gases
b. Vapours
c. Particulates
d. Noise
e. Heat stress
f. Lighting levels
g. Vision testing
h. Lung function
i. Audiometry
j. Appropriate pathology laboratory with facilities to do complete blood and urine
examination , liver an kidney function tests,
k. Radiogram
l. Electrocardiogram
42. Is the equipment properly calibrated?
43. Is the equipment properly understood by users and correctly used?
44. Is there an adequate budget for equipment and consumables purchase?
3. Planning
1. Are the health and safety planning procedures clear and unambiguous at all levels?
2. Are planning priorities reflected in resource (finance, manpower) at locations?
a. Have documented health and safety and safety performance standards for the following
areas been prepared and circulated wherever they have to be
b. Facility design
c. Construction materials
d. Facility equipment
e. Materials and equipment used by contractors
f. Quality of personnel being recruited
g. Quality of contractors
h. Information inputs to the facility
i. Facility premises
j. Facility operations
k. Facility maintenance
l. Indoor air contaminant concentrations
m. Noise levels
n. Heat stress
o. Nonionzing radiation
p. Ergonomics
q. Handling of chemicals
r. Transport of chemicals
s. Storage of chemicals

t. Work procedures
u. Pre-employment medical examination
v. Medical surveillance
w. Medical screening
x. Medical inspection of facility
y. Quality of external consultants for industrial hygiene and occupational health
z. Maintenance work
aa. Entry into confined space
bb. Hot work
cc. Decommissioning of equipment
dd. Planned changes in production
ee. Transport of petroleum and other products
ff. Storage of petroleum and other products
gg. Product of safety literature to clines
hh. Hazard identification procedures
ii. Exposure evaluation procedures
jj. Hazards control procedures
4. Chemical hazards
1. Is there a complete inventory of hazardous substances handled by the facility?
2. Is the chemical inventory reviewed and updated annually?
3. Is there a procedure that requires the industrial hygiene sections to approve a new
chemical not previously used by the facility?
4. Are material hazard date sheets, including information on health hazards, readily
available to all persons in the facility?
5. Are safe handling procedures of chemicals described in operating manuals?
6. Is health protection information easily available to all employees?
7. Is readily available health and safety material adequate in content and form?
8. Has comprehensive hazard identification been done?

9. Has comprehensive qualitative exposure evaluation been done in the last year?
10. Has quantitative exposure evaluation, preliminary and detailed, been done for inhalation,
skin contact and ingestion in the last year?
11. Has the exposure evaluation been done competently, i.e. using proper techniques, correct
strategies, equipment, analytical methods, sample locations, sample sizes?
12. Is there routine monitoring programme for airborne contaminants and with an appropriate
strategy?
13. Is biological monitoring done where required?

14. Are appropriate sampling and analytical method used?
15. Are monitoring instruments properly calibrated?
16. Is the chemical analysis done by experienced analysts?
17. Does the laboratory have the proper equipment?
18. Has qualitative risk assessment been done in the last year?
19. Were workmen involved with the qualitative assessment studies?
20. Has quantitative risk assessment been done in the last year?
21. Have the risk assessment studies covered all hazardous operations in the facility?
22. Do the health and safety co-ordinator of the facility or the heads of the industrial hygiene
and occupational health sections formally approve new projects or plant modifications at:
a. Project conception stage

b. Final project approval stage
23. Where the control of the working environment is necessary, do the health and safety
coordinator of the facility or the heads of the industrial hygiene and occupational health
sections formally participate in developing a control strategy?
24. For a larger or a more difficult problem, is a multi-disciplinary group setup to develop a
control strategy?
25. have the following strategies been assessed before a control decision was taken:
a. Process change or material substitution

b. Removal of humans from hazard range
c. Enclosure or segregation of portion of plant causing a hazard
d. Enclosure of humans
e. Using ventilation methods to remove/dilute chemical
f. Use of personal protective equipment (PPE)
g. Other administrative control methods.
26. Are priorities and targets set for hazard control?
27. Is post-commissioning exposure evaluation mandatory?
28. Have documented testing and examination of process equipment and engineering control
systems been carried out in the manner which regulations require?
29. Are there documented standard inspection checklists?
30. Is there documented routine maintenance of engineering control measures?
31. Is routine leak detection monitoring carried out to check the integrity of pumps, seals,
other process equipment and enclosures?
32. Have all hazardous jobs been analyzed to determine the requirement for PPE?

