The Philippines, Occupational Safety and Health Standards
RULE
1960
OCCUPATIONAL HEALTH SERVICES
Source:
Occupational Safety and Health Standards (As Amended).
Bureau of Working Conditions, Department of Labour and
Employment, Manila, Philippines. Second Publication, as amended,
1990. Copyright Reserved per P.D. 49
RULE 1960
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 co- operate 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 arid 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 keep in his
workplace at least the minimum quantity of medicines,
medical supplies and equipments and medical facilities
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 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 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
week, 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 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 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
week 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 first-aider 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 in a dental clinic.
(g) every employer of industries/establishments having
factories/plants using or producing pesticides under
toxicity categories I and III 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
trendelenburg 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 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 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 shall 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, the 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-aider 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 shalt 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 Qualifications:
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/Regional 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 affectivity of this Standards shall, within
six
(6) months have the required number of his workers
under-
go 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 to 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 shall not be used for discriminatory
purpose or in any other manner prejudicial to his
interest.
(6) Health Education and Counselling 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 deadliness, 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 Examination:
(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 nob 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 worker's prospective employment;
b. include chest x-ray examinations. Under the following
circumstances, x-ray examinations shall 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-Fay 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
be rated as follows:
CLASS A-Physically fit for any work
CLASS B-Physically under-developed or with correctable
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 Oganization (WHO) toxicity
classification standards.
(6) Shall have an internal 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, nitroglycol and other similar
substances.
1967.08 : Return to Work Examinations:
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 Examination:
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.
The International Labour Organization is a United Nations specialized agency.