5 - Occupational Health Eng

Abu Dhabi Occupational Safety and
Health System Framework

(ADOSH-SF)
Code of Practice
CoP 5.0 - Occupational Health Screening and
Medical Surveillance
Version 4.0
July 2024
Table of Contents
1. Introduction ................................................................................................................................................ 3
2. Training and Competency ..................................................................................................................... 4
3. Requirements ............................................................................................................................................ 5
3.1. Roles and Responsibilities ................................................................................................................. 5
3.2. General Requirements for Occupational Health Screening: .................................................. 7
3.3. General Requirements for Medical Surveillance:....................................................................... 7
3.4. Types of Occupational Health Screening and Medical Surveillance .................................. 7
3.5. Medical Records and Medical Confidentiality: ............................................................................ 8
4. Record Keeping ....................................................................................................................................... 10
5. References................................................................................................................................................ 11
6. Document Amendment Record ......................................................................................................... 12
Appendix 1: Specified Occupations Requiring Medical Screening ..................................................... 13
Appendix 2: Hazardous Materials or Exposures Requiring Medical Surveillance .......................... 28
Appendix 3: Sample General Health History Questionnaire.................................................................. 54
Appendix 4: Sample Employment Medical Examination Form.............................................................. 58
Appendix 5: Sample Seafarers Certificate of Medical Fitness.............................................................. 61
ADOSH-SF – Codes of Practice

CoP 1.0 – Occupational Health Screening and Medical Surveillance Page 2 of 64
Version 4.0 – 15th July 2024
1. Introduction
(a) This Code of Practice (CoP) applies to all employers and places of business within the
Emirate of Abu Dhabi. If requirements of this document conflict with requirements set
by another regulatory authority, employers are required to follow the more stringent
requirement.
(b) This CoP identifies specific requirements for occupational health screening/fitness to
work and medical surveillance for employees performing any of the job duties found
in Appendix 1 or exposed to chemicals/materials listed in Appendix 2 of this CoP.
(c) Occupational health screening shall be undertaken with regards to the potential
exposures expected related to the employee’s occupation and before an employee is
exposed to a hazardous work environment.
(d) Medical surveillance shall be undertaken after a risk assessment and/or occupational
hygiene assessments have been undertaken to assess the extent of the exposure and
after other control measures implemented to control exposure to an acceptable level
using the principles of risk management and the hierarchy of control.

2. Training and Competency
(a) Employers shall ensure that EHS training complies with the requirements of:
(i) ADOSH-SF – Element 5 – Training, Awareness and Competency;

(ii) ADOSH-SF – Mechanism 7.0 – Occupational Safety and Health Practitioner and
Service Provider Registration.
(b) Training programs shall be tailor-made to meet the needs of employees performing
any of the job duties found in Appendix 1 or exposed to chemicals/materials listed in
Appendix 2 of this CoP. Training shall focus on ways to reduce exposures to
occupational hazards that could affect the employees’ health.
(c) Employers shall ensure all relevant employees and contractors covered by the
requirements of the CoP are informed of the requirements of occupational health
screening and medical surveillance.
(d) Employers shall inform all employees of the requirement of Section 4.0 of this CoP and
their right to medical record protection and medical confidentiality.
(e) Employers shall ensure that person(s) responsible for development and
implementation of Occupational Health screening and medical surveillance programs
are competent to do so.

3. Requirements
3.1. Roles and Responsibilities
3.1.1. Employers
(a) Employers shall undertake their roles and responsibilities in accordance with the
general requirements of ADOSH-SF – Element 1 – Roles, Responsibilities and Self-
Regulation Section 3.2.5
(b) Every employer shall be responsible for performing a risk assessment in accordance
with ADOSH-SF – Element 2 – Risk Management to determine the risks associated to
job tasks and determine the requirements of their occupational health and medical
surveillance program.
(c) Employers shall maintain medical records and medical confidentiality in accordance
with Section 4.0 of this CoP.
(d) Employers shall arrange for medical surveillance of employees that have been or it is
reasonably practicable to believe they have been exposed to a hazardous material if:
(i) the material is listed in Appendix 2 and the degree of risk to the health of the
employee is significant; or
(ii) the employer reasonably believes that:
1. an identifiable adverse effect may be related to exposure;
2. the health effect may happen under the work conditions of the employee;
3. a valid biological or technical technique or test is available to detect the
signs of the health effect or a valid biological monitoring procedure is
available to detect the material or its metabolite; and
4. other Federal or Local legislation/regulations requires such surveillance
to be conducted.
(e) If the medical surveillance relates to an occupation listed in Appendix 1 the employer
shall:
(i) arrange for the medical surveillance to be done by a DOH (Department of Health
– Abu Dhabi) licensed physician under the supervision of a DOH licensed
Occupational Medicine Specialist; and
(ii) ask the physician to give the employee and the employer a medical surveillance
report which includes a description of the effects of the material or exposure on
the employees' health and the need, if any, for remedial action or treatment; and
an explanation of the report.
(f) Employers with occupational health screening and medical surveillance programs shall
use an employee general health history questionnaire to collect, at a minimum, the
following information (see Appendix 3 for sample questionnaire):
(i) occupational history - physical, chemical, biological, radiological, and ergonomic

stressors from previous employers;
(ii) personal risk factors - personal and family history, allergies, and lifestyle;

(iii) previous medical conditions;
(iv) medical history - including surgical history or pregnancy in females; and
(v) immunization history - if applicable.
(g) employers shall communicate the results of the occupational health screening and/or
medical surveillance to the employee. This includes:
(i) informing employees of all findings and provide them with a copy of medical
exam report;
(ii) providing any follow up treatment for employment related health problems, if
needed;
(iii) counselling and education about relevant occupational hazards; and
(iv) provide follow up health education to ensure employee understands the health
risks of his/her occupation and/or lifestyle habits.
(h) the employer, or employer provided insurance (if included), shall pay all associated
costs for the occupational health screening and medical surveillance. Employees shall
not be held responsible for any costs associated with these programs, including time
required to undertake the programme/screening or surveillance tests or any other
associated travel costs which shall be provided by the employer.
3.1.2. Employees
(a) Employees shall undertake their roles and responsibilities in accordance with the
general requirements of ADOSH-SF – Element 1 – Roles, Responsibilities and Self-
Regulation Section 3.2.7.
(b) Employees shall participate in any medical surveillance program or occupational health
screening program if their job tasks or a risk assessment indicates the exposure
warrants such screening or surveillance and as required by their employer.
(c) Employees have a right to decline to take part in occupational health screening or
surveillance programs but shall be informed of the consequences by the employer or
a qualified physician and evidence of the decision shall be recorded in writing along
with the employee’s, employer’s and physician’s signatures.
(d) Employees shall report to any place required for the screening or surveillance to be
conducted as advised by their employer.
(e) Employees shall report any adverse effects or symptoms associated with their work
or exposure to a particular hazard at work to the employer or supervisor which shall
be recorded in writing and investigated.
(f) Employees have a right to request copies of their records or risk assessment results
and an explanation of the results in a language they understand through the use of a
translator.

