VICS CONSTRUCTION COMPANY LTD
STANDARD OPERATING PROCEDURE (SOP)
FOR
PERIODIC OCCUPATIONAL MEDICAL/FITNESS EXAMINATION
FOR EMPLOYEES
TABLE OF CONTENT
1. Purpose……………………………………………………..3
2. Objectives…………………………………………………..3
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3. Scope……………………………………………………….3
4. The Procedure………………………………………………3
5. Preventive Healthcare Advice/Measures…………………...4
6. Test Recommended…………………………………………4
7. Annexures………………………………………………….4
8. Fitness Certificate…………………………………………...6
9. Roles and Responsibilities………………………………….6
1. Purpose
The purpose of periodic medical examination is to monitor the health status of
employee to determine its departure from normal health, so as to identify potential
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problem area and effectiveness of existing preventive strategies and provide
preventive counseling. Periodic medical examination is a common means of
conducting health surveillance.
2. Objectives
▪ To detect early abnormalities and prevent worker exposed to hazardous work
from developing occupational disease.
▪ To ensure legal compliance
▪ To describe role of medical examiner
▪ Early detection, treatment and appropriate preventive action to be taken in
time to prevent progression of occupational disease
▪ To provide health education and advice to target group as well as to all
employees
3. Scope
Employees working in hazardous area/Dangerous operations as stated in Nigerian
Labour Act
4. Procedure-1
After identification of employees exposed to hazardous occupation /working in
dangerous operation on the basis of industrial hygiene survey report and other
criteria. Department wise, list of employees is to be prepared and send to. The
medical examination will be conducted as per the criteria laid down at OHC once in a
year or as frequently as it is required. Periodic medical examination is legal
requirement formulated by government under factories act, this obliges such
employees to have their fitness certificate to work certified by the factory medical
officer/medical retainer ship facilities/certifying surgeon at each examination.
Records of medical checkup and legal form are maintained in individual employees
file
5. Procedure-2
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▪ Record of medical check-up, Fitness certificate, Legal form and results of
various tests carried out are recorded in periodic medical examination form
(physical or computerized).
▪ Results of clinical/physical examination and various tests specific to
hazardous area/dangerous operation job are reviewed by the medical
examiner.
▪ Information regarding His/her fitness is sent to HR/Personnel department on
fitness certificate duly signed by the medical examiner.
▪ The Medical examiner is empowered to get opinion of specialist, if required.
6. Preventive health care advice/Measures
As appropriate, the candidate should be counseled on life style/communicable
diseases/use of safety devices/information about blood group. The content of medical
examination form and reports should be shown to candidate and his signature
obtained on the [Link] case of unfitness, a copy of medical examination report to be
given to candidate for obtaining second opinion regarding findings, if required by
specialist or competent authority.
7. Tests Recommended
▪ The tests are recommended as per the hazardous area/dangerous operation.
Appropriate equipment should be used for assessment.
▪ Delegation of technical work to unauthorized person must be avoided
▪ All findings should be seen personally and recorded
▪ Ensure that blood samples/urine sample collected, tested and reported upon
belongs to the person examined
▪ Sop on Universal precaution to be followed
8. Annexure-2
Serial. Number and Particulars, Medical check- up criteria Frequency Legal
compliance for Employees working in High Noise area Physical/clinical
examination/ECG/Audiometry Six Monthly Legal form no .as per the Nigerian
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Labour Act Employees working in confined space Physical/clinical
examination/BMI/ECG/BLOOD SUGAR,AUDIOMETRY/VISION TEST/COLOR
VISION TEST/PHYSICAL FITNESS TEST/LFT/RFT/PULMONARY FUNCTION
TEST/SQUAT TEST/COMPLETE BLOOD COUNT/STEP TEST/URINE
TEST/EEG/PRESONAL,FAMILY HISTORY/PERSONAL HABIT HISTORY Six
Monthly and as & when required Legal form no. as per Nigerian Labour Act. Food
Handlers medical examination Physical/clinical examination/Complete blood
count/Urine test/Stool Test/Hygiene status/Personal habit status/Vision test/Past and
family medical history Six Monthly Hygiene status- Monthly Legal form no.. as per
global practice
9. Annexure -2(2) 4
Employees working at height Physical/clinical
examination/AUDIOMETRY/BLOOD SUGAR/COMPLETE BLOOD
COUNT/BMI/VISION TEST/VISION AQUITY/PHYSICAL FITNESS
TEST/CHESTER TEST/PAST H/O ILLNESS/H/O MEDICATION/PULMONARY
FUNCTION TEST/EEG/HAND GRIP TEST/CNS AND CVS EXAMINATION/H/O
DISABILITY/H/O PERSONAL HABIT/ SIX MONTHLY AND AS AND WHEN
REQUIRED Legal form no .as per global rules Security medical examination
Physical/clinical examination/AUDIOMETRY/BLOOD SUGAR/COMPLETE
BLOOD COUNT/BMI/VISION TEST/VISION AQUITY/PHYSICAL FITNESS
TEST/CHESTER TEST/PAST H/O ILLNESS/H/O MEDICATION/PULMONARY
FUNCTION TEST/EEG/HAND GRIP TEST/CNS AND CVS EXAMINATION/H/O
DISABILITY/H/O PERSONAL HABIT/HIV1/2 AND HBsAg Once a year Legal
form no .as per the state factory rule 6 Drivers Medical Examination-Bus/crane
operators/Hydra operators/Fork lift operators/ Complete medical examination/vision
test/color vision test/ECG/Blood sugar/stool test/Urine test/Audiometry/Pulmonary
function test and special investigations as advised by the factory medical officer Six
Monthly Legal form number as per state factory rule
10. Annexure-2(3) 7
Employees working in fire department Complete medical
examination/PFT/Audiometry/ECG/Blood sugar/LFT/RFT/HIV1/2/HBsAg/CBC/Phy
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sical fitness test/vision test/squat test/hand grip test and special test as advised by the
factory medical officer Six monthly Legal form no. as per the Nigerian Labour Act
Employees exposed to chemicals/dust exposure/fumes and vapor exposure
Physical/clinical examination/ECG/X-ray chest/CBC/Blood Sugar/Urine
test/Biological Monitoring/RFT/LFT/LIPID PROFILE/PFT/Peak flow meter
test/ENT examination/Vision test/Color vision test/Audiometry and special
investigations as per the chemical to which employees are exposed Six monthly Legal
form no. as per the factory rule. Executive medical examination Complete medical
examination and investigations as per SOP Once a year Legal form no. as per factory
rule
[Link] Certificate-Annexure-1
Pre –employment medical Fitness Certificate To, HR Department From OHC
Certified that Mr/Mrs---------------------------------has been medically examined and
His/hers Blood grp is----------------Height------Weight----- -- Vision test: Color vision
test: Identification Mark:1-------------------------------------2----------------------------
Today I have examined and reviewed his/her investigations which are normal and
also found that he/she is not suffering from any contagious /infectious disease. She/he
has been Medically Recommended/Not Recommended/Fit/Unfit/Temporary Unfit
Date: Signature of Medical examiner with seal
[Link] and Responsibilities
1. Safety and Environmental Officer: To identify hazardous area /Dangerous
operations in consultation with HOD Safety and environment officer
2. Safety/Admin Officer: To prepare the list of identified employees exposed
3. HR/Admin Officer: To send list of identified employees to OHC.
4. HR/Health Officer: To conduct medical examination and send fitness certificate
to HR/Admin OHC Medical examination record Maintenance OHC
5. HR/Admin: To upload medical examination report in computerized OHS
6. OHC Staff: OHC To follow universal precaution SOP