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Employee Medical Surveillance Procedure S3[APAC]-128-PR1

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Employee Medical Surveillance Procedure S3[APAC]-128-PR1 APAC Employee Medical Surveillance Procedure S3[APAC]-128-PR1 1. Purpose and Scope a. The purpose for this procedure is to describe the process for health surveillance of AECOM employees and directly engaged third parties who are regularly exposed to work related health risks, (e.g., asbestos, noise, vibration, dust, gases, chemicals, fumes, contaminated lands, dangerous goods etc.), during project work or performing other work practices that warrant their inclusion into the medical surveillance program. b. This procedure is to be used as a guideline for all AECOM controlled operations in Asia Pacific (APAC) and all work activities carried out by AECOM APAC Employees, Contractors and Subcontractors. c. All Employee Medical surveillance will be completed in accordance with all relevant legislation, codes of practice and APAC standards as applicable. 2. Procedure 2.1 Medical Assessment a. Each Region will monitor and document medicals for employees enrolled in the medical surveillance program. Contractors and other third parties under direct AECOM control will be encouraged to meet the same standard through contractual arrangements and our ongoing consultation, cooperation and coordination. b. Employee medicals will be carried out by a suitably qualified medical professional and shall be undertaken at no cost to the employee. c. Medical examinations will include standard fitness tests for hearing, eye, lung and overall wellbeing. In addition, specific tests will be conducted depending on the nature of the exposure or the individual findings from the exam. The suitably qualified medical professional will provide information from the medical examination directly to the employee at the time of the medical. d. The assessment may be documented on Medical Assessment Form (or the clinic’s or client’s equivalent). Only the final page confirming the status of the individual is required to be submitted back to AECOM, this will be stored on the individuals personnel file on the secure drive, ensuring confidentiality is maintained e. The assessment should not contain confidential information on the employee’s general health status unless it is relevant to the exposure and / or role. f. In the circumstances that an assessment shows an employee has been exposed to a hazardous chemical at work and this has caused them to contract a disease, injury or illness, the employee, HR Manager, SH&E Manager, and the employees’ manager will work together to understand what actions need to be taken to: i. Improve the employee’s health; ii. Identify if any ongoing monitoring or treatment is required; iii. Whether the employee can continue to work with that particular chemical or if alternate duties are required; and iv. If any other staff may have been exposed and require further monitoring. 2.2 Surveillance Program a. Exposure monitoring is not a risk control measure. Rather, it is a monitoring tool to confirm that exposure levels were not exceeded and the health of staff was not compromised. © AECOM Restricted Employee Medical Surveillance Procedure (S3[APAC]-128-PR1) Revision 0 May 8, 2018 PRINTED COPIES ARE UNCONTROLLED. CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. 1/5 b. Any staff exposed to 50% of the legislated Workplace Exposure Standard will be requested to participate in a medical surveillance program. The following guide should be used to determine the frequency and type of periodic surveillance medicals: Type of Frequency of Maintenance Typical Work/Tasks Workplace Exposures Medical Medicals Investigation or remediation work on Benzene Workplace Annually (regular field staff). contaminated petrol sites Lead Exposure Note this may be required (HAZWOPER) or stack testing Various (VOC, etc.) regardless of exposure to 50% levels where client/AECOM requires this to occur. Rigorous field work, environmental site Manual handling; General Every 3 years assessment (not hazardous waste potential inadvertent sites) exposures (identified on project risk assessment) Stormwater or wastewater work; Location specific Tetanus Updated as required landfill; international travel to high biological agents Polio medical risk countries Diphtheria Hepatitis A Hepatitis B Immunisations Persons employed in quarry and Crystalline silica Workplace Within legislated construction work which exposes them Asbestos Exposure requirements e.g. Hong Kong regularly to silica dust or asbestos. is annual and copies to be sent to Occupational Health Service of Labour Department. *refer to local regulations for a comprehensive list of workplace exposures and limits c. Any projects with exposures other than the known, regular tasks identified above, must have their own identified