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Occupational Health

Services
Rule 1960, OSHS

Ricardo T. Balagot, MD, FPCOM


Objectives:
◼ To present the provisions and minimum
requirements of Rule 1960 of the OSHS
◼ To define the duties and responsibilities of
an OH physician/dentist as required by law
◼ Discuss the organization and
administration of OH Services in
industry/establishment
Definitions:
◼ Occupational Health Services are Services entrusted
with essentially preventive functions and responsible for
advising the employers, the workers and their
representative, in the establishment/undertaking of the
following!

a) The requirements for establishing and maintaining a


safe and healthy working environment which will
facilitate optimal physical and mental health in relation to
work, and

b) The adaptation of work to the capabilities of workers


in the light of their state of physical and mental health.
◼ Occupational Health Personnel - refers to
the qualified first aider, nurse, dentist or
physician, whose service/services have
been engaged by the employer in order to
provide Occupational Health Services, in the
establishment/undertaking.
◼ Occupational Health – is the promotion and
maintenance of the highest degree of
physical, mental, social well-being of
workers in all occupations.
Legislation

◼ Labor Code:
The Secretary of Labor, shall…set and
enforce mandatory standards to eliminate
or reduce occupational health hazards in
all workplaces…
GENERAL PROVISIONS

◼ Every employer shall establish in his place of


employment occupational health services in
accordance with the regulation and guidelines
provided for under this rule.

◼ The employers, the workers, and their


representatives, where they exist, shall
cooperate and participate in the implementation
of the organizational and other measures
relating to occupational health services.
COVERAGE
◼ This Rule shall apply to all establishments
whether for profit or not, including the
Government and any of its political
subdivisions and government-owned or
controlled corporations.
◼ The Bureau of Dental Health Services of the
Department of Health shall be responsible
for the development and enforcement of
dental standards.
Occupational Safety and Health
Standards
Salient Provisions:

Rule 1030 Rule 1070


Rule 1040 Rule 1080
Rule 1050 Rule 1960
Rule 1030 – Training & Accreditation
of Personnel in OSH
Minimum OSH
Category Prescribed OSH Training
Experience

FA Standard FA training

OHN 40-hour BOSH for OHN

OHD 40-hour BOSH for DMD

OHMD 56-hour BOSH for OHMD

*Based on DO 198-18
Rule 1030 – Training & Accreditation
of Personnel in OSH
Minimum OSH
Category Prescribed OSH Training
Experience
SO1 • Mandatory 8-hour OSH orientation course
• 2-hour TOT
SO2 Mandatory 40-hour BOSH
SO3 • Mandatory 40-hour BOSH At least 2 years
• 48-hour advance OSH training OSH experience
• Other requirements prescribed by OSHS
SO4 • Mandatory 40-hour BOSH At least 4 years
• 80-hour advance OSH training experience as SO3
• Aggregate of 320 hours of OSH-related
training or experience (80 hours training =
1 year experience)
• Other requirements prescribed by OSHS
*Based on DO 198-18
Required No. of SO in the Workplace
(DO 198-18)

No. of Workers Low Risk Medium Risk High Risk


1–9 1 SO1 1 SO1 1 SO1
10 – 50 1 SO1 1 SO3
1 SO2
51 – 99
1 SO2 1 SO2 + 1 SO3
100 – 199 1 SO 2 + 1 SO3
200 – 250 2 SO2/1 SO3 1 SO2 + 1 SO3 2 SO3
251 – 500 2 SO2 + 1 SO3 2 SO3 1 SO2 + 2 SO3
501 – 750 2 SO2 + 1 SO3
2 SO3 1 SO2 + 2 SO3
751 – 1,000 2 SO3
Every additional 250 Additional 1
- -
or fraction thereof SO3/SO4
Every additional 500 Additional 1
Additional 1 SO3 -
or fraction thereof SO3/SO4
Rule 1040 – OSH Committee

• Group of employees
& management
personnel which plans
& develops polices in
all matters pertaining
to safety & health in
the workplace.
Rule 1040 – OSH Committee
*Based on DO 198-18

