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Job-fitness evaluation

Therefore, job-fitness evaluation falls within occupational physicians competence. In order to decide... [Pg.360]

The job-fitness evaluation must take into account that the ICD are characterised by graded effects, i.e. they are dose related, and their prevention in the workplace appears easier with respect to the allergic diseases (ACD and IgE-mediated) whose clinical manifestations, in already sensitised subjects, are not related to the degree of exposure. [Pg.361]

It is difficult to set up criteria for job-fitness evaluations. A few suggestions can be made that can vary according to the different situations ... [Pg.361]

To date, the effectiveness of pre-employment medical examination is still under discussion, since there are no follow-up studies or cost/benefit assessments. Moreover, some studies have revealed how, even in similar situations, the job-fitness evaluations can differ considerably according to the criteria used by the physicians (De Kort et al. 1991, 1992). This lack of homogeneity might depend on the lack of standardised protocols. For this reason, we think it might be useful, within some limits, to give a few suggestions on these problems. [Pg.361]

Dermatologic examination during the job-fitness evaluation is especially useful in the event of chronic or recurrent non-occupational dermatoses. We will describe only the most frequent chronic or recurrent dermatoses and mainly fiiose that, due to their location, can cause functional limitations or alter social relationships. In addition, we will deal with those dermatoses that might be worsened by occupational factors or might favour the development of allergic diseases (Fisher et al. 1986 Fitzpatrick et al. 1993 Rook et al. 1993). [Pg.362]

There are many skin inflammatory diseases with known and unknown etiologies. We will deal briefly with the most frequent, characterised by chronic and/ or relapsing courses that can influence job-fitness evaluation. [Pg.363]

To sum up, it is clear how several dermatologic diseases, often characterised by a complex pathogenesis, can influence the job-fitness evaluation, which must take into account occupational factors able to worsen or trigger exacerbations of these diseases. Close co-operation between the dermatologist and the occupational physician is thus very important for the correct diagnosis of all skin diseases occurring in a worker and possibly correlated or worsened by job tasks. [Pg.364]

By way of example, the criteria for job-fitness evaluation of health care workers afflicted with glove-related diseases are reported in the following paragraph. In the context of this example, the procedures to be followed in the case of IgE-mediated sensitisations have been described. [Pg.364]

Since contact dermatitides represent the most frequent occupational dermatoses, in this paragraph we will discuss them. The job-fitness evaluation for employed workers who develop an occupational dermatosis, must take into consideration general and specific preventive measures. General measures include ... [Pg.364]

An Example of Job-Fitness Evaluation Criteria Glove-Induced Dermatitis in Health Care Workers... [Pg.364]

The examples of job-fitness evaluation criteria are practical suggestions (not definitive ones, because of the evolving nature of the topic) to be adapted to the different possible work situations. They have been taken from a consensus document prepared by the Italian Society of Preventive Medicine for Health Care Workers on Allergic and irritant glove-related diseases in health care workers and their prevention (Alessio et al. 1997). [Pg.364]

Information Necessary Tool for the Application of Job-Fitness Evaluation... [Pg.365]

Additional examinations that are independent of medical surveillance will be required. These include fitness evaluations for personal protective equipment and evaluation of a potential worker s ability to meet the functional requirements of the job. [Pg.402]

Persons assigned tasks requiring the use of a respirator must possess the physical ability to work while using the device. OSHA requires employers to ensure the medical fitness of individuals that must wear respirators. The fitness evaluation considers the physical and psychological stress imposed by the respirator. It must also evaluate the stress originating from job performance. Employers must ensure that employees pass the evaluation prior to fit testing or permitting the use of the respirator for the first time. A physician or other licensed healthcare professional must... [Pg.183]

These procedures make it possible to formulate an etiological diagnosis, necessary to express a fitness evaluation, which should take into account the demands of the job and the abilities of the person to do the job without health impairments or a worsening of pre-existing diseases. Thus, it is clear that the cooperation of the dermatologist is necessary. [Pg.360]

Private corporations are employing individuals with biomechanical knowledge to perform employee fitness evaluations and to provide analyses of work environments and positions. Using these assessments, the biomechanics experts advise employers of any ergonomic changes or job modifications that will reduce the risk of workplace injury. [Pg.226]

As stated previously, the MWT should be considered as one index from a set of indices for a subject or patient. Furthermore, the reason for doing an MWT evaluation is important. If the subject or patient is being evaluated as part of a fit-ness-for-duty examination in connection with a safety-sensitive job, the range of acceptable performance might be narrowed. If the subject or patient is being evaluated to determine whether an experimental intervention has improved ability to remain awake, then the focus may be shifted from average sleep latency to a metric reflective of change from baseline. [Pg.36]

Determining which of the job-evaluation processes (outlined in the pages that follow) provides the best fit for a given organization depends on numerous considerations. One may be more appropriate than the other, but there is no one best scheme (Fowler 1996). [Pg.902]

Records of medical evaluations must be retained and made available in accordance with 29 CFR 1910.1020. The medical evaluation is required based upon the fact that the use of a respirator may place a physiological burden on employees. The amount of burden varies with the type of respirator worn, the job and workplace conditions in which the respirator is used, and the medical status of each employee. The company must provide a medical evaluation to determine the employee s ability to use a respirator before the employee is fit tested or required to use the respirator in the workplace. [Pg.399]

All new and regular employees who fill job classifications that require respirator use in the performance of their duties are required to pass an initial medical examination to determine fitness to wear respiratory protection on the job. Annual spirometric evaluations will be conducted to ensure that employees covered under this program meet the OSHA requirements for fitness to wear respirators. On a continuous 5-year basis, all company employees covered under this program will be reexamined by competent medical authorities to ensure their continued fitness to wear respiratory protection on the job. [Pg.298]


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See also in sourсe #XX -- [ Pg.360 ]




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