Fitness To Work Standard FINAL

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FITNESS-TO-WORK
S TA N D A R D
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Ministry Endorsement
Ministry of Energy and Minerals

H.E. Eng. Salim bin Nasser Al Aufi Signature:
The Under Secretary
Ministry of Energy and Minerals Date: 8.8.2021
Document Approval
Document Authority Document Custodian Revised by

Dr. Amar Al Rawas Abdulrahman Al Yahyaei Anfal Al Alawi,
Chairman, OPAL Chief Executive Officer, OPAL HSE Advisor, OPAL
Date: 18.2.2021
Khalid Al Siyabi
Quality Manager, OPAL
Date: 4.8.2021 Date: 3.2.2021 Date: 18.2.2021
Revision Status
Revision Version No. Date Status
June, 2023 Next revision due

Rev. 0 V 1.0 June, 2021 Issued for use
User Notes:
This document was prepared and agreed upon by the Operators through their representatives sitting on the OPAL Operators’
Safety, Health and Environment Managers Steering Committee (OSHEMCO).
This document is the property of OPAL and intent to serve the needs of OPAL members. It is the user’s responsibility to ensure
that they are referring to the latest version of any hard copy or electronic copy. For assistance, contact OPAL.
Any printed version or electronic copy downloaded from the website is uncontrolled copy.
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OPERATORS CEO COMMITMENT

By endorsing this Fitness-to-Work Standard (OPAL-STND-HSE-08), each Operator will reasonably
endeavor to comply with the standards set forth herein.
Signatures:
………………………….. …………………………..
Mr. Steve Phimister Mr. Yousuf Al Ojaili

Managing Director, President,
Petroleum Development Oman BP Oman | BP Exploration (Epsilon) LTD
………………………….. …………………………..
Mr. Steve Kelly Mr. Talal Al Awfi

President and General Manager, Acting Group CEO,
Occidental of Oman OQ
………………………….. …………………………..
Mr. Zhang Jilani Mr. Usama Al Barwani

Chief Executive Officer, Chief Executive Officer,
Daleel Petroleum Company LLC Petrogas E&P
………………………….. ………………………..
Mr. Walter Simpson Mr. Hamed Al Naamany

Managing Director, Chief Executive Officer,
CC Energy Development Oman LNG LLC
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………………………….. …………………………..
Mr. Sultan Al Ghaithi Mr. John Bringle

Chief Executive Officer, Project Manager,
ARA Petroleum Masira Oil Limited
…………………………..
…………………………..
Mr. Noke Fajar Prakoso

Mr. Ali Al Batrani
General Manager,
Chief Executive Officer,
Medco LLC
Hydrocarbon Finder
………………………….. …………………………..
Mr. Ronan Huitric Mr. Waleed Hadi

Country Chair, Chief Executive Officer,
Total Oman Shell Oman
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Operators Health, Safety and Environment Managers Steering Committee (OSHEMCO),
Name Job Title Organization

Senior Manager, Projects & Business
Salim Al Alawi OPAL
Development
Ali Al Barwani HSE Projects Manager OPAL
Ministry of Energy and
Mohammed Al Amri Regulations Director
Minerals
Kamil Al Lawati GOO HSE Manager BP Oman
Dawood Al Badaai QHSSE Senior Manager Daleel Petroleum
Amour Al Barwani Corporate Manager, QHSSE Petrogas EP
Hassan Al Ajmi Vice President, HSE Occidental Oman
Sulaiman Al Sulaimi Lead HSE Support Upstream
OQ
Majid Al Saidi Leader HSSE Downstream
Mahmoud Al Shukri Corporate HSE Manager
PDO
Younis Al Hinai Head HSE Corporate Planning & Assurance
Moosa Al Habsi HSE Manager Oman LNG
Said Al Harthy HSE Compliance Assurance Manager CCED
Mohamed Al Maqbali HSE Manager ARA Petroleum
Sajid Hamid HSE Manager Hydrocarbon Finder
Scott Murray Safety & Environment Manager Shell Oman
Fabeien Lebas HSE Manager Total Oman
Jorge Pinedo Manager - Production & HSE Masirah Oil
A. Fitness-To-Work Standard - Working Group – 2020

Name Job Title Organization
Ali Al Barwani HSE Projects Manager OPAL
Anfal Al Alawi HSE Advisor OPAL
Dr. Salim al Sawai Head, Occupational Health and Hygiene, MCOH PDO
Dr. Issa Said al Shuaili Oman Health Manager BP Oman
Dr. Ali Mohammed Al Lawati Occupational Health Lead OQ
Sulaiman Al Sulaimi Lead, HSE Support Upstream OQ
Dr. Manjunath Gummanur Occupational Health Team Lead OQ
Hassan Ali Al Ajmi VP, HSE, Security & Risk Engineering Occidental of Oman
Dr. Huda al Badwawi Occupational Health advisor BP Oman
Mohammed Al Abri Occupational Health advisor Daleel Petroleum
Said Al Harthy HSE Compliance Assurance Manager CCED
Dr. Abdulnasser Al Mawali Occupational Health Advisor CCED
Dr. Dhishaan Al Shanfari Chief Medical Officer MB Holding Company
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TABLE OF CONTENTS
1. ABBREVIATIONS & DEFINITIONS......................................................................................................9
2. GLOSSARY��10
3. PURPOSE��12
4. APPLICABILITY..................................................................................................................................12
5. LEGAL AND OTHER REQUIREMENTS...............................................................................................12
6. ROLES AND RESPONSIBILITIES........................................................................................................12
6.1 SENIOR MANAGEMENT....................................................................................................12
6.2 HEALTH, SAFETY AND ENVIRONMENT (HSE) DEPARTMENT...................................................12
6.3 HUMAN RESOURCES (HR) DEPARTMENT.............................................................................13
6.4 LINE MANAGER(S).............................................................................................................13
6.5 CONTRACTORS.................................................................................................................14
6.6 APPROVED MEDICAL SERVICES PROVIDERS..........................................................................14
6.7 COMPANY HEALTH CARE PROVIDER...................................................................................14
6.8 EMPLOYEES.......................................................................................................................14
7. FITNESS TO WORK (FTW) PROCESS ...............................................................................................15
7.1 GENERAL PRINCIPLES OF FTW............................................................................................16
7.2 SCOPE OF FTW ASSESSMENTS..........................................................................................16
7.2.1 PRE-EMPLOYMENT FTW ASSESSMENTS ..............................................................................17
7.2.2 PRE-PLACEMENT / JOB TRANSFER FTW ASSESSMENTS........................................................17
7.2.3 PERIODIC FTW ASSESSMENTS............................................................................................18
7.2.4 POST-ABSENCE FTW ASSESSMENTS...................................................................................18
7.2.5 CAUSE TRIGGERED FTW ASSESSMENTS..............................................................................18
7.3 FTW ASSESSMENTS FOR EXPATRIATES (TRANSFER)...............................................................18
7.4 PREGNANCY AT WORK.....................................................................................................19
7.5 FTW FOR WORKSITE VISITORS............................................................................................19
8. HEALTH SURVEILLANCE (HS) PROCESS...........................................................................................19
8.1 GENERAL PRINCIPLES OF HS...............................................................................................19
8.1.1 IDENTIFYING INDIVIDUALS AT RISK.....................................................................................20
8.2 MONITORING HEALTH OF IDENTIFIED INDIVIDUALS.............................................................21
8.3 MANAGEMENT OF EXPOSURE...........................................................................................21
8.4 MONITORING AND EVALUATION.......................................................................................21
9. DATA ANALYSIS...............................................................................................................................22
10. HEALTH ASSESSMENT RECORDS.....................................................................................................22
10.1 RECORDKEEPING AND ARCHIVING....................................................................................22
10.2 ACCESS TO RECORDS.......................................................................................................22
10.3 RECORDS CONFIDENTIALITY..............................................................................................22
11. APPROVED MEDICAL PROVIDERS...................................................................................................22
12. HEALTH ASSESSMENT OF CONTRACTORS......................................................................................22
13. APPENDICES.....................................................................................................................................23
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13.1 APPENDIX A: EXAMINATION PROTOCOLS...........................................................................23