33. Does the selection of PPE include consideration of technical performance criteria?
34. Are users invited to evaluate selection of PPE?
35. Are user’s comments taken into account in the final selection of PPE?
36. Is PPE issued on a personal basis when required and documented?
37. Are there documents of inspection and maintenance of PPE?
38. Is the occupational health section consulted prior to issue of PPE to an individual?
39. Are adequate washing and changing facilities provided?
40. Are separate lockers provided to each employee for their street and work clothes?
41. Are work clothes washed free of cost?
42. Is there a comprehensive documented record, along the lines of Table 3.7.1, Vol.2, for
chemical hazard abatement?
5. Noise
1. Is information on the hazards of excessive sound levels and hearing conservation readily
available to all persons in the facility?
3. Have all sources that generate > 84 dBA at 1 m distance been identified?
4. Have all noisy areas been demarcated?
5. Have preliminary and detailed noise surveys been done throughout the facility?
6. Are octave band analysis done for where control measures are necessary?
7. Is representative noise dosimetry data available?
8. Are sound level instruments properly calibrated?
9. Are noise criteria incorporated into specifications for new plant and equipment?
10. have the following strategies been assessed before a control decision was taken:
a. Noise reduction by equipment change or vibration reduction

b. Removal of humans from noisy areas
c. Enclosure of noisy sources
e. Use of sound proof paneling, etc.
f. Use of ear protectors
g. Other administrative control methods.

11. Are priorities and targets set for noise control?
12. Is post-commissioning exposure evaluation mandatory?
13. Are there documented standard inspection checklists for noise control?
14. Does selection of ear protectors include consideration of technical performance?
15. Are users invited to evaluate selection of ear protectors?
16. Are user’s comments taken into account I the final selection of ear protectors?
17. Are ear protectors issued on a personal basis when required and documented?
18. Is the occupational health section consulted prior to issue of ear protectors to an
individual?
19. Is there a comprehensive documented record, along the lines of Table4.7.1, Vol.2, for
noise abatement?
6. Heat Stress
1. Is information on heat stress and its effects readily available to all persons?
3. Has an assessment been made to determine jobs/tasks which give rise to heat stress?
4. Has a quantitative assessment been made to compute the heat loads of these jobs/tasks?
5. Have the following strategies been assessed before a control decision was taken:
a. Equipment change or substitution

b. Removal of humans from hot areas
c. Enclosure of hot sources
e. Reduction of temperature/heat in hot areas
f. Instituting a proper work-rest regime
g. Instituting a proper acclimatization programme
h. Providing cool drinking water
i. Other administrative control methods
6. Where the thermal environment can not be controlled to a safe level, has a work permit
system been adopted which specifies a proper work-rest regime?
7. Is the occupational health section consulted prior to permitting an individual to work in

hot environments?
8. Is there a comprehensive document record, along the lines of Table 5.7.1, vol.2, for heat
stress abatement?

