Category Archives: Rule 1960: Occupational Health Services

Rule 1960: Occupational Health Services

RULE 1960

OCCUPATIONAL HEALTH SERVICES

1961: General Provisions:

(1) Every employer shall establish in his place of employment occupational health services in accordance with the regulation and guidelines provided for under this rule.

(2) The employer, 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.

1961.01: Coverage:

(1) 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.

(2) The Bureau of Dental Health Services of the Department of Health shall be responsible for the development and enforcement of dental standards.

1961.02: Definitions:

As used in this Rule, except where the context clearly indicates otherwise, the following terms shall mean as herein defined:

(1) “Occupational Health Services” are services entrusted with essentially preventive functions and responsible for advising the employers, the workers, and their representatives, 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.

(2) “Occupational Health Personnel” in an establishment/undertaking 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.

(3) “First Aid Treatment” means adequate, immediate and necessary medical and/or dental attendance or remedy given in case of injury or sudden illness suffered by the workers, irrespective of whether or not such illness/injury is occupational in nature, before more extensive medical and/or dental treatment can be secured. It does not include following treatment for an injury or illness.

(4) “First Aider” means any person trained and duly certified or qualified to administer first-aid by the Philippine National Red Cross or by any organization accredited by the same.

(5) “Occupational Health Practitioner” refers to a physician, nurse, engineer, dentist or chemist duly licensed to practice his/her profession in the Philippines and possessing all of the additional qualifications required under Rule 1964.01.

(6) “Emergency Treatment Room” means any enclosed area or room equipped with the necessary medical facilities and supplies, and located within the premises of the establishment where workers maybe brought for examination and treatment of their injuries or illnesses in cases of emergency.

(7) “Emergency Clinic” means an enclosed area, room or building, located within the premises of the establishment, and equipped with the necessary medical facilities and supplies, where workers maybe brought for examination and treatment of their injuries or illnesses in cases of emergency, where more elaborate instruments and equipments (such as examining bed, oxygen tank) are made available for the workers, and where the services of a more competent medical staff are provided, who may handle or treat a few simple cases of injuries or illnesses needing short-term confinement, or may refer such cases to hospitals.

1961.03: Occupational Health Services:

(1) Functions: Without prejudice to the responsibility of each employer for the health, and safety of the workers in his employment, and with due regard to the necessity for the workers to participate in matters of occupational health and safety, occupational health services shall have the following functions as are adequate and appropriate to the occupational risks of the establishment/undertaking.

(a) Identification and assessment of the risks from health hazards in the workplace;

(b) Surveillance of the factors in the working environment and working practices which may affect the worker’s health, including sanitary installations, canteens, and housing where these facilities are provided by the employer;

(c) Advice on planning and organization of work, including the design of the workplace, on the choice, maintenance, and condition of machinery and other equipment, and on substances used in work;

(d) Participation in the development of programs for the improvement of working practices as well as testing and evaluation of health aspects of new equipment;

(e) Advice on occupational health, safety and hygiene, and on ergonomics and individual and collective protective equipment;

(f) Surveillance of worker’s health in relation to work;

(g) Promoting the adaptation of work to the workers;

(h) Collaboration in providing information, training and education in the fields of occupational health and hygiene and ergonomics;

(i) Organizing of first-aid and emergency treatment; and

(j) Participation in analysis of occupational accidents and occupational diseases.

1961.04: Organization and Preventive Services:

(1) Occupational health services maybe 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.

(2) Occupational health services organized as a service for a single small-scale establishment shall have an occupational health practitioner as one of its personnel, who shall conduct an inspection of the workplace:

(a) at least once every two (2) months for hazardous small-scale establishments employing 1 to 50
workers;

(b) at least once every month for hazardous small-scale establishments employing 51 to 99 workers;

(c) at least once every six (6) months for non-hazardous establishments employing 1 to 99 workers.

(3) Occupational health services organized as a service for a single, non-hazardous medium scale establishment employing 100 to 199 workers, shall have an occupational health practitioner as one of its personnel who shall conduct an inspection of the workplace at least once every three (3) months.

(4) Occupational health services organized as a service for a single, hazardous medium scale establishment employing 100 to 199 workers shall have a part-time occupational health physician as one of its personnel, who shall perform the duties of an occupational health physician as provided for under

Rule 1965.02.

