Thông tư 19/2011/TT-BYT

Circular No. 19/2011/TT-BYT of June 06, 2011, guiding the management of labor hygiene, laborers’ health and occupational diseases

Nội dung toàn văn Circular No. 19/2011/TT-BYT guiding the management of labor hygiene, laborers’ h


THE MINISTRY OF HEALTH
-------

SOCIALIST REPUBLIC OF VIET NAM
Independence - Freedom – Happiness
---------

No. 19/2011/TT-BYT

Hanoi, June 6, 2011

 

CIRCULAR

GUIDING THE MANAGEMENT OF LABOR HYGIENE, LABORERS’ HEALTH AND OCCUPATIONAL DISEASES

Pursuant to the June 23, 1994 Labor Code and its amendments and supplements of 2002, 2006 and 2007;

Pursuant to the Government’s Decree No. 06/CP of January 20, 1995, detailing a number of articles of the Labor Code concerning labor safety and hygiene, and Decree No. 110/2002/ND-CP of December 27, 2002, amending and supplementing a number of articles of the Government’s Decree No. 06/CP;

Pursuant to the Government’s Decree No. 188/2009/ND-CP of December 27, 2009, defining the functions, tasks, powers and organizational structure of the Ministry of Health, and Decree No. 22/2010/ND-CP of March 9, 2010, amending and supplementing Article 3 of the Government’s Decree No. 188/2009/ND-CP of December 27, 2009;

At the proposal of the director of the Health Environment Management Agency,

Chapter 1

GENERAL PROVISIONS

Article 1. Scope of regulation

This Circular provides the management of labor hygiene, laborers’ health and occupational diseases.

Article 2. Interpretation of terms

In this Circular, the terms below are construed as follows:

1. Labor hygiene management means the management of elements in the working conditions and environment which are harmful to laborers’ health; application of measures to improve working conditions, prevent occupational diseases and raise working capacity for laborers.

2. Labor hygiene elements include climate micro-elements (temperature, humidity, wind speed); physical elements (heat radiation, light, noise, vibration, radioactivity, electromagnetic field); dust; chemical elements; pathogenic microorganisms; labor psychophysiology and ergonomics; and other elements in the working environment.

3. Occupational disease means a disease caused to a laborer’s health due to harmful working or manufacture conditions of a job.

4. Unit measuring and examining the working environment means a unit which is qualified in terms of physical foundations, personnel and equipment to measure and examine the working environment (below referred to as working environment measuring and examining unit).

5. Labor health and environment management unit of a province or centrally run city or a ministry or sector is the Labor Health and Environment Protection Center or provincial-level Preventive Health Center (for provinces having no Labor Health and Environment Protection Center) or the unit assigned to health management of a ministry or sector (below referred to as health agency of a ministry or sector).

Article 3. Management principles

1. All labor establishments must make and periodically supplement dossiers of labor hygiene management and dossiers of laborers’ health and occupational diseases.

2. The working environment must be measured and examined by qualified units under this Circular.

3. Labor hygiene, laborers’ health and occupational diseases shall be managed on the basis of management decentralization and line management combined with territory-based management.

Chapter 2

MANAGEMENT OF LABOR HYGIENE, LABORERS’ HEALTH AND OCCUPATIONAL DISEASES

Article 4. Labor hygiene management

1. To make labor hygiene dossiers according to the form provided in Appendix 1 to this Circular, covering the following principal contents:

a/ Part I. General situation of the labor establishment, including basic information on organizational structure, payroll; size and tasks; briefing of operating technological processes; hygiene of the surrounding environment and the working environment; health organization of the labor establishment; listing of machines, equipment and substances subject to strict labor safety and hygiene requirements;

b/ Part II. Labor hygiene of sections of the labor establishment;

c/ Part III. Listing of equipment meeting requirements on working environment hygiene safety;

d/ Part IV. Registration of regular examination of the working environment.

2. To plan annual labor hygiene management, covering schedule for measuring and examination of the working environment, and preventive and remedy solutions.

3. To measure and examine labor hygiene elements according to the form provided in Appendix 2 to this Circular.

4. For investment projects to build or set up labor establishments, to make health impact assessment reports under regulations.

Article 5. Management of employees’ health

1. Health management upon recruitment:

a/ To conduct medical examinations for employees and classify their health status before recruitment under Appendix 2 to the Health Ministry’s Circular No. 13/2007/TT-BYT of November 21, 2007, guiding the medical examination and assignment of jobs suitable to employees’ health;

b/ To make dossiers of employees’ health upon recruitment according to Form No. 1 provided in Appendix 3 to this Circular.

3. Regular medical examinations:

a/ To annually conduct medical examinations for employees, including also vocational trainees and trainee practitioners. To biannually conduct medical examinations for persons doing hard, hazardous, dangerous and exceptionally hard, hazardous and dangerous jobs and occupations under the Minister of Labor, War Invalids and Social Affairs’ regulations;

b/ The process of regular medical examination and recording in regular medical examination books comply with Appendix 3 to the Health Ministry’s Circular No. 13/2007/TT-BYT of November 21, 2007, guiding medical examination;

c/ To manage and list diseases of employees quarterly according to Forms No. 2 and 3 provided in Appendix 3 to this Circular;

d/ To make dossiers of laborers’ health management according to Forms No. 4, 5 and 6 provided in Appendix 3 to this Circular.

