2 YEARLY MEDICAL

EXAMINATION &
IMPORTANCE OF
MEDICAL EXAMINATION
by
Dr. Mohiedeen
Bakinson MCO/1(CSM/3)
 Occupational Health
HEALTH- Is the state of complete well
being, not only the absence of disease but
a state of optimum physical, mental and
social well being.
Occupational Health concerns the
protection and promotion of the health of
all persons at work including staff and
contractors. Your health is your greatest asset
 Importance of Occupational
Health
 Ethical reasons
 Employees health status influences his/her ability
to perform the tasks for which he/she has been
employed to do

 Legal requirements
 Epidemiological reasons
 Research reasons
 Reputation Your health is your greatest asset
 OCCUPATIONAL HEALTH
Minimum Health Management Standards (MHMS)

50 HRA in place assessed by

industrial hygienists. Exposure
Health Risk
m onitoring conducted as needed.
Assessment Training of HRA assessors to be
done.
Monitoring and TROIF data published m onthly.
Non-accidental death investigation
Incident Reporting &
process recognized as best practice.
Investigation
IIA done 11/03, Harweel
Health Impact
started,Kauther planned.
Assessment Com petence training required.
Human Factors Requirem ent in procedures is in
place, however application is to be
Engineering in New
m onitored.
Projects
Chem ical Managem ent Guidelines,
Product Stewardship Chem ical Advisory Panel and SHOC
card system in place.
Minim um m edical fitness standard,
App. 5, Chapter 12 of HSE-SM, in
Fitness to Work place. Policies for A&D, Sm oking,
Sickness Absence in place. 2 yearly
m edical status to be linked to SAP.
Local Health Facilities Clinics with qualified doctors and
nurses available. Em ergency
and Medical Response procedures and equipm ent
Emergency Response in place.
Your health is your greatest asset
 MHMS 6 - Fitness to Work

The MHMS for Fitness to Work requires that –

Minimum fitness for duty standards are to be established and applied for
specific work and working conditions where there are critical occupational
health or safety requirements.

Appropriate health-related policies are to be in place encompassing, as a

minimum, the use of alcohol and drugs

Your health is your greatest asset

This is achieved when –

The location or business has identified all worker groups whose specific
work or working conditions require a minimum fitness for duty standard.

A minimum fitness for duty standard has been defined for each of these
groups.
There is a system in place which allows managers to appropriately
identify employees in these groups and review their status regarding the
minimum fitness for duty standard.

There is an alcohol and drug abuse policy in place which meets local
legislation and the Drug and Alcohol Abuse Employment Guidelines.

Reference
OGP 6.55/251 – Fitness to Work in the E&P Industry
Shell HR Red Guide – Drugs and Alcohol Abuse Employment
Guidelines (Dec 1993)

SP 1230 HSE SPECIFICATION - Medical Examination Treatment & Facilities

Your health is your greatest asset
 2 Yearly Medical Examination

What is a Medical Examination?

A "medical examination" is a procedure

or test usually given by a health care
professional or in a medical setting that
seeks information about an individual's
physical or mental impairments or
health.

Your health is your greatest asset

 2 Yearly Medical Examination

What is a Medical Examination?

Medical examinations may include

vision tests; blood, urine, and breath
analyses; blood pressure screening
and cholesterol testing; and
diagnostic procedures, such as x-
rays, CAT scans, and MRIs.

Your health is your greatest asset

 2 Yearly Medical Examination

What Medical Examinations

• History
• Preliminary Checks + urine examination
• Physical Examination
• Blood Test
– FBC, LFT, RFT, CE, HDL, LIP, Blood Sugar
• Others
– ECG, Audiogram, Chest X-ray, EEG, MRI
• Specialised Tests

• Review
• FEED BACK – INPUT INTO IMIS – CODE 5

Your health is your greatest asset

 2 Yearly Medical Examination

Different Types of Medical Examinations

• Pre-Employment medical examination

• Pre-Placement medical examination
• 2 Yearly Medical Examination
• Pre-Overseas medical examination
• Housing Loan medical examination
• Final Departure medical examination
• Pre-Retirement medical examination
• Risk Based medical examination

Your health is your greatest asset

 2 Yearly Medical Examination

Risk-Based Medical Examinations Implementation

Strategy
What is Risk based medical examination
This is when minimum fitness for duty standards have been
established and applied for specific work and working conditions
where there are critical occupational health or safety
requirements.

