This document outlines the key provisions and functions of occupational health services (OHS). It discusses the employer's responsibility to have experts implement OHS to manage workplace risks and workers' health. The five main functions of OHS are: 1) managing workplace health risks, 2) managing workers' health through various medical examinations and health programs, 3) emergency response, 4) providing clinical services, and 5) record keeping. It also lists common OHS providers and mechanisms for assessing OHS performance. Finally, it describes the range of OHS, which includes health promotion, treatment services, disability evaluation, return to work programs, drug screening, travel health, and legal notification/record keeping requirements.

1. Occ. – Occupational |ME – Medical Examination | MS – Medical Surveillance | OME – Occ. Medical Examination | OD – Occupational Diseases | OP – Occ. Poisoning | EPR –
Employer | EPE – Employee | RTW – Return to work | Medivac – Medical Evacuation | OPD – Outpatient Dept.
TOPIC 2: PROVISIONS OF OCCUPATIONAL HEALTH SERVICES (OHS)
How to implement OHS:
 Employer’s responsibility
 Must have experts (in house/external resources)
 Factors to consider:
o Nature of operations/hazards involved/associated
risks
o Number of employee that potentially exposed
o Duration of its operation
Functions of OHS (5):
1. Management of workplace occupational health risks
a. Identify & assess hazard
b. Recommend control @ workplace
c. Risk communication (to distribute info)
2. Management of workers’ health (10)
a. Pre-employment ME (baseline record)
b. Pre-placement ME (only for specific need job/hazard)
c. Health surveillance (to detect exposure levels)
d. Medical removal protection (due to suspect/definite OD)
e. Rehabilitation (by therapist & explore any job modifications if needed)
f. Return to work (OME b4 RTW. Assist worker to return & remain effective in job)
g. Follow up health of vulnerable group (pregnant mother)
h. Investigate OD/OP (to identify cause & avoid reoccurrences)
i. Health promotion (to inform of hazards to EPE)
j. Post-employment ME (end of service to check any changes due 2 employment)
3. Emergency response & disaster management
a. Arrangement of emergency situations (for EPE (injury) & workplace (catastrophes))
b. First aid training
4. Provisions of clinical services
a. Outpatient clinic services to workers
b. Specific occupational medicine clinical service
5. Record keeping
a. Statistics as required by NADOPOD & DOSH
b. Data on occupational hygiene (BM, exposures)
c. OME treated confidentially
d. Only revealed as to comply with law/harmful to public health.
OHS Providers:
 OH Doctor
 OH Nurse
 Occupational Hygienist
 Hygiene technician
 Ergonomist
 SHO
Mechanism to asses OHS performance (3):
1. Compliance w OH-related legislations
2. Compliance w company’s SH policy (by management audit)
3. OH Performance Data (to see progress of planned activities eg Gantt Chart/checklist)
Range of OHS (7):
1. Promotion (health promotion/safety training) & Prevention (ME, MS, Immunization)
2. Treatment
a. Clinical eg OPD, Specialist clinic
b. Emergency Service eg First aid, CPR, Medivac – domestic/international
3. Disability evaluation (DE)
a. To evaluate post illness/injury
b. Access ability to perform previous job
c. Assists to determine RTW program
4. RTW program
a. To help EPE to RTW after prolong illness/injury
b. Before RTW program have to undergo DE
c. New post depends on the ability of EPE to perform
d. Content – counseling, rehab, retraining, financial assistance, relocation to new job
5. Alcohol & drug use screening
a. Type of screening – b4 job started/random/post incident;
b. Procedure of screening –
i. Must have clearly written procedures
ii. Process must be explain to the individual
iii. Written consent;
c. Legal matters
6. Travel health/medicine
a. To look into health issues of the EPE that needs to travel international/ domestic where
there’s a health risk involved
i. Pre-travel – immunization travel kits, medical conditions of EPE, available medical
services, medication for certain diseases (eg Prophylaxis for Malaria)
ii. During – on going medication (eg Malaria), arrangement of emergency evacuation
iii. Post-travel arrangement – ME, continue medication (eg Malaria), quarantine
7. Notification & health records (to comply with Legal Requirements)