Guidelines for Approval of Contractors Medical Reports OQ Occupationall Health - Last Review - 07/12/2020

Investigation APPROVED IF FOR MORE INVESTIGATIONS IF REJECT IF

VITAL SIGNS & BODY MEASURES
Blood Pressure Acceptable range - [ 110 to 140 / 70 to 89 ] Hypertension Stage 1 [140-149 / 86-90 ] OR Specialist report shows hypertension uncontrolled
Hypertension Stage 2 [150 -160/ 90 - 100) OR AND the employee will perform the below activities:
Hypertension Stage 3 150-160/100-110 Working at height
Working in confined space
Request review with Internal Medicine Working with electricity
Working in extreme heat
Mobile machinery operation
Heavy lifting operation
Pulse Rate Regular and Irregular pulse and above the limit for resting heart rate Specialist report shows any heart rhythm condition
within the normal limit [ resting heart rate 60-100 beats per min ] AND Technical position AND the employee will perform the below activities:
Working at height
Request review with Cardiologist Working in confined space
Working with electricity
Working in extreme heat
Mobile machinery operation
Heavy lifting operation
BMI Normal weight [ 18.5-24.9 ] Overweight [ 25-29.9 ] with overt co-morbidities OR
Acceptible - Overweight [ 25-29.9 ] Obese [ 30-39.9 ] OR
Obese [ 30-39.9 ] without overt co-morbidities Severe obesity [ >=40 ]
AND the employee will perform the below activities:
Working at height
Working in confined space
Working in extreme heat
VISUAL TEST
Visual Acuity Standard of 6/6 or 6/9 Abrnormal, experiencing a vision problem AND Specialist report shows vision problem and no correction
For mobile equipment operation corrected vision needs to be 6/6 bilaterally Technical position AND AND the employee will perform the below activities:
No correction Working at height
Working in confined space
Request review with Ophthalmologist Working with electricity
Working near rotating machinery
Mobile machinery operation
Heavy lifting operation
Driving vehicle
Visual Field Normal Abnormal
AND the employee will perform the below activities:
Working at height
Working in confined space
Working with electricity
Working near rotating machinery
Mobile machinery operation
Heavy lifting operation
Driving vehicle
Color Vision Normal Color Blindness
or AND the employee will perform the below activities:
Color Blindness AND no color code differentiation required Working at height
Working in confined space
Working with electricity
Working near rotating machinery
Mobile machinery operation
Heavy lifting operation
Stereoscopic Vision Normal Abnormal
AND the employee will perform the below activities:
Working at height
Working in confined space
Working with electricity
Working near rotating machinery
Mobile machinery operation
Heavy lifting operation
Driving vehicle
 Investigation APPROVED IF FOR MORE INVESTIGATIONS IF REJECT IF
RESPIRATORY SYSTEM
Spirometry Test Normal Obstructive Impairment or Restrictive Impairment Specialist report shows lung diseases or low pulmonary function
Field jobs and shopfloor jobs require FVC and FEV1 of at least 75% or more of predicted
values AND the employee will perform the below activities:
Request review with Internal Medicine or Pulmonologist Working in confined space
Exposure to chemicals
Chest X-Ray Normal Specialist report shows lung diseases
AND the employee will perform the below activities:
Working in confined space
Exposure to chemicals
Physical Assessment Normal Physical assessment or questionnaires indicate:
Chest Shape, Movement Any lung diseases such as bronchial asthma.
Chest Percussion AND the employee will perform the below activities:
Air Entry in Both Lungs Working in confined space
Breath Sounds Exposure to chemicals
ENT SYSTEM
Audiometry Normal hearing sensitivity Slight to mild hearing loss OR Specialist report shows moderate to severe hearing loss
Moderate to severe hearing loss AND the employee will perform the below activities:
Working in noise area
Request review with ENT Mobile machinery operation
Heavy lifting operation
Working near rotating machinery
Physical Assessment Normal Abnormal
Whisper Test AND the employee will perform the below activities:
Weber Test Working in noise area
Rinne Test Mobile machinery operation
Heavy lifting operation
CARDIOVASCULAR SYSTEM
ECG Test Normal Abrnomal, no risk factors or family history Specialist report shows any abnormal heart rhythm
Request to repeat ECG AND the employee will perform the below activities:
Working at height
Abnormal findings WITH risk factors or family history Working in confined space
Request review with Cardiologist Working with electricity
Working in extreme heat
Physical Assessment Normal heart function Physical assessment or questionnaires indicate:
Heart Sounds Not suffering from any congenital heart defects or organic cardiovascular disease Any congenital heart defects or organic cardiovascular disease
Heart Murmurs AND the employee will perform the below activities:
Peripheral Pulses Working at height
Peripheral Veins Working in confined space
Working with electricity
Working in extreme heat
NEUROLOGICAL SYSTEM
Physical Assessment Normal Physical assessment or questionnaires indicate:
Gait / Balance Not have suffered from any neurological or psychiatric diseases Any neurological or psychiatric diseases, phobias, sleep problems
Limbs and to be free of any symptoms or clinical signs of these diseases AND the employee will perform the below activities:
Coordination Working at height
Power Working in confined space
Locomotor Mobile machinery operation
Extremities Heavy lifting operation
Driving vehicle
MUSCULOSKELETAL SYSTEM
Physical Assessment Normal Physical assessment or questionnaires indicate:
Extremities free any congenital or pathological abnormalities Congenital/pathological limb or vertebral anomalies
Vertebral column free from any abnormality AND the employee will perform the below activities:
Working at height
Working in confined space
Mobile machinery operation
Heavy lifting operation
Driving vehicles
LABORATORY INVESTIGATIONS
Complete Blood Count (CBC) Normal limits Abnormal findings Specialist report shows any abnormal findings
Exposed to chemicals AND the employee will perform the below activities:
 Investigation APPROVED IF FOR MORE INVESTIGATIONS IF REJECT IF
Exposure to chemicals
Request review with specialist
Fasting Blood Sugar (FBS) Normal limits Pre-diabetic [ 100 – 125 mg/dl ] HBA1C report shows results above the desirable limits for diabetic under treatment
Diabetic [ Type 1 or 2 - > 126 mg/dl ] newly discovered AND the employee will perform the below activities:
Diabetic [ Type 1 or 2 - > 126 mg/dl ], uncontrolled Working at height
Working in confined space
Request HBA1C exam , PPBS, Internal Medicine review Working with electricity
Working in extreme heat
Liver Function Test Normal limits Parameters above the normal limits Specialist report shows liver diseases
Known inflammatory disease AND the employee will perform the below activities:
Exposed to chemicals Exposure to chemicals
Working at height
Request review with Gastroenterology specialist
Kidney Function Test Normal limits Parameters above the normal limits Specialist report shows kidney diseases
Known inflammatory disease AND the employee will perform the below activities:
Technical position Working in extreme heat
Exposure to chemicals
Request review with Internal Medicine or Nephrology Specialist
Medical Examination Matrix for Permanent Workers (> 6 months) - Long-term Contracts