Examples - Firemen
- People exposed to high noise levels
- Every other staff must also be fit to do work
2-yearly medical.????

Your health is your greatest asset

 2 Yearly Medical Examination
Why Risk-Based Medical Examinations Implementation
Strategy
• Implementation of a risk-based approach
• Better utilisation of limited resource
• Ensure fitness of employees for assigned duties
• Aligns with Group MHMS
• Integrated with HSE-MS (SP-1230)
• Clarifies requirements for PDO & Contractors
• Better defines responsibility for initiation of exam process
• Consistent with Wellness Campaign concepts promoting both
company and individual responsibility for employee health

Your health is your greatest asset

 Medical Examination Requirements
Job Classification Exam Frequency (minimum) Exam Requirements Associated Generic HRA
Routine medical
Fireman Biennial /FIREMAN2.DOC
Stress test, Lung
function
Driver Biennial Routine medical /LVDRIVER INTERIOR.DOC
Vision check
Diver Biennial Routine medical /DIVER.DOC
Lung function
Painters Biennial Routine medical /PAINTQA2.DOC
Lung Function
Laboratory Staff Biennial Routine medical /PCLMAF2.DOC
Blood test, Liver /PALXPM2.DOC
function
X-ray Tech Biennial Routine medical /RADBEB2.DOC
Radiation Workers Blood test
Urine microscopy
Food Handlers Annual Routine medical /COOK2.DOC
Stool /WAITER2.DOC
Routine medical
Rig & Hoist Staff Biennial /ROUSTA1.DOC
Assess ability to perform
strenuous tasks
Audiometry
Routine medical
Air Operations Staff Biennial /AIR & LAND PASSENGER TRANSPORT
Audiometry
Routine medical
Welders Biennial /WELDBH2.DOC
Lung Function
Eye examinations
Individuals at Health Risk Biennial or as recommended by Routine medical n/a
(Diabetic, physician Vision check, Blood test
Hypertensive, Liver Function, Kidney
Obese) Function, Cardiac Function
All other interior based Biennial Routine medical n/a
staff
All others not defined n/a
above
<40 yrs old Every 2 years Routine medical
>40 yrs old Biennial Routine medical +
ECG
Your health is your greatest asset
 2 Yearly Medical Examination

Risk-Based Medical Examinations Implementation Strategy

Immediate Implementation :
•Incorporate into leave approval process
•Is the requestor up-to-date with his/her medical exam?
•Pilot implementation - in CSM
Phase 2 Implementation:
•Investigate uploading of data from IMIS to SAP
•Date of most recent medical exam will be uploaded to the SAP
employee leave request form
•For Contractors - enforcement by CH through audits and inclusion in
HSE Plans/Targets

Your health is your greatest asset

 2 Yearly Medical Examination

Risk-Based Medical Examinations

Implementation Strategy

IMIS to SAP
•Doctors to update the IMIS database - action MCC
•Daily interface required between IMIS and SaPpHire to
update changes in last medical exam date - action HRD/MCC
•Workflow for employee leave to be amended to read the last
date of medical exam and advise employees and supervisors -
action HRD
Your health is your greatest asset
 MEDICAL EXAMINATION PROCESS
Department to initiate Medical Examination Process for HSE
Classified jobs.
Staff to initiate for all other categories.

Phone Reception 7430/7055 (Coast) or contact nearest

Interior Clinic.

Complete Medical History Forms.

Routine investigations performed by medical staff.

Physical examination with Doctor + any other

tests

Category A: Category B: Category D:

FIT with specific Category C: Awaiting specialist
FIT without UNFIT
restriction restriction assessment

Refer to appropriate
Doctor certifies fitness Reassign to other Refer to specialist
for duty and signs HSE duties Medical Board
passport (input data into
IMIS) - CODE 5

Medical severance
Repeat According to frequency
defined in Table 2.1 Your health is your greatest asset
Last Line……………..

Your health is your greatest asset

 2 Yearly Medical Examination

Medical Examination IS NOT

About getting you retired prematurely or Attempt to
get you off work!
It is about keeping you FIT to do the job you have
been employed to do!!
What about your 2 yearly medicals?
Is your Medical Licence Current?

Your health is your greatest asset

 Your Greatest Asset
We squander health in search of wealth.
We scheme and strife and save and
We squander wealth in search of health
and all we have is the grave.
We live and boast of what we own but when
We die we own only a stone,
Your health is your greatest asset, so make
it last!