3. Examination of occupational diseases:

a/ To conduct medical examinations to detect occupational diseases for employees working under conditions vulnerable to contraction of occupational diseases;

b/ To conduct medical examinations to detect and regularly monitor occupational diseases under the process and procedures provided in Appendices 1, 2 and 3 to the Health Ministry’s Circular No. 12/2006/TT-BYT of November 10, 2006, guiding the examination of occupational diseases;

c/ To make and keep dossiers of occupational diseases management according to Forms No. 7 and 8 provided in Appendices 3 and 4 to this Circular and keep these dossiers till employees quit jobs, are retired or move to other labor establishments.

4. First aid for labor accident victims:

a/ To adopt plans to provide first aid for labor accident victims, including furnishing of emergency equipment suitable to the organization and operation of labor establishments;

b/ To annually provide training in first aid methods for hygiene safety staff and employees under Appendix 1, listing training contents on labor hygiene and first aid for laborers, to the Health Ministry’s Circular No.09/2000/TT-BYT of April 28, 2000, guiding health care for employees of small- and medium-sized enterprises, and the Labor, War Invalids and Social Affairs Ministry’s Circular No. 37/2005/TT-BLDTBXH of December 29, 2005, guiding the training in labor safety and hygiene;

c/ To make first aid dossiers for all victims of labor accidents happening in labor establishments according to Appendix 5 to this Circular and keep them till employees quit jobs, are retired or move to other labor establishments.

5. Sufferers of occupational diseases or victims of labor accidents may receive medical assessment for determining the level of working capacity loss under current regulations.

Chapter 3

PROVISIONS ON WORKING ENVIRONMENT MEASURING AND EXAMINING UNITS

Article 6. Conditions on working environment measuring and examining units

1. Conditions on physical foundations: To have an office with at least the following sections: administration and dossier receipt, dust and physical element testing, chemical and toxicant testing; microorganism testing; and assessment of labor psychophysiology and ergonomics;

2. Conditions on equipment: To comply with Appendix 6 to this Circular;

3. Conditions on personnel: Employees of a working environment measuring and examining unit must hold diplomas and certificates relevant to types of testing, certificates of training in supervision of the working environment and laborers’ health and occupational diseases and be qualified for conducting tests of working environment measuring and examination under Appendix 6 to this Circular.

Article 7. Dossiers and procedures for announcing working environment measuring and examination

1. A dossier of announcement of eligibility for working environment measuring and examination comprises:

a/ A statement of eligibility for working environment measuring and examination, made according to the form provided in Appendix 7 to this Circular;

b/ A list of personnel, a copy of the ground design and a list of equipment of the working environment measuring and examining unit, made according to the form provided in Appendix 7 to this Circular.

2. Fifteen days before officially operating in working environment measuring and examination, a working environment measuring and examining unit shall submit its dossier of announcement of eligibility for working environment measuring and examination under Clause 1, Article 7 of this Circular to the Ministry of Health (the Health Environment Management Agency) and the provincial-level Health Department (the Professional Operation Division) of the locality in which it is headquartered.

Chapter 4

DOSSIER MANAGEMENT AND REPORTING REGULATIONS

Article 8. Dossier management

1. A labor hygiene dossier shall be made and kept as follows:

a/ One set shall be kept at the labor establishment;

b/ One set shall be kept at the provincial-level labor health and environment management agency of the locality in which the working environment measuring and examining unit is headquartered, and at the health agency of a ministry or sector, for labor establishments managed by ministries or sectors.

2. Working environment measuring and examination results shall be made and kept as follows:

a/ One set shall be kept at the labor establishment;

b/ One set shall be kept at the unit measuring and examining the working environment of the labor establishment provided in this Clause;

c/ One set shall be kept at the provincial-level labor health and environment management agency of the locality in which the labor establishment is headquartered, and at the health agency of a ministry or sector, for labor establishments managed by ministries or sectors.

3. Dossiers of employees’ health and diseases, personal records of occupational diseases and dossiers of first aid for labor accident victims shall be kept at the labor establishment till employees quit jobs, are retired or move to another labor establishment.

Article 9. Reporting regulations

1. Quarterly, before the 20th of the last month of a quarter, a labor establishment shall complete and submit a report on its health activities according to Appendix 8 to this Circular to the Health Center or Preventive Health Center of a district, town or provincial city (below referred to as district health center), and the health agency of a ministry or sector, for labor establishments managed by ministries or sectors;

2. Before June 25th and December 25th every year, a district health center shall summarize reports and submit a general report the provincial-level labor health and environment management agency according to Appendix 9 to this Circular;

3. Before June 30th and December 31st every year, provincial-level labor health and environment agencies and health agencies of ministries and sectors shall summarize reports on management of labor hygiene, laborers’ health and occupational diseases of localities, ministries and sectors under their management according to Appendix 10 to this Circular and send them to the Ministry of Health (the Health Environment Management Agency).

