PCMSO PROGRAMA DE CONTROLE MEDICO DE SAUDE QCUPACIONAL (PORTARIA 5214/78 NORMA REGULAMENTADORA W'7> E. R. DE SOUZA - IMPERMEABILIZACAO MARINGA - PR ——— OE LS CREA -G4a728/FR RM -1035c/FR283. a PCMSO - PROGRAMA DE CONTROLE = MEDICO DE SAUDE OCUPACIONAL NEW SEG NR 7 PORTARIA 3214/78 SUMARIO 4 - INTRODUGAO E CONSIDERACOES GERAIS 2- METAS E PRIORIDADES 3-DESENVOLVIMENTO Do PcMsoO . 4-ATIVIDADES PRIMARIAS EM SAUDE OCUPACIONAL 5+PROGRAMA MEDICO PREVENTIVO .- 6 - ANTECIPAGAO DOS RISCOS. “ 7 RECONHECIMENTO E ANALISE DOS RISGOS DO AMBIENTE DE TRABALHO .. 16 8 - PLANEJAMENTO ANUAL 47 9+ PERIODICIDADE DOS EXAMES CLINICOS 50 410 -RECOMENDAGOES A EMPRESA . SL 11-GONSIDERAGOES FINAIS . 52 12 + RELATORIO ANUAL NEW SEG CLINICA DE SEGURANCA E MEDICINA DO TRABALHO LTDA Avanida Brasil, 545, Zona 08, Maringé. - PR Teleione: (44) 3227-8964 E-mail: newsegmga@gmail.comSa PCMS©— PROGRAMA DE CONTROLE MEDICO DE SAUDE OCUPAGIONAL New sec NR 7 PORTARIA 3214/79 1 -INTRODUGAO E CONSIDERAGOES GERAIS {fsica © mental dos trabalhadares. Para tal, devem aluar médicos, engenheiras e técnicos de seguranca, enfermagem, nsicologia © odontolegia, todos contibuind. para a higidez do trabalhador. © presente programa tem por finalidade atender as Seterminacdes legais emenadas do Ministéno do Trabalho através da NR, da potteria 3314 de 08/06/78, alterade em 29/12/94 pola ortarla 1* 24, publicada ne Didre Oficial da Unisio em 30/12/04 astands em ‘vigor a partir de entaa, 0 FCMSO ¢ um programa do assisiéncie medica elaberado por médico do trabalho ¢ implentade na Empresa em beneficio des funcionsrios preveninda 08 danos causadee & eva satide por CondigSes de trabalho ou agentes nocivas existentes no ambienia, NEW SEG CLINIGA DE SEGURANCA E MEDICINA DO TRABALHO LTDA Avenida Brasil, 545, Zona 08, Maringé - PR Telefone: (44) 3227-0964 E-malk newseymgagamailicom6153 ee PCMso— PROGRAMA DE CONTROLE = MEDICO DE SAUDE OCUPACIGNAL New sec NRT PORTARIA 3214/78 2-METAS E PRIORIDADES PRIMEIRA: 0 presente PCMSO 6 parte integrante do conjunto mals amplo de iniciativas da empresa no campo da satide dos trabalhadores © tem um cardter de prevengao, rasireamento 9 diagnéstico precoce dos agravos sauide relacionados ao trahalhe: SEGUNDA: Os dados obtidos na avaliagdio da sade dos trabelhadores serdo fegistrados em prontudria clinieo individual sob Fesponsabilidade da médico-coordenador do PCMSO ou do médica encarregado do exame; TERCEIRA: As agées dé satide execuladas durante o ano sere objeto de relatério anual que discriminara, por setores da empresa, o nimero ¢ a natureza dos exames medicos, incluindo avaliagées clinicas © exames somplementares, estatisticas de resultados Gonsiderados anormais, assim como planejamento para 9 préximo ano: QUARTA: O relatério anual do PCMSO seré apreseniada ¢ discutido na Comissao Interna de Prevengao de Acidenies — CPA, quando exisiente na empresa, ¢ igars arquivado a disposig¢go da fiscalizagdo do trabalho. METODOLOGIA DA AGAO 1. Reconhecimanto dos riscos ambientais a partir do