(5) For hazardous and non-hazardous large-scale establishments employing 200 workers and more occupational health services shall be organized as a service solely for a single establishment/undertaking, and shall have a part-time or full-time occupational health physician, in accordance with the provisions of Rule 1963, as one of its personnel. Such occupational health physician shall perform the duties of an occupational health physician as provided for under Rule 1965.02.

(6) When an occupational health service is organized as a service common to a number of establishments/ undertakings, the following regulations shall be followed:

(a) for small-scale industries, the total number of establishments shall not exceed ten (10).

(b) for medium-scale industries, the total number of establishments shall not exceed four (4).

1962 : Hazardous Workplace:

For purposes of this Rule, the Bureau shall, with the approval of the Secretary, add from time to time to the list of hazardous workplaces provided in Rule 1010.

1963: Emergency Health Services

1963.01: Medicines and Facilities:

(1) Every employer covered by this Rule shall in his workplace at least minimum quantity of medicines, medical supplies and equipments and medical faculties listed in Table 9 (appendix) on medicines.

Supplies and facilities, for the use of the workers employed in the establishment/undertaking.

(2) The medicines, medical supplies and facilities prescribed in table 9 maybe substituted with other comparable medicines and/or facilities as prescribed by the occupational health physician of the workplace.

(3) The medicines, medical supplies and facilities prescribed in table 9 shall be kept inside the treatment room/medical clinic required under Rule 1963.02, and shall be replaced with the same quantity immediately after use or consumption.

1963.02:Emergency Medical and Dental Services:

Every employer covered by this rule shall provide his employees/workers medical and dental services and facilities in the following cases and manner:

(1) For hazardous workplaces:

(a) in small-scale industries where the number of workers is from 1 to 50, the employer shall provide the services of a full-time first aider who maybe one of the workers in the workplace and who has immediate access to the first-aid medicines prescribed in Rule 1963.01.

(b) in small-scale industries where the number of workers is from 51 to 99, the employer shall provide the services of a part-time occupational health nurse who ~ stay in the premises of the workplace at least four (4) hours a day, six (6) times a week. Where there are more than one work shift in a day: the nurse shall stay in the workplace during the shift which has the biggest number of wonders. The employer shall also provide the services of a full-time first-aider and shall maintain in his place of employment an emergency treatment room for his workers.

(c) in medium-scale industries where the number of workers is from 100 to 199, the employer shall provide the services of a part-time occupational health physician and a part-time dentist each of whom shall stay in the premises of the workplace at least four (4) hours a day, three (3) times a weed, and each one working on alternate days with the other, where there are more than one work shift in a day, the physician and the dentist shall stay in the workplace during the shift which has the biggest number of workers. In addition, the services of a full-time occupational health nurse and a fulltime first-aider shall be provided. The employer shall maintain in his place of employment an emergency treatment room for his workers.

(d) in large-scale industries where the number of workers is from 200 to 600, the employer shall provide the services of a part-time occupational health physician and a part-time dentist each of whom shall stay in the premises of the workplace at least four (4) hours a day, six (6) times a weed, and each working in alternate periods with the other, where there are more than one work shift in a day, the physician and the dentist shall stay at the workplace during the shift which has the biggest number of workers. The services of a full-time occupational health nurse and a full-time firstaider shall also be provided. The employer shall maintain in his place of employment an emergency medical clinic for his workers.

(e) in large-scale industries, where the number of workers is from 601 to 2000, the employer shall provide the services of a full-time occupational health physician who shall stay in the premises of the workplace eight (8) hours a day, six (6) times a week, or two (2) part-time occupational health physician each working four (4) hours a day, six (6) times a week in alternate periods with the other. The services of a full-time dentist shall also be provided. The physician and the dentist shall stay at the workplace during the shift which has the biggest number of workers. The services of a full-time occupational health nurse and a full-time first-aider shall be provided for every work shift. The employer shall maintain in his place of employment an emergency medical and dental clinic for his workers.