3.2. General Requirements for Occupational Health Screening:
(a) For occupations listed in Appendix 1, or any high-risk activities as determined by the
risk assessment (refer to 3.1.1(b)), occupational health screening and medical
examinations shall be conducted to determine:
(i) if employees are medically and physically able to perform the assigned duties
without substantial risk of harm to themselves, others, or the job to be
performed (fitness for duty examinations); and
(ii) to identify pre-existing medical conditions which may be aggravated by
workplace hazards or exposures.
(b) Employers shall also include employees in the occupational health screening program
if it is reasonably practicable to believe that:
(i) an identifiable adverse effect may be related to the occupation;

(ii) the health effect may happen under the work conditions of the employee; and
(iii) the employee’s occupational activities and tasks may involve a risk to
themselves or others shall occupational health screening or medical surveillance
not be undertaken.
(c) An employer shall arrange for occupational health screening of employees.
(d) The employer shall pay all of the associated costs for the occupational health
screening.
3.3. General Requirements for Medical Surveillance:
(a) Medical surveillance programs shall be based on the results of the risk assessment as
required by Section 3.1.1(b) and/or the results of an occupational hygiene survey
which warrants such surveillance based upon exposure assessment results.
(b) In the absence of industrial hygiene and exposure data, a qualified occupational
physician licensed by DOH shall make a decision on the placement of employees into
the medical surveillance program based on knowledge of the workplace processes, job
requirements, exposures and occupational history of the employee.
(c) Data collected from medical surveillance shall be evaluated at a minimum annually to
determine if the workplace is causing or contributing to employee’s injuries or
illnesses due to occupational exposures. When data suggests that there is a link,
control measures shall be implemented to reduce the risk to as low as reasonably
practicable as well as additional medical surveillance if warranted.
3.4. Types of Occupational Health Screening and Medical Surveillance
(a) Occupational Health Screening/ Baseline Examinations: These examinations are

performed before placement in a specific job to medically assess if the employees shall
be able to perform the job safely. They may be combined with occupational medical
surveillance to record a baseline of values for future comparison. These examinations
shall be done before the employee commences work. However, if the individual has
already started work, these examinations shall be completed within 30 days of

assignment. (Refer Appendix 4 for en example Employment Medical Examination
Form.)
(b) Periodic Medical Surveillance Examinations: Periodic monitoring examinations are

conducted with appropriate frequency dependent on the results of risk assessments.
Periodic examinations may include an interval history, a physical examination, and/or
clinical and laboratory screening tests based on exposures or work place requirements
and demands.
(c) Termination of Employment Examinations: These examinations are designed to

assess pertinent aspects of an employee’s health when the employee leaves
employment. Documentation of examination results may be beneficial in assessing
the relationship of any future medical problems to an exposure in the workplace.
(d) Termination of Exposure Examinations: These examinations are performed when

exposure to a specific hazard has ceased. Exposure may cease when a employee is
reassigned, a process is changed, or the employee leaves employment.
(e) Specific Occupations/Occupational Groups: Some occupations or occupational groups,

such as those listed in Appendix 1, have specific job demands and requirements which
are important for the tasks or activities of the job to be completed safely and these
occupations or groups shall undergo occupational health screening with appropriate
tests and follow up medical surveillance done if exposure warrants this.
3.5. Medical Records and Medical Confidentiality:
(a) Medical records shall be maintained in a secure location where only medical personnel
or medical program managers have access to the records.
(i) in the event that employers do not have medical personal or a medical program
manager, medical records may be maintained at a HAAD licensed medical facility;
or
(ii) the employer may assign an OSH staff member or other employee the duties of
maintaining medical records and ensuring records are secure.
(b) At no time may medical records be provided to Human Resources, management, or any
other representative of the entity as a means to evaluate:
(i) the performance of an employee;

(ii) if an employee shall be retained or contract renewed unless medically justifiable;
or
(iii) as a means to determine if an employee shall be promoted.
(c) Medical records shall not be provided to any person or party outside the employer or
employer approved medical provider without the written consent of the employee.
(d) Medical record data may be used to evaluate the health of employees in general, guide
employer sponsored wellness programs, or determine funding of employee sponsored
wellness programs. When used for these purposes, the employer shall:
(i) remove any data that could be used to identify an employee; and
(ii) ensure data of a single employee is not provided as standalone data.

(e) Insurance claim forms shall be maintained with the same confidentiality as medical
records.
(f) Employee can request a copy of their medical records and a copy shall be provided
within five (5) working days. Employees may not be charged for receiving a copy of
their medical records.
(g) Employees and medical professionals that have access to employee medical records
shall not discuss the contents of the records, or the health of employees to anyone
not associated with providing medical care to the employees.

4. Record Keeping
(a) The employer shall maintain an accurate record of each employee undergoing medical
surveillance or screening. The employer shall assure that this medical record is
maintained for the duration of employment and for a period of 30 years thereafter.
(b) All records must be retained if they are part of an external investigation or legal
proceedings.
(c) Medical records shall include, but not limited to:
(i) doctor’s written opinion as to the employee’s suitability for employment in

specific job role;
(ii) any medical complaint by the employee related to exposure to the toxic material
or hazardous material;
(iii) a copy of any employee exposure monitoring reports which were conducted at
an employee’s work site;
(iv) a copy of the employee's employment history; and
(v) medical surveillance and/or screening records and exposure monitoring records
shall be available for review by employees and the relevant SRA.

5. References
• US Department of Labor. OSHA 3162-12R 2009. Screening and Surveillance Guide.

Available at: URL: http://www.osha.gov/Publications/osha3162.pdf
• Department of Transport (UK). DVLA. Medical Standards for fitness to drive.