inspecio fisica dos locals de trabalho; 2. Coleta © consolidagio de dades sobre eventuals acidentes de trabalho € das deengas ocupacionais registradas no perioda: 4. Coleta e consolidagsa de dades sobre afastamentos por motivo de saude: 4. Coleta e consolidagaa de dados sobre absente/smo por setor de trabalho; 5, Estabelecimento de critérios de interpreiago dos resultadas dos exames. ocupacionais; 5. Estabelecimenta de taxas © coeficientes para anlise dos agravos 4 satide dos trabalhadores; Estabelecimento de condutas médicas ¢ administrativas a Sérem adoladas quando houver identificacao e reconhesimente da exisléncia de agravos a sadde dos trabalhadores, NEW SEG CLINICA DE SEGURANCA E MEDIGINA DO TRABALHO LTDA Avenide Brasil, $48, Zona 08, Maringa - PR Telelona: (44) 3227-8964 E-mait: newsegmga@gmall.com7153 a PCMSO— PROGRAMA DE CONTROLE MEDICO DE SAUDE OCUPACIONAL New sec NR? PORTARIA 3214/78 3-DESENVOLVIMENTO DO PcMsO 3.1. Exame Admissional © exame médica admissional deve ser realizeda cbrigatoriamente antes que 0 trabathador assuma suas atividades na empresa. A fealizardo de exames camplementares serd definida pelos tiscos presentes na atividadefuncao que serd desenvolvida pelo trahalhatier 3.2. Exame Periédico © exame médico peridico dave constar de uma avaliagao clinica, abrangendo anamnese Ocupacional. © periado de realizagao destes exames deverd ser de ecords com a fun¢do © a exposicaa 208 MSCs que o trabalhader est4 exposlo, poderd ser anual, bienal ou inlervalos menores a eet, médico encarregado. 3.3, Exame de Mudanga de Fungo Deve ser realizado abrigatoriamente antos da data de mudanca, semore que otorrer qualquer Aalteracd0 de atividade, posta de trabalho ou de setor, que implique na exposicda da trabahador risco (6) diferente (5) a que estava exposto, antes da mudanga, © exame de Mudanga de Fungaa deve constar de uma avaliagao clinica, abrangendo enamnese sacbacional. A realizagao de exames complementares sa74 definida polos riscas presenles ru now: aiveledeuncao @ ser desenvolvida, tendo coma arientagio a fungGeslistadas no exame Aamieslonal, 3.4, Exame de Retome ao Trabalho Deve ser realizedo obrigatoriamente no primeira dia de retario ao trabalho, em lado colthorador caer’ £2 susentado por um perfodo igual ou superior @ 30 (trinta) dias, motivado por doenga ou atidente, de natureze ocupacianal ou no, ou part, © exame de retomo aa trabalha deve constar de uma avaliagée clinica, abrangendo anamnese ccupacional. A realizacso de exames comiplementares sera definida pelos niscos prosonis. na alividadelfuncae desenvolvice, pela data cos Ukimos exames realizados e pelos dados da avaliacdo clinica, 3.5. Exame Demissienal Deve ser realizado abrigatoriamente, caso o ultimo exame médico ocupacional tenha sido ‘ealizado anteriar a 90 (noventa} dias que antecedem o desligamenio detiniivo do trabalhador de setor ge grau da risco 3.