13.2 APPENDIX B: SPECIFIC CONDITIONS WHICH MAY AFFECT FITNESS TO WORK.....................27
13.2.1 INFECTIOUS DISEASES.......................................................................................................27
13.2.2 MALIGNANT NEOPLASM (CANCERS)..................................................................................27
13.2.3 DISEASES OF DIGESTIVE SYSTEM........................................................................................27
13.2.4 DISEASES OF LIVER AND PANCREAS...................................................................................27
13.2.5 HEART CONDITIONS (CARDIOVASCULAR SYSTEM)..............................................................28
13.2.6 HYPERTENSION (HIGH BLOOD PRESSURE)...........................................................................29
13.2.7 PULMONARY CIRCULATION................................................................................................29
13.2.8 PERIPHERAL CIRCULATION..................................................................................................29
13.2.9 CEREBROVASCULAR DISORDERS.........................................................................................29
13.2.10 DISEASES OF BLOOD OR BLOOD FORMING ORGANS.........................................................29
13.2.11 MENTAL DISORDERS...........................................................................................................29
13.2.12 DISEASES OF NERVOUS SYSTEM AND SENSE ORGANS......................................................30
13.2.13 MUSCULOSKELETAL SYSTEM...............................................................................................30
13.2.14 SKIN.................................................................................................................................30
13.2.15 ENDOCRINE AND METABOLIC DISORDERS..........................................................................30
13.2.16 GENITOURINARY SYSTEM..................................................................................................31
13.2.17 RESPIRATORY SYSTEM........................................................................................................31
13.2.18 EAR, NOSE AND THROAT...................................................................................................31
13.2.19 SLEEP DISORDERS..............................................................................................................32
13.2.20 MEDICINES........................................................................................................................32
13.2.21 AGE..................................................................................................................................32
13.3 APPENDIX C: RESPIRATORY PROTECTION EQUIPMENT USERS (RPE) - FACE FIT TESTING...........33
13.3.1 HEALTH ASSESSMENT FOR RPE USERS:................................................................................33
13.3.2 FACE FIT TEST....................................................................................................................33
13.3.3 REQUIRED FIT TESTING FACTORS........................................................................................33
13.4 APPENDIX D: MEDICAL REQUIREMENTS FOR WORK VISA IN OMAN.....................................35
13.5 APPENDIX E: PREGNANCY AT WORK..................................................................................36
13.6 APPENDIX F: VISITORS’ FITNESS DECLARATION FORM..........................................................40
13.7 APPENDIX G: SELF-VERIFICATION COMPLETION FORM.........................................................42
13.8 APPENDIX H: RETURNING TO WORK CHECKLIST..................................................................46
13.9 APPENDIX I: FITNESS-TO- WORK CERTIFICATE.......................................................................48
13.10 APPENDIX J: EPWORTH SCREENING QUESTIONNAIRE FOR SLEEP APNEA.............................50
13.11 APPENDIX K: BREATHING APPARATUS SCREENING...............................................................51
13.12 APPENDIX L: BUSINESS TRAVEL SCREENING QUESTIONNAIRE..............................................52
13.13 APPENDIX M: CATERING & FOOD PREPARATION SCREENING...............................................53
13.14 APPENDIX N: CATERING & FOOD PREP. FOLLOW UP SCREENING.........................................54
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1. ABBREVIATIONS
1. & DEFINITIONS & DEFINITIONS
ABBREVIATIONS
Term Definition
ERT Emergency Response Team
FTW Fitness-To-Work
HR Human Resources
HS Health Surveillance
HSE Health, Safety and Environment
MEM Ministry of Energy and Minerals
MOH Ministry of Health
OH Occupational Health
RPE Respiratory Protection Equipment
SCBA Self-Contained Breathing Apparatus
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2. GLOSSARY
2. GLOSSARY
Term Definition
Approved Medical MOH licensed establishment approved by the client
Services Providers
A process in which management provides accurate and current
information to the stakeholders about the efficiency and effectiveness of
Assurance its policies and operations, and the status of its compliance with the
statutory obligations, in terms of this standard a systematic review in
order to gather evidence of compliance.
A systematic, independent and documented process for obtaining
objective evidence and evaluating it objectively to determine the extent
to which the audit criteria are fulfilled.
Audit Note 1 to entry: The fundamental elements of an audit include the
(ISO 9000:2015) determination of the conformity of an object according to a procedure
carried out by personnel not being responsible for the object audited.
Note 2 to entry: An audit can be an internal audit (first party), or an
external audit, and it can be a combined audit or a joint audit.
Body Composition Fat percentage
Company refers to the whole gamut of Contractors, Subcontractors, Local
Company Community Contractors Service Providers registered with OPAL and/or
JSRS.
Contractor An individual or organization performing work for the reporting
Operator, following verbal or written agreement.
Fitness-To-Work / Fitness- A health and wellness assessment, both physical and psychological
For-Task through appropriate procedures and tests to ensure that individuals who
work for companies are able to present and perform a required task
safely and without risk to themselves, others, the workplace or the
environment. Fitness-To-Work is just one component of a holistic risk
management process.
Any source of potential damage, harm or adverse health effects on
Hazard
something or someone.
Health Assessment Means applying appropriate procedures and tests in examining an
individual to enable a medical professional to decide whether he or she
is fit for the specific working and living conditions.
Health Surveillance Refers to processes employed to monitor the health of employees who
may be exposed to workplace hazards.
Occupational The process of managing injury and illness in the workplace. It involves
Rehabilitation restoring an injured or ill person to the fullest possible physical and mental
capacity for employment of which they are capable. It specifically involves
maximizing an employee’s work opportunities during the recovery period
and requires early intervention and the provision of appropriate,
adequate and timely services on assessed needs.
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Term Definition
Operator Organization licensed and registered under MEM for Exploration and
Production as Upstream Operator and Downstream Operator including
Refinery and hydrocarbon distribution company
Professional Driver Anybody who assumes the driving of a vehicle, i.e. the person having
responsibility for the speed, direction, and/or the current position of the
vehicle. The driving must be their sole function and responsibility or at
the least, their primary responsibility accounting for at least 90% of their
time.
Risk Combination of the probability of occurrence of harm and the severity of
(ISO/IEC Guide 51:1999) that harm
Risk Matrix Tool for ranking and displaying risks by defining ranges for consequence
(ISO Guide 73:3009) and likelihood
Shall (ISO 9001:2015) Indicates a requirement.
Should
indicates a recommendation
(ISO 9001:2015)
Unfit Means the presence of a condition under circumstances whereby the
condition would cause the person to be a safety or health hazard to him
or herself or to others, where the condition cannot be controlled
Any physical location in which work related activities are performed under
the control of the organization.
Workplace Note: When considering what constitutes a workplace, the organization
(ISO 45001:2018) should take into account the OH&S effects on personnel who are, for
example, travelling or in transit (e.g. driving, flying, on boats or trains,
working at the premises of a client or customer; or working at home.
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3. PURPOSE
3. PURPOSE
This document provides the minimum industry requirements for the employees’ health and fitness to work
standards. It outlines the requirements and tools on how to ensure and maintain processes to:
• Make sure people are fit for the assigned tasks without risk to themselves and others (Fitness-To-Work).
• Monitor people who are vulnerable or at risks of exposure to health hazards known (Health Surveillance).
This helps the industry in
• Meeting its moral responsibility of healthcare of the employees,
• Fulfilling its legal responsibility stipulated under MD 286/2008 (Article#10) as well as International
health management guidelines to protect health and safety of the people at workplace and camps.
The document provides information on types and scopes of Fitness for Work health assessments with
all related attachments adopted by the Energy Sector, as well as the set of appendices on health
surveillance for specific health exposures.
4. APPLICABILITY
4. APPLICABILITY
This standard is applicable to Operators and Contractors in the Energy Sector, Oman. It covers all activity spheres
from exploration, drilling, production and logistics transportation including all associated construction and service
activities.
5. LEGAL
5. ANDAND
LEGAL OTHEROTHER
REQUIRMENTS
REQUIRMENTS
The legal requirements include
1. Royal Decree No. 35/2003 - Labor Law (Ministry of Labor)
2. Royal Decree # 6/2021 Promulgating the Basic Status of the State (Article#15)
3. Regulation of Occupational Safety and Health for Establishments Governed by the Labor Law issued
by Ministerial Decision No. 286/2008 issued by the Ministry of Labor in the Sultanate of Oman.
4. OPAL Road Safety Standard
5. OPAL Lifting Operation Management System Standard
6. ROLES
6. ROLESANDAND
RESPONSIBILITIES
RESPONSIBILITIES
Following Roles and responsibilities are recommended for the implementation of this standard. However,
constituent companies may assign/append undermentioned functions/roles to ‘available relevant resources’ in
their organization.
6.1 Senior Management

a) Provide resources for implementing FTW requirement and Health Surveillance monitoring.
b) Informed involvement in the planned controls and mitigation to minimize exposure of workforce to
occupational health hazards and risks.
c) Review and approve the desired Management controls and management of change to ensure
maintenance of the requirements.
d) Provide financial resources to pay for pre-employment and routine HS medical examinations of all staff
to be engaged under a contract to perform work or services for the employer.
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6.2 Health, Safety and Environment (HSE) Department

a) Implement the FTW or HS process.
b) Act as Single Point of Accountability (SPA) for FTW or HS process implementation.
c) Manage the review and revision of all FTW or HS documentation when and as required. Provide assurance
to management on FTW or HS implementation as required.
Keep up to date with current HS requirements and best practices regarding FTW or HS management
protocols.
d) Ensure that the medical records containing information on all FTW or HS assessments is maintained on a
regular basis. Protect the confidentiality of medical records and information.
e) Archive and retain medical records as per the company policy/ ISO 9001:2015 Control of Records
requirements.
f) Coordinate with identified medical service providers regarding FTW or HS, ensuring conformance to all
requirements.
g) Initiate and coordinate health surveillance programs and follow-up abnormal test results with affected
parties.
h) Complete medical case management of personnel following exposure to health risks, medevac and/or
referral from site, including local and abroad long-term sickness or absence.
i) Facilitate and coordinate FTW or HS assessments.
j) Assure contractors’ implementation of FTW or HS processes when, if and as required.
k) Ensure that the required periodic FTW or HS assessments take place.
l) Notify employees of scheduled FTW or HS assessments, detailing specifics of appointments.
m) Identify work groups and their potential for exposure to occupational health hazards/risks.
n) Identify tasks associated with potential for exposure to occupational health hazards/risks.
o) Use appropriate methods to prioritize those potentially at risk who shall be included in exposure
monitoring and HS assessments.
p) Use appropriate methods to assess levels of exposure to various health hazards/risks.
q) Communicate monitoring results, which may be relevant to other employees’ similar exposure groups, to
Occupational Health (OH).
r) Review existing barriers for health risks and propose remedial action plans to strengthen barriers when HS
assessments results indicate a failure in or lack of effectiveness of risk reduction control measures.
6.3 Human Resources (HR) Department

a) Ensure required individual FTW or HS assessments are undertaken for all tasks identified as ‘at risk’.
b) Work with Line Manager(s) and HSE Department to accommodate individuals with other job roles when
and if required.
c) Develop and implement processes for managing individuals found to be unfit for task or those who have
restrictions placed on exposure.
6.4 Line Manager(s)

a) Implement and manage FTW or HS, using FTW or HS processes.
b) Assist with return-to-work fitness assessments.
c) Ensure individual conformance to this procedure.
d) Notify HR and HSE of cases that require post-illness/injury or for-cause HS assessments.
e) Inform HR and HSE of any individual requiring travel HS assessments.
f) Refer any individual to HSE if concerned about fitness for a specified task.
g) Work with HSE to identify tasks that may require HS.
h) Identify individuals doing these tasks.
i) Implement appropriate HS.
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6.5 Contractors
a) Ensure that all FTW or HS assessments are undertaken by an approved medical services provider.
b) Carry out verification that all their employees are fit for work and that their FTW or HS processes comply
with all FTW or HS legal requirements and conform to those of this procedure.
c) Maintain individual medical records as confidential and report any FTW or HS data as required by
contract to the Operator (as applicable).
6.6 Approved Medical Services Providers