7. Nonionizing Radiation
1. Is information on nonionizing radiation and their effects readily available?
3. Have assessment been made for evaluating health risks due to ultraviolet, visible light and
infrared rays?
4. If protection is required against nonionizing radiation, have adequate control measures

been taken?
5. Has a comprehensive lighting levels survey been done in the last 2 years?
6. Did the survey include the suitability of lighting in the following areas:
a. Roadways, pathways and access points

b. Plant areas
c. Sample points
d. Unloading /loading areas
e. Control rooms and instrument panels
f. Emergency escape routes
g. Fire and safety equipment storage areas
h. Tank farms and other storage areas
i. Security areas
j. Offices
k. Workshops
l. Canteens, toilets, washing areas, eye fountains
7. Are there procedures to report deficient lighting situations?
8. Is there a planned maintenance programme for lighting installations?
9. Do VDT workers get proper rest pauses?
8. Ergonomics
1. Is information on ergonomic factors readily available?
2. Is the readily available information adequate in content and form?
3. Has there been a survey of environmental and ergonomic factors associated with the use
of VDTs?
4. Are the designs of instrument display and equipment controllers ergonomically sound?
5. Are there purchase criteria for office equipment and furniture, including those for VDT
operators, which consider ergonomic factors?
6. Is there standard checklist for an annual check of all workstations that require an
ergonomic survey?
Occupational health Surveillance


1. Is the occupational health section aware of all the occupational hazards in the facility and
have a working knowledge of the operations involved?
2. Are the medical services provided commensurate to the size and hazard prevalence in the
facility?
3. Do the medical services operate after the facility’s normal office working hours?
4. Is there a separate occupational health section within the medical division?
5. Can the occupational health section deal adequately with work-related health effects?
6. Is the system of medical examinations structured to identify health effects at an incipient

stage?
7. Is the system of medical examinations structured to identify potential health effects?
8. Does the pre-employment medical examination do the following examinations:
a. Use a questionnaire to elicit the person’s understanding of his exposure and medical
history and current medical status?
b. Complete physical examination
c. Complete blood test
d. Complete urinalysis
e. Stool examination
f. Radiation
g. Electrocardiogram
h. Lung function
i. Liver function test, if necessary
j. Kidney function test, if necessary
k. Vision testing
l. Audiometry
m. An examination of the upper respiratory tract
n. An examination of the eyes
o. An examination of the skin
p. An examination of the respiratory tract & lungs
q. An examination of the nervous system
r. An examination of the liver
s. An examination of the kidneys
t. An examination of the cardiovascular system
u. An examination of the reproductive system
v. An examination of the psychic character
w. An examination of the ears
x. An examination of the musculoskeletal system
y. An examination of other systems as required
9. Is a routine periodic medical examination (medical surveillance) conducted?
10. Does the periodic medical examination do the following examinations:
a. Use a questionnaire to elicit the person’s understanding of his exposure and medical
history and current medical status

b. Scan exposure and medical history records of the person

c. Complete blood test
f. Electrocardiogram for those above 40 years of age
g. Vision testing
h. An examination of the upper respiratory tract
i. An examination of the eyes
j. An examination of the skin
k. An examination of the respiratory tract & lungs
l. An examination of the nervous system
m. An examination of the liver
n. An examination of the kidneys
o. An examination of the cardiovascular system
p. An examination of the reproductive system
q. An examination of the psychic character
r. An examination of the ears
s. An examination of the musculoskeletal system
t. An examination of other systems if required
11. Is there a formal medical screening programme?
12. Does the medical screening programme have criteria for inclusion of the following
categories of employees:
a. Those declared unfit in periodic medical examinations for whatever reasons

b. Those suspected of health effects in periodic medical examinations
c. Cohorts of persons who have developed a work related health effect
d. High risk groups
e. Other categories of persons.
13. Is the definition of high risk groups adequate for the nature of hazards in the facility?
14. Is the medical screening examination geared to do the following examinations, whether in
the facility’s medical centre or outside:
a. Study in depth the exposure and medical history of the person

b. Biological monitoring of urine, blood and expired air, as required
c. Complete blood test.
f. Radiogram
g. Electrocardiogram
h. Lung function
i. Methacholine challenge test
j. Liver function test
k. Kidney function test
l. Immunological tests
m. Vision testing
n. Patch testing for skin
o. Electroneurography
p. Cardiovascular exercise tests
q. Audiometry