Available at: URL: http://www.dft.gov.uk/dvla/medical/ataglance.aspx
• UAE General Civil Aviation Authority. Civil Aviation Regulations. Part II. Chapter 5
• CDC ‘Yellow Book’, USA. Atlanta, GA. Available at URL:

http://wwwnc.cdc.gov/travel/yellowbook/2012/table-of-contents.htm
• NFPA. Standard on Comprehensive Occupational Medical Requirements for Fire

Departments Standard 1582, USA. Available at URL:
http://www.nfpa.org/aboutthecodes/AboutTheCodes.asp?DocNum=1582
• Palmer K, Cox, R and Brown, I. Fitness for Work the Medical Aspect 4th Ed. Oxford
University Press. Oxford Medical Publications. 2007
• ILO. Guidelines for Conducting Pre-Sea and Periodic Medical Fitness Examinations
for Seafarers (2007)
• Health and Safety Executive (UK). The Medical Examination and Assessment of
Divers (MA1). Available at URL: http://www.hse.gov.uk/diving/ma1.pdf
• Workplace Health and Safety Queensland. Workplace Health and Safety

Regulations 2008. Schedule 8 Hazardous Materials for which health surveillance
shall be supplied. Queensland Australia

6. Document Amendment Record
Version Revision Date Description of Amendment Page/s Affected

System acronym updated from OSHAD-SF
to ADOSH-SF to accurately reflect
document title
Change from OSHAD to ADPHC
Change of Logo Throughout
Change from HAAD to DOH
Minor editorial changes throughout the

document without changing requirements.
4.0 15th July 2024
Title of Mechanism 7.0 updated to ADOSH-
SF – Mechanism 7– Public and Preventive
Health Practitioner and Service Provider
Accreditation 4
OSHAD-SF - Mechanism 8.0 - OSH

Practitioner Registration deleted
In Part 3 of Appendix 1 (healthcare

workers), remove Hepatitis A from the 20-23
investigations

Appendix 1: Specified Occupations Requiring Medical Screening
(1) Professional Drivers (taxi, bus, truck drivers etc.)
(2) Aviators (Air Crew-pilots, Flight Crew-cabin attendants, Flight Despatcher etc.)
(3) Health Care Workers (Physicians, Nurses, Nursing Assistants, Dentist, Therapists –
physiotherapists, occupational therapists, respiratory therapists, Technicians – ECG,
respiratory, radiographer, laboratory, radiology, sterilization)
(4) Professional Divers
(5) Emergency Responders (fire fighters, police, civil defense, ambulance personnel,
hazmat emergency responders etc.)
(6) Sea Farers (Marine Skippers / Captains, Boat Masters and Seaman etc.)

1. Professional Drivers
Includes: Taxi, truck, heavy equipment – cranes, bulldozers, forklift drivers etc.
Sub Type: Group 1: Taxi Driver (1 to 7 passengers)
Workplaces: Taxi company, Private, Commercial

Health History:
General Health History Questionnaire - Appendix 3
Physical
Employment Medical Examination Form - Appendix 4
Examination:
Investigation: Visual acuity and Colour vision
Vision Test: Typically 6/9 in better eye
Colour Vision: Ability to recognize signals
Seizure free for 7 years with medication

Malignant tumors of the brain = 1 year off driving
Cardiac Artery Bypass Graft (CABG) = Cease driving for 4
weeks
Restriction: Absence of hypoglycaemic episodes
Acute psychotic disorder, Mania, Schizophrenia; Must cease driving
immediately - stable for 3 months can drive
Alcohol misuse : 6 months with controlled drinking
Alcohol dependence: 1 y without dependence

Drug abuse: At least one year without abuse
Sleep apnoea: If causing excessive sleep (in working hours)
Periodic Medical: At the time of taking license 18 years to 70 years

Once every 3 years - no upper limit
Department of Transport (UK). DVLA. Medical Standards for fitness
References:
to drive.

Sub Type: Group 2: Bus, Taxi (8 or more passengers) - Category: D
Workplaces: Commercial drivers
Health History: General Health History Questionnaire - Appendix 3

Physical
Examination:
Investigation: Visual acuity and Colour vision
Complete Stage 3 of Bruce Protocol

Monocular Vision: not allowed to drive
Seizure free for 10 years without medication

Malignant tumours of the brain 2 years off driving
CABG cease driving for 3 months
Restriction:
Absence of hypoglycaemic episodes
Acute psychotic disorder, Mania, Schizophrenia;
Must cease driving immediately require stable for 3 years to
drive
Alcohol misuse : 1 year with controlled drinking
Alcohol dependence: 3 years without dependence

At the time of taking license 21 years to 45 years
Periodic Medical: 45 years and older: Medical every 5 years till age 65 years
65 years and older: Medical annually without upper limit

Department of Transport (UK). DVLA. Medical Standards for
References:
fitness to drive.

Sub Type: Group 2: Commercial Vehicle 3.5 to 7.5 ton - Category: C
Workplaces: Commercial drivers

Physical
Examination:
Visual acuity
Investigation:
Colour vision


Restriction: CABG cease driving for 3 months

Absence of hypoglycemic episodes
Must cease driving immediately - Require stable for 3 years to
drive

Sleep apnea: If causing excessive sleep (in working hours)

Periodic Medical:
45 years and older: Medical every 5 years till age 65 years
Department of Transport (UK) DVLA Medical Standards for fitness
References:
to drive.

Sub Type: Heavy Equipment - eg. Crane, Bulldozer
Workplaces: Construction, demolition, renovation

Health History:
General Health History Questionnaire - Appendix 3
Physical
Examination:
Investigation: Visual acuity , Stereoscopic vision
Colour vision

Stereopsis: not allowed for crane or forklift operator


Restriction:
CABG cease driving for 3 months
Absence of hypoglycaemic episodes

Must cease driving immediately - Require stable for 3 years to
drive


Periodic Medical:
45 years and older: Medical every 5 years till age 65 years

Department of Transport (UK). DVLA. Medical Standards for
References:
fitness to drive.
Palmer K, Cox, R and Brown, I. Fitness for Work the Medical
Aspect 4th Ed. Oxford University Press. Oxford Medical
Publications. 2007.

2. Aviators
Includes: Air Crew-pilots, Flight Crew-cabin attendants, Flight Despatcher etc.
Sub Type: Air Crew -Pilots
Workplaces: Civil Aviation, Commercial Airlines, private planes

Health History: UAE General Civil Aviation Authority. Application Form for
Aviation Medical Certificate.
UAE General Civil Aviation Authority. Form for Aviation Medical
Physical
Certificate Class 1, 2, 3
Examination:
(require to be Approved Medical Examiner)
Visual acuity
Colour Vision: ability to reliably identify red, white, green (normal
colour vision not always required)
Investigation: Hearing (voice test)
Pulmonary peak flow rate
EKG (if required by history)
Restriction: As per UAE General Civil Aviation Authority Policies

Periodic Medical: As per UAE General Civil Aviation Authority Policies
UAE General Civil Aviation Authority. Civil Aviation regulations.
References:
Part II. Chapter 5. Medical provisions for Licensing.
Sub Type: Flight Crew - Cabin Attendants

Health History: UAE General Civil Aviation Authority. Application Form for
Aviation Medical Certificate.
UAE General Civil Aviation Authority. Form for Aviation Medical
Physical
Certificate Class 1, 2, 3
Examination:
(require to be Approved Medical Examiner)
Visual acuity
Investigation: Hearing (voice test)
Pulmonary peak flow rate
EKG (if required by history)