No. of Composition
Category
Workers Chair Secretary Members
<10 - Owner or
1 Worker
Low Risk Manager

10 – 50 Medium Risk
• FA, OHN, OHD,
High Risk SO OHMD*
• 1 SO each from
Low Risk Employer or rep
contractor or
>51 Medium Risk subcontractor
• 1 Worker
High Risk
• 2 SOs from
Joint Coordinating Building Owner tenants
Building SO
Committee or rep • 2 Workers from
tenants
Duties of OSH Committee (OSHS, 1978)

◼ Plans & develops accident prevention


program
◼ Directs the accident prevention efforts
◼ Provides necessary assistance to
government inspecting authorities
◼ Initiates & supervises safety trainings for
employees
◼ Develops & maintains a disaster
contingency plan
Duties of Employer (OSHS, 1978)

1. Establishes & adopts in writing


administrative policies on OSH

2. Reports to the enforcing authority the


policies adopted & required report
requirements

3. Acts on recommended measures of the


OSH Committee &, in case of non-
adoption, informs the committee of the
reason
RULE 1050 – Notification & Keeping Records of
Accidents &/or Occupational Illnesses

• 1053.01: Notification – All work accidents or


occupational illnesses, resulting in disabling
conditions or dangerous occurrences shall be
reported by the employer to the DOLE RO.
o If a major work accident results in death or
permanent total disability, employer shall initially
notify the DOLE RO within 24 hours.

• 1054: Keeping of Records – The employer shall


maintain & keep an accident or illness record
which shall be open at all times for inspection by
authorized personnel.
Other OSHS Rules/Requirements
• Rule 1070 – Occupational Health & Environmental
Control

o Employer shall exert efforts to maintain & control the


working environment in comfortable & healthy conditions
for the purpose of promoting & maintaining the health of
his workers

o Employer shall carry out WEM where hazardous work is


performed & shall keep a record of such measurement
which shall be made available to the enforcing authority

o WEM shall include temperature, humidity, pressure,


illumination, ventilation, concentration of substances, &
noise

o The WEM shall be performed periodically as may be


necessary but not longer than annually
Other OSHS Rules/Requirements

Rule 1080 – PPE & Devices


• 1081.01 – Every employer shall at his
own expense furnish his workers with
protective equipment & barriers
whenever necessary.

• 1081.04 – No person shall be subjected


or exposed to a hazardous
environmental condition without
protection.
Rule 1960 – Functions of OH Services

◼ Identification & assessment of health


hazards
◼ Surveillance of factors in working
environment & working practices
◼ Advice on planning & organization of work
◼ Participation in development of programs
for improvement of working practices
◼ Advice on OH, safety & hygiene,
ergonomics & PPE
Continuation:

◼ Surveillance of workers’ health in relation to


work
◼ Promoting adaptation of work to workers
◼ Collaboration in providing information,
training, & education in OH, IH &
ergonomics
◼ Organizing of first-aid & emergency
treatment
◼ Participation in analysis of occupational
accidents & occupational diseases
OH Personnel
• Refers to the qualified first aider, RN,
DMD, or MD, whose services have been
engaged by the employer in order to
provide OH services in the
establishment
Classification of Workplaces (DO 198-18)

◼ Low risk establishment


o Workplace where there’s low level of
danger or exposure to safety & health
hazards & not likely or with low probability
to result in accident, harm or injury, or
illness
◼ Medium risk establishment
o Workplace where there’s moderate
exposure to safety & health hazards & with
probability of an accident, injury or illness, if
no preventive or control measures in place
Classification of Workplaces (DO 198-18)