r. Sound conduction tests

s. An examination of the upper respiratory tract
t. An examination of the eyes
u. An examination of the skin
v. An examination of the respiratory tract and lungs
w. An examination of the nervous system
x. An examination of the liver
y. An examination of the kidneys
z. An examination of the cardiovascular system
aa. An examination of the reproductive system
bb. An examination of the psychic character
cc. An examination of the ears
dd. An examination of the musculoskeletal system
ee. An examination of the other systems as required
15. Does the medical screening programme have criteria for exclusion of the following
categories of employees:
a. persons declared fit the medical screening programme

b. persons whose disability has stabilized and who are no longer at risk
c. cohorts of the persons who have developed health effect, but who are no longer at risk
d. other categories of person.
16. Is medical inspection of the facility carried out at least annually?
17. Are complete medical records being maintained for all employees for 50 years?
18. Are summaries of each person’s medical records being prepared?
19. Are summaries of the health status of all employees being maintained?
20. Is injury coding being done?
21. Has computerization of the medical records been initiated?
9. PERFORMANCE MEASUREMENT
1. Is there a proactive approach to hazard identification, evaluation and control?
2. Is there any documented evidence that first line supervisors conduct health and safety
inspections?
3. Is there a formal checklist for second line inspections?

4. Does the checklist include all hazardous areas, equipment and work procedures?
5. Are second line inspection frequencies grouped and conducted by degree of risk?
6. Are second line inspections documented using standard forms?
7. Does the senior management (third-line) review health and safety performance at least
once in a quarter?

8. Does the facility have an operational health and safety MIS system?
9. Is the MIS system based on the concept of information building blocks that can be
gradually developed into an integrated information system
10. Is detailed information of the health and safety status of areas in the facility or persons
who work there available in a easily retrievable form?
11. Is executive summary health and safety information available about individual sections to
section heads and about the entire facility to senior management?
12. Does this executive information have the requirement breath and depth
13. Are the information system designed in a manner that lends them to be easily
computerized in due course?
14. Has computerization of information already begun?
15. Is there a map of the facility indicating air contaminant isopleths?
16. Is there a noise level map of the facility?
17. Is there a lighting map of the facility?
18. Are these maps updated once in 2 years?
19. Is health effects data statistically correlated to exposure data?
20. Are such correlated data represented on maps?
21. Are other statistical tools being used in a meaningful way to interpret health and safety
data?
22. Are there procedures to ensure the reporting of the following situations
 work related health effects

 incidents which may have caused excessive exposure
 other situations that may put persons at risk
23. Are there procedures to ensure proper investigations in the following situations :
a. Work-related health effects

b. Incidents which may have caused excessive exposure
c. Other situations that may put persons at risk
24. Have detailed investigations, covering aspects such as immediate and underlying failures,
outcomes, worst case scenario – potential consequences, potential severity, recurrence
potential, population potential been done for the following situations :
a. Work-related health effects

b. Incidents which may have caused excessive exposure
c. Other situations that may put persons at risk

25. Are investigation reports formally circulated to the facility’s Health and Safety
Committee, concerned line managers and heads of the industrial hygiene and occupations
health sections ?
10. PERFORMANCE REVIEW

1. Has a formal health and safety performance review been conducted in the last year?
2. Is there a formal provision for doing performance reviews at the following levels at the
following frequencies :
a. first-line supervision level – monthly

b. second-line supervision level – quarterly
c. senior management level – annual
3. Is there a document which lists performance review criteria for senior management?
4. Do the criteria consider the following factors :
a. compliance with performance standards

b. considering area which have no performance standards or inadequate standards
c. achievement of all the objectives set
d. results and analyses of incident investigations
e. findings of performance measurement exercises
f. findings of audits
5. Is there documented evidence that performance reviews conducted at various levels has
resulted in appropriate remedial action?
6. Have reviews compared the performance of the facility with other facilities?
7. Has any attempt been made to compare risks in the facility to those in other facilities,
whether similar or otherwise?
8. Has any attempt been made to doe an epidemiological study to compare prevalence of
health effects in the facility with an unexposed control sample?
9. Is an annual report prepared covering industrial hygiene and occupational health?
10. Is an annual report presented to the facility’s Health and Safety Committee?
11. SITE VISIT