a) Complete FTW or HS assessments as requested by HR or HSE as per contracted requirements.
b) Complete the requested FTW or HS assessments using required forms and/or checklists, and when
complete.
c) Notify the tested persons employer of periodic FTW or HS assessment due dates, if contracted to do so.
d) Forward all FTW or HS findings (Fit or Unfit or Fit with Restrictions) to the contractor promptly.
Note: FTW/HS assessments done by Operator Nominated Medical Services Providers should only be performed
by licensed medical practitioners who have knowledge of the work that is to be performed and MOH registered.
A description of the work (Task Checklist, relevant Risk Assessments, Safety Data Sheets and other sources of
information) should accompany each individual to their FTW assessment. These assessments should be
undertaken with detailed knowledge of available, realistic and practicable, restricted or alternative duties.
6.7 Company Health Care Provider

a) Review site induction medical declaration forms and follow up as required.
b) Maintain FTW or HS records as per medical data confidentiality and privacy legal requirements.
c) Perform ‘Return to Work’ assessments when required.
6.8 Employees
a) Attending required medical evaluations on time.
b) Declaring any change in their physical or psychological condition that may impair their ability to safety
execute their job tasks and duties to their line manager or the company health adviser, so that their
fitness to work may be assessed.
c) Understand what action their employer may take if they do not or refuse to attend appointments.
d) Be aware of and understand that health surveillance has been identified for certain work activities which
they may be involved in and they must cooperate with the employer to achieve the intent of this
standard.
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7. Fitness
7. to work
FITNESS TO(FTW)
WORKprocess
(FTW) PROCESS
Fitness to Work (FTW) is a health and wellness assessment ensuring that individuals are able to present and
perform a required task without risk to themselves, others, the workplace or the environment. Fitness To work is
just one component of a holistic risk management process.
The FTW process is outlined in the following flowchart:
Fitness to Work (FTW) Process

Employee
Complete Employee
Start Declaration form
Complete Health Questionair
Line Manager
Complete Task Checklist
Yes
No
Complete fitness requirements FTW Assessment Carry out FTW Assessment (as Possible to adapt
Review Fitness
for the role required per protocol) Job
No
Yes
Carry out further tests Initially Fit

Medical Professional
Yes No Make changes to Job
Fit for the new role Review Fitness
Yes
No Able to do the job

Unfit
with restriction
No
Yes
Fit Fit with restriction
Record:
• Information Employee. End
• Inform Line Manager
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7.1 General Principles of FTW

1. The FTW process shall be based on the assessment of health hazards/risk exposure and the identification of
independent and effective controls. (Refer to Section 6.2)
2. The FTW process should aim to match the requirements of a job role with the reasonable (and foreseeable)
health and fitness capacity of an employee in that job role. Certain job roles like fire fighters, divers etc.
with high physical and mental demands may require additional tests like endurance tests (like Step test or
stress ECG) and functional capacity evaluation. Company medical officer/occupational health advisor may
decide on such tests based on job roles specific functions.
3. FTW assessments of functional capacity or medical examinations shall relate to fitness required for the
specific assignment or task.
4. FTW assessment protocols shall be followed strictly in accordance with occupational health standards to
produce unbiased and reproducible results.
5. All FTW assessments shall be conducted in a safe manner.
6. Exceptional and Singular Circumstances: During exceptional or singular circumstances of national, regional
or global proportions (eg., Epidemics, Pandemics, calamities), Company management, after due diligence,
may use their discretion to exclude or alter relevant components of medical evaluation pertinent to the
prevailing situation.
7.2 Scope of FTW Assessments

All employees working on Operator, Contractor or Subcontractor-controlled sites or drilling locations and some
visitors shall be involved in the FTW Programme. The various types of FTW assessments include:
1. Pre-employment FTW assessments.
2. Pre-placement/job transfer FTW assessments.
3. Periodic FTW assessments.
4. Post-absence FTW assessments (returning to work after an injury or illness)
5. Cause triggered, FTW assessments, such as when an employee may not be able to safely perform the
essential functions of their job.
Separate work groups have been defined as a result of the assimilation of data from historical initial health risk
assessments in order to ensure a more individual and task-based approach to the scope of any FTW assessment.
These work groups are as follows (FTW assessment protocols for each group are found as Appendix A: Examination
Protocols):
1. Office-based workers
2. Remote-site workers
3. Professional drivers
4. Cleaning/laundry personnel
5. Food handlers
6. Crane operators
7. ERT (Emergency Response Team) members (firefighters, emergency responders, etc.)
8. Expatriates and rotators
9. Health professionals
10. Business travelers
11. Tight-fitting respirator users (Additional information on FTW assessment for Respiratory Protection
Equipment (RPE) Users is also found in Appendix A: Examination Protocols and Appendix C: Respiratory
Protection Equipment Users.)
Note: Some individuals may be placed under two groups (e.g. food handler and remote site worker). These
individuals shall therefore be subject to the requirements of both groups.
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Tasks or areas of work eligible for FTW include (but not limited to) the following:
1. Benzene workers & Vessel entry tasks including tank cleaning
2. Breaking of containment
3. Welding and other activities where fumes are produced and can be inhaled.
4. Pig receiver tasks (braking containment)
5. Mercury and Lead workers who are exposed to Mercury or lead at or above the 8 hours TWA occupational
exposure limit for more than 30 days per year or if there was emergency exposure to the hazardous agent
6. Chemical treatment activities
7. Laboratory sampling
8. Change out of filters that contain hazardous substances (hydrocarbon/chemical)
9. Entry to gullies/ponds/excavations where dormant/sewage water has been lying
10. Produced Water activities - Maintenance /Handling (with a frequent use of aerosols or chemicals)
11. Emergency Response Activities
12. Spray painting
13. Grit blasting of structures/plant/buildings
14. Civil works involving concrete products
15. Installation or removal of insulation material
16. Transfer/ opening of hazardous chemicals
17. Use of pesticides for bug/vermin control
18. Plant/Building Housekeeping (sweeping up) that generates air borne particulates
19. Structural demolition and renovation (lead, asbestos, talc, and dust considerations)
20. High ambient noise
21. Maintenance on water supplies
22. Cleaning activities
23. Vibration-affected activities
24. Tasks involving ionizing and Non-ionizing radiation
7.2.1 Pre-employment FTW Assessments

All new individuals asked to perform tasks on Operator/Company controlled work premises shall be subject to a
pre-employment FTW assessment. Assessment results shall be deemed satisfactory prior to the commencement of
any work. Pre-employment FTW assessments shall be conducted to:
1. Ascertain the job applicant’s general fitness for employment, particularly with regards to the health
hazards/risks associated with the required job tasks.
2. Detect any medical condition of the job applicant which might cause an enhanced personal vulnerability to
health hazards/risks known to be associated with the job.
3. Detect any medical condition in the candidate that might present a health hazard/risk to others.
4. Establish baseline FTW data for use in future reviews to make earlier diagnosis of any deterioration as well
as for ongoing HS process.
7.2.2 Pre-placement / Job Transfer FTW Assessments

New FTW assessments shall be performed with any significant change to job tasks or change in job position, but
always when and if exposed to new or different health hazards/risks or when any new risk assessment warrants
that an FTW assessment be performed. New FTW assessments must also be conducted if there is any change to
employees’ medical condition.
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7.2.3 Periodic FTW Assessments

Periodic FTW assessments serve to monitor an individual’s FTW status and ensure that they remain fit for work.
Periodic FTW assessments also serve as a ‘preventative monitoring process’.
Periodic FTW assessments shall be carried out to:
a) Ensure that the job or the working environment does not create or aggravate a medical condition in any
susceptible person.
b) Ensure that the physical or mental condition of a person shall not cause harm to themselves, other persons
or the community.
c) Reinforce/advise on preventative measures including immunizations, medication, personal protective
equipment and a healthy lifestyle.
Periodic FTW assessments shall be undertaken as per respective company policy for most of the personnel groups
noted in 7.2. above. Certain groups may have different periodicity for FTW assessments. However, company
physicians or nominated medical services providers, conducting FTW assessments can recommend a different
periodicity for any individual based on their health status or if mandated by local legislation.
7.2.4 Post-absence FTW Assessments

All individuals as noted under Section 7.2 above shall undertake a Post-absence FTW assessment when they return
to work from any:
a) Absence for serious injuries/illness (e.g. major surgery, cancer treatment, organ failure or other illness,
requiring hospitalization for more than two weeks) regardless of length of absence.
b) Absence that raises concerns by the Line Manager, any qualified medical or OH practitioners or the
individual about their Fitness for Work (e.g. unknown cause of absence, other medical condition, etc.).
7.2.5 Cause Triggered FTW Assessments

Cause Triggered FTW assessments shall be requested when:
a) There is a rationale to question the FTW of an individual with respect to or their ability to carry out
required job tasks (e.g. poor job performance, frequent absenteeism for the same medical condition,
behavioral changes, incident investigation findings etc.). Line Managers shall inform the company physician
or OH practitioner and the individual of the reasons for the for-cause FTW assessment request.
b) The individual has any concern about his/her FTW.
7.3 FTW Assessments for Expatriates (transfer)

Expatriate personnel and their dependents shall undergo a pre-posting medical per Operator/ Contractor’s
international mobility HR process. Those employees, accompanying dependents and contractors who are
planning to expatriate to and work in the country shall meet the visa medical requirements as listed in
Appendix D: Medical Requirements for Work Visas.
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7.4 Pregnancy at Work