(f) in large-scale industries where the number of workers is more than 2000, the employer shall provide the services of a full-time occupational health physician and a full-time dentist, each of whom shall stay in the premises of the workplace eight (8) hours a day, six (6) times a week during the work shift which has the biggest number of workers. In addition, the employer shall provide the services of one (1) part-time occupational health physician for each of the other work shifts who shall stay in the premises of the workplace at least four (4) hours a day, six (6) times a week. The services of a full-time occupational health nurse and a full-time first-aider shall also be provided for every work shift. The employer shall maintain in his place of employment an emergency hospital having a bed capacity of one (1) bed for every one hundred (100) workers and a dental clinic.

(g) every employer of industries/establishments having factories/plants using or producing pesticides under toxicity categories I and HI of the World Health Organization (WHO) toxicity classification standards shall provide for his workers the following:

(i) a medical clinic within 100 meters of working area in the formulating/manufacturing plant.

(ii) the services of a competent full-time occupational health physician who shall stay in the medical clinic provided for above, at least eight (8) hours a day during the work shift which has the biggest number of workers:

(iii) a bathroom with shower and eyewash facilities within or beside the medical clinic provided for above, and

(iv) an examining table with capacity to allow trendelenberg position.

(2) For non-hazardous workplaces:

(a) in small-scale industries where the number of workers is from 1 to 99, the employer shall provide the services of full-time first-aider who maybe one of the workers in the workplace and who has immediate access to the first-aid ‘ medicines prescribed under Rule 1963.01. Where the number of workers is from 51 to 99, an emergency treatment room shall be provided.

(b) in medium-scale industries where the number of workers is from 100 to 199, the employer shall provide the services of a part-time occupational health nurse who shall stay in the premises of the workplace at least four (4) hours a day, six (6) times a week. Where there are more than one work shift in a day, the nurse shall stay in the workplace during. the shift which has the biggest number of workers.

The employer also provide the services of a full-time first-aider and shall maintain in his place of employment an emergency treatment room for his workers.

(c) in large-scale industries where the number of workers is from 200 to 600, the employer shall provide the services of a part-time occupational health physician and a part-time dentist each of whom shall stay in the premises. of the workplace at least four (4) hours a day, three (3) times a week, on alternate days with the other. Where there are more than one work shift in a day, the physician and the dentist shall stay in the workplace during the shift which has the biggest number of workers. In addition, the services of a full-time occupational health nurse and a full-time first-aider shall be provided. The employer shall maintain in his place of employment an emergency treatment room for his workers.

(d) in large-scale industries where the number of workers is from 601 to 2000, the employer shall provide the services of a part-time occupational health physician and a part-time dentist each of whom ~ stay in the premises of the workplace at least four (4) hours a day, six (6) times a week working in alternate periods with the other. Where there are more than one work shift in a day, the physician and the dentist shall stay in the workplace during the shift which has the biggest number of workers. The employer shall also provide the services of a full-time occupational health nurse and a full-time first-aider, and maintain in his place of employment an emergency clinic for his workers.

(e) in large-scale industries where the number of workers is more than 2000, the employer shall provide the services of a full-time occupational health physician and a full-time dentist, each of whom shall stay in the premises of the workplace eight (8) hours a day, six (6) times a week during the workshift which has the biggest number of workers. In addition, t-he employer shall provide the services of one part-time occupational health physician for each of the other workshift who shall stay in the premises of the workplace at least four (4) hours a day, six (6) times a week. The employer shall also provide the services of a full-time occupational health nurse for every work shift. The employer shall provide the services of a full-time first-alder and shall maintain in his place of employment an emergency medical and dental clinic for his workers.

(3) For both hazardous and non-hazardous workplaces:

(a) where there are more than one (1) work shift in a day, the employer shall, in addition to the requirements of this rule, provide the services of a full-time first-aider for every work shift.

(b) where only a treatment room is provided by the employer under this rule, he shall in addition, provide for his workers in case of emergency, access to the nearest medical/ dental clinic or to a medical/dental clinic located not more than five (5) kilometers away from the workplace. Such access shall be in the form of providing the necessary transportation facilities and a written agreement with the medical/dental clinic to attend to such emergencies brought to them.

(c) the physician/dentist required to stay in the workplace during the workshift having the biggest number of workers shall be subject to call at anytime during the other shifts to attend to emergencies.

