7. Employee evaluation.ppt

8/10/2019 7. Employee evaluation.ppt

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Employee evaluation/Medical

examination

Margaret K. Semakula


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Content

Definition of Occupational Medical Examination(ME) Legal Framework for ME

Importance of ME

Types of ME

Process of ME


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Definition

Medical examination is a procedure or testcarried out by a qualified MedicalPractitioner that seeks information about apersons state of fitness in terms of physicalor mental health, to perform duties of agiven job.


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Legal Framework for ME

Labour Laws Employment Act, cap 219 2006.

An Employee who wishes to enter into a

contract of service for any of theemployments specified in the schedule to thisAct shall first be examined by a medical

practitioner at the expense of the employerand where practicable, a certificate showingthe results of the examination shall be issuedbefore the attestation of the contract.


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Legal framework contd Also provides for attestation of a work contract

provided the medical examination can be donewithin 2 weeks.

Any employee who has been rejected after anexamination under this section as physically unfitfor the work contemplated by the proposedcontract shall be returned to the place ofengagement at the expense of the employer oremployers agent should the employee wish toreturn.


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Importance of ME1. To identify prospective medical conditions that

are incompatible with the suggested occupation.

- e.g Respiratory conditions (Allergic rhinitis,Sinusitis, Asthma, Chronic Obstructive Airwaydisease, Bronchitis, Emphysema) Vs Tobaccocuring, Coffee processing, Mining Gold, Copper,Tin, Limestone, Packaging Cement etc.

- E.g Mental illness or Hydrophobia, Height phobiaand Water rafting, Sky diving, Parachuting etc


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Importance IV2. To identify underlying medical conditions that

may be cause accidents at occupation.- e.g Eye sight problems (Short sightedness &

driving,- E.g Epilespsy & work at fires, water, driving e.t.c- Mental disorders

- Physical disability & Climbing heights inconstruction works


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Importance III3. To evaluate overall fitness and physical ability of

the prospective employee to perform the jobapplied for.

4. To design programs for mitigating health probleme.g fitness sessions (Physical exercise)/ controllingconditions by regular treatment

- Degenerative disorders e.g spondylosis & heavyweight lifting

- Chronic conditions e.g diabetes, HIV, Lung cancer


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Importance IV5. For surveillance of toxic waste products. Eg In 2006

alone, dumping of ~500 tons of petro-chemicalwastes in 15 sites in Abidjan, Cote dvoire, WestAfrica, led to deaths of 8 people, & 90,000 more

seeking medical help. All was attributable to thepetro-chemical wastes (WHR, 2007).

1986 Chenorbyl disaster was the worst radio-

nuclear accident in history in Soviet Union withevacuation & resettlement of 336,000 people fromSoviet Union, Some Nordic countries, Eastern &western Europe & parts of eastern North America.


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Types Of Medical Examination There are three main types of medical

examination.

1. Pre-employment

2. Routine/ Periodic

3. Mandatory


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Pre-employment Medical Examination

Is done on any prospective employee for aspecified job. The prospective employee is not inemployment at the time of the examination.

Consists of a personal medical history, anoccupational history, a physical examination andincludes appropriate laboratory tests.

Such a pre-employment medical examination isrequired prior to dangerous types of work.


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Pre-employment ME The dangerous types of work include;- Mining, Quarrying processes, Stone blasting- Taxidermy and hide processing- Wood preservation

- Soldering and Electroplating- Textile and bleaching- Pesticide work e.g Fumigation and spraying

- Welding and Smelting- Clothes dry cleaning- Radioactive substances e.g nuclear plants

- Radio therapy e.g X-ray rooms e.t.c


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Importance of Pre-employment ME

1. Baseline data on employees health2. Creates job security3. Creates a sense of job responsibility to the

employer4. Enhances self confidence to the employee5. Precursor for high productivity since a healthy

work force is recruited.6. Mandatory by law.


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Routine/ Periodic ME

Is a follow up of pre-employment examination.

Is done every after a specified period e.g (every

six months) depending on; the type ofoccupational exposure, age of employees andlegal requirements.

Occupational exposures may include; Lasers,carcinogens, infectious agents, radioactive

agents etc.


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Importance of Periodic ME Shows employee health status at the time compared

to the baseline.

Helps employer determine whether the employeeare still in good health to plan for transfers,

promotions, training e.t.c Builds confidence of employees

Helps to monitor the health status of the generalworking population.

Can help in identifying any un-anticipated exposure.


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Periodic ME as Medical Surveillance Employees that require medical surveillance

include workers exposed to;- Asbestos,- Lead,- Noise,- Lasers,

- Hazardous Waste And- Other Biological Hazards.- Radio nuclear and Toxic threats (WHR, 2007)


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Mandatory Medical Examination A type of medical examination that is a requirement (not

optional) from the employer due to specific reasons which mayinclude;Unusual happening e.g. epistaxis etc

Noted occurrence of frequent accidents

Frequent absenteeism due to illness

Need to shift from one department to another with differentexposure.

Routine examination of equipment and un-usual hazardousfindings.


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Importance of Mandatory ME1. Creates information on use of protective wear/

devices/equipment.

2. Documentation of any new occupational hazard

discovered.

3. Screen out persons with un-anticipated exposure & useof information for better monitoring methods.

4. Compensation of employees


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Process Of Medical Examination Official:- Qualified physician, medical practitioner/ specialist

identified by Employer. Inputs:- Medical expert has details of Job description.- Tools of work for medical assessment including

laboratory/ radiological services. Assessment criterion:- Is the person suitable/ fit for the proposed work


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Process Of Medical Examination Qualified persons criterion: - Professional independence, Competence, Secrecy, Confidentiality,

Informed consent.

Areas for examination- General Examination (Anaemia, Oedema, Lymphadenopathy,

Mental Status Examination)- Specific/ Relevant Examination = Systemic e.g Cardiovascular

system, Respiratory system, Central Nervous System etc.

- Investigations e.g Laboratory & Radiology.


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Process of ME

Final report is sent to the employer (Fit / Un-fit)with reasons for the conclusion.

Reasons for this are based on the MedicalHistory, Examination, and Investigations.


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REFERENCES Labour Laws of The Republic of Uganda, 2000.

The Employment Act, Cap 219, pgs 4,697 4,724.

Davidsons, 2001. Principles and Practice ofMedicine, 17 th Edition.

WHR, 2007. World Health Report , 2007. Towardsa safer future.

MUK MPH 8104 (2006), Introduction toOccupational Health, Course Materials.

Documents

7. Employee evaluation.ppt