Vision Screening X-Ray Laboratory Investigations

Electrocardiogram (ECG)

Blood Test

PME - Frequency
Methyl-hippuric Acid
Kidney Function Test

Carboxyhemoglobin
Visual acuity, Visual

Stereoscopic Vision

Acetone-Urine Test

Mandelic Acid Test

Liver Function Test

Hippuric Acid Test

Profile

Manganese Level
Audiometry

Color Blindness,

Blood Grouping

Lipid
Spirometry

Chromium/mol
creatinine Test

Stool Analysis
Routine Urine
Blood Smear

Delta-ALA

Analysis
Lumbar
Task / Job

Chest
field

Test

Test
(CBC, FSB,

(TC, HDL,

TRIGLY)
ESR)

LDL,
PRE PRE
Electrical PRE, PME PRE, PME PRE PRE PRE, PME PRE PRE, PME PRE PRE A
PME PME

PRE PRE
Instrument PRE, PME PRE, PME PRE PRE PRE, PME PRE PRE, PME PRE, PME PRE, PME A
PME PME

PRE PRE
Lubrication PRE, PME PRE, PME PRE PRE PRE, PME PRE PME PRE, PME PRE, PME PRE, PME PME PME PME PME A
PME PME

PRE PRE
Mechanical PRE, PME PRE, PME PRE PRE PME PRE, PME PRE PME PRE, PME PRE, PME PRE, PME PME PME PME PME A
PME PME

PRE PRE
Painters PRE, PME PRE, PME PRE PRE PRE, PME PRE PME PRE, PME PRE, PME PRE, PME PME PME PME PME A
PME PME

PRE PRE
Welders PRE, PME PRE, PME PRE PRE PME PRE, PME PRE PRE, PME PRE PRE PME PME PME PME PME PME A
PME PME

PRE PRE
Helpers PRE, PME PRE, PME PRE PRE PME PRE, PME PRE PME PRE, PME PRE, PME PRE, PME PME PME PME PME A
PME PME

Cleaners & PRE PRE

PRE, PME PRE, PME PRE PRE PRE, PME PRE PRE, PME PME PME A
Housekeepers PME PME
Food
PRE PRE, PME PRE, PME PRE PRE PRE, PME PRE PRE, PME PRE PRE PRE, PME PRE, PME A
Handlers
Drivers &
Machinery PRE PRE, PME PRE, PME PRE PRE PME PRE, PME PRE PRE, PME PRE PRE A
Operators
2y
Security PRE PRE, PME PRE, PME PRE PRE PRE, PME PRE PRE, PME PRE PRE
>40 A