1963.03: Emergency Hospital:

(1) An employer may not establish an emergency hospital or dental clinic in his workplace as required in these regulations where there is a hospital or dental clinic which is located not more than five (5) kilometers away from the workplace, if situated in any urban area, or which can be reached in twenty-five (25) minutes of travel, if situated in a rural area, and the employer has facilities readily available for transporting workers to the hospital or clinic in case of emergency. For purposes of this Rule, the employer shall enter into a written contract with the hospital or dental clinic for the use of such clinic/hospital in the treatment of workers in case of emergency. However, this shall not excuse the employer from maintaining in his place of employment an emergency treatment room for his workers.

1963.04: Contracts for Occupational Health Services:

(1) Contracts for occupational health practitioner services entered into by employer shall only be with occupational health practitioners and/or occupational health clinics accredited by the bureau, or with an agency/institution organization duly authorized or recognized by the bureau.

(2) No occupational health practitioner, whether acting singly or as a part of a group/ association, shall enter into a contract for occupational health practitioner services with more than ten (10) establishments.

(3) No part-time occupational health physician/nurse shall enter into contract for occupational health services with more than four (4) establishments.

(4) When a full-time occupational health physician/nurse who is also a qualified occupational health practitioner, has entered into a contract for occupational health services with one (1) establishment, he/she shall not engage himself/herself, with or without a written contract, for the same services with any other establishment.

(5) Under no circumstances shall an employer enter into a retainership contract for health services in place of the occupational health services provided for under Rule 1960.

(6) The employer shall furnish the Bureau and the Regional Labor Office concerned a copy each of the contract for Occupational Health Services.

1964: Training and Qualification:

1964.01: Qualifications:

(1) A first-aider must be able to read and write and must have completed a course in first aid conducted by the Philippine National Red Cross or any organization accredited by the same.

(2) A nurse must have passed the examination given by the Board of Examiners for nurses and duly licensed to practice nursing in the Philippines with at least fifty (50) hours of Basic training in occupational nursing conducted by the Bureau/Region office concerned, the College of Public Health of the University of the Philippines, or by any institution/organization accredited by the former.

(3) A physician, whether part-time or full-time, must have passed the examination given by the Board of Examiners for Physicians, is licensed to practice medicine in the Philippines, and a graduate of Basic training course in occupational medicine conducted by the Bureau, the College of Public Health of the University of the Philippines, or by any institution/organization duly accredited by the former.

(4) A physician engaged by the employer of a hazardous establishment employing more than 2,000 workers, to be its full-time occupational health physician must have, in addition to the qualifications required under Rule 1964.01 (3), a diploma or master’s degree in occupational health or industrial health or its equivalent or completed a residency training program in occupational medicine, must be duly certified by the Bureau, and must have registered with the Regional Labor Office.

(5) A dentist, whether part-time or full-time, must have passed the examination given by the Board of Examiners for Dentists, is licensed to practice dentistry in the Philippines, and has completed a basic training course in occupational dentistry, conducted by the Bureau of Dental Health Services of the Department of Health or any organization duly accredited by the same.

(6) An occupational health practitioner, as defined under Rule 1961.02, must have all of the following qualifications:

a. a graduate of an advanced training course in occupational health and safety conducted by the bureau, the College of Public Health of the University of the Philippines, or any institution/organization duly authorized/accredited or recognized by the former;

b. must have had at least five (5) years experience in the field of, or practice of occupational health and safety;

c. must be duly certified/accredited by the Bureau;

d. must have registered with the Regional Office concerned.

1964.02: Opportunity for Training:

(1) Nurses, physicians and dentists who do not possess the special training qualifications provided for in Rule 1964.01 shall, within six (6) months from the date of employment, comply with this requirement.

(2) All employers without the required trained first-aider on the date of effectivity of this Standards shall, within six (6) months have the required number of his workers undergo the prescribed training in first-aid.

1964.03: Refresher Training:

The occupational health personnel and the first-aiders of every establishment shall undergo a minimum of eight (8) hours refresher training course in their respective fields at least once a year.