1. Of the operations observed in the facility :
a. What proportion had proper hazard control procedures?
b. In what proportion were engineering control systems used correctly?
c. In what proportions were protective equipment used correctly?
d. What proportion of the protective equipment was serviceable and in good condition?
e. What proportion of the hazardous areas were marked with signs?

2. For what proportion of the following were controls or safeguards being adequately
applied?
a. hazardous chemicals
b. noise
c. hot environments
d. lighting and VDI
e. equipment or situations where ergonomic factors come into play
3. Is the general housekeeping in the plant good?
12. INDUSTRIAL HYGIENE AND OCCUPATIONAL WORK

UNDERTAKEN
1. For what proportion of the following have documented assessments been conducted :
b. noise
c. hot environments
d. lighting and VDTs
2. For what proportion of the hazardous substances in the facility are there material
hazard data sheets ?
3. For what proportion of investigations are there written documents
4. What proportion of the recommendations made in the last year are being actioned ?
5. What proportion of ventilation systems have had documented inspections last year ?
6. What proportion of reported health effects in the last year have been investigated ?
7. What proportion of projects commissioned in the last year have had post-
commissioning health and safety reviews ?
8. Where measures have been specified to control the following, what proportion have
been reviewed in writing in the last 2 years :
b. noise
c. hot environments
d. lighting and VDTs
13. INTERVIEW WITH MANAGEMENT

1. Does the management appreciate the need for good industrial hygiene and occupational
health practices ?
2. Does the management appreciate the objectives of the industrial hygiene and occupational
health surveillance programme ?
3. Does the management appreciate the hazards in the facility and where they may arise ?

4. Does the management appreciate the hazard control measures required in the facility ?
5. Is the management willing to take proactive measures to counteract the hazard ?
14. INTERVIEW WITH EMPLOYEES

1. Do the employees appreciate the need for good industrial hygiene and occupational health
practices ?
2. Do the employees know who is responsible for coordinating industrial hygiene and
occupational health programmes ?
3. Do the employees appreciate the objectives of the industrial hygiene and occupational
health surveillance programme ?
4. Do the employees appreciate the hazards they may encounter in the facility ?
5. Do the employees know where to obtain health and safety information
6. Do the employees feel that they have obtained adequate health and safety information ?
7. Do the employees feel that their concerns about health and safety are adequately and
speedily addressed ?
8. Are employees satisfied with the health and safety measures in the facility
15. CONCULSIONS
1. Is appropriate attention being paid to control of the following hazards :
a. inhalation of airborne contaminants
b. skin contract with chemicals
c. contamination of clothes
d. ingestion or injection of chemicals
e. noise
f. excessive heat
g. nonionizing radiation
h. other hazards including ergonomic factors
2. Does it appear that adequate attention is being devoted to hazard control during routine
operations ?
3. Is appropriate attention directed to hazard control during intermittent or non continuous

operations :
a. inhalation of airborne contaminants

b skin contract with chemicals
c contamination of clothes
d ingestion or injection of chemicals
e noise
f excessive heat

g nonionizing radiation
4. Does it appear that adequate attention is being devoted to hazard control during
intermittent or non-continuous operations ?
5. Can the facility demonstrate that exposure to airborne contaminants are below India lives
or exposure standards set by the enterprise ?
6. Can the facility demonstrate that it complies with exposure limits related to :
a. noise
b. heat stress
c. nonionizing radiation
d. lighting

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Sr.

