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Revealed: Four functions your on-site medical service must offer

by , 24 October 2013
You must perform medical surveillance after completing a risk assessment. This is a legal requirement by the Occupational Health and Safety Act (OHSA). To ensure you meet all necessary requirements, make sure your on-site medical service offers these four functions.

As you know, you must perform medical surveillance in your company.

If you have an on-site medical service, make sure it offers the following:

Four things your on-site medical service must offer

According to the Health & Safety Advisor, when your employees arrive at the medical site, they'll need to fill in a medical questionnaire and then sit through a medical examination.

This involves the following:

#1: Occupational medical history review

This review will give you an indication of any:

#2: Standard medical examination review

Having the following information gives you an indication of the current health and will assist you with exposures to any hazards in the future (this is called a baseline). It'll give you the following:

  • Height, weight, body mass index (BMI)
  •  Vital signs (blood pressure, pulse)
  • Urine analysis
  • Physical examination:
  1. Ear, nose and throat
  2. Respiratory system
  3. Cardiovascular
  4. Abdominal
  5. Skin
  6. Neurological
  7. Muscoskeletal

#3: Medical history

A medical history will give you an indication of current health and will help you with the correct pre-placement and monitoring of the individuals health. It includes the following:

  • Current chronic illnesses
  • Current chronic medications
  • Previous operations, injuries
  • Family history
  • Pregnant or not

#4: Blood work (tests you'll take):

This serves a baseline to compare in future possible exposure. This includes:

  • Full blood count
  • Liver functions
  • Kidney functions
  • Total cholesterol
  • Blood glucose
  • Uric acid
  • Other specific tests pertaining to the chemicals used or processed
  • Drug screening, according to your company policy

What if an employee wants to decline their medical surveillance?

You must encourage all employees to undergo medical evaluation.

The Advisor says you must explain to them that according to the specifications of the OHSA, all employees are subject to carry out any lawful order given to them. And that means they must obey the health and safety rules and procedures you've laid down.

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