◼ High risk establishment


o Workplace where the presence of hazard or
potential hazard within the company may affect
the safety &/or health of workers not only within
but also persons outside the premises of the
workplace
o High level of exposure to safety & health
hazards, & probability of a major accident
resulting to disability or death or major illness is
likely to occur if no preventive or control
measures in place
High Risk Establishments
◼ Chemical works Chemical and Chemical Production
Plants
◼ Construction
◼ Deep Sea Fishing
◼ Explosives and Pyrotechnics Factories
◼ Fire Fighting
◼ Health Care Facilities
◼ Installation of Communication Accessories, Towers &
Cables
◼ LPG Filling, Refilling, Storage and Distribution
◼ Mining
◼ Petrochemical and Biofuel Works and Refineries
Continuation:
◼ Storage, Handling and Distribution Center for Toxic
Hazardous Chemical
◼ Power Generation, Transmission and Distribution in
Energy Sector
◼ Storage and Handling of Fertilizers in High Volume
◼ Transportation
◼ Water Supply, Sewerage, Waste Management,
Remediation Activities
◼ Works in which Chlorine is used in bulk
◼ Activities Closely Similar to those enumerated above and
other activities determined by DOLE
OH PERSONNEL *Based on DO 198-18

Low Risk Medium to High Risk


No. of Workers
FA OHN OHD* OHMD FA OHN OHD* OHMD
1–9 - - - - - -
10 – 50 1 - - - 1 - - -
51 – 99 - - - 2 PT - -
100 – 199 2 2 PT - - 2 1 FT 1 PT 1 PT
200 – 500 3–5 1 FT 1 PT 1 PT 3–5 1 FT 1 PT 2 PT
2 PT or 1
501 – 2,000 6 – 20 1 FT 1 PT 2 PT 6 – 20 1 FT 1 FT
FT
1 FT/ 1 FT/
>2,000 >20 1 FT 1 FT + 2 PT >20 1 FT 1 FT + 2 PT
shift shift
Every 100 workers
or fraction 1 - - - 1 - - -
thereof
Every 250 workers
or fraction - 1 FT - - - 1 FT - -
thereof
Every 500 workers
1 FT or 4 1 FT or 4
or fraction - - 1 FT - - 1 FT
PT PT
thereof
PT = 4h/d, 3d/w; FT = 8h/d, 6d/w
OH personnel shall be placed in the shift with the highest number of workers
*For OHD: alternatively, establishments can enter into a MOA for dental services for workers; provided that requirements for
dental facilities are met
For OHMD: if >1 PT OHMD is required, OHMD must be present in all work days of the establishment
OH FACILITIES *Based on DO 198-18

Low Risk Medium to High Risk


No. of FA FA
Workers Clinic Hospital Clinic Hospital
Treatment Treatment
(Bed/s) (Bed/s) (Bed/s) (Bed/s)
Room Room
1–9 - - 1 - -

10 – 50 1 - - 1 - -

51 – 99 - 2 1 -
1
100 – 199 - -

200 – 250 - 2 -
2
251 – 500 Additional - -
Additional
1 for every
1 for every
501 – 750 100 Additional - Additional -
50 workers
workers or 1 for every 1 for every
751 – 1,000 - or fraction -
fraction 200 100
thereof
thereof workers or workers or
fraction fraction
1,001 – 2,000 thereof 1 1 thereof 1 1
FT FT
Low Risk Medium to High Risk
Clinic
Number of First aid Hospital First aid Clinic Hospital
(number
Workers treatment (number treatment (number of (number of
of
room of beds) room beds) beds)
beds)
1-9 - - 1 - -
10-50 1 - - 1 - -
51-99 2 1 -
1 -
100-199
200-250 2 -
-
251-500 2
Additional - Additional
501-750
1 for 1 for -
751-1000 Additional - Additional
every 100 1 for every 50
1 for every
workers every workers
100
or a 200 or a
workers or
1001-2000 fraction workers 1 fraction 1
a
thereof or a thereof
fraction
fraction thereof
thereof
OH Services
• An employer may not put up an emergency
hospital or dental clinic if there is a hospital
or dental clinic not more than 5 km away
from the workplace, accessible in no more
than 25 minutes travel, & employer
provides transportation facilities
o Employer shall enter into MOA with the hospital
for the treatment of its workers in cases of
emergency
o MD/DMD shall be subject to call at any time in
other shifts during emergencies.
OH Services
• OHMD engaged by the employer, in addition to providing
medical services in cases of emergency, must also perform the
following:

o Conduct PEME, free of charge, for the proper selection of


workers

o Conduct free of charge APE of the workers

o Collaborate with safety & technical personnel in the selection &


placement of workers, including investigation of work-related
accidents due to exposure to health hazards

o Develop & implement a comprehensive OH program for the


employees
Workers’ Welfare Facilities
◼ Adequate supply of safe drinking water
◼ Adequate sanitary & washing facilities
◼ Suitable living accommodation for workers
as may be applicable
◼ Separate sanitary, washing & sleeping
facilities for all gender as may be applicable
◼ Lactation stations unless exempted under
DO 143-15
◼ Ramps, railings, & the like
◼ Other workers’ welfare facilities prescribed
by OSHS
*Based on DO 198-18
Rule 1960 – OH Services

OSH Rule Report/Form Where To File When To File


Rule 1960: OH Annual Medical 2 copies to be On or before
Services Report submitted to the last day of
(DOLE/BWC/ concerned RO, March of the
OH-47A) copy-furnished year following
BWC the covered
period
AMR (DOLE/BWC/HSD/OH-47-A)

33
DUTIES OF OCCUPATIONAL
HEALTH PHYSICIANS:
◼ Organize, administer and maintain an
occupational health service program integrating
therein an occupational safety program.

◼ Continually monitor the work environment for


health hazards through periodic inspection of the
workplace.

◼ Prevent disease or injury in the workplace by


establishing proper medical supervision over
substances used, process, and work
environment.
DUTIES OF OCCUPATIONAL
HEALTH PHYSICIANS:
◼ Conserve the health of the workers through
physical examinations, proper advice for
placement and health education / promotion.

◼ Provide medical and surgical care to restore


health and earning capacity of injured workers.

◼ Maintain and analyze records of all medical


cases and to prepare and submit to the
employer annual medical reports, using form
DOLE/BWC/OH-47, as required by this
Standards.
DUTIES OF OCCUPATIONAL
HEALTH PHYSICIANS:
◼ Conducts studies on occupational health
within his means and resources.

◼ Act as adviser to management and labor


on all health matters.

◼ And report directly to top management in


order to be effective
DUTIES OF THE DENTIST:

◼ The duties of the dentist in the


workplace shall be in accordance
with the Standards prescribed by
the Bureau of Dental Health
Services, Department of Health
DUTIES OF OCCUPATIONAL
HEALTH NURSE
◼ In the absence of a physician, to organize and
administer a health service program integrating
occupational safety

◼ Provide nursing care to injured or ill workers;

◼ Participate in the maintenance examination.

◼ Participate in the maintenance of OSH by giving


suggestions in the improvement of working environment.

◼ Maintain a reporting and record system.


DUTIES OF FIRST-AIDER

◼ Give immediate temporary treatment


in case of injury or illness.
◼ Participate in the maintenance of
OSH programs.
◼ Maintain medical services and
facilities.
Organization and Administration
of OH Services
◼ Occupational health services may be
organized by;
a. The establishment/undertaking
b. Government authorities or official services
recognized by the Bureau
c. Social security institution
d. Any other bodies authorized by the Bureau
e. A combination of any of the above.
Duties of Employers:
◼ Furnish workers a place of employment free from
hazardous condition.
◼ Give complete job safety instruction
◼ Appropriate measures of protection are taken
◼ Use standard devices and equipment
◼ Comply with OSHS and reportorial requirements
◼ Let workers actively participate in the planning and
implementation
◼ Identify measures for drills to deal with
emergencies
◼ Register establishment
Workers’ Responsibility:

◼ Participate in capacity building activities


◼ Proper use of all safeguards and safety devices
◼ Comply with instructions to prevent accidents or
imminent danger
◼ Participation in drills
◼ Shall report to the supervisor of any hazard
◼ Develop Policy on OHS

◼ Creation of Health and Safety


Committee

◼ Formulate OHS Programs

◼ Implementation, Monitoring and


Evaluation of OHS Program
Emergency Health Services

◼ Medicines and Facilities (table 47)


◼ minimum quantity of medicines, medical
supplies and equipment and medical
facilities
◼ shall be kept inside the treatment
room/medical clinic and shall be replaced
regularly
TRAINING AND QUALIFICATIONS