1965: Duties of Employers:

1965.01:

It shall be the duty of every employer to:

(1) Establish in his workplace occupational. health services to provide a healthful place of work;

(2) Adopt and implement a comprehensive health program for his workers;

(3) Enter into a contract with hospitals or dental clinics, if these are not available in his workplace; and

(4) Maintain a health record of his programs and activities and submit an annual medical report, using form DOLE/BWC/HSD/OH-47, to the Regional Labor Office concerned, copy furnished the Bureau of Working Conditions on or before the last day of March of the year following the covered period.

1965.02: Duties of the Occupational Health Physician:

The Occupational Health Physician, whether part-time or full-time, who shall be responsible for promoting and maintaining the health and well-being of the workers, shall have the following duties and functions:

(1) Organize, administer and maintain an occupational health service program integrating therein an occupational safety program;

(2) Continually monitor the work environment for health hazards through periodic inspection of the workplace;

(3) Prevent diseases or injury in the workplace by establishing proper medical supervision over substances used, processes, and work environment;

(4) Conserve the health of the workers through physical examinations, proper advice for placement and health education;

(5) Provide medical and surgical care to restore health and earning capacity of injured workers;

(6) 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;

(7) Conduct studies on occupational health within his means and resources;

(8) Act as adviser to management and labor on all health matters;

(9) And report directly to top management in order to be effective.

1965.03: 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.

1965.04: Duties of the Occupational Health Nurse:

The duties and functions of the Occupational Health Nurse are:

(1) In the absence of a physician, to organize and administer a health service program integrating occupational safety, otherwise, these activities of the nurse shall be in accordance with the physician;

(2) Provide nursing care to injured or ill workers;

(3) Participate in health maintenance examination. If a physician is not available, to perform work activities which are within the scope allowed by the nursing profession, and if more extensive examinations are needed, to refer the same to a physician;

(4) Participate in the maintenance of occupational health and safety by giving suggestions in the improvement of working environment affecting the health and well-being of the workers; and

(5) Maintain a reporting and records system, and, if a. physician is not available, prepare and submit an annual medical report, using form DOLE/BWC/HSD/OH-47, to the employer, as required by this Standards.

1965.05: Duties of the First-Aider:

The duties of the First-Aider are to:

(1) Give immediate temporary treatment in case of injury or illness, before the services of a physician becomes available. If the case needs a physician the first-aider shall immediately call or refer the injured to one;

(2) Participate in the maintenance of occupational safety and health programs, if a member of the Safety Committee; and

(3) Maintain medical services and facilities.

1965.06: Duties of the Occupational Health Practitioner:

The duties of the occupational health practitioner are to:

(1) Advise the employers, the workers and their representatives in the workplace the necessary requirements in establishing and maintaining a safe and healthful working environment which will facilitate optimal physical and mental health for workers;

(2) Conduct periodic inspection of the workplace as required under Rule 1961.04;

(3) Act as adviser to the employer, workers and their representatives in matters concerning the organization, administration and maintenance of an occupational health program; and

(4) Maintain a reporting and records system and prepare and submit an annual medical report for the employer, using form DOLE/BWC/HSD/OH-47, as required by this Standards.

1966: Occupational Health Program:

1966.01:

The employer shall organize and maintain an occupational health program to achieve the following objective:

(1) Assess the worker’s physical, emotional and psychological assets as well as his liabilities in order to facilitate his proper placement and ensure the suitability of individuals according to their physical capacities, mental abilities and emotional make-up in work which they can perform with an acceptable degree of efficiency without endangering their own health and safety and that of their co-workers;

(2) Protect employees against health hazards in their working environment in order to prevent occupational as well as non-occupational diseases;

(3) Provision for first-aid, emergency services and treatment depending on the nature of the industry;

(4) Assure adequate medical care of ill and injured workers;

(5) Encourage personal health maintenance and physical fitness and proper nutrition practices; and

(6) Provide guidance, information and services for family planning programs.

1966.02:

The Health Program shall include the following activities:

(1) 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;

(2) Health Examinations:

a) Entrance;

b) Periodic;

c) Special examination;

d) Transfer examination;

e) Separation examination.

(3) Diagnosis and treatment of all injuries and occupational and non-occupational diseases;

(4) Immunization programs; and

(5) 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 worker or his duly authorized representative and ~ not be used for discriminatory purpose or in any other manner prejudicial to his interest.