It is recognized that pregnancy is a condition with numerous physiological challenges. Pregnant office-based
worker’s risk exposure is regulated by the local Labor Law and any other applicable legislation. However, other
potential medical risks faced by pregnant individuals working on remote sites shall be considered as per Company
policy.
Pregnancy and remote-site work may be incompatible. Prior to making any final decision on the fitness to work on
remote sites shall conduct a risk assessment in consultation with OH and the pregnant individual. All such risk
assessment shall include the consideration of remoteness from specialized medical care.
Note: It is the responsibility of the pregnant individual to inform the Line Manager and/or OH Team of any
pregnancy. Also, the final decision, regarding working or visiting a remote worksite is made by HR in consultation
with the OH team, even if the attending physician considers the pregnancy as low risk. Refer to Appendix E –
Pregnancy at Work Site Risk Assessment
7.5 FTW for Worksite Visitors

The visitors must go through HSE induction and follow company policies such as self-declaration or full medical
assessment. (Refer to Appendix F: Visitors’ Fitness Declaration Form).
8. HEALTH
8. Health SURVEILLANCE
Surveillance (HS) Process (HS) PROCESS
Health Surveillance (HS) is a risk reduction-mitigation methodology used to assess the effectiveness of health and
safety control measures and to detect early signs of work-related health impacts to individuals at risk of potential
exposure.
8.1 General Principles of HS

The objectives of HS are to:
1. Protect the health of individuals via early detection of possible disease and/or any adverse health effects
which may be work-related, e.g. exposure to hazardous substances including chemical, biological and
physical agents, etc.
2. Assist in the assessment of the effectiveness of existing health risk management control measures,
following the accepted hierarchy of controls, and with the identification and implementation of new and/or
additional required mitigation or remedial actions.
3. Obtain, use and retain data and other information used for determining and evaluating risks to human
health.
4. Provide an opportunity to reinforce training and education of employees
Below is a list of potential health hazards often associated with the energy industry which may require HS:
1. Asbestos
2. Carcinogens
3. Confined space
4. Compressed air operations
5. Display Screen Equipment (DSE)
6. Respiratory irritants/ Sensitizers
7. Biological agents including bioaerosols
8. Corrosive or toxic chemical
9. Excessive noise
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10. Excessive vibration

11. Heavy metals: Benzene, Cadmium, Lead or Mercury
12. Manual handling / other ergonomic health hazards
13. Night work
14. Psychological / psycho-social hazards
15. Skin Irritants/ Sensitizers
16. Solvents
17. Ionization and Non-Ionization radiation
8.1.1 Identifying Individuals at Risk

Once health hazards have been identified and risks determined, requiring HS, Operator/Contractor shall identify
those individuals who are potentially at risk of exposure and therefore shall be included in HS when the following
criteria are met:
1. There is an identifiable disease or other identifiable adverse health outcome which may be related to
exposure.
2. There are suitable safe/simple/valid tests/techniques for detecting indications of the disease or health
effects.
3. There should be a recognizable latent or early symptomatic stage (detectable preclinical phase).
4. There should be an agreed policy on criteria of diagnosis for occupational disease.
The following table summarises health assessment matrix required for certain job categories.
Table: Specific tasks requiring health risk assessment

External
Health Assessment Risk Based Certification
Occupation
Required Decision Required Required
Confined Space Work X
Crane Operators X
Drivers Professional Professional
DSE Users X
Fire/ Emergency Crew X
First Aiders X
Food Handlers X
Health Professionals X
High Temperature Work X
Lone Workers X
Machine Operators X
Maintenance Workers X
Night/Shift Workers X
Remote Workers X
Tight-fitting respirators Users X
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SCUBA Divers X
Security guards X
Work at Height/Depth X
Workers – General cleaning/ X
housekeeping/ pest control/
sewage handlers/ manual
handling
8.2 Monitoring Health of Identified Individuals

Health Surveillance programmes shall include:
a. Mechanisms to track identified ‘at-risk’ individuals.

b. Supervision and implementation of Health Surveillance programmes by a qualified medical or OH
practitioners and to established protocols.
c. Defined HS criteria for each of the workplace health hazards/risks for which HS is required. This shall
include:
• Defining the level of exposure and potential other conditions that trigger HS.
• Defining the type of surveillance and the specifications for HS testing and equipment and the frequency of
assessment based on Company requirements or any other local legal or regulatory requirements.
• Criteria defined by qualified medical occupational health professionals.
d. Communication of HS results or findings to individuals.
Appropriate data privacy and confidential document management processes shall be implemented.
(Refer to Section 10).
8.3 Management of Exposure

Operator/Contractor shall take measures to prevent further impacts and shall provide any necessary treatment
where HS shows that:
1. An individual has been exposed to identified, workplace health hazards/risks above defined limits.
2. An individual’s health is potentially being affected by exposure to identified workplace health hazards/risks.
It may be necessary to consider total removal of the individual from the hazard/risk scenario or transferring the
individual to a new job or modifying the job tasks or the workplace. Operator/Contractor shall also consider
industrial hygiene control measures to reduce the risk in the workplace.
8.4 Monitoring and Evaluation

Operator/Contractor shall regularly assess the results/findings of HS to:
1. Determine whether the potential for exposure to identified workplace health hazards/risks is being
minimized to levels as low as reasonably practicable.
2. Update health risk register controls. Implement such controls. Identify any requirement or increasing the
frequency of HS or modifying and improving upon the type of HS.
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9. DATA
9. ANALYSIS
DATA ANALYSIS
The Operator/Contractor Health Team shall analyses FTW and HS data on an annual basis in order to improve
FTW and HS processes.
10. HEALTH
10. ASSESSMENT
HEALTH RECORDSRECORDS
ASSESSMENT
10.1 Recordkeeping and Archiving

It requires that Operator/Contractor maintain and retain individual FTW assessment and other medical records,
for the entire duration of the individual’s employment, plus thirty (30) to fifty (50) years, unless a country
regulation specifies a longer period of retention. Such records shall be stored, and available for retrieval as and
when required.
FTW assessments and other medical records, specifically of unsuccessful post-offer applicants, shall be retained
for a period of two (2) years from the date of the pre-placement FTW assessment unless a country regulation
specifies a longer period of retention.
10.2 Access to Records

Health assessment records are medically confidential documents and only the Company OH advisor and site
medic shall have access to them. Individuals shall have the right of access to the information contained in their
personal health assessment records and can request a copy from the OH advisor.
10.3 Records Confidentiality

All medical records are deemed private and confidential. Medical related information contained in health
assessments shall not be communicated to anyone without the written and informed consent of the concerned
individual. It should however be understood that circumstances may arise when information regarding
employees’ health assessment may need to be disclosed e.g. against a court order or when the medical condition
of the employee is a serious threat to other members of the workforce. The OH advisor shall, however, ensure
that even for these unusual circumstances only minimum relevant information shall be disclosed, and the
concerned person is still informed about the disclosure.
11. APPROVED
11. APPROVED MEDICAL
MEDICAL PROVIDERS
PROVIDERS
Operator/Company approved medical providers will perform all health assessments as per the guidelines
and fitness standards given in this document.
12. HEALTH
12. ASSESSMENT
HEALTH OF CONTRACTORS
ASSESSMENT OF CONTRACTORS
Contractors working for the Operator shall ensure that their workforce (including subcontractors, if any) is
fit for their respective work. The Operator approved Medical provider shall determine contractors’ Fitness-
to-Work.
Contractors are required to provide a valid health assessment certificate for their respective workforce and
those of their subcontractors to the effect that the workforce is fit to perform the duties that they are
required to perform.
Contractor will ensure the confidentiality of medical records of its workforce.
Operator will provide health assessment requirements to the individual contractor upon request.
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13. APPENDICES
13. APPENDICES
13.1 Appendix A: Examination protocols
The following FTW assessment protocols shall be followed for the different job categories as defined in Section
6.1.2 - Scope of FTW assessments:
Job Categories Type of Assessment Pre-employment Periodic

Task checklist completed by Line Manager As per
Office-based workers employer
Employer questionnaire form to be completed
√ policy and
and signed by individual applicant
guidelines
Medical history, clinical examination and
necessary investigations as per employer √
medical specification
Vision acuity and colour vision √
Note: Further assessment may be required, if
requested, by examining physician and approved
by OH
Medical assessment by certified physician √

Remote-site workers Task checklist completed by Line Manager √ 2 years
Medical examination questionnaire form to be

√
completed and signed by individual applicant
Medical history, clinical examination and
medical
Body specification
Mass Index
Audiometry, if indicated as potential exposure risk √
Visual acuity and colour vision check √
drug* and alcohol tests √
Routine urine and blood test as per employer
√
Cardiovascular assessment.
For example, by using Framingham risk calculator
or any other tests for all employees 40 years and
above. Risk of 20% or more may requires further
cardiac evaluation with Treadmill Test (TMT)
Note: If respirator use is required, refer to
additional requirements in Appendix C.
by OH.
Task checklist completed by Line Manager √
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Professional drivers Employer questionnaire form to be completed

√
including Light and heavy and signed by individual applicant
vehicles and heavy Medical history, clinical examination and
equipment necessary investigations as per employer √
Neurological, neuromuscular, sleep disorder and
√
cognitive impairment assessment
Electrocardiogram for above 40 years of age √
Professional drivers (cont.) 2 years
Vision Body Mass Index and blood pressure check √
drug and Alcohol test √
Full Blood Count / Erythrocyte Sedimentation
√
Rate
√
Cardiovascular assessment. √
by OH
Task checklist completed by Line manager √

Catering and food Employer questionnaire form to be completed 2 years*
preparation including √
chefs and Food handlers
Medical history and clinical examination including
√
nails and skin.
Electrocardiogram for above 40 year of age √
√
Vision check √
Tuberculosis X-ray (MOH) QuantiFERON test as
√
per Company policy
Stool microscopy* (also every 4 to 6 months) √
Stool culture* (also every 4 to 6 months) √
Nasal swab culture* (also every 4 to 6 months) √
Vaccination for hepatitis A, B, Typhoid √
ERT members Task checklist completed by Line Manager √