OISD – GDN – 166 Page No. I

OCCUPATIONAL HEALTH MONITORING

IN OIL & GAS INDUSTRY

COMMITTEE ON OCCUPATIONAL HEALTH MONITORING

Oil Industry Safety Directorate

OISD – GDN – 166 Page No. II

Oil Industry Safety Directorate

OISD – GDN – 166 Page No. III

OISD – GDN – 166 Page No. IV

OISD – GDN – 166 Page No. V

COMMITTEE ON OCCUPATIONAL HEALTH MONITORING

Dr.V.Swaminathan Madras Refineries Limited, Chennai

Dr. Hemant Kshirsagar Bharat Petroleum Corporn. Ltd., Mumbai

Shri S.N.Mathur Oil Industry Safety Directorate, New Delhi

OISD – GDN – 166 Page No. VI

COMMITTEE ON OCCUPATIONAL HEALTH MONITORING

Dr. V L Sadgun ONGC Ltd, New Delhi

Dr. Sarangadharan Chennai Petroleum Corporation, Chennai

Shri Shashi Vardhan Oil Industry Safety Directorate, Noida

OISD – GDN – 166 Page No. VII

4.0 STATUTORY REQUIREMENTS 2

5.0 OCCUPATIONAL HEALTH MONITORING – OBJECTIVES 2

6.0 FUNCTION OF OCCUPATIONAL HEALTH MONITORING 3

7.0 GENERAL CONSIDERATIONS 4

8.0 FIRST AID 5

9.0 OCCUPATIONAL HYGIENE MONITORING 5

10.0 PRE-EMPLOYMENT/PRE-PLACEMENT MEDICALEXAMINATION 8

11.0 PERIODIC HEALTH EXAMINATION 13

12.0 INFRASTRUCTURE FOR OCCUPATIONAL HEALTH MONITORING 14

13.0 AUDIT & PERFORMANCE REVIEW 16

OISD – GDN – 166 Page No. VIII

ANNEXURES & TABLES

ANNEXURE – I : Threshold Values

ANNEXURE – II : Threshold limit values

Table-1: Threshold Limit Value of Noise

ANNEXURE – III : Table : Measurement methods for toxic chemicals

ANNEXURE – IV : Biological Monitoring & List of Clinical & Screening

ANNEXURE – V: Pre-employment / Pre-placement medical examination

Annexure – VI : Typical Questionnaire for Industrial Hygiene and Occupational

"Occupational Health Monitoring" means a service established in the place of employment

A STEL is defined as a 15 minute time-weighted average exposure which should not be

Biological monitoring can be defined as assessment of employee exposure by

Work area : Work Area is a place where people work.

Competent person : Competent Person is a qualified Industrial Hygienist or a person trained

4.0 STATUTORY REQUIREMENTS

5.0 OCCUPATIONAL HEALTH MONITORING OBJECTIVES

5.1 Occupational Health Monitoring shall be provided as conditions require:-

(a) by virtue of laws or regulations;

5.2 Occupational Health Monitoring should either be organised by the installations

a) administering emergency treatment;

b) carrying out required medical examinations ;

c) to exercise monitoring over hygiene conditions in the plant/ installation.

6.0 FUNCTIONS OF OCCUPATIONAL HEALTH MONITORING

The function of occupational health monitoring should be progressively developed, in

(d) pre-employment, pre-placement, periodic and special medical examinations including,

(e) advise management on rehabilitation or re-assignment of employees with disability

(g) provide emergency treatment in case of accident or indisposition,

(h) Occupational Health Monitoring plays an important role of anticipating emergencies, of

(i) Periodic training of employees in first-aid, supervision and maintenance of first-aid

(j) education of the personnel of the installation in health and hygiene;

(l) research in occupational health or participation in such research in association with

7.0 GENERAL CONSIDERATIONS