PDO Medical examinations specification SP1230

Petroleum Development Oman LLCRevision: 3.0Effective: 1 Apr 20098.2 Breathing Apparatus (BA) workFitness toworkGroupScope andapplicationCriticalactivityandpotentialhazardsBreathing Apparatus (BA) workPersons who are required to wear breathing apparatus when undertakinga work task. For the purposes of this FTW group, “Breathing apparatus”includes all personal respiratory protective equipment where a tight sealis required to confer protection on the user. This is always the case forself-contained breathing apparatus (SCBA) and a supplied air respiratorwith full-face mask (SAR). It is also required for sealed half facemasksbut not necessary for simple non-sealed devices e.g. dust mask.Breathing apparatus can increase work load due to increased cardiorespiratory effort related to breathing through a filter, thermoregulatorydemand and the additional weight of the equipment. In addition the worktask itself often increases cardio respiratory and thermal load.ProcedureQuestionnairePhysicalevaluationInvestigationsFrequencyPre-placement questionnaire and physical evaluation.Periodic review – two yearly screening questionnaire and selfconfirmationof fitness to work.An initial assessment is required to exclude problems, which may beexacerbated, by the work or the use of BA. The assessment shouldinclude a fit test (to confirm seal of mask) appropriate for the type ofrespiratory protective equipment (RPE) - to be repeated once every twoyears.Form Q1 for initial evaluation(refer to index F)Form SQ2 for periodic two yearly screening reviewE1 for pre placement physical examination to include blood pressure andBody Mass Index (BMI).E1 for two yearly reviews of SCBA users requiring a cardiovascular (CVS)profile.Spirometry is desirable for a baseline on the pre placement evaluation butnot required unless clinically indicated. It should only be repeated onclinical indication thereafter.SCBA users should have a CVS profile once every two years when age40 or over.Under 60 - Two yearly screening review and fit test (see OSHA referencebelow) with 2 yearly CVS profile for SCBA usersOver 60 – annually.Page 37 SP-1230 : Specification for Medical Examination, Treatment & Facilities Printed 25-Sep-08The controlled version of this CMF Document resides online in Livelink®. Printed copies are UNCONTROLLED.