(firefighters, Provider form Parts 1, 2, 3 and 5 completed by 2 years
emergency responders) √
individual
Medical history and clinical examination and
ERT members necessary investigations as per employer medical √
(firefighters, emergency
specification
Chest X-Ray √
responders) (cont.)
Electrocardiogram √
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Audiometry √
Spirometry √
Visual acuity and colour vision check √
√
drug and alcohol test √
Step test √
Cardiovascular assessment
Complete visa medical as per country

Global Health requirements (Section 6.1.3 - FTW for
Expatriation Process expatriation to MER and Appendix D – Medical
(Employees) Requirements for Work Visa)
Health Professionals Employer questionnaire form to be completed 2 years
√
Medical history and clinical examination and
Electrocardiogram for above 40 years √
Vison test √
√
Tuberculosis X-ray (MOH) QuantiFERON test as
√
per Company policy
Drug and alcohol test √
Hepatitis B and C assessment √
Vaccination (BCG, Hepatitis A and Hepatitis B) √
Note: further assessment may be required as
determined by OH or nominated medical services
provider
Business Travelers Risk-based assessment on country-by-country Risk based

basis. Refer to country specific Health travel √
website

Tight-fitting respirators
e.g. SCBA users Employer questionnaire form to be completed
√
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Electrocardiogram √
Spirometry √
Vision check, including colour vision √
Drug and Alcohol test √
Cardiovascular assessment. √
√
Step test √ 2 year
Face fitting test (See also Appendix C) √
by OH or nominated medical services provider
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13.2 Appendix B: Specific Conditions Which May Affect Fitness to Work

Important note for the examining medical professional:
Please note, before taking any fitness decision regarding your client you must take considerations of the following:
13.2.1 Infectious Diseases

Active infectious disease is unacceptable. Food handling staff require special examination to exclude acute or
chronic disease involving gastrointestinal tract, chest, ear, nose, throat and skin.
13.2.2 Malignant Neoplasm (Cancers)

Frank malignant diseases are usually unacceptable. However, each case should be considered individually
considering the nature of the job, the medical history and prognosis of the neoplasm. The progress and likelihood
of disease complications or its treatment must be carefully evaluated.
13.2.3 Diseases of Digestive System

Dentures or other orthodontic appliances should be well fitting and functional.
History of digestive disorders causing severe or recurrent symptoms requiring special diet or medication (e.g.
esophagitis, gastritis, cholelithiasis, inflammatory or parasitic bowel disease) must be carefully assessed. Where
there is a history of peptic ulceration or acute gastric erosion a person may be acceptable provided that the
examining physician is satisfied that the risk of complications is reduced to an absolute minimum by the use of
appropriate medication or successful surgery. Cases of acute gastric erosion or peptic ulcer disease can be
reconsidered following absence of symptoms and healing that is assessed by endoscopy.
All significant hernias are unacceptable until satisfactorily surgically repaired. Diaphragmatic hernia is acceptable
unless disabling symptoms are present.
Hemorrhoids, fistulae, fissures, and abscesses are generally acceptable if satisfactorily treated.
A person with an uncomplicated stoma is usually acceptable, but the Examining Physician should be satisfied
that the underlying cause is compatible with the work nature and circumstances, and that the patient's personal
management of the condition is acceptable.
13.2.4 Diseases of Liver and Pancreas

Diseases of the liver are unacceptable where the condition is serious, progressive and/or where complications such
as esophageal varices are present and may negatively affect work performance. Asymptomatic Hepatitis B carriers
may be acceptable depending on the nature of the job. Chronic or recurring pancreatitis should be assessed
thoroughly against the job tasks and the prognosis of the condition.
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13.2.5 Heart Conditions (Cardiovascular System)

The cardiovascular system should be free from acute or significant chronic disease.
Congenital Heart Disease: If this is unassociated with symptoms, or hemodynamically significant changes, it is
acceptable.
Valvular Heart Disease: If there is significant hemodynamic change, it is unacceptable.

An individual who has undergone successful cardiac surgery for valve or congenital heart disease may be fit for
employment if free from symptoms and the prescribed therapy does not cause negative impacts on job
performance. If otherwise, then cardiac review is needed. Individuals in this grade may require more frequent
assessment.
Ischemic Heart Disease: Myocardial insufficiency and past or recent history of heart attack is unacceptable, but
each case should be considered individually depending on:
1. Job type, if it is physically demanding then they will be unacceptable
2. Severity of myocardial insufficiency. To take into consideration the severity of the blockage to arteries
(confirmed by TME and angiogram) and the Ejection fraction which should be equal to or more than 40%.
3. Health risk assessment- That you will be able to evacuate the patient to the nearest Tier 3 hospital within 4
hours.
Coronary Bypass Surgery (CABG) and Angioplasty: Individuals who have undergone these procedures must have
their cardiac fitness assessed before returning to work. A cardiological opinion is essential and will be appropriate
not earlier than six months after the event. This assessment must include sub-maximal exercise testing.
Individuals with cardiac transplants are not acceptable for a physically strenuous job.
Cardiac Arrhythmias: Expert cardiac opinion is mandatory.
Cardiomyopathy:. Expert Cardiac opinion is mandatory.
Cardiac Enlargement: Seek Cardiologist opinion.
Pacemakers: The subject of pacemakers is highly specialised and acceptability to work must include assessment of:
1. The underlying condition and indication for insertion
2. The type of pacemaker
3. Type and nature of work
4. The effect of the working environment on the unit
5. The risk of physical damage to the unit.
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13.2.6 Hypertension (high blood pressure)

Generally, hypertension is acceptable provided it is uncomplicated and well controlled by treatment. Consistent
resting BP of more than 180 systolic or more than 100 diastolic is unacceptable until satisfactorily controlled at
least 140/90.
13.2.7 Pulmonary Circulation

A history of more than one pulmonary embolism is unacceptable. However, requires careful assessment by
specialist.
13.2.8 Peripheral Circulation

The following conditions require careful assessment against the job tasks:
1. Current or recent history of thrombophlebitis or phlebothrombosis with or without embolization.
2. Significant varicose veins associated with varicose eczema, ulcers or other complications.
3. Arteriosclerotic or other vascular disease with evidence of circulatory embarrassment (e.g. intermittent
claudication, or aneurysm).
13.2.9 Cerebrovascular Disorders

Cerebrovascular accident (CVA) including evidence of general cerebral arteriosclerosis or and dementia is
unacceptable. A person who had stroke causing significant physical or neurological impairments is usually
unacceptable unless there is no residual impairment which may affect performance. The risk of recurrence must
be assessed.
History of Transient ischemic attack (TIA) alone does not make the individual un-acceptable, the underlining
cause and job description must be taken into consideration.
13.2.10 Diseases of Blood or Blood Forming Organs

Any significant disease of the haemopoietic system, need to be investigated. The following are unacceptable for
working in the interior(desert) locations:
1. Symptomatic anemia, and any other disease of blood, or blood forming organs which may adversely
affect performance or safety, until investigated and successfully treated.
2. Sickle cell disease (Anaemia) is not acceptable for outdoors field-based jobs which involve exposure to
heat or any health and safety critical jobs.
3. Leukaemia, polycythaemia and disorders of the reticulo-endothelial system unless in long-term
remission.
4. Serious haemorragic (bleeding) disorders
5. Individuals who are immunocompromised due to disease or treatment, unacceptable for working in
desert locations.
13.2.11 Mental Disorders

Care is necessary when assessing an individual during remission from one or more episodes of mental illness.
An established medical history or clinical indication of any of the following is usually unacceptable, especially on
desert locations:
1. Personality disorders characterised by anti-social behavior
2. Psychosis
3. Schizophrenia and bipolar disorder
4. Chronic anxiety states and recurrent depression on regular psychotropic medications
5. Alcohol or drug abuse
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13.2.12 Diseases of Nervous System and Sense Organs

Organic nervous disease causing or likely to cause any significant defect of intellect, muscular power, balance,
mobility, vision sensation or co-ordination is unacceptable.
Established history with current diagnosis of epilepsy of any type, or disturbance of consciousness and any other
convulsive disorder, disturbance of consciousness or neurological condition likely to render the individual
unable to perform duties safely is unacceptable.
13.2.13 Musculoskeletal System

There must be no deformity, or amputation of body or limb, to significantly reduce mobility, or interfere with
performance of duties, or prevent compliance with all evacuation procedures. A limb prosthesis may be
acceptable providing the above criteria can be met.
Acute, chronic or recurrent disease of peripheral nerves, muscles, bones, or joints significantly affecting
mobility, balance, co-ordination or ability to perform normal duties, or carry out evacuation procedures, or
survival training is unacceptable.
Severe advanced arthritis of the limbs/joints is unacceptable if significantly affecting job performance
13.2.14 Skin
The skin must be healthy, without evidence of clinical disease:
1. Any skin condition that is likely to be aggravated or triggered by work environment and direct contact
with oils, detergents, cement or other biological or chemical substances is unacceptable.
13.2.15 Endocrine and Metabolic Disorders

Adequately controlled thyroid disease may be acceptable, but in all cases, thyroid disorders require careful
assessment by a specialist.
Uncomplicated stable diabetes mellitus treated by diet alone or an oral hypoglycaemic agent and satisfactorily
controlled is usually acceptable but will require more regular assessment.
Insulin dependent employees are NOT accepted to work at rig site, in the field or doing any hazardous jobs such
as working at height, heavy duty driving (HDD) or working with or near sharp or rotating equipment.
Insulin dependent patients are acceptable to work in interior Non-hazardous work sites after careful
consideration of their job type and reasonable control of their disease with no history of frequent hypo or
hyperglycaemic attacks and diabetic ketoacidosis.
Individuals suffering from other endocrine disorders such as Addison's disease, Cushing's syndrome,
acromegaly, diabetes insipidus and hypoglycaemia should be assessed by specialist for interior based jobs.
All cases of gross or morbid obesity require individual assessment. Those in whom exercise tolerance, mobility
and the general health are adversely affected are unacceptable for certain jobs. Generally, and depending on
the job type those in whom the Body Mass Index exceeds 35 will probably be unacceptable for HSE critical jobs
such as fire fighters, rescue workers etc. However, we must take individual masculinity and the body physique
into consideration.
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13.2.16 Genitourinary System