Chapter 5

IMPLEMENTATION RESPONSIBILITIES

Article 10. Responsibilities of employees

1. To participate in all regular medical examinations and occupational disease examinations held by employers;

2. To follow doctors’ instructions on medical examination and treatment.

Article 11. Responsibilities of employers

1. To assume the prime responsibility for, and coordinate with district health centers or provincial-level labor and environment management agencies or health agencies of ministries or sectors in, making labor hygiene dossiers, working out plans on working environment measuring and examination and organizing regular medical examinations and examinations of occupational diseases (if any) for employees.

2. To manage labor hygiene dossiers, employees’ health and disease records, personal records on occupational diseases and dossiers of first aid for labor accident victims, to monitor employees’ health and development of occupational diseases;

3. To complete formalities for health assessment, compensation and allowances for employees suffering occupational diseases or labor accidents;

4. To pay expenses for compilation of labor hygiene dossiers, working environment measuring and examination, regular medical examinations, examination and treatment of occupational diseases for employees and first aid and treatment for labor accident victims.

Article 12. Responsibilities of working environment measuring and examining units

1. To coordinate with employers, provincial-level labor health and environment management agencies and health agencies of ministries and sectors in working out plans on working environment measuring and examination upon request;

2. To take responsibility before law for their working environment measuring and examination results;

3. To keep and preserve working environment measuring and examination results under current regulations.

Article 13. Responsibilities of district health centers or district preventive health centers, for districts, towns and provincial cities having set up such centers

1. To coordinate with labor establishments under their management in making labor hygiene dossiers;

2. To examine and direct the management of labor hygiene, laborers’ health and occupational diseases under their management;

3. To sum up statistics and report to provincial-level labor health and environment protection management agencies on the management of labor hygiene, laborers’ health and occupational diseases in their localities.

Article 14. Responsibilities of provincial-level labor health and environment protection centers or provincial-level preventive health centers and health agencies of ministries and sectors

1. To coordinate with labor establishments in making labor hygiene dossiers under Clause 1, Article 4 of this Circular;

2. To examine and direct the management of labor hygiene, laborers’ health and occupational diseases under their management;

3. To sum up statistics and report to provincial-level Health Departments and the Health Environment Management Agency (the Ministry of Health) on management of labor hygiene, laborers’ health and occupational diseases in localities under their management;

4. To coordinate with institutes under the preventive health system in organizing training courses on supervision of the working environment, laborers’ health and occupational diseases.

Article 15. Responsibilities of provincial-level Health Departments

1. To direct, organize and decentralize the management of labor hygiene, laborers’ health and occupational diseases under their management;

2. To quarterly and irregularly inspect and supervise activities of working environment measuring and examining units in their localities, report on, and propose the Ministry of Health to remove from the list of qualified working environment measuring and examining units, those units failing to meet the conditions as having registered;

3. To coordinate with institutes under the preventive health system and medical schools in organizing training courses on supervision of the working environment, labor health and occupational diseases.

Article 16. Responsibilities of institutes under the preventive health system and medical schools

1. To conduct technical examination and provide professional guidance for working environment measuring and examining units under their management;

2. To provide training for, and grant certificates of technical training in working environment measuring and examination, supervision of the working environment, labor health and occupational diseases to, the staff of working environment measuring and examining units;

3. To coordinate in considering dossiers of announcement of eligibility of working environment measuring and examining units when so requested;

4. To develop training programs on technical supervision and control of risk elements in the working environment and prevention of occupational diseases.

Article 17. Responsibilities of the Health Environment Management Agency-the Ministry of Health

1. To direct and organize the management of labor hygiene, laborers’ health and occupational diseases nationwide.

2. To make a list of qualified working environment measuring and examining units and publish it on the website of the Ministry of Health.

3. To conduct examination and coordinate in the inspection of working environment measuring and examining units nationwide.

4. To direct institutes under the preventive health system and medical schools in developing training contents and providing training in supervision of the working environment, labor health and occupational diseases.

5. To coordinate with concerned units in guiding and implementing this Circular.

Chapter 6

EFFECT

Article 18. Effect

This Circular takes effect on September 1, 2011.

The Health Ministry’s Circular No. 13/1996/TT-BYT of October 21, 1996, guiding the management of labor hygiene, laborers’ health and occupational diseases terminates its effect on the effective date of this Circular;

Any problems arising in the course of implementation should be reported to the Ministry of Health (the Health Environment Management Agency) for study, consideration and prompt settlement.-

* All the appendices to this Circular are not printed herein

 

 

FOR THE MINISTER OF HEALTH
DEPUTY MINISTER




Trinh Quan Huan

 

APPENDIX 1

(Issued together the Circular No.19/2011/TT-BYT dated June 06, 2011 of the Ministry of Health)

SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
---------------

Record No.: _______/OH
(Issued by records preparing unit)

 

RECORDS OF OCCUPATIONAL HYGIENE

 