¢ 4 ; ou anterior a 135 (cento e tinia e cinco) dias que antecadem o desigamento definitive do trebalhador de setar de grau de tisco 1 @ 2, G exame demissional deve constar de uma avallaggo clinica, abrangendo anamnese seypacional. A realizagéo de exames complementares sora definida pelos riscos presenies. na atividade/fun¢o que era desenvolvida pelo trabalhador, pelos dados da avallagao clinica @ dados dos exames complementares reakzades no ultimo periédico, NEW SEG CLINICA DE SEGURANCA E MEDICINA 00 TRABALHO LTDA ‘Avenida Brasil, 545, Zona 08, Maringa - PR Telolone: (£4) 3227-2864 E-mail: newsegmgag@igmal.comalsa a PEMSO — PROGRAMA DE CONTROLE = MEDICO DE SAUDE OCUPAGIONAL New sec NRT PORTARIA 3214/78 4-ATIVIDADES PRIMARIAS EM SAUDE OCUPACIONAL Mecidas de preveneao visando evitar a ocorréncia de acidentes de trabalho ou ‘dpenga ‘cupacionais ¢ incluem os seguintas itens: 1, Do reconhesimento de Riscos Ambientais 2. Programa de imunizagao 3. Programa de Promogao da Saude do Trabalhador 4. Agravos Profission: 4.1 Reconhecimento dos Riscos Ambientais Este ¢ 0 passo inicial a ser desenvolvido visanda a prevencsio de acidentes do trabalho o das Goengas acupacionais. Neste ponio do programa existe uma articulagdo com as demais womes Tegulementadoras em especial cam a NR - 9 (PRA), sobre a qual este item tamou embasamento 4.2 Imunizagées Cs programas de imunizagdes sao divididos em duas elapas. Uma representada pela vacina ‘Anti Tetdnica ¢ outras detatminadas pelas autoridades sanitatias, Uma segunda etapa consiste na vacinagae Anti Gripal, que reduz consideraveimente o. absenteismo nos meses de invemo. Tal vacinago, ccupacional, pode ser aplicada nos funclonarios, ‘aps orientacao fella pelo Médico da Trabelho e auterizada pela empresa. 4.3 Programa de Promogao da Saude do Trabalhador Este tem por Objetivo: 1. Assegurar @ protegdo dos trabiathadores contra lode o risea que prejudique a sua saude e que Possa ser resultante de seu trabalho ou des condicdes em que este se efetue, 2. Coniribuir para @ adaptacéo fisica @ mental des trabalhadores, em particular pela sua adequagda; 3, Este tem por fungao ransmitir aos funciondvios orientagSes gerais sobre riccos de acidentes, doengas profissionais ¢ nao profissionais, uso de enuipamentos 6 outros 4.4 Orientag&e do Uso de EPI's - Gabe a0 empregador quanto ao uso de EPIs: @. Adquitir 0 EPI adequade ao risco de cada atividade; b. Exigir o seu uso: ‘c. Fornecer ao trabalhador samente o @provado pelo brago nacional Compeiente em matéria de seguranga e sadde no trabalho. 4, Orientar e treinar 0 abalhador Sobre 0 uso adequado, a guarda @ conservagao: NEW SEG CLINICA DE SEGURANCA & MEDICINA DO TRABALHO LTDA / ‘Avenida Brasil, 545, Zona 08, Maninga - PR Teletone: (44) 3227-8964 E-mail: newseqmgag@agmail.com9159 a PCMSO — PROGRAMA DE CONTROLE MEDICO DE SAUDE OCUPACIONAL Néw sec NR 7 PORTARIA S21ai7a &. Substituir imedistamente, quando danificada ou extraviedo: {- Responsabilizar-se pela higienizacao ¢ manutangao periddica: * Gabe a0 trabathador quanto ao uso de EPIs: 3. Usar, uilizando-o ananas para a finalidade a que se destina: ®. responsabliizar-s0 pola guarda e conservagao: & Comuricar go erpregador qualquer alteracao que o tome impréprio para uso: 4. cumpriras determinagoes do empregador sobre 0 uso adequado. 