A person with recurrent renal, ureteric, or vesical calculi may be acceptable for employment following successful
treatment by lithotripsy or surgery.
A person with acute and chronic renal failure is unacceptable for working in the desert locations.
Renal Polycystic disease, hydronephrosis or unilateral nephrectomy with disease in the remaining kidney must be
assessed carefully depending on the nature of the job. Uncomplicated renal transplant in general is acceptable but
may not be acceptable in the desert locations.
Enuresis or incontinence, prostatic hypertrophy or urethral stricture interfering with adequate bladder evacuation,
Hydrocele, or painful conditions of the testicles, all require careful assessment against job tasks and location.
13.2.17 Respiratory System

A history of spontaneous pneumothorax is generally unacceptable for working in the interior, except for a single
episode without recurrence for two year, or after a successful surgical procedure.
Obstructive airways disease, such as chronic bronchitis, emphysema, and any other pulmonary disease-causing
significant disability or recurring illness, such as bronchiectasis, is unacceptable for working in the desert.
Restrictive or fibrotic pulmonary disease resulting in significant symptoms or disability is unacceptable.
Open pulmonary tuberculosis is unacceptable until treatment is concluded and the attending physician has certified
that the patient is no longer infectious.
A history of asthma requiring frequent or recurrent medication including oral steroids, require careful assessment
regarding fitness to do certain jobs.
13.2.18 Ear, Nose and Throat

a. Ear disorders:
Active otitis external (acute or chronic) is acceptable after treatment.
Disorders of the tympanic membrane (e.g. dry perforations and grommets) and the middle ear require further
assessment by ENT.
Intractable inner ear disorders with severe motion sickness, vertigo, etc. (e.g. Meniere's disease) are unacceptable
for certain jobs.
A functional hearing loss sufficient to interfere with communications or to impede safety (e.g. inability to hear
audible warning devices) is unacceptable. Intrinsically safe hearing aids may be worn, but the examinee should not
be dependent on such an aid to hear a safety warning.
Increasing noise induced hearing loss may be a reason for medical unfitness. All personnel who may be exposed to
work related noise must have audiometry performed, both at initial assessment, and as directed thereafter by the
examining physician in line with Hearing Conservation Programme. Where the measured loss is greater than 25
dBA, then special assessment of the individual by an ENT specialist is advised.
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b. Nose and Throat Disorders

Chronically infected sinuses, or frequently occurring sinusitis, require careful assessment. Hay fever is a minor
problem in the interior. It is only unacceptable if therapy is required which causes undesirable side effects affecting
job performance. Chronically infected tonsils or frequently occurring tonsillitis, require careful assessment.
c. Eye Diseases
Any eye disease or visual defect rendering, or likely to render, the individual incapable of carrying out job duties
efficiently and safely, is unacceptable.
Visual acuity, corrected, must be at least 6/12 in the better eye, demonstrated by recognised test type procedures.
A monocular individual is acceptable provided the job functions can be performed efficiently and safely. Recent
onset of monocular vision is unacceptable (i.e. within six months of onset)
Colour perception should be adequate for the task to be undertaken. Colour blindness per se does not disqualify
the person from being commercial driver if he/she meets the minimum requirement i.e. he/she can recognise the
colours of traffic signals (red, green and amber)
A history of conditions such as glaucoma and uveitis need specialised assessment.
13.2.19 Sleep Disorders

Individuals suffering from Narcolepsy or obstructive sleep apnoea causing excessive daytime sleepiness are
unacceptable for health and safety critical jobs such as driving, field and control room operators, emergency
response personnel, rescue and fire workers or any other jobs requiring full time alertness or focus.
13.2.20 Medicines
Individuals being treated with certain medicines require careful consideration:
2. Individuals on anticoagulants, cytotoxic agents, insulin, anticonvulsants, and certain immunosuppressants
are unacceptable for work in the field including rigs or doing heavy manual tasks, however they may do
office-based work or any non-hazardous jobs either in the interior or any other location.
3. Individuals on psychotropic medications (e.g. tranquillisers, antidepressants, narcotics, hypnotics) are
unacceptable for work in the field. A previous history of such treatment will also require further
consideration.
Any previous adverse drug reaction must be brought to the attention of the examining physician.
In certain circumstance the medical officer may decide to remove an individual from working in the desert locations
despite being assigned office-based task if the work environment is unsafe for that staff. This shall be carefully
reviewed as part of total care of individual employee.
13.2.21 Age
With all the other findings in the Medical assessment, age must be considered during fitness to work assessment.
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13.3 Appendix C: Respiratory Protection Equipment Users (RPE) - Face Fit Testing
Individuals required to wear Respiratory Protection Equipment (RPE) shall undergo face fit testing to ensure the
respirator fits adequately and that a good seal is obtained. Respirators that do not seal do not offer adequate
protection.
13.3.1 Health assessment for RPE users:

RPE users shall be face fit tested annually and in the following circumstances:
1. Prior to wearing any respirator.
2. If an individual’s weight changes by 10% or more.
3. If an individual has changes in facial structure or new scarring.
13.3.2 Face fit test

The face fit test shall be carried out using an acceptable quantitative method and shall include:
1. Face fit testing form (see Appendix C).
2. Porta Count™ testing equipment.
3. Any RPE intended to be worn by the individual.
13.3.3 Required fit testing factors

The minimum fit factor number recommended by the United Kingdom Health and Safety Executive which should be
achieved for each quantitative fit test is:
1. 1000 for a full-face mask
2. 500 for a half mask
3. 100 for a FFP3, FFP21 and FFP12 filtering face pieces
1 a fit factor of 25 is applied if the TSI Porta Count is used without the N95 Companion
2 FFP1 filtering facepiece can only be fit tested using the TSI Porta Count Pro+ or if the N95 Companion is employed
Individuals failing to meet the face fit test requirements may be regarded as temporarily or permanently unfit. A
risk-based approach will be used on a case-by case basis to assess risk exposure. The Operator/Contractor Health
Team shall notify the Site medical staff in writing should such a case arise.
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Face Fit Testing Form
Face Fit Testing Location:
Date: ID Number:
Name:
Manufacturer and Serial N: Face Piece:
Demand: Pressure Demand or Cartridge (Circle one)
Exercise Reading Pass / Fail
1 Normal breathing
2 Deep breathing
3 Head side to side
4 Head up and down
5 Talking (out loud)
6 Bending
7 Normal breathing
Overall Pass / Fail
Client signature: Company:
Face Fit testing Technician: Company:
Fit factor pass level set at: 1000 or 500 or 100
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13.4 Appendix D: Medical Requirements for Work Visa in Oman
The following are additional requirements of the FTW process for expatriates working in Oman.
Country Test Required Visa Regulation
• HIV
• Hepatitis B surface antigen
• Hepatitis C antibodies Completed in country for
Oman • Chest x-ray (in country only) work/residency permit.
• VDRL & TPHA (TPHA if VDRL is
positive)
*VDRL - Venereal Disease Research Lab (test)

*TPHA – Treponema Pallidum Hemagglutination Assay
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13.5 Appendix E: Pregnancy at Work
Part 1 - Site Risk Assessment
Employee Name:
ID No:
Title:
Employee Line Manager Name:
Assessor’s Name:
Additional
Controls
Risks Controls
Controls in Place
Actions
Required
☐Yes
1. A pregnant employee- Assess the remoteness
☐No
Remoteness of the work site.
☐N/A
1. Previous obstetric history, particularly any risk

factors or history of ectopic pregnancy, ☐Yes
previous abortion hyperemesis, pre-eclampsia, ☐No
History
premature labor, pregnancy induced diabetes, ☐N/A
etc.
1. Avoid manual handling duties while pregnant.

2. Assess the risk of any operations that cannot
be avoided, taking into account postural
problems, size change and possible backache.
3. Look at all tasks that involve manual handling, ☐Yes
Manual handling in particular lifting, pushing/pulling of loaded ☐No
trolleys, bending/stretching to stock shelves, ☐N/A
lifting manhole covers, awkward movements
especially in small spaces and general
movement and posture.
1. Discuss flexible working hours, working from

home, taking frequent breaks.
2. Organize work so that sudden or unusual
☐Yes
pressure can be avoided.
Fatigue
3. Resting facilities should be available at work. ☐No
4. Consider fatigue from standing or any other ☐N/A
physical work.
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1. If a medical certificate states that night work

can affect the health and safety of the fetus or
the expectant mother, suitable alternative day
work shall be offered. Discuss with HR.
2. Review work patterns to ensure no health
Work hours and routines, impacts to mother and/or child, bearing in ☐Yes
including night work, shift work, mind possible morning sickness and unusual ☐No
working alone tiredness. ☐N/A
3. Review ER Plans to ensure that help and
support is available if required.
4. Emergency procedures shall consider the
needs of new and/or expectant mothers.
1. Continue to communicate with the Line

Manager to enable any issues to be identified ☐Yes
Occupational stress and managed if they arise, and to ensure that ☐No
the volume and pace of work are manageable. ☐N/A
2. Advice can be sought from HR or Health Team.
1. For specific travel health advice, contact travel

health team. ☐Yes
2. Most airlines will not permit a pregnant ☐No
Travel on business
woman to fly without written consent from her ☐N/A
doctor after the 28th week.
1. Limit exposure to extreme temperatures. ☐Yes

Extremes of heat and cold 2. Consider equipment such as ovens, ☐No
refrigerated equipment, etc. ☐N/A
1. Consider accessible parking. ☐Yes

Commuting 2. Avoid rush hour, where possible. ☐No
3. Plan journeys with regard to pregnancy. ☐N/A
Shock and vibration

1. Avoid whole body vibration, especially at low ☐Yes
frequency or where the abdomen is exposed to ☐No
shocks or jolts. ☐N/A
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frequency or where the abdomen is exposed to ☐No
shocks or jolts. ☐N/A
1. Refer to the ‘noise at work’ regulations, which ☐Yes

apply to all workers exposed to loud noise ☐No
Noise
which can result in ‘noise-induced hearing loss. ☐N/A
☐Yes
1. Remove individual from all work that involves
Ionizing radiation ☐No
radioactive materials.
☐N/A
☐Yes
Non-ionizing 1. Pregnant and breastfeeding mothers are at no
☐No
radiation greater risk than that of other workers.
☐N/A
1. Review risk assessments.