Name of labor establishment: _____________________________________________

Production lines: _______________________________________________________

Governing unit: ________________________________________________________

Address: _____________________________________________________________

Tel: ____________________ Fax: _________________________________________

E-mail: _______________________ Web-site: _______________________________

Records managing person: _______________________________________________

 

Records preparing unit: __________________________________________________

Address: ______________________________________________________________

Date of preparing dossier: ________________________________________________

Tel: __________________ Fax: ___________________________________________

E-mail: _____________________ Web-site: _________________________________

Records Preparer:______________________________________________________

 

 

 

 

 

 

 

 

Year: _______

 

PART I

GENERAL STATUS

1. Name of labor establishment: ___________________________________________

- Managing agency: _____________________________________________________

- Address: ____________________________________________________________

- Products of production lines (Main products): _______________________________

_____________________________________________________________________

- Year of establishment: _________________________________________________

- Total number of laborers: ________________________________________________

- Number of laborers directly producing: _____________________________________

- Number of laborers exposed to poisonous, hazardous factors: __________________

2. Scale (output of products):

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

3. Summary of technological process:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

4. Ambient environment hygiene:

- Nearest distance from the emission source to residential areas: __________________

- Nearest distance from the emission sources to domestic water supply of the people:_______

- Water supply and drainage system at the labor establishment: ___________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

- High soil framework compared with historical flood level _________________  meters

- The green belt: ________________________________________________________

- The number of raw materials, fuel, energy used in 01 year:

+ Raw materials: ________________________________________________________

+ Fuel: ________________________________________________________________

+ Energy: ______________________________________________________________

- The number, category of industrial wastes/production wastes (liquid, solid, gas, dust, micro-organisms) in 24 hours:

______________________________________________________________________

______________________________________________________________________

- The works, equipment of industrial waste/production waste treatment:

______________________________________________________________________

______________________________________________________________________

- Other works:

+ Sanitation works (average of 1 toilet/workers/1 shift): __________________________

+ Baths (average of 1 shower/workers/1 shift): ________________________________

+ Place for break in middle shift: No [ ]         Yes [  ]           Number of places: ________

+ Canteen:                 No [ ]         Yes [  ]           Number of places: _________________
5. Working environment hygiene

- The hazardous factors that may arise in the process of operation of the labor establishment (sources causing pollution; the affected areas)

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

- The existing solutions to handle hazardous factors in the occupational environment:

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

6. Medical organization:

- Organization of medical division:          Yes £   No £       Contract: _______________

- Patient bed:          Yes £   No £       Quantity ££

- Total medical staffs: ££   including:          Doctor: ££       Physician    ££

                                                                      Nurse:    ££       Other: ££

- Location for medical staffs to work (description; address if it is the unit signing medical contact):         

_____________________________________________________________________

_____________________________________________________________________


- The number of rooms, facilities and equipment for first aid on the spot:

- Base number of drugs, facilities and tools serving first aid in place:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

- Plan to organize first aid in place:

_____________________________________________________________________

_____________________________________________________________________

7. Statistics on machinery, equipment and substances with strict OHS requirements:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

 

PART II

OCCUPATIONAL HYGIENE OF WORKSHOPS, WORKING SECTIONS
(Each workshop, section per page)

1. Name of workshop, working section: ______________________________________

2. Scale and task: ______________________________________________________

_______________________________________________________________________

3. Modification, improvement, expansion: ______________________________________

_______________________________________________________________________

4. Occupational environment and number of laborers exposed to harmful factors:

Harmful factors

Total samples

Number of samples exceeding OH standard

Number of persons exposed

Including female

Note

Microclimate

 

 

 

 

 

Dust factor

- Weight dust.

- Respiratory Dust

 

 

 

 

 

Noise

 

 

 

 

 

Vibration

 

 

 

 

 

Light

 

 

 

 

 

Hard, dangerous, stressed

 

 

 

 

 

Chemical factors

_____________________

_____________________

 

 

 

 

 

Microbiological factors

_____________________

_____________________

 

 

 

 

 

Other factors

_____________________

_____________________

_____________________

 

 

 

 

 

 

PART III

COUNTING EQUIPMENT ENSURING OCCUPATIONAL ENVIRONMENT HYGIENE
(Each workshop, section per page)

Year

Method

Category and equipment of occupational environment hygiene

Performance

 

Ventilation

______________________________

______________________________

______________________________

________________

________________

________________

Lighting

______________________________

______________________________

______________________________

________________

________________

________________

Anti-Noise, vibration

______________________________

______________________________

______________________________

________________

________________

________________

Anti-dust

______________________________

______________________________

______________________________

________________

________________

________________

Anti poisonous gas

______________________________

______________________________

______________________________

________________

________________

________________

Anti-microbial agents

______________________________

______________________________

______________________________

______________________________

________________

________________

________________

________________

 

Other

______________________________

______________________________

______________________________

______________________________

________________

________________

________________

________________

 

PART IV

REGISTRATION FOR PERIODIC INSPECTION OF OCCUPATIONAL ENVIRONMENT

Registration of inspection for the …time: ………………

- Day, month, year of inspection: ____________________________________________

- The workshops, working section registered: __________________________________

______________________________________________________________________

- The factors registered: __________________________________________________

______________________________________________________________________

- The workshops, working section not yet inspected: ____________________________

______________________________________________________________________

 