◼ First Aider
First aid course conducted by PNRC or any accredited
organization
◼ OH Nurse
Duly licensed to practice in the Philippines
At least 50 hrs Basic Course in Occupational Nursing
◼ Occupational Dentist
Duly licensed to practice dentistry in the Philippines
Completed Basic Course in Occupational Dentistry
Continuation:

◼ Occupational Health Physician


Duly licensed to practice medicine in the
Philippines
Completed Basic Course in Occupational
Medicine
Diploma master’s degree in occupational health
or its equivalent or residency training program
in occupational medicine
◼ Refresher training is required to all OH
personnel, minimum of 8 hrs at least once a year
OCCUPATIONAL HEALTH PROGRAMS
◼ The employer shall organize and maintain an
occupational health program to achieve the
following objectives:

1. Assess the worker’s physical, emotional and


psychological assets and liabilities for proper place-
ment to ensure efficiency without endangering their
own health and safety and that of their co-workers.

2. Protect employees against health hazards in their


working environment.
Continuation:

3. Provision for first aid, emergency treatment depending


on the nature of the industry/establishment

4. Assure medical care of ill and injured workers.

5. Encourage personal health maintenance and physical


fitness and proper nutrition practices.

6. Provide guidance, information and services for family


planning programs
The Health Program shall
include the following activities:
Maintenance of a healthful work environment
by requiring occupational health personnel to
conduct regular appraisal of sanitation
conditions, periodic inspection of premises,
including all facilities therein, and evaluate the
working environment in order to detect and
appraise occupational health hazards and
environmental conditions affecting comfort and
job efficiency;
Occupational Safety and Health
Standards (DOLE):
◼ Rule 1960
Health examination shall include:
◼ Entrance
◼ Periodic

◼ Special examination

◼ Transfer examination

◼ Return to work examination

◼ Separation examination
Pre-employment/Pre-placement
examinations (OSHS):
Purposes:
To determine the physical condition of the prospective
employees at the time of hiring

To prevent the placement of worker on a job where, through


some physical or mental defects, he may be dangerous to his
fellow workers or to property

Includes:
◼ General clinical examination including
 Complete and thorough
 Free of charge to the workers

◼ Chest x-ray
At the completion of the examination,
the applicant shall be rated as follows:

CLASS A : Physically fit for any work

CLASS B : Physically underdeveloped or


with correctible defects (error of
refraction, dental caries,
defective hearing, and other
similar defects) but otherwise fit
to work.
CLASS C : Employable but owing to certain
impairments or conditions (heart
disease, hypertension, anatomical
defects) requires special placement
or limited duty in a specified or
selected assignment requiring follow-
up treatment/periodic evaluation.

CLASS D : Unfit or unsafe for any type of


employment (active PTB), advanced
heart disease with threatened failure,
malignant hypertension, and other
similar illnesses).
Periodic Medical Examinations
(OSHS):
Purposes:
◼ To follow-up previous findings
◼ Allow early detection of occupational and
non-occupational diseases
◼ Determine the effects of exposure to
health hazards
Periodic examinations (cont’d):

◼ Complete and thorough


◼ Include all special examination necessary
◼ Chest x-ray including biochemical
monitoring
◼ As frequent as the nature of employment
may warrant
◼ Interval of not > 1 year between 2
consecutive years
Employees Compensation Commission:
◼ Prescribed Minimum Standards for Periodic
Medical Examinations Designed for the Early
Detection of Occupational Diseases:

Exposure to occupational hazards enumerated in


the “list of Occupational Diseases” is a
requirement to undergo:
Periodic medical examinations:
< than 3 mos. – exposures to: Benzene or
its homologues, Ionizing Radiation and
Organophosphates
> than 3 months: lead, mercury, manganese,
chromium and Carbon disulfide
ECC Prescribed Minimum Standards:

◼ For diseases not listed above; periodic


examinations not exceeding one year
◼ Specific examinations depending on exposure
(examples):
 Audiometric exam with exposure to noise
 Examination of Urine and urinary bladder:
alphanaphthylamine, benzidine
 Examination of the skin: irritants and sensitizers
 Examination of the eyes and respiratory tract: chlorine
and sulfur dioxide
Spectrum of Diseases in the Working Population

◼ Occupational Diseases
◼ Factors in the work environment are essential predominant in the causation
Direct cause, Ex. Asbestos causing Asbestosis> Mesithelioma> Lung Ca

◼ Work-related Diseases
◼ Multifactorial diseases where factors in the environment contribute to the
causation of other factors
◼ Factors in the work environment maybe partially causative, aggravate,
accelerate or exacerbate the condition, Ex. Low back pain

◼ General Diseases
◼ Diseases among the general population which worker maybe equally or
more susceptible. Ex. Hypertension, Tuberculosis
Transfer Examinations
◼ Applicant examined for employment and
accepted for specific work or job shall not
be transferred to another work or job until
they have been examined by the
Physician and certified that the transfer is
medically advisable.
Return to Work Examinations
◼ A return to work examination shall be
conducted:
◼ Purposes:
1. To detect if illness of the worker is still
contagious.
2. To determine whether the worker is fit to
return to work.
3. After prolonged absence for health
reasons, for the purpose of determining
its possible occupational causes.
Separation or Exit Exams
◼ An employee leaving the employment of the
company shall, if necessary, be examined by
the Occupational Health Physician:

◼ Purposes:
1. To determine if the employee is suffering from
any occupational disease
2. To determine whether he is suffering from any
injury or illness which has not completely
healed
3. To determine whether he has sustained an
injury
PROGRAMS cont’d
◼ Diagnosis and treatment of all injuries and
occupational and non-occupational disease;
◼ Immunization programs;
◼ Accurate and complete medical records of each
worker starting from his first examination or
treatment, which must be under the exclusive
custody and control of the occupational health
personnel. Such records shall be made available
to the workers or his duly authorized
representative and shall not be used for
discriminatory purpose or in any other manner
prejudicial to his interest.
◼ Health education and counseling in which the
occupational health and safety personnel shall
cooperate with the supervisors in imparting
appropriate health and safety information to
employees, such as health hazards and proper
precautions, habits of cleanliness, orderliness,
safe work practices, use and maintenance of
available personal protective clothing and
devices, and the use of available health services
and facilities; and

◼ Nutrition program which shall be under the


dietician and supervised by a physician if the
latter is present.
Mandatory Health Programs

◼ DOLE D.O. 53-03, RA9165


Policy Guidelines on Drug Free Workplace
◼ DOLE D.O.73-05
Policy Guidelines on Prevention and Control of
TB in the Workplace
◼ DOLE D.O. 102-10, RA 8504-HIV/AIDS
Policy Guidelines on the Prevention and
Control of HIV/AIDS in the Workplace
Mandatory Health Programs

◼ DOLE D.O. 53-03, RA9165


Policy Guidelines on Drug Free Workplace
◼ DOLE D.O.73-05
Policy Guidelines on Prevention and Control of
TB in the Workplace
◼ DOLE D.O. 102-10, RA 8504-HIV/AIDS
Policy Guidelines on the Prevention and
Control of HIV/AIDS in the Workplace
Mandatory Health Programs (Cont’d)
◼ DOLE D.A. No.05-10
Guidelines for the Implementation of a
Workplace Policy Program on Hepatitis B
◼ DOLE CIRCULAR No. 01-08
Guidelines for Implementation of a Health and
Safety Program in Call Centers
◼ DOLE CIRCULAR No. 01-09
Guidelines on Occupational Safety and Health in
the Shipbuilding, Ship repair & Shipbreaking
Industry
Mandatory Health Programs continued:

◼ DOLE DO No. 132-13


Guidelines on Maritime Occupational Safety and
Health
◼ DOLE DO no. 134-14
Guidelines of Occupational Safety and Health in
the Pyrotechnic Industry
◼ DOLE DO no. 136-14
Guidelines for the Implementation of Globally
Harmonized System in Chemical Safety
Program
Mandatory Health Program Contd:
◼ DOLE DO No. 178-17
Safety and Health Measures for Workers who by
the Nature of their Work have to Stand at Work
◼ DOLE DO No. 184-17
Safety and Health Measures for Workers who by
the Nature of their Work have to Spend Long Hour
of Sitting
◼ DOLE DO No. 182-17
Guidelines Governing the Employment and
Working Condition of Health Personnel in the
Private Healthcare Industry
Mandatory Health Programs Contd:

◼ DOLE DO No. 208-20, RA 11036


Guidelines in the Implementation of a Mental
Health Program in the Workplace
◼ DOLE DA No. 01-14
The Occupational Safety and Health Tips for
Kasambahays and Employers
◼ DOLE DA No. 04-16
Working Condition in the Movie and Television
Industry
◼ DOLE DO No. 238-23
Rules on the Administration and
of Labor Standard pursuant to Article
128 of the Labor Code of the Philippines
◼ DOLE LA No. 09-23
Guidelines on the Administration of Measles-
Rubella and Oral Polio Vaccine
Supplemental Immunization Activity
(MR-OPV SIA)
◼ DOLE LA No. 08-23
Safety and Health Measures to Prevent
and Control Heat Stress at the Workplace
◼ Presidential Proclamation 1316
Declaring the 3rd week of March as
Occupational Medicine Week
◼ DOLE Memo Circular No. 01-23
Program Activities for the 1st OM Week
Scope & Components
TITLE SCOPE COMPONENTS
DO 53-03: Guidelines for the Implementation Mandatory for A. Advocacy,
of a Drug-Free Workplace Policies & companies with Information,
Programs for the Private Sector 10 or more Education
workers to &Training
include supply B. Preventive
chain Strategies
DO 73-05: Guidelines for the Implementation All workplaces in C. Social Policy
of Policy & Program on Tuberculosis (TB) the private sector D.Health Care
Prevention & Control in the Workplace including their Services
supply chain E. Benefits &
DO 102-10: Guidelines for the Compensation
Implementation of HIV & AIDS Prevention & F. Monitoring &
Control in the Workplace Program Enforcement

DA 05-10: Guidelines for the Implementation


of a Workplace Policy & Program on
Hepatitis B
Key Principles
• Recognition of the different health concerns as
workplace issue
• Non-discrimination
• Healthy work environment
• Social dialogue
• Confidentiality
• Continuation of employment relationship
• Prevention
• Diagnosis, treatment, & referral for other services
• Roles & responsibilities of stakeholders
OSH Program
◼ Covered workplaces shall develop &
implement suitable OSH program &
posted in prominent places
◼ Communicated, & be made readily
available to all persons in the workplace
◼ Copy duly signed by the employer &
submitted to DOLE RO
◼ Company to review & evaluate the
program at least once a year
*Based on DO 198-18
New OSH Law
◼ RA 11058 – An Act Strengthening
Compliance with the Occupational Safety
and Health Standards and Providing
Penalties for Violations thereof.
◼ DOLE DO – 198 Series of 2018
Implementing Rules and Regulations of
Republic Act No. 11058
Other Health Programs
◼ DOH National Action Plan on Lifestyle Related
Diseases (Industry Based)
◼ Smoking Cessation Program
◼ Weight reduction Program
◼ Physical Fitness Program
◼ Diabetes Prevention and Control Program
◼ Hypertension Prevention and Control Program
◼ Family Welfare Program
◼ Hearing Conservation Program
◼ Prevention and Control of Work Related
Musculoskeletal Disorders
◼ Other programs relevant to the type of industry
What is Expected of an Occupational
Health Physician?
◼ Possess clinical skills
◼ Understanding of business operation
◼ Possess management skills
◼ Knowledge of potential risks to health
◼ Knowledge about legislations pertaining to
the workplace
◼ Possess risk assessment techniques
◼ Must have communication skills
◼ THE ROLE OF THE OCCUPATIONAL
HEALTH PHYSICIAN IS VERY VITAL IN
THE PREVENTION AND CONTROL OF
ILLNESSES AND INJURIES IN THE
WORKPLACE
THANK YOU.

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