4.5 Consideracées de primeiros secerros Mantar material necessario para prestacdo de primeiros socorros:Gaze, algoilao. sore fisiolépico, ataduras, agua oxigenada, luvas descartaveis, NEW SEG CLINICA DE SEGURANCA & MEDIGINA DO TRABALHO LTDA Avenida Brasil, §45, Zona 08, Maringa - PR Teletone: (44) 3227-2864 E-mail: newseamaag@gmall.com10/83 a PCMSO— PROGRAMA DE CONTROLE = MEDICO DE SAUDE OCUPAGIONAL New sec NRT PORTARIA Sa tai 5 - PROGRAMA MEDICO PREVENTIVO Sera desenvolvido através ds realizagao dos exames de acordo com que determina 9 item 7.4 da portaria 24 de 29/12/94. © ASO (atestado de satide ocupacional), deverd ser preanchido pela médico responsavel que ‘ealizard @ exame clinica do trabamnador au avaliard o exame clinico realivad pelo médice exeminador homeado por tal. 5.1, @ ASO deverd conter no minimo: Nome completo do trabathadar, 0 ntimero de registro de sua identdede @ sua funcaio; Os riscos ocupacionais especificos existentes na ativiade do trabalhador: Indicego dos procedimentas médicos a qual foi submatido o trabalhadar. incluindo 05 exarmes compiementares; Definigao de apto ou inapto para a fungéo especitica que o trabalhador vai exercer, BxERCe OU exerceu; Nome do médica encarragacio do exame: Data e assinatura do médico encarregado @ carimbo contendo seu niimero oe Inscri¢ao no Congethe Regional de Medicina CRM: ‘Assinatura do trabalhador ou entao a impressao elgital NEW SEG CLINICA DF SEGURANGA E MEDICINA DO TRABALHO LTDA Avenida Brasi, 545, Zona 08, Maringd - PR Telefone: (44) 3227-8064 E-mail: newsegmga@gmall,comoa poub@eswBesmau :seul-3 p96e-Zezt (+p) -auCjaIa) ud - e8uyew ‘go euoz ‘gps “pseie epuany =e WOLT OFTWEvalL OG YNIOIISIW 3 YONVYNDS Ja YOINIIO 53S MaN =) SOB SOUep Je00n0.d apod epenbepe Blauasne ‘apepiuuoyun soxey anb wey (sagjopsusseq SABE FSMIIDE JeIEXNY ‘ONTEASRUIWIDE BWUSTSISSY "BUEIDIDaG “OAIELISIULLIPE Biase “OpaPUEA (sloBuen SEPURA / OAUBNSIURDY “ONE: Stuy fso)ijes spenbspeu axdeupun) OSIWONOOHA :Odll 00 SaLNZOW ‘ojeweyoBu tod quo OpuBsne> sop. sod oUaWEDRINS © CWeWeBOIE ‘OLELIXO Op eye eu enyse sod auOW sues pag “fshoosyy Epo} WA BOugyE IA 3 ‘sein soqes 'sepenb ‘coueds@ Cluewiel4e. ‘s8ossad op opbeMELUAGW op seuiojBIe/d op o&n a EpEnbepe oeseu| “PAB4| WOO GUND GUIOD ‘edueMBes ep sojewedinbs op sf] ‘Soeuleulad We Sepesseda: euuojuoo segsnujsul sInBeS o(seg}orsatng ‘eliaulpijo6ue 10d stow opuesneo Sogi6 16d ojuoweonins 2 OWEUIEGO}e ap openjuace oosy weWASAMe (uei6 © sopevezeuNe sojeie| nove soei8 Woo aRd|psdxe op sexeD a SaIs ‘SEB40UN Lis sopezjes! soyjegen sO ‘fsagjoesuoseg S210 sp opeBeLeaug '/2196 sjuepnly ‘(soodeaype) saunepue SP ope OW "FELISRAU Jeg "eMIsNPUut losyuedns Jotuie “HOpeaydy / Ue “eISnoP ‘Ouleqel Op edueinBes we Gu09 | -{s)oBueg by) eurquigy jeuoMeadQ (s2L0jeg ‘SquawesoBug SZLNIGiO¥ ‘Odi! 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