Director of labor establishment
(Signature, stamp)

Inspection agency
(Signature, stamp)

 

REGISTRATION FOR PERIODIC INSPECTION OF OCCUPATIONAL ENVIRONMENT

Registration of inspection for the …time: ………………


- Date of inspection:
- The region, workshops already registered:

- Other factors were examined:

- The regional, untested workshop:

- Day, month, year of inspection: ___________________________________________

- The workshops, working section registered: _________________________________

_____________________________________________________________________

- The factors registered: _________________________________________________

_____________________________________________________________________

- The workshops, working section not yet inspected: ___________________________

_____________________________________________________________________

 

Director of labor establishment
(Signature, stamp)

Inspection agency
(Signature, stamp)

 

RECORDS OF OCCUPATIONAL HYGIENE

Part I. General status

1. Organization.

2. Scale.

3. Summary of technological processes.

4. Ambient environment hygiene.

5. Occupational environment hygiene.

6. Health organization.

7. Statistics on list of machinery, equipment and substances with strict OHS requirements.

Part II: Occupational hygiene in workshops and working section

Part III: Statistics on equipment ensuring occupational environment hygiene

Part IV: Registration for periodic inspection of occupational environment

Note:

- Records of occupational hygiene used to manage occupational environment is a basis for building plans to improve working conditions, prevent labor accidents, occupational diseases and conduct procedures to assess occupational diseases for employees.

- The periodic register of the occupational environment shall be made by units qualified to perform occupational environment inspection, measurements (defined in Chapter III of this Circular).

 

APPENDIX 2

(Enclosed with Circular No. 19/2011/TT-BYT dated June 06th 2011 by the Ministry of Health)

THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
-------------------

 

WORKING ENVIRONMENT MEASUREMENT AND INSPECTION RESULTS

 

(Retained with the Occupational hygiene file in Appendix 1 after annual modification)

______[Date]______

 

 

 

______[Location]_______

 

______[Year]______

 

_____[Province/City]_____
Establishment carrying out working environment measurement and inspection: __________________________

THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
-------------------

No.: ______/MTLD

[Location]____,[Date]________

 

In the implementation of the Labor Code dated 23/6/1994 and its amendments in 2002, 2006 and 2007; Decree No. 06/CP of the Prime Minister dated 20/01/1995; Decree No. 110/2002/ND-CP dated 27/12/2002 and Circular No. 19/2011/TT-THE MINISTRY OF HEALTH dated June 06th 2011 by the Ministry of Health.

[Name of establishment carrying out the working environment measurement and inspection] __

________________________________________________________________________________

Address: ________________________________________________________________________

Phone: __________________________________________________________________________

Representative: (Mr./Ms.) __________________________________________________________   

Have carried out the working environment measurement and inspection: ___________________

________________________________________________________________________________

[Date]________

Methods:

The indices of microclimate, dust, light, poisonous gas, radioactivity and electromagnetic field at technical positions were measured using [name of the method] _______________________________________________

Instruments:

+ Microclimate was measured with: __________________________________________________

+ Light was measured with: _________________________________________________________

+ Noise was measured with: ________________________________________________________

+ Dust was measured with:_________________________________________________________

+ Radioactivity was measured with: __________________________________________________

+ Electromagnetic field was measured with: ___________________________________________

+ Poisonous gas was measured with: ________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Criteria are referred to current regulations to produce the measurement results as follows:

I. MICROCLIMATE FACTORS (actual values are required)

Time (season) of measurement:

Allowable limit

Temperature (oC)

Humidity (%)

Wind speed (m/s)

 

 

 

No.

Position

Number of satisfactory specimens

Number of unsatisfactory specimens

Number of satisfactory specimens

Number of unsatisfactory specimens

Number of satisfactory specimens

Number of unsatisfactory specimens

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

II. PHYSICAL FACTORS (actual values are required)

1. Light (Lux)

Allowable limit
(

 

 

No.

Position

Number of satisfactory specimens

Number of unsatisfactory specimens

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

2. Noise (dBA) (actual values are required)

Allowable limit

 

 

 

 

 

 

 

 

 

Position

Limit of noise level or the equivalent (dBA)

Limit of noise level (dB) of the corresponding octave (Hz)

63

125

250

500

1000

2000

4000

8000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total measurement results: Total noise specimens: ____________________________

                                   Total noise specimens exceeding Occupational hygiene standards: ____________________________

3. Vibration (actual values are required)

Allowable limit

 

 

 

No.

Position

Frequency band

Vibration velocity

Vertical vibration

Horizontal vibration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total measurement results: Total vibration specimens: ____________________________

                                   Total vibration specimens exceeding Occupational hygiene standards: ____________________________

III. DUSTS (actual values are required)

1. Silicon dust

Allowable limit

 

 

 

 

 

No.