Restriction:
As per UAE General Civil Aviation Authority Policies
Periodic Medical: As per UAE General Civil Aviation Authority Policies

References:
Sub Type: Aircraft Maintenance Engineer

Health History: UAE General Civil Aviation Authority. Application Form for Aircraft
Maintenance Engineer Medical Certificate
UAE General Civil Aviation Authority. Form for Aircraft
Physical
Maintenance Engineer Medical Certificate (required to be
Examination:
Approved Medical Examiner)
Investigation: Visual acuity
Hearing (voice test)
Restriction:
As per UAE General Civil Aviation Authority policies
Periodic Medical: As per UAE General Civil Aviation Authority policies

References:

3. Health Care Workers
Includes: Physicians, Nurses, Nursing Assistants, Dentist, Therapists –physiotherapists,
occupational therapists, respiratory therapists, Technicians – ECG, respiratory, radiographer,
laboratory, radiology, sterilization/CSSD
Sub Type: Physician

Hospitals, Clinics, Occupational Health Facilities in
Workplaces:
different industries, private practice, etc.

Physical Examination: Review Health History Questionnaire information and
assess any positive findings in more detail.
Hepatitis Profile (B & C) and HIV
Investigations: Measles Antibodies and Varicella Antibodies
Chest x-ray
Results of Investigations: To be provided to Candidate / Employee
Restriction: Hep B e antigen positive

Active Pulmonary Tuberculosis
Periodic Medical: Once every 3 years till age 59

Once every year at age 60 and above
References: CDC ‘Yellow Book’, USA, Atlanta, GA.

Sub Type: Nurse, Nursing Assistant
Hospitals, Clinics, Health Facilities in different
Workplaces:
industries, etc.

Chest x-ray

Hep B e antigen positive (Nursing Assistants are
exempted)
Restriction: Active Pulmonary Tuberculosis
Unable to perform moderate to heavy physical demands
BMI of 40 or above with co morbidity

Sub Type: Dentist
Workplaces: Hospitals, Clinics, Private Practice, etc

Investigations: Hepatitis Profile (B & C) and HIV
Measles Antibodies and Varicella Antibodies

Chest x-ray
Restriction: Hep B e antigen positive


Sub Type: Physiotherapist / Occupational / Respiratory Therapist
Workplaces: Hospitals, Clinics, Rehabilitation Centres, etc

General Health History Questionnaire - Appendix
Health History:
3
Employment Medical Examination Form -
Appendix 4
Physical Examination:
Review Health History Questionnaire information
and assess any positive findings in more detail.

Chest x-ray

Unable to perform moderate to heavy physical
demands
Sub Type: Technicians: ECG, Respiratory, Radiographer
Workplaces: Hospitals, Clinics, etc.

Health History:
3
Appendix 4
Chest x-ray

Unable to perform moderate to heavy physical
demands

Sub Type: Laboratory Technician, Radiology Technician
Workplaces: Hospitals, Clinics, Independent Labs etc.

Health History:
3
Appendix 4
Chest x-ray

Restriction:


Sub Type: Sterilization Technician
Hospitals, Clinics etc.
Workplaces:

Chest x-ray

Hep B e antigen positive

Restriction:


4. Professional Divers
Sub Type: Deep Sea Diver
Workplaces: Navy, Explorer, Merchants, Police


Electrocardiogram and Spirometry and Audiometry and Step
Test
Bruce Protocol (optional: if required to assess cardiac fitness)
Ischemic heart disease, angina, CABG and Valvular heat disease
T.B, Asthma, Fibrotic or Cystic Lug disease,
Epilepsy, severe head injury, Sever motion sickness
Active ENT infection, Stapedectomy, Meniere’s

Restriction: Acute psychotic disorder, Mania, Schizophrenia
Inflammatory bowel disease, hernia,
gall bladder or pancreatic pathology

Sickle cell anaemia, thalassemia major,
BMI greater than 27
Investigation: CBC and Hb and Urine micro

Periodic Medical: Initial medical and then annual assessment
Health and Safety Executive (UK). The Medical Examination and
References:
Assessment of Divers (MA1).

5. Emergency Responders
Includes: Fire-fighters, police, civil defence, ambulance personnel, hazmat emergency
responders etc.
Sub Type: Fire Fighter
Workplaces: Civil Defence; Industry, Offshore

Physical Examination: Assess physical ability to perform the tasks associated with
job
Spirometry and Electrocardiogram and Audiometry
Investigation: Bruce Protocol and Lab tests as per NFPA standard

Respirator use medical evaluation if required
Results of
To be provided to employee
investigations
Inability to wear Self Contained Breathing Apparatus (SCBA)
Restriction: Epilepsy or history of sudden loss of consciousness
* refer to NFPA standards regarding restrictions
Initial Medical and then annual assessment

Additional if exposure exceeds permissible exposure limits
Periodic Medical:
more than 29 days a year.
Termination of employment
NFPA. Standard on Comprehensive Occupational Medical
Requirements for Fire Departments Standard 1582, USA.
References:
US Department of Labour. OSHA 3162-12R 2009. Screening
and Surveillance Guide.

6. Sea Farers
Includes: Marine Skippers/Captains, boat masters and seaman etc.
Sub Type: Seafarer
Workplaces: Shipping, Marine, Offshore etc.
Health History: ILO Guideline
Physical Examination: ILO Guideline

Seafarers Certificate of Medical Fitness
Investigation: ILO Guideline
Restriction: ILO Guideline
Initial Medical
Every 3 years up to age 40

Periodic Medical:
Every 2 years up to age 50
Annually thereafter
ILO. Guidelines for Conducting Pre-sea and Periodic Medical
References:
Fitness Examinations for Seafarers (2007).

