Name : LIRAMESTI

Student ID No : 665070033-9

DEPARTEMENT OF COMMUNITY, FAMILY AND OCCUPATIONAL MEDICINE

FACULTY OF MEDICINE, KHON KAEN UNIVERSITY

1. Fit For Work Occupational Safety And Health
According to the International Labour Organization (ILO) Safety and health in the workplace
known as occupational safety and health (OSH) is the discipline dealing with the prevention
of work related injuries and diseases, as well as the protection and promotion of the health of
workers.

2. Terminologyst Fit For Work

As per the guidelines set out by the Occupational Safety and Health Administration (OSHA),
the term "fit for duty" refers to the condition in which a person has the necessary physical,
mental, and emotional capabilities to effectively carry out the fundamental responsibilities
associated with their employment.(6) "Fit to work" or "fitness to work" is a medical
assessment done when an employer wishes to be sure an employee can safely do a specific
job or task. The purpose is to determine if medically the employee can perform the job or task
under the working conditions. Fit to work assessments are most often done to determine
medical fitness after an illness or injury, but are sometimes done after employment has been
offered, as requested by the employer, or as a condition of a job transfer.(1)
Depending on the sector and the particular job duties involved, "fit for work" decision may
differ. A person's "fitness for work" is assessed in many industries and companies :

a. General "fit for work" is determined by assessing an employee's

physical and mental health to ensure they can safely
perform their job duties without posing a hazard to
themselves or others. The specific methods used to
determine "fit for work" may vary depending on the
industry and the specific job tasks involved.

b. Healthcare healthcare industry, "fit for work" determined by assessing

an employee's physical and mental health to ensure they
can safely perform their job duties, such as lifting and
moving patients(1)

c. Manufacturing manufacturing industry, "fit for work" be determined by

conducting ergonomic assessments to ensure that
employees can safely perform their job tasks without the
risk of injury or strain

d. Construction construction industry, "fit for work" may be determined by

assessing an employee's physical fitness and ability to
perform tasks such as heavy lifting, working at heights, and
operating heavy machinery

e. Emergency services firefighting, "fit for work" may be determined by

conducting physical fitness tests to ensure that employees
can safely perform their job duties, such as carrying heavy
equipment and working in hazardous environments

f. Office work "fit for work" may be determined by assessing an

employee's physical and mental health to ensure they can
safely perform their job duties, such as sitting at a desk for
long periods of time and using a computer
3. Purpose Fit For Work

4. Objective Study
The primary objective of "fit for work" or "fit for duty" tests is to ascertain if an employee has
the requisite physical and mental capabilities to effectively and safely execute their job
responsibilities under the prevailing working circumstances. These evaluations are performed
to ascertain the employee's medical suitability after an episode of sickness or injury.
However, they may also be carried out subsequent to a job offer, as per the employer's
request, or as a prerequisite for a work or work relocation.(1)

The main objectives of "fit for work" evaluations are:

In order to ascertain an individual's capability to execute activities proficiently and without
jeopardizing their own or others' well-being and security, it is essential to undertake
appropriate measures.(3)

5. How To Going Professional

6. Common Types Fit For Work

The Indonesian health and safety system is based on the Work Safety Act 1970, which is
the key source of law. Health examinations for workers are also an important concern and are
specifically included in Article 8 of Law No. 1 of 1970 concerning Occupational Safety.
Article 8:

Examination of the body’s health, mental condition & physical ability of workers to be
accepted & transferred according to the nature of work. Regular medical check-up by a doctor
appointed by the employer & justified by the director (Director General in charge of Labour
Inspection).

In Indonesia, medical examinations for fitness for work are typically categorized into several
types, depending on the specific requirements. Types of medical examinations and their
requirements may vary based on the industry, job roles, and company policies in Indonesia.

Common types of medical examination Indonesia include:

a. Pre Employment Examination

This pre-employment assessment evaluates the general well-being and physical fitness of
prospective employees in order to verify their ability to safely fulfill the job's demands, both
physically and cognitively. This is usually done before someone applies for a job. A worker
carries out a medical examination independently at a hospital that cooperates with the
company.

Pre-employment physicals and "fit for work" assessments have certain characteristics, but
carried out at various phases of the hiring process and have distinct objectives.

Fit for Work Assessment Pre-Employment Physical

Purpose: A fit for work assessment is Purpose: A pre-employment physical is
conducted to determine if an employee can conducted to assess an individual's overall
safely perform their job or task under the health and physical fitness before they are
working conditions. offered a job.

Focus: The assessment focuses on the Focus: The assessment focuses on the
specific job tasks and working conditions that individual's general health, physical fitness,
 the employee will be exposed to. and ability to perform basic job tasks.

Medical Evaluation: The evaluation may
include a review of the employee's medical
history, a physical examination, and
additional tests or screenings as necessary to
assess their ability to perform the job safe.
Medical Evaluation: The evaluation may
include a review of the individual's medical
history, a physical examination, and basic
tests or screenings to assess their overall
health and physical fitness.

Physical Examination Physical examination is performed to check for any existing

medical conditions or physical limitations that may affect job
performance.
Medical History Review Applicants are required to provide their medical history,
including information about chronic illnesses, previous
surgeries, and any current medications.
Additional Tests Depending on of the job, additional tests such as drug
screenings or specific medical tests may be required.
Psychological Assessments Psychological assessments aim to evaluate an individual's
mental and emotional well-being to determine their
suitability for a specific job role. These assessments are
commonly used for positions that involve high-stress levels,
critical decision-making, or intense interaction with others.
Physical Functional Comprehensive assessments conducted to determine an
Capacity individual's physical capabilities for specific job tasks. These
evaluations help identify any physical limitations or
disabilities that may affect an individual's ability to perform
certain job duties safely and effectively.

b. Periodic Medical Examination

Regular health check-ups for employees, often conducted annually or at specific intervals, to
monitor their health status and detect any changes that might impact their fitness for work.

c. Return-to-Work Medical Examination

This assessment is administered to personnel who have taken medical leave or have
recuperated from a sickness or injury, with the aim of ascertaining their readiness to
recommence their job responsibilities.

d. Specific Medical Examination

Tailored to certain job roles or industries where employees may be exposed to specific
hazards or risks, such as hearing tests for workers in noisy environments or lung function tests
for those working with respiratory irritants.

e. Executive Health Check-ups

Comprehensive medical assessments often targeted at executives and senior management
personnel, focusing on early detection of health issues and promoting overall well-being. and
this is usually done by the staff as a condition for promotion or getting a new position.