Position

Free silicon content

Overall dust concentration

Respiratory dust concentration

By shift

By time

By shift

By time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total measurement results: Total dust specimens: ____________________________

                                   Total specimens exceeding Occupational hygiene standards: ____________________________

2. Other Dusts (actual values are required)

Allowable limit

 

 

 

 

 

No.

Position

Kind of dust

Overall dust concentration

Respiratory dust concentration

By shift

By time

By shift

By time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total measurement results: Total dust specimens: ____________________________

                                   Total specimens exceeding Occupational hygiene standards: ____________________________

IV. TOXIC GAS (actual values are required)

Name of chemical

 

 

 

Allowable limit

 

 

 

No.

Position

Number of satisfactory specimens

Number of unsatisfactory specimens

Number of satisfactory specimens

Number of unsatisfactory specimens

Number of satisfactory specimens

Number of unsatisfactory specimens

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

V. OTHER FACTORS (actual values are required)

Name of factor

 

 

 

Allowable limit

 

 

 

No.

Position

Number of satisfactory specimens

Number of unsatisfactory specimens

Number of satisfactory specimens

Number of unsatisfactory specimens

Number of satisfactory specimens

Number of unsatisfactory specimens

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

COLLECTION OF WORKING ENVIRONMENT MEASUREMENT AND INSPECTION RESULTS

No.

Factor

Number of specimens

Number of satisfactory specimens

Number of specimens exceeding Occupational hygiene standards

1

Temperature

 

 

 

2

Humidity

 

 

 

3

Wind speed

 

 

 

4

Light

 

 

 

5

Dust

Silicon

Others

Silicon

Others

Silicon

Others

 

- Overall dust

 

 

 

 

 

 

 

- Respiratory dust

 

 

 

 

 

 

6

Noise

 

 

 

7

Vibration

 

 

 

8

Toxic gases

 

 

 

 

- ____________________

 

 

 

 

- ____________________

 

 

 

 

- ____________________

 

 

 

 

 

 

 

9

Radioactivity

 

 

 

10

Magnetic field

 

 

 

11

Other factors

 

 

 

 

- ____________________

 

 

 

 

- ____________________

 

 

 

 

- ____________________

 

 

 

 

 

 

 

 

Total

 

 

 

 

PROPOSED SOLUTIONS

1. Labor organization solution 

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

2. Technical solution

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

3. Medical monitoring and healthcare solutions

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

4. Other remedial measures

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

- _______________________________________________________________________________

At positions where specimens are unconformable (as specified above), responsible agencies shall consider the proposed solutions  to improve the working conditions for employees according to the regulations in the Labor Code dated 23/6/1994 and its amendments in 2002, 2006 and 2007 and implement the policies on perquisites for people in contact with toxic substances according to regulations in the Labor Code dated 23/6/1994 and its amendments in 2002, 2006 and 2007 and Decree No. 06/CP dated 20/01/1995 and Decree No. 110/2002/ND-CP dated 27/12/2002 by the Prime Minister.

 

 

Head of the measuring establishment
(Signature and seal)

 

APPENDIX 3

(Enclosed with Circular No. 19/2011/TT-BYT dated June 06th 2011 by the Ministry of Health)

THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
-------------------

 

 

EMPLOYEE’S HEALTH PROFILE

 

 

 

 

Name of establishment: ___________________________________________________________

Managing branch: ________________________________________________________________

Address: ________________________________________________________________________

Phone: _________________________________ Fax:  ___________________________________

Email: ________________________________ Website:  _________________________________

Contact person: __________________________________________________________________

 

 

______[Year]______

 

 

Form No. 1: HEALTH MANAGEMENT UPON RECRUITMENT

Date

Number of examinations

Total

Health assessment

I

II

III

IV

V

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Form No. 2: EMPLOYEES’ HEALTH IN QUARTER

1. Number of sick leave (times): _____________________________________________________

2. Total number of sick leave days in the quarter: ______________________________________

3. Classification of illness examined in the quarter:

3.1. Total number of cases in the quarter: _____________________________________________

3.2. Illness caught:

No.

Group of illness

Quarter I

Quarter II

Quarter III

Quarter IV

Infected

Died

Infected

Died

Infected

Died

Infected

Died

1

Phthisis

 

 

 

 

 

 

 

 

2

Lung cancer

 

 

 

 

 

 

 

 

3

Acute sinusitis/nasopharyngitis/larynx

 

 

 

 

 

 

 

 

4

Chronic sinusitis/nasopharyngitis/larynx

 

 

 

 

 

 

 

 

5

Acute bronchitis

 

 

 

 

 

 

 

 

6

Chronic bronchitis

 

 

 

 

 

 

 

 

7

Pneumonia

 

 

 

 

 

 

 

 

8

Bronchial asthma, bronchiectasis, allergy

 

 

 

 

 

 

 

 

9

Diarrhoea, gastritis, enteritis

 

 

 

 

 

 

 

 

10

Endocrine diseases

 

 

 

 

 

 

 

 

11

Mental illness

 

 

 

 

 

 

 

 

12

CNS diseases and peripheral neuropathy

 

 

 

 

 

 

 

 

13

Eye diseases

 

 

 

 

 

 

 

 

14

Ear diseases

 