Office-based 2y
PRE, PME PRE, PME PRE PRE PRE, PME PRE PRE, PME PRE PRE
Workers >40 A

Notes:
PRE - Pre-employment Medical Examination
PME - Periodic Medical Examination
A - Annually
2y - Every two years
>40 - Above 40 years
Medical Examination Matrix for Turnaround and Temporary Workers (Contracts < 6 months)

Turnaround and Contracts < 3 months ¹,²

Hearing Test Vision Test Cardio Laboratory Testing4

Task / Job Electrocardiogram Blood Test Blood Grouping

Whisper Test Weber Test Rinne Test Visual Acuity Visual Field Color Blindness
(ECG)³ >40 y Test
(CBC, FSB)

All workers in
X X X X X X X X5 X
operational tasks

All workers in
administrative X X X X X5 X
tasks
Contracts 3 – 6 months
Hearing Test Respiratory Test Vision Test Cardio Laboratory Testing³
Task / Job Blood Test
Electrocardiogram Blood Grouping
Audiometry Otoscopy Spirometry Visual Acuity Visual Field Color Blindness
(ECG)³ (all) (CBC, FSB) Test

All workers in
X X X X X X X X5 X
operational tasks

All workers in
administrative X X X X X5 X
tasks
Notes:
1-This medical examination will be valid for three (3) months and can be extended for 1 month after OQ OH approval.

2-The tests indicated above shall be recorded in the “Medical Evaluation Report” as per OQ template and the report will be assessed by OQ OH Medical Clinic for approval, in case of
any abnormal results, a complementary assessment by a specialist will be requested to conclude the assessment.

3-ECG report shall present 2.5 second tracing of each of the twelve leads and interpretation. The results shall be evaluated by a cardiologist who will interpret the results and issue
the conclusive report
4-The laboratory report shall present results of the blood and reference range. The results shall be evaluated by a clinical pathologist who will interpret the results and issue the
conclusive report.
5-If the FBS indicates abnormal results, the CONTRACTOR shall perform HBA1C test.
Critical Activities Definition

Working at height
Applies to the gaining of access to work areas and the performance of activities where there is the possibility of people falling
1.8 m or more. In cases of specific legislation stipulating a smaller distance, this will prevail.

Working in confined space

Applies to all activities involving access to and performance of work in spaces defined as confined.

Working with electricity

Applies to activities in electrical facilities and electricity-related services in the areas of generation, transmission, distribution
and consumption, including the stages of planning, construction, assembly, commissioning, operation, maintenance, return to
service, emergencies, modifications to equipment and decommissioning.

Working near rotating machinery

Applies to all machinery, equipment and operational systems that possess moving parts or that involve materials or fragments
of materials being projected into the air or falling.

Mobile machinery operation

Applies to all mobile machinery, such as: excavators, loaders, wheeled or crawler tractors, motor graders, motor scrapers,
backhoes, off-highway trucks and other trucks, whether owned, leased or rented by the contractor.

Heavy lifting operation

Applies to all activities involving hoisting, moving or transporting cargo using equipment such as mobile cranes, vehicle-
mounted articulated cranes, cargo elevators, tower cranes, overhead cranes, electric hoists, ore handling equipment,
monorails, gantry cranes, cargo handlers and tire handlers.

Driving vehicle
Applies to all vehicles able to hold up to five passengers, cargo vehicles, minivans, vans, microbuses, buses and automobiles
able to hold up to 12 passengers, whether owned, leased or rented by the contractor.

Working in noise area

Applies to workplace with noise sources at or above the exposure limit (85 dB(A)).

Working in extreme heat

Applies to all work conducted in high temperature conditions.

Exposure to chemicals
Applies to all activities involving the handling, internal transportation and storage of hazardous chemical products in any
physical state (solid, liquid or gas).

Pulling, pushing or carrying weight

Applies to all manual handling involves any transporting or supporting of any load by one or more workers, and includes
lifting, putting down, pushing, pulling, carrying or moving a load.