Summary MCU Review 2022

PT. Medco Cahaya Geothermal

dr. Krisna Augustian Noor

Occupational Health & Medical Services
4 July 2022

www.medcopower.co.id
 Medco Cahaya Geothermal Workforce Characteristic
• MCG total has 67 persons as manpower on site :
• 17 employee direct hire by MCG
• 50 as TPC/Contractors

Employee Status Age Characteristic

40
25%
35

30
75%

25
Direct Hire TPC
20

Sex Characteristic 15

1%
10
Female
5
Male
0
20-29 30-39 40-49 >50
99%
Age Characteristic 38 16 6 7
2
 MCU Fitness to Work Assessment

Fit to work • No specific medical follow up required.

• Treatment can be done privately by employee without assistance

Fit with Note • Will require further follow up as outpatient

• No immediate/minimal health risk

Fit with • Able to work but unable perform specific job task
restriction
• Unable work for specified duration due to certain medical condition
Temporary Unfit • After further examination/consultation/treatment can be fit to work/fit
with note/fit with restriction

Unfit • Unable work for unknown duration due to certain medical condition

3
 Fitness to Work Status of MCG Workforce
FTW Status
45
No. Company MCG TPC/OS
39 7 31
40 1 Fit to Work
41.2% 62.0%

35 9 18
2 Fit with Note
52.9% 36.0%
30 1 1
3 Fit with Restriction
26 5.9% 2.0%
25 0 0
4 Temporary Unfit
0.0% 0.0%
20 0 0
5 Unfit
0.0% 0.0%
15 17 50
Total
100.0% 100.0%
10

5
2
0
Fit to Work Fit with Note Fit with Temporary Unfit Unfit
Restrictions
Fit to Work Fit with Note Fit with Restrictions Temporary Unfit Unfit

4
 Top 10 Medical Check Up Findings

Top 10 Findings in Summary 2022

30

25
Total Personnel

20

15

10

Overweight & Refraction Elevated Liver Cardiology Elevated Fasting Respiratory

Hypercholesterol Hyperuricemia Hearing Loss Hypertension
Obesity Problems Function Problems Glucose Problems

27 24 14 12 9 8 6 5 4 2
5 40.3% 35.8% 20.9% 17.9% 13.4% 11.9% 9.0% 7.5% 6.0% 3.0%
 Fitness to Work Status of MCG Workforce
• The Framingham score is a gender-specific algorithm used to estimate the 5-10 year cardiovascular and
coronary disease risk of an individual.
o Calculates a risk score, expressed as a percentage, which is a person’s chance of having a heart attack or stroke in the next 5-10
years.

• The Framingham score uses parameter such as

1. Age
2. Cholesterol level
3. Smoking habit
4. Blood pressure

Heart Risk Level Stroke Risk Level

45 50
40 45
35 40
35
30
30
25
25
20
20
15
15
10 10
5 5
0 0
6 Low Risk Medium Risk High Risk Low Risk Medium Risk High Risk
 Top Finding issues
• Hypercholesterol (1) 1. Improper diet (Fatty food, high calories)
• Overweight and Obesity (2) 2. Low physical activities during work
• Hyperuricemia (5) 3. Lack of exercise
• Other metabolic disease (9,10) 4. Cold weather made worker more easily hungry

Corporate Solution

Occupational Health Program Times Status

Providing healthy menu with balanced nutrition at Weekly (every Running
the work site (Collaboration with Arabica Catering) Monday)
Invite personnel to exercise regularly (Tennis, Minimal 2 times Running
basketball, jogging, or football) / Weekly
Monitoring employee weight / BMI regularly Weekly Running
Sharing health moment to employee & Contractors Biweekly Planning
about healthy lifestyle in workplace
Continue monitoring for lipid profile and uric acid Monthly Running
(for employee with high value – collaboration with
medical services)
7
 Top Finding issues

Refraction Problems can be cause by various things, especially work related :

• Working continuously in front of Computer
• Inadequate lighting in the workplace
• Less ergonomic sitting position when working in front of computer

Give health talk about ergonomic position when working

Monitoring work room lighting by Lux-meter

KIR glasses or checking by Opthalmologist

8
 Top Finding issues
Every hearing loss condition has probability to be considered as Occupational Health Disease
• Occupational hearing loss is one of the most common work-related illnesses
• Require more analysis to confirm the diagnosis as general disease or work-related illnesses
• Hearing loss due to occupational hazard are specific with notch decrease in high frequency
• Employee lifestyle also needs to be considered in relation to Hearing Loss

Audiometry Result
4.5 There are 6 workers in MCG with Hearing loss in
4 Medical Check Up summary 2022
3.5
3 Corporate Solution
2.5
2
1.5
1
0.5
0
Mild Moderate High Susp. NIHL
MCG TPC/Contractors

Occupational Health Program Times Status

Hearing Conservation Program – Monitoring to check noise level by Sound Level Meter Monthly Running

9 Always reminder in PJSM to always using Ear plug or ear muff in noise location (> 85 dB) Every PJSM Running
 Top Finding issues
Another metabolic disease such as :

Metabolic Problems Health Programs

Hypertension
Diabetes Mellitus /
Intolerance Oral Glucose
Another Cardiology problems • Treadmill or Echocardiography check and
• Monitoring Daily Blood Pressure
• Low salt and fat diet
• Oral-treatment control by internist (if needed)
• Low sugar and calories diet
• Monitoring Glucose fasting check every 1 months
or HbA1c every 3 months Do exercises as
• Oral-treatment control by internist (if needed) recommended and under
supervision by OH Doctor
confirmated by Cardiologist
• Monitoring profil lipid (Keep LDL less than 100
mg/dL)
• Low fat diet and balancing water consumption
• Oral-treatment control by Cardiologist (if needed)

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PT Medco Power Indonesia
The Energy Building 31st Floor
SCBD Lot 11A
Jl. Jend. Sudirman, Jakarta 12190
Indonesia
P. +62-21 2995 3300
F. +62-21 2995 3301

Website : www.medcoenergi.com | www.medcopower.co.id