 

 

 

 

 

 

 

15

Cardiovascular diseases

 

 

 

 

 

 

 

 

16

Gastric/duodenum diseases

 

 

 

 

 

 

 

 

17

Hepatobiliary diseases

 

 

 

 

 

 

 

 

18

Renal/genitourinary diseases

 

 

 

 

 

 

 

 

19

Ratio of gynaecological cases to  females

 

 

 

 

 

 

 

 

20

Ratio of miscarriage to pregnancies

 

 

 

 

 

 

 

 

21

Skin diseases

 

 

 

 

 

 

 

 

22

Rheumeteological diseases

 

 

 

 

 

 

 

 

23

Occupational diseases

 

 

 

 

 

 

 

 

24

Malaria

 

 

 

 

 

 

 

 

25

Other diseases (specifications)

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

Number of victims of occupational accidents

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

Form No. 3: ILLNESS, LEAVES AND OCCUPATIONAL DISEASES

Time

Illness

Occupational accidents

Occupational diseases

Quarter

Month (1)

Number of employees (2)

Ratio % (3)

Number of days (4)

Ratio % (5)

Number of employees (6)

Ratio % (7)

Number of days (8)

Ratio % (9)

Number of employees (10)

Ratio % (11)

Number of days (12)

Ratio % (13)

Ist quarter

1

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

IInd quarter

4

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

IIIrd quarter

7

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

IVth quarter

10

 

 

 

 

 

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

Notes:

- Column (3): ratio (%) to total employees.

- Column (7): ratio (%) to total employees directly carrying the production.

- Column (5), (9), (13): ratio (%) to total sick leave/leaves of occupational accidents.

- Column (11): ratio (%) to total employees in contact with toxic occupational factors.

 

Form No. 4: MANAGEMENT OF EMPLOYEES’ HEALTH VIA PERIODIC MEDICAL EXAMINATIONS

Date

Periodic medical-examination number

Total

Health assessment

I

II

III

IV

V

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Male:

Female:

 

 

 

 

 

 

 

Form No. 5: MANAGEMENT OF CHRONIC DISEASES (*)

Workshop, area

Name of patient

Name of disease

Status

Treatment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(*) Chronic diseases in large-scale establishment may be managed separately.

 

Form No. 6: MANAGEMENT OF CHRONIC DISEASES SEPARATELY

Name of disease*: ________________________________________________________________

 

Workshop, area

Name of patient

Age, gender

Seniority

Status

Treatment

Male

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(*) Each disease shall be presented in separate page

 

Form No. 7: SUPERVISION OF OCCUPATIONAL DISEASES

Date

Name of disease

Number of examinations

Number of suspected cases

Number of diagnosed cases

Number of assessed cases

Number of registered cases

1

2

3

4

5

6

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Form No. 8: LIST OF EMPLOYEES SUFERRING FROM/HAVING OCCUPATIONAL DISEASES

No.

Name of patient

Age

Job when getting the occupational disease

Seniority (year)

Date of discovery of the occupational disease

Name of the occupational disease

Loss of working capacity (rate, %)

Current job

1.

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total number of patients

 

 

 

 

 

 

 

 

APPENDIX 4

(Enclosed with Circular No. 19/2011/TT-BYT dated June 06th 2011 by the Ministry of Health)

THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
-------------------

 

OCCUPATIONAL DISEASE PROFILE

 

 

 

 

Name of occupational disease patient:_______________________________________________

Name of disease:_________________________________________________________________

Date of discovery of disease:

Date of discovery of disease: Team:____________ Workshop:___________________________

Establishment:___________________________________________________________________

 

______[Year]______

 

Name of patient:__________________________________________________ Male *   Female *

Date of birth:

Native place:_____________________________________________________________________

________________________________________________________________________________

Permanent residence:______________________________________________________________

________________________________________________________________________________

Working in arduous, toxic and dangerous conditions:

From ___[date]____from_____[date]_____

Job:____________________________________________________________________________

________________________________________________________________________________

Working unit: Team:____________ Workshop:_________________________________________

Working conditions (The arduous, toxic and dangerous factors shall be specified):

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Conclusion of Medical Examination Council No. ______ dated ____________

Level of working capacity reduction:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Benefit book is issued on ____[date]_______  Number of benefit book: ______________

Other disabilities, if any:

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

 

INDIVIDUAL OCCUPATIONAL DISEASE MONITORING SHEET

Date of re-examination

Situation of disease

Date of beginning treatment

Duration of recovery

Working environment

Re-assessment

Results after treatment/recovery

1

2

3

4

5

6

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPENDIX 5

(Enclosed with Circular No. 19/2011/TT-BYT dated June 06th 2011 by the Ministry of Health)

REPORT ON INTRAMURAL HEALTHCARE ACTIVITIES

Report of quarter No. … ___[year]___

All information in the report shall be completed
(Report shall be sent to preventive medical centers of districts/provincial-affiliated cities and medical centers of Ministries/authorities in case establishment affiliated to Ministerial medical services)

Name of establishment:______________________________________________________________

Location (province/city):_____________________________________________________________

Address:__________________________________________________________________________

Primary products/services:___________________________________________________________

A. Quantity of employees:              Total___________ including _________female employees

1. Total number of employees directly carrying out production: including _________female employees     

2. Number of medical providers:______________________________________________________

B. Working conditions and number of employees in contact with toxic and dangerous factors

Toxic factors

Model value

Number of specimens exceeding Occupational hygiene standards

Number of employees in contact with

Number of female employees in contact with

1. Microclimate

……………

……………

……………

……………

2. Dust

……………

……………

……………

……………

3. Noise, vibration

……………

……………

……………

……………

4. Light

……………

……………

……………

……………

5. Toxic chemical

……………

……………

……………

……………

………….