hazards and ensure that the medical surveillance requirements are sufficient to confirm that staff has not been over-exposed. As part of the project site-specific risk assessment a competent person is required to assess whether any potential health hazards (biological, physical, chemical/atmospheric) are present and if so determine potential for worker exposure, levels, and appropriate processes for managing each health hazard, including, where appropriate, health surveillance and exposure monitoring. d. Contractors and other third parties under direct AECOM control who trigger the criteria outlined above will be encouraged to meet the same standard through contractual arrangements and our ongoing consultation, cooperation and coordination. e. Any sudden, unexpected exposure to the STEL of a contaminant or a significant, unprotected exposure will require an immediate medical examination appropriate to the substance to which the staff person was exposed. 2.3 Testing Protocols Type of Entry Medical Maintenance Medical Exit Medical Exposure General History and Physical --- --- Audio Test (standard) Workplace History and Physical History and Physical History and Physical Exposure Vision Vision Vision Audio Test (standard) Audio Test (standard) Audio Test (standard) Pulmonary Function Test Pulmonary Function Test Pulmonary Function Test Complete Blood Count (CBC) Complete Blood Count (CBC) © AECOM Restricted Employee Medical Surveillance Procedure (S3[APAC]-128-PR1) Revision 0 May 8, 2018 PRINTED COPIES ARE UNCONTROLLED. CONTROLLED COPY IS AVAILABLE ON COMPANY INTRANET. 2/5 Type of Entry Medical Maintenance Medical Exit Medical Exposure Chemistry Panel Chemistry Panel Urinalysis Urinalysis Electrocardiogram (ECG) Electrocardiogram (ECG) a. If exposures are not anticipated to achieve or exceed Action Levels, the maintenance examination requirements are focused primarily on general health and pulmonary function (in case a respirator is required to be worn). If any abnormalities are identified by the medical practitioner during a routine maintenance medical assessment, further examinations may be required. i. When employees are enrolled in the medical surveillance program, they must be provided with the following information: · What is involved in the health monitoring program, for example the frequency of testing and which tests are necessary; · What health monitoring aims to achieve and its benefits; · How to report symptoms; · Potential health effects from exposure; · Record keeping requirements; and · A copy of their health monitoring report. ii. Any testing equipment used in health surveillance and monitoring is required to be calibrated and maintained in accordance with manufacturer’s specifications and relevant legislation, codes of practice and jurisdictional standards. Such records shall be held by the medical practice and/or testing agency and be made available upon request to the employee and/or any representative from the AECOM Shared Services team. 3. Terms and Definitions Define only those terms mentioned within the document and list using ‘Alpha List’ option from the AECOM Procedure List dropdown on the Home tab. a. Action Level Action Levels are the exposure levels at which action must be taken to mitigate and manage AECOM worker exposure. This is typically 50% of Workplace Exposure Standards (WES), but may vary depending on the circumstances and hazardous substance. Staff who may be subjected to sites where Action Levels may be encountered shall be requested to participate in medical monitoring to confirm that they have not been overexposed. b. Entry or Pre-Employment A medical examination for future project and field staff whose role is likely to regularly Medical expose them to work related health risks (e.g., asbestos, noise, vibration, dust, gases, chemicals, fumes, contaminated lands, dangerous goods etc.) during project work or performing other work practices that warrant their inclusion into the medical surveillance and/ or required to work in remote areas. It is intended that the pre-exposure medical assessment will identify whether a person is physically capable of performing the duties of his/her job and for it to be used as a benchmark of the employees’ wellness. Employees will also be required to undertake a pre-employment drug and alcohol test. c. Exit Medical A health surveillance medical that is completed by project and field staff upon completion of their employment with AECOM to establish their health condition at the time of exit d. Periodic Medicals A health surveillance medical examination is conducted to check the health of project and field staff that has regularly been exposed to contaminated or hazardous materials as part of their work e. Random and For Cause Drug will be undertaken either at the request of the client or a ‘for cause’ test maybe required and Alcohol
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