(6) 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

(7) Nutrition program which shall be under the dietician and supervised by a physician if the latter is present.

1967: Physical Exanimation:

(1) All workers, irrespective of age and sex, shall undergo physical examination:

a. before entering employment for the first time;

b. periodically, or at such intervals as may be necessary on account of the conditions or risks involved in the work;

c. when transferred or separated from employment; and

d. when injured or ill.

(2) All examinations shall:

a. be complete and thorough;

b. be rendered free of charge to the workers; and

c. include X-ray or special laboratory examinations when necessary due to the peculiar nature of the employment.

(3) The results of these physical examinations shall be recorded carefully and legibly on appropriate forms by the health service personnel charged with such responsibility.

(4) Records of physical examinations and all information obtained by the health personnel shall be considered strictly confidential.

1967.01: Pre-employment/Pre-placement Physical Examinations:

(1) Pre-employment Physical examination shall be conducted:

a. to determine the physical condition of the prospective employee at the time of hiring: and

b. to prevent the placement of a worker on a job where, through some physical or mental defects, he may be dangerous to his fellow workers or to property.

(2) Pre-employment physical examination shall:

a. be a general clinical examination including special laboratory examinations when necessary due to the peculiar nature of the workers prospective employment;

b. include chest x-ray examinations. Under the following circumstances, x-ray examinations ” be rendered free of charge.

i. where the employer or establishment is required by these Rules to engage the services of an Occupational Health physician and where there are x-ray facilities in the establishment;

ii. where the employer does not maintain such facilities, x-ray examinations shall be conducted by;

aa. government clinics or hospitals;

bb. the occupational health physician; and

cc. private clinics or hospitals when applicants are referred to them.

iii. in all other instances, the applicant shall pay the cost of the examination.

(3) At the completion of the examination, the applicant shall he rated as follows:

CLASS A – Physically fit for any work

CLASS B – Physically under-developed 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).

1967.02: During Employment:

1967.03: Periodic Annual Medical Examinations:

Periodic annual medical examinations shall be conducted in order to follow-up previous findings, to allow early detection of occupational and non-occupational diseases, and determine the effect of exposure of employees to health hazards. These examinations:

(1) Shall be as complete and as thorough as the pre-employment examinations and include general clinical examinations.

(2) Shall include all special examinations and/or investigations deemed necessary for the diagnosis of these diseases which will be free of charge in case the workers are exposed to occupational health hazards.

(3) Shall include, whenever feasible, a chest x-ray examination at least once a year which shall be rendered free of charge to the workers,

(4) Shall be as frequent as the nature of employment may warrant taking into consideration the special hazards involved and their relative importance.

(5) Shall include regular biochemical monitoring which shall be conducted free of charge for workers exposed to toxic substances/pesticides classified under toxicity categories I and II of the World Health Organization (WHO) toxicity classification standards.

(6) Shall have an interval of not longer than one year between two (2) consecutive periodic physical examinations.

1967.04:

In occupations where there is a risk to the health of the worker either due to toxic substances they handle or of the environment in which they work, only persons who are pronounced medically fit shall be employed.

1967.05:

When occupational disease have been detected . in workers and continued employment might jeopardize their health, their employment shall be discontinued until after their complete or satisfactory recovery. If circumstances permit, such workers shall meanwhile be given some other job consistent with their state of health and which shall not impede or retard their recovery.

1967.06: Transfer Examinations:

Applicants 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.

1967.07: Other Special Examinations:

Special examinations may be required where there is undue exposure to health hazards, such as lead, mercury, hydrogen sulfide, sulfur dioxide, nitro glycol and other similar substances.

1967.08. Return to Work Exanimations:

A return to work examination shall be conducted:

(1) to detect if illness of the worker is still contagious;

(2) to determine whether the worker is fit to return to work, and

(3) After prolonged absence for health reasons, for the purpose of determining its possible occupational causes.

1967.09 : Separation from Employment Exanimation:

An employee leaving the employment of the company shall, if necessary, be examined by the occupational health physician:

(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; and

(3) to determine whether he has sustained an injury

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Filed under Rule 1960: Occupational Health Services