☐Yes
2. Remove new or expectant mother from
☐No
Any biological agents exposure. Seek advice from HSSE and OH
Advisor. ☐N/A
☐Yes
1. Review risk assessments and remove from
Any chemical agents ☐No
exposure. Seek advice from HSSE.
☐N/A
☐Yes
1. Consider transient weather conditions,
Slips, trips and falls ☐No
spillages on floor, good housekeeping, etc.
☐N/A
☐Yes
1. Review risk and seek advice from HSSE and OH
Exposure to petroleum products ☐No
Advisor
☐N/A
☐Yes
1. Add details of any other risk not already
Any other identified risks ☐No
identified.
☐N/A
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PART 2 - Actions Required

Action required: ☐ Yes ☐ No
Review date:
Referred to OH: ☐ Yes ☐ No
Employee’s signature: Date:
Assessor’s signature: Date:
PART 3 – Other Actions / Comments
Note: If the following risk assessment identifies a new significant risk, at work, to the health or safety of a new or
expectant mother, then the following steps shall be taken to remove the individual from the risk. These actions
are only necessary where, as a result of the following risk assessment, there is genuine concern for everyone’s
health and well-being.
1. Temporarily adjust working conditions and/or hours of work. If this is not reasonable, then
2. Offer other suitable alternative work, if available. If not, then
3. Suspend from work for as long as necessary to protect individual’s health and safety and/or that of the child.
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13.6 Appendix F: Visitors’ Fitness Declaration Form
Visitor Fitness Self-Declaration Form
Do you suffer from any of the following condition(s): Yes / No
1. Current outbreak related infections

2. History of heart or circulatory problems/ Breathing Discomfort on walking/Physical Strain
3. High blood pressure (Hypertension)
4. Significant hearing or visual impairment/Problems in hearing/Seeing & using hearing aids/corrective
lenses
5. Asthma/Breathing Discomfort Relieved by Inhaler
6. Impairment of mobility/need Physical Aids/Appliances (crutches, splints, wheelchair etc) for movement
7. Current peptic ulcer disease/ Food or Diet Restrictions/Digestive Issues
8. Fear of flying/heights/ confined/closed space
9. Recent medical procedure requiring the use of local or general anesthetic (within 6 weeks)
10. Insulin dependent diabetes/Injectable medications before or after food
11. Pregnancy
12. History of Sudden loss of consciousness
13. Major trauma related issues
I hereby declare and certify that I have read and answered the above instructions carefully and I have submitted all
true information regarding conditions and I understood that completing the verification process does not
guarantee obtaining access to the site if I do not meet the Fitness for work (FTW) criteria.
Name, surname:
Company/position:
Visiting dates:
Line Manager:
Date:
Signature
Health Team Assessment Approved / Not Approved Health Team Member Name and Signature
*After completing the form, the line manager needs to submit it for health team assessment.
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13.7 Appendix G: Self-Verification Completion Form
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Self-Verification Completion Form
PROCEDURE NAME: Fitness to Work standard

AUDITORS NAMES:
PEOPLE / GROUPS INTERVIEWED:
Agreed /
Audit Proc. Recommended Responsible Traction
Self-Verification Audit Question Finding Due date
Ref Section Action Person Number
Are there any outstanding actions still incomplete

1
N/A from the previous audit protocol?
Have all interviewees read and understood the

2
N/A content of the procedure?
Have interviewees attended specific training or

awareness roll out presentation for the
3 N/A
procedure?
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Since procedure issue, has there been any

significant changes to the conduct of the
procedure that will require reviewing /updating of
4 N/A
the procedure? I.e. are any procedural steps being
done differently or additional steps required?
Review evidence on compliance with pre-

employment health assessment by random spot
5
interaction with staff on-site
Review evidence on compliance with periodic

health assessment by random spot interaction
6
with staff on-site
Review evidence of compliance with ‘role change’
pre-placement/transfer health assessment by
interacting with staff member who has recently
7
changed job tasks or positions (Requires HR
support).
Review evidence of compliance with Expatriation /
Rotation assignments health assessment. With
8 relevant staff and his accompanying family to

confirm
Review evidence of compliance with post absence

health assessment. Staff member who has recently
0
9 returned from prolonged absence (Requires HR

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Since procedure issue, has there been any
significant changes to the conduct of the
procedure that will require reviewing /updating of
4 N/A
the procedure? I.e. are any procedural steps being
done differently or additional steps required?
Review evidence on compliance with pre-

employment health assessment by random spot
5
interaction with staff on-site
Review evidence on compliance with periodic

health assessment by random spot interaction
6
with staff on-site
Review evidence of compliance with ‘role change’
pre-placement/transfer health assessment by
interacting with staff member who has recently
7
changed job tasks or positions (Requires HR
support).
Review evidence of compliance with Expatriation /
Rotation assignments health assessment. With
8 relevant staff and his accompanying family to

confirm
Review evidence of compliance with post absence

health assessment. Staff member who has recently
0
9 returned from prolonged absence (Requires HR

support).
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Audit team Findings / Comments on (Procedure application)
Audit Team Leader Name: Signature:
Job Title: Date:
Audit Functional Owner

Name: Job Title: Signature:
Date:
Next Self-Verification Audit Date:

Audit teams - Shall be appointed by the Function Owner and should include one independent Auditor from another Function.
Protected Health Information only to be viewed by a doctor or nurse; as needed, an independent/third party doctor or nurse may be co-opted into audit team).
Findings: The actions are to be recorded in the report by the Auditors, with named Responsible Party and due dates.
Traction coordinator will enter the actions in Traction.
0
Audit report - Shall be given to the Functional Manager that owns the procedure and the Audit process SPA.
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13.8 Appendix H: Returning to Work Checklist

Employee Data
Date: Company:
Employee Name: Department:
Employee ID No: Tel: Occupation:
This checklist should be completed by any employee who return to work after
significant injury, major illness, long sick leave (≥ 14 consecutive days) Submit
the completed checklist to your Line Manager . This questionnaire will help
identify if you had any significant health condition while away from work that
could affect your work performance, safety or hinder you from coping well or
feeling overwhelmed.
Yes No NA
Have you had peaceful time off
1
work?
2 Have you travelled outside Oman?
During your leave, at home or

If yes, please notify your doctor or medic on
3 abroad, have you visited a doctor for
site.
any illness or significant injuries?
Have you been prescribed
If yes, plesae notify your doctor on site to
4 medicaiton to use for long term
ensure you receive your regular prescription
use)?
During your leave, at home or

5 abroad, have you had fever or were
you hospitalized for a day or more ?
Has your treating doctor ask you to

6 inform your employer or your doctor
in Oman about your health ?
Medical reports can help your

doctor to plan and enusre you
7 receive appropriate medical support.
Have you shared your report with
the site doctor/medic?
Now that you are back to work, do

you have any health or safety
concern relating to your work that
8
you want to discuss with your
supervisor or privately with your
site doctor?
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Do you think you need to have a

9 fitness to work medical, before
resuming work?
Have any of your close relatives

been treated for siginicant chest
10
problem while you were on leave?
(significant coughing)
If you answered “YES” to any of the questions (3,4,5,6,8 and 9), your Line Manager shall submit this
questionnire to the respective site doctor/medic nearby to decide on the appropriate advice before you
resume to work. If you have any queries please contact your doctor/medics.
Declaration: I, _________________________________ (Print Name) certify that to the best of my knowledge

the above information supplied by me is true and correct.
Signature: ___________________________ Date: ___________________
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13.9 Appendix I: Fitness-To- Work Certificate

Employee Data
Date: Company
Employee Name: Department

Employee ID No. Age: Occupation
Type of Medical Evaluation Mark those applying Ö
A6 Fire / Emergency Response

A1 Aircraft refueling
Team operations
A2 Breathing apparatus A7 Professional driving
A3 Business traveler A8 Remote location work
A4 Catering and food preparation A9 Transfers – group A country
A5 Crane or forklift driving & all heavy

A10 Transfers – group B country
vehicles
Health Advisor Statement: The above-named person has been examined according to the
statements laid down in “Protocols and Guidance Notes on the Medical Evaluation of Fitness to
Work”. At this time, his/her fitness to work status for the above tasks is as follows.
Fit with no restrictions
Fit with following restriction(s)
The employee is fit for above work but Temporary Permanent

should avoid the following task(s) restriction restriction
Work near moving machinery or sharp

edges
Working at height
Puling, pushing, or carrying weight over

____ Kg
Ascend/descend ladders or stairs
Operate motor vehicles, forklifts or heavy

machinery
Use of a respirator
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Use of a respirator
Repetitive twisting of valves or wrenches
Flying
Other (Specifiy)
Temporarily Unfit until

Permanently Unfit: Date:
Name of health advisor: Signature: Date:
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13.10 Appendix J: Epworth Screening Questionnaire for Sleep Apnea
Employee Data
Date: Company:
Employee Name Department:
Employee ID No. Tel: Occupation
This questionnaire will help identify if you have any health condition which may need a more
detailed medical assessment as part of your fitness to work determination. If you have any
queries, please contact your local Health Services staff. All information provided on this form
and during consultations remains strictly confidential. When further clinical evaluation is
requires following completion of a screening questionnaire, the details should be recorded
on Medical Evaluation forms
How likely are you to fall asleep in the following sitatuions? (use 0 to 3 score as shown
below)
0 Would never doze