Appendix 2: Hazardous Materials or Exposures Requiring Medical Surveillance
Acrylonitrile
Standard Requirements
Pre-placement exam Yes1
Periodic exam Yes – annual1

Emergency/exposure Yes
examination and tests
Termination exam Yes – if no exam within 6

months of termination
Examination includes Respiratory, gastrointesti-

special emphasis on nal1, thyroid, skin, neuro
these body systems logical (peripheral and
central)
Work and medical Required for all exams2

history
Chest x-ray Yes
Pulmonary function No
test (PFT)
Other required tests Fecal occult blood1

Evaluation of ability Yes
to wear a respirator
Additional tests if Yes

deemed necessary
Written medical opinion Yes – physician to

employer; employer to
employee
Employee counseling Yes – by physician

re: exam results,
conditions of
increased risk
Medical removal plan No

Arsenic (Inorganic)
Periodic exam Yes1


Skin, nasal, peripheral
Examination includes nervous system
special emphasis on
these body systems
Work and medical Required for all exams2

history with focus on respiratory
symptoms; includes
smoking history
Chest x-ray Yes
test (PFT)
Other required tests Urinary Total Arsenic


deemed necessary

employee
Employee counselling Yes – by physician

re: exam results,
conditions of
increased risk

Asbestos (incl. Synthetic Mineral Fibres and Man-Made Mineral Fibres)
Pre-placement exam Yes1, 3

Periodic exam Yes – annual1 or more
frequently if determined by
physician
Emergency/exposure No
Termination exam No
Examination includes Pulmonary and
special emphasis on gastrointestinal
these body systems
Work and medical Required for all exams2;

history special emphasis on
pulmonary, cardiovascular,
gastrointestinal; standard-
ized form required;
Chest x-ray Yes1 only for diagnosis
certified radiologist
or physician with expertise
in pneumoconioses re-
quired;
Pulmonary function FVC, FEV1
test (PFT)
Other required tests No
deemed necessary
employee
Employee counselling Yes – by physician; includes
re: exam results, informing employee of
conditions of Increased risk of lung cancer
increased risk from combined effects of
smoking and asbestos
exposure

Benzene
1, 3, 4
Pre-placement exam Yes
Periodic exam Yes – annual1, 4

Emergency/exposure Yes1, 4 – includes urinary
examination and tests phenol test
Termination exam No
Examination includes Hemopoietic; add cardiopul-

special emphasis on monary if respiratory protec-
these body systems tion used at least 30 days/
year, (initially, then every 3
years)
Work and medical Required for initial and

history periodic exams (pre-place-
ment exam requires special
history)2
Chest x-ray No
Pulmonary function Initially and every 3 years if

test (PFT) respiratory protection used
30 days/year; specific tester
requirements
Other required tests CBC, differential, other spe-

cific blood tests; repeated
as required;
Evaluation of ability Yes – if respirators are used


deemed necessary

employee

re: exam results,
conditions of
increased risk
Medical removal plan Yes

Blood-Borne Pathogens (Hepatitis, B)
Pre-placement exam No – must offer Hepatitis B

(HBV) vaccine unless
already immune or vaccine
contraindicated
Periodic exam No
Emergency/exposure Specific post-exposure moni-

examination and tests toring for employee and
source; HBV vaccine;
Termination exam No
Examination includes No
special emphasis on
these body systems
Work and medical No

history
Chest x-ray No
test (PFT)
Other required tests Yes – post-exposure inci-

dent;
Evaluation of ability No
Additional tests if Yes – for post-exposure

deemed necessary incident; follow
post-exposure protocols
Written medical opinion Yes – licensed healthcare

professional to employer;
employer to employee
Employee counselling Yes– by licensed healthcare

re: exam results, professional; counseling
conditions of re: HBV vaccine and post-
increased risk exposure follow-up;

1,3-Butadiene
Pre-placement exam Yes1, 3, 4

Periodic exam Yes1, 4
Emergency/exposure Yes1, 4 – within 48 hours
examination and tests of exposure
Termination exam Yes4 – if 12 months have

elapsed since last exam
Examination includes Liver, spleen, lymph nodes,
special emphasis on and skin
these body systems
Work and medical Required annually and for

history all examinations2; standard-
ized form or equivalent;
includes comprehensive
occupational and health
history;
Chest x-ray No
test (PFT)
Other required tests Annually, CBC with differ-

ential and platelet count;
also within 48 hrs. after ex-
posure in an emergency
situation and repeated
monthly for 3 more months
Evaluation of ability Yes – if respirators are used

deemed necessary
Written medical opinion Yes – physician or other

licensed healthcare profes-
sional to employer and
employee
Employee counselling Yes – by physician or other
re: exam results, licensed healthcare
conditions of professional
increased risk

Cadmium

Emergency/exposure Yes1, 4
Termination exam Yes3
Examination includes Respiratory, cardiovascular

special emphasis on (BP), urinary
these body systems
Work and medical Required for pre-placement
history and periodic exams2;
standardized form required
Chest x-ray Yes

test (PFT)
Other required tests Annually1, cadmium in urine,

beta-2 microglobulin in
urine, cadmium in blood,
CBC, BUN, serum creatinine,
urinalysis;


deemed necessary

employee

re: exam results, explanation of results, treat-
conditions of ment, and diet, and discus-
increased risk sion of decisions re: med-
ical removal; effect of
smoking on cadmium
exposure

Creosote
Periodic exam Yes – annual
Emergency/exposure Yes1 – special medical

examination and tests surveillance begins within
24 hours
Termination exam No
Exam includes emphasis on
Examination includes the neurological system and
special emphasis on Skin noting any
these body systems abnormal lesions and
Evidence of skin
sensitisation
Work and medical Required for all examina-

history tions; includes family and
occupational history,
and environmental
factors
Chest x-ray No
test (PFT)
Evaluation of ability Yes if respirators are used


deemed necessary

employer
Employee counselling No
re: exam results,
conditions of
increased risk
Medical removal plan Yes if sensitization occurs

Chromium (VI), Hexavalent
Periodic exam Yes1

Emergency/exposure Yes1
Termination exam Yes3 – unless last exam was

less than 6 months prior to
date of termination
Skin especially hands and
Examination includes forearms and respiratory tract
special emphasis on
these body systems

history includes past, present and
anticipated future exposure;
any history of respiratory
system dysfunction, asthma,
dermatitis, skin ulceration or
nasal septum perforation;
smoking status and history
Chest x-ray No
test (PFT)


deemed necessary
Written medical opinion Yes – physician

to employer;

re: exam results,
conditions of
increased risk

Coke Oven Emissions
Periodic exam Yes1


Examination includes Skin

special emphasis on
these body systems

history includes smoking history
and presence and degree
of respiratory symptoms
Chest x-ray Yes

test (PFT)
Other required tests Weight, urine cytology,

urinalysis for sugar,
albumin, hematuria


deemed necessary

employee
Employee counselling Yes – by physician; also,

re: exam results, employer must inform
conditions of employee of possible health
increased risk consequences if employee
refuses any required
medical exam

Cotton Dust
Pre-placement exam Physical exam not specified;

other tests required
Periodic exam Physical exam not specified;

other tests required1, 4
Termination exam No
Examination includes Pulmonary

special emphasis on
these body systems
Work and medical Medical history; standardized

history questionnaire required;
Chest x-ray No
Pulmonary function FVC, FEV1, FEV1/FVC

test (PFT) Employees with specific
abnormalities are referred
to specialists1, 4, 5

Additional tests if No
deemed necessary
Written medical opinion Yes – physician to employer;

Employee counselling Yes – by physician re:

re: exam results, results of exam and any
conditions of medical conditions requir-
increased risk ing further examination or
treatment
Medical removal plan Yes – for inability to wear a

respirator (6 months)

