1. page OCCUPATIONAL HEALTH SURVEILLANCE GOOD HEALTH IS GOOD BUSINESS Pakistan Petroleum Limited

7. HERNIA

8. LIFTING

9. UPPER LIMB DISORDERS

24. HEALTH RISK ASSESSMENT MATRIX

26. 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

27. 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

32. HIERARCHY OF CONTROLS

33. NOISE REDUCING CONTROLS Re-design or maintain Acoustic Guard Absorb or Shield Enclose the person Shadow Noise

40. 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

41. 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

42. 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

43. EXECUTION OF HEALTH SURVEILLANCE PROGRAM

65. OCCUPATIONAL HEALTH SURVEILLANCE PROGRAMME Safe and Healthy return from Workplace to Home

66. OCCUPATIONAL HEALTH SURVIELLANCE PROGRAMME We must be the change we wish to see in the world