1 Slight chance of dozing
2 Moderate chance of dozing
3 High chance of dozing
____________ sitting and reading
____________ watching TV
____________ sitting inactive in a public place (e.g. theatre or meeting)
____________ as a passenger in the car for an hour without a break
____________ lying down to rest in the afternoon when cirucmstances permit
____________ sitting and talking with someone
____________ sitting quietly after lunch without alcohol
____________ In a car, while stopped for a few minutes in traffic
____________ Total
If you score a total of 15 or more you should seek advice from medical personnel on site
before continuing to drive or operate machinery in the workplace.
Declaration: I, _________________________________(Print Name ) certify that to the best

of my knowledge the above information supplied by me is true and correct.
Signature: ___________________ Date: ___________________
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13.11 Appendix K: Breathing Apparatus Screening

Employee Data
Date: Company:
Employee ID No: Tel: Occupation
This form is required to be completed either at the time of your fit testing for respirator
use or medical evaluation. If you have never completed an initial questionnaire form, you
should not be fit tested nor use a respirator until the initial questionnaire has been
reviewed and approved by a health care professional. All information provided on this
form and during consultations remains strictly confidential. When further clinical
evaluation is required following completion of a screening questionnaire, the details
should be recorded on medical evaluation forms
Please tick the appropriate box Yes No
Have you experienced any health problems/signs or symptoms
that you associate with respirator use or the ability to use a
1
respirator while performing your work that requires the use of a
respirator?
Has here been any change in workplace conditions (e.g. physical
work effort, protective clothing, and temperature) that has or
2 may result in a substantial increase in the physiological burden
placed on you when performing your work that requires
respirator use?
Do you currently have any medical restrictions or limitations (for
3 example: lifting restrictions) that may affect your ability to safety
wear a respirator?
Do you have any medical problems (for example: issue related to
the heart, breathing problems, seizures, back problems, neck
4
problems, medications, etc.) that my affect your ability to safely
wear a respirator?
Do you have any medical problems that may prevent you from
5
working in a confined space?
Would you like to talk with a health professional regarding your
6
health and respirator use?
This form will be forwarded to the healthcare provider who will perform your evaluation
for respirator use fitness. If you anwered “yes” or “not sure” to any of the questions,
then you are prohibited from using a respirator until this evaluation is completed and
approval is granted.
Declaration: I, _________________________________(Print Name ) certify that to the

best of my knowledge the above information supplied by me is true and correct.
Signature: ___________________ Date: ___________________
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13.12 Appendix L: Business Travel Screening Questionnaire
Employee Data
Date Company:
Employee Name Department:
detailed medical assessment as part of your fitness to work determination. If you have a
health condition or concern which you think may be adversely affected by business travel,
please contact your doctor or local Health Services. They will assist you in making your trip as
safe and healthy as possible. All information provided on this form and during consultations
remains strictly confidential. When further clinical evolution is required following completion
of a screening questionnaire, the details should be recorded on Medical Evaluation Forms.

1 Do you feel physically or psychologically unfit for travel?
Do you have a history of Deep Venous Thrombosis (DVT), Pulmonary
2
Embolism or known clotting tendency?
3 Are you pregnant?
4 Have you been hospitalized or had surgery in the past 3 months?
Do you have a chronic illness or affliction, e.g cardiovascular disease,

5
Diabetes or mental conditions?
Are yu currently under medical treatment?

6
If Yes, please indicate the condition or illness and the medication(s)
prescribed on regular basis
This form will be forwarded to the healthcare provider. If you answered “yes” to any
question you should seek a medical opinion from your doctor or local Health provider on
your fitness for business travel.

Signature: ___________________ Date: ___________________
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13.13 Appendix M: Catering & Food Preparation Screening

13.13 Appendix M: Catering & Food Preparation Screening
Employee Data
Employee Data
Date: Company:
Date: Company:
This questionnaire
detailed will help identify
medical assessment as part ifofyou
yourhave anyto
fitness health
workcondition which Ifmay
determination. youneed
haveaany
more
detailed medical assessment as part of your fitness to work determination. If you have
queries, please contact your doctor or local Health Services staff. All information provided on any
queries,
this formplease contact
and during your doctorremains
consultations or localstrictly
Health confidential.
Services staff.When
All information provided on
further clinical
this form and during consultations remains strictly confidential. When further clinical
evaluation is required following completion of a screening questionnaire, the details should
evaluation
be recordedison
required
Medicalfollowing completion
Evaluation forms. of a screening questionnaire, the details should
be recorded on Medical Evaluation forms.
Do you have any medical condition that you believe may affect your
1 Do youtohave anyfood
medical condition that you believe may affect your
1 ability handle safely?
ability to handle food safely?
Have you been in contact with anyone with any infectious disease in
2 Have
the you12been
past in contact
months with anyonetyphoid,
e.g. tuberculosis, with any infectious disease
paratyphoid, in
or enteric
2 the past
fever? 12 months e.g. tuberculosis, typhoid, paratyphoid, or enteric
fever?
Do you have any skin problems (on arms, hands or face) that requires
3 Do you have
3 treatment or any skin
affect problems
your (onwear
ability to arms, hands or face) that requires
gloves?
treatment or affect your ability to wear gloves?
Do you have any history of recurrent diarrhea or other bowel
4 Do you have any history of recurrent diarrhea or other bowel
4 problems?
problems?
Have you suffered from a runny ear or chronic ear infection in the
5 Haveyear?
you suffered from a runny ear or chronic ear infection in the
5 past
past year?
Have you ever previously been advised that you should not prepare
6 Have you food?
ever previously been advised that you should not prepare
6 or handle
or handle food?
This form will be forwarded to the healthcare provider. If you answered “yes” to any
This formyou
question willshould
be forwarded to the healthcare
seek a medical provider.
opinion from medicalIf you answered
personnel “yes”
on site to any
before
question you should seek a medical
continuing to prepare food at work. opinion from medical personnel on site before
continuing to prepare food at work.

Declaration:
of I, _________________________________(Print
my knowledge the above information supplied by me is trueName ) certify that to the best
and correct.
Signature: ___________________ Date: ___________________

Signature: ___________________ Date: ___________________
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13.14 Appendix N: Catering & Food Prep. Follow up Screening
Screening questionnaire following illness (Food handlers)
Employee Data
Date Company:
Employee ID No. Tel: Occupation:
To be completed by all designated food handlers on return to work following
1. Absence due to ill health
2. Any period of gastrointestinal illness whether resulting in absence or not
This form wil be forwarded to the healthcare provider. If your answer is in any of the shaded
boxes, you must seek a medical opinion from local Health Services before continuing to
prepare food at work.

Have you suffered from vomiting, diarrhea or a bowel disorder during the
last 7 days
Are you currently under treatment for infection of the skin, ears, nose throat
and eyes?
Have you been in contact with anyone suffering from Enteric Fever, Typhoid
or Paratyphoid
Heath declaration
I am currently free from all of the above symptoms
I am currently free of any skin rash affecting my hands forearms and face
I have been free from sickness or bowel disorders for 48 hours

Signature: ___________________ Date: ___________________
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Page 60

Fitness To Work Standard FINAL

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Fitness To Work Standard FINAL

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TOTAL Ce fichier est un document

30-34 Rue du Chemin Vert 75011 Paris Date : 13/07/2021

Fitness-to-Work Standard Doc. No

Fitness-to-Work Standard Doc. No

Ministry of Energy and Minerals

The Under Secretary

Ministry of Energy and Minerals Date: 8.8.2021

Document Authority Document Custodian Revised by

Revision Version No. Date Status

June, 2023 Next revision due

Fitness-to-Work Standard Doc. No

OPERATORS CEO COMMITMENT

Mr. Steve Phimister Mr. Yousuf Al Ojaili

Mr. Steve Kelly Mr. Talal Al Awfi

Mr. Zhang Jilani Mr. Usama Al Barwani

Mr. Walter Simpson Mr. Hamed Al Naamany

Fitness-to-Work Standard Doc. No

Mr. Sultan Al Ghaithi Mr. John Bringle

Mr. Noke Fajar Prakoso

Mr. Ronan Huitric Mr. Waleed Hadi

Fitness-to-Work Standard Doc. No

Operators Health, Safety and Environment Managers Steering Committee (OSHEMCO),

Name Job Title Organization

A. Fitness-To-Work Standard - Working Group – 2020

Fitness-to-Work Standard Doc. No

Fitness-to-Work Standard Doc. No

13.1 APPENDIX A: EXAMINATION PROTOCOLS...........................................................................23

6.1 Senior Management

6.2 Health, Safety and Environment (HSE) Department

6.3 Human Resources (HR) Department

6.4 Line Manager(s)

6.6 Approved Medical Services Providers

6.7 Company Health Care Provider

The FTW process is outlined in the following flowchart:

Fitness to Work (FTW) Process

Complete Task Checklist

Carry out further tests Initially Fit

Yes No Make changes to Job

Fit for the new role Review Fitness

No Able to do the job

7.1 General Principles of FTW

7.2 Scope of FTW Assessments

Fitness to Work Standard

7.2.1 Pre-employment FTW Assessments

7.2.2 Pre-placement / Job Transfer FTW Assessments

7.2.3 Periodic FTW Assessments

7.2.4 Post-absence FTW Assessments

7.2.5 Cause Triggered FTW Assessments

7.3 FTW Assessments for Expatriates (transfer)

Fitness-to-Work Standard Doc. No

7.4 Pregnancy at Work

7.5 FTW for Worksite Visitors

8.1 General Principles of HS

10. Excessive vibration

8.1.1 Identifying Individuals at Risk

Table: Specific tasks requiring health risk assessment

Fitness-to-Work Standard Doc. No

8.2 Monitoring Health of Identified Individuals

a. Mechanisms to track identified ‘at-risk’ individuals.

8.3 Management of Exposure