Crystalline Silica
Pre-placement exam Physical exam

Periodic exam Physical exam annual;

Termination exam No
Examination includes Pulmonary

special emphasis on
these body systems

Chest x-ray No

test (PFT) Employees with specific
abnormalities are referred
to specialists
Other required tests Yes x ray only for diagnosis
certified radiologist
or physician with expertise
in pneumoconioses re-
quired;
deemed necessary


treatment


1,2-dibromo-3-chloropropane
Periodic exam Yes1

Emergency/exposure Yes – male reproductive;
examination and tests repeat in 3 months
Termination exam No
Examination includes Reproductive, genitourinary;

special emphasis on
these body systems

history Includes reproductive history;
Chest x-ray No
test (PFT)


deemed necessary

employee

re: exam results,
conditions of
increased risk

Ethylene Oxide
Periodic exam Yes – annual1

Termination exam Yes1

Examination includes Pulmonary, skin, neurologic,
special emphasis on hematologic, reproductive,
these body systems eyes
Work and medical Required for all exams; in-

history cludes reproductive history
and special emphasis on
some body systems;
Chest x-ray No
test (PFT)
Other required tests CBC, white cell count with

differential, hematocrit, he-
moglobin, red cell count;


deemed necessary

employee

re: exam results,
conditions of
increased risk

Formaldehyde

Termination exam No
Examination includes Evidence of irritation or sen-

special emphasis on sitization of skin, respiratory
these body systems system, eyes; shortness of
breath

Chest x-ray No
Pulmonary function FVC, FEV1, FEF should be

test (PFT) evaluated if respiratory
protection is used


deemed necessary

employee
Employee counselling Yes– by physician; includes

re: exam results, information on whether
conditions of medical conditions were
increased risk caused by past exposures
or emergency exposures

Hazardous Waste Operations and Emergency Response (HAZWOPER)

Periodic exam Yes – annually or at
physician’s discretion1

months of termination/
reassignment
Examination includes Determined by physician;

special emphasis on
these body systems
Work and medical Yes – with emphasis on

history symptoms related to han-
dling hazardous materials
and health hazards, fitness
for duty and ability to wear
PPE2
Chest x-ray No – unless determined by
physician
Pulmonary function No – unless determined by

test (PFT) physician
Other required tests No – unless determined by

physician


deemed necessary

employee

re: exam results,
conditions of
increased risk

Isocyanates


Termination exam No
Examination includes Pulmonary, skin

special emphasis on
these body systems

Chest x-ray No

test (PFT)
deemed necessary


treatment


Lead

Termination exam No
Examination includes Teeth, gums, hematologic,

special emphasis on gastrointestinal, renal, car-
these body systems diovascular (BP), neurologi-
cal; pulmonary status if
respiratory protection used

history includes reproductive his-
tory, past lead exposure,
both work/non-work, and
history of specific body
systems; see standard
Chest x-ray No
Pulmonary function No – unless deemed neces-

test (PFT) sary by physician
Other required tests Hemoglobin, hematocrit,

ZPP, BUN, serum creatinine,
Urinalysis with micro, blood-
lead levels, peripheral smear
morphology, red cell
indices1, 5;

deemed necessary

employee

re: exam results, advising the employee of any
conditions of medical condition, occupa-
increased risk tional or non-occupational,
requiring further medical
examination or treatment

Mercury

Termination exam No
Examination includes Eyes, skin, respiratory

special emphasis on gastrointestinal, renal, car-
these body systems diovascular (BP), neurologi-
Cal 9CNS and PNS);
pulmonary status if
respiratory protection used

history includes reproductive his-
tory, past mercury exposure,
both work/non-work, and
history of specific body
systems;
Chest x-ray No
test (PFT)
Urinary and blood inorganic
Other required tests mercury
others determined by
physician


deemed necessary

employee

re: exam results, advising the employee of any
conditions of medical condition, occupa-
increased risk tional or non-occupational,
requiring further medical
examination or treatment

Methylene Chloride

Examination includes Lungs, cardiovascular
special emphasis on (including BP and pulse),
these body systems liver, nervous, skin; extent of
exam determined by exam-
iner based on employee’s
health status, work, and
medical history
Work and medical Required for all exams;
history example of work and med-
ical history form provided
Chest x-ray No
Pulmonary function No – unless deemed
test (PFT) necessary by physician or
other licensed healthcare
professional
Other required tests Laboratory surveillance may
include tests as determined
by examiner including
“before and after shift tests”;
Carboxyheamoglobin

deemed necessary
Written medical opinion Yes – by physician or other
Employee of increased risk of
harm from combined effects
of smoking and Methylene
Chloride
re: exam results, licensed healthcare profes-
conditions of sional
increased risk

Methylene di-aniline (MDA)
Periodic exam Yes – annual1, 4

Termination exam No
Examination includes Skin, hepatic

special emphasis on
these body systems
Work and medical Required for all

history examinations2; includes
past work with MDA and
other specific items;
Chest x-ray No
test (PFT)
Other required tests Liver function tests,

urinalysis


deemed necessary

employee

re: exam results,
conditions of
increased risk

Noise
Pre-placement exam Baseline audiograms are

required within 6 months of
exposure at or above 85dB.
Periodic exam Annual audiometric testing

required
Termination exam No requirements
Examination includes Auditory

special emphasis on
these body systems
Work and medical Yes

history
Chest x-ray No
test (PFT)
Other required tests Initial and annual audiomet-

ric testing1, 4, 5;
Evaluation of ability No
Yes, bone conduction
Additional tests if audiometry
deemed necessary
Written medical opinion No
Employee counselling Yes – if standard threshold

re: exam results, shift or suspected ear
conditions of pathology
increased risk

Organophosphate Pesticides

other tests required baseline
Red blood cell and plasma
Cholinesterase activity
levels5
Termination exam No
Examination includes No
special emphasis on
these body systems

