Health hazards have potential to adversely affect the health of individuals or groups and potential to cause occupational diseases which may be (acute, delayed or chronic) with varying degrees of disability and even death
The priorities to hazards depends upon the hazards caused by them
Risk Risk Rating 20-25 Intolerable / Very High (VH) 12 - 16 High (H) 8-10 Medium (M) < 8 Low (L)
HEALTH RISK ASSESSMENT MATRIX Severity Likelihood / Probability (P) Rating Consequence Very Unlikely (Could happen but probably will not) Unlikely (Could happen but very rarely) Often Likely (Could happen at some time) Likely (Could happen once in a year) Extremely likely (Could happen at any time) 1 2 3 4 5 1 No health effect Low 2 Minor / slight health effect Medium 3 Major health effect 4 Single fatalities High 5 Multiple fatalities Very High
HEALTH RISK ASSESSMENT MATRIX Severity Likelihood / Probability (P) Rating Consequence Very Unlikely (Could happen but probably will not) Unlikely (Could happen but very rarely) Often Likely (Could happen at some time) Likely (Could happen once in a year) Extremely likely (Could happen at any time) 1 2 3 4 5 1 No health effect No Immediate Action Required 2 Minor / slight health effect Third Priority 3 Major health effect 4 Single fatalities Second Priority 5 Multiple fatalities First Priority
At initial stages the Occupational Health Surveillance Program is focused on
Fork Lift and crane operators
Exposed to High noise
Any case identified by Dept. Head / Field Incharge
S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening Vaccination 1 Production / Maintenance Technicians Noise level above 85 for 8 - hrs a day Hearing loss Color blindness Audiometric Test -- Annual Color Blindness (Only for electrical technicians) --- Initially / Upon entry 2 Vehicle Drivers Driving for company business Vision & hearing loss Eye Test -- Annual Audiometric Test -- Initially / Upon entry Color Blindness --- Initially / Upon entry 3 Fork Lift / Crane Operators Loading / unloading driving Vision & hearing loss Eye Test -- Annual Audiometric Test -- 2 - Yearly Color Blindness --- Initially / Upon entry
S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening Vaccination 4 SF Hospital’s Staff Infectious agents in blood and other body fluids, while handling the patients. Transmission of contagious diseases from patients - Hepatitis B Complete Course - Tetanus 5 Yearly 5 Canteen Staff Preparation of food for PPL Staff Transmission of contagious diseases e.g. Typhoid, Hepatitis A and parasitic infections. X Ray, SGPT and Stool D / R ---- Upon entry ---- Hepatitis A Upon entry ----- Typhoid Upon entry Medical Review by Company Doctor / CMA based on medical screening results of SGPT and Stool D / R ---- Annually 6 Janitorial Staff Exposure to effluent & hazardous wastes Susceptible to diseases like Typhoid, Hepatitis etc --- Hepatitis B Complete Course --- Tetanus 5 - Yearly
S. No Cadre Occupational Exposures Possible Hazards Surveillance Required Frequency Screening Vaccination 7 Janitorial Staff Exposure to effluent & hazardous wastes Susceptible to diseases like Typhoid, Hepatitis etc --- Tetanus 5 - Yearly 8 Radiology Lab Staff Radiation CBC Urine Chest X-Ray --- Annually 9 Firemen Use of breathing apparatus in Smokey conditions of fire. Emergency Sirens of high pitch during emergency. Susceptible to cardio-respiratory distress and syncope. Vision & hearing Medical fit test for use of Breathing Apparatus as per checklist provided in HSE SOP on PPE --- Annually Vision --- Annual for Staff above 45 yrs. Two yearly for Staff below 45 yrs. Audiometric --- Two yearly for all Staff
Admin. Dept. HO shall incorporate the Health Surveillance requirements into the Contract Document with the Catering / Janitorial Service / Transport Contractors and extend necessary coordination with Medical & HSE Dept.at HO for monitoring implementation by these contractors.
The actions taken by Field Management in response to recommendations of OHS for the implementation of additional control measures are recorded in template (PPL – HSE / FM / HS / 02 & 03).
Dept. Head / Field Incharge will acquire record(s) of vaccination and health surveillance of contractor’s Staff and forward to Medical Dept. for necessary review and recommendations.
Any new entry into the record shall be maintained at contract executing Dept.'s end.
At Fields Site Company Medical Advisor (CMA) in coordination with Field HSE Representative develops and forwards the Disease Analysis Record Sheet (PPL - HSE / FM / HS / 04) on monthly basis to OHS with copy to HSE Dept. HO through respective Field / Location Incharge for their record and onward maintaining statistical data.
At Sui the sickness and illnesses data of PPL Staff is centrally consolidated and forwarded through Sui Hospital.
At HO the same is developed and maintained by Medical Dept.
For any contagious diseases, immediate actions may be taken on CMA's recommendations. However, the detailed guidelines may be obtained from OHS.
Appropriate Kitchen and Food Safety standards shall be maintained at PPL Head Office and all PPL Locations
HSE Representatives / Coordinators along with Administration Dept. / Section responsible quarterly inspection of kitchen & dining areas as per checks provided in Kitchen Hygiene Inspection Checklist (PPL - HSE / FM / HS / 06).
Food waste must be stored in completely covered containers as per guidelines provided in SOP on Waste Management (PPL - HSE / PR / 14) for onward safe disposal.
Field HSE Representative / HSE Coordinator shall provide awareness and training to all food handlers on food safety & personal hygiene for effective implementation of standards outlines in this procedure.
Water utilized for drinking and cooking purpose at Fields / Locations shall be from approved sources
comply with the chemical and bacteriological limits specified in Quality Drinking Water Standards specified by Ministry of Health, Govt. of Pakistan.
PPL Occupational health specialist shall approve the source based on certain testing from external laboratories or certificate submitted from the supplier.
Water used for dish washing, lavatories etc. shall be stored in aboveground tanks. All underground and above ground tanks are internally cleaned at least annually to avoid chances of microbiological accumulation.
Fields / Location where water is supplied through tankers / bowzers,
It will be ensured that tankers / bowzers are internally clean and in good physical condition.
CMA / Field HSE Representative / HSE Coordinator shall carry out random inspections of tankers / bowzers and address this requirement in work contract.
Carrying out inspection of Kitchen along with Admin. Dept. / Section Rep.
Extending necessary assistance to Field / Location Incharge in implementing requirements of procedure
HR / IR Dept.
Coordinating medical screening of newly appointed Staff through Medical Dept. at HO and / or Field / Location.
It will be ensured that Electrical Technicians, Fork Lift / Crane Operators and Vehicle Drivers are assessed for color blindness and audiometric in addition to other specified routine pre employment test.