……………

……………

……………

……………

6. Microorganisms

……………

……………

……………

……………

7. Arduousness, stressfulness

……………

……………

……………

……………

8. Other factors (specifications)

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

……………

C. Occupational hygiene and occupational safety control

1. Occupational hygiene inspections are carried out in the quarter: Yes [  ] No [  ]

2. Occupational safety inspections are carried out in the quarter: Yes [ ] No [ ]

3. Number of employees having been provided with training in occupational hygiene:

4. Number of employees having been provided with training in occupational safety:

D. Leaves of illness, occupational accidents, occupational diseases

Time

Illness

Occupational accidents

Occupational diseases

Quarter

Month (1)

Number of employees (2)

Ratio % (3)

Number of days (4)

Ratio % (5)

Number of employees (6)

Ratio % (7)

Number of days (8)

Ratio % (9)

Number of employees (10)

Ratio % (11)

Number of days (12)

Ratio % (13)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

Notes:

- Column (3): ratio (%) to total employees.

- Column (7): ratio (%) to total employees directly carrying the production.

- Columns (5), (9), (13): ratio (%) to total sick leave

- Column (11): ratio (%) to total employees in contact with toxic occupational factors.

E. Insurance for occupational diseases is accumulated up to quarter No. … ….[year]….

Contacting factor

Name of disease

Full name

Age, gender

Age

Seniority (years)

Rate in assessment of occupational diseases
%

Received insurance or not

Current working environment

Male

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accumulation:

 

 

 

 

 

 

 

 

F. Total number of cases undergoing medical examination and treatment in the quarter:

Including the following diseases:

No.

Group of illness

Quarter I

Quarter II

Quarter III

Quarter IV

Infected

Died

Infected

Died

Infected

Died

Infected

Died

1

Phthisis

 

 

 

 

 

 

 

 

2

Lung cancer

 

 

 

 

 

 

 

 

3

Acute sinusitis/nasopharyngitis/larynx

 

 

 

 

 

 

 

 

4

Chronic sinusitis/nasopharyngitis/larynx

 

 

 

 

 

 

 

 

5

Acute bronchitis

 

 

 

 

 

 

 

 

6

Chronic bronchitis

 

 

 

 

 

 

 

 

7

Pneumonia

 

 

 

 

 

 

 

 

8

Bronchial asthma, bronchiectasis, allergy

 

 

 

 

 

 

 

 

9

Diarrhoea, gastritis, enteritis

 

 

 

 

 

 

 

 

10

Endocrine diseases

 

 

 

 

 

 

 

 

11

Mental illness

 

 

 

 

 

 

 

 

12

CNS diseases and peripheral neuropathy

 

 

 

 

 

 

 

 

13

Eye diseases

 

 

 

 

 

 

 

 

14

Ear diseases

 

 

 

 

 

 

 

 

15

Cardiovascular diseases

 

 

 

 

 

 

 

 

16

Gastric/duodenum diseases

 

 

 

 

 

 

 

 

17

Hepatobiliary diseases

 

 

 

 

 

 

 

 

18

Renal/genitourinary diseases

 

 

 

 

 

 

 

 

19

 Ratio of gynaecological cases to  females

 

 

 

 

 

 

 

 

20

Ratio of miscarriage to pregnancies

 

 

 

 

 

 

 

 

21

Skin diseases

 

 

 

 

 

 

 

 

22

Rheumeteological diseases

 

 

 

 

 

 

 

 

23

Occupational diseases

 

 

 

 

 

 

 

 

24

Malaria

 

 

 

 

 

 

 

 

25

Other diseases (specifications)

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

Number of employees being accident victims

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

 

G. Grading of health condition in the year

Periodic medical-examination number

Total

Type I

Type II

Type III

Type IV

Type V

Notes

Male

 

 

 

 

 

 

 

Female

 

 

 

 

 

 

 

Total

……….

……%

……….

……%

……….

……%

……….

……%

……….

……%

……….

……%

 

H. Spending on medical services and personal protective equipment

Spending on medical services:________________________________________________________

including VND _________ on medicines.________________________________________________

Spending on Occupational hygiene safety is VND________________________________________

Spending on other matters (if any) is VND______________________________________________

Proposals and plans for the next quarter

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

 


Head of unit

_____[date]______
Report maker
(Full name, position)

 

 

 

 

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Số hiệu19/2011/TT-BYT
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Ngày ban hành06/06/2011
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