Chest x-ray No
test (PFT)
Other required tests Yes – if deemed necessary
– estimated red cell and
plasma cholinesterase
activity at end of work day
after exposure
deemed necessary


treatment


Respiratory Protection
Pre-placement exam Evaluation questionnaire or

exam; follow-up exam
when required5
Periodic exam Yes – in specific situations5

Termination exam No
Examination includes Yes5

special emphasis on
these body systems
Work and medical Yes2

history
Chest x-ray As determined by physician

or other licensed healthcare
professional
Pulmonary function As determined by physician

test (PFT) or other licensed healthcare
professional
Other required tests As determined by physician

or other licensed healthcare
professional


deemed necessary
Written medical opinion Yes – physician or other

employee

re: exam results, licensed healthcare
conditions of professional
increased risk

Vinyl Chloride
Periodic exam Yes1

Termination exam No
Examination includes Special attention to detecting

special emphasis on enlargement of the liver,
these body systems spleen or kidneys, or dys-
function of these organs
and abnormalities in skin,
connective tissue and
pulmonary system;
Work and medical Required for initial and

history periodic exams2; includes
alcohol intake, history of
hepatitis, exposure to hepa-
totoxic agents, blood transfu-
sions, hospitalizations, and
work history
Chest x-ray No
test (PFT)
Other required tests Blood test for total bilirubin,

alkaline phosphatase, SGOT,
SGPT and gamma glutamyl
transpeptidase


deemed necessary

Employee counselling No
re: exam results,
conditions of
increased risk

Footnotes
1
Pre-placement and periodic examinations are dependent upon specific factors such as
airborne concentrations of the material and/or years of exposure, biological indices, age of
employee, amount of time exposed per year.
2
Standard requires medical and work history focused on special body systems, symptoms,
personal habits, and/or specific family, environmental or occupational history.
3
No examination required if previous examination done within specified time frame (e.g., 6
months or 12 months) and provisions of standard met.
4
Additional physician review: Provisions for referring employees with abnormalities to a
specialist as deemed necessary by examiner.
5
May require specific protocol.

Appendix 3: Sample General Health History Questionnaire
Medical Exam Frequency: Pre-Placement, Annual, Termination
General Health History Questionnaire – Page 1 of 2

First Name Last Name Nationality
_____________________ __________________________ __________________
Male
Height _______
Date of Birth (d/m/y) ____ / _____ / _____ Weight: ___ Kg
cm
Female
OCCUPATIONAL HISTORY
From To Occupation WORK EXPOSURE (Check box if yes)
1 Ionizing Radiation Dust
2 Chemicals Noise
3 Heavy Metals Industrial Accident /

Compensation
PERSONAL HISTORY - Do you suffer from or have you had? – (Check box if yes)
Rheumatic Rectal Bleeding Thyroid Disease Muscular weakness / paralysis

Fever
High Blood Hernia Anxiety / Depression Lost work time due to back pain
Pressure
Varicose Veins Venereal Insomnia Unexplained Chronic fatigue
Disease
Chest Pain Kidney Disease Back Trouble Irritable or inflammatory Bowel disease
Breathlessness Renal Colic Bone Complaint Lost work time due to migraines
Palpitations Incontinence Joint Complaint Diagnosis of depression
Pneumonia Frequent Skin Disease Diagnosis of Bipolar Disorder

Urination
Tuberculosis Painful Urination Multiple Sclerosis Diagnosis of obsessive Compulsive disorder
Bronchitis Blood in Urine Jaundice Diagnosis of anxiety or Panic Attacks
Asthma Epilepsy Diabetes Have you been admitted to a mental

health/Psychiatric Hospital?
Chronic Cough Stroke Poliomyelitis Have you ever suffered any mental and/or
psychiatric illness/disorder?
Sputum with Migraine Anemia Have you ever taken and/or been prescribed any
Blood psychiatric meds?
Peptic Ulcer Loss of Cancer Have your ever suffered any serious head
Consciousness traumas/injuries?
Numbness / Have you even seen a Psychiatric and/or
Haemorrhoids Arthritis
Tingling Psychologist/Counsellor?
Eye Trouble Ear Trouble Fibromyalgia Drug Reaction :

_____________________________________
Difficulty Nose Trouble Allergy ____________________________________________
Color Vision
FEMALES
Are you pregnant? Yes No Number of Pregnancies Number of Live Births

FAMILY HISTORY
State of Health /
FAMILY AGE State of Health / Cause of Death FAMILY AGE
Cause of Death
Father Wife / Husband
Mother Son(s)
Brother(s) Daughter(s)
Sisters(s) Number of Children
Is there a family history of – (Check box if yes)
Hearth Disease Anemia Kidney Disease Diabetes
High Blood Pressure Asthma Stroke Cancer
Mental
Allergy Tuberculosis Epilepsy
Disorder

General Health History Questionnaire – Page 2 of 2
LIFESTYLE
Average weekly consumption of alcohol: ___________________ units
Daily consumption of tobacco: ________ per day
per week
Exercise type: ___________ Minutes per day _________ Recreational Drugs: Yes No
MEDICAL HISTORY
Information on Medications taken on a regular or occasional basis over the past two years.
I have not taken any medications over the past 2 years or List as requested below …
Are you currently

Medication And Dosage Date Started Reason for Medication taking this
medication?
Yes No
Yes No
Yes No
SURGICAL HISTORY
List all Chronic Health Problems, Hospitalizations and Surgeries that you have experienced:
I have not had any chronic health problems, hospitalizations, nor surgeries or Complete information below …
Surgery
Current status related to each health issue
Performed?
Date Problem / Hospitalization/Surgery
& date of any surgery performed
Yes No
IMMUNIZATION HISTORY
Have you ever had active pulmonary TB? No Yes; if ‘yes’ give date _____________
Was it treated and for how long? No Yes Treated for ____ months
Tuberculosis
(TB) Have you had a BCG vaccine? No Yes; if ‘yes’ give year : ______________
Have you had a TB skin test (Mantoux)? No Yes; if ‘yes’ give date _________ & Result _____
mm
Have you ever been diagnosed with Hepatitis (A, B, C)?

Hepatitis
No
Yes; if ‘yes’ give date: ___________

What type of Hepatitis did you have? ________ What was your treatment? _____________________
Have you had any Hepatitis vaccines? No Yes
Which vaccine did you have? ______________________________________________________
Dates of each dose : ___________________; ____________________ and _________________
Measles, Mumps, Rubella Have you had the vaccine for Measles/Mumps/Rubella? No Yes; if ‘yes’ give date ________
Tetanus / Diphtheria Have you had a booster for Tetanus / Diphtheria? Never Yes, in the year _____________
Chicken Pox / Varicella Have you had the Varicella vaccine? No Yes - Date of each dose ________ & _________
Please check to make sure you have completed all questions on the two pages of this form.
Your medical information cannot be evaluated unless all questions are completed or marked “unknown”.
I affirm that the information and responses I have provided are accurate and true to the best of my
knowledge.
Date (dd/mm/yy):_________________________
Signature:____________________________

Appendix 4: Sample Employment Medical Examination Form
EMPLOYMENT MEDICAL EXAMINATION FORM

Page 1 of 2
This report is to be completed by a licensed Medical Physician who performs complete physical exams as
a part of his/her practice. Please assess and describe all abnormal findings, including past surgeries,
serious and chronic conditions and indicate all current treatments.
Family Name First Name Gender: Age Height (cm) Weight (kg) BMI
Male
________________ ________________ Female
____ _______ _________ ____
EXAMINATION FINDINGS COMMENTS ON ABNORMAL FINDINGS

General
HAIR
SKIN
NAILS
EYES
LIGHT REFLEXES
ACCOMODATION
NYSTAGMUS
FUNDI
ISHIHARA TEST
EYE TEST
COLOR VISION
OTHER RT /6 LT /6
EARS
MEATUS
EAR DRUMS
ABILITY TO HEAR / CONVERSATIONAL Weber
HEARING TONES Rinne
CARDIO – VASCULAR
PULSE / min
RHYTHM INDICATE NATURE & DEGREE
BLOOD PRESSURE Systolic /Diastolic mmhg
HEART SOUNDS
HEART MURMURS
VARICOSE VEINS
RESPIRATORY
NASAL PASSAGE PERCUSSION
THYROID
TRACHEA
LYMPH NODES
CHEST SHAPE / MOVEMENT
BREATH SOUNDS
ADDED SOUNDS
ALIMENTARY
TEETH
TONGUE
LIVER
SPLEEN
LYMPHADENOPATHY
HERNIAL ORIEICES
ANUS RECTUM / P.R.
URINARY
KIDNEYS
GENITALIA
MUSCULO - SXELETAL
HANDS
LIMBS
BACK

JOINTS
INJURIES
CENTRAL NERVOUS
I II III IV V VI
CRANIAL NERVES VII VIII IX X XI XII
SI TR SUP KN AN PL
REFLEXES RT.
LT.
POWER
TONE
CO -ORDINATION
SENSATION
EMOTIONAL STABILITY
EMPLOYMENT MEDICAL EXAMINATION
Page 2 of 2
Please complete the requested information, based on your findings during the health history and physical exam on this
individual ability to:
ACTIVITY Y N EXPLANATION/FINDINGS
Ability to stand and walk continuously for 8 - 12 hours per day.
Ability to bend, stoop & squat repeatedly
Ability to push, pull and lift patients

Ability to lift 12 kg
Ability to carry 12 kg occasionally & for short periods

Ability to climb step ladders
Ability to operate motorized equipment and/or vehicles

Ability to work 12 hours and to rotate shifts (shift work)
Ability to sit for extended periods of time
Current
Type Surgery Date (dd/mm/yy)
status
Previous surgery
Yes No
Describe chronic conditions, with current status for each:
1
2
3
4
5

I Have examined the employee and in my medical opinion consider that he / she is (check one):
Physically fit for employment and demands of the job.
Temporarily unfit, but likely to become fit after recovery from the medical problem identified in the examination result.
From a medical aspect, I estimate he / She may be fit for work in __________ weeks.
Signature
MD Name & Stamp:

Date (d/m/y)
Note: This form is valid for a period of six months from the date of signature

Appendix 5: Sample Seafarers Certificate of Medical Fitness
CERTIFICATE OF MEDICAL FITNESS

This certificate is issued by the approved medical practitioner to the medical and visual
standards of STCW and ILO Convention 1946 (No 73).
Seafarer’s Name:
Seaman’s Book Number:
Date of Expiry of this Certificate:
I certify that the above mentioned seafarer has undergone a medical examination in
compliance with the above regulation and I have found him/her fit for UNRESTRICTED
seafaring in the following category:
Category: Deck / Engine / Catering * Officer / Rating *
I confirm that:
• His/her hearing and eyesight are satisfactory for the duties to be performed,
• His/her color vision is satisfactory ,
• He/she is fit / for lookout duties.
Official Stamp --- ----------------------

Signature and Name of
Approved Medical
Practitioner.
Date of Examination -------------------------------
*Delete as necessary.
Note :
Medical certificate of seafarers below age 40 - Valid for 5 years.
Medical certificate of seafarers above age 40 - Valid for 2 years


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Abu Dhabi Occupational Safety and

Health System Framework

ADOSH-SF – Codes of Practice

ADOSH-SF – Codes of Practice

(i) ADOSH-SF – Element 5 – Training, Awareness and Competency;

ADOSH-SF – Codes of Practice

3.1. Roles and Responsibilities

(i) occupational history - physical, chemical, biological, radiological, and ergonomic

ADOSH-SF – Codes of Practice

ADOSH-SF – Codes of Practice

(i) an identifiable adverse effect may be related to the occupation;

(c) An employer shall arrange for occupational health screening of employees.

3.3. General Requirements for Medical Surveillance:

3.4. Types of Occupational Health Screening and Medical Surveillance

(a) Occupational Health Screening/ Baseline Examinations: These examinations are

ADOSH-SF – Codes of Practice

(b) Periodic Medical Surveillance Examinations: Periodic monitoring examinations are

(c) Termination of Employment Examinations: These examinations are designed to

(d) Termination of Exposure Examinations: These examinations are performed when

(e) Specific Occupations/Occupational Groups: Some occupations or occupational groups,

3.5. Medical Records and Medical Confidentiality:

(i) the performance of an employee;

ADOSH-SF – Codes of Practice

ADOSH-SF – Codes of Practice

(c) Medical records shall include, but not limited to:

(i) doctor’s written opinion as to the employee’s suitability for employment in

ADOSH-SF – Codes of Practice

• US Department of Labor. OSHA 3162-12R 2009. Screening and Surveillance Guide.

• Department of Transport (UK). DVLA. Medical Standards for fitness to drive.

• CDC ‘Yellow Book’, USA. Atlanta, GA. Available at URL:

• NFPA. Standard on Comprehensive Occupational Medical Requirements for Fire

• Workplace Health and Safety Queensland. Workplace Health and Safety

ADOSH-SF – Codes of Practice

Version Revision Date Description of Amendment Page/s Affected

Change from HAAD to DOH

Minor editorial changes throughout the

OSHAD-SF - Mechanism 8.0 - OSH

In Part 3 of Appendix 1 (healthcare

ADOSH-SF – Codes of Practice

(1) Professional Drivers (taxi, bus, truck drivers etc.)

(4) Professional Divers

ADOSH-SF – Codes of Practice

Sub Type: Group 1: Taxi Driver (1 to 7 passengers)

Workplaces: Taxi company, Private, Commercial

Colour Vision: Ability to recognize signals

Seizure free for 7 years with medication

Alcohol dependence: 1 y without dependence

Sleep apnoea: If causing excessive sleep (in working hours)

Periodic Medical: At the time of taking license 18 years to 70 years

ADOSH-SF – Codes of Practice

Workplaces: Commercial drivers

Health History: General Health History Questionnaire - Appendix 3

Vision Test: Typically 6/9 in better eye

Colour Vision: Ability to recognize signals

Seizure free for 10 years without medication

Drug abuse: At least one year without abuse

At the time of taking license 21 years to 45 years

65 years and older: Medical annually without upper limit

ADOSH-SF – Codes of